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Forsén Mantilla, EmmaORCID iD iconorcid.org/0000-0001-9550-3820
Publikationer (10 of 20) Visa alla publikationer
Termorshuizen, J. D., Sun, Q., Borg, S., Forsén Mantilla, E., Goode, R. W., Peat, C. M., . . . Bulik, C. M. (2023). Longer-term impact of COVID-19 among individuals with self-reported eating disorders in the United States, the Netherlands, and Sweden. International Journal of Eating Disorders, 56(1), 80-90
Öppna denna publikation i ny flik eller fönster >>Longer-term impact of COVID-19 among individuals with self-reported eating disorders in the United States, the Netherlands, and Sweden
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2023 (Engelska)Ingår i: International Journal of Eating Disorders, ISSN 0276-3478, E-ISSN 1098-108X, Vol. 56, nr 1, s. 80-90Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Objective We assessed eating disorder (ED) illness status, symptomatology, treatment access, anxiety, and depression in the first year of the COVID-19 pandemic among individuals with a pre-existing ED in the United States (US), the Netherlands (NL), and Sweden (SE). Methods Participants completed online surveys in April-July 2020, at the early stage of the pandemic, and one year later. At one-year follow-up, we added questions addressing retrospective changes in ED symptoms, treatment, and anxiety/depression since the start of the COVID-19 pandemic. We present descriptive statistics and assess change in ED symptomatology, treatment, and anxiety/depression among those with an active or lingering ED. Results Participants (US n = 132; NL n = 219; SE n = 702) were mostly young and female with a history of anorexia nervosa (>60% in all three countries). Across countries, respondents reported impact of COVID-19 on ED symptoms at both time points, with improvement in US and NL at one-year follow-up, and stable but less impact on ED symptoms in SE. Furthermore, at one-year follow-up, roughly half of those in treatment reported reduced treatment access and quality, and the majority of the sample reported increased anxiety and depressive mood since the start of the pandemic. Discussion Our findings suggest that the self-perceived impact of COVID-19 changed over time but remained concerning even one year after the start of the pandemic. Clinicians, community organizations, and policy makers are encouraged to address potentially changing treatment needs in the face of public health emergency events. Public Significance Our findings suggest that the impact of COVID-19 on individuals with eating disorders decreased over time but remained concerning even one year after the start of the pandemic and that the impact differed across countries. Clinicians, community organizations, and policy makers are encouraged to incorporate this knowledge to address potentially changing treatment needs in the face of public health emergency events.

Ort, förlag, år, upplaga, sidor
WILEY, 2023
Nyckelord
coronavirus, COVID-19, eating disorders, mental health, pandemic
Nationell ämneskategori
Psykiatri
Identifikatorer
urn:nbn:se:gih:diva-7757 (URN)10.1002/eat.23824 (DOI)000867464100001 ()36237128 (PubMedID)
Tillgänglig från: 2023-09-07 Skapad: 2023-09-07 Senast uppdaterad: 2023-09-07
Birgegard, A., Forsén Mantilla, E., Breithaupt, L. E., Borg, S., Sanzari, C. M., Padalecki, S., . . . Bulik, C. M. (2023). Proposal for increasing diagnostic clarity in research and clinical practice by renaming and reframing atypical anorexia nervosa as "Restrictive Eating Disorder" (RED). Eating Behaviors, 50, Article ID 101750.
Öppna denna publikation i ny flik eller fönster >>Proposal for increasing diagnostic clarity in research and clinical practice by renaming and reframing atypical anorexia nervosa as "Restrictive Eating Disorder" (RED)
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2023 (Engelska)Ingår i: Eating Behaviors, ISSN 1471-0153, E-ISSN 1873-7358, Vol. 50, artikel-id 101750Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Atypical anorexia nervosa (AAN) in the Diagnostic and Statistical Manual of Mental Disorders, 5th edition (DSM5), is characterized by meeting all criteria for anorexia nervosa (AN) except for weight being within or above the "normal" range despite significant weight loss. The current definition is plagued by several problems, resulting in widely heterogeneous operationalizations in research and clinical practice. As such, the poorly defined diagnosis of AAN negatively impacts affected individuals and frustrates research attempts to better understand the syndrome. We consider conceptual flaws in the AAN description and contend that the undefined weight range and nature of weight loss renders these two factors functionally inapplicable in research and practice. They also represent a departure from the originally intended use of the AAN category, i.e., arresting a negative weight trajectory likely to result in AN, making the target population, and the application of the label, unclear. We propose revised criteria and a new name, restrictive eating disorder (RED), intended to reduce stigma and encompass a wide but better-defined range of presentations. The RED criteria focus on clinically significant restrictive behavior that disrupts normal living (i.e., impairment), and cognitive symptoms of overevaluation, disturbed experience, and lack of recognition of illness seriousness. We believe that RED may enable more appropriate clinical application, but also inspire coordinated research toward a more valid psychiatric nosology in the eating disorders field.

Ort, förlag, år, upplaga, sidor
ELSEVIER, 2023
Nyckelord
Feeding and eating disorders, Diagnosis, Atypical anorexia nervosa, Restriction, Weight loss, Impairment, Criteria, Stigma
Nationell ämneskategori
Psykiatri
Identifikatorer
urn:nbn:se:gih:diva-7753 (URN)10.1016/j.eatbeh.2023.101750 (DOI)001011649000001 ()37263139 (PubMedID)
Tillgänglig från: 2023-09-07 Skapad: 2023-09-07 Senast uppdaterad: 2023-09-07
Levallius, J., Monell, E., Birgegard, A., Clinton, D. & Forsén Mantilla, E. (2022). Binge Eating and Addictive-Like Behaviours in Males and Females. Psychological Reports, 125(1), 148-166, Article ID 0033294120971750.
Öppna denna publikation i ny flik eller fönster >>Binge Eating and Addictive-Like Behaviours in Males and Females
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2022 (Engelska)Ingår i: Psychological Reports, ISSN 0033-2941, E-ISSN 1558-691X, Vol. 125, nr 1, s. 148-166, artikel-id 0033294120971750Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Introduction Binge eating is a common behaviour that is strongly linked to both obesity and eating disorder. There is evidence that binge eating commonly co-occurs with other problematic and addictive-like behaviours; however, this has not been explored systematically. The present study aimed to examine the relationship between binge eating, body weight, disordered eating behaviours and associated addictive-like behaviours, with particular attention paid to gender differences. Method A community sample (N = 500; 75% female, M-age = 32.5 years) reported disordered eating behaviours (i.e. binge eating, purging, restriction of eating, compulsive exercise), body mass index (BMI), food addiction, starvation addiction, exercise dependence, tobacco use and alcohol consumption. Results 42% of females and 21% of males reported binge eating during the past four weeks. Binge eating was significantly associated with all investigated behaviours in females, and with purging, compulsive exercise and overweight/obesity in males. Controlling for BMI, self-starvation predicted binge eating in males (OR = 1.07), while food addiction (OR = 1.73) and alcohol dependence (OR = 1.11) predicted binge eating in females. Conclusions The multiple associations between binge eating and addictive-like behaviors supports broad screening and generalized prevention efforts. Prevention efforts should reflect gender differences.

Ort, förlag, år, upplaga, sidor
SAGE PUBLICATIONS INC, 2022
Nyckelord
Binge eating, obesity, addiction, food addiction, behavioural addiction, exercise dependence, alcohol use
Nationell ämneskategori
Psykiatri
Identifikatorer
urn:nbn:se:gih:diva-7754 (URN)10.1177/0033294120971750 (DOI)000680592200001 ()33174818 (PubMedID)
Tillgänglig från: 2023-09-07 Skapad: 2023-09-07 Senast uppdaterad: 2023-09-07
Forsén Mantilla, E., Clinton, D., Monell, E., Levallius, J. & Birgegard, A. (2022). Impulsivity and compulsivity as parallel mediators of emotion dysregulation in eating-related addictive-like behaviors, alcohol use, and compulsive exercise. Brain and Behavior, 12(1), Article ID e2458.
Öppna denna publikation i ny flik eller fönster >>Impulsivity and compulsivity as parallel mediators of emotion dysregulation in eating-related addictive-like behaviors, alcohol use, and compulsive exercise
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2022 (Engelska)Ingår i: Brain and Behavior, ISSN 2162-3279, E-ISSN 2162-3279, Vol. 12, nr 1, artikel-id e2458Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Introduction Transdiagnostically relevant psychological traits associated with psychiatric disorders are increasingly being researched, notably in substance use and addictive behaviors. We investigated whether emotion dysregulation mediated by impulsivity and/or compulsivity could explain variance in binge eating, food addiction, self-starvation, and compulsive exercise, as well as alcohol use (addictive-like behaviors relevant to the obesity and eating disorder fields). Method A general population sample of adults (N = 500, mean age = 32.5 years), females (n = 376) and males (n = 124), completed the Difficulties in Emotion Regulation Scale-16, the Trait Rash Impulsivity Scale, the Obsessive-Compulsive Inventory-Revised, the Eating Disorders Examination Questionnaire, the Self-Starvation Scale, the Exercise Dependence Scale, the Yale Food Addiction Scale, and the Alcohol Use Disorders Identification Test online. Besides gender comparisons and intercorrelations between measures, we used predefined multiple mediation models with emotion dysregulation as independent variable, impulsivity and compulsivity as parallel mediators, to investigate whether these factors contributed explanatory power to each addictive-like behavior as outcome, also using age and body mass index as covariates. Results Females scored higher than males on emotion dysregulation and the eating-related addictive-like behaviors food addiction, self-starvation, and binge eating. Intercorrelations between measures showed that emotion dysregulation and compulsivity were associated with all outcome variables, impulsivity with all except compulsive exercise, and the eating-related behaviors intercorrelated strongly. Mediation models showed full or partial mediation of emotion dysregulation for all behaviors, especially via compulsivity, suggesting a behavior-specific pattern. Mediation models were not affected by age or gender. Discussion Addictive-like behaviors seemed to be maintained by trait levels of emotion dysregulation, albeit channeled via trait levels of compulsivity and/or impulsivity. The role of emotion dysregulation may help us to understand why addictive-like behaviors can be difficult to change in both clinical and nonclinical groups, and may be informative for treatment-planning in patients where these behaviors are present. Our findings support adopting a more dimensional approach to psychiatric classification by focusing psychological facets such as those studied.

Ort, förlag, år, upplaga, sidor
WILEY, 2022
Nyckelord
addictive-like behaviors, compulsivity, emotion dysregulation, impulsivity, mediation
Nationell ämneskategori
Psykiatri
Identifikatorer
urn:nbn:se:gih:diva-7743 (URN)10.1002/brb3.2458 (DOI)000731654500001 ()34928542 (PubMedID)
Tillgänglig från: 2023-09-07 Skapad: 2023-09-07 Senast uppdaterad: 2023-09-07
Selenius, S., Birgegard, A. & Forsén Mantilla, E. (2022). Preliminary evaluation of the online course "I Care" targeting eating disorder knowledge and attitudes among sports coaches and fitness instructors. Journal of Eating Disorders, 10(1), Article ID 142.
Öppna denna publikation i ny flik eller fönster >>Preliminary evaluation of the online course "I Care" targeting eating disorder knowledge and attitudes among sports coaches and fitness instructors
2022 (Engelska)Ingår i: Journal of Eating Disorders, E-ISSN 2050-2974, Vol. 10, nr 1, artikel-id 142Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Plain English summary Fitness instructors, coaches and trainers are often looked up to within their sporting community. They are also likely to meet individuals at risk for developing eating disorders, since excessive or compulsive exercise is a common symptom of these disorders. Coaches therefore need to know more about how to promote healthy ideals and how to detect and approach individuals at risk of developing an eating disorder. We studied if a brief online education called I Care could improve personal compulsive exercise tendencies, knowledge about eating disorders, and readiness to approach individuals seemingly at risk, in 150 coaches, trainers, and fitness instructors. We found that coaches felt more confident and knowledgeable about warning signs and how to approach a person at risk after completing I Care. They also showed increased insight about EDs not being recognizable just by looking at a person and their attitudes about their own exercise behavior changed in a positive way. Although the lack of a comparison group makes conclusions tentative, I Care may have positive effects in terms of a "declaration of intent" toward more positive role-modeling and interactions with clients. Background Fitness instructors, coaches and trainers are often looked up to and seen as role-models within their sporting community. Since problematic exercise is a common symptom of eating disorders, they are also highly likely to meet individuals at risk for developing eating disorders within their profession. Thus, educating coaches about how to promote healthy ideals within their sports/training context and equipping them with knowledge to be able to detect and approach individuals at risk, is of great importance. Method We studied the pre-to-post effects of the I Care online psychoeducational intervention in 150 coaches, trainers, and fitness instructors. Variables included the Compulsive Exercise Test, as well as knowledge of eating disorders, and confidence and awareness regarding approaching, talking to, and referring individuals whose observed behavior raised concerns. Results Results showed significant and large improvements in coaches' confidence and knowledge regarding warning signs and how to approach an at-risk person, and a decrease in their perceived ability to recognize eating disorders by sight, e.g., insight about EDs not being recognizable just by looking at a person. Also, significant positive change in attitudes about their own rule-driven exercise behavior and lack of enjoyment of exercise was observed. Conclusions Although the lack of a control group compels caution, the study suggests that I Care may have positive effects in terms of a "declaration of intent" toward more positive role-modeling and interactions with clients.

Ort, förlag, år, upplaga, sidor
BMC, 2022
Nyckelord
Eating disorders, Compulsive exercise, Coaches, Trainers, Fitness instructors, Confidence, Knowledge, Education
Nationell ämneskategori
Psykiatri
Identifikatorer
urn:nbn:se:gih:diva-7745 (URN)10.1186/s40337-022-00663-1 (DOI)000861876200002 ()36175946 (PubMedID)
Tillgänglig från: 2023-09-07 Skapad: 2023-09-07 Senast uppdaterad: 2023-09-07
Birgegard, A., Forsén Mantilla, E., Dinkler, L., Hedlund, E., Savva, A., Larsson, H. & Bulik, C. M. (2022). Validity of eating disorder diagnoses in the Swedish national patient register. Journal of Psychiatric Research, 150, 227-230
Öppna denna publikation i ny flik eller fönster >>Validity of eating disorder diagnoses in the Swedish national patient register
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2022 (Engelska)Ingår i: Journal of Psychiatric Research, ISSN 0022-3956, E-ISSN 1879-1379, Vol. 150, s. 227-230Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

The Swedish National Patient Register (NPR) includes population-level longitudinal data, and determining the validity of NPR diagnoses is critical to undergirding the research and policy recommendations they inform. Sweden also has the integrated "Riksa & BULL;t " and "Stepwise " National Quality Registers (QR), with data from specialized eating disorder (ED) treatment based on structured, valid assessment methods. To validate NPR ED diagnoses, we compared ICD-10-based anorexia nervosa (AN), bulimia nervosa (BN), and unspecified ED in NPR to DSM-IV-based AN, BN, and ED not otherwise specified category (EDNOS) in QR. Patients' first diagnoses registered in QR between February 2008 and August 2013 were compared with NPR diagnoses entered within & PLUSMN;1 month (N = 2074). QR registration includes the semi-structured DSM-IV-based Structured ED Interview. Each ED diagnosis was analyzed separately for degree of match using several indices: overall agreement, sensitivity, positive predictive value, specificity, negative predictive value, area under the curve, and Cohen's kappa. Results showed moderate to excellent agreement depending on estimate (e.g. positive predictive values AN: 0.747; BN:.836; EDNOS: 0.761), except for a somewhat low sensitivity for BN, and EDNOS agreement was overall the lowest. Case prevalence in the NPR and QR was highly similar for AN, and within five percentage points for BN and EDNOS. Generalizability is hampered by limited age range and diagnostic resolution as well as few males. Available data precluded study of presence/absence of ED, and complementary approaches are considered for future research. We conclude that NPR ED diagnoses have acceptable validity and are appropriate for use in research.

Ort, förlag, år, upplaga, sidor
PERGAMON-ELSEVIER SCIENCE LTD, 2022
Nyckelord
Eating disorders, Diagnosis, Validity, Anorexia nervosa, Bulimia nervosa
Nationell ämneskategori
Psykiatri
Identifikatorer
urn:nbn:se:gih:diva-7755 (URN)10.1016/j.jpsychires.2022.03.064 (DOI)000802302000002 ()35398665 (PubMedID)
Tillgänglig från: 2023-09-07 Skapad: 2023-09-07 Senast uppdaterad: 2023-09-07
Petersson, S., Birgegard, A., Brudin, L., Forsén Mantilla, E., Monell, E., Clinton, D. & Bjorck, C. (2021). Initial self-blame predicts eating disorder remission after 9 years. Journal of Eating Disorders, 9(1), Article ID 81.
Öppna denna publikation i ny flik eller fönster >>Initial self-blame predicts eating disorder remission after 9 years
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2021 (Engelska)Ingår i: Journal of Eating Disorders, E-ISSN 2050-2974, Vol. 9, nr 1, artikel-id 81Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Background Research into predictors of outcome in eating disorders (ED) has shown conflicting results, with few studies of long-term predictors and the possible importance of psychological variables that may act as risk- and maintenance factors. Aim To identify baseline predictors of ED remission nine years after initial clinical assessment using self-report measures of ED psychopathology, psychiatric symptoms, and self-image in a sample of adult ED patients (N = 104) treated at specialist units in Stockholm, Sweden. Sixty patients participated in the follow-up, of whom 41 patients (68%) had achieved remission. Results Results suggested that the only significant predictor of diagnostic remission after nine years was initial levels of self-blame. Conclusion In order to ensure long-term recovery in ED it may be important for clinicians to widen their therapeutic repertoire and utilise techniques that reduce self-blame and increase self-compassion. Plain English summary It is difficult to predict how an eating disorder will develop, and research has found varying factors that affect the outcome of the condition. Recovery rates vary from nearly nil to over 90%. This variation could be explained by different research factors, but are more likely due to varying definitions of 'recovery', with less stringent definitions yielding high recovery rates and more stringent definitions yielding lower rates. The present study investigated whether the severity of eating disorder symptoms and other psychiatric symptoms could predict recovery nine years from first admission to specialised eating disorder care. Sixty patients at three eating disorder treatment units participated, and their scores on self-report measures of symptoms were used as predictor variables. Forty-one participants had no eating disorder diagnosis at nine-year follow-up. Most participants with binge-eating disorder had recovered, while the poorest outcome was found for anorexia nervosa with slightly over half of patients recovered after nine years. The only predictor for the nine-year outcome was a higher initial rating of self-blame, measured with the Structural Analysis of the Social Behavior. It was concluded that it may be important for clinicians to detect and address self-blame early in the treatment of eating disorders in order to enhance the possibility of recovery. Treatment should focus on reducing self-blame and increasing self-acceptance.

Ort, förlag, år, upplaga, sidor
BMC, 2021
Nyckelord
Eating disorders, Outcome, Prediction, Self-image
Nationell ämneskategori
Psykiatri
Identifikatorer
urn:nbn:se:gih:diva-7756 (URN)10.1186/s40337-021-00435-3 (DOI)000671327600001 ()34233765 (PubMedID)
Tillgänglig från: 2023-09-07 Skapad: 2023-09-07 Senast uppdaterad: 2023-09-07
Birgegard, A., Abbaspour, A., Borg, S., Clinton, D., Forsén Mantilla, E., Savva, A., . . . Bulik, C. M. (2021). Longitudinal experiences and impact of the COVID-19 pandemic among people with past or current eating disorders in Sweden. Eating Disorders, 30(6), 602-617
Öppna denna publikation i ny flik eller fönster >>Longitudinal experiences and impact of the COVID-19 pandemic among people with past or current eating disorders in Sweden
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2021 (Engelska)Ingår i: Eating Disorders, ISSN 1064-0266, E-ISSN 1532-530X, Vol. 30, nr 6, s. 602-617Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

The study aimed to document the impact of the COVID-19 pandemic on the health and well-being of individuals with past and current eating disorders (ED) in Sweden. We re-contacted participants with a known lifetime history of ED from two previous Swedish studies. Participants completed an online survey about health and functioning at baseline early in the pandemic (Wave 1 ca May/June 2020; N= 982) and six months later (Wave 2 Dec/Jan 2020/21; N= 646). Three important patterns emerged: 1) higher current ED symptoms were associated with greater anxiety, worry, and pandemic-related ED symptom increase; 2) patterns were fairly stable across time, although a concerning percentage (23%) who were symptom-free at Wave 1 reported the re-emergence of symptoms at Wave 2; and 3) only a minority of participants (<50%) with a current ED were in treatment, and of those in treatment, many reported fewer treatment sessions and decreased quality of care. The COVID-19 pandemic appears to pose serious health challenges for individuals with an ED, whether currently symptomatic or in remission. We encourage health service providers and patient advocates to be alert to the needs of individuals with ED and to take active measures to ensure access to appropriate evidence-based care both during and following the pandemic.

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ROUTLEDGE JOURNALS, TAYLOR & FRANCIS LTD, 2021
Nationell ämneskategori
Psykiatri
Identifikatorer
urn:nbn:se:gih:diva-7760 (URN)10.1080/10640266.2021.1985286 (DOI)000706258800001 ()34634228 (PubMedID)
Tillgänglig från: 2023-09-07 Skapad: 2023-09-07 Senast uppdaterad: 2023-09-07
Monell, E., Meyer, C., Szwajda, A. & Forsén Mantilla, E. (2021). Taking the LEAP: study protocol for a randomized, multicentre, naturalistic, efficacy trial of the compuLsive Exercise Activity theraPy (LEAP) - a cognitive behavioral program specifically targeting compulsive exercise in patients with eating disorders. BMC Psychiatry, 21(1), Article ID 369.
Öppna denna publikation i ny flik eller fönster >>Taking the LEAP: study protocol for a randomized, multicentre, naturalistic, efficacy trial of the compuLsive Exercise Activity theraPy (LEAP) - a cognitive behavioral program specifically targeting compulsive exercise in patients with eating disorders
2021 (Engelska)Ingår i: BMC Psychiatry, E-ISSN 1471-244X, Vol. 21, nr 1, artikel-id 369Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

Background About half of Swedish eating disorder patients report exercising compulsively and compulsive exercise (CE) is prevalent in all diagnoses and both genders. Yet there are no systematic treatments targeting CE in specialist care. This study aims to evaluate the effects of The CompuLsive Exercise Activity TheraPy (LEAP) - a promising group treatment targeting compulsive exercise, in Swedish eating disorder patients. Method One hundred twenty-eight adult females and males suffering from anorexia nervosa, bulimia nervosa or other specified feeding and eating disorders (type 1, 2, or 4) with CE will be recruited via four specialist eating disorder treatment units. Participants will be randomized to receive treatment as usual (control group) or treatment as usual plus LEAP (intervention group). The groups will be assessed on key variables (e.g., BMI, eating disorder symptoms, exercise cognitions and behaviors) at three occasions: initially, after 3 months and after 6 months. Discussion The project takes place in a clinical setting, including both male and female patients with different eating disorder diagnoses with CE, enabling a good indication of the efficacy of LEAP. If our results are positive, LEAP has the potential of benefiting about half of the eating disorder population, with remission and recovery hopefully improving as a result.

Ort, förlag, år, upplaga, sidor
BMC, 2021
Nyckelord
Compulsive exercise, Eating disorders, Treatment, Efficacy trial
Nationell ämneskategori
Psykiatri
Identifikatorer
urn:nbn:se:gih:diva-7746 (URN)10.1186/s12888-021-03356-2 (DOI)000680895500004 ()34301226 (PubMedID)
Tillgänglig från: 2023-09-07 Skapad: 2023-09-07 Senast uppdaterad: 2024-01-17
Forsén Mantilla, E., Norring, C. & Birgegard, A. (2019). Self-image and 12-month outcome in females with eating disorders: extending previous findings. Journal of Eating Disorders, 7, Article ID 15.
Öppna denna publikation i ny flik eller fönster >>Self-image and 12-month outcome in females with eating disorders: extending previous findings
2019 (Engelska)Ingår i: Journal of Eating Disorders, E-ISSN 2050-2974, Vol. 7, artikel-id 15Artikel i tidskrift (Refereegranskat) Published
Abstract [en]

BackgroundThe interpersonal Structural Analysis of Social Behavior (SASB) model of self-image has repeatedly proven valuable in relation to eating disorder (ED) symptoms and in predicting ED outcome.ObjectiveWe studied the association between initial self-image according to the SASB and 12-month outcome, in five diagnostic groups of female ED patients. Based on previous findings, we expected autonomy related variables (self-control/autonomy) would strongly predict outcome in anorexia nervosa (AN) groups, whereas variables related to affiliation (self-attack/love) would moderately predict outcome in bulimia nervosa (BN).MethodParticipants were adult female patients, of whom 457 had AN restrictive type, 228 AN binge/purge subtype, 861 BN, 505 other specified ED and 170 binge eating disorder. Data came from the Stepwise clinical database in Sweden. Outcomes were presence/absence of ED diagnosis and self-rated ED symptoms, and we controlled for baseline ED pathology, BMI, age and general psychiatric symptoms.ResultsRegression analyses showed that although the pattern differed somewhat between diagnostic groups, high initial self-love and low self-attack/self-blame predicted a more positive 12-month outcome. In some groups (AN/R in particular), these variables remained important even when baseline pathology and age were included in the analyses.DiscussionSelf-image aspects once again display substantial power in predicting outcome in EDs. In AN/R patients, self-love plays an almost as crucial a role as baseline ED pathology in relation to 12-month outcome.

Ort, förlag, år, upplaga, sidor
BMC, 2019
Nyckelord
Eating disorder, Outcome, Prediction, Self-image
Nationell ämneskategori
Psykiatri
Identifikatorer
urn:nbn:se:gih:diva-7744 (URN)10.1186/s40337-019-0247-1 (DOI)000466898200001 ()31073404 (PubMedID)
Tillgänglig från: 2023-09-07 Skapad: 2023-09-07 Senast uppdaterad: 2023-09-07
Organisationer
Identifikatorer
ORCID-id: ORCID iD iconorcid.org/0000-0001-9550-3820

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