The prognostic value of initial EDI scores in anorexia nervosa patients: a prospective follow-up study of 5–10 years

Bizeul, Chantal; Sadowsky, N.; Rigaud, Daniel

doi:10.1016/s0924-9338(01)00570-3

Cited by 103 publications

(84 citation statements)

References 19 publications

(20 reference statements)

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“…The need for greater emphasis on therapies concerned with social re-integration (Tierney & Fox, 2009) is refl ected by current fi ndings that nonremitted patients had higher levels of interpersonal distrust on the EDI-II. This accords with previous work linking high EDI Interpersonal Distrust scores with poor long-term outcome (Bizeul, Sadowsky, & Rigaud, 2001). …”

Section: Discussionsupporting

confidence: 92%

Treatment of chronic anorexia nervosa: a 4‐year follow‐up of adult patients treated in an acute inpatient setting

Long

Fitzgerald

Hollin

2011

Clin Psychology and Psychoth

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Despite evidence from a number of long-term follow-up studies of anorexia nervosa that nearly 50% of patients eventually make a full recovery, controlled trials of psychotherapy for anorexia nervosa are lacking. Those with severe and enduring problems represent a considerable therapeutic challenge. Thirty-four consecutive adult referrals to the inpatient treatment unit who fulfilled Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition diagnostic criteria for anorexia nervosa were examined pre-admission, post-discharge and 4 years after admission. Characteristics of remitted and non-remitted patients were examined. Secondary analyses considered the differences between patients with anorexia nervosa, restricting type and anorexia nervosa binging/purging type. The findings highlight a number of differences between patients with anorexia nervosa (restricting type) versus anorexia nervosa (binging/purging type) as well as remitted versus non-remitted patients. The use of a comprehensive battery of assessments found that resolution of eating disorder symptomatology was paralleled by improvements in emotional and psychological distress and improvement in body image perception and coping skills. Better results were obtained for those who had continuity of care on an outpatient basis. This pattern is particularly significant given the more 'chronic' nature of the sample that were older, with a higher incidence of binge-eating and purging than previous samples. Results provide some encouragement for the treatment of those adults with anorexia nervosa who typically have less favourable outcomes.

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Section: Discussionsupporting

confidence: 92%

Treatment of chronic anorexia nervosa: a 4‐year follow‐up of adult patients treated in an acute inpatient setting

Long

Fitzgerald

Hollin

2011

Clin Psychology and Psychoth

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“…This measure has been successfully used among French students (Rodgers and Chabrol 2009a;Rousseau et al 2005), and clinical samples (Bizeul et al 2001). …”

Section: Body Dissatisfaction and Disordered Eating Behaviorsmentioning

confidence: 99%

Gender Differences in Parental Influences on Adolescent Body Dissatisfaction and Disordered Eating

Rodgers¹,

Faure²,

Chabrol

2009

Sex Roles

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This study explored gender differences in the relationship between parental influences and body dissatisfaction and disordered eating among offspring. Participants were 221 male and 380 (63%) female French high school students of mean age 16 (SD =.95) years old, from the Toulouse area, who completed a survey exploring parental influences, body dissatisfaction, drive for thinness and bulimic symptoms. Girls (compared to boys) perceived more maternal comments regarding both their own weight and shape, and the importance of physical appearance. Parental variables explained a larger amount of the variance in girls' body dissatisfaction and disordered eating (compared to boys'). Findings support both a cumulative model and a gender-linked model of transmission of attitudes and behaviors related to shape and eating.

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“…High scores on the Beck Depression Inventory (BDI) (Beck & Steer, 1987) and the Eating Disorders Inventory (EDI-II) (Garner, 1991) have been associated with poor motivation to change in adolescents later re-admitted to inpatient treatment (Ametller et al, 2005) and with poor prognosis (Bizeul, Sadowsky, & Rigaud, 2001). Additionally, decreased drive for thinness and body dissatisfaction have been associated with greater readiness to change (Gusella, Butler, Nichols, & Bird, 2003), while perfectionism is a phenotypic characteristic that may serve to establish and perpetuate anorexia nervosa (Halmi et al, 2000).…”

Section: Introductionmentioning

confidence: 99%

Readiness to recover in anorexia nervosa: what does it depend on in female inpatients?

Rushford

2006

Euro Eating Disorders Rev

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Anorexia nervosa (AN) is difficult to treat, especially when the patient's condition is sufficiently severe to require an inpatient admission. An impediment to treatment is the disinclination of the patient to recover, who often prefers the distress of AN over weight gain. An inpatient-rated visual analogue scale depicting readiness to recover (RR) was studied to determine (a) its concurrent prediction by AN diagnostic criteria and risk-related factors and (b) its relationships to an adapted stages of change questionnaire (a-SCQ) and comparison of their predictions of drive for thinness (EDI-DT) at discharge. For (a), fear of gaining weight, state anger and ineffectiveness undermined RR, while higher BMI and the capacity to see low weight as a health risk supported it. For (b), RR was related to a-SCQ, but only RR predicted discharge EDI-DT. The findings reinforce the conceptual complexity of readiness to recover and indicate practical interventions in preparing sufferers of AN for recovery in an inpatient setting.

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The prognostic value of initial EDI scores in anorexia nervosa patients: a prospective follow-up study of 5–10 years

Abstract: High EDI total score and subscales for perfectionism and interpersonal distrust could predict a long-term severe outcome in AN.

Cited by 103 publications

References 19 publications

Treatment of chronic anorexia nervosa: a 4‐year follow‐up of adult patients treated in an acute inpatient setting

Treatment of chronic anorexia nervosa: a 4‐year follow‐up of adult patients treated in an acute inpatient setting

Gender Differences in Parental Influences on Adolescent Body Dissatisfaction and Disordered Eating

Readiness to recover in anorexia nervosa: what does it depend on in female inpatients?

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