Attachment Insecurity Predicts Eating Disorder Symptoms and Treatment Outcomes in a Clinical Sample of Women
We examined the extent to which attachment insecurity was related to eating disorder (ED) symptoms, and predictive of treatment outcomes. Women diagnosed with anorexia nervosa (AN) restricting subtype (ANR), AN binge purge subtype (ANB), or bulimia nervosa (BN) completed an attachment scale pretreat...
Gespeichert in:
| Veröffentlicht in: | The journal of nervous and mental disease 2010-09, Vol.198 (9), p.653-659 |
|---|---|
| Hauptverfasser: | , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 659 |
|---|---|
| container_issue | 9 |
| container_start_page | 653 |
| container_title | The journal of nervous and mental disease |
| container_volume | 198 |
| creator | Illing, Vanessa Tasca, Giorgio A Balfour, Louise Bissada, Hany |
| description | We examined the extent to which attachment insecurity was related to eating disorder (ED) symptoms, and predictive of treatment outcomes. Women diagnosed with anorexia nervosa (AN) restricting subtype (ANR), AN binge purge subtype (ANB), or bulimia nervosa (BN) completed an attachment scale pretreatment, and ED symptom scales pretreatment (N = 243) and post-treatment (N = 157). A comparison sample of 126 non-ED women completed attachment scales on 1 occasion. Those with EDs had significantly higher attachment insecurity than non-ED. ANB was associated with higher attachment avoidance compared with ANR and BN, and higher attachment anxiety compared with BN. Higher attachment anxiety was significantly related to greater ED symptom severity and poorer treatment outcome across all EDs even after controlling for ED diagnosis. Attachment dimensions substantially contribute to our understanding of ED symptoms and treatment outcome. Addressing attachment insecurity when treating those with EDs may improve treatment outcomes. |
| doi_str_mv | 10.1097/NMD.0b013e3181ef34b2 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_754023790</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2143868161</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4598-d7175cb29336fb19dbe208b820148c11e00932ab3c7574c9006f154d6384b2723</originalsourceid><addsrcrecordid>eNpdkV9PFDEUxRsjkRX8BsY0Jsanwdt_25lHsqCSoJgA0bdJp3PHLXY6S9sJ2W9vkUUS-tK0_Z17b88h5C2DIwaN_vT928kRdMAEClYzHITs-AuyYEo0lRbLXy_JAoDzSgCr98nrlG4AmBYSXpF9DjUXmusF8cc5G7seMWR6FhLaObq8pT8i9s7mRE9NduE3PXFpij1GerkdN3kaEzWhp1cRTf4nvZiznUZM1AVq6Mq74Kzx9NKMG490GujP8hoOyd5gfMI3u_2AXH8-vVp9rc4vvpytjs8rK1VTV71mWtmON0Ish441fYdl4K7mwGRtGUOARnDTCauVlrYBWA5MyX4p6uKB5uKAfHyou4nT7Ywpt6NLFr03Aac5tVpJKP9voJDvn5E30xxDGa5AvPgHghVIPkA2TilFHNpNdKOJ25ZBe59FW7Jon2dRZO92teduxP6_6NH8AnzYASYVt4ZognXpiRO8lgrkU_-7yWeM6Y-f7zC2azQ-r1soS4ESVbGnGFNO1f1VLf4CRC6hQw</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>752002031</pqid></control><display><type>article</type><title>Attachment Insecurity Predicts Eating Disorder Symptoms and Treatment Outcomes in a Clinical Sample of Women</title><source>Journals@Ovid Ovid Autoload</source><source>MEDLINE</source><creator>Illing, Vanessa ; Tasca, Giorgio A ; Balfour, Louise ; Bissada, Hany</creator><creatorcontrib>Illing, Vanessa ; Tasca, Giorgio A ; Balfour, Louise ; Bissada, Hany</creatorcontrib><description>We examined the extent to which attachment insecurity was related to eating disorder (ED) symptoms, and predictive of treatment outcomes. Women diagnosed with anorexia nervosa (AN) restricting subtype (ANR), AN binge purge subtype (ANB), or bulimia nervosa (BN) completed an attachment scale pretreatment, and ED symptom scales pretreatment (N = 243) and post-treatment (N = 157). A comparison sample of 126 non-ED women completed attachment scales on 1 occasion. Those with EDs had significantly higher attachment insecurity than non-ED. ANB was associated with higher attachment avoidance compared with ANR and BN, and higher attachment anxiety compared with BN. Higher attachment anxiety was significantly related to greater ED symptom severity and poorer treatment outcome across all EDs even after controlling for ED diagnosis. Attachment dimensions substantially contribute to our understanding of ED symptoms and treatment outcome. Addressing attachment insecurity when treating those with EDs may improve treatment outcomes.</description><identifier>ISSN: 0022-3018</identifier><identifier>EISSN: 1539-736X</identifier><identifier>DOI: 10.1097/NMD.0b013e3181ef34b2</identifier><identifier>PMID: 20823727</identifier><identifier>CODEN: JNMDAN</identifier><language>eng</language><publisher>Hagerstown, MD: Lippincott Williams & Wilkins, Inc</publisher><subject>Adult ; Adult and adolescent clinical studies ; Analysis of Variance ; Anxiety ; Anxiety Disorders - psychology ; Biological and medical sciences ; Body Image ; Clinical outcomes ; Comparative analysis ; Eating behavior disorders ; Eating disorders ; Feeding and Eating Disorders - diagnosis ; Feeding and Eating Disorders - psychology ; Feeding and Eating Disorders - therapy ; Female ; Humans ; Institution therapy. Inpatient treatment ; Medical sciences ; Miscellaneous ; Object Attachment ; Psychiatric Status Rating Scales ; Psychology. Psychoanalysis. Psychiatry ; Psychopathology. Psychiatry ; Surveys and Questionnaires ; Treatment Outcome ; Treatments ; Women</subject><ispartof>The journal of nervous and mental disease, 2010-09, Vol.198 (9), p.653-659</ispartof><rights>2010 Lippincott Williams & Wilkins, Inc.</rights><rights>2015 INIST-CNRS</rights><rights>Copyright Lippincott Williams & Wilkins Sep 2010</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4598-d7175cb29336fb19dbe208b820148c11e00932ab3c7574c9006f154d6384b2723</citedby><cites>FETCH-LOGICAL-c4598-d7175cb29336fb19dbe208b820148c11e00932ab3c7574c9006f154d6384b2723</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=23284504$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20823727$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Illing, Vanessa</creatorcontrib><creatorcontrib>Tasca, Giorgio A</creatorcontrib><creatorcontrib>Balfour, Louise</creatorcontrib><creatorcontrib>Bissada, Hany</creatorcontrib><title>Attachment Insecurity Predicts Eating Disorder Symptoms and Treatment Outcomes in a Clinical Sample of Women</title><title>The journal of nervous and mental disease</title><addtitle>J Nerv Ment Dis</addtitle><description>We examined the extent to which attachment insecurity was related to eating disorder (ED) symptoms, and predictive of treatment outcomes. Women diagnosed with anorexia nervosa (AN) restricting subtype (ANR), AN binge purge subtype (ANB), or bulimia nervosa (BN) completed an attachment scale pretreatment, and ED symptom scales pretreatment (N = 243) and post-treatment (N = 157). A comparison sample of 126 non-ED women completed attachment scales on 1 occasion. Those with EDs had significantly higher attachment insecurity than non-ED. ANB was associated with higher attachment avoidance compared with ANR and BN, and higher attachment anxiety compared with BN. Higher attachment anxiety was significantly related to greater ED symptom severity and poorer treatment outcome across all EDs even after controlling for ED diagnosis. Attachment dimensions substantially contribute to our understanding of ED symptoms and treatment outcome. Addressing attachment insecurity when treating those with EDs may improve treatment outcomes.</description><subject>Adult</subject><subject>Adult and adolescent clinical studies</subject><subject>Analysis of Variance</subject><subject>Anxiety</subject><subject>Anxiety Disorders - psychology</subject><subject>Biological and medical sciences</subject><subject>Body Image</subject><subject>Clinical outcomes</subject><subject>Comparative analysis</subject><subject>Eating behavior disorders</subject><subject>Eating disorders</subject><subject>Feeding and Eating Disorders - diagnosis</subject><subject>Feeding and Eating Disorders - psychology</subject><subject>Feeding and Eating Disorders - therapy</subject><subject>Female</subject><subject>Humans</subject><subject>Institution therapy. Inpatient treatment</subject><subject>Medical sciences</subject><subject>Miscellaneous</subject><subject>Object Attachment</subject><subject>Psychiatric Status Rating Scales</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychopathology. Psychiatry</subject><subject>Surveys and Questionnaires</subject><subject>Treatment Outcome</subject><subject>Treatments</subject><subject>Women</subject><issn>0022-3018</issn><issn>1539-736X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpdkV9PFDEUxRsjkRX8BsY0Jsanwdt_25lHsqCSoJgA0bdJp3PHLXY6S9sJ2W9vkUUS-tK0_Z17b88h5C2DIwaN_vT928kRdMAEClYzHITs-AuyYEo0lRbLXy_JAoDzSgCr98nrlG4AmBYSXpF9DjUXmusF8cc5G7seMWR6FhLaObq8pT8i9s7mRE9NduE3PXFpij1GerkdN3kaEzWhp1cRTf4nvZiznUZM1AVq6Mq74Kzx9NKMG490GujP8hoOyd5gfMI3u_2AXH8-vVp9rc4vvpytjs8rK1VTV71mWtmON0Ish441fYdl4K7mwGRtGUOARnDTCauVlrYBWA5MyX4p6uKB5uKAfHyou4nT7Ywpt6NLFr03Aac5tVpJKP9voJDvn5E30xxDGa5AvPgHghVIPkA2TilFHNpNdKOJ25ZBe59FW7Jon2dRZO92teduxP6_6NH8AnzYASYVt4ZognXpiRO8lgrkU_-7yWeM6Y-f7zC2azQ-r1soS4ESVbGnGFNO1f1VLf4CRC6hQw</recordid><startdate>201009</startdate><enddate>201009</enddate><creator>Illing, Vanessa</creator><creator>Tasca, Giorgio A</creator><creator>Balfour, Louise</creator><creator>Bissada, Hany</creator><general>Lippincott Williams & Wilkins, Inc</general><general>Lippincott Williams & Wilkins</general><general>Lippincott Williams & Wilkins Ovid Technologies</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>7X8</scope></search><sort><creationdate>201009</creationdate><title>Attachment Insecurity Predicts Eating Disorder Symptoms and Treatment Outcomes in a Clinical Sample of Women</title><author>Illing, Vanessa ; Tasca, Giorgio A ; Balfour, Louise ; Bissada, Hany</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4598-d7175cb29336fb19dbe208b820148c11e00932ab3c7574c9006f154d6384b2723</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Adult</topic><topic>Adult and adolescent clinical studies</topic><topic>Analysis of Variance</topic><topic>Anxiety</topic><topic>Anxiety Disorders - psychology</topic><topic>Biological and medical sciences</topic><topic>Body Image</topic><topic>Clinical outcomes</topic><topic>Comparative analysis</topic><topic>Eating behavior disorders</topic><topic>Eating disorders</topic><topic>Feeding and Eating Disorders - diagnosis</topic><topic>Feeding and Eating Disorders - psychology</topic><topic>Feeding and Eating Disorders - therapy</topic><topic>Female</topic><topic>Humans</topic><topic>Institution therapy. Inpatient treatment</topic><topic>Medical sciences</topic><topic>Miscellaneous</topic><topic>Object Attachment</topic><topic>Psychiatric Status Rating Scales</topic><topic>Psychology. Psychoanalysis. Psychiatry</topic><topic>Psychopathology. Psychiatry</topic><topic>Surveys and Questionnaires</topic><topic>Treatment Outcome</topic><topic>Treatments</topic><topic>Women</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Illing, Vanessa</creatorcontrib><creatorcontrib>Tasca, Giorgio A</creatorcontrib><creatorcontrib>Balfour, Louise</creatorcontrib><creatorcontrib>Bissada, Hany</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>The journal of nervous and mental disease</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Illing, Vanessa</au><au>Tasca, Giorgio A</au><au>Balfour, Louise</au><au>Bissada, Hany</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Attachment Insecurity Predicts Eating Disorder Symptoms and Treatment Outcomes in a Clinical Sample of Women</atitle><jtitle>The journal of nervous and mental disease</jtitle><addtitle>J Nerv Ment Dis</addtitle><date>2010-09</date><risdate>2010</risdate><volume>198</volume><issue>9</issue><spage>653</spage><epage>659</epage><pages>653-659</pages><issn>0022-3018</issn><eissn>1539-736X</eissn><coden>JNMDAN</coden><abstract>We examined the extent to which attachment insecurity was related to eating disorder (ED) symptoms, and predictive of treatment outcomes. Women diagnosed with anorexia nervosa (AN) restricting subtype (ANR), AN binge purge subtype (ANB), or bulimia nervosa (BN) completed an attachment scale pretreatment, and ED symptom scales pretreatment (N = 243) and post-treatment (N = 157). A comparison sample of 126 non-ED women completed attachment scales on 1 occasion. Those with EDs had significantly higher attachment insecurity than non-ED. ANB was associated with higher attachment avoidance compared with ANR and BN, and higher attachment anxiety compared with BN. Higher attachment anxiety was significantly related to greater ED symptom severity and poorer treatment outcome across all EDs even after controlling for ED diagnosis. Attachment dimensions substantially contribute to our understanding of ED symptoms and treatment outcome. Addressing attachment insecurity when treating those with EDs may improve treatment outcomes.</abstract><cop>Hagerstown, MD</cop><pub>Lippincott Williams & Wilkins, Inc</pub><pmid>20823727</pmid><doi>10.1097/NMD.0b013e3181ef34b2</doi><tpages>7</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0022-3018 |
| ispartof | The journal of nervous and mental disease, 2010-09, Vol.198 (9), p.653-659 |
| issn | 0022-3018 1539-736X |
| language | eng |
| recordid | cdi_proquest_miscellaneous_754023790 |
| source | Journals@Ovid Ovid Autoload; MEDLINE |
| subjects | Adult Adult and adolescent clinical studies Analysis of Variance Anxiety Anxiety Disorders - psychology Biological and medical sciences Body Image Clinical outcomes Comparative analysis Eating behavior disorders Eating disorders Feeding and Eating Disorders - diagnosis Feeding and Eating Disorders - psychology Feeding and Eating Disorders - therapy Female Humans Institution therapy. Inpatient treatment Medical sciences Miscellaneous Object Attachment Psychiatric Status Rating Scales Psychology. Psychoanalysis. Psychiatry Psychopathology. Psychiatry Surveys and Questionnaires Treatment Outcome Treatments Women |
| title | Attachment Insecurity Predicts Eating Disorder Symptoms and Treatment Outcomes in a Clinical Sample of Women |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-15T10%3A04%3A59IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Attachment%20Insecurity%20Predicts%20Eating%20Disorder%20Symptoms%20and%20Treatment%20Outcomes%20in%20a%20Clinical%20Sample%20of%20Women&rft.jtitle=The%20journal%20of%20nervous%20and%20mental%20disease&rft.au=Illing,%20Vanessa&rft.date=2010-09&rft.volume=198&rft.issue=9&rft.spage=653&rft.epage=659&rft.pages=653-659&rft.issn=0022-3018&rft.eissn=1539-736X&rft.coden=JNMDAN&rft_id=info:doi/10.1097/NMD.0b013e3181ef34b2&rft_dat=%3Cproquest_cross%3E2143868161%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=752002031&rft_id=info:pmid/20823727&rfr_iscdi=true |