Are eating disorders ``all about control?'' The elusive psychopathology of nonfat phobic presentations
Autor(en): | Murray, Helen B. Coniglio, Kathryn Hartmann, Andrea S. Becker, Anne E. Eddy, Kamryn T. Thomas, Jennifer J. |
Stichwörter: | ANOREXIA-NERVOSA; CHINESE PATIENTS; control; CRITERIA; DRIVE; eating disorder; fat phobia; Nutrition & Dietetics; Psychiatry; Psychology; Psychology, Clinical; shape concern; SYMPTOMS; weight concern | Erscheinungsdatum: | 2017 | Herausgeber: | WILEY | Journal: | INTERNATIONAL JOURNAL OF EATING DISORDERS | Volumen: | 50 | Ausgabe: | 11 | Startseite: | 1306 | Seitenende: | 1312 | Zusammenfassung: | ObjectiveThere are a subset of individuals with eating disorders (EDs) who do not overevaluate body shape/weight (i.e., nonfat phobic ED; NFP-ED). According to the transdiagnostic cognitive-behavioral conceptualization of EDs, a need for control, in general, is hypothesized as the core psychopathology of NFP-EDs, with shape- and weight-related motivations for ED behavior merely superimposed in FP-ED presentations. This study tested the need for control as motivation for restriction in NFP-ED, using items aimed at assessing control from the Eating Disorder Examination (EDE) Restraint scale. MethodFemales ages 13-27years consecutively admitted to residential treatment completed the EDE, Eating Disorder Inventory-3 Drive for Thinness subscale (EDI-DFT), and other self-report measures of psychopathology. We included patients with DSM-5 EDs, but excluded patients with avoidant/restrictive food intake disorder. Twenty participants had NFP-ED (14 on EDI-DFT) and 124 had fatphobic ED (FP-ED; >14 on EDI-DFT). ResultsNFP-ED scored significantly lower than FP-ED on EDE Restraint scale shape/weight [(2)(1)=10.73-35.62, p's<.01] and on control items [(2)(1)=10.72-20.62, p's<.01], in addition to scoring lower on measures of general psychopathology and impairment. DiscussionFindings suggest those with NFP-ED report lower psychopathology overall and the new EDE Restraint scale control items do not capture additional motivation for restriction beyond that captured in the original Restraint scale shape/weight items. Future research should examine whether this latter finding is due to a minimizing response style in NFP-ED, an incomplete capture of desire for control by the EDE assessment method, or indeed reflects that need for control does not motivate restriction in NFP-EDs. |
ISSN: | 02763478 | DOI: | 10.1002/eat.22779 |
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geprüft am 01.06.2024