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Subjective Well-Being in a Sample of Women with Eating Disorders

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ABSTRACT

Introduction

The literature has found that eating disorder patients usually have a depression and anxiety diagnosis. However, not many investigations have studied the relationship between eating disorders and subjective well-being. For this reason, in this study we analyzed if women with an eating disorder diagnosis have less subjective well-being than a control group (normal weight participants).

Method

One hundred and four participants (35 with anorexia nervosa, 28 with bulimia nervosa, 16 with eating disorder not otherwise specified and 25 controls) were selected to conduct the study.

Results

It was found that women with eating disorders reported less satisfaction with life and positive affect than the control group, but there were not statically significant differences in negative affect.

Discussion

According to the results, it can be concluded that reports of subjective well-being problems were much more common in participants with eating disorders than in the control group (female individuals without body dissatisfaction).

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References

  • Aberson, C. L. (2010). Applied Power Analysis for the Behavioral Science. New York: Taylor & Francis.

    Google Scholar 

  • Abraham, S. (2008). Eating disorders: The facts (6th ed.). Oxford: Oxford University Press.

    Google Scholar 

  • Abraham, S., Brown, T., Boyd, C., Luscombe, G., & Russell, J. (2006). Quality of life: Eating disorders. The Australian and New Zealand Journal of Psychiatry, 40, 150–155. doi:10.1111/j.1440-1614.2006.01762.x.

    Article  PubMed  Google Scholar 

  • Adair, C., Marcoux, G., Bischoff, T., Cram, B., Ewashen, C., & Brown, K. (2010). Responsiveness of the Eating Disorders Quality of Life Scale (EDQLS) in a longitudinal multi-site sample. Health and Quality of Life Outcomes, 8, 1–11. doi:10.1186/1477-7525-8-83.

    Article  Google Scholar 

  • American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders, (4th ed., text revision). Washington, DC: American Psychiatric Association.

    Google Scholar 

  • Andersen, A. E. (1995). Eating disorders in males. In K. D Brownell, C.G. Fairburn, (eds.), Eating disorders and Obesity, A Comprehensive Handbook (pp. 177–187). New York: The Guilford Press.

  • Bamford, B. (2010). Assessing quality of life in the eating disorders: the HeRQoLED-S. Expert Review Pharmacoecon Outcomes Research, 10, 513–516. doi:10.1586/erp.10.47.

    Article  Google Scholar 

  • Bamford, B., & Sly, R. (2010). Exploring quality of life in the eating disorders. European Eating Disorder Review, 18, 147–153. doi:10.1002/erv.975.

    Article  Google Scholar 

  • Brannan, M., & Petrie, T. (2011). Psychological well-being and the body dissatisfaction–bulimic symptomatology relationship: An examination of moderators. Eating Behaviors, 12, 233–241. doi:10.1016/j.eatbeh.2011.06.002.

    Article  PubMed  Google Scholar 

  • Braun, D. L., Sunday, S. R., & Halmi, K. A. (1994). Psychiatric comorbidity in patients with eating disorders. Psychological Medicine, 24, 859–867. doi:10.1017/S0033291700028956.

    Article  PubMed  Google Scholar 

  • Bullinger, M. (1997). Generic quality of life assessment in psychiatry: Potentials and limitations. European Psychiatry, 12, 203–209. doi:10.1016/S0924-9338(97)89106-7.

    Article  PubMed  Google Scholar 

  • Cabañero, M. J., Richart, M., Cabrero, J., Orts, M. I., Reig, A., & Tosal, B. (2004). Reliability and validity of satisfaction with life scale in a sample of pregnant women. Psicothema, 16, 448–455.

    Google Scholar 

  • Cooper, P. J., Taylor, M. J., Cooper, Z., & Fairburn, C. G. (1987). The development and validation of the Body Shape Questionnaire. International Journal of Eating Disorders, 6, 485–494. doi:10.1002/1098-108X(198707)6:4<485::AID-EAT2260060405>3.0.CO;2-O.

    Article  Google Scholar 

  • Cronbach, L., & Shavelson, R. (2004). My Current Thoughts on Coefficient Alpha and Successor Procedures. Educational and Psychological Measurement, 64, 391–418. doi:10.1177/0013164404266386.

    Article  Google Scholar 

  • Currin, L., Waller, G., Treasure, J., Nodder, J., Stone, C., & Schmidt, U. (2007). The use of guidelines for dissemination of “best practice” in primary care of patients with eating disorders. International Journal of Eating Disorders, 40, 476–479. doi:10.1002/eat.20385.

    Article  PubMed  Google Scholar 

  • Day, J., Schmidt, U., Collier, D., Perkins, S., Van den Eynde, F., & Eisler, I. (2011). Risk factors, correlates, and markers in early-onset bulimia nervosa and EDNOS. International Journal of Eating Disorders, 44, 287–294. doi:10.1002/eat.20803.

    Article  PubMed  Google Scholar 

  • Dêbska, E., Adam, W., & Janas-Kozik, M. (2011a). Depression or depressiveness in patients diagnosed with anorexia nervosa and bulimia nervosa—Pilot research. Psychiatria Danubina, 23, 87–90.

    Google Scholar 

  • Dêbska, E., Janas, A., Steposz, A., Bablok, R., Krysta, K., & Krupka-Matuszczyk, I. (2011b). P02-128 - Depression and life quality in patients with eating disorders - A two year follow up. European Psychiatry, 26, 724. doi:10.1016/S0924-9338(11)72429-4.

    Article  Google Scholar 

  • Diener, E. (2000). Subjective well-being: The science of happiness, and a proposal for national index. American Psychologist, 55, 34–43. doi:10.1037/0003-066X.55.1.34.

    Article  PubMed  Google Scholar 

  • Diener, E., & Diener, C. (1996). Most people are happy. Psychological Science, 7, 181–185. doi:10.1111/j.1467-9280.1996.tb00354.x.

    Article  Google Scholar 

  • Doll, H., Petersen, S., & Stewart-Brown, S. (2005). Eating disorders and emotional and physical well-being: Associations between student self-reports of eating disorders and quality of life as measured by the SF-36. Quality of Life Research, 14, 705–717. doi:10.1007/s11136-004-0792-0.

    Article  PubMed  Google Scholar 

  • Engel, S. G., Adair, C. E., Las Hayes, C., & Abraham, S. (2009). Health related quality of life and eating disorders: A review and update. International Journal of Eating Disorders, 42, 179–187. doi:10.1002/ eat.20602.

    Article  PubMed  Google Scholar 

  • Fairburn, C. G., & Walsh, B. T. (1995). Atypical eating disorders. In K. D. Brownell & C. G. Fairburn (Eds.), Eating disorders and Obesity, A Comprehensive Handbook (pp. 135–140). New York: The Guilford Press.

    Google Scholar 

  • Felce, D., & Perry, J. (1995). Quality of life: its definition and measurement. Research in Developmental Disabilities, 16, 51–74. doi:10.1016/0891-4222(94)00028-8.

    Article  PubMed  Google Scholar 

  • Gaudiani, J. L., Sabel, A. L., Mascolo, M., & Mehler, P. S. (2012). Severe anorexia nervosa: outcomes from a medical stabilization unit. International Journal of Eating Disorders, 45, 85–92. doi:10.1002/eat.20889.

    Article  PubMed  Google Scholar 

  • Geller, J., Cockell, S. J., & Drab, D. L. (2001). Assessing readiness for change in the eating disorders: The psychometric properties of the readiness and motivation interview. Psychological Assessment, 13, 189–198. doi:10.1037/1040-3590.13.2.189.

    Article  PubMed  Google Scholar 

  • Herpertz-Dahlman, B., Wille, N., Holling, H., Vloet, T. D., & Ravens-Sieberer, U. (2008). Disordered eating behaviour and attitudes, associated psychopathology and health-related quality of life: Results of the BELLA study. European Child & Adolescent Psychiatry, 17, 82–91. doi:10.1007/s00787-008-1009-9.

    Article  Google Scholar 

  • Hudson, J. I., Hiripi, E., Pope, H. G., & Kessler, R. C. (2007). The prevalence and correlates of eating disorders in the National Comorbidity Survey Replication. Biological Psychiatry, 61, 348–358. doi:10.1016/j.biopsych.2006.03.040.

    Article  PubMed Central  PubMed  Google Scholar 

  • Hughes, E. (2012). Comorbid depression and anxiety in childhood and adolescent anorexia nervosa: Prevalence and implications for outcome. Clinical Psychologist, 16, 15–24. doi:10.1111/j.1742-9552.2011.00034.x.

    Article  Google Scholar 

  • Jenkins, P. E., Hoste, R. R., Meyer, C., & Blissett, J. M. (2010). Eating disorders and quality of life: A review of the literature. Clinical Psychology Review. doi:10.1016/j.cpr.2010.08.003.

    PubMed  Google Scholar 

  • Kitsantas, A., Gilligan, T., & Kamata, A. (2003). College Women With Eating Disorders: Self-Regulation, Life Satisfaction, and Positive/Negative Affect. Journal of Psychology, 137, 381–395. doi:10.1080/00223980309600622.

    Article  PubMed  Google Scholar 

  • Las Hayas, C., Quintana, J. M., Padierna, A., Bilbao, A., Muñoz, P., & Cook, E. F. (2006). The new questionnaire health-related quality of life for eating disorders showed good validity and reliability. Journal of Clinical Epidemiology, 59, 192–200. doi:10.1016/j.jclinepi.2005.06.005.

    Article  PubMed  Google Scholar 

  • Le Grange, D., Swanson, S. A., Crow, S. J., & Merikangas, K. R. (2012). Eating disorder not otherwise specified presentation in the US population. International Journal of Eating Disorders, 45, 711–718. doi:10.1002/eat.22006.

    Article  PubMed Central  PubMed  Google Scholar 

  • Leon, G. R., Fulkerson, J. A., Perry, C. L., Keel, P. K., & Klump, K. L. (1999). Three to four year prospective evaluation of personality and behavioral risk factors for later disordered eating in adolescent girls and boys. Joumal of Youth and Adolescence, 28, 181–196.

    Article  Google Scholar 

  • Leung, S., Joyce, L., & Russell, J. (2013). Enhancing quality of life in people with disordered eating using an online self-help programme. Journal of Eating Disorders, 1, 9. doi:10.1186/2050-2974-1-9.

    Article  PubMed Central  PubMed  Google Scholar 

  • Lewinsohn, P. M., Rohde, P., Seeley, J. R., & Fischer, S. A. (1991). Age and depression: unique and shared effects. Psychology and Aging, 6, 247–260. doi:10.1037/0882-7974.6.2.247.

    Article  PubMed  Google Scholar 

  • Makino, M., Tsuboi, K., & Dennerstein. (2004). Prevalence of Eating Disorders: A Comparison of Western and Non-Western Countries. Medscape General Medicine, 6, 49.

    PubMed Central  PubMed  Google Scholar 

  • Mitchison, D., Hay, P., Slewa-Younan, S., & Mond, J. (2012). Time Trends in Population Prevalence of Eating Disorder Behaviors and Their Relationship to Quality of Life. PLoS ONE, 7, 11. doi:10.1371/journal.pone.0048450.

    Article  Google Scholar 

  • Mond, J., Hay, P., Rodgers, B., & Owen, C. (2012). Quality of life impairment in a community sample of women with eating disorders. Australian & New Zealand Journal of Psychiatry, 46, 561–568. doi:10.1177/0004867411433967.

    Article  Google Scholar 

  • Muñoz, P., Quintana, J., Las Hayas, C., Padierna, A., Aguirre, U., & González-Torres, M. (2012). Quality of life and motivation to change in eating disorders. Perception patient–psychiatrist. Eating Behaviors, 13, 131–134. doi:10.1016/j.eatbeh.2011.11.008.

    Article  PubMed  Google Scholar 

  • Padierna, A., Quintana, J. M., Arostegui, I., Gonzalez, N., & Horcajo, M. J. (2000). The health-related quality of life in eating disorders. Quality of Life Research, 9, 667–674.

    Article  PubMed  Google Scholar 

  • Pavot, W., & Diener, E. (1993). Review of the Satisfaction with Life Scale. Psychological Assessment, 5(2), 164–172. doi:10.1007/978-90-481-2354-4_5.

    Article  Google Scholar 

  • Polivy, J., & Herman, C. P. (1993). Etiology of binge eating: Psychological mechanisms. In C. G. Fairburn & G. T. Wilson (Eds.), Binge eating: Nature, assessment and treatment (pp. 173–205). New York: Guilford Press.

    Google Scholar 

  • Raich, R. M., Mora, M., Soler, A., Avila, C., Clos, I., & Zapater, L. (1996). Adaptación de un instrumento de evaluación de la insatisfacción corporal[Adaptation of a body dissatisfaction assessment instrument]. Clínica y Salud, 7, 51–66.

    Google Scholar 

  • Richardson, J. (2011). Eta squared and partial eta squared as measures of effect size in educational research. Educational Research Review, 6, 135–147. doi:10.1016/j.edurev.2010.12.001.

    Article  Google Scholar 

  • Ruiz-Lazaro, P. M. (2003). Epidemiologia de las trastronos de la conducta alimentaria en España [Epidemiology of eating behavior disorders in Spain]. Actas Españolas de Psiquiatría, 31, 85–94.

    PubMed  Google Scholar 

  • Ryan, R., & Deci, E. (2001). On happiness and human potentials: A review of research on hedonic and eudaimonic well-being. Annual Review of Psychology, 52, 141–166. doi:10.1146/annurev.psych.52.1.141.

    Article  PubMed  Google Scholar 

  • Sandin, B., Chorot, P., Lostao, L., Joiner, T. E., Santed, M. A., & Valiente, R. M. (1999). Positive and Negative Affect Scales (PANAS): Factorial validity and cross-cultural convergence. Psicothema, 11, 37–51.

    Google Scholar 

  • Seligman, M. (2002). Authentic Happiness: Using the New Positive Psychology to Realize Your Potential for Lasting Fulfillment. New York: Free Press.

    Google Scholar 

  • Seligman, M., & Csikszentmihalyi, M. (2000). Positive Psychology: An Introduction. American Psychologist, 55, 5–14. doi:10.1037/0003-066X.55.1.5.

    Article  PubMed  Google Scholar 

  • Smink, F. R., van Hoeken, D., & Hoek, H. W. (2012). Epidemiology of eating disorders: incidence, prevalence and mortality rates. Current Psychiatry Reports, 14, 406–414. doi:10.1007/s11920-012-0282-y.

    Article  PubMed Central  PubMed  Google Scholar 

  • Steck, E., Abrams, L., & Phelps, L. (2004). Positive psychology in the prevention of eating disorders. Psychology in the Schools, 41, 111–117. doi:10.1002/pits.10143.

    Article  Google Scholar 

  • Steinhausen, H. C. (2009). Outcomes of eating disorders. Child and Adolescent Psychiatric Clinics of North America, 18, 225–242. doi:10.1016/j.chc.2008.07.013.

    Article  PubMed  Google Scholar 

  • Stickney, M. I., & Miltenberger, R. G. (1999). Evaluating direct and indirect measures for the functional assessment of binge eating. International Journal of Eating Disorders, 26, 195–204. doi:10.1002/(SICI)1098-108X(199909)26:2<195::AID-EAT9>3.0.CO;2-2.

    Article  PubMed  Google Scholar 

  • Swinbourne, J., Hunt, C., Abbott, M., Russell, J., St Clare, T., & Touyz, S. (2012). The comorbidity between eating disorders and anxiety disorders. Prevalence in an eating disorder sample and anxiety disorder sample. Australian & New Zealand Journal of Psychiatry, 46, 18–131. doi:10.1177/0004867411432071.

    Article  Google Scholar 

  • Touchette, E., Henegar, A., Godart, N., Pryor, L., Falissard, B., & Côté, S. (2011). Subclinical eating disorders and their comorbidity with mood and anxiety disorders in adolescent girls. Psychiatry Research, 185, 185–192. doi:10.1016/j.psychres.2010.04.005.

    Article  PubMed  Google Scholar 

  • Wade, T., Wilksch, S., & Lee, C. (2012). A longitudinal investigation of the impact of disordered eating on young women’s quality of life. Health Psychology, 31, 352–359. doi:10.1037/a0025956.

    Article  PubMed  Google Scholar 

  • Ware, J. E. (2000). SF-36 health survey update. Spine, 25, 3130–3139. doi:10.1007/978-1-4419-9893-4_76.

    Article  PubMed  Google Scholar 

  • Ware, J. E., & Sherbourne, C. D. (1992). The MOS 36-item short-form health survey (SF-36) (I). Conceptual framework and item selection. Medical Care, 30, 473–483.

    Article  PubMed  Google Scholar 

  • Watson, D., Clark, L. A., & Tellegen, A. (1988). Development and validation of brief measures of positive and negative affect. The PANAS scales. Journal of Personality and Social Psychology, 54, 1063–1070. doi:10.1037/0022-3514.54.6.1063.

    Article  PubMed  Google Scholar 

  • WHOQOL Group. (1994a). Development of the WHOQOL: Rationale and current status. International Journal of Mental Health, 23, 24–56.

    Article  Google Scholar 

  • WHOQOL Group. (1994b). The development of the World Health Organization quality of life assessment instrument (the WHOQOL). In J. Orley & W. Kuyken (Eds.), Quality of Life Assessment: International Perspectives. Heidelberg: Springer Verlag.

    Google Scholar 

  • World Health Organization. (1948). WHO Definition of Health. New York: World Health Organization.

    Google Scholar 

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Magallares, A., Jauregui-Lobera, I., Gamiz-Jimenez, N. et al. Subjective Well-Being in a Sample of Women with Eating Disorders. Psychol Rec 64, 769–776 (2014). https://doi.org/10.1007/s40732-014-0043-x

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