Self‐esteem in patients treated for anorexia nervosa

Karpowicz, Ewa; Skärsäter, Ingela; Nevonen, Lauri

doi:10.1111/j.1447-0349.2009.00621.x

Cited by 36 publications

(28 citation statements)

References 24 publications

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“…These results could be an argument for the transdiagnostic theory of eating disorder [31] in which a division within ED subdiagnoses are not so relevant. The relation with body attitude and self-esteem and depression is in agreement with the literature [32][33][34][35][36].…”

Section: Discussionsupporting

confidence: 80%

Psychometric properties of the Polish version of the Body Attitude Test

Brytek-Matera¹,

Probst²

2014

Arch Psych Psych

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SummaryBackground. Polish studies have not been focused on measures which assess attitude toward one's own body. The purpose of the present study was to develop the Polish version of the Body Attitude Test (BAT) and examine its reliability. Methods. The study included 48 patients with anorexia nervosa, 39 patients with bulimia nervosa as well as 115 female university students who had never suffered from any eating disorder. The mean age was 18.69 years (SD = 3.52) in women with anorexia nervosa, 22.28 years (SD = 3.79) in women with bulimia nervosa as well as 20.53 years (SD = 1.79) in women without a current eating disorder. The mean duration of illness was 3.31 years (SD = 2.71) in patients suffering from anorexia nervosa and 5.10 years (SD = 2.92) in patients with bulimia nervosa, respectively. Results. The BAT demonstrates satisfactory levels of internal reliability (α = 0.892). The BAT was strongly related with the Eating Disorder Inventory subscales: drive for thinness (r = 0.687, p < 0.001), ineffectiveness (r = 0.643, p < 0.001) and body dissatisfaction (r = 0.634, p < 0.001) and the Self-Esteem Inventory subscale: familial self-esteem (r = -0.601, p < 0.001). Discussion. The results support the criterion validity of the BAT which is able to differentiate clinical from non-clinical subjects. Conclusions. The Polish version of the BAT could be used as an appropriate measure assessing subjective attitude towards the body in women with and without eating disorders in Poland.

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Section: Discussionsupporting

confidence: 80%

Psychometric properties of the Polish version of the Body Attitude Test

Brytek-Matera¹,

Probst²

2014

Arch Psych Psych

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“…Karpowicz, Skärsäter and Nevonen [24] suggest that food restriction and purging behaviors are secondary to the primacy of emotional factors in the etiology of ED, especially self-esteem. These authors point out that low self-esteem causes feelings of loneliness, depression and anxiety, i.e., the experience of comfort with oneself and one´s body can be regarded as a central element of the individual´s welfare.…”

Section: Recurrent Thoughts About Foodmentioning

confidence: 99%

Emotional Meanings Assigned to Eating Disorders: Narratives of Women with Anorexia and Bulimia Nervosa

Santos¹

2017

Ann Nutr Disord & Ther

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This study aimed to investigate emotional meanings assigned to Eating Disorders (ED) through narratives of women affected with these psychopathological conditions. Participants were patients in a Brazilian service specialized in treatment of ED. A semi-structured interview was used for data collection. Recruitment continued until data saturation was reached. The verbatim transcription of interview data was analyzed through thematic content analysis, which was employed by two researchers. Results showed that, after the occurrence of ED, participants began to experience feelings of distress, anxiety and loneliness, which were related to lowered self-esteem and social isolation. Family dynamics was characterized as confrontational, but in contrast, was considered participants´ primary social support network. These data underlined that the emotional meanings attributed to ED need to be addressed and explored by health care professionals to gain a detailed understanding of patients' illness experiences.Keywords: Eating disorders; Narratives; Family obsessive thinking leads to a very strict discipline in performing diets, which success leads to feelings of control [6].In contrast, BN involves recurrent episodes of binge eating, feelings of loss of control over eating during the binge episodes, and recurrent inappropriate compensatory behaviors such as vomiting, use of laxatives, diuretics and metabolism stimulant medications, excessive physical exercises, among others [1]. The disorder is also associated with impulsive behaviors and comorbidities, such as histrionic personality disorder traits and borderline type [7,8], a floating self-esteem and maladaptive thoughts and emotions. It is common to find evidence of chaotic attitudes, not only regarding to eating habits, but also in other aspects of life such as studies, work and romantic relationships [8].The typical exaggeration of patients with BN usually occurs in the form of private and solitary acts, and configures an attack to cooking, to education and to moral behaviors, subverting biological needs of the hunger and contesting what is ethically and aesthetically accepted, as well as rules, uses, learning's and the social dimension of eating [8]. From brandished attacks, arise moral disapproval and shame experienced by individuals affected by these conditions.Regarding to psychological functioning, women with BN have a number of maladaptive thoughts and emotions regarding their eating habits and their body weight. Moreover, they also have unstable self-esteem and believe that a well-designed body would solve their problems of personal insecurity. To accomplish the idealized body, these women perform excessive diets, purging rituals and strenuous exercise. Thus, the desire to lose weight seem to be associated with personal disorganization, in which regulation and control over eating can be considered as an attempt to organize and stabilize the chaotic mental state [8].According Frosthlom [9], patients´ perception about their IntroductionAccording to DSM-V [...

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“…Low self-esteem plays an important role in understanding psychological issues, psychopathology, and maladjustment through loneliness, depression, and anxiety (Karpowicz et al, 2009). Paterson et al (2007) suggested that by considering a model of self-esteem that includes self-belief, appraisals and efficacy, it could be postulated that low self-esteem in relation to disordered eating facilitates the use of maladaptive coping strategies or hindering implementation of effective techniques.…”

Section: Self-esteemmentioning

confidence: 99%

“…Furthermore, people with low self-esteem "struggle with far more self-criticism than high self-esteem people, setting up a vicious circle of a dip in mood triggering self-criticism that triggers a further dip in mood" (Gilbert & Procter, 2006, p. 354). Karpowicz, Skarsater, and Nevonen (2009) asserted that the concept of selfesteem has two meanings: how a person regards her capacity to do things, and the value she ascribes to herself. People with low self-esteem see themselves as worse than others, are dissatisfied with themselves, self-loathing, and lack respect for their own persona (Karpowicz et al, 2009).…”

Section: Self-esteemmentioning

confidence: 99%

“…Karpowicz, Skarsater, and Nevonen (2009) asserted that the concept of selfesteem has two meanings: how a person regards her capacity to do things, and the value she ascribes to herself. People with low self-esteem see themselves as worse than others, are dissatisfied with themselves, self-loathing, and lack respect for their own persona (Karpowicz et al, 2009). Paterson et al (2007) further proposed that self-esteem comprises two distinct but related subtypes, self-competence and self-liking.…”

Section: Self-esteemmentioning

confidence: 99%

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