Everyday flexibility and functional milestones in anorexia nervosa: survey results from a mixed community sample.
Anorexia nervosa
Cognitive-behavioral flexibility
Eating disorders
Functional outcome
Social function
Work
Journal
Eating and weight disorders : EWD
ISSN: 1590-1262
Titre abrégé: Eat Weight Disord
Pays: Germany
ID NLM: 9707113
Informations de publication
Date de publication:
Jun 2022
Jun 2022
Historique:
received:
07
07
2021
accepted:
08
09
2021
pubmed:
23
9
2021
medline:
25
5
2022
entrez:
22
9
2021
Statut:
ppublish
Résumé
This study examined the relationship between self-reported cognitive-behavioral flexibility scores on the Eating Disorder Flexibility Index (EDFLIX) and objective social and occupational functional milestones in participants with a lifetime diagnosis of anorexia nervosa (AN). The Work and Social Adjustment Scale (WSAS) was included to compare objective and subjective measures. 114 female adult participants with a current (53.5%) or past (46.5%) full or partial AN syndrome diagnosis completed an online survey which included functional milestone questions, the EDFLIX, WSAS, EDE-Q, and DASS-21. Everyday flexibility scores were significantly associated with WSAS scores, but not functional milestones for the same domain. Lower flexibility was related to higher WSAS work impairment but was not associated with poor occupational outcomes. Lower flexibility was related to higher WSAS social impairment but was not associated with less frequent social contact with friends. Milestones across work, social and relationship areas were not significantly correlated, suggesting individuals have areas of strength and weakness across functional domains. In contrast, WSAS ratings indicated broad functional impairment. Results from the milestones suggest self-reported cognitive-behavioral flexibility is not a strong determinant of everyday function. Results from the subjective WSAS function measure and the more objective functional milestones were not consistent. To obtain a more balanced assessment of everyday functioning in AN, both subjective and objective measures should be considered. Level III Case-control analytic study.
Identifiants
pubmed: 34550546
doi: 10.1007/s40519-021-01300-7
pii: 10.1007/s40519-021-01300-7
pmc: PMC8456687
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1641-1650Informations de copyright
© 2021. The Author(s), under exclusive licence to Springer Nature Switzerland AG.
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