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Romano KA, Sandoval CM, Lewis RJ, Heron KE. Daily Relationship Functioning and Disordered Eating Behaviors Among Sexual Minority Women in Same-Sex Relationships. Ann Behav Med 2024; 58:412-421. [PMID: 38581675 PMCID: PMC11112276 DOI: 10.1093/abm/kaae016] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/08/2024] Open
Abstract
BACKGROUND AND PURPOSE The present study aimed to examine associations between different types of relationship functioning and disordered eating behaviors (DEBs) in the everyday lives of sexual minority women in same-sex relationships-an at-risk population that has not been assessed in this context. METHODS Participants included 321 young sexual minority women (Mage = 27.56, SD = 3.67) in same-sex relationships who completed surveys assessing their daily relationship functioning and DEB use each day for a 14-day daily diary period. Multilevel structural equation modeling was used to examine daily-, person-, and couple-level associations among women's daily relationship functioning (general relationship functioning, positive and negative relational behaviors they and, separately, their partners engaged in) and DEBs (overeating, loss of control eating, emotional eating, and dietary restriction). RESULTS Results generally indicated that more positive and less negative daily relationship functioning across all assessed constructs was associated with less same-day emotional eating. In contrast, associations between all daily relationship functioning constructs and loss of control eating were not significant, nor were any relationship functioning-DEB associations at the couple level. More circumscribed patterns of association were identified for associations between the relationship functioning constructs, and overeating and dietary restriction. CONCLUSIONS Collectively, these findings provide insight into how aspects of daily relationship functioning map onto sexual minority women's daily engagement in DEBs that are linked to poor health long-term, and directions for future research and clinical practice that may warrant consideration moving forward to help advance the evidence-base and care for this historically overlooked and underserved population.
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Affiliation(s)
- Kelly A Romano
- Department of Psychiatry and Behavioral Sciences, University of Minnesota Medical School, Minneapolis, MN, USA
| | | | - Robin J Lewis
- Virginia Consortium Program in Clinical Psychology, Norfolk, VA, USA
- Department of Psychology, Old Dominion University, Norfolk, VA, USA
| | - Kristin E Heron
- Virginia Consortium Program in Clinical Psychology, Norfolk, VA, USA
- Department of Psychology, Old Dominion University, Norfolk, VA, USA
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French EN, Eneva K, Arlt JM, Yiu A, Chen EY. Negative mood induction effects on problem-solving task in women with eating disorders: a multi-method examination. J Eat Disord 2022; 10:73. [PMID: 35598002 PMCID: PMC9123706 DOI: 10.1186/s40337-022-00591-0] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/12/2021] [Accepted: 05/08/2022] [Indexed: 01/13/2023] Open
Abstract
BACKGROUND The effects of negative affect on problem-solving and its psychophysiological correlates are poorly understood in eating disorder populations. METHODS This study examined respiratory sinus arrhythmia (RSA) and skin conductance responses of women with Binge Eating Disorder (BED: n = 56), Anorexia Nervosa (AN: n = 12), Bulimia Nervosa (BN: n = 32), and 24 healthy controls (HCs) at baseline, and then during: a negative mood induction task, an adapted Means Ends Problem-Solving (MEPS) task, and recovery. The MEPS task included four interpersonal scenarios: (1) binge-eating as a solution to stress, (2) job loss, (3) rejection by friends, and (4) by a significant other. RESULTS We found that individuals with eating disorders reported less positive mood than HCs and individuals with BN and BED reported more negative mood and greater urges to binge than HCs. After a negative mood induction, women with BED provided significantly less effective problem-solving strategies compared to HCs and women with BN for the binge-eating MEPS scenario. Relative to baseline and the negative mood induction, all participants exhibited significantly higher skin conductance measures throughout the MEPS scenarios and recovery. BED showed significantly lower respiratory sinus arrhythmia (RSA) levels than individuals with BN and HCs throughout the protocol. CONCLUSIONS The multimethod findings suggest individuals with BED are likely to have disorder-specific problem-solving difficulties after a negative mood induction.
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Affiliation(s)
- Elan N French
- Temple Eating Disorders Program, Temple University, 1701 North 13th Street, Philadelphia, PA, 19122, USA
| | - Kalina Eneva
- Temple Eating Disorders Program, Temple University, 1701 North 13th Street, Philadelphia, PA, 19122, USA
| | - Jean M Arlt
- Temple Eating Disorders Program, Temple University, 1701 North 13th Street, Philadelphia, PA, 19122, USA
| | - Angelina Yiu
- Temple Eating Disorders Program, Temple University, 1701 North 13th Street, Philadelphia, PA, 19122, USA
| | - Eunice Y Chen
- Temple Eating Disorders Program, Temple University, 1701 North 13th Street, Philadelphia, PA, 19122, USA.
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O'Connor P, Daly L, Higgins A. Partners' experiences of living with a person with an eating disorder: A grounded theory study. J Adv Nurs 2019; 75:1741-1750. [PMID: 31012143 DOI: 10.1111/jan.14032] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/10/2018] [Revised: 02/05/2019] [Accepted: 03/05/2019] [Indexed: 12/01/2022]
Abstract
AIM To explore the experiences of intimate partners of people with an eating disorder. DESIGN Qualitative grounded theory study. METHODS In-depth interviews were conducted with 18 partners of people with an eating disorder from 2013-2016. Data were analysed using the principles of classic grounded theory including, concurrent data collection and analysis, theoretical sampling, constant comparative analysis and memo writing. RESULTS Partners encounter disruptions to their lives when their significant other experiences an eating disorder. As a result, partners engage in a four-stage cyclical process involving: encountering a disruption; becoming an informed self; countering the disruption and reclaimed livability. By engaging in this process partners learn to support their significant other, remain committed to the relationship and recover their own lives. The process is drawn together and defined as the theory of 'Reconstructing Livability'. CONCLUSION The theory of 'Reconstructing Livability' provides a unique conceptualization of the experiences of partners who are living with a person with an eating disorder. It highlights the challenges faced by partners when supporting the recovery of their significant other and the intimate relationship, while reclaiming their own lives. IMPACT This study addresses the dearth of knowledge and understanding of partners' experiences. Partners engage in a process to enable them support recovery of their significant other and their own lives, but this is hindered by the challenges and unmet needs they experience. The theory provides a basis on which nurses can provide effective and timely supports to partners.
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Affiliation(s)
- Patricia O'Connor
- Department of Nursing and Midwifery, St. Patricks University Hospital, Trinity College Dublin, Ireland
| | - Louise Daly
- Department of Nursing and Midwifery, Trinity College Dublin, Ireland
| | - Agnes Higgins
- Department of Nursing and Midwifery, Trinity College Dublin, Ireland
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Serier KN, Smith JM, Finstad EM, Laframboise D, Erickson B, Moreshead M, Smith JE. Perceived Conflict and Support Among Women with Bulimia Nervosa Compared to Women with Depression and Healthy Controls: An Experimental Manipulation. JOURNAL OF SOCIAL AND CLINICAL PSYCHOLOGY 2019. [DOI: 10.1521/jscp.2019.38.1.28] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
Abstract
Objective: Women with bulimia nervosa (BN) often present with interpersonal difficulties. It is unknown whether these difficulties primarily are based on distorted social perceptions, and whether they are unique to BN. The current study used a repeated-measures design to compare perceptions of interpersonal interactions for participants with BN, depression (DEP), and healthy controls (HCs). We hypothesized that women with BN would perceive more conflict and less support than HCs. Analyses comparing BN and DEP were exploratory. Method: Participants with BN (n = 27) or DEP (n = 26) and HCs (n = 27) rated perceived conflict and support for 24 vignettes depicting social interactions that varied in levels of these two constructs. Participants also completed relationship quality/satisfaction questionnaires. Results: Multilevel model analyses revealed that the BN group perceived greater conflict relative to HCs. There also were significant interactions, with BN participants more greatly impacted by high support. There were no differences between DEP and BN groups. Discussion: Overall, BN participants perceived more conflict than HCs, but differences were attenuated when level of social support was high. Helping women with BN tolerate discomfort associated with any amount of perceived conflict and/or low support may be an important treatment target.
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Côté M, Gagnon-Girouard MP, Provencher V, Bégin C. Induced dyadic stress and food intake: Examination of the moderating roles of body mass index and restraint. Eat Behav 2016; 23:86-90. [PMID: 27591722 DOI: 10.1016/j.eatbeh.2016.08.006] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/14/2016] [Revised: 07/20/2016] [Accepted: 08/23/2016] [Indexed: 11/16/2022]
Abstract
Restrained eaters and overweight and obese people are prone to increase their food intake during stressful situations. This study examines the impact of a stressful couple discussion on food intake in both spouses, while simultaneously taking into account the effect of BMI and restraint on this association. For 15min, 80 heterosexual couples discussed an aspect that they wanted their partner to change followed by an individual bogus taste test for the purpose of measuring his or her stress-induced food intake. Prior to and after the discussion, subjective mood state was assessed, as well as appetite perceptions, and the mood change before and after the discussion was calculated. Multiple regression analyses with a three-way interaction between mood change, BMI, and restraint were used to predict food intake for both men and women, while controlling for appetite perceptions. Only restrained women with a high BMI ate more when their mood worsened. For men, only appetite perceptions significantly predicted food intake. These results suggest that an induced negative mood in the form of a stressful couple discussion impacts food intake differently for men and women, and that particular attention should be given to the concomitant effect of both restraint and BMI when studying stress-induced eating among women.
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Affiliation(s)
- Marilou Côté
- School of Psychology, Pavillon F-A.-Savard, 2325, rue des Bibliothèques, local 1116, Laval University, Quebec, QC G1V 0A6, Canada.
| | - Marie-Pierre Gagnon-Girouard
- School of Psychology, Pavillon F-A.-Savard, 2325, rue des Bibliothèques, local 1116, Laval University, Quebec, QC G1V 0A6, Canada.
| | - Véronique Provencher
- Institute of Nutrition and Functional Foods, School of Nutrition, Pavillon des Services, 2440, boulevard Hochelaga, Laval University, Québec, QC G1V 0A6, Canada.
| | - Catherine Bégin
- School of Psychology, Pavillon F-A.-Savard, 2325, rue des Bibliothèques, local 1116, Laval University, Quebec, QC G1V 0A6, Canada.
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Pisetsky EM, Utzinger LM, Peterson CB. Incorporating Social Support in the Treatment of Anorexia Nervosa: Special Considerations for Older Adolescents and Young Adults. COGNITIVE AND BEHAVIORAL PRACTICE 2016; 23:316-328. [PMID: 27429544 DOI: 10.1016/j.cbpra.2015.09.002] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
Currently, research support is strongest for family-based treatment (FBT) for the treatment of anorexia nervosa (AN) in adolescents. However, a strong evidence base for treatments for older adolescents and young adults with AN is lacking. Emphasizing social support in the treatment of AN may be beneficial for older adolescents and young adults with AN. This paper provides a brief review of the literature on FBT for adolescent AN and provides a case example of adolescent AN treated with FBT. We then discuss novel treatments that have incorporated social support for older adolescents and young adults with AN, such as modified FBT and couples-based interventions. We provide case studies of each of these novel treatment approaches as well. Additionally, this paper highlights and discusses developmental considerations and challenges in working with older adolescents and young adults with AN.
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Affiliation(s)
- Emily M Pisetsky
- Department of Psychiatry, University of Minnesota, Minneapolis, MN
| | | | - Carol B Peterson
- Department of Psychiatry, University of Minnesota, Minneapolis, MN
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Abstract
A significant number of adults with eating disorders fail to achieve relief from the disorder, with many dropping out of treatment or relapsing. The standard treatment remains individual therapy despite partners being negatively affected and typically wanting to help in an effective and loving way. We propose that couple-based interventions, which leverage the support of a partner and the relationship in treatment, may improve outcome and recovery rates for adults with eating disorders. In this article, we survey the empirical literature supporting the treatment of adults in a couple context and describe our existing and emerging couple-based interventions for eating disorders.
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Affiliation(s)
- Jennifer S Kirby
- a Department of Psychiatry , University of North Carolina at Chapel Hill , Chapel Hill , North Carolina , USA
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9
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Arcelus J, Haslam M, Farrow C, Meyer C. The role of interpersonal functioning in the maintenance of eating psychopathology: a systematic review and testable model. Clin Psychol Rev 2012. [PMID: 23195616 DOI: 10.1016/j.cpr.2012.10.009] [Citation(s) in RCA: 163] [Impact Index Per Article: 13.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
This review aims to systematically evaluate the empirical literature relating to the interpersonal functioning of those with eating disorder psychopathology and presents a preliminary model to help the formulation of patients' problems. Following a thorough literature search, 35 papers were included in this systematic review. The vast majority of studies indicate a strong association between eating psychopathology and certain maladaptive personality traits. The origins of social anxiety and poor social support that have been described as maintaining eating disorders appear to differ according to diagnostic groups. Interpersonal difficulties in people with restrictive behaviors such as anorexia appear to be related to the avoidance of expressing feelings to others and to giving priority to other people's feeling over their own. While interpersonal difficulties in patients with bulimia nervosa appear to be more related to interpersonal distrust and negative interaction and conflict with others. These concepts are presented in a preliminary model of interpersonal functioning in the eating disorders.
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Affiliation(s)
- Jon Arcelus
- Loughborough University Centre for Research into Eating Disorders, School of Sport, Exercise and Health Science, Loughborough University, Loughborough, Leicestershire, UK.
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Arcelus J, Yates A, Whiteley R. Romantic relationships, clinical and sub-clinical eating disorders: a review of the literature. SEXUAL AND RELATIONSHIP THERAPY 2012. [DOI: 10.1080/14681994.2012.696095] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/14/2022]
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Abstract
Anorexia nervosa is a serious mental illness that affects women and men of all ages. Despite the gravity of its chronic morbidity, risk of premature death, and societal burden, the evidence base for its treatment-especially in adults-is weak. Guided by the finding that family-based interventions confer benefit in the treatment of anorexia nervosa in adolescents, we developed a cognitive-behavioral couple-based intervention for adults with anorexia nervosa who are in committed relationships that engages both the patient and her/his partner in the treatment process. This article describes the theoretical rationale behind the development of Uniting Couples in the treatment of Anorexia nervosa (UCAN), practical considerations in delivering the intervention, and includes reflections from the developers on the challenges of working with couples in which one member suffers from anorexia nervosa. Finally, we discuss future applications of a couple-based approach to the treatment of adults with eating disorders.
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Maxwell M, Thornton LM, Root TL, Pinheiro AP, Strober M, Brandt H, Crawford S, Crow S, Fichter MM, Halmi KA, Johnson C, Kaplan AS, Keel P, Klump KL, LaVia M, Mitchell JE, Plotnicov K, Rotondo A, Woodside DB, Berrettini WH, Kaye WH, Bulik CM. Life beyond the eating disorder: education, relationships, and reproduction. Int J Eat Disord 2011; 44:225-32. [PMID: 20143323 PMCID: PMC2888627 DOI: 10.1002/eat.20804] [Citation(s) in RCA: 30] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
OBJECTIVE We investigated the sociodemographic characteristics in women with and without lifetime eating disorders. METHOD Participants were from a multisite international study of eating disorders (N = 2,096). Education level, relationship status, and reproductive status were examined across eating disorder subtypes and compared with a healthy control group. RESULTS Overall, women with eating disorders were less educated than controls, and duration of illness and age of onset were associated with educational attainment. Menstrual status was associated with both relationship and reproductive status, but eating disorder subtypes did not differ significantly from each other or from healthy controls on these dimensions. DISCUSSION Differences in educational attainment, relationships, and reproduction do exist in individuals with eating disorders and are differentially associated with various eating disorder symptoms and characteristics. These data could assist in educating patients and family members about long-term consequences of eating disorders.
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Affiliation(s)
- Millie Maxwell
- Department of Psychiatry, University of North Carolina at Chapel Hill
| | - Laura M. Thornton
- Department of Psychiatry, University of North Carolina at Chapel Hill
| | - Tammy L. Root
- Department of Psychiatry, University of North Carolina at Chapel Hill
| | | | - Michael Strober
- Department of Psychiatry and Biobehavioral Sciences, David Geffen School of Medicine, University of California at Los Angeles, Los Angeles, CA, United States of America
| | - Harry Brandt
- Department of Psychiatry, University of Maryland School of Medicine, Baltimore, Maryland
| | - Steve Crawford
- Department of Psychiatry, University of Maryland School of Medicine, Baltimore, Maryland
| | - Scott Crow
- Department of Psychiatry, University of Minnesota, Minneapolis, MN
| | - Manfred M. Fichter
- Klinik Roseneck, Hospital for Behavioral Medicine and University of Munich (LMU), Munich, Germany
| | - Katherine A. Halmi
- New York Presbyterian Hospital-Westchester Division, Weill Medical College of Cornell University, White Plains, New York
| | - Craig Johnson
- Laureate Psychiatric Clinic and Hospital, Tulsa, Oklahoma
| | - Allan S. Kaplan
- Department of Psychiatry, The Toronto Hospital, Toronto, Canada
| | - Pamela Keel
- Department of Psychology, Florida State University, Tallahassee, Florida
| | - Kelly L. Klump
- Department of Psychology, Michigan State University, East Lansing, Michigan
| | - Maria LaVia
- Department of Psychiatry, University of North Carolina at Chapel Hill
| | - James E. Mitchell
- Department of Psychology, Neuropsychiatric Research Institute, Fargo, North Dakota
| | - Kathy Plotnicov
- Department of Psychiatry, University of Pittsburgh, Pittsburgh, Pennsylvania
| | - Alessandro Rotondo
- Department of Psychiatry, Pharmacology and Biotechnologies, University of Pisa, Pisa, Italy
| | | | - Wade H. Berrettini
- Department of Psychiatry, University of Pennsylvania, School of Medicine, Philadelphia, Pennsylvania
| | - Walter H. Kaye
- Department of Psychiatry, University of California, San Diego, California
| | - Cynthia M. Bulik
- Department of Psychiatry, University of North Carolina at Chapel Hill, Department of Nutrition, University of North Carolina at Chapel Hill
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Newton M, Boblin S, Brown B, Ciliska D. Understanding intimacy for women with anorexia nervosa: a phenomenological approach. EUROPEAN EATING DISORDERS REVIEW 2006. [DOI: 10.1002/erv.669] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022]
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Newton M, Boblin S, Brown B, Ciliska D. Romantic relationships for women with anorexia nervosa: an integrative literature review. Eat Weight Disord 2005; 10:139-53. [PMID: 16277136 DOI: 10.1007/bf03327541] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/26/2022] Open
Abstract
OBJECTIVE To critically appraise literature concerning romantic relationships for women with anorexia nervosa (AN), and to gain perspective on future research directives. METHOD Key electronic databases, reference lists, and journals were searched. The search was limited to features of romantic relationships and their quality. Nineteen studies were critiqued and abstracted. RESULTS All 19 studies used a quantitative design; no qualitative studies were retrieved. Methodological strengths of these studies included confounder control and appropriate statistical analyses for design. Weaknesses included a failure to declare study designs, address sources of bias, and justify study samples, as well as a lack of con-founder control. DISCUSSION The review drew attention to the varied relational experiences and marked relationship dissatisfaction expressed by women with AN. However, an understanding of relationship quality and its dynamic nature remains limited. Future research should focus on how meanings are negotiated in relationships, providing detailed descriptions of the women's experiences, which is best done with qualitative study. Well-conducted longitudinal research should address questions that cannot be answered by current research designs, such as temporality.
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Affiliation(s)
- M Newton
- Faculty of Health Sciences, School of Nursing, McMaster University, Hamilton, ON, Canada.
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Newton M, Boblin S, Brown B, Ciliska D. ‘An engagement-distancing flux’: bringing a voice to experiences with romantic relationships for women with anorexia nervosa. EUROPEAN EATING DISORDERS REVIEW 2005. [DOI: 10.1002/erv.656] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
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Woodside DB, Lackstrom JB, Shekter-Wolfson L. Marriage in eating disorders comparisons between patients and spouses and changes over the course of treatment. J Psychosom Res 2000; 49:165-8. [PMID: 11110987 DOI: 10.1016/s0022-3999(00)00154-9] [Citation(s) in RCA: 21] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Abstract
OBJECTIVES This study examines one aspect of the marital satisfaction, intimacy, of couples where one member has an eating disorder (ED), before and after intensive day hospital treatment for ED. METHODS Subjects were consecutive patients (n=22) attending a day hospital program for EDs and their spouses. The Waring Intimacy Questionnaire (WIQ) was administered to the couples at admission to and discharge from the treatment program. RESULTS Patients showed less favorable ratings of the marriage at admission and discharge, compared to spouses, but patient's ratings improved significantly over the course of treatment. Patients generally improved in terms of their ED symptoms during the treatment. Spousal ratings showed satisfactory ratings of intimacy at the start of treatment and did not change over the course of treatment. CONCLUSION The self-reported marital dissatisfaction of patients with an ED is at least partially alleviated after symptomatic treatment of the ED. Treatment of the ED in one member does not diminish marital satisfaction in the other member of the couple. The long-term prognosis for these couples remains unknown.
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Affiliation(s)
- D B Woodside
- 8EN-219, Eating Disorders Program, The Toronto General Hospital, 200 Elizabeth Street, M5G 2C4, Toronto, ON, Canada.
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Abstract
OBJECTIVE This paper outlines the rationale for treating individuals with anorexia nervosa using interpersonal psychotherapy. METHOD We review theoretical, empirical, and psychotherapy literature relating to interpersonal functioning in anorexia nervosa. RESULTS Etiological theories emphasize interpersonal and family dysfunction in the development of anorexia nervosa. Research supports the notion that families of individuals with anorexia nervosa have dysfunctional patterns of communication. The history of treatment for anorexia nervosa emphasizes the need for resolution of interpersonal dysfunction, within the traditions of psychodynamic, family therapy, and multidimensional therapies. DISCUSSION Interpersonal psychotherapy is a time-limited psychotherapy based on the notion that regardless of etiology, interpersonal relationships are intertwined with symptomatology. The goals of the therapy are to improve interpersonal functioning and thereby decrease symptomatology. Factors identified as important in the development of anorexia nervosa are readily conceptualized within the interpersonal psychotherapy problem areas of grief, interpersonal disputes, interpersonal deficits, and role transitions.
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Affiliation(s)
- V V McIntosh
- Clinical Research Unit, Healthlink South and Department of Psychological Medicine, Christchurch School of Medicine, Christchurch, New Zealand.
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Lattimore PJ, Wagner HL, Gowers S. Conflict avoidance in anorexia nervosa: an observational study of mothers and daughters. EUROPEAN EATING DISORDERS REVIEW 2000. [DOI: 10.1002/1099-0968(200010)8:5<355::aid-erv368>3.0.co;2-b] [Citation(s) in RCA: 21] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
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Abstract
OBJECTIVE This study examined whether married individuals have comparable body image disturbance to nonmarried individuals and whether the quality of a marital relationship is significantly related to body image disturbance in a sample of dieters. METHOD Measures of marital status, marital satisfaction, and body dissatisfaction were administered to a sample of 16,377 subjects who had tried to lose weight at least once within the previous 3 years. RESULTS Marital status was not associated with increased body dissatisfaction. Marital satisfaction was significantly related to body dissatisfaction when controlling for age, body mass index, self-esteem, and gender. DISCUSSION Body dissatisfaction occurs at comparable levels among married and single individuals and the study of marital functioning among eating-disordered individuals represents a large gap in the literature.
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Affiliation(s)
- M A Friedman
- Department of Psychology, Yale University, New Haven, Connecticut 06520-8205, USA
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Sobal J, Bursztyn M. Dating people with anorexia nervosa and bulimia nervosa: attitudes and beliefs of university students. Women Health 1998; 27:73-88. [PMID: 9698639 DOI: 10.1300/j013v27n03_06] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
Attitudes and beliefs about dating people with eating disorders were investigated in men and women using a questionnaire administered to 752 university students. Students believed that people with anorexia nervosa and bulimia nervosa had a difficult time dating, dates would involve conflict, and dating would be a negative experience. Students were more comfortable in casual interactions than more serious dating activities with people with anorexia nervosa and bulimia nervosa. Men were somewhat comfortable dating people with anorexia nervosa or bulimia nervosa, but less so for obesity. Most students believed dating people with anorexia nervosa and bulimia nervosa would not be a positive experience, and men stigmatized people with eating disorders differently than did women.
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Affiliation(s)
- J Sobal
- Division of Nutritional Sciences, Cornell University, Ithaca, NY 14853, USA
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