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Anorexia Nervosa und Bulimia Nervosa: Ein Individuationsversuch?

Die Motive Autonomie, Autarkie und Kontrolle bei Essstörungen

Published Online:August 13, 2015https://doi.org/10.1026/1616-3443/a000305

Abstract

Zusammenfassung. Theoretischer Hintergrund: Verschiedene Theorien thematisieren Konflikte um Autonomie, Autarkie und Kontrolle in der Ätiologie von Essstörungen. Fragestellung: Diese Studie untersucht die bisher kaum empirisch überprüfte Hypothese zu einem hohen Autonomie-, Autarkie- und Kontrolle-Motiv im Zusammenhang mit Essstörungen. Methode: Insgesamt 270 ProbandInnen ohne und mit den Essstörungen Anorexia Nervosa (AN), Bulimia Nervosa (BN), Binge Eating Disorder (BED) und remittierten Essstörungen (REC) beantworteten den Fragebogen zur Analyse Motivationaler Schemata (FAMOS). Ergebnisse: ProbandInnen mit Essstörungen berichteten ein höheres Autonomie-, Autarkie- und Kontrolle-Motiv als ProbandInnen ohne Essstörungen. Außerdem zeigten sich Unterschiede in den Motiven zwischen den Essstörungsdiagnosen. Schlussfolgerungen: Die Studienergebnisse deuten auf einen Zusammenhang zwischen einem ausgeprägten Autonomie-, Autarkie- und Kontrolle-Motiv und Essstörungen hin, der für die Therapie von Essstörungen relevant sein könnte.


Anorexia Nervosa and Bulimia Nervosa: An Individuation Attempt? The Autonomy, Self-Sufficiency and Control Motive in Eating Disorders

Abstract. Background: Several theories discuss autonomy, self-sufficiency, and control conflicts in the etiology of eating disorders. Objective: This study examines the insufficiently studied hypothesis of a strong autonomy, self-sufficiency, and control motive in eating disorders. Method: A total sample of 270 participants without and with the eating disorders anorexia nervosa (AN), bulimia nervosa (BN), binge eating disorder (BED), and remitted eating disorders (REC) completed the Inventory of Approach and Avoidance Motivation (IAAM). Results: Participants with eating disorders reported a stronger autonomy, self-sufficiency, and control motive than participants without eating disorders did. Differences were found in the motives between the various eating disorders. Conclusion: The present findings indicate an association between a pronounced autonomy, self-sufficiency, and control motive and eating disorders, which may be relevant for the therapy of eating disorders.

Literatur

  • Amianto, F., Abbate-Daga, G., Morando, S., Sobrero, C. & Fassino, S. (2011). Personality development characteristics of women with anorexia nervosa, their healthy siblings and healthy controls: What prevents and what relates to psychopathology? Psychiatry Research, 187, 401 – 408. First citation in articleCrossref, Google Scholar

  • Arbeitskreis zur Operationalisierung Psychodynamischer Diagnostik (Hrsg.) (2009). Operationalisierte Psychodynamische Diagnostik OPD-2: Das Manual für Diagnostik und Therapieplanung (2. Aufl.). Bern: Huber. First citation in articleGoogle Scholar

  • Arcelus, J., Haslam, M., Farrow, C. & Meyer, C. (2013). The role of interpersonal functioning in the maintenance of eating psychopathology: A systematic review and testable model. Clinical Psychology Review, 33, 156 – 167. First citation in articleCrossref, Google Scholar

  • Bardone-Cone, A. M., Wonderlich, S. A., Frost, R. O., Bulik, C. M., Mitchell, J. E. & Uppala, S. et al. (2007). Perfectionism and eating disorders: Current status and future directions. Clinical Psychological Review, 27, 384 – 405. First citation in articleCrossref, Google Scholar

  • Beattie, H. J. (1988). Eating disorders and the mother-daughter relationship. International Journal of Eating Disorders, 7, 453 – 460. First citation in articleCrossref, Google Scholar

  • Bodell, L. P., Smith, A. R., Holm-Denoma, J. M., Gordon, K. H. & Joiner, T. E. (2011). The impact of perceived social support and negative life events on bulimic symptoms. Eating Behaviors, 12 (1), 44 – 48. First citation in articleCrossref, Google Scholar

  • Brockmeyer, T., Grosse Holtforth, M., Bents, H., Kämmerer, A., Herzog, W. & Friederich, H. C. (2013). Interpersonal motives in anorexia nervosa: The fear of losing one′s autonomy. Journal of Clinical Psychology, 69, 278 – 289. First citation in articleCrossref, Google Scholar

  • Bruch, H. (1991). Eßstörungen: Zur Psychologie und Therapie von Übergewicht und Magersucht. Frankfurt am Main: Fischer. First citation in articleGoogle Scholar

  • Cassin, S. E. & von Ranson, K. M. (2005). Personality and eating disorders: A decade in review. Clinical Psychology Review, 25, 895 – 916. First citation in articleCrossref, Google Scholar

  • Dingemans, A. E., Spinhoven, P. & van Furth, E. F. (2006). Maladaptive core beliefs and eating disorder symptoms. Eating Behaviors, 7, 258 – 265. First citation in articleCrossref, Google Scholar

  • Evans, L. & Wertheim, E. H. (1998). Intimacy patterns and relationship satisfaction of women with eating problems and the mediating effects of depression, trait anxiety and social anxiety. Journal of Psychosomatic Research, 44, 355 – 365. First citation in articleCrossref, Google Scholar

  • Geller, J., Brown, K. E. & Srikameswaran, S. (2011). The efficacy of a brief motivational intervention for individuals with eating disorders: A randomized control trial. International Journal of Eating Disorders, 44 (1), 497 – 505. First citation in articleCrossref, Google Scholar

  • Grawe, K. (1998). Psychologische Therapie. Göttingen: Hogrefe. First citation in articleGoogle Scholar

  • Grawe, K. (2004). Neuropsychotherapie. Göttingen: Hogrefe. First citation in articleGoogle Scholar

  • Grosse Holtforth, M. & Castonguay, L. G. (2005). Relationship and techniques in cognitive-behavioral therapy–A motivational approach. Psychotherapy: Theory, Research, Practice, Training, 42, 443 – 455. First citation in articleCrossref, Google Scholar

  • Grosse Holtforth, M. & Grawe, K. (2000). Fragebogen zur Analyse Motivationaler Schemata (FAMOS). Zeitschrift für Klinische Psychologie und Psychotherapie, 29, 170 – 179. First citation in articleLink, Google Scholar

  • Grosse Holtforth, M. & Grawe, K. (2002). Fragebogen zur Analyse Motivationaler Schemata (FAMOS): Manual. Göttingen: Hogrefe. First citation in articleGoogle Scholar

  • Grosse Holtforth, M. & Grawe, K. (2003). Der Inkongruenzfragebogen (INK). Ein Messinstrument zur Analyse motivationaler Inkongruenz. Zeitschrift für Klinische Psychologie und Psychotherapie, 32, 315 – 323. First citation in articleLink, Google Scholar

  • Heckhausen, H. (2010). Motivation und Handeln (4. überarb. u. erw. Aufl.). Berlin: Springer. First citation in articleCrossref, Google Scholar

  • Hötzel, K., Michalak, J., Striegler, K., Dörries, A., von Brachel, R. & Braks, K. et al. (2012). Explizite Lebensziele von Patientinnen mit Anorexia und Bulimia nervosa. Verhaltenstherapie, 22, 173 – 180. First citation in articleCrossref, Google Scholar

  • Horesh, N., Zalsman, G. & Apter, A. (2000). Internalized anger, self-control, and mastery experience in inpatient anorexic adolescents. Journal of Psychosomatic Research, 49, 247 – 253. First citation in articleCrossref, Google Scholar

  • Kiang, L. & Harter, S. (2006). Sociocultural values of appearance and attachment processes: An integrated model of eating disorder symptomatology. Eating Behaviors, 7, 134 – 151. First citation in articleCrossref, Google Scholar

  • Lilenfeld, L. R. R., Wonderlich, S., Riso, L. P., Crosby, R. & Mitchell, J. E. (2006). Eating disorders and personality: A methodological and empirical review. Clinical Psychology Review, 26, 299 – 320. First citation in articleCrossref, Google Scholar

  • Löwe, B., Quenter, A., Wilke, S. & Nikendei, C. (2004). Diagnosekriterien und Psychodynamik. In W. HerzogD. MunzH. KächeleHrsg., Essstörungen–Therapieführer und psychodynamische Behandlungskonzepte (S. 16 – 30). Stuttgart: Schattauer. First citation in articleGoogle Scholar

  • Luyten, P. & Blatt, S. J. (2011). Integrating theory-driven and empirically-derived models of personality development and psychopathology: A proposal for DSM V. Clinical Psychology Review, 31, 52 – 68. First citation in articleCrossref, Google Scholar

  • Miller, W. R. & Rollnick, S. (1991). Motivational interviewing: Preparing people to change addictive behavior. New York, NY: Guilford Press. First citation in articleGoogle Scholar

  • Milos, G., Spindler, A., Buddeberg, C. & Crameri, A. (2003). Axes I and II comorbidity and treatment experiences in eating disorder subjects. Psychotherapy and Psychosomatics, 72 , 276 – 285. First citation in articleCrossref, Google Scholar

  • Minuchin, S., Rosman, B. L. & Baker, L. (1981). Psychosomatische Krankheiten in der Familie. Konzepte der Humanwissenschaften. Stuttgart: Klett-Cotta. First citation in articleGoogle Scholar

  • Moulding, N. T. (2006). Disciplining the feminine: The reproduction of gender contradictions in the mental health care of women with eating disorders. Social Science & Medicine, 62, 793 – 804. First citation in articleCrossref, Google Scholar

  • Nishimura, H., Komaki, G., Ando, T., Nakahara, T., Oka, T. & Kawai, K. et al. (2008). Psychological and weight-related characteristics of patients with anorexia nervosa-restricting type who later develop bulimia nervosa. BioPsychoSocial Medicine, 2, 5. First citation in articleCrossref, Google Scholar

  • Nordbø, R. H. S., Gulliksen, K. S., Espeset, E. M. S., Skårderud, F., Geller, J. & Holte, A. (2008). Expanding the concept of motivation to change: The content of patients’ wish to recover from anorexia nervosa. International Journal of Eating Disorders, 41, 635 – 642. First citation in articleCrossref, Google Scholar

  • Polivy, J. & Herman, C. P. (2002). Causes of Eating Disorders. Annual Review of Psychology, 53, 187 – 213. First citation in articleCrossref, Google Scholar

  • Reich, G. (2003). Familientherapie der Essstörungen. In M. CierpkaA. Riehl-EmdeM. SchmidtSchneewind, K. A.Hrsg., Praxis der Paar- und Familientherapie (Bd. 1). Göttingen: Hogrefe. First citation in articleGoogle Scholar

  • Rogers, R. L. & Petrie, T. A. (2001). Psychological correlates of anorexic and bulimic symptomatology. Journal of Counseling & Development, 79, 178 – 187. First citation in articleCrossref, Google Scholar

  • Selvini Palazzoli, M. (1984). Magersucht: von der Behandlung einzelner zur Familientherapie. Konzepte der Humanwissenschaften (2. Aufl.). Stuttgart: Klett-Cotta. First citation in articleGoogle Scholar

  • Smink, F. R. E., van Hoeken, D. & Hoek, H. W. (2012). Epidemiology of eating disorders: Incidence, prevalence and mortality rates. Current Psychiatry Report, 14, 406 – 414. First citation in articleCrossref, Google Scholar

  • Speranza, M., Corcos, M., Godart, N., Loas, G., Guilbaud, O & Jeammet, P. et al. (2001). Obsessive compulsive disorders in eating disorders. Eating Behaviors, 2, 193 – 207. First citation in articleCrossref, Google Scholar

  • Tetley, A., Moghaddam, N. G., Dawson, D. L. & Rennoldson, M. (2014). Parental bonding and eating disorders: A systematic review. Eating Behaviors, 15, 49 – 59. First citation in articleCrossref, Google Scholar

  • Treasure, J., Crane, A., McKnight, R., Buchanan, E. & Wolfe, M. (2011). First do no harm: Iatrogenic maintaining factors in anorexia nervosa. European Eating Disorders Review, 19, 296 – 302. First citation in articleCrossref, Google Scholar

  • Vandereycken, W. & Vansteenkiste, M. (2009). Let eating disorder patients decide: Providing choice may reduce early drop-out from inpatient treatment. European Eating Disorders Review, 17, 177 – 183. First citation in articleCrossref, Google Scholar

  • van der Kaap-Deeder, J., Vansteenkiste, M., Soenens, B., Verstuyf, J., Boone, L. & Smets, J. (2014). Fostering self-endorsed motivation to change in patients with an eating disorder: The role of perceived autonomy support and psychological need satisfaction. International Journal of Eating Disorders. doi: 10.1002/eat.22266 First citation in articleGoogle Scholar

  • Verstuyf, J., Patrick, H., Vansteenkiste, M. & Teixeira, P. J. (2012). Motivational dynamics of eating regulation: A self-determination theory perspective. Journal Of Behavioral Nutrition And Physical Activity, 9 (1), 21. First citation in articleCrossref, Google Scholar

  • Zborowski, M. J. (1998). A comprehensive investigation of putative correlates of bulimia among college-aged women: Object relations, dependency, ego defenses, trait anxiety, and depression. Addictive Behaviors, 23 (1), 47 – 55. First citation in articleGoogle Scholar