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Marie-Pierre Gagnon-Girouard
Department of Psychology, Université du Québec à Trois-Rivières, Québec, Canada
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Marie-Pier Chenel-Beaulieu
School of Psychology, Université Laval, Québec, Canada
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Annie Aimé
Department of Psychoeducation and Psychology, Université du Québec en Outaouais, Québec, Canada
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Carole Ratté
Faculty of Medicine, Université Laval, Québec, Canada
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Catherine Bégin
School of Psychology, Université Laval, Québec, Canada
Abstract
Unlike patients suffering from egodystonic disorders, people with eating disorders sometimes attribute positive meanings to their symptoms, and this attribution process contributes to the maintenance of the disorder. This study aims at exploring psychological meanings of eating disorders and their associations with symptoms, motivation toward treatment, and clinical evolution. Eighty-one adults with an eating disorder (anorexia nervosa, n = 46 and bulimia nervosa, n = 35) treated in a day-hospital program were asked, each week over an 8-week period, to identify the psychological meanings they ascribed to their eating disorder. Avoidance was the most frequently identified meaning, followed by mental strength, security, death, confidence, identity, care, and communication. Avoidance was more frequently mentioned by participants with bulimia than in cases of anorexia. Security and mental strength were associated with less motivation toward treatment. Death was associated with more depressive and anxious symptoms. An exploratory factor analysis showed that these meanings formed three main dimensions: Avoidance, Intrapsychic, and Relational. Findings suggest that psychological meanings associated with eating disorders can be assessed and used as a clinical tool to increase treatment acceptability and effectiveness.
