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Evaluation of Insight, Self-Esteem, and Body Satisfaction in Eating Disorders
1Department of Psychiatry, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey.
The Journal of Nervous and Mental Disease
|October 3, 2022
Summary
Poor insight is common in eating disorders (EDs), affecting both anorexia nervosa (AN) and bulimia nervosa (BN) patients. This lack of insight correlates with eating concerns, body dissatisfaction, and low self-esteem.
Area of Science:
- Psychiatry
- Clinical Psychology
Background:
- Insight is crucial for treatment engagement in eating disorders (EDs).
- The relationship between insight and clinical features in EDs requires further investigation.
Purpose of the Study:
- To examine insight levels in patients with anorexia nervosa (AN) and bulimia nervosa (BN).
- To investigate the association between insight and specific clinical characteristics in EDs.
Main Methods:
- Thirty AN and 30 BN patients were assessed using the Eating Disorder Examination Questionnaire (EDE-Q), Body Image Satisfaction Questionnaire (BISQ), Rosenberg Self-Esteem Scale (RSES), and Brown Assessment of Beliefs Scale (BABS).
- Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) criteria were used for diagnosis.
Main Results:
- No significant differences in clinical scale scores were found between AN and BN groups.
- Poor insight was observed in 30% of AN and 23.3% of BN patients.
- Poor insight (BABS scores) was positively correlated with eating, shape, and weight concerns (EDE-Q), and low self-esteem (RSES).
- Poor insight was negatively correlated with body image satisfaction (BISQ general appearance and trunk subscales).
Conclusions:
- Poor insight is a frequent clinical feature in patients with EDs.
- In EDs, poor insight is linked to heightened concerns about eating, shape, and weight, alongside body dissatisfaction and diminished self-esteem.
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