Anorexic self-control and bulimic self-hate: differential outcome prediction from initial self-image
2009 (English)In: International Journal of Eating Disorders, ISSN 0276-3478, E-ISSN 1098-108X, Vol. 42, no 6, 522-530 p.Article in journal (Refereed) Published
OBJECTIVE:: The study investigated initial self-image (structural analysis of social behavior) and its relation to 36-month outcome, among patients with anorexia nervosa and bulimia nervosa. Hypotheses were that degree of different aspects of self-image would predict outcome in the groups. METHOD:: Participants were 52 patients with anorexia and 91 with bulimia from a longitudinal naturalistic database, and outcome measures included eating disorder and psychiatric symptoms and a general outcome index. Stepwise regression was used to investigate which self-image variables were related to outcome, and multiple regression contrasted the groups directly on each obtained predictor. RESULTS:: Consistent with hypotheses, in bulimia degree of self-hate/self-love moderately predicted outcome, whereas self-control-related variables powerfully predicted outcome in anorexia. CONCLUSION:: It is important to focus on self-image in the treatment of both diagnostic groups, but especially in anorexia nervosa, where control-submission interactions between patient and therapist should be handled with care.
Place, publisher, year, edition, pages
2009. Vol. 42, no 6, 522-530 p.
Anorexia, Bulimia, Interpersonal theory, Outcome prediction, Self-image
IdentifiersURN: urn:nbn:se:uu:diva-101388DOI: 10.1002/eat.20642ISI: 000269224000006PubMedID: 19107836OAI: oai:DiVA.org:uu-101388DiVA: diva2:212897