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A Computer-Based Platform for Aiding Clinicians in Eating Disorder Analysis and Diagnosis
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Illness perception in bulimia nervosa.

Hannah DeJong1, Jessica Hillcoat, Sarah Perkins

  • 1Institute of Psychiatry, King's College London, UK. hannah.dejong@kcl.ac.uk

Journal of Health Psychology
|August 24, 2011
PubMed
Summary

Patients with bulimia nervosa (BN) perceive their eating disorder as chronic and severe, causing significant distress. Targeting these illness perceptions may improve treatment outcomes for BN.

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Area of Science:

  • Psychology
  • Psychiatry
  • Clinical Psychology

Background:

  • Bulimia nervosa (BN) is a serious eating disorder with significant psychological impact.
  • Understanding patient's subjective experience of illness is crucial for effective treatment.

Purpose of the Study:

  • To investigate illness perceptions in individuals diagnosed with bulimia nervosa (BN) or BN-type Eating Disorder Not Otherwise Specified (EDNOS-BN).
  • To explore the relationship between illness perceptions and clinical variables in this population.

Main Methods:

  • Seventy-eight participants with BN or EDNOS-BN completed the Revised Illness Perception Questionnaire (IPQ-R).
  • Clinical variables associated with eating disorders were also assessed.

Main Results:

  • Participants perceived their eating disorder as a chronic condition with severe consequences.
  • High levels of anxiety and depression were associated with the illness.
  • The primary attribution for the disorder was psychological causes.
  • BN was perceived as a severe condition associated with significant distress.

Conclusions:

  • Illness perceptions in BN are characterized by a sense of chronicity, severity, and significant distress.
  • These findings suggest that illness perception is a relevant target for therapeutic interventions in BN treatment.
  • Addressing patients' views of their illness may enhance treatment efficacy.