Caroline Björck1, David Clinton, Staffan Sohlberg, Claes Norring. 1. Karolinska Institutet, Department of Clinical Neuroscience/Section for Psychiatry, Karolinska University Hospital-Huddinge, M57, S-141 86 Stockholm, Sweden. caroline.bjorck@ki.se
Abstract
INTRODUCTION: Negative self-image has been hypothesised to be of aetiological significance in eating disorders; however, its relationship to outcome remains unclear. The present study examined the relationship between self-image and follow-up status in a heterogeneous sample of eating disorder patients (N=246). METHODS: Patients were assessed at intake and after 36 months. Self-image was measured using SASB, and a general outcome measure was calculated comprising eating disorder symptoms, occupational status, interpersonal relationships and general psychopathology. RESULTS: SASB self-hate was the most important variable for predicting poor outcome, followed by occupational status, interpersonal relationships, eating disorder symptoms, SASB self-emancipation and general psychiatric symptoms. Together these variables predicted 23% of the variance in outcome. DISCUSSION: High levels of self-hate may increase the risk of poor outcome in eating disorders by adversely affecting interpersonal relationships and making it difficult for patients to engage in treatment.
INTRODUCTION: Negative self-image has been hypothesised to be of aetiological significance in eating disorders; however, its relationship to outcome remains unclear. The present study examined the relationship between self-image and follow-up status in a heterogeneous sample of eating disorderpatients (N=246). METHODS:Patients were assessed at intake and after 36 months. Self-image was measured using SASB, and a general outcome measure was calculated comprising eating disorder symptoms, occupational status, interpersonal relationships and general psychopathology. RESULTS: SASB self-hate was the most important variable for predicting poor outcome, followed by occupational status, interpersonal relationships, eating disorder symptoms, SASB self-emancipation and general psychiatric symptoms. Together these variables predicted 23% of the variance in outcome. DISCUSSION: High levels of self-hate may increase the risk of poor outcome in eating disorders by adversely affecting interpersonal relationships and making it difficult for patients to engage in treatment.
Authors: L M McCormick; P K Keel; M C Brumm; D B Watson; V L Forman-Hoffman; W A Bowers Journal: Eat Weight Disord Date: 2009 Jun-Sep Impact factor: 4.652
Authors: Cristin D Runfola; Laura M Thornton; Emily M Pisetsky; Cynthia M Bulik; Andreas Birgegård Journal: Compr Psychiatry Date: 2013-11-19 Impact factor: 3.735