Hostname: page-component-8448b6f56d-gtxcr Total loading time: 0 Render date: 2024-04-18T01:25:33.480Z Has data issue: false hasContentIssue false

Body experience in eating disorders before and after treatment: a follow-up study

Published online by Cambridge University Press:  16 April 2020

M. Probst
Affiliation:
University Centre Sint Jozef, B-3070, Kortenberg Catholic University Leuven, Department of Rehabilitation Sciences, Leuven, Belgium
W. Vandereycken
Affiliation:
University Centre Sint Jozef, B-3070, Kortenberg
H. Van Coppenolle
Affiliation:
University Centre Sint Jozef, B-3070, Kortenberg Catholic University Leuven, Department of Rehabilitation Sciences, Leuven, Belgium
G. Pieters
Affiliation:
University Centre Sint Jozef, B-3070, Kortenberg
Get access

Summary

Since body dissatisfaction is an essential part of anorexia/bulimia nervosa, we wanted to assess the patient’s body experience before and after intensive treatment. Body experience was studied in 290 eating disorder patients, admitted to a specialised unit, after six months and again after one year using the Body Attitude Test (BAT), the Eating Disorder Inventory (EDI), and the Eating Disorder Evaluation Scale (EDES). The clearly negative body experience of eating disorder patients evolved in a positive way after therapy and this improvement lasted for up to one year after admission. EDI scores and Body Mass Index at the time of admission appeared to be the strongest predictors of the total BAT score at follow-up. Athough body dissatisfaction can be quite persistent in eating disorders, intensive treatment can substantially improve the patient’s body experience.

Type
Original article
Copyright
Copyright © European Psychiatric Association 1999

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

American Psychiatric Association. Diagnostic and statistical manual of mental disorders (DSM-IV) 4th ed. Washington DC: APA Press; 1994. p. 539-50.Google Scholar
Garner, DMOlmsted, MPPolivy, J. Development and validation of a multidimensional eating disorder inventory for anorexia nervosa and bulimia Int J Eating Disord 1983; 2: 1534.3.0.CO;2-6>CrossRefGoogle Scholar
Herzog, WDeter, HCVandereycken, W. The course of eating disorders. Long-term follow-up studies of anorexia and bulimia nervosa Berlin: Springer; 1992.Google Scholar
Morgan, HGRussell, GFM. Value of family background and clinical features as predictors of long-term outcome in anorexia nervosa: four year follow-up study of 41 patients Psychol Med 1975 ; 5 : 355-71.CrossRefGoogle ScholarPubMed
Probst, MVanCoppenolle, HVandereycken, W. Body experience in anorexia nervosa patients: an overview of therapeutic approaches. Eating disorders J Treat Prevention 1995 ; 3 : 145-57.CrossRefGoogle Scholar
Probst, MVandereycken, WVanCoppenolle, HVanderlinden, J. The body attitude test for patients with an eating disorder: psychometric characteristics of a new questionnaire Eating disorders: Eating Disord J Treat Prev 1995 ; 3 : 133-44.CrossRefGoogle Scholar
Probst, MVanCoppenolle, HVandereycken, W. Further experience with the Body Attitude Test Eating Disord J Trest Prev 1997 ; 2 : 100-4.Google ScholarPubMed
Probst, MVanCoppenolle, HVandereycken, W. Body experience in anorexia nervosa: The use of video confrontation in psychomotor therapyIn: Vermeer, ABosscher, RBroadhead, G eds. Movement therapy across the lifespan Amsterdam: VUUniversity Press; 1997. p. 123-37.Google Scholar
Probst, MVanCoppenolle, HVandereycken, W. De lichaamsattitudevragenlijst: validering en normering (The Body Attitude Test : validation and norms). In: Simons, J. ed. Actuele Themata uit de pschomotorische therapie. Leuven: Acco; 1998. p. 7990.Google Scholar
Rosen, J. Body images disturbances in eating disorders. In: Cash, T, Pruzinksy, T, eds. Body images New York: Guilford; 1990. p. 190214.Google Scholar
Rosen, J. Assessment and treatment of body image disturbancesIn: Brownell, KFairburn, C, eds. Eating disorders and Obesity. A comprehensive handbook New York: Guilford; 1996. p. 369-73.Google Scholar
Santonastaso, PFavaro, AFerrara, SSala, AVidotto, GDalle Grave, RProbst, M. Confronto degli attegiamenti corporei di un gruppo die pazienti con disturbi dell’alimentazione con un campione di studentesse: validazione italiana del Body Attitudes Test. [Body attitudes in patients with eating disorders and in a sample of schoolgirls: Italian validation of the Body Attitudes Test (BAT)] Rivista Spirimental di Freniatria 1995 ; 69 : 423-36.Google Scholar
Schrout, PEFleiss, JL. Reliability and case detectionIn: Wing, JK, et al. eds. What is a case? The problem of definition in psychiatric community surveys London: Grant McIntyre; 1981.Google Scholar
Surwillo, W. Experimental design in psychiatry. Research methods for clinical practice New York: Grune & Stratton; 1980. p. 59.Google Scholar
VanDen Broucke, SVandereycken, WNorré, J. Eating disorders and marital relationships London: Routledge; 1997.CrossRefGoogle Scholar
Vandereycken, W. The eating disorder evaluation scale (EDES). Eating disorders J Treat Prevention 1993 ; 1 : 115-22.CrossRefGoogle Scholar
Vandereycken, W. The management of patients with anorexia nervosa and bulimia: basis principles and general guidelinesIn: Beumont, PJVBurrows, GDCasper, RC, eds. Handbook of eating disorders. Part 1: anorexia and bulimia nervosa. Amsterdam: Elsevier; 1987. p. 235-53.Google Scholar
Vandereycken, W. Organisation and evaluation of an in-patient treatment program for eating disorders Behav Resid Treat 1988 ; 3 : 153-65.Google Scholar
Vandereycken, WMeermann, R. Anorexia nervosa: a clinician’s guide to treatment Berlin – New York: de Gruyter; 1984. p. 113-30.CrossRefGoogle Scholar
Vandereycken, WMeermann, R. The significance of follow-up investigationsIn: Herzog, WDeter, HCVandereycken, W, eds. The course of eating disorders. Long-term follow-up studies of anorexia and bulimia nervosa Berlin: Springer; 1992. p. 314.Google Scholar
Vandereycken, WPierloot, R. Drop-out during in-patient treatment of anorexia nervosa: a clinical study of 133 patients Br J Med Psychol 1983 ; 56 : 145-58.CrossRefGoogle ScholarPubMed
Vandereycken, WPieters, G. A large-scale longitudinal follow-up study of patients with eating disorders: methodological issues and preliminary resultsIn: Herzog, WDeter, HCVandereycken, W, eds. The course of eating disorders. Longterm follow-up studies of anorexia and bulimia nervosa Berlin: Springer; 1992. p. 314.Google Scholar
Vandereycken, WVanderlinden, J. Denial of illness and the use of self-reporting measures in anorexia nervosa patients Int J Eating Disord 1983 ; 2 : 101-7.3.0.CO;2-U>CrossRefGoogle Scholar
Vandereycken, WDepreitere, LProbst, M. Body oriented therapy for anorexia nervosa patients Am J Psychother 1987 ; 61 : 252-9.CrossRefGoogle Scholar
Vandereycken, WKog, EVanderlinden, J. The family approach to eating disorders: assessment and treatment of anorexia nervosa and bulimia New York: PMA Publications; 1989.Google Scholar
Vandereycken, WProbst, MMeermann, R. An experimental videoconfrontation procedure as a therapeutic technique and a research tool in the treatment of eating disorderIn: Pirke, KMVandereycken, WPloog, D, eds. The psychobiology of bulimia nervosa Berlin: Springer; 1988. p. 172-8.CrossRefGoogle Scholar
Vandereycken, WVanderlinden, JVanWerde, D. Directive group therapy for patients with anorexia nervosa and bulimiaIn: Larocca, FEF, ed. Eating disorders: effective care and treatment Saint Louis: Ishiyaku EuroAmerica; 1986. p. 5369.Google Scholar
VanVreckem, EVandereycken, W. Sexual education programme for women with eating disordersIn: Dolan, BGitzinger, I, eds. Why women? Gender issues and eating disorders London: Athlone; 1994. p. 110-8.Google Scholar
Submit a response

Comments

No Comments have been published for this article.