Health-related quality of life assessment in eating disorders: adjustment and validation of a specific scale with the inclusion of an interpersonal domain

Meneguzzo, Paolo; Todisco, Patrizia; Calonaci, Sofia; Mancini, Cecilia; Brun, David Dal; Collantoni, Enrico; Donini, Lorenzo Maria; Tenconi, Elena; Favaro, Angela

doi:10.1007/s40519-020-01081-5

Cited by 16 publications

(11 citation statements)

References 72 publications

(86 reference statements)

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“…The findings add new information regarding the association between the presence of NES and poorer HRQoL in the general population. Although this relationship has received relatively less research, several previous studies have explored the potential relationship between HRQoL and eating disorders, including anorexia nervosa, bulimia nervosa, binge eating disorder, and other specified feeding and eating disorders [ 8 ]. Past literature has generally suggested that HRQoL is poorer in individuals with eating disorders, with some studies indicating long-term impairments [ 23 ].…”

Section: Discussionmentioning

confidence: 99%

“…Despite the fact that different types of eating disorders have been shown to significantly impact the quality of life (QoL) of individuals, in which people with symptoms of eating disorders exhibit noticeably lower QoL, relatively few studies investigated the relationship between NES and QoL [ 7 ]. Quality of life is a comprehensive concept referring to individuals’ satisfaction with their health and functioning across different aspects of life, including the physical, mental, cognitive, and social domains [ 8 ]. Specifically, health-related quality of life (HRQoL) encompasses areas of QoL that reflect an array of health status indices specific to physical, psychological, and social dimensions of health [ 9 ].…”

Section: Introductionmentioning

confidence: 99%

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The association between night eating syndrome and health-related quality of life in Korean adults: a nationwide study

Kim

Lee

2023

Eat Weight Disord

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Purpose Quality of life may be influenced by the presence of eating disorders. This study investigated the association between night eating syndrome (NES) and health-related quality of life in the general population. Methods Data were from the 2019 Korea Community Health Survey. The presence of NES was determined using the Night Eating Questionnaire. Health-related quality of life was measured using the 3-level EuroQoL-5 Dimension Index. Multivariable linear regression analyses assessed the association between NES and health-related quality of life. Subgroup analyses were performed based on daily sleep duration. Results A total of 34,434 individuals aged 19 years or older were included in the study population. Participants with NES (β = − 4.85, p < 0.001) reported poorer health-related quality of life scores than those without NES. Decreases in health-related quality of life scores among those with NES were greatest in those who slept over 8 h daily (β = − 12.03, p = 0.004), followed by those who slept less than 6 h (β = − 5.90, p = 0.006) and participants who slept between 6 and 8 h (β = − 3.40, p = 0.026) daily. Conclusion Individuals with NES were more likely to have a lower health-related quality of life than those without NES. These findings highlight the potential importance of considering NES in investigating the health-related quality of life. Level of evidence Level III, well-designed case–control analytic studies.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

The association between night eating syndrome and health-related quality of life in Korean adults: a nationwide study

Kim

Lee

2023

Eat Weight Disord

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“…The EDE-Q generates a total score and four subscales: Restraint, Eating Concern, Shape Concern, and Weight concern. The Italian Eating Disorder Quality of Life test (IEDQOL) is a 33-item scale rated on a five-point Likert scale and was used to assess the healthrelated quality of life perceived, with higher scores indicating poorer quality of life (Meneguzzo et al, 2020b).…”

Section: General and Specific Psychopathologymentioning

confidence: 99%

Associations Between Trauma, Early Maladaptive Schemas, Personality Traits, and Clinical Severity in Eating Disorder Patients: A Clinical Presentation and Mediation Analysis

Meneguzzo

Cazzola²,

Castegnaro³

et al. 2021

Front. Psychol.

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Background: The literature has shown a significant association between traumatic experiences and eating psychopathology, showing a greater symptomatology in patients with trauma history. Less is known about the associations between trauma and cognitive schemas, and personality traits and the differences between childhood and adulthood trauma experiences. Thus, this paper aims to assess the clinical and psychological characteristics of eating disorder (ED) patients, looking for differences between patients without a history of trauma and patients with trauma experiences, as well as at possible differences between exposure in childhood, adulthood, or repeated events. Another aim of the paper is to evaluate the possible mediation role of cognitive schemas and personality traits in the relationship between early trauma and eating psychopathology.Methods: From January to November 2020, 115 consecutive inpatients admitted for a specific multidisciplinary ED treatment in a dedicated Unit were evaluated for trauma, differentiating between trauma occurring in childhood and adulthood. The subjects were evaluated for early maladaptive schemas (EMS), personality traits, trauma symptomatology, quality of life, and specific psychopathologies linked to EDs. Mediation analyses between childhood and adulthood trauma and eating psychopathology were performed, with EMS and personality traits as mediators.Results: Patients with a history of trauma showed higher physical and psychological symptomatology scores, with a more impaired clinical profile in patients with both childhood and adulthood trauma exposure. The mediation analysis showed a specific mediator role for the “disconnection and rejection (DR)” EMS factor in the relationship between childhood trauma (cT) and eating psychopathology.Conclusion: Trauma experiences are associated with more severe clinical symptomatology in EDs and may need a specific assessment in patients with failed outpatient standard treatments. Specific cognitive schemas linked to DR domain should be evaluated in treatments for ED patients with history of trauma due to the mediation role between trauma and eating psychopathology. The need for outcome studies about treatment approaches for ED patients with history of trauma is discussed.

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“…Despite differences in their clinical manifestations, people with eating disorders (EDs) often experience interpersonal problems and difficulties with social cognition that negatively affect their social functioning, quality of life, and daily activities [ 1 , 2 , 3 , 4 , 5 ]. Different psychological elements have been related to dysfunctional eating behaviors and interpersonal difficulties [ 6 ].…”

Section: Introductionmentioning

confidence: 99%

Virtual Rejection and Overinclusion in Eating Disorders: An Experimental Investigation of the Impact on Emotions, Stress Perception, and Food Attitudes

et al. 2023

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(1) Background: the investigation of how interpersonal functioning affects eating psychopathology has been receiving increasing attention in the last decade. This study evaluates the impact of virtual social inclusion or ostracism on emotions, perceived stress, eating psychopathology, and the drive to binge or restrict in patients across the eating disorder spectrum. (2) Methods: a group of 122 adolescent and adult females with different eating disorder diagnoses were compared to 50 healthy peers with regards to their performance on, and responses to the Cyberball task, a virtual ball-tossing game. Each participant was randomly assigned to playing a social inclusion or a social exclusion block of the Cyberball task and completed self-report assessments of emotions, perceived stress and urge to restrict/binge before and after the task. (3) Results: patients with anorexia nervosa showed a more negative impact on psychological well-being evaluated with the need threat scale after the excluding block, while patients with bulimia nervosa reported more negative effects after the overincluding condition. Patients with binge eating disorder showed a reduction in specific negative emotions after the overincluding block, unlike all other participants. (4) Conclusions: findings show significant correlations between restraint thoughts in patients with bulimia nervosa and binge thoughts in patients with binge eating disorder after being exposed to the inclusion condition. Different reactions in cognitive and emotional states of patients with eating disorders after different interpersonal scenarios confirm the impact of inclusive or exclusive relationships on eating psychopathology, with specific and different responses across the eating disorder spectrum, that have been discussed, linked to their eating behavioral cognition.

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Health-related quality of life assessment in eating disorders: adjustment and validation of a specific scale with the inclusion of an interpersonal domain

Cited by 16 publications

References 72 publications

The association between night eating syndrome and health-related quality of life in Korean adults: a nationwide study

The association between night eating syndrome and health-related quality of life in Korean adults: a nationwide study

Associations Between Trauma, Early Maladaptive Schemas, Personality Traits, and Clinical Severity in Eating Disorder Patients: A Clinical Presentation and Mediation Analysis

Virtual Rejection and Overinclusion in Eating Disorders: An Experimental Investigation of the Impact on Emotions, Stress Perception, and Food Attitudes

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