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Eating disorder beliefs and behaviours across eating disorder diagnoses

机译：饮食失调诊断中的饮食失调信念和行为

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Objective: To test for differences between diagnostic groups on the severity of eating disorder beliefs and behaviours, evaluate the clinical significance of such differences, and assess the extent to which these beliefs and behaviours may be present at clinically significant levels across eating disorder diagnoses. Method: 136 adult women outpatients (aged 18-65, with a BMI over 15) were diagnosed with an eating disorder and completed the Stirling Eating Disorder Scale. Results: The expected pattern of statistically significant differences was found between diagnostic groups on anorexic dietary beliefs and behaviours and bulimic dietary beliefs and behaviours. A high percentage of participants in each diagnostic group scored above the clinical cut-off on the eating disorder belief and behaviour measures and a very high percentage of participants in each group reported clinically significant levels of restricting beliefs. Conclusions: Transdiagnostic or functional analytic approaches to treatment planning may lead to more effective interventions than current, diagnostically-based, care pathways. The high prevalence of restricting beliefs reported suggested that this may need to be a key focus for intervention for the majority of individuals presenting with an eating disorder.
机译：目的：测试诊断组之间饮食失调信念和行为严重程度的差异，评估这些差异的临床意义，并评估这些信念和行为在整个饮食失调诊断中的临床显着水平的程度。方法：136名成年女性门诊患者（年龄在18-65岁之间，BMI超过15）被诊断为饮食失调，并完成了斯特林饮食失调量表。结果：诊断组在厌食症的饮食信念和行为以及暴食的饮食信念和行为之间发现了统计学上显着差异的预期模式。每个诊断组中有很高比例的参与者在进食障碍信念和行为指标上的得分高于临床临界值，并且每组中有很高比例的参与者报告了临床上显着水平的限制性信念。结论：与当前基于诊断的护理路径相比，用于治疗计划的经诊断或功能分析方法可能会导致更有效的干预。据报道，限制性信仰的普遍存在表明，这可能需要成为大多数饮食失调患者的干预重点。

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