ArticleEating and weight disorders : EWD2021
Illness perception in patients with eating disorders: clinical, personality, and food addiction correlates.
Article in Eating and weight disorders : EWD, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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7 citing papers in PubMed, 13 citations in OpenAlex.
- Eating Disorder Risk and Its Biobehavioural Correlates in Italian University Students: The UniFoodWaste Study.Nutrients · 2026Article
- Illness Perceptions in Psychiatric Disorders: Assessing Differences and Associations With Symptom Severity.European eating disorders review : the journal of the Eating Disorders Association · 2026Article
- Understanding the structure of insight in eating disorders: validation of the SAI-ED in a Spanish clinical sample.Journal of eating disorders · 2025Article
- Examination of Gender Differences: Causal Attributions of Treatment-Seeking Individuals With Overweight and Obesity.Clinical psychology in Europe · 2024Article
- Gender and Emotional Representation Matter: Own Illness Beliefs and Their Relationship to Obesity.Frontiers in nutrition · 2022Article
- Impact of COVID-19 Lockdown in Eating Disorders: A Multicentre Collaborative International Study.Nutrients · 2021Observational
- Lifetime Weight Course as a Phenotypic Marker of Severity and Therapeutic Response in Patients with Eating Disorders.Nutrients · 2021Article
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Authors and funding
8 authors at 4 institutions in 1 country.
Funding
Abstract
purposeAlthough the role of illness perception in the clinical course of many physical diseases and certain mental disorders has been well described, little is known about illness perception in eating disorders (ED) so far. Therefore, the purpose of this study was to extend our understanding of illness perception in different ED diagnostic types and to explore its association between clinical, psychopathological, motivational, personality, and food addiction (FA) features.
methodsThe sample consisted of 104 patients with ED [(23 anorexia nervosa (AN), 39 bulimia nervosa (BN), 19 binge eating disorder (BED), and 23 other specified feeding and eating disorders (OSFED)]. Illness perception was assessed by means of the revised version of the Illness Perception Questionnaire (IPQ-R).
resultsThe results supported the association between illness perception and clinical, psychopathological, and personality factors. Patients with BN and BED showed greater illness perception than the other types. Improved illness perception was positively associated with a longer duration of the disorder and FA. Furthermore, a relevant finding suggests that at least half of the patients with ED did not achieve a good level of illness perception until after having the disorder for 20 years on average.
conclusionOur findings suggest that higher levels of FA and longer duration of the ED are positively and directly associated with increased illness perception. This may explain the low levels of initial motivation in these patients and their high dropout rates in the early stages of treatment. LEVEL OF EVIDENCE III: Case-control analytic study.
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