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Coping and depression in bulimia nervosa

D L Tobin1, A S Griffing

  • 1Tufts University Medical School, MA, USA.

The International Journal of Eating Disorders
|December 1, 1995
PubMed
Summary

Bulimia nervosa patients with higher depression levels utilized distinct coping strategies, particularly social support seeking. Interventions should address social support for those with affective and personality disordered dimensions of bulimia.

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Area of Science:

  • Psychiatry
  • Clinical Psychology
  • Eating Disorders

Background:

  • Bulimia nervosa is often viewed through single-dimension models, but factor analysis suggests a multifactorial nature.
  • Understanding the relationship between depression levels and coping mechanisms in bulimia nervosa is crucial for effective treatment.

Purpose of the Study:

  • To investigate whether bulimia nervosa patients with varying depression levels exhibit different coping strategies.
  • To explore the interplay between affective symptoms, depression, and coping in the context of bulimia nervosa.

Main Methods:

  • Patients diagnosed with bulimia nervosa were recruited from a clinic.
  • Participants were categorized into four subgroups based on their depression levels.
  • The Coping Strategies Inventory was administered to assess coping mechanisms.

Main Results:

  • Avoidant or disengaged coping strategies were more strongly associated with affective symptoms than with bulimia nervosa itself.
  • No significant differences in problem-solving or cognitive restructuring were found across depression subgroups.
  • Significant variations in social support seeking were observed among the four depression-level groups.

Conclusions:

  • Bulimic patients with co-occurring affective and personality disorder traits benefit from interventions emphasizing social support utilization.
  • Tailoring interventions to specific patient profiles, considering depression and coping styles, is essential for treating bulimia nervosa.

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