Background: In eating disorders (EDs) treatment, outcome measurement has traditionally focused on symptom reduction rather than functioning or quality of life (QoL). Generic QoL measures lack sensitivity for some diagnoses and many not be responsive in eating disorder patients. This article describes the development and validation of a conditionspecific QoL measure for adolescents and adults with eating disorders -the Eating Disorders Quality of Life Scale (EDQLS).

This study explored women's experiences of depression, and in particular how women living in rural communities understand, experience, and cope with feelings of distress unaided by professional help. Participants were 15 women living in rural areas of central New Brunswick who completed a semi-structured interview lasting, on average, 75 minutes. The purpose of the interview was to explore their experiences of depression and their ways of coping with these experiences. The women's accounts were analyzed using thematic and discourse analysis methods. A central theme revealed in the analysis was that women's understanding of their experiences was interwoven with their attempts to live up to the ideals and practices of the "good" woman. Within this context, depressive experiences were viewed as a taken-for-granted or expected part of their everyday lives.

BackgroundIn eating disorders (EDs), treatment outcome measurement has traditionally focused on symptom reduction rather than functioning or quality of life (QoL). The Eating Disorders Quality of Life Scale (EDQLS) was recently developed to allow for measurement of broader outcomes. We examined responsiveness of the EDQLS in a longitudinal multi-site study.MethodsThe EDQLS and comparator generic QoL scales were collected in person at baseline, and 3 and 6 months from 130 participants (mean age 25.6 years; range 14-60) in 12 treatment programs in four Canadian provinces. Total score differences across the time points and responsiveness were examined using both anchor- and distribution-based methods.Results98 (75%) and 85 (65%) responses were received at 3 and 6 months respectively. No statistically significant differences were found between the baseline sample and those lost to follow-up on any measured characteristic. Mean EDQLS total scores increased from 110 (SD = 24) to 124.5 (SD = 29) at 3 months and 129 (SD = 28) at 6 months, and the difference by time was tested using a general linear model (GLM) to account for repeated measurement (p < .001). Responsiveness was good overall (Cohen's d = .61 and .80), and confirmed using anchor methods across 5 levels of self-reported improvement in health status (p < .001). Effect sizes across time were moderate or large for for all age groups. Internal consistency (Chronbach's alpha=.96) held across measurement points and patterns of responsiveness held across subscales. EDQLS responsiveness exceeded that of the Quality of Life Inventory, the Short Form-12 (mental and physical subscales) and was similar to the 16-dimension quality of life scale.ConclusionsThe EDQLS is responsive to change in geographically diverse and clinically heterogeneous programs over a relatively short time period in adolescents and adults. It shows promise as an outcome measure for both research and clinical practice.

Previous researchers have identified disinhibiting agents of restrained eating such as the ingestion of preloads, alcohol consumption, and negative affect. This study investigated worry as a purely cognitive inhibitor of dietary restraint. Seventy-five subjects who were screened as being high worriers and high restrainers were randomly assigned to three groups: eating-related worry; social-evaluative/school-related worry; non-worry. Subjects were induced to either worry or to think pleasant thoughts, and then take part in a bogus taste-test. Food consumption in worry-prone, chronic dieters was found to be triggered more by social-evaluative/school-related worries than by eating-related worries, or pleasant thoughts. Chronic dieting and worrying were found to be substantially related to measures of bulimic tendencies and trait anxiety, respectively. These findings may be germane to behaviour change programmes pertaining to bulimia.