Anorexic self-control and bulimic self-hate: differential outcome prediction from initial self-image

Anorexic self-control and bulimic self-hate : differential outcome prediction from initial self-image

OBJECTIVE:: The study investigated initial self-image (structural analysis of social behavior) and its relation to 36-month outcome, among patients with anorexia nervosa and bulimia nervosa. Hypotheses were that degree of different aspects of self-image would predict outcome in the groups. METHOD:: Participants were 52 patients with anorexia and 91 with bulimia from a longitudinal naturalistic database, and outcome measures included eating disorder and psychiatric symptoms and a general outcome index. Stepwise regression was used to investigate which self-image variables were related to outcome, and multiple regression contrasted the groups directly on each obtained predictor. RESULTS:: Consistent with hypotheses, in bulimia degree of self-hate/self-love moderately predicted outcome, whereas self-control-related variables powerfully predicted outcome in anorexia. CONCLUSION:: It is important to focus on self-image in the treatment of both diagnostic groups, but especially in anorexia nervosa, where control-submission interactions between patient and therapist should be handled with care.

Björck, CarolineKarolinska Institutet(Swepub:hig)caebjk (författare)
Norring, ClaesKarolinska Institutet (författare)
Sohlberg, StaffanUppsala universitet,Institutionen för psykologi(Swepub:uu)stafsohl (författare)
Clinton, DavidKarolinska Institutet (författare)
Karolinska InstitutetInstitutionen för psykologi (creator_code:org_t)

Ingår i:International Journal of Eating Disorders: Wiley42:6, s. 522-5300276-34781098-108X

Av författaren/redakt...: Birgegård, Andre ...; Björck, Caroline; Norring, Claes; Sohlberg, Staffa ...; Clinton, David

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