Self-reported history of anorexia nervosa and current quality of life: findings from a community-based study
To evaluate the impact of a lifetime history of anorexia nervosa (AN) on current quality of life (QoL) and eating disorder (ED) symptomatology.
3,034 participants from a randomly selected sample of households in the Australian population were interviewed for current ED symptoms and QoL (SF-36).
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.
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.
KeywordsAnorexia nervosa Quality of life Population Eating disorders Community-based study
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
- 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.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
- 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
- 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.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
- 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.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.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
- 21.Australian Bureau of Statistics (ABS). (1995). National Health Survey: SF-36 population norms, Australia. Canberra.Google Scholar
- 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
- 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
- 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