Changes in Body Image During Inpatient Treatment for Eating Disorders Predict Outcome

Danielsen, Marit; Rø, Øyvind

doi:10.1080/10640266.2012.689205

Cited by 30 publications

(26 citation statements)

References 25 publications

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“…In addition, more authors individuated in body image an outcome predictor of hospitalization even more reliable than interpersonal problems and general psychopathology pointing out indeed how body perception instead of body dissatisfaction can be an indicator of treatment progression [63]. …”

Section: Resultsmentioning

confidence: 99%

“…The shared core is the attention to both “symptom treatment” eventually entailing a vicious cycle [5,18,66-68] and negative effects of starvation on brain [130]. Also body image distortions should be addressed in detail [63,65] and body dissatisfaction has been found to correlate with certain styles of attachment [108]. There is robust evidence showing that mental health cannot be reached without recovery of weight, body perception, obsessive thinking on food and body and without regaining a good quality of life.…”

Section: Discussionmentioning

confidence: 99%

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Resistance to treatment and change in anorexia nervosa: a clinical overview

et al. 2013

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BackgroundCurrent literature on Eating Disorders (EDs) is devoid of evidence-based findings providing support to effective treatments, mostly for anorexia nervosa (AN). This lack of successful guidelines may play a role in making these disorders even more resistant. In fact, many individuals do not respond to the available treatments and develop an enduring and disabling illness. With this overview we aimed to highlight and discuss treatment resistance in AN – with an in-depth investigation of resistance-related psychological factors.A literature search was conducted on PubMed and PsychINFO; English-language articles published between 1990 and 2013 investigating the phenomenon of resistance to treatment in AN have been considered.DiscussionThe selected papers have been then grouped into four main thematic areas: denial of illness; motivation to change; maintaining factors and treatment outcome; and therapeutic relationship. Eating symptomatology was found to only partially explain resistance to treatment. The role of duration of illness has been questioned whilst some maintaining factors seemed promising in providing a useful framework for this phenomenon. Emotive and relational aspects have been investigated on their role in resistance as well as therapists’ countertransference.SummaryRemarkably there has been little research done on resistance to treatment in the ED field, in spite of its clinical relevance. Motivation, insight and subjective meaning of the illness can be useful tools to manage the resistance phenomenon when coupled with a wider approach. The latter enables the therapists to be aware of their role in the therapeutic alliance through countertransference aspects and to consider the EDs as disorders of the development of both personality and self, entailing severe impairments as regards identity and relationships.

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Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Resistance to treatment and change in anorexia nervosa: a clinical overview

et al. 2013

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“…Although not included in the meta-analysis as not directly comparable to other the outcome definitions in the included studies, change in body image during treatment accounted for a large proportion of change in eating disorder pathology for inpatients being treated for all eating disorders. 37 However, this change only predicted change in patient scores on the Eating Disorder Inventory (EDI), but not change in BMI.…”

Section: Mediatorsmentioning

confidence: 98%

“…37 However, this change only predicted change in patient scores on the Eating Disorder Inventory (EDI), but not change in BMI.…”

Section: Mediatorsmentioning

confidence: 98%

Predictors of treatment outcome in individuals with eating disorders: A systematic review and meta‐analysis

Vall

Wade

2015

Intl J Eating Disorders

419

409

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“…The Eating Disorder Inventory (EDI) (Garner, 1991) has been frequently used as an eating disorder screening tool (Friborg, Clausen, & Rosenvinge, 2013;Jacobi, Abascal, & Taylor, 2004;Segura-Garcia et al, 2015) and measure of treatment response (Brambilla et al, 2009;Danielsen & Ro, 2012;Fittig, Jacobi, Backmund, Gerlinghoff, & Wittchen, 2008;Hagman et al, 2011;Lammers, Vroling, Ouwens, Engels, & van Strien, 2015). It is available in many languages and discriminates well between eating disorder patients and both psychiatric and normal control subjects (Nevonen, Clinton, & Norring, 2006).…”

Section: Introductionmentioning

confidence: 99%

The Eating Disorder Inventory in the screening for DSM-5 binge eating disorder

et al. 2016

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Background:We assessed whether the Eating Disorder Inventory (EDI) is suitable for screening binge eating disorder (BED) in young women. Method: Young women (N = 2825) from the 1975-79 birth cohorts of Finnish twins were assessed by questionnaires, including subscales of the EDI. For a subset of women (N = 548), we established DSM-5 diagnoses of BED; 16 women had lifetime BED. We compared screening properties of the EDI scales using receiver operating characteristic (ROC) analysis, determined optimal cutoff points, and calculated sensitivities and specificities.Results: The best screen for DSM-5 BED was the global score of three subscales (Bulimia, Drive for Thinness, Body Dissatisfaction) with an area under the curve (AUC) of 0.86. Its sensitivity was 87% and specificity 76% at cutoff ≥21. Three individual subscales had acceptable screening properties: Bulimia (AUC 0.83; sensitivity 80%, specificity 78% at cutoff ≥2), Drive For Thinness (AUC 0.82; sensitivity 87%, specificity 72% at cutoff ≥7), and Body Dissatisfaction (AUC 0.81; sensitivity 93%, specificity 60% at cutoff ≥8). Conclusion: The EDI performed well as a screening tool for BED in our community-based sample of young twin women. Future studies should assess its value in other populations and in clinical settings.

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Changes in Body Image During Inpatient Treatment for Eating Disorders Predict Outcome

Cited by 30 publications

References 25 publications

Resistance to treatment and change in anorexia nervosa: a clinical overview

Resistance to treatment and change in anorexia nervosa: a clinical overview

Predictors of treatment outcome in individuals with eating disorders: A systematic review and meta‐analysis

The Eating Disorder Inventory in the screening for DSM-5 binge eating disorder

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