“…While this is not required for the two eating disorders currently recognised in the DSM, anorexia nervosa (AN) and bulimia nervosa (BN), there has been an increased interest in better understanding the impairment that is associated with eating disorders and disordered eating, as evidenced by two recent reviews of quality of life (QOL) and eating disorders (Engel, Adair, Las Hayes, & Abraham, 2009;Jenkins, Hoste, Meyer, & Blissett, 2010). This interest is in part driven by an increasing awareness of how severely QOL is impacted by eating disorders.…”
mentioning
confidence: 99%
“…This body of research would suggest that the presence of an eating disorder is associated with impaired QOL, by comparison with healthy controls, the general population, primary care patients with medical disorders such as arthritis and hypertension, and people with other diagnoses of psychiatric illness (Jenkins et al, 2010). This Impact of disordered eating on young women 4 pervasive impact on QOL may be due to the fact that eating disorders exact a physical as well as mental toll on the sufferer (Johnson, Cohen, Kasen, & Brook, 2002a).…”
mentioning
confidence: 99%
“…While this has been examined to some extent with eating disorders, it has been largely limited to investigations of whether QOL is worse in the presence or absence of specific types of disordered eating (e.g., binge eating, purging) or across different ranges of BMI (Jenkins et al, 2010). There has also been some investigation of the impact of psychiatric comorbidity, suggesting that the presence of both depressive and eating disorder symptoms more negatively impacts QOL than when comorbidity is absent (Jenkins et al, 2010). Also of interest to examine as potential moderators are variables related to resilience, such as social support.…”
Objective: The extent to which subclinical levels of disordered eating affect quality of life (QOL) was assessed. Method: Four waves of self-report data from Survey 2 (S2) to 5 (S5) of a national longitudinal survey of young Australian women (N = 9,688) were used to assess the impact of any level of disordered eating at S2 on QOL over the following 9 years, and to evaluate any moderating effects of social support and of depression. Results: At baseline, 23% of the women exhibited some level of disordered eating, and they scored significantly lower on both the physical and the mental component scores of the SF-36 at every survey; differences in mental health were still clinically meaningful at S5. Social support and depressive symptoms each acted as a moderator of the mental component scores. Women with both disordered eating and low social support, or disordered eating and depression, had the worst initial scores; although they improved the most over time, they still had the lowest scores at S5. Higher social support at baseline resulted in women with disordered eating being largely indistinguishable from women without disordered eating who had low social support. Lower levels of depression resulted in women with disordered eating having a significantly better QOL than women with high levels of depression, regardless of eating status. Conclusions: This is the first study to examine the long-term impact of subclinical levels of disordered eating on QOL, and it suggests that even apparently minor levels of symptomatology are associated with significant and far-reaching deficits in well-being.
“…While this is not required for the two eating disorders currently recognised in the DSM, anorexia nervosa (AN) and bulimia nervosa (BN), there has been an increased interest in better understanding the impairment that is associated with eating disorders and disordered eating, as evidenced by two recent reviews of quality of life (QOL) and eating disorders (Engel, Adair, Las Hayes, & Abraham, 2009;Jenkins, Hoste, Meyer, & Blissett, 2010). This interest is in part driven by an increasing awareness of how severely QOL is impacted by eating disorders.…”
mentioning
confidence: 99%
“…This body of research would suggest that the presence of an eating disorder is associated with impaired QOL, by comparison with healthy controls, the general population, primary care patients with medical disorders such as arthritis and hypertension, and people with other diagnoses of psychiatric illness (Jenkins et al, 2010). This Impact of disordered eating on young women 4 pervasive impact on QOL may be due to the fact that eating disorders exact a physical as well as mental toll on the sufferer (Johnson, Cohen, Kasen, & Brook, 2002a).…”
mentioning
confidence: 99%
“…While this has been examined to some extent with eating disorders, it has been largely limited to investigations of whether QOL is worse in the presence or absence of specific types of disordered eating (e.g., binge eating, purging) or across different ranges of BMI (Jenkins et al, 2010). There has also been some investigation of the impact of psychiatric comorbidity, suggesting that the presence of both depressive and eating disorder symptoms more negatively impacts QOL than when comorbidity is absent (Jenkins et al, 2010). Also of interest to examine as potential moderators are variables related to resilience, such as social support.…”
Objective: The extent to which subclinical levels of disordered eating affect quality of life (QOL) was assessed. Method: Four waves of self-report data from Survey 2 (S2) to 5 (S5) of a national longitudinal survey of young Australian women (N = 9,688) were used to assess the impact of any level of disordered eating at S2 on QOL over the following 9 years, and to evaluate any moderating effects of social support and of depression. Results: At baseline, 23% of the women exhibited some level of disordered eating, and they scored significantly lower on both the physical and the mental component scores of the SF-36 at every survey; differences in mental health were still clinically meaningful at S5. Social support and depressive symptoms each acted as a moderator of the mental component scores. Women with both disordered eating and low social support, or disordered eating and depression, had the worst initial scores; although they improved the most over time, they still had the lowest scores at S5. Higher social support at baseline resulted in women with disordered eating being largely indistinguishable from women without disordered eating who had low social support. Lower levels of depression resulted in women with disordered eating having a significantly better QOL than women with high levels of depression, regardless of eating status. Conclusions: This is the first study to examine the long-term impact of subclinical levels of disordered eating on QOL, and it suggests that even apparently minor levels of symptomatology are associated with significant and far-reaching deficits in well-being.
“…Firstly, the instruments often overlook the psychosocial aspects of QoL (Jones et al 2008). Secondly, there is a lack of understanding regarding their sensitivity to the cultural, physical and social environment of the participants and the extent to which QoL is affected by a specific eating disorder diagnosis (Verdugo et al 2005;Jenkins et al 2011). Thirdly, most studies do not pay attention to the personal perspectives on QoL of AN-patients, as only a limited number of studies have made use of individualized measures that allow participants to define their own QoL domains, such as the Schedule for the Evaluation of Individual Quality of Life (SEIQOL) (de la Rie et al 2007).…”
Section: Introductionmentioning
confidence: 99%
“…In general, a distinction can be made between studies focusing on Health-Related Quality of Life (HRQoL), in which satisfaction with life is considered in relation to physical and mental health, and studies focusing on QoL from a multidimensional perspective, based on the individual's personal perceptions, behaviors and circumstances (Schalock 2004). A large part of the existing QoL studies in the field of AN primarily focuses on HRQoL, which is being assessed using both generic and disease-specific instruments, such as the Medical Outcomes Study 36-Item Short Form (SF-36), the Health-Related Quality of Life in Eating Disorders Questionnaire (HErQoLED) and the Eating Disorders Quality of Life Questionnaire (EDQOL) (Engel et al 2009;Jenkins et al 2011;Mond et al 2005;Mitchison et al 2013). These studies however are subjected to a number of limitations.…”
Background and Objectives
The Eating Disorder Examination Questionnaire 6.0 (EDE‐Q 6.0) is one of the most broadly used self‐report tools that assesses attitudes and behaviors associated with eating disorders (EDs). The aim of the present study was to examine the reliability, validity, and factor structure of the Lithuanian version of the EDE‐Q 6.0 (LT‐EDE‐Q 6.0) in a nonclinical student sample.
Materials and Methods
A sample of 382 students (mean age 24.0 ± 6.4) participated in the study. The students completed a self‐report questionnaire measuring the risk of EDs (LT‐EDE‐Q 6.0), body image (LT‐MBSRQ‐AS), quality of life (LT‐WHOQOL‐BREF), and self‐esteem (RSES). Cronbach's alpha assessed the internal consistency of the EDE‐Q 6.0. Pearson's correlations were used for the analyses of the construct and concurrent validity with the subscales of LT‐MBSRQ‐AS, LT‐WHOQOL‐BREF, and RSES. Intraclass correlation coefficients (ICC) were calculated for assessing test‐retest reliability.
Results
The mean score of the LT‐EDE‐Q 6.0 in the mixed sample was 1.5 ± 1.02. For women and men, the general mean scores were higher than in the majority of the samples of Western Europe but lower than in the United States. Acceptable internal consistency for the four subscales (0.75–0.88) and the LT‐EDE‐Q 6.0 general score (0.94) was obtained. Test‐retest reliability was good to excellent for all subscales (0.66–0.91) and for the items that assessed essential behavioral features of EDs (0.84–0.90, except item 14 ICC = 0.4). The LT‐EDE‐Q 6.0 scores had adequate concurrent validity. However, the original 4‐factor structure or other proposed models of EDE‐Q were not obtained by CFA.
Conclusions
The results of the current study support the applicability, validity, and reliability of the LT‐EDE‐Q 6.0 in a nonclinical Lithuanian student sample. However, we recommend assessing the general scale score without the application of the subscales. The Lithuanian version of this instrument should be further investigated with clinical samples to identify clinically diagnosed cases.
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