Login to MyKarger

New to MyKarger? Click here to sign up.



Login with Facebook

Forgot your password?

Authors, Editors, Reviewers

For Manuscript Submission, Check or Review Login please go to Submission Websites List.

Submission Websites List

Institutional Login
(Shibboleth or Open Athens)

For the academic login, please select your country in the dropdown list. You will be redirected to verify your credentials.

Original Paper

Identity and Eating Disorders (IDEA): A Questionnaire Evaluating Identity and Embodiment in Eating Disorder Patients

Stanghellini G.a · Castellini G.b · Brogna P.c · Faravelli C.d · Ricca V.b

Author affiliations

aDepartment of Biomedical Sciences, University ‘G. d’Annunzio’, Chieti, bPsychiatric Unit, Department of Neuropsychiatric Science, Florence University School of Medicine, Florence, cInstitute of Psychology, University ‘Cattolica del Sacro Cuore’, Rome, and dDepartment of Psychology, University of Florence, Florence, Italy

Related Articles for ""

Psychopathology 2012;45:147–158

Do you have an account?

Login Information





Contact Information












By signing up for MyKarger you will automatically participate in our year-End raffle.
If you Then Do Not wish To participate, please uncheck the following box.

Yes, I wish To participate In the year-End raffle And Get the chance To win some Of our most interesting books, And other attractive prizes.


I have read the Karger Terms and Conditions and agree.



Login Information





Contact Information












By signing up for MyKarger you will automatically participate in our year-End raffle.
If you Then Do Not wish To participate, please uncheck the following box.

Yes, I wish To participate In the year-End raffle And Get the chance To win some Of our most interesting books, And other attractive prizes.


I have read the Karger Terms and Conditions and agree.



To view the fulltext, please log in

To view the pdf, please log in

Buy

  • FullText & PDF
  • Unlimited re-access via MyKarger
  • Unrestricted printing, no saving restrictions for personal use
read more

CHF 38.00 *
EUR 35.00 *
USD 39.00 *

Select

KAB

Buy a Karger Article Bundle (KAB) and profit from a discount!

If you would like to redeem your KAB credit, please log in.


Save over 20% compared to the individual article price.
Learn more

Rent/Cloud

  • Rent for 48h to view
  • Buy Cloud Access for unlimited viewing via different devices
  • Synchronizing in the ReadCube Cloud
  • Printing and saving restrictions apply

Rental: USD 8.50
Cloud: USD 20.00


Select

Subscribe

  • Access to all articles of the subscribed year(s) guaranteed for 5 years
  • Unlimited re-access via Subscriber Login or MyKarger
  • Unrestricted printing, no saving restrictions for personal use
read more

Subcription rates


Select

* The final prices may differ from the prices shown due to specifics of VAT rules.

Article / Publication Details

First-Page Preview
Abstract of Original Paper

Received: January 18, 2011
Accepted: June 17, 2011
Published online: March 02, 2012
Issue release date: April 2012

Number of Print Pages: 12
Number of Figures: 1
Number of Tables: 6

ISSN: 0254-4962 (Print)
eISSN: 1423-033X (Online)

For additional information: https://www.karger.com/PSP

Abstract

Background: In this paper we tested the hypothesis that persons with eating disorders (EDs) are affected by disturbances of the way they experience their own body (embodiment) and shape their personal identity, assuming that the various kinds of anomalies of eating behavior are consequences thereof. Sampling and Methods: We developed and validated a new self-reported questionnaire named IDEA (IDentity and EAting disorders), which was administered to 147 ED patients and 187 healthy controls. Test-retest reliability, internal consistency, psychopathological correlates, and concurrent validity were evaluated. A factor analysis was performed to verify the distribution of items into subscales. Results: The questionnaire showed good test-retest reliability, and internal consistency. IDEA scores were specifically associated with ED psychopathology, and they did not show any correlation with sociodemographic and general clinical variables. Four factors were extracted, which were related to the following phenomena: ‘feeling oneself only through the gaze of the other and defining oneself only through the evaluation of the other’, ‘feeling oneself only through objective measures’, ‘feeling extraneous from one’s own body’, and ‘feeling oneself through starvation’. Conclusions: IDEA represents a multidimensional, brief, versatile, easy-to-perform instrument for clinical evaluation, assessing abnormalities in lived corporeality, and of personal identity, which appeared to be specifically associated with the core features of ED psychopathology. The main limitations of the study are the cross-sectional design. Also, it is impossible to ascertain whether the domains we assessed are specific traits of patients with EDs, or state-related features. To answer this question, a longitudinal study is needed.

© 2012 S. Karger AG, Basel


References

  1. Jacobi C, Hayward C, de Zwaan M, Kraemer HC, Agras WS: Coming to terms with risk factors for eating disorders: application of risk terminology and suggestions for a general taxonomy. Psychol Bull 2004;130:19–65.
  2. Klump KL, Bulik CM, Kaye WH, Treasure J, Tyson E: Academy for eating disorders position paper: eating disorders are serious mental illnesses. Int J Eat Disord 2009;42:97–103.
    External Resources
  3. American Psychiatric Association: Diagnostic and Statistical Manual of Mental Disorders, Text Revised. Washington, American Psychiatric Association, 2000.
  4. Thomas JJ, Vartanian LR, Brownell KD: The relationship between eating disorder not otherwise specified (EDNOS) and officially recognized eating disorders: meta-analysis and implications for DSM. Psychol Bull 2009;135:407–433.
  5. Fairburn CG, Harrison PJ: Eating Disorders. The Lancet 2003;361:407–416.
  6. Ben-Tovim DI, Walker K, Gilchrist P, Freeman R, Kalucy R, Esterman A: Outcome in patients with eating disorders: a 5-year study. Lancet 2001;357:1254–1257.
  7. Allen KL, Byrne SM, McLean NJ, Davis EA: Overconcern with weight and shape is not the same as body dissatisfaction: evidence from a prospective study of pre-adolescent boys and girls. Body Image 2008;5:261–270.
    External Resources
  8. Dalle Grave R, Calugi,Marchesini G: Underweight eating disorder without overevaluation of shape and weight: atypical anorexia nervosa? Int J Eat Disord 2008;41:705–712.
  9. Shafran R, Farrell C, Lee M, Fairburn CG: Brief cognitive behavioural therapy for extreme shape concern: an evaluation. Br J Clin Psychol 2009;48:79–92.
  10. Haines J, Kleinman KP, Rifas-Shiman SL, Field AE, Austin SB: Examination of shared risk and protective factors for overweight and disordered eating among adolescents. Arch Pediatr Adolesc Med 2010;164:336–343.
    External Resources
  11. Watson HJ, Raykos BC, Street H, Fursland A, Nathan PR: Mediators between perfectionism and eating disorder psychopathology: shape and weight overvaluation and conditional goal-setting. Int J Eat Disord 2011;44:142–149.
    External Resources
  12. Carter JC, Blackmore E, Sutandar-Pinnock K, Woodside DB: Relapse in anorexia nervosa: a survival analysis. Psychol Med 2004;34:671–679.
  13. Loeb KL, Walsh BT, Lock J, le Grange D, Jones J, Marcus S, Weaver J, Dobrow I: Open trial of family-based treatment for full and partial anorexia nervosa in adolescence: evidence of successful dissemination. J Am Acad Child Adolesc Psychiatry 2007;46:792–800.
    External Resources
  14. Bardone-Cone AM, Joiner TE Jr, Crosby RD, Crow SJ, Klein MH, le Grange D, Mitchell JE, Peterson CB, Wonderlich SA: Examining a psychosocial interactive model of binge eating and vomiting in women with bulimia nervosa and subthreshold bulimia nervosa. Behav Res Ther 2008;46:887–894.
  15. Ricca V, Castellini G, Lo Sauro C, Mannucci E, Ravaldi C, Rotella F, Faravelli C: Cognitive-behavioral therapy for threshold and subthreshold anorexia nervosa: a three-year follow-up study. Psychother Psychosom 2010;79:238–248.
  16. Serpell L, Treasure J, Teasdale J, Sullivan V: Anorexia nervosa: friend or foe? Int J Eat Disord 1999;25:177–186.
  17. Surgenor LJ, Plumridge EW, Horn J: ‘Knowing one’s self’ anorexic: implications for therapeutic practice. Int J Eat Disord 2003;33:22–32.
  18. Stanghellini G: For an anthropology of eating disorders. A pornographic vision of the self. Eat Weight Disord 2005;10:21–27.
  19. Nordbø RH, Espeset EM, Gulliksen KS, Skårderud F, Holte A: The meaning of self-starvation: qualitative study of patients’ perception of anorexia nervosa. Int J Eat Disord 2006;39:556–564.
    External Resources
  20. Skårderud F: Shame and pride in anorexia nervosa: a qualitative descriptive study. Eur Eat Disord Rev 2007;15:81–97.
    External Resources
  21. Ison J, Kent S: Social identity in eating disorders. Eur Eat Disord Rev 2010;18:475–485.
    External Resources
  22. Sternheim L, Konstantellou A, Startup H, Schmidt U: What does uncertainty mean to women with anorexia nervosa? An interpretative phenomenological analysis. Eur Eat Disord Rev 2011;19:12–24.
    External Resources
  23. Blechert J, Ansorge U, Beckmann S, Tuschen-Caffier B: The undue influence of shape and weight on self-evaluation in anorexia nervosa, bulimia nervosa and restrained eaters: a combined ERP and behavioral study. Psychol Med 2010;18:1–10.
  24. Sartre JP: L’etre et le neant, 1943. English translation: Being and Nothingness. Washington Square Press, New York, 1992.
  25. Husserl E: Ideen zu einer reinen Phaenomenologie und phaenomenologische Philosophie. II. Phaenomenologische Untersuchungen zur Konstitution. Den Haag: Nijhoff, 1912–1915.
  26. Merleau-Ponty M: Phenomenology of perception. Engl. Transl. by Colin Smith. Humanities Press, New York, 1996.
  27. Fuchs T: The phenomenology of shame, guilt and the body in body dysmorphic disorder and depression. J Phenomenol Psychol 2002;33:223–243.
    External Resources
  28. Stanghellini G: Psicopatologia del senso comune, Cortina, Milano. New English translation forthcoming: Disembodied Spirits and Deanimated Bodies. The Psychopathology of Common Sense. Oxford, Oxford University Press, 2008.
  29. Stanghellini G: Embodiment and schizophrenia. World Psychiatry 2009;8:56–59.
  30. Fuchs, T. Psychopathologie von Leib und Raum. Phänomenologisch-empirische Untersuchungen zu depressiven und paranoiden Erkrankungen. Darmstadt, Steinkopff, 2000.
  31. Morris KJ: The phenomenology of body dysmorphic disorder: a Sartrean analysis; in Fulford KWM, Morris KJ, Sadler JZ, Stanghellini G (eds): Nature and Narrative. An Introduction to the New Philosophy of Psychiatry. Oxford, Oxford University Press, 2001, pp 171–185.
  32. First MB, Spitzer RL, Gibbon M, Williams JBW: Structured Clinical Interview for DSMIV Axis I Disorders. Patient Edition (SCIDP, Version 2). New York, New York State Psychiatric Institute, Biometrics Research, 1995.
  33. Fairburn CG, Beglin SJ: Assessment of eating disorders: interview or self-report questionnaire? Int J Eat Disord 1994;16:363–370.
  34. Derogatis LR, Lipman RS, Covi L: SCL-90: an outpatient psychiatric rating scale-preliminary report. Psychopharmacol Bull 1973;9:13–28.
  35. Beck AT, Ward CH, Mendelson M, Mock J, Erbaugh J: An inventory for measuring depression. Arch Gen Psychiatry 1961;4:561–571.
  36. Spielberg CD, Gorsuch RL, Lushene RE. Manual for the State-Trait Anxiety Inventory (self-evaluation questionnaire). Palo Alto, Consulting Psychologists Press, 1970.
  37. Haynes SN, Lench HC: Incremental validity of new clinical assessment measures. Psychol Assess 2003;15:456–466.
    External Resources
  38. Cattel RB: The scree test for the number of factors. Multivariate Behav Res 1996;1:245–276.
    External Resources
  39. Nunnally JC, Bernstein IH: Psychometric Theory, ed 3. New York, McGraw-Hill, 1994.
  40. Fox J: Regression Diagnostics. Thousand Oaks, Sage Publications, 1991.
  41. Treasure J, Claudino AM, Zucker N: Eating disorders. Lancet 2010;375:583–593.
    External Resources
  42. Fairburn CG, Cooper Z, Shafran R: Cognitive behaviour therapy for eating disorders: a ‘‘transdiagnostic’’ theory and treatment. Behav Res Ther 2003;41:509–528.
  43. Milos G, Spindler A, Schnyder U, Fairburn CG: Instability of eating disorder diagnoses: prospective study. Br J Psychiatry 2005;187:573–578.
  44. Tozzi F, Thornton LM, Klump KL, Fichter MM, Halmi KA, Kaplan AS, Strober M, Woodside DB, Crow S, Mitchell J, Rotondo A, Mauri M, Cassano G, Keel P, Plotnicov KH, Pollice C, Lilenfeld LR, Berrettini WH, Bulik CM, Kaye WH: Symptom fluctuation in eating disorders: correlates of diagnostic crossover. Am J Psychiatry 2005;162:732–740.
  45. Fairburn CG, Cooper Z: Thinking afresh about the classification of eating disorders. Int J Eat Disord 2007;40:107–110.
    External Resources
  46. Eddy KT, Dorer DJ, Franko DL, Tahilani K, Thompson-Brenner H, Herzog DB: Diagnostic crossover in anorexia nervosa and bulimia nervosa: implications for DSM-V. Am J Psychiatry 2008;165:245–250.
  47. http://www.dsm5.org/ProposedRevisions/Pages/EatingDisorders.aspx.
  48. Fairburn CG: Eating disorders: the transdiagnostic view and the cognitive behavioral theory; in Cognitive Behavior Therapy and Eating Disorders. Guilford Press, New York, 2008.
  49. Scheier MF, Carver CS: The Self-Consciousness Scale: a revised version for use with general populations. J Appl Soc Psychol 1985;15:687–699.
    External Resources
  50. Nordbø RH, Espeset EM, Gulliksen KS, Skårderud F, Holte A: The meaning of self-starvation: qualitative study of patients’ perception of anorexia nervosa. Int J Eat Disord 2006;39:556–564.
    External Resources
  51. Skarderud F: Eating one’s words, Part I. ‘Concretised metaphors’ and reflective function in anorexia nervosa – an interview study. Eur Eat Disord Rev 2007;15:163–174.
    External Resources
  52. Skarderud F: Eating one’s words, Part II. The embodied mind and reflective function in anorexia nervosa - theory. Eur Eat Disord Rev 2007;15: 243–252.
    External Resources
  53. Surgenor LJ, Plumridge EW, Horn J: ‘Knowing One’s Self’ anorexic: implications for therapeutic practice. Int J Eat Disord 2003;33:22–32.
  54. Castellini G, Lo Sauro C, Mannucci E, Ravaldi C, Rotella CM, Faravelli C, Ricca V: Diagnostic crossover and outcome predictors in eating disorders according to DSM-IV and DSM-V proposed criteria: a 6-year follow-up study. Psychosom Med 2011;73: 270–279.
    External Resources

Article / Publication Details

First-Page Preview
Abstract of Original Paper

Received: January 18, 2011
Accepted: June 17, 2011
Published online: March 02, 2012
Issue release date: April 2012

Number of Print Pages: 12
Number of Figures: 1
Number of Tables: 6

ISSN: 0254-4962 (Print)
eISSN: 1423-033X (Online)

For additional information: https://www.karger.com/PSP


Copyright / Drug Dosage / Disclaimer

Copyright: All rights reserved. No part of this publication may be translated into other languages, reproduced or utilized in any form or by any means, electronic or mechanical, including photocopying, recording, microcopying, or by any information storage and retrieval system, without permission in writing from the publisher.
Drug Dosage: The authors and the publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in accord with current recommendations and practice at the time of publication. However, in view of ongoing research, changes in government regulations, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to check the package insert for each drug for any changes in indications and dosage and for added warnings and precautions. This is particularly important when the recommended agent is a new and/or infrequently employed drug.
Disclaimer: The statements, opinions and data contained in this publication are solely those of the individual authors and contributors and not of the publishers and the editor(s). The appearance of advertisements or/and product references in the publication is not a warranty, endorsement, or approval of the products or services advertised or of their effectiveness, quality or safety. The publisher and the editor(s) disclaim responsibility for any injury to persons or property resulting from any ideas, methods, instructions or products referred to in the content or advertisements.