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Are eating disorders "all about control?" : The elusive psychopathology of nonfat phobic presentations

Are eating disorders "all about control?" : The elusive psychopathology of nonfat phobic presentations

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MURRAY, Helen B., Kathryn CONIGLIO, Andrea S. HARTMANN, Anne E. BECKER, Kamryn T. EDDY, Jennifer J. THOMAS, 2017. Are eating disorders "all about control?" : The elusive psychopathology of nonfat phobic presentations. In: International Journal of Eating Disorders. Wiley-Blackwell. 50(11), pp. 1306-1312. ISSN 0276-3478. eISSN 1098-108X. Available under: doi: 10.1002/eat.22779

@article{Murray2017eatin-55365, title={Are eating disorders "all about control?" : The elusive psychopathology of nonfat phobic presentations}, year={2017}, doi={10.1002/eat.22779}, number={11}, volume={50}, issn={0276-3478}, journal={International Journal of Eating Disorders}, pages={1306--1312}, author={Murray, Helen B. and Coniglio, Kathryn and Hartmann, Andrea S. and Becker, Anne E. and Eddy, Kamryn T. and Thomas, Jennifer J.} }

Coniglio, Kathryn eng Thomas, Jennifer J. terms-of-use Murray, Helen B. Objective:<br />There are a subset of individuals with eating disorders (EDs) who do not overevaluate body shape/weight (i.e., nonfat phobic ED; NFP-ED). According to the transdiagnostic cognitive–behavioral conceptualization of EDs, a need for control, in general, is hypothesized as the core psychopathology of NFP-EDs, with shape- and weight-related motivations for ED behavior merely superimposed in FP-ED presentations. This study tested the need for control as motivation for restriction in NFP-ED, using items aimed at assessing control from the Eating Disorder Examination (EDE) Restraint scale.<br /><br />Method:<br />Females ages 13–27 years consecutively admitted to residential treatment completed the EDE, Eating Disorder Inventory-3 Drive for Thinness subscale (EDI-DFT), and other self-report measures of psychopathology. We included patients with DSM-5 EDs, but excluded patients with avoidant/restrictive food intake disorder. Twenty participants had NFP-ED (≤14 on EDI-DFT) and 124 had fatphobic ED (FP-ED; >14 on EDI-DFT).<br /><br />Results:<br />NFP-ED scored significantly lower than FP-ED on EDE Restraint scale shape/weight [χ2(1) = 10.73–35.62, p's < .01] and on control items [χ2(1) = 10.72–20.62, p's < .01], in addition to scoring lower on measures of general psychopathology and impairment.<br /><br />Discussion:<br />Findings suggest those with NFP-ED report lower psychopathology overall and the new EDE Restraint scale control items do not capture additional motivation for restriction beyond that captured in the original Restraint scale shape/weight items. Future research should examine whether this latter finding is due to a minimizing response style in NFP-ED, an incomplete capture of desire for control by the EDE assessment method, or indeed reflects that need for control does not motivate restriction in NFP-EDs. Coniglio, Kathryn Murray, Helen B. Hartmann, Andrea S. Are eating disorders "all about control?" : The elusive psychopathology of nonfat phobic presentations Thomas, Jennifer J. 2021-10-26T08:45:45Z 2021-10-26T08:45:45Z 2017 Hartmann, Andrea S. Becker, Anne E. Eddy, Kamryn T. Eddy, Kamryn T. Becker, Anne E.

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