SciELO - Scientific Electronic Library Online

vol.35 issue2Association between anxiety symptoms and problematic alcohol use in adolescentsPrevalence of body image dissatisfaction and associated factors among physical education students author indexsubject indexarticles search
Home Pagealphabetic serial listing  

Services on Demand




Related links


Trends in Psychiatry and Psychotherapy

Print version ISSN 2237-6089


MOSER, Carolina Meira et al. Impairment in psychosocial functioning in patients with different subtypes of eating disorders. Trends Psychiatry Psychother. [online]. 2013, vol.35, n.2, pp.111-118. ISSN 2237-6089.

OBJECTIVE: To examine psychosocial functioning in eating disorder (ED) patients with restrictive and purgative subtypes. METHOD: Forty-four adult female patients with a diagnosis of ED were divided into restrictive (RP) and purgative (PP) groups according the presence of purgative symptoms. Functioning was assessed using the Functioning Assessment Short Test (FAST) and the Global Assessment of Functioning Scale (GAF). RESULTS: No differences were found in total FAST scores or in specific domains between the RP (39.58±11.92) and PP (45.75±11.75) groups (p = 0.19). However, PP showed more severe functional impairment than RP in the financial domain (p < 0.01). There were no differences in comorbidity with mood disorders, depressive symptoms, or general psychiatric symptoms between the two ED subtypes. CONCLUSIONS: The similarities found between PP and PR in overall functioning and in autonomy, cognition, work, interpersonal relationships, and leisure seem to reflect the use of an objective scale that corresponds to the clinical impression. In fact, the assessment of psychosocial functioning in ED patients using self-report instruments requires careful consideration because results may reflect the egosyntonic nature of symptoms commonly observed in these patients, particularly in the restrictive subtype.

Keywords : Eating disorders; anorexia nervosa; bulimia nervosa; psychosocial factors.

        · abstract in Portuguese     · text in English     · English ( pdf )


Creative Commons License All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License