Disordered Eating, Body Dissatisfaction, and Psychological Distress in Patients with Inflammatory Bowel Disease (IBD)

Jamie Wabich*, Emanuelle Bellaguarda, Cara Joyce, Laurie Keefer, Sarah Kinsinger

*Corresponding author for this work

Research output: Contribution to journalArticle

1 Scopus citations

Abstract

Little is known about eating attitudes and behaviors in patients with inflammatory bowel disease (IBD). The aim of this study was to explore the extent of disordered eating behaviors in a sample of patients with IBD and the association between demographic and disease-related variables and disordered eating. One hundred nine adults completed questionnaires during an outpatient visit to an academic IBD center. Questionnaires included demographic and disease characteristics, the eating attitudes test (EAT-26), the Body Image Scale, and the Brief Symptom Inventory. On the EAT-26, 13% of patients met the screening cutoff whereby further evaluation for an eating disorder is recommended, and 81% of patients responded affirmatively to at least one item determined by study investigators to represent pathological eating attitudes. Elevated scores on the EAT-26 were associated with being female, underweight, having IBD diagnosed during childhood, psychological distress and body image disturbance. These findings indicate that many patients with IBD may struggle with maladaptive attitudes toward eating.

Original languageEnglish (US)
Pages (from-to)310-317
Number of pages8
JournalJournal of Clinical Psychology in Medical Settings
Volume27
Issue number2
DOIs
StatePublished - Jun 1 2020

Keywords

  • Body image
  • Crohn's disease
  • Disordered eating
  • Eating attitudes
  • Inflammatory bowel disease
  • Ulcerative colitis

ASJC Scopus subject areas

  • Clinical Psychology

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