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- Ahren-Moonga, Jennie, et al.
(author)
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Personality traits and self-injurious behaviour in patients with eating disorders
- 2008
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In: European eating disorders review. - : Wiley. - 1072-4133 .- 1099-0968. ; 16:4, s. 268-275
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Journal article (peer-reviewed)abstract
- The interest in different aspects of personality and the neuropsychological basis for behaviour in eating disorder patients has increased over the last decade. The present study aims at exploring personality traits, self-injurious behaviour (SIB) and suicide attempts in a group of severely ill eating disorder patients. Patients with eating disorders (N = 38) and age-matched controls (N = 67) were examined concerning self-reported personality traits by means of the Karolinska scales of personality (KSP). Psychosocial history and SIB was collected from medical records. Depression was rated by means of the Beck Depression Inventory (BDI). Results indicated significantly higher anxiety-related and detachment traits in both anorexia nervosa (AN) and bulimia nervosa (BN) patients and higher hostility in BN patients than controls. No specific personality traits could be defined as typical for self-injurious or suicidal behaviour. The AN group was lower than the BN group on scales measuring impulsivity, guilt and anxiety. Furthermore, presence of SIB and suicide attempts was more frequent among the BN patients.
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| 3. |
- Ahrén-Moonga, Jennie, et al.
(author)
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Personality traits and self-injury behaviour in patients with eating disorders
- 2008
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In: European eating disorders review. - : Wiley. - 1072-4133 .- 1099-0968. ; 16:4, s. 268-275
-
Journal article (peer-reviewed)abstract
- The interest in different aspects of personality and the neuropsychological basis for behaviour in eating disorder patients has increased over the last decade. The present study aims at exploring personality traits, self-injurious behaviour (SIB) and suicide attempts in a group of severely ill eating disorder patients. Patients with eating disorders (N = 38) and age-matched controls (N = 67) were examined concerning self-reported personality traits by means of the Karolinska scales of personality (KSP). Psychosocial history and SIB was collected from medical records. Depression was rated by means of the Beck Depression Inventory (BDI). Results indicated significantly higher anxiety-related and detachment traits in both anorexia nervosa (AN) and bulimia nervosa (BN) patients and higher hostility in BN patients than controls. No specific personality traits could be defined as typical for self-injurious or suicidal behaviour. The AN group was lower than the BN group on scales measuring impulsivity, guilt and anxiety. Furthermore, presence of SIB and suicide attempts was more frequent among the BN patients.
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| 9. |
- Birgegård, Andreas, et al.
(author)
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Quality assurance of specialised treatment of eating disorders using large-scale Internet-based collection systems : methods, results and lessons learned from designing the Stepwise database.
- 2010
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In: European eating disorders review. - : Wiley. - 1072-4133 .- 1099-0968. ; 18:4, s. 251-9
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Journal article (peer-reviewed)abstract
- Computer-based quality assurance of specialist eating disorder (ED) care is a possible way of meeting demands for evaluating the real-life effectiveness of treatment, in a large-scale, cost-effective and highly structured way. The Internet-based Stepwise system combines clinical utility for patients and practitioners, and provides research-quality naturalistic data. Stepwise was designed to capture relevant variables concerning EDs and general psychiatric status, and the database can be used for both clinical and research purposes. The system comprises semi-structured diagnostic interviews, clinical ratings and self-ratings, automated follow-up schedules, as well as administrative functions to facilitate registration compliance. As of June 2009, the system is in use at 20 treatment units and comprises 2776 patients. Diagnostic distribution (including subcategories of eating disorder not otherwise specified) and clinical characteristics are presented, as well as data on registration compliance. Obstacles and keys to successful implementation of the Stepwise system are discussed, including possible gains and on-going challenges inherent in large-scale, Internet-based quality assurance.
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| 10. |
- Björk, Tabita, et al.
(author)
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The impact of different outcome measures on estimates of remission in a 3-year follow-up of eating disorders
- 2011
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In: European eating disorders review. - : John Wiley & Sons. - 1072-4133 .- 1099-0968. ; 19:1, s. 2-11
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Journal article (peer-reviewed)abstract
- Objective: To examine the impact of using different outcome measures on estimates of remission rates in eating disorders (ED).Method: Adult ED patients (n = 334) included in a naturalistic, longitudinal project were assessed 3 years after intake. Remission was operationally defined using six different measures of outcome. Pairwise analyses of agreement between outcome measures were also calculated.Results: Remission rates for the entire group varied considerably from 24.3 to 77.8% depending on how remission was defined and who made the assessment (experts or patients). Outcome measures performed differently depending on diagnosis, and agreement between measures varied from none to very good.Conclusion: The impact of different definitions of outcome on remission estimates is considerable. There is a need to validate different estimates of remission by examining them in relation to multiple domains of outcome over time and by critically examining their relative merits both empirically and clinically.
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