Relationship between desired weight constructs and eating disorder severity following treatment for anorexia nervosa

Hope K. Boyd*, Lindsay P. Bodell, Karen M. Jennings, Andrea K. Graham, Ross D. Crosby, Jennifer E. Wildes

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

Background: Desired weight is an indicator of illness severity in youth with anorexia nervosa (AN), but its impact on eating disorder symptoms over time and in adults is unknown. This study examined longitudinal associations between two desired weight constructs (desired weight percentage, weight difference percentage) and eating disorder severity and body mass index (BMI) in patients aged 16–62 years old with AN presenting for inpatient or day hospital treatment. Method: Participants (N = 160) completed the Eating Disorder Examination and measures of height and weight at treatment admission, discharge, and 3, 6, and 12 months post-discharge. Desired weight percentage was calculated as [desired BMI(desired weight in kg/height in meters 2 )/healthy BMI] × 100. weight difference percentage was calculated as [(actual weight-desired weight)/actual weight] × 100. Results: At admission, participants were approximately 78.6% of a healthy BMI and desired to be 81% of a healthy BMI. During the year following treatment, participants were 89% of a healthy BMI, but wanted to be 86% of a healthy BMI. Individuals with lower desired weight percentage (wanting to be a lower percentage of a healthy BMI) or higher weight difference percentage (wanting to lose a larger percentage of weight) at treatment admission endorsed greater eating disorder severity across time. Additionally, individuals with higher desired weight percentage or weight difference percentage had higher BMIs at intake, and greater increases in BMI over time. Discussion: Results highlight that desired weight constructs represent correlates of illness severity in AN and may inform an individual's likely weight trajectory during and after treatment.

Original languageEnglish (US)
Pages (from-to)870-878
Number of pages9
JournalInternational Journal of Eating Disorders
Volume51
Issue number8
DOIs
StatePublished - Aug 2018

Keywords

  • anorexia nervosa
  • desired weight
  • eating disorder severity

ASJC Scopus subject areas

  • Psychiatry and Mental health

Fingerprint Dive into the research topics of 'Relationship between desired weight constructs and eating disorder severity following treatment for anorexia nervosa'. Together they form a unique fingerprint.

Cite this