Psychodynamic profile and reflective functioning in patients with bulimia nervosa

Comprehensive Psychiatry
Birgit Bork MathiesenSusanne Lunn

Abstract

The aim of this study was to examine the general psychological functioning of patients suffering from bulimia nervosa (BN) using the Karolinska Psychodynamic Profile (KAPP). Furthermore, KAPP data and data from the Reflective Functioning scale (RF), measuring the ability to mentalize, were combined in order to examine differences in alexithymia, impulse control and affect regulation in patients with high or low RF. Seventy patients with BN were interviewed with both the KAPP and the Adult Attachment Interview (AAI) from which RF is coded. Differences in KAPP scores of patients with high or low RF were analyzed. Most of the patients with BN were found to have a personality structure within the normal or neurotic range (n=50 of 70). BN patients with a high RF had significantly lower scores on KAPP's alexithymia scale than patients with a low RF score, demonstrating that poor mentalizing is related to alexithymia. Concurrently, patients with high RF showed problems with impulse control and coping with aggressive affects according to KAPP scores. Although BN patients with high RF showed good capacities for describing their mental states, they still had difficulties regulating the emotions and impulses related to these states. Among...Continue Reading

References

Jan 1, 1991·Acta Psychiatrica Scandinavica·R M WeinrybM Asberg
Jan 1, 1991·Acta Psychiatrica Scandinavica·R M WeinrybM Asberg
Jan 1, 1991·Acta Psychiatrica Scandinavica. Supplementum·R M Weinryb, R J Rössel
Jan 1, 1995·Comprehensive Psychiatry·J M de GrootM P Olmsted
Oct 1, 1996·Child Development·J A Crowell Posada
Jan 4, 1998·Psychosomatic Medicine·R M WeinrybJ P Barber
Jun 28, 2001·Journal of Affective Disorders·C TurrinaE Sacchetti
Jan 10, 2002·The British Journal of Medical Psychology·A WardJ Treasure
May 26, 2005·Psychiatry Research·Mario SperanzaPhilippe Jeammet
Mar 31, 2006·Cognitive Neuropsychiatry·Birgit Bork Mathiesen, Robert M Weinryb
Feb 23, 2007·Psychology and Psychotherapy·Christian MüllerRalph Grabhorn
Aug 20, 2008·Behaviour Research and Therapy·Kristin BohnChristopher G Fairburn
Feb 4, 2012·European Eating Disorders Review : the Journal of the Eating Disorders Association·Signe Holm PedersenStig Poulsen
May 29, 2013·Cognitive Neuropsychiatry·Birgit B MathiesenKajsa Kvist
Oct 30, 2014·The International Journal of Psycho-analysis·Signe Holm PedersenSusanne Lunn
Sep 1, 2015·Journal of the American Psychoanalytic Association·Signe Holm PedersenSusanne Lunn

❮ Previous
Next ❯

Citations

Jul 18, 2021·European Eating Disorders Review : the Journal of the Eating Disorders Association·Almut ZeeckArmin Hartmann

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

European Eating Disorders Review : the Journal of the Eating Disorders Association
Signe Holm PedersenStig Poulsen
Journal of the American Psychoanalytic Association
Signe Holm PedersenSusanne Lunn
Psychological Assessment
Svenja TaubnerJohannes Zimmermann
© 2021 Meta ULC. All rights reserved