Prediction of the course of anorexia nervosa/bulimia nervosa over three years

Sohlberg, Staffan; Norring, Claes; Rosmark, Börje

doi:10.1002/1098-108x(199209)12:2<121::aid-eat2260120202>3.0.co;2-y

Cited by 24 publications

(27 citation statements)

References 28 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Earlier studies (11)(12)(13) showed support for the Eating Disorders Inventory interpersonal distrust subscale as a prognostic indicator. While this variable may predict treatment response over the short term, our findings do not support it as a long-term predictor of later bulimic symptoms.…”

Section: Importance Of Findingsmentioning

confidence: 80%

“…Several other variables have been identified as prognostic indices, for example, attitudes related to weight and shape (14), low self-esteem (14-16), comorbid depressive symptoms (17,18), and low levels of social support (13). It should also be noted that several studies have had null results for hypothesized prognostic indicators (19,20).…”

mentioning

confidence: 93%

“…Interpersonal variables may also be useful prognostic indices: Steiger et al (9) found support for pretreatment social adaptation, Blouin et al (10) reported positive findings for family environment, and Blouin et al (11), Olmsted et al (12), and Sohlberg et al (13) found that interpersonal distrust was a significant prognostic indicator. Several other variables have been identified as prognostic indices, for example, attitudes related to weight and shape (14), low self-esteem (14-16), comorbid depressive symptoms (17,18), and low levels of social support (13).…”

mentioning

confidence: 99%

See 2 more Smart Citations

Ten-year stability and predictive validity of five bulimia-related indicators

Joiner

Heatherton²,

Keel³

1997

AJP

View full text Add to dashboard Cite

Objective: The authors examined the temporal stability and predictive utility of bulimic symptoms and related variables over the course of 10 years, from 1982 to 1992. Method: The subjects were 459 women who were aged 18-22 years in 1982 and were surveyed in both 1982 and 1992 F or a number of reasons, long-term stability and predictive utility of symptom-related variables are important to establish. First, temporal stability bears on the basic reliability of tests and has import for the nature of the construct being measured-if the construct is thought to be a stable characteristic, high temporal stability would be expected. When the variable in question is symptom-or syndrome-related, high temporal stability has implications for the symptom's or syndrome's course; that is, high temporal stability suggests either a chronic or recurrent course. In addition, when the construct in question is used as an outcome measure to assess an intervention (e.g., when symptom change in response to treatment is measured), it is useful to know whether and how much change in the variable would be expected even without intervention. Finally, predictive utility is useful with regard to factors that may represent risks for later symptoms, as well as prognostic indicators of response to treatment.With a few exceptions, the temporal stability and predictive validity of bulimia-related variables have received little empirical attention, especially regarding long-term time frames. Wear and Pratz (1) reported test-retest data for the subscales of the Eating Disorders Inventory, obtaining scores for 70 undergraduates at the beginning and end of a 3-week interval. The test-retest coefficients (r) were above 0.80 for all subscales (bulimia, body dissatisfaction, drive for thinness, perfectionism, interoceptive awareness, interpersonal distrust, ineffectiveness) except maturity fears, for which a coefficient of 0.65 was obtained. Crowther et al. (2) conducted a study on the 1-year stability of the Eating Disorders Inventory in a relatively large sample of undergraduate women (N=282). In this study, maturity fears again displayed relatively low stability (r=0.48), especially among subjects who reported eating problems (r=0.26). These researchers also found relatively low stability for the bulimia subscale (r=0.44), especially among subjects who reported eating problems (r=0.22). This result contrasts with the 3-week test-retest correlation of 0.90 for the bulimia subscale reported by Wear and Pratz (1). Fallon et al. (3) reported that 41% of women who had been previously hospitalized for bulimia nervosa met the criteria for the disorder when assessed 2 to 9 years later. Thus, the stability of

show abstract

Section: Importance Of Findingsmentioning

confidence: 80%

mentioning

confidence: 93%

mentioning

confidence: 99%

See 1 more Smart Citation

Ten-year stability and predictive validity of five bulimia-related indicators

Joiner

Heatherton²,

Keel³

1997

AJP

View full text Add to dashboard Cite

show abstract

“…Although Dolan & Lacey (1986) found that obesity predicted a poorer outcome, this has not been a consistent finding (Fichter et al, 1992). As expected some studies have found that the severity of eating symptoms (Keller et al, 1992) and weight control behaviours such as, vomiting (Davis et al, 1992) or laxative abuse (Sohlberg et al, 1992) predicts outcome, however, this is not a universal finding (Fichter et al, 1992). The amount and quality of social support has also been found to predict outcome (Davis et al, 1992;Keller et al, 1992).…”

Section: Who Will Recover or Do Well In Treatment?mentioning

confidence: 99%

Treatment of Bulimia Nervosa

Tiller

Schmidt

Treasure

1993

International Review of Psychiatry

View full text Add to dashboard Cite

The treatment for bulimia nervosa is considered under three broad categories: psychological, pharmacological and combination therapies. It is suggested that there is not one treatment which will benefit allpatients and that a stepped care aproach to treatment allows a rational application of current knowledge. One possible programme of stepped care is outlined, which allows the pragmatic application of current therapeutic techniques within a structured framework.Int Rev Psychiatry Downloaded from informahealthcare.com by UB Giessen on 12/15/14 For personal use only. Int Rev Psychiatry Downloaded from informahealthcare.com by UB Giessen on 12/15/14 For personal use only. Women attending a selfhelp group for anorexia nervosa and bulimia: views on self-help and professional treatment, British Review of

show abstract

“…However it is also possible that a history of adverse life experiences may be a predictive factor in the outcome of eating disordered patients. In a study by Sohlberg, Norring and Rosmark (1992) which investigated outcome at one, two and three years following treatment, it was found 6 McKenzie and Bulik (2003) which considered patient perspectives on recovery as well as clinical measures found that negative outcome was predicted by a reported history of sexual abuse. Although it appears therefore, that stressful life events may have predictive value in eating disorder outcomes, it is difficult to determine whether the experiences actually have a detrimental effect on recovery processes or rather contribute to a greater initial severity of illness.…”

Section: Introductionmentioning

confidence: 99%

Assessing the Impact on Patient Health of Attending a Day Treatment Programme for Eating Disorders

Wolfe

Ogden

Clare

2009

Mental Health Review Journal

View full text Add to dashboard Cite

A repeated measures cohort study was conducted to investigate the impact of attending a day treatment programme on physical and psychological state, and to assess which baseline factors predicted level of recovery. Physical and psychological outcomes of treatment were analysed for 116 patients admitted to the treatment programme between 1996 and 2006 and were found to be in line with previous day care evaluations, with the majority of patients showing improvements on all measures. A multiple regression analysis revealed several factors to be predictive of treatment outcomes including patient demographics, comorbidities and traumatic life events. In particular, those patients who benefited most from the treatment had a lower body mass index at admission, stayed longer at the unit, were older, less likely to have other physical and psychiatric comorbidities, particularly obsessive compulsive disorder or a history of sexual abuse, and whose most predominant eating disorder problem was characterised by low weight.

show abstract

Prediction of the course of anorexia nervosa/bulimia nervosa over three years

Cited by 24 publications

References 28 publications

Ten-year stability and predictive validity of five bulimia-related indicators

Ten-year stability and predictive validity of five bulimia-related indicators

Treatment of Bulimia Nervosa

Assessing the Impact on Patient Health of Attending a Day Treatment Programme for Eating Disorders

Contact Info

Product

Resources

About