Seong Sook Kong

doi:10.4040/jkan.2009.39.4.459

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Original Article
Impact of Eating Psychopathology, Obsessive-Compulsion and Depression on Self-Harm Behavior in Patients with Eating Disorders: Seong Sook Kong; Journal of Korean Academy of Nursing 2009;39(4):459-468.
DOI: https://doi.org/10.4040/jkan.2009.39.4.459
Published online: August 31, 2009

Associate Professor, Department of Nursing, Soonchunhyang University, Cheonan, Korea.

Address reprint requests to: Kong, Seong Sook. Department of Nursing, Soonchunhyang University, 366-1 Ssangyong-dong, Cheonan 330-090, Korea. Tel: 82-41-570-2488, Fax: 82-41-575-9347, kongsun@sch.ac.kr

• Received: December 17, 2008 • Revised: December 18, 2008 • Accepted: July 8, 2009

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Abstract
REFERENCES

Abstract

Purpose
The purpose of the study was to investigate psychological factors such as eating psychopathology, depression, and obsessive-compulsion that might influence self-harm behavior in patients with eating disorders.
Methods
Patients with eating disorders (n=135) who visited "M" clinic for eating disorders participated in the study. Data were collected from March to August 2007 using the Eating Disorder Inventory-2, Beck Depression Inventory, Maudsley Obsessional-Compulsive Inventory, and Self-Harm Inventory (SHI).
Results
The participants scored high on self-harm as well as on depression and obsessive-compulsion. On the SHI, a high frequency of self harm behavior such as 'torturing self with self-defeating thoughts', 'abused alcohol', 'hit self', and 'suicide attempt' were found for the participants. There were significant correlations between most eating psychopathology variables, depression, obsessive-compulsion, and self-harm behavior. 'Interoceptive awareness' (eating psychopathology), depression, and 'checking' (obsessive-compulsion) were significant predictors of self-harm behavior.
Conclusion
Future interventions for patients with eating disorders should focus on assessing the possibility of self-harm and suicidal attempts, especially in those patients with high levels of eating psychopathology, depression, or obsessive-compulsion. Early intervention for depression and obsessive-compulsion could contribute to preventing self-harm and suicide in patients with eating disorders.
Keywords: Eating disorders; Depression; Obsessive-compulsive; Self-harm

REFERENCES

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Table 1

Demographic and Clinical Characteristics of Participants (N=135)

BMI=body mass index; EDNOS=eating disorders not otherwise specified.

Table 2

Major Variables of Participants according to Self-Harm Behavior (N=135)

EDI=Eating Disorders Inventory; BDI=Beck Depression Inventory; MOCI=Maudsley Obsessional-Compulsive Inventory.

Table 3

Correlations among Self-Harm Behavior, Eating Psychopathology, Depression and Obsessive-Compulsion

Table 4

Stepwise Multiple Regression of Eating Psychopathology, Depression and Obsessive-Compulsion for Self-Harm Behavior

EDI=Eating Disorders Inventory.

Figure & Data

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Impact of Eating Psychopathology, Obsessive-Compulsion and Depression on Self-Harm Behavior in Patients with Eating Disorders

J Korean Acad Nurs. 2009;39(4):459-468. Published online August 31, 2009

DOI: https://doi.org/10.4040/jkan.2009.39.4.459

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Impact of Eating Psychopathology, Obsessive-Compulsion and Depression on Self-Harm Behavior in Patients with Eating Disorders

Table 1

Demographic and Clinical Characteristics of Participants (N=135)

BMI=body mass index; EDNOS=eating disorders not otherwise specified.

Table 2

Major Variables of Participants according to Self-Harm Behavior (N=135)

EDI=Eating Disorders Inventory; BDI=Beck Depression Inventory; MOCI=Maudsley Obsessional-Compulsive Inventory.

Table 3

Correlations among Self-Harm Behavior, Eating Psychopathology, Depression and Obsessive-Compulsion

Table 4

Stepwise Multiple Regression of Eating Psychopathology, Depression and Obsessive-Compulsion for Self-Harm Behavior

EDI=Eating Disorders Inventory.

Table 1 Demographic and Clinical Characteristics of Participants (N=135)

BMI=body mass index; EDNOS=eating disorders not otherwise specified.

Table 2 Major Variables of Participants according to Self-Harm Behavior (N=135)

EDI=Eating Disorders Inventory; BDI=Beck Depression Inventory; MOCI=Maudsley Obsessional-Compulsive Inventory.

Table 3 Correlations among Self-Harm Behavior, Eating Psychopathology, Depression and Obsessive-Compulsion

Table 4 Stepwise Multiple Regression of Eating Psychopathology, Depression and Obsessive-Compulsion for Self-Harm Behavior