“How I feel in my own body”

Authors

  • Ines Guerra Aguiar Department of Child and Adolescent Psychiatry, Centro Materno-Infantil do Norte, Centro Hospitalar e Universitário de Santo António https://orcid.org/0000-0002-7526-0646
  • Joana Saraiva Department of Child and Adolescent Psychiatry, Centro Materno-Infantil do Norte, Centro Hospitalar e Universitário de Santo António

DOI:

https://doi.org/10.25753/BirthGrowthMJ.v32.i2.25430

Keywords:

anorexia nervosa, bulimia nervosa, eating disorder, motivation to change, psychopathology, self-report

Abstract

Introduction: Eating disorders (ED) are currently considered one of the most common chronic disorders in the adolescent population, and their course and outcome are often severe. The aims of this study were to (i) evaluate the presence of psychopathology in an adolescent population with ED; (ii) investigate the association between psychopathology and illness severity; and (iii) investigate if the motivation for self-treatment is associated with the presence of psychopathology and ED severity.
Materials and Methods: The sample consisted of 43 adolescent patients aged between 12 and 18 years old attending an Eating Disorders Consultation and with a diagnosis of feeding and eating disorder according to the DSM-5 criteria. Participants completed several questionnaires, including the Youth Self-Report (YSR), the Eating Disorder Examination - Questionnaire (EDE-Q, 4th edition), the Anorexia Nervosa Stages of Change Questionnaire (ANSOCQ), and the Bulimia Nervosa Stages of Change Questionnaire (BNSOCQ).
Results: The study group consisted of 42 girls (97.7%) and one boy (2.3%). The mean age was 14.65 years (standard deviation 1.73), and 72.1% were diagnosed with anorexia nervosa. The model used to test if the motivation for self-treatment was associated with the presence of psychopathology and ED severity was statistical significant, but only ED severity (EDE-Q) was a significant predictor. The correlation between YSR results (total score) and EDE-Q total results was also significant.
Conclusion: As expected, the model concluded that the more disturbing the eating behavior (indicated by EDE-Q results), the less motivated patients are to treat themselves. Although it was anticipated that greater levels of psychopathology would negatively influence the motivation to change, that was not found in this study.

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References

Ekeroth K, Engström I, Hägglöf B, Broberg AG. Self-reported competencies and problems among Swedish girls with eating disorders and a control sample, using the Youth Self-Report. Eat Weight Disord. 2003;8(4):274–81.

Herzog DB, Keller MB, Sacks NR, Yeh CJ, Lavori PW. Psychiatric comorbidity in treatment-seeking anorexics and bulimics. J Am Acad Child Adolesc Psychiatry. 1992;31(May 1991):810–8.

Saraiva J, Guerra J, Mansilha H. Perturbações do Comportamento Alimentar II. In: Psicologia e Psiquiatria da Infância e Adolescência. 1a ed. Lidel; 2014. p. 241–61.

Pollice C, Kaye WH, Greeno CG, Weltzin TE. Relationship of depression, anxiety, and obsessionality to state of illness in anorexia nervosa. Int J Eat Disord. 1997;21(4):367–76.

Lledó E, Waller G. Bulimic psychopathology and impulsive behaviors among nonclinical women. Int J Eat Disord. 2001;29(1):71–5.

Godart NT, Flament MF, Lecrubier Y, Jeammet P. Anxiety disorders in anorexia nervosa and bulimia nervosa: Co-morbidity and chronology of appearance. Eur Psychiatry. 2000;15(1):38–45.

Kaye WH, Weltzin TE, Hsu LG. Relationship between anorexia nervosa and obsessive and compulsive behaviors. Psychiatr Ann. 1993;23(7):365–73.

Davis C, Claridge G. The eating disorders as addiction. Addict Behav. 1998;23(4):463–75.

Achenbach T, Rescorla A, Dias P, Ramalho V, VS L, Gonçalves C. Manual do Sistema de Avaliação Empiricamente Validado (ASEBA) para o Período Escolar: Um Sistema Integrado de Avaliação com Múltiplos Informadores. Psiquilíbrios Edições; 2014.

Fairburn CG, Beglin S. Assessment of eating disorders: Interview or self-report questionnaire? Int J Eat Disord. 1994;16:363–70.

La Mela C, Maglietta M, Lucarelli S, Mori S, Sassaroli S. Pretreatment outcome indicators in an eating disorder outpatient group: The effects of self-esteem, personality disorders and dissociation. Compr Psychiatry. Elsevier Inc.; 2013;54(7):933–42.

Fairburn CG, Cooper Z, Connor MO. Eating Disorder Examination (Edition 16.0D). Cogn Behav Ther Eat Disord. 2008;(1994):1–49.

Machado P, Machado B, Gonçalves S, Woek H. The prevalence of eating disorders not otherwise specified. Int J Eat Disord. 2007;40(3):212–7.

Ametller L, Castro J, Serrano E, Martınez E, Toro J. Readiness to recover in adolescent anorexia nervosa : prediction of hospital admission. J Child Psychol Psychiatry. 2005;4(46):394–400.

Fernández L, Cano T. Attitudes towards change in eating disorders (ACTA). Development and psychometric properties. Actas Esp Psiquiatr. 2003;31(3):111–9.

Cooper M, Stockford K, Turner H. Stages of change in anorexic and bulimic disorders: The importance of illness representations. Eat Behav. 2007;8(4):474–84.

American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders - DSM-5. 5a ed. American Psychiatric Association; 2013.

Zaitsoff S, Taylor A. Factors related to Motivation to Change in Adolescents with Eating Disorders. Eur Eat Disord Rev. 2009;17(3):227–33.

Rastam M. Anorexia nervosa in 51 swedish adolescents. Premorbid problems and comorbidity. J Am Acad Child Adolesc Psychiatry. 1992;31:819–29.

Herzog DB, Nussbaum KM, Marmor AK. Comorbidity and outcome in eating disorders. Psychiatr Clin North Am. 1996;19:843–59.

Halmi KA, Eckert E, Marchi P, Sampugnaro V, Apple R, Cohen J. Comorbidity of psychiatric diagnoses in anorexia nervosa. Arch Gen Psychiatry. 1991;48:712–8.

Venturo-Conerly KE, Akash R, Dreier MJ. Why I recovered: A qualitative investigation of factors promoting motivation for eating disorder recovery. J Eat Disord. 2020 ;53(8):1244-51.

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Published

2023-09-14

How to Cite

1.
Guerra Aguiar I, Saraiva J. “How I feel in my own body” . REVNEC [Internet]. 2023Sep.14 [cited 2024Jun.20];32(2):97-102. Available from: https://revistas.rcaap.pt/nascercrescer/article/view/25430

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Original Articles