Psychological and psychopathological variables associated with eating disorders (ED)

Authors

  • Antonio Fernández-Delgado Behavior Science Institute, Seville
  • Ignacio Jáuregui-Lobera Behavior Science Institute, Seville. Department of Nutrition and Bromatology, Pablo de Olavide University, Seville

DOI:

https://doi.org/10.19230/jonnpr.2016.1.2.1011

Keywords:

Psychopathology, self-esteem, body image, body dissatisfaction, eating disorders, anorexia nervosa, bulimia nervosa.

Abstract

Objective: The aim of this study was to compare some psychological and psychopathological variables usually associated with different types of patients with eating disorders (ED). A total of 22 variables (psychological, psychopathological and specifically related
to TCA) were analyzed in three groups of patients with anorexia nervosa (AN), bulimia nervosa (BN) and eating disorders not otherwise specified (EDNOS).

Method: The sample consisted of 76 patients diagnosed with ED (mean age 20.13 ± 6.28 years; 69 women and 7 men). The following questionnaires were administered: Rosenberg's Self-Esteem Scale (SES), Symptom Checklist-90-Revised (SCL-90-R), Beck's
Depression Inventory (BDI), State-Trait Anxiety Inventory (STAI), Body Shape Questionnaire (BSQ), Body Appreciation Scale (BAS), Eating Disorder Inventory-2 (EDI-2) and Body Image Quality of Life Inventory (BIQLI-SP).

Results: Generally no significant differences between groups, except for the variables related to the BSQ and EDI-2 questionnaires, were found. The study of the correlations among the different variables specifically related to eating disorders and others, showed
differences between groups. 

Conclusions: The present study shows few differences with respect to psychopathological symptoms among the different types of ED. Bearing in mind future studies, it would be interesting to use a bigger sample size, to include more men, and to distinguish between restricted/purging types of ED.

Downloads

Download data is not yet available.

References

Bulik CM, Sullivan PF, Fear JI, Joyce PR. Eating disorders and antecedent anxiety disorders: a controlled

study. Acta Psychiatr Scand. 1997;96(2):101-7.

Fernández-Aranda F, Pinheiro AP, Tozzi F, LaVia M, Thornton LM, Plotnicov KH, et al. Symptom profile of major

depressive disorder in women with eating disorders. Aust N Z J Psychiatry. 2007;41(1):24-31.

Álvarez-Moya EM, Jiménez-Murcia S, Granero R, Vallejo J, Krug I, Bulik CM, et al. Comparison of personality risk

factors in bulimia nervosa and pathological gambling. Compr Psychiatry. 2007;48(5),452-7.

Anderluh MB, Tchanturia K, Rabe-Hesketh S, Treasure, J. (2003). Childhood obsessive-compulsive personality

traits in adult women with eating disorders: defining a broader eating disorder phenotype. Am J Psychiatry.

;160(2):242-7.

Fernández-Aranda F, Pinheiro AP, Thornton LM, Berrettini WH, Crow S, Fichter MM, et al. Impulse control

disorders in women with eating disorders. Psychiatry Res. 2008;157(1):147-57.

Bay LB, Rausch-Herscovici C, Kovalskys I, Berner E, Orellana L, Bergesio A. Alteraciones alimentarias en niños

y adolescentes argentinos que concurren al consultorio del pediatra. Arch Argent Pediatr. 2005;103(4):305-16.

Roberts M E, Tchanturia K, Stahl D, Southgate L, Treasure J. A systematic review and meta-analysis of setshifting

ability in eating disorders. Psychol Med. 2007 Aug;37(08):1075-84.

Johnson JG, Cohen P, Kotler L, Kasen S, Brook JS. Psychiatric disorders associated with risk for the

development of eating disorders during adolescence and early adulthood. J Consul Clin Psychol. 2002 Oct;70(5):1119-

Perpiñá C. Trastornos alimentarios: Anorexia y Bulimia. Madrid. España: Klinik; 2001.

Beumont PJV. The clinical presentation of anorexia nervosa and bulimia nervosa. En K.D. Brownell y C.G.

Fairburn (Eds.), Eating disorders and obesity: A comprehensive handbook. New York: The Guilford Press; 1995.

Willmunth ME, Leitenberg H, Rosen J, Cado S. A comparison of purging and non purging normal weight bulimics.

Int J Eat Disord. 1988;7: 825-35.

GarfinkelPE. Classification and diagnosis of eating disorders. En C.G. Fairburn y K.D. Brownell (Eds.), Eating

disorders and obesity (2ª ed.). New York: Guilford University Press; 2002.

Cash TF. Body-image attitudes: Evaluation, investment, and affect. Percept Mot Skills. 1994;78(3c):1168-70.

Cash TF (2002). Cognitive-behavioral perspectives on body image. Body image: A handbook of theory, research,

and clinical practice. 2002:38-46.

American Psychiatric Association. Guía de consulta de los criterios diagnósticos del DSM-5®: Spanish Edition of

the Desk Reference to the Diagnostic Criteria From DSM-5®. American Psychiatric Pub; 2014.

Morejón AJV, García-Bóveda RJ, Jiménez RVM. Escala de autoestima de Rosenberg: fiabilidad y validez en

población clínica española. Apunt Psicol. 2004;22(2):247-55.

GodnzálezdeRivera JL, Derogatis LR, DelasCuevas C., Gracia-Marco R, Rodríguez-Pulido F, Henry-Benítez M.

The spanish version of the SCL-90-R. Normative data in the general population. Towson: Clinical Psychometric

Research; 1989.

López VC, Valverde JIF. Escalas de evaluación comportamental para la cuantificación de la sintomatología

psicopatológica en los trastornos angustiosos y depresivos. Valladolid, Spain: Departamento de psicología médica y de

psiquiatría del Hospital Clínico de la Facultad de Medicina; 1984.

Seisdedos N. STAI: Inventario de Ansiedad Estado-Rasgo [State-Trait Anxiety Inventory]. Madrid, Spain: TEA

Ediciones; 1982.

Raich RM, Mora MS, Soler AA, Avila C, Clos I, Zapater L. “Adaptación de un instrumento de evaluación de la

insatisfacción corporal”. Clínica y Salud. 1996;7(1):51-66.

Jáuregui-Lobera I, Bolaños-Ríos P. Spanish version of the Body Appreciation Scale (BAS) for adolescents. Span

J Psychol. 2011;14(01):411-20.

Garner DM. EDI 2: inventario de trastornos de la conducta alimentaria: manual. Tea ediciones; 1998.

Jáuregui-Lobera I, Bolaños-Rios P. Body image and quality of life in a Spanish population. Int J Gen Med.

;4:63-72.

Behar R, Gramegna G, Arancibia M. Perfeccionismo e insatisfacción corporal en los trastornos de la conducta

alimentaria. Rev Chil Neuropsiquiatr. 2014;52(2):103-14.

Rodgers RF, Paxton S J, Chabrol H. Depression as a moderator of sociocultural influences on eating disorder

symptoms in adolescent females and males. J Youth Adolesc. 2010;39(4):393-402.

Amaya-Hernández A, Álvarez-Rayón GL, Mancilla-DíazJM. Insatisfacción corporal en interacción con autoestima,

influencia de pares y dieta restrictiva: Una revisión. Rev Mex Trastor Aliment. 2010;1(1):79-89.

Mancilla-Medina A, Vázquez-Arévalo R, Mancilla-Díaz JM, Amaya-Hernández A, Álvarez-Rayón G. Insatisfacción

corporal en niños y preadolescentes: Una revisión sistemática. Rev Mex Trastor Aliment. 2012;3(1):62-79.

Cash TF, Deagle EA. The nature and extent of body-image disturbances in norexia nervosa and bulimia nervosa:

A meta-analysis. Int J Eat Disord. 1997;22(2):107-26.

Ruuska J, Kaltiala-Heino R, Rantanen P, Koivisto AM. Are there differences in the attitudinal body image between

adolescent anorexia nervosa and bulimia nervosa?. Eat Weight Disord - Studies on Anorexia, Bulimia and Obesity.

;10(2):98-106.

Saldaña C. Guía de tratamientos psicológicos eficaces para trastornos del comportamiento alimentario. Coord.

por Pérez-Álvarez M, Fernández-Rodríguez C, Amigo-Vázquez I, Fernández-Hermida JR. Guía de tratamientos

psicológicos eficaces, Vol. 1. España: Ediciones Pirámide; (2003). p. 141-60.

Published

2016-06-30