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Coping and depression in bulimia nervosa
Author(s) -
Tobin David L.,
Griffing Alexandra Sascha
Publication year - 1995
Publication title -
international journal of eating disorders
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.785
H-Index - 138
eISSN - 1098-108X
pISSN - 0276-3478
DOI - 10.1002/1098-108x(199512)18:4<359::aid-eat2260180409>3.0.co;2-a
Subject(s) - bulimia nervosa , psychology , coping (psychology) , personality , clinical psychology , cognition , psychological intervention , psychiatry , eating disorders , social psychology
Objective: While theoretical models of bulimia have tended to emphasize single dimensions of the disorder, such as cognition or depression, factor analytic studies suggest that bulimia is best represented by a multifactorial model. In this study, we explore whether bulimia nervosa patients with different levels of depression display different types of coping. Method: Bulimia nervosa clinic patients were divided into four subgroups based on level of depression and asked to respond to the Coping Strategies Inventory. Results: The results suggest that avoidant or disengaged coping may be more related to affective symptoms than to bulimia, itself. While problem solving and cognitive restructuring did not appear to differ between the subgroups in this study, there were significant differences in social support seeking among the four groups. Discussion: The findings suggest that bulimic patients who present with the affective and personality disordered dimension of bulimia need interventions that focus on the utilization of social support. © 1995 by John Wiley & Sons, Inc.