Psychological well‐being in out‐patients with eating disorders: A controlled study

Tomba, Elena; Offidani, Emanuela; Tecuta, Lucia; Schumann, Romana; Ballardini, Donatella

doi:10.1002/eat.22197

Cited by 39 publications

(70 citation statements)

References 38 publications

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“…dance with similar recommendations(Ackard, Richter, Egan, Engel, & Cronemeyer, 2014;Tomba, Offidani, Tecuta, Schumann, & Ballardini, 2014;Fava & Bech, 2016;de Vos et al, 2017;Bardone-Cone et al, 2018). Moreover, in line with neuropsychological literature which underscores the importance of including neuropsychological tasks in treatment, for example, to improve set-shifting and cognitive flexibility(Vall & Wade, 2015), we suggest considering such areas of functioning in defining remission and recovery in EDs as well.…”

supporting

confidence: 57%

Residual eating disorder symptoms and clinical features in remitted and recovered eating disorder patients: A systematic review with meta‐analysis

Tomba

Tecuta

Crocetti

et al. 2019

Intl J Eating Disorders

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Objective: In psychiatry, the presence of residual symptoms after treatment is linked to the definitions of remission and recovery. To identify the presence of residual eating disorder (ED) symptoms and associated non-ED clinical features in remitted and recovered EDs, the current systematic review with meta-analysis was performed.Method: A systematic review was conducted on residual ED symptoms and non-ED clinical features including comorbid psychopathology, neurophysiological functioning, cognitive functioning, and quality of life in ED patients considered remitted or recovered. To examine residual ED symptoms, meta-analyses were performed while considering age, study quality, remission, and recovery criteria strictness as moderators.Sensitivity, publication bias, and heterogeneity analyses were also conducted. Results: The 64 studies selected for the systematic review underscored the presence of residual ED symptoms in anorexia nervosa (AN) and bulimia nervosa (BN), and impairments and deficits in the additional features examined. From the 64 studies, 31 were selected regarding residual ED symptoms in AN for meta-analysis. Large effect sizes indicated that remitted/recovered AN patients reported significantly lower body mass index (Hedges' g = −0.62[−0.77, −0.46]) and significantly greater symptomatology in terms of ED examination-questionnaire (Hedges'g = 0.86 [0.48,1.23]) and ED inventory (Hedges' g = 0.94[0.64,1.24]) than healthy controls, independently of remission and recovery criteria strictness, age, and study quality. Discussion: The presence of residual ED symptoms in AN is quantitatively supported, whereas the presence of residual ED symptoms in BN should be further investigated. Data on binge-eating disorder are missing. Future research should use consistent, multicomponent, and standardized comparable indicators of recovery. ResumenObjetivo: En psiquiatría, la presencia de síntomas residuales después de tratamiento está ligado a las definiciones de remisión y recuperación. Para identificar la presencia de síntomas residuales del trastorno de la conducta alimentaria (TCA) y características clínicas no de TCA asociadas en pacientes remitidos y recuperados de TCAs, se realizó la presente revisión sistemática con meta-análisis.

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supporting

confidence: 57%

Residual eating disorder symptoms and clinical features in remitted and recovered eating disorder patients: A systematic review with meta‐analysis

Tomba

Tecuta

Crocetti

et al. 2019

Intl J Eating Disorders

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“…For instance, patients with restrictive anorexia scored higher on impersonal causality compared to bulimic anorexics and controls, while both anorectic subgroups scored lower on intrapsychic autonomy compared to controls. Interestingly, restrictive anorexics were not found to differ from controls on autonomy in a study that investigated PWB with PWBS (Ryff, ) in a sample of outpatients with eating disorders (Tomba, Offidani, Tecuta, Schumann, & Ballardini, ). On the other hand, Tomba et al () reported that patients with bulimic anorexia and binge eating disorder showed impaired autonomy when compared to healthy controls.…”

Section: Discussionmentioning

confidence: 99%

Beyond Ryff's scale: Comprehensive measures of eudaimonic well‐being in clinical populations. A systematic review

Brandel

Vescovelli

Ruini

2017

Clin Psychology and Psychoth

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Eudaimonic well-being that protects mental and physical health has received increasing attention. This investigation aimed to review which comprehensive instruments for measuring eudaimonic well-being were applied with clinical populations (reporting mental or physical illnesses), beyond Ryff's Psychological Well-Being Scale. Articles citing at least 1 of the measures of eudaimonic well-being identified by previous theoretical work were extracted from medical and psychological electronic databases and screened. Only investigations involving clinical populations were included and reviewed. An initial screening identified 5,065 articles using eudaimonic well-being measures, out of which only 28 articles encompassed clinical populations and could be included. Sixteen involved patients with mental disorders and 12 populations with medical conditions. In these articles, only 4 measures of eudaimonic well-being were used (Mental Health Continuum, Flourishing Scale, General Causality Orientations Scale, and Orientations to Happiness Subscales), out of the 12 currently available in literature. The Mental Health Continuum was the most used instrument, particularly in adults with depression, whose levels of eudaimonic well-being are impaired, but may be improved by specific interventions. Autonomy appeared to influence patients' motivation to treatment, both in mental and physical disorders. The need for a larger consensus regarding specific measures of eudaimonic well-being for clinical populations emerged. The importance of including assessment of positive functioning as an indicator of recovery in clinical domains is discussed.

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“…The American Academy of Pediatrics has underscored the need to address the current epidemic of childhood obesity through enhanced adherence to dietary guidelines and increasing physical activity [65]. Significant impairments in psychological well-being in patients with eating disorders compared with healthy controls have been recently documented [66]. These findings may pave the way for assessing the value of WBT in eating disorders.…”

Section: Emerging Perspectivesmentioning

confidence: 99%

Well-Being Therapy: Current Indications and Emerging Perspectives

Fava

2016

Psychother Psychosom

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Psychological well‐being in out‐patients with eating disorders: A controlled study

Abstract: Patients with EDs reported an impairment in PWB. The paucity of PWB was not necessarily dependent on the presence of high levels of psychological distress and on the severity of the disorder. Such assessments may therefore yield a more comprehensive evaluation in this clinical population.

Cited by 39 publications

References 38 publications

Residual eating disorder symptoms and clinical features in remitted and recovered eating disorder patients: A systematic review with meta‐analysis

Residual eating disorder symptoms and clinical features in remitted and recovered eating disorder patients: A systematic review with meta‐analysis

Beyond Ryff's scale: Comprehensive measures of eudaimonic well‐being in clinical populations. A systematic review

Well-Being Therapy: Current Indications and Emerging Perspectives

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