Self-recognition of disordered eating among women with bulimic-type eating disorders: A community-based study.
OBJECTIVE
Self-recognition of eating-disordered behavior was examined in a community sample of young adult women (n = 158) with bulimic eating disorders.


METHODS
A vignette was presented describing a fictional person meeting diagnostic criteria for bulimia nervosa. Participants were asked whether they might currently have a problem such as the one described. Scores on measures of eating disorder psychopathology, functional impairment and general psychological distress were compared between participants who recognized a problem with their eating and those who did not.


RESULTS
Participants who recognized a problem with their eating (n = 86, 51.9%) had higher levels of eating disorder psychopathology and general psychological distress, were more likely to engage in self-induced vomiting, and tended to be heavier, than those who did not (n = 72, 48.1%). In addition, participants who recognized a problem were more likely to have received treatment for an eating or weight problem. In multivariate analysis, the occurrence of self-induced vomiting and higher body weight were the only variables significantly associated with recognition.


CONCLUSIONS
Poor recognition of eating-disordered behavior may be conducive to low or inappropriate treatment seeking among individuals with bulimic- type eating disorders. The perception that only disorders involving self-induced vomiting are pathological may need to be addressed in prevention programs.
Mond
Jonathan
J
Neuropsychiatric Research Institute, Fargo, North Dakota, USA. jonathan.mond@jcu.edu.au
Hay
Phillipa
P
Rodgers
Bryan
B
Owen
Cathy
C
D000328:Adult; D001294:Attitude to Health; D052018:Bulimia Nervosa / Q000453:epidemiology* / Q000523:psychology; D003156:Community Mental Health Services; D005247:Feeding Behavior; D005260:Female; D006801:Humans; D021641:Recognition, Psychology; D012649:Self Concept; D011795:Surveys and Questionnaires