Social impairment in bulimia

Herzog, David B.; Keller, Martin B.; Lavori, Philip W.; Ott, Ingrid

doi:10.1002/1098-108x(198711)6:6<741::aid-eat2260060607>3.0.co;2-q

Cited by 19 publications

(8 citation statements)

References 11 publications

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“…Studies looking at women with an eating disorder show largely similar results (Katzman, 1985;Soukup et al, 1990;Yager, Rorty, & Rossotto, 1995). A number of other studies have also suggested that bulimic subjects have poor levels of social adjustment, difficulty with interpersonal relationships, and lack social support (Striegel-Moore, Silberstein, & Rodin, 1993;Herzog, Keller, Lavori, & Ott, 1987;Van den Broucke, Vandereycken, & Vertommen, 1995;Tiller et al, 1997). However, these studies have all used trait measures of coping and it is uncertain how far these predict coping in response to specific problems (Lazarus & Folkman, 1984).…”

Section: Introductionmentioning

confidence: 83%

Stress, coping, and crisis support in eating disorders

Troop

Holbrey²,

Treasure

1998

Int. J. Eat. Disord.

118

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Objective Recent research has supported the role of stress in the development and maintenance of eating disorders. However, coping and crisis support, important aspects of this stress process, have received little systematic attention. The cognitive‐transactional approach to coping emphasizes the importance of the relationship between the individual and the particular problematic situation and yet most studies investigating coping in eating disorders have failed to measure situation‐specific coping. Method: The present study used semistructured interviews to measure coping and crisis support in response to severe events and/or marked difficulties in 12 women with anorexia nervosa (AN), 21 women with bulimia nervosa (BN), and 21 women without an eating disorder (non‐ED). Results: Women with eating disorders were more likely to use cognitive avoidance or cognitive rumination and were less likely to downplay their problems. In addition, BN subjects were more likely to blame themselves and were less likely to receive crisis support from a core‐tie. Overall, women with eating disorders were less likely to be masterful in response to crises than women without eating disorders. Discussion: It is concluded that women with eating disorders are less effective in their coping than women without eating disorders. © 1998 by John Wiley & Sons, Inc. Int J Eat Disord 24: 157–166, 1998.

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Section: Introductionmentioning

confidence: 83%

Stress, coping, and crisis support in eating disorders

Troop

Holbrey²,

Treasure

1998

Int. J. Eat. Disord.

118

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“…In terms of the friendship network, it is fairly well documented that bulimic women report impaired functioning in the area of social and leisure activities (Derogatis, Lipman, Rickels, Uhlenhuth, & Covi, 1974;Herzog, Keller, Lavori, & Ott, 1987;Herzog, Pepose, Norman, & Rigotti, 1985;Johnson & Berndt, 1983). Furthermore, Mintz ( 1982) has reported several clinical cases of individuals whose friendship networks were very limited because of difficulties with peer relationships.…”

Section: Pikementioning

confidence: 99%

Bulimic Symptomatology in High School Girls

Pike

1995

Psychology of Women Quarterly

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This study tests the explanatory power of an integrated sociocultural and personality model in predicting bulimic symptomatology. Family, peer, and personality factors were assessed at three levels of analysis. The first level of the model measured the general functioning of the family system and friendship network. The second level assessed the extent to which the family system and friendship network were concerned with issues of weight and dieting, as well as the rate of eating disorders among members in these groups. The third level investigated the relationship of certain personality variables to bulimic symptoms. Based on self‐report data from approximately 400 high school girls, correlates of bulimic symptomatology at each of the three levels of analysis were identified. An integrated model, in which the three levels of analysis were considered in unison, demonstrated that risk factors at each level of analysis cumulatively contribute to an increase in bulimic symptoms.

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“…The emerging consensus among investigators is that bulimia is a multidetermined disorder with a number of contributing factors, including biological components, sociocultural factors, and personality and family characteristics. One area of research has indicated that the relationship between bulimics and their environment is disturbed, in that bulimics demonstrate social impairment and dissatisfaction with their social support and relationships (Garner & Olmsted, 1984;Herzog, Keller, Lavori, & Ott, 1987;Herzog, Norman, Rigotti, & Pepose, 1986;Johnson & Berndt, 1983;Johnson & Maddi, 1986). Other researchers have documented the conflicted, hostile, and chaotic relationships in bulimic families (Garner, Garfinkel, & Olmsted, 1983;Humphrey, 1986;Humphrey, Apple, & Kirschenbaum, 1985), and social support research has highlighted the importance of considering such negative interactions when assessing social support (Abbey, Abramis, & Caplan, 1985;Rook, 1984).…”

mentioning

confidence: 99%

Perceived social support, social skills, and quality of relationships in bulimic women.

Grisset¹,

Norvell²

1992

Journal of Consulting and Clinical Psychology

114

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The impaired relationship between bulimics and their environment may be important factors in the onset and perpetuation of bulimia. This study explored specific aspects of the bulimic's social network and interpersonal relationships as well as individual difference variables that might mediate her ability to obtain support or perceive this as adequate. Ss were 21 bulimic women and 21 control Ss who completed self-report measures assessing perceived social support, the quality of relationships, social skills, and psychopathology. Bulimics reported less perceived support from friends and family, more negative interactions and conflict, and less social competence. Differences in negative interactions remained significant after controlling for overall psychopathology, and level of conflict was an important predictor of group membership. In addition, bulimics were rated as less socially effective by observers unaware of their group membership. Results highlight the need for further investigation of the quality and type of interactions in bulimic women's lives.

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Social impairment in bulimia

Cited by 19 publications

References 11 publications

Stress, coping, and crisis support in eating disorders

Stress, coping, and crisis support in eating disorders

Bulimic Symptomatology in High School Girls

Perceived social support, social skills, and quality of relationships in bulimic women.

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