Self-image and 12-month outcome in females with eating disorders: extending previous findings.
Eating disorder
Outcome
Prediction
Self-image
Journal
Journal of eating disorders
ISSN: 2050-2974
Titre abrégé: J Eat Disord
Pays: England
ID NLM: 101610672
Informations de publication
Date de publication:
2019
2019
Historique:
received:
11
08
2016
accepted:
16
11
2016
entrez:
11
5
2019
pubmed:
11
5
2019
medline:
11
5
2019
Statut:
epublish
Résumé
The interpersonal Structural Analysis of Social Behavior (SASB) model of self-image has repeatedly proven valuable in relation to eating disorder (ED) symptoms and in predicting ED outcome. We studied the association between initial self-image according to the SASB and 12-month outcome, in five diagnostic groups of female ED patients. Based on previous findings, we expected autonomy related variables (self-control/autonomy) would strongly predict outcome in anorexia nervosa (AN) groups, whereas variables related to affiliation (self-attack/love) would moderately predict outcome in bulimia nervosa (BN). Participants were adult female patients, of whom 457 had AN restrictive type, 228 AN binge/purge subtype, 861 BN, 505 other specified ED and 170 binge eating disorder. Data came from the Stepwise clinical database in Sweden. Outcomes were presence/absence of ED diagnosis and self-rated ED symptoms, and we controlled for baseline ED pathology, BMI, age and general psychiatric symptoms. Regression analyses showed that although the pattern differed somewhat between diagnostic groups, high initial self-love and low self-attack/self-blame predicted a more positive 12-month outcome. In some groups (AN/R in particular), these variables remained important even when baseline pathology and age were included in the analyses. Self-image aspects once again display substantial power in predicting outcome in EDs. In AN/R patients, self-love plays an almost as crucial a role as baseline ED pathology in relation to 12-month outcome.
Sections du résumé
BACKGROUND
BACKGROUND
The interpersonal Structural Analysis of Social Behavior (SASB) model of self-image has repeatedly proven valuable in relation to eating disorder (ED) symptoms and in predicting ED outcome.
OBJECTIVE
OBJECTIVE
We studied the association between initial self-image according to the SASB and 12-month outcome, in five diagnostic groups of female ED patients. Based on previous findings, we expected autonomy related variables (self-control/autonomy) would strongly predict outcome in anorexia nervosa (AN) groups, whereas variables related to affiliation (self-attack/love) would moderately predict outcome in bulimia nervosa (BN).
METHOD
METHODS
Participants were adult female patients, of whom 457 had AN restrictive type, 228 AN binge/purge subtype, 861 BN, 505 other specified ED and 170 binge eating disorder. Data came from the Stepwise clinical database in Sweden. Outcomes were presence/absence of ED diagnosis and self-rated ED symptoms, and we controlled for baseline ED pathology, BMI, age and general psychiatric symptoms.
RESULTS
RESULTS
Regression analyses showed that although the pattern differed somewhat between diagnostic groups, high initial self-love and low self-attack/self-blame predicted a more positive 12-month outcome. In some groups (AN/R in particular), these variables remained important even when baseline pathology and age were included in the analyses.
DISCUSSION
CONCLUSIONS
Self-image aspects once again display substantial power in predicting outcome in EDs. In AN/R patients, self-love plays an almost as crucial a role as baseline ED pathology in relation to 12-month outcome.
Identifiants
pubmed: 31073404
doi: 10.1186/s40337-019-0247-1
pii: 247
pmc: PMC6498667
doi:
Types de publication
Journal Article
Langues
eng
Pagination
15Déclaration de conflit d'intérêts
The authors have no competing interests to declare.Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Références
Int J Obes Relat Metab Disord. 2001 Aug;25(8):1253-61
pubmed: 11477512
Int J Eat Disord. 2003 Apr;33(3):271-80
pubmed: 12655623
Behav Res Ther. 2003 May;41(5):509-28
pubmed: 12711261
Psychol Psychother. 2003 Dec;76(Pt 4):337-49
pubmed: 14670185
Clin Psychol Rev. 2005 Nov;25(7):895-916
pubmed: 16099563
Behav Res Ther. 2006 Jan;44(1):53-62
pubmed: 16301014
Int J Eat Disord. 2006 Nov;39(7):590-3
pubmed: 16826575
Eat Disord. 2005 Mar-Apr;13(2):201-11
pubmed: 16864342
Int J Eat Disord. 2007 May;40(4):293-309
pubmed: 17370291
Eat Behav. 2007 Aug;8(3):398-406
pubmed: 17606238
Psychol Psychother. 2008 Mar;81(Pt 1):95-104
pubmed: 17631699
Psychiatry. 2008 Spring;71(1):71-92
pubmed: 18377207
Behav Res Ther. 2008 Oct;46(10):1105-10
pubmed: 18710699
Int J Eat Disord. 2009 Sep;42(6):522-30
pubmed: 19107836
Eur Eat Disord Rev. 2010 Jul-Aug;18(4):251-9
pubmed: 20589767
J Pers Assess. 2010 Nov;92(6):480-9
pubmed: 20954050
Behav Res Ther. 2011 Feb;49(2):85-91
pubmed: 21185552
Behav Res Ther. 2011 Sep;49(9):529-35
pubmed: 21724176
Eat Behav. 2011 Dec;12(4):289-95
pubmed: 22051362
Hastings Cent Rep. 2011 Nov-Dec;41(6):19-29
pubmed: 22238901
Psychiatry Res. 2012 Dec 30;200(2-3):518-23
pubmed: 22657951
JAMA Pediatr. 2013 Jan;167(1):21-6
pubmed: 23129001
Clin Psychol Rev. 2013 Feb;33(1):156-67
pubmed: 23195616
J Psychiatr Res. 2013 Jul;47(7):972-9
pubmed: 23535032
Compr Psychiatry. 2014 Apr;55(3):439-49
pubmed: 24332388
Neurosci Biobehav Rev. 2014 May;42:55-92
pubmed: 24333650
PLoS One. 2013 Dec 31;8(12):e83412
pubmed: 24391763
Eat Behav. 2014 Jan;15(1):125-31
pubmed: 24411765
J Behav Ther Exp Psychiatry. 2014 Jun;45(2):285-90
pubmed: 24480398
Int J Eat Disord. 2014 Nov;47(7):710-7
pubmed: 24862477
J Eat Disord. 2013 Aug 20;1:31
pubmed: 24999410
J Pers Disord. 2015 Aug;29(4):547-73
pubmed: 26200851
J Eat Disord. 2015 Aug 25;3:30
pubmed: 26309737
J Consult Clin Psychol. 2016 Feb;84(2):178-84
pubmed: 26689304
Clin Psychol Psychother. 2017 Jan;24(1):278-286
pubmed: 26818533
Int J Eat Disord. 1994 Dec;16(4):363-70
pubmed: 7866415
Acta Psychiatr Scand. 1994 Jan;89(1):21-8
pubmed: 8140903
J Pers Assess. 1996 Apr;66(2):248-66
pubmed: 8869570
Clin Psychol Rev. 1998 Jun;18(4):391-420
pubmed: 9638355
Percept Mot Skills. 1998 Jun;86(3 Pt 2):1442
pubmed: 9700824