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Int J Eat Disord. 2009 Sep;42(6):522-30. doi: 10.1002/eat.20642.

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

Author information

1
Department of Clinical Neuroscience, Karolinska Institute, Stockholm, Sweden. andreas.birgegard@ki.se

Abstract

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.

DISCUSSION:

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.

PMID:
19107836
DOI:
10.1002/eat.20642
[Indexed for MEDLINE]

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