Self-recognition of disordered eating among women with bulimic-type eating disorders: A community-based study

Objective: Self-recognition of eatingdisordered behavior was examined in a community sample of young adult women (n ¼ 158) with bulimic eating disorders.

Method: A vignette was presented describing a fictional person meeting diagnostic criteria for bulimia nervosa. Participants were asked whether they might currently have a problem such as the one described. Scores on measures of eating disorder psychopathology, functional impairment and general psychological distress were compared between participants who recognized a problem with their eating and those who did not.

Results: Participants who recognized a problem with their eating (n ¼ 86, 51.9%) had higher levels of eating disorder psychopathology and general psychological distress, were more likely to engage in selfinduced vomiting, and tended to be heavier, than those who did not (n ¼ 72, 48.1%). In addition, participants who recognized a problem were more likely to have received treatment for an eating or weight problem. In multivariate analysis, the occurrence of self-induced vomiting and higher body weight were the only variables significantly associated with recognition.

Conclusion: Poor recognition of eating-disordered behavior may be conducive to low or inappropriate treatment seeking among individuals with bulimictype eating disorders. The perception that only disorders involving self-induced vomiting are pathological may need to be addressed in prevention programs.