The present study was designed in an effort to address two general questions: (1) the primacy of social dysfunction in bulimia nervosa, and its potential as a risk factor in disease onset; and (2) the proximal antecedents of the binge eating episode in bulimic patients. Given the substantial clinical and empirical evidence of social impairment in this psychiatric group, as well as findings documenting the treatment effectiveness of Interpersonal Psychotherapy (a therapeutic program designed to exclusively address social disturbances) with bulimic patients, it has been speculated that difficulty with interpersonal relationships may be a predisposing factor in the development of bulimia. The present study sought to determine whether social problems could present as potential markers for later disturbances of eating in weight-preoccupied women. A comparison of bulimic patients with a group of restrained eaters and a group of unrestrained eaters on such features as social adjustment across domains of functioning, specific deficits in interpersonal transactions, and qualitative aspects of everyday social experiences was undertaken to determine whether deficits in the social sphere parallel the continuum of eating pathology. In support of previous research and consistent with predictions, bulimic subjects were found to display greater social maladjustment and interpersonal deficits, and to report more negative social interaction experiences than control subjects. Few dimensions of social dysfunction were found to differentiate restrained eaters from unrestrained eaters, thereby suggesting that bulimia nervosa and restrained eating are not continuous with regard to social problems. / Studies examining the proximal antecedents of binge eating episodes have suggested that negative affect reliably precedes binge eating, and as such, has been considered a precipitant to bulimic episodes. However, no previous empirical work has addressed the precursors of this negative mood state. The present study postulated an "interpersonal stress" model of the binge/purge episode which incorporates disturbances in social relatedness and negative interpersonal interaction as precipitants of the negative affect that characterizes the pre-binge state. The model was evaluated in a naturalistic investigation of social interaction experiences and eating behavior in a sample of clinical eating disorder patients. The interpersonal distress/negative affect/binging linkages postulated in the present study were supported, thus highlighting the significance of negative social interaction experiences in the elicitation of binge eating. The clinical implications of the present findings are substantial as they underscore the effectiveness of eating disorder treatment programs which consider interpersonal disturbances in their therapeutic interventions.

No description available.

Thesis (M.S.)--Virginia Polytechnic Institute and State University, 1991. / Vita. Abstract. Includes bibliographical references (leaves 105-112). Also available via the Internet.

Thesis (M.S.)--Virginia Polytechnic Institute and State University, 1994. / Vita. Abstract. Includes bibliographical references (leaves 67-70). Also available via the Internet.

Thesis (Ph. D.)--University of Washington, 1997. / Vita. Includes bibliographical references (leaves [59-68).

Thesis (Ph.D.)--York University, 2005. Graduate Programme in Psychology. / Typescript. Includes bibliographical references (leaves 166-181). Also available on the Internet. MODE OF ACCESS via web browser by entering the following URL: http://gateway.proquest.com/openurl?url_ver=Z39.88-2004&res_dat=xri:pqdiss&rft_val_fmt=info:ofi/fmt:kev:mtx:dissertation&rft_dat=xri:pqdiss:NR11569

Thesis (Ph. D.)--Carleton University, 1996. / Also available in electronic format on the Internet.

Thesis (D. Min.)--Westminster Theological Seminary, Philadelphia, 1986. / This is an electronic reproduction of TREN, #036-0008. Includes bibliographical references (leaves 258-265).

Submitted by Hiolanda Rêgo (hiolandar@gmail.com) on 2013-05-23T17:55:58Z No. of bitstreams: 1 Dissertação_Nut_ Thaisy Alves.pdf: 1569674 bytes, checksum: f4bbff2c05894068a8e606ad5e5e500f (MD5) / Approved for entry into archive by Flávia Ferreira(flaviaccf@yahoo.com.br) on 2013-05-29T23:51:38Z (GMT) No. of bitstreams: 1 Dissertação_Nut_ Thaisy Alves.pdf: 1569674 bytes, checksum: f4bbff2c05894068a8e606ad5e5e500f (MD5) / Made available in DSpace on 2013-05-29T23:51:38Z (GMT). No. of bitstreams: 1 Dissertação_Nut_ Thaisy Alves.pdf: 1569674 bytes, checksum: f4bbff2c05894068a8e606ad5e5e500f (MD5) / Estudo de corte transversal que objetivou identificar fatores associados aos sintomas de transtornos alimentares entre escolares de 7 a 14 anos na cidade de Salvador-BA. Foram avaliados 365 crianças e adolescentes. Determinou-se prevalência de sintomas de transtornos alimentares, insatisfação com a imagem corporal e problemas de comportamento por meio de instrumentos específicos. Avaliaram-se dados antropométricos e alimentares, estilo de vida, características demográficas, socioeconômicas e puberais dos escolares. Regressão de Poisson foi utilizada para avaliar as associações de interesse. Os sintomas de transtornos alimentares estavam presentes em 23% dos escolares avaliados. A idade (RP: 1,25; IC95%: 1,11-1,40), insatisfação com a imagem corporal (RP: 4,23; IC95%: 2,53-7,08), problema de comportamento de internalização (RP: 1,78; IC95%: 1,11-2,85), substituição das refeições por consumo de balas (RP: 2,14; IC95%: 1,24-3,69), consumo de frutas e outros vegetais (RP: 2,49; IC95%: 1,55-3,99) e escolaridade materna de 5ª a 8ª série (RP: 1,95; IC95%: 1,06-3,58), aumentam a prevalência, de forma significante, de sintomas de transtornos alimentares. A alta prevalência de sintomas de transtornos alimentares na população avaliada enfatiza a necessidade de intervenção sobre os fatores associados à sua ocorrência e o fornecimento de orientações apropriadas aos escolares, visando prevenir condutas que favorecem a ocorrência dos transtornos alimentares. / Salvador

El presente estudio tiene como objetivo identificar y analizar la percepción del vínculo materno y paterno en un grupo de jóvenes mujeres que sufren anorexia y bulimia nerviosa, así como indagar y describir las conexiones que establecen entre su condición actual de enfermedad y el vínculo con ambas figuras parentales. Para ello, se realizó una investigación cualitativa de corte narrativo. Se entrevistó en dos oportunidades a ocho pacientes con anorexia y bulimia, quienes se encuentran en diferentes estadios del tratamiento. Las entrevistas se centraron en la relación con la madre, el padre; y vivencias sobre su infancia en torno a las experiencias tempranas con los cuidadores primarios. Se encontró que el vínculo con sus madres y padres es entendido como negligente y violento, y los orígenes de su enfermedad son relacionados con experiencias tempranas de violencia en casa y abuso sexual. / This study aims to identify and analyze the perception of the relationship with parents in young patients with anorexia and bulimia nervosa, as well as investigate and describe the connections established between their current disease status, and relationships with both parents. For this, a qualitative and narrative research was conducted. Interviews were conducted with eight patients with anorexia and bulimia. The interviews focused on the issue of relations with their mothers, fathers and experiences and/or memories about their childhood around early experiences with primary caregivers. It was found that the bond with their mothers and fathers is understood as negligent and violent, and relate the origins of their disease with early experiences as violence at home and sexual abuse.