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Multi-dimensional self-esteem and magnitude of change in the treatment of anorexia nervosa.

Collin, Paula; Karatzias, Thanos; Power, Kevin; Howard, Ruth; Grierson, David; Yellowlees, Alex


Paula Collin

Kevin Power

Ruth Howard

David Grierson

Alex Yellowlees


Self-esteem improvement is one of the main targets of inpatient eating disorder programmes. The present study sought to examine multi-dimensional self-esteem and magnitude of change in eating psychopathology among adults participating in a specialist inpatient treatment programme for anorexia nervosa. A standardised assessment battery, including multi-dimensional measures of eating psychopathology and self-esteem, was completed pre- and post-treatment for 60 participants (all white Scottish female, mean age=25.63 years). Statistical analyses indicated that self-esteem improved with eating psychopathology and weight over the course of treatment, but that improvements were domain-specific and small in size. Global self-esteem was not predictive of treatment outcome. Dimensions of self-esteem at baseline (Lovability and Moral Self-approval), however, were predictive of magnitude of change in dimensions of eating psychopathology (Shape and Weight Concern). Magnitude of change in Self-Control and Lovability dimensions were predictive of magnitude of change in eating psychopathology (Global, Dietary Restraint, and Shape Concern). The results of this study demonstrate that the relationship between self-esteem and eating disorder is far from straightforward, and suggest that future research and interventions should focus less exclusively on self-esteem as a uni-dimensional psychological construct

Journal Article Type Article
Acceptance Date Jan 21, 2016
Online Publication Date Jan 22, 2016
Publication Date Mar 30, 2016
Deposit Date Mar 7, 2016
Publicly Available Date Jan 23, 2017
Journal Psychiatry Research
Print ISSN 0165-1781
Electronic ISSN 1872-7123
Publisher Elsevier
Peer Reviewed Peer Reviewed
Volume 237
Pages 175-181
Keywords Anorexia nervosa; Self-esteem; Treatment outcome; Inpatient treatment;
Public URL
Publisher URL
Contract Date Mar 7, 2016