Psychiatry Investig.  2011 Mar;8(1):9-14.

Different Patterns of Emotional Eating and Visuospatial Deficits Whereas Shared Risk Factors Related with Social Support between Anorexia Nervosa and Bulimia Nervosa

• Kim YR
• Lim SJ
• Treasure J

Abstract

OBJECTIVE
Although it is thought that eating disorders result from the interplay of personal and sociocultural factors, a comprehensive model of eating disorders remains to be established. The aim of this study was to determine the extent to which the childhood factors and deficit in visuoperceptual ability contribute to eating disorders.
METHODS
A total of 76 participants - 22 women with anorexia nervosa (AN), 28 women with bulimia nervosa (BN), and 26 healthy women of comparable age, IQ, and years of education - were examined. Neuropsychological tasks were applied to measure the visuoperceptual deficits, viz. the Rey-Osterrieth complex figure test and the group embedded figures test (GEFT). A questionnaire designed to obtain retrospective assessments of the childhood risk factors was administered to the participants.
RESULTS
The women with both AN and BN were less likely to report having supportive figures in their childhood and poor copy accuracy in the Rey-Osterrieth test. The women with AN were more likely to report premorbid anxiety, childhood emotional undereating and showed poor performances in the GEFT. In the final model, the factors independently contributing to the case status were less social support in childhood as a common factor for both AN and BN, and childhood emotional undereating and poor ability in the low-level visuospatial processing for AN.
CONCLUSION
Our results suggest the disturbance in the food-emotion relationship and the deficit in low-level visuospatial processing in people with AN. Lower social support appears to contribute to an increase in vulnerability to both AN and BN.

Keyword

Childhood risk factors; Emotional eating; Visuospatial ability; Anorexia nervosa; Bulimia nervosa

MeSH Terms

Anorexia
Anorexia Nervosa
Anxiety
Bulimia
Bulimia Nervosa
Coat Protein Complex I
Eating
Feeding and Eating Disorders
Female
Humans
Surveys and Questionnaires
Retrospective Studies
Risk Factors
Coat Protein Complex I