Zaida Agüera1,2,3, Nadine Riesco4,5, Eduardo Valenciano-Mendoza5, Roser Granero4,6, Isabel Sánchez4,5, Alba Andreu7, Susana Jiménez-Murcia4,5,8, Fernando Fernández-Aranda4,5,8. 1. CIBER Fisiopatología de la Obesidad y Nutrición (CIBERobn), Instituto de Salud Carlos III, Barcelona, Spain. zaguera@bellvitgehospital.cat. 2. Department of Psychiatry, University Hospital of Bellvitge-IDIBELL, Barcelona, Spain. zaguera@bellvitgehospital.cat. 3. Department of Public Health, Mental Health and Perinatal Nursing, School of Nursing, University of Barcelona, Barcelona, Spain. zaguera@bellvitgehospital.cat. 4. CIBER Fisiopatología de la Obesidad y Nutrición (CIBERobn), Instituto de Salud Carlos III, Barcelona, Spain. 5. Department of Psychiatry, University Hospital of Bellvitge-IDIBELL, Barcelona, Spain. 6. Department of Psychobiology and Methodology, Autonomous University of Barcelona, Barcelona, Spain. 7. Department of Endocrinology and Nutrition, Obesity Unit, Hospital Clinic de Barcelona, Barcelona, Spain. 8. Department of Clinical Sciences, School of Medicine and Health Sciences, University of Barcelona, Barcelona, Spain.
Abstract
PURPOSE: Although the role of illness perception in the clinical course of many physical diseases and certain mental disorders has been well described, little is known about illness perception in eating disorders (ED) so far. Therefore, the purpose of this study was to extend our understanding of illness perception in different ED diagnostic types and to explore its association between clinical, psychopathological, motivational, personality, and food addiction (FA) features. METHODS: The sample consisted of 104 patients with ED [(23 anorexia nervosa (AN), 39 bulimia nervosa (BN), 19 binge eating disorder (BED), and 23 other specified feeding and eating disorders (OSFED)]. Illness perception was assessed by means of the revised version of the Illness Perception Questionnaire (IPQ-R). RESULTS: The results supported the association between illness perception and clinical, psychopathological, and personality factors. Patients with BN and BED showed greater illness perception than the other types. Improved illness perception was positively associated with a longer duration of the disorder and FA. Furthermore, a relevant finding suggests that at least half of the patients with ED did not achieve a good level of illness perception until after having the disorder for 20 years on average. CONCLUSION: Our findings suggest that higher levels of FA and longer duration of the ED are positively and directly associated with increased illness perception. This may explain the low levels of initial motivation in these patients and their high dropout rates in the early stages of treatment. LEVEL OF EVIDENCE III: Case-control analytic study.
PURPOSE: Although the role of illness perception in the clinical course of many physical diseases and certain mental disorders has been well described, little is known about illness perception in eating disorders (ED) so far. Therefore, the purpose of this study was to extend our understanding of illness perception in different ED diagnostic types and to explore its association between clinical, psychopathological, motivational, personality, and food addiction (FA) features. METHODS: The sample consisted of 104 patients with ED [(23 anorexia nervosa (AN), 39 bulimia nervosa (BN), 19 binge eating disorder (BED), and 23 other specified feeding and eating disorders (OSFED)]. Illness perception was assessed by means of the revised version of the Illness Perception Questionnaire (IPQ-R). RESULTS: The results supported the association between illness perception and clinical, psychopathological, and personality factors. Patients with BN and BED showed greater illness perception than the other types. Improved illness perception was positively associated with a longer duration of the disorder and FA. Furthermore, a relevant finding suggests that at least half of the patients with ED did not achieve a good level of illness perception until after having the disorder for 20 years on average. CONCLUSION: Our findings suggest that higher levels of FA and longer duration of the ED are positively and directly associated with increased illness perception. This may explain the low levels of initial motivation in these patients and their high dropout rates in the early stages of treatment. LEVEL OF EVIDENCE III: Case-control analytic study.
Authors: Carolin Berner; Ludwig Erlacher; Karl Heinrich Fenzl; Thomas E Dorner Journal: Health Qual Life Outcomes Date: 2018-12-19 Impact factor: 3.186
Authors: Mary Princip; Christina Gattlen; Rebecca E Meister-Langraf; Ulrich Schnyder; Hansjörg Znoj; Jürgen Barth; Jean-Paul Schmid; Roland von Känel Journal: Front Psychol Date: 2018-06-07
Authors: Isabel Baenas; Mikel Etxandi; Lucero Munguía; Roser Granero; Gemma Mestre-Bach; Isabel Sánchez; Emilio Ortega; Alba Andreu; Violeta L Moize; Jose-Manuel Fernández-Real; Francisco J Tinahones; Carlos Diéguez; Gema Frühbeck; Daniel Le Grange; Kate Tchanturia; Andreas Karwautz; Michael Zeiler; Hartmut Imgart; Annika Zanko; Angela Favaro; Laurence Claes; Ia Shekriladze; Eduardo Serrano-Troncoso; Raquel Cecilia-Costa; Teresa Rangil; Maria Eulalia Loran-Meler; José Soriano-Pacheco; Mar Carceller-Sindreu; Rosa Navarrete; Meritxell Lozano; Raquel Linares; Carlota Gudiol; Jordi Carratala; Maria T Plana; Montserrat Graell; David González-Parra; José A Gómez-Del Barrio; Ana R Sepúlveda; Jéssica Sánchez-González; Paulo P P Machado; Anders Håkansson; Ferenc Túry; Bea Pászthy; Daniel Stein; Hana Papezová; Jana Gricova; Brigita Bax; Mikhail F Borisenkov; Sergey V Popov; Denis G Gubin; Ivan M Petrov; Dilara Isakova; Svetlana V Mustafina; Youl-Ri Kim; Michiko Nakazato; Nathalie Godart; Robert van Voren; Tetiana Ilnytska; Jue Chen; Katie Rowlands; Ulrich Voderholzer; Alessio M Monteleone; Janet Treasure; Susana Jiménez-Murcia; Fernando Fernández-Aranda Journal: Nutrients Date: 2021-12-27 Impact factor: 5.717