Sexual functioning in women with eating disorders

Pinheiro, Andréa Poyastro; Raney, TJ; Thornton, Laura M.; Fichter, Manfred M.; Berrettini, Wade H.; Goldman, David; Halmi, Katherine A.; Kaplan, Allan S.; Strober, Michael; Treasure, Janet; Woodside, D. Blake; Kaye, Walter H.; Bulik, Cynthia M.

doi:10.1002/eat.20671

Cited by 105 publications

(111 citation statements)

References 39 publications

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“…However, available data across age groups (Cumella and Kally, 2008) also indicate a declining trend. Comparable studies have reported that earlier age of onset chronically impedes sexual functioning and libido (Pinheiro et al, 2010); reduces the likelihood of a more positive long-term outcome (Wentz et al, 2009); and, in general, implies more personality problems, a more profound body dissatisfaction, and a longer-lasting ascetic-driven pursuit of thinness (Abbate-Daga et al, 2007). An early debut may thus be a sizeable risk factor of developing an additional PD.…”

Section: Moderator Analysesmentioning

confidence: 97%

Personality Disorders in Eating Disorder Not Otherwise Specified and Binge Eating Disorder

Friborg

Martinussen

Kaiser

et al. 2014

Journal of Nervous &Amp; Mental Disease

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A meta-analysis was conducted to identify the proportion of comorbid personality disorders (PDs) in patients with eating disorder not otherwise specified (EDNOS) and binge eating disorder (BED). A search identified 20 articles in the period of 1987 to 2010. For EDNOS and BED, the comorbid proportions for any PD were 0.38 and 0.29, respectively; for cluster C PDs, 0.38 and 0.30, respectively (avoidant PD, 0.18 and 0.12, and obsessive-compulsive PD, 0.11 and 0.10, respectively); and for cluster B PDs, 0.25 and 0.11, respectively (borderline, 0.12 and 0.10). This pattern converged with findings on anorexia nervosa and bulimia nervosa, except being lower. Because the comorbidity profiles for EDNOS and BED were highly similar, their underlying PD pathology seems similar. Few moderators were significant, except for interviews yielding lower estimates than that of questionnaires. The variance statistic for any PD comorbidity was wide for EDNOS and narrow for BED, thus partly supporting BED as a distinct eating disorder category and EDNOS as a potentially more severe condition than BED.

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Section: Moderator Analysesmentioning

confidence: 97%

Personality Disorders in Eating Disorder Not Otherwise Specified and Binge Eating Disorder

Friborg

Martinussen

Kaiser

et al. 2014

Journal of Nervous &Amp; Mental Disease

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“…However, although a supportive relationship may help support recovery, some individuals with AN may experience their relationship as a stressor that exacerbates eating disorder symptoms rather than a support (Bulik, Baucom, Kirby, & Pisetsky, 2011; Woodside, Shekter-Wolfson, Brandes, & Lackstrom, 1993). Specifically, studies indicate that adults with AN experience increased relationship distress, problems with communication, and sexual concerns (Hartmann, Zeeck, & Barrett, 2010; Pinheiro et al, 2009; Van den Broucke, Vandereycken, & Vertommen, 1995a, 1995b). Given that family therapy has been shown to be effective for adolescent and young adult AN and that individuals with AN report relationships to be helpful as well as potentially distressing, intervening on the couple level may be a beneficial treatment approach for young adults in committed relationships.…”

Section: Novel Incorporations Of Social Support In Treatment For Oldementioning

confidence: 99%

Incorporating Social Support in the Treatment of Anorexia Nervosa: Special Considerations for Older Adolescents and Young Adults

Pisetsky

Utzinger

Peterson

2016

Cognitive and Behavioral Practice

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Currently, research support is strongest for family-based treatment (FBT) for the treatment of anorexia nervosa (AN) in adolescents. However, a strong evidence base for treatments for older adolescents and young adults with AN is lacking. Emphasizing social support in the treatment of AN may be beneficial for older adolescents and young adults with AN. This paper provides a brief review of the literature on FBT for adolescent AN and provides a case example of adolescent AN treated with FBT. We then discuss novel treatments that have incorporated social support for older adolescents and young adults with AN, such as modified FBT and couples-based interventions. We provide case studies of each of these novel treatment approaches as well. Additionally, this paper highlights and discusses developmental considerations and challenges in working with older adolescents and young adults with AN.

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“…The subject literature highlights the dynamic and multiagent etiology of eating disorders (Button & Aldridge, 2007). This group of diseases is often found to have multiple determinants; research results often indicate the significance of socio-cultural, family, individual and biological factors (Pinheiro et al, 2010;Lilenfeld et al, 1998).…”

Section: Introductionmentioning

confidence: 99%

Trauma in relation to psychological characteristics in women with eating disorders

Izydorczyk¹

2017

Current Issues in Personality Psychology

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Background The aim of the article was to present the results of the author’s own study that sought relationships between having experienced psychological trauma and the psychological characteristics of people with eating disorders. The basic research question was the following: To what degree are the traumatic events experienced by females with various types of eating disorders related to these females’ psychological characteristics? Participants and procedure The sample comprised 120 females with eating disorders: 30 females aged between 20 and 26 diagnosed with bulimia nervosa, 31 females diagnosed with binge-eating disorder and 59 females aged between 20 and 26 diagnosed with anorexia nervosa. The research was carried out in the years 2007-2012 in outpatient clinics treating neuroses and eating disorders and mental health outpatient clinics in Poland. The study employed a clinical and psychometric (i.e., questionnaires for measuring psychological characteristics) approach. Results Statistical analysis confirmed the existence of significant differences between the females with eating disorders who have experienced relational trauma(s) in their lives (particularly in their childhood and adolescence) and those who did not reveal such experience. The females with anorexia and bulimia who have also experienced psychological, physical or sexual violence revealed a significantly different, higher level of bulimic thinking and tendencies for excessively uncontrolled, impulsive behaviors towards food and nutrition (i.e., vomit-provoking and other forms of body purgation, e.g. using purgative drugs and others) than did females with no relational trauma experience. Conclusions The frequency of relational trauma occurrence was significantly higher for females with bulimia and bulimic anorexia. For females with restrictive anorexia and binge-eating disorder, no significantly frequent occurrence of trauma was observed. Diagnosing the occurrence of relational trauma in patients’ histories is a key element that should be involved in the process of psychotherapy for people with eating disorders.

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Sexual functioning in women with eating disorders

Cited by 105 publications

References 39 publications

Personality Disorders in Eating Disorder Not Otherwise Specified and Binge Eating Disorder

Personality Disorders in Eating Disorder Not Otherwise Specified and Binge Eating Disorder

Incorporating Social Support in the Treatment of Anorexia Nervosa: Special Considerations for Older Adolescents and Young Adults

Trauma in relation to psychological characteristics in women with eating disorders

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