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Self-image and 12-month outcome in females with eating disorders: extending previous findings
Karolinska Inst, Dept Clin Neurosci, Norra Stn Gatan 69, SE-11364 Stockholm, Sweden.;Stockholm Cty Council, Ctr Psychiat Res, Norra Stn Gatan 69, SE-11364 Stockholm, Sweden..ORCID iD: 0000-0001-9550-3820
Karolinska Inst, Dept Clin Neurosci, Norra Stn Gatan 69, SE-11364 Stockholm, Sweden.;Stockholm Cty Council, Ctr Psychiat Res, Norra Stn Gatan 69, SE-11364 Stockholm, Sweden..
Karolinska Inst, Dept Clin Neurosci, Norra Stn Gatan 69, SE-11364 Stockholm, Sweden.;Stockholm Cty Council, Ctr Psychiat Res, Norra Stn Gatan 69, SE-11364 Stockholm, Sweden..
2019 (English)In: Journal of Eating Disorders, E-ISSN 2050-2974, Vol. 7, article id 15Article in journal (Refereed) 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.

Place, publisher, year, edition, pages
BMC , 2019. Vol. 7, article id 15
Keywords [en]
Eating disorder, Outcome, Prediction, Self-image
National Category
Psychiatry
Identifiers
URN: urn:nbn:se:gih:diva-7744DOI: 10.1186/s40337-019-0247-1ISI: 000466898200001PubMedID: 31073404OAI: oai:DiVA.org:gih-7744DiVA, id: diva2:1795181
Available from: 2023-09-07 Created: 2023-09-07 Last updated: 2023-09-07

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