2011 issue 3

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Volume 20, issue 3

Original paper

Non-specific psychopathological symptoms, motivational factors and sense of coherence in patients with anorexia and bulimia nervosa

Paweł Sala1, Witold Simon1
1. Klinika Nerwic, Instytut Psychiatrii i Neurologii, Warszawa
Postępy Psychiatrii i Neurologii 2011; 20(3): 185–191
Keywords: anorexia nervosa, bulimia nervosa, sense of coherence, treatment motivation

Abstract

Objectives. The aim of the study was to compare patients with either anorexia or bulimia nervosa for differences in severity of nonspecific psychopathological symptoms, motivational factors and sense of coherence levels, and to establish mutual relationships between these variables.
Methods. Two groups of 35 patients each, diagnosed with either anorexia nervosa or bulimia nervosa by the ICD-10 criteria, and a comparative group of 35 patients with neurotic disorders were examined using a number of questionnaires: the HSCL in a Polish adaptation for symptom assessment, a Motivation Questionnaire (KM), and the Orientation to Life (SOC-29) scale to measure sense of coherence. The participants were examined twice, at the time of qualification for inpatient treatment (T1), and on admission (T2).
Results. At T1 (qualification for treatment) patients with anorexia as compared to those with bulimia revealed more severe non-specific psychopathological symptoms and higher motivation to treatment. On admission (T2) the differences were no longer significant. In both groups sense of coherence was lower.
Conclusions. In patients with anorexia nervosa non-specific psychopathological symptoms may be associated with higher motivation to treatment. The level of sense of coherence did not differentiate between the two types of eating disorders.

Address for correspondence:
dr n.med. Paweł Sala
Klinika Nerwic, Instytut Psychiatrii i Neurologii
ul. Sobieskiego 9, 02-957 Warszawa
Tel 22-4582700
e-mail: sala@ipin.edu.pl