Advertisement

Quality of Life Research

, Volume 22, Issue 2, pp 273–281 | Cite as

Self-reported history of anorexia nervosa and current quality of life: findings from a community-based study

  • D. Mitchison
  • P. Hay
  • J. Mond
  • S. Slewa-Younan
Article

Abstract

Purpose

To evaluate the impact of a lifetime history of anorexia nervosa (AN) on current quality of life (QoL) and eating disorder (ED) symptomatology.

Method

3,034 participants from a randomly selected sample of households in the Australian population were interviewed for current ED symptoms and QoL (SF-36).

Results

89 participants (2.9 %) reported a history of AN, 73 of whom were female. These participants scored lower on six of the eight subscales on the SF-36, including all of the mental health subscales, and were more likely to report binge eating and extreme weight or shape concerns than participants who did not report a history of AN. On the other hand, participants who reported a history of AN were less likely to be overweight. None of the participants who reported a history of AN met current criteria for AN; however, one met criteria for bulimia nervosa non-purging subtype and four met criteria for binge eating disorder. The endorsement of current ED symptoms was found to moderate the impact of a history of AN on scores of the social functioning and role limitations due to emotional health SF-36 subscales, such that participants who reported a history of AN scored lower on these subscales if they also reported current ED symptoms.

Conclusions

A history of AN has a deleterious impact on current QoL, despite remittance from the disorder. This may be explained in part by the presence of certain ED symptoms, including objective binge eating and the persistence of extreme weight and shape concerns.

Keywords

Anorexia nervosa Quality of life Population Eating disorders Community-based study 

Notes

Acknowledgments

The study was funded by a University of Western Sydney School of Medicine seeding grant to Professor Hay. Ms Mitchison is supported by a University of Western Sydney Postgraduate Research Award.

Conflict of interest

None.

References

  1. 1.
    Jenkins, P. E., Hoste, R. R., Meyer, C., & Blissett, J. M. (2011). Eating disorders and quality of life: A review of the literature. Clinical Psychology Review, 31(1), 113–121.PubMedCrossRefGoogle Scholar
  2. 2.
    Abraham, S. F., Brown, T., Boyd, C., Luscombe, G., & Russell, J. (2006). Quality of life: Eating disorders. Australian and New Zealand Journal of Psychiatry, 40(2), 150–155. doi: 10.1111/j.1440-1614.2006.01762.x.PubMedCrossRefGoogle Scholar
  3. 3.
    Bamford, B., & Sly, R. (2010). Exploring quality of life in the eating disorders. European Eating Disorders Review, 18(2), 147–153.PubMedCrossRefGoogle Scholar
  4. 4.
    Munoz, P., Quintana, J. M., Las Hayas, C., Aguirre, U., Padierna, A., & Gonzalez-Torres, M. A. (2009). Assessment of the impact of eating disorders on quality of life using the disease-specific, Health-Related Quality of Life for Eating Disorders (HeRQoLED) questionnaire. Quality of Life Research: An International Journal of Quality of Life Aspects of Treatment, Care & Rehabilitation, 18(9), 1137–1146.CrossRefGoogle Scholar
  5. 5.
    Doll, H. A., Petersen, S. E., & Stewart-Brown, S. L. (2005). Eating disorders and emotional and physical well-being: Associations between student self-reports of eating disorders and quality of life as measured by the SF-36. Quality of Life Research: An International Journal of Quality of Life Aspects of Treatment, Care & Rehabilitation, 14(3), 705–717.CrossRefGoogle Scholar
  6. 6.
    Mond, J. M., Hay, P., Rodgers, B., Owen, C., & Beumont, P. (2005). Assessing quality of life in eating disorder patients. Quality of Life Research: An International Journal of Quality of Life Aspects of Treatment, Care & Rehabilitation, 14(1), 171–178.CrossRefGoogle Scholar
  7. 7.
    Padierna, A., Quintana, J., Arostegui, I., Gonzalez, N., & Horcajo, M. (2000). The health-related quality of life in eating disorders. Quality of Life Research, 9(6), 667–674. doi: 10.1023/a:1008973106611.PubMedCrossRefGoogle Scholar
  8. 8.
    Arkell, J., & Robinson, P. (2008). A pilot case series using qualitative and quantitative methods: Biological, psychological and social outcome in severe and enduring eating disorder (anorexia nervosa). International Journal of Eating Disorders, 41(7), 650–656.PubMedCrossRefGoogle Scholar
  9. 9.
    Mond, J. M., Hay, P. J., Rodgers, B., & Owen, C. (2007). Health service utilization for eating disorders: Findings from a community-based study (Vol. 40, pp. 399–408). Wiley Subscription Services, Inc., A Wiley Company.Google Scholar
  10. 10.
    Cachelin, F. M., & Striegel-Moore, R. H. (2006). Help seeking and barriers to treatment in a community sample of Mexican American and European American women with eating disorders. International Journal of Eating Disorders, 39(2), 154–161.PubMedCrossRefGoogle Scholar
  11. 11.
    Hart, L., Granillo, M., Jorm, A., & Paxton, S. (2011). Unmet need for treatment in the eating disorders: A systematic review of eating disorder specific treatment seeking among community cases. Clinical Psychology Review, 31, 727–735.PubMedCrossRefGoogle Scholar
  12. 12.
    Mond, J. M., Hay, P. J., Darby, A., Paxton, S. J., Quirk, F., Buttner, P., et al. (2009). Women with bulimic eating disorders: When do they receive treatment for an eating problem? Journal of Consulting and Clinical Psychology, 77(5), 835–844.PubMedCrossRefGoogle Scholar
  13. 13.
    Hay, P. (2003). Quality of life and bulimic eating disorder behaviors: Findings from a community-based sample (Vol. 33, pp. 434–442). Wiley Subscription Services, Inc., A Wiley Company.Google Scholar
  14. 14.
    Wade, T. D., Bergin, J. L., Tiggemann, M., Bulik, C. M., & Fairburn, C. G. (2006). Prevalence and long-term course of lifetime eating disorders in an adult Australian twin cohort. Australian and New Zealand Journal of Psychiatry, 40(2), 121–128. doi: 10.1111/j.1440-1614.2006.01758.x.PubMedCrossRefGoogle Scholar
  15. 15.
    Wade, T., Andrew, H., Abraham, S., Treloar, S., Martin, N. G., & Tiggemann, M. (1996). Assessing the prevalence of eating disorders in an Australian twin population. Australian and New Zealand Journal of Psychiatry, 30, 845–851.PubMedCrossRefGoogle Scholar
  16. 16.
    Bulik, C. M., Sullivan, P. F., Tozzi, F., Furberg, H., Lichtenstein, P., & Pedersen, N. L. (2006). Prevalence, heritability, and prospective risk factors for anorexia nervosa. Archives of General Psychiatry, 63(3), 305–312. doi: 10.1001/archpsyc.63.3.305.PubMedCrossRefGoogle Scholar
  17. 17.
    Government of South Australia, Department of Health. (2008). Health Omnibus Survey 2008. http://www.health.sa.gov.au/pros/Default.aspx?tabid. Accessed 18 March 2011.
  18. 18.
    Fairburn, C. G., & Cooper, Z. (1993). The eating disorder examination. In C. G. Fairburn & G. Wilson (Eds.), Binge eating: Nature, assessment and treatment (12th ed.). New York: Guildford Press.Google Scholar
  19. 19.
    Ware, J., Kosinski, M., & Keller, S. (1994). SF-36 physical and mental health summary scales: A user’s manual. Boston: The Health Institute.Google Scholar
  20. 20.
    McCallum, J. (1995). The SF-36 in an Australian sample: Validating a new, generic health status measure. Australian Journal of Public Health, 19, 160–166.PubMedCrossRefGoogle Scholar
  21. 21.
    Australian Bureau of Statistics (ABS). (1995). National Health Survey: SF-36 population norms, Australia. Canberra.Google Scholar
  22. 22.
    World Health Organisation (WHO). (2000). Obesity: Preventing and managing the global epidemic. Report of a WHO consultation. WHO Technical Report Series, 894, 1–253.Google Scholar
  23. 23.
    Mond, J. M., Hay, P. J., Rodgers, B., & Owen, C. (2007). Recurrent binge eating with and without the ‘undue influence of weight or shape on self-evaluation’: Implications for the diagnosis of binge eating disorder. Behaviour Research and Therapy, 45(5), 929–938.PubMedCrossRefGoogle Scholar
  24. 24.
    Björk, T., Clinton, D., & Norring, C. (2011). The impact of different outcome measures on estimates of remission in a 3-year follow-up of eating disorders. European Eating Disorders Review, 19(1), 2–11. doi: 10.1002/erv.1031.PubMedCrossRefGoogle Scholar
  25. 25.
    American Psychiatric Association (APA). (2000). Diagnostic and statistical manual for mental disorders (4th ed., text revision ed.). Washington DC: American Psychiatric Association.Google Scholar
  26. 26.
    Mond, J., & Arrighi, A. (2011). Gender differences in perceptions of the severity and prevalence of eating disorders. Early Intervention in Psychiatry, 5, 41–49.PubMedCrossRefGoogle Scholar
  27. 27.
    González-Pinto, A., Inmaculada, F., Cristina, R., de Corres Blanca, F., Sonsoles, E., Fernando, R., et al. (2004). Purging behaviors and comorbidity as predictive factors of quality of life in anorexia nervosa. International Journal of Eating Disorders, 36(4), 445–450. doi: 10.1002/eat.20058.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media B.V. 2012

Authors and Affiliations

  • D. Mitchison
    • 1
  • P. Hay
    • 1
    • 2
  • J. Mond
    • 3
  • S. Slewa-Younan
    • 1
  1. 1.School of MedicineUniversity of Western SydneyPenrithAustralia
  2. 2.School of MedicineJames Cook UniversityTownsvilleAustralia
  3. 3.School of SociologyAustralian National UniversityCanberraAustralia

Personalised recommendations