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The importance of body image disturbances for the outcome of outpatient psychotherapy in patients with anorexia nervosa: Results of the ANTOP‐study
Author(s) -
Junne Florian,
Wild Beate,
Resmark Gaby,
Giel Katrin E.,
Teufel Martin,
Martus Peter,
Ziser Katrin,
Friederich HansChristoph,
Zwaan Martina,
Löwe Bernd,
Dinkel Andreas,
Herpertz Stephan,
Burgmer Markus,
Tagay Sefik,
Rothermund Eva,
Zeeck Almut,
Herzog Wolfgang,
Zipfel Stephan
Publication year - 2019
Publication title -
european eating disorders review
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.511
H-Index - 67
eISSN - 1099-0968
pISSN - 1072-4133
DOI - 10.1002/erv.2623
Subject(s) - anorexia nervosa , body mass index , eating disorders , psychology , outpatient clinic , psychological intervention , clinical psychology , psychotherapist , psychodynamic psychotherapy , partial hospitalization , cohort , psychiatry , physical therapy , medicine , mental health
This study investigates the role of body image self‐appraisal in predicting the outcomes of outpatient psychotherapy in patients with anorexia nervosa (AN). Multiple linear regression analyses and a path‐analysis model were applied to test the study hypotheses that body image at baseline predicts treatment outcomes of outpatient psychotherapy in patients with AN at follow‐up measurement. The analyses were conducted as secondary analyses in a subgroup ( n = 148) of the anorexia nervosa treatment of outpatient‐cohort (ANTOP‐study) ( N = 242) of patients with AN. The results show that Negative Evaluation of the Body at baseline predicts perceived stress during psychotherapy, which in turn predicts depressive symptoms at the end of therapy which in turn predicts the outcomes body mass index and EDI‐2 sum score at 12 months follow‐up. The results underline the importance of body image disturbance in the course of AN and call for body image as a central target of psychotherapeutic interventions in patients with AN.