Basic HTML Version
EDRS 2012
52
F42
EATING DISORDERS AND TREATMENT OUTCOME -
PRELIMINARY RESULTS
Bárbara Cesar Machado
1
, Sónia Gonçalves
2
, Pedro Dias
1
,
Josefina Pereira
1
, Luis Dias
1
, António Roma-Torres
3
, Isabel
Brandão
3
, Paulo P. Machado
2
1
College of Education and Psychology - Portuguese Catholic
University, Oporto, Portugal,
2
School of Psychology - Uni-
versidade do Minho, Braga, Portugal,
3
Psychiatric Service -
Hospital de São João, Oporto, Portugal
Evaluate the prevalence of recovery and course of symp-
toms during treatment; Evaluate predictors of recovery and
treatment outcomes; Characterize psychosocial environment
and family arrangements; Look for life events and treat-
ment outcomes; and Evaluate comorbidity and self injurious
behavior. All patients that attained to ED treatment units
between 2001 and 2009 are being evaluated. In the first
stage participants were evaluated with a Socio-Demographic
and Clinical Interview, EDE-Q (Fairburn & Beglin, 1994), SCL
90-R (Derogatis, 1977) and SIQ-TR (Claes & Vandereycken,
2007). In the second stage, patients will be interviewed with
the EDE (Fairburn & Cooper, 2000). Fifty-four subjects were
evaluated; 34 had AN at income, 18 BN and 2 an EDNOS.
Based on the following criteria: body mass index (≤17,5), still
in treatment, subjects perception of their clinical state as not
recovered, and subjects perception of needing help for ED
symptoms, we found 2 groups of subjects: recovered (R) – 16
(29.63%) and not-recovered (NR) – 38 (70.37%). Compared
to R subjects, NR subjects present significant results in all
EDE-Q subscales; NR subjects also present higher results on
the presence of self-injurious behaviors. Patients subjective
perceptions of recovery/not recovery of ED diagnose seems
to correspond to clinical presentation. The need to confirm
the actual clinical presentation by a semi-structured inter-
view arises and will be developed at the second stage of the
current investigation.
F43
EMOTIONAL EMPATHY IN ANOREXIA NERVOSA
Laurie McCormick
1
, Janelle Beadle
1
, Pamela Keel
2
, Sergio
Paradiso
1
1
University of Iowa Carver College of Medicine, Iowa City, IA,
USA,
2
Florida State University, Tallahassee, FL, USA
Introduction:
Social cognition impairments in anorexia
nervosa (AN) include poor emotional awareness of one-
self (alexithymia) and others (empathy). Empathy has two
components: (1) emotional ability to vicariously share the
emotions of others, and (2) cognitive understanding mental
states of others. While malnutrition in AN has been associat-
ed with high alexithymia and lower c
ognitive
empathy, effects
of weight changes on
emotional
empathy are unknown.
Methods:
Women with AN [N=25, age: M=25.4, body mass
index (BMI: M=15.9)] and age-matched healthy compar-
ison subjects (N=16, BMI: M=25.0) completed measures
of emotional empathy (Interpersonal Reactivity Index-IRI),
alexithymia (Toronto Alexithymia Scale-TAS), and related
social skills (Social Skills factor-Empathy Quotient) as well
as mood assessments during starvation and after weight
restoration (~2 months apart).
Results:
AN women reported
significantly greater alexithymia and emotional empathy in the
domain of personal distress, and poorer social skills during
starvation relative to healthy subjects. While mood and social
skills improved with weight restoration, high levels of emo-
tional empathy and alexithymia persisted.
Conclusions:
High
emotional empathy and alexithymia may reflect
trait
features
of AN needing attention during rehabilitation and treatment.
Poor emotional self-awareness may reflect an inability to
differentiate emotions produced by the self-versus others and
contribute to high personal distress.
F44
The impact of hospitalisation on exercise behaviour
among patients receiving in-patient treatment for anorex-
ia nervosa
Caroline Meyer, Hannah Ward, Hilary McDermott, Jon
Arcelus
Loughborough University Centre for Research into Eating
Disorders, Loughborough, United Kingdom
Objective:
The aim of this study was to explore the impact
of hospitalisation on exercise behaviours among patients
receiving in-patient treatment for anorexia nervosa (AN).
Method:
Semi-structured interviews were conducted with
eight female patients receiving in-patient treatment for AN.
Results:
Exercise behaviours changed both qualitatively and
quantitatively from pre-admission. Factors primarily associ-
ated with increased exercise involved the management of
negative emotions related to core features of the illness and
situational aspects of hospitalisation. Factors associated with
the reduction of exercise behaviours included support from
staff and comparisons with non-exercising patients, as well
as the patient’s own motivation to change.
Conclusion:
The
management of negative affect is the principal factor associ-
ated with increased exercise during hospitalisation. Patients
may need sassistance to develop alternative affect manage-
ment strategies without the use of exercise.
F45
INVALIDATING CHILDHOOD ENVIRONMENTS AND EAT-
ING PSYCHOPATHOLOGY AMONG YOUNG WOMEN: THE
MEDIATING ROLE OF ATTITUDES TOWARDS EMOTION-
AL EXPRESSION
Caroline Meyer
1
, Michelle Haslam
1
, Claire Farrow
1
, Jon A
1,2
1
Loughborough Unviersity Centre for Research into Eating
Disordes, Loughborough, United Kingdom,
2
Leicester Eating
Disorder Service, Leicester, United Kingdom
Background:
Previous research has explored relationships
between invalidating childhood environments and adult eating
disorders and found that there is a relationship between
parental invalidation and eating disorder symptoms. However
the mediators of this relationship are unknown. This study
examined the relationship between parental invalidation
and eating disorder related attitudes in a nonclinical sample,
and tested the mediating effect of the individual’s attitudes
towards emotional expression.
Method:
Two hundred young
women completed measures of invalidating childhood envi-
ronments, attitudes towards emotional expression and eating
pathology.
Results:
Eating concerns were positively asso-
ciated with recollections of an invalidating parental environ-
ment. The belief that the expression of emotions is a sign of
weakness fully mediated the relationship between childhood
maternal invalidation and adult eating concern.
Discussion:
Following replication and extension to a clinical sample, these
results suggest that targeting the individual’s attitude towards
emotional expression might reduce eating attitudes among
women who have experienced an invalidating childhood
environment.
F46
PURE AND GUIDED MIRROR EXPOSURE IMPROVES
BODY POSITIVE THINKING AND BODY SATISFACTION IN
BULIMIA NERVOSA
Silvia Moreno-Domínguez
2
, Sonia Ruiz-Rodríguez
1
, Sandra
Díaz-Ferrer
1
, Blanca ortega-Roldán
1
, Cortney Warren
3
, Mª
Carmen Fernández-Santaella
1
1
University of Granada, Granada, Spain,
2
University of Jaén,
Jaén, Spain,
3
University of Nevada, Las Vegas, NV, USA
Introduction:
Body mirror exposure has demonstrated to be
useful to reduce body dissatisfaction in women with eating
disorders. However, it remains unclear that emotions and
cognitions associated with body image may improve along
the exposure therapy. The aim of the present study was to
evaluate the effectiveness of two body exposure techniques
to increase body satisfaction in women with bulimia nervosa.
Method:
Twenty-three university women with body dissatis-
POSTER SESSION 2 ABSTRACTS