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Title: Dysmorphic concern in anorexia nervosa: Implications for recovery.
Austin Authors: Beilharz, Francesca;Phillipou, Andrea ;Castle, David J;Jenkins, Zoe;Cistullo, Leonardo;Rossell, Susan L
Affiliation: Department of Mental Health, Austin Health, Heidelberg, Victoria, Australia
Centre for Mental Health, Swinburne University of Technology, Melbourne, Victoria, Australia
Department of Psychiatry, St Vincent's Hospital, Melbourne, Victoria, Australia
Department of Psychiatry, The University of Melbourne, Melbourne, Victoria, Australia
Issue Date: 1-Mar-2019 2019-01-31
Publication information: Psychiatry research 019; 273: 657-661
Abstract: Body image disturbance ('dysmorphic concern') is a key diagnostic criterion for anorexia nervosa (AN). While dysmorphic concern has been described as a relapse predictor, relatively little is understood about the prevalence in AN, and the consequences upon wellbeing. The present study examined the rates of dysmorphic concern in a sample of treatment-seeking adults with AN (N = 39), and explored the associations with general mental health, disability and eating disorder symptoms. The majority of participants (61.5%) had clinically significant levels of dysmorphic concern. Furthermore, higher dysmorphic concern scores were associated with increased symptoms of anxiety, depression and eating disorder symptomatology. There was also a trend towards associations between dysmorphic concern and age of onset and stages of change (pre-contemplation, contemplation, preparation, action, maintenance), although replication is required. These findings suggest that strategies which specifically address body image distortions should be a key feature of treatment for anorexia nervosa to support long-term recovery and wellbeing.
DOI: 10.1016/j.psychres.2019.01.102
ORCID: 0000-0003-1009-6619
PubMed URL: 31207849
Type: Journal Article
Subjects: Anorexia nervosa
Body dysmorphic disorder
Body image
Dysmorphic concern
Eating disorder
Appears in Collections:Journal articles

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