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Romantic relationships for women with anorexia nervosa: An integrative literature review

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Abstract

Objective: To critically appraise literature concerning romantic relationships for women with anorexia nervosa (AN), and to gain perspective on future research directives. Method: Key electronic databases, reference lists, and journals were searched. The search was limited to features of romantic relationships and their quality. Nineteen studies were critiqued and abstracted. Results: All 19 studies used a quantitative design; no qualitative studies were retrieved. Methodological strengths of these studies included confounder control and appropriate statistical analyses for design. Weaknesses included a failure to declare study designs, address sources of bias, and justify study samples, as well as a lack of confounder control. Discussion: The review drew attention to the varied relational experiences and marked relationship dissatisfaction expressed by women with AN. However, an understanding of relationship quality and its dynamic nature remains limited. Future research should focus on how meanings are negotiated in relationships, providing detailed descriptions of the women’s experiences, which is best done with qualitative study. Well-conducted longitudinal research should address questions that cannot be answered by current research designs, such as temporality.

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References

  1. American Psychiatric Association: American Psychiatric Association practice guidelines for the treatment of patients with eating disorders (revised). Am. J. Psychiatry, 157, 1–39, 2000.

    Google Scholar 

  2. Van den Broucke S., Vandereycken W.: Anorexia and bulimia nervosa in married patients: A review. Compr. Psychiatry, 29, 165–173, 1988.

    Article  PubMed  Google Scholar 

  3. Simpson W.S. Ramberg J.A.: Sexual dysfunction in married female patients with anorexia and bulimia nervosa. J Sex Marital Ther., 18, 44–54, 1992.

    Article  PubMed  CAS  Google Scholar 

  4. Cooper H.M.: Integrating research: A guide for literature reviews, 2nd ed., Newbury Park, Sage Publications, 1989.

  5. Kirkevold M.: Integrative nursing research: An important strategy to further the development of nursing science and nursing practice. J. Adv. Nurs., 25, 977–984, 1997.

    Article  PubMed  CAS  Google Scholar 

  6. Beyea S.C., Nicoll L.H.: Writing an integrative review. AORN J, 67, 877–880, 1998.

    Article  PubMed  CAS  Google Scholar 

  7. Levine M., Walter S., Lee H., Haines T., Holbrook A., Moyer V.: Users guide to medical literature. IV. How to use an article about harm. JAMA, 271, 1615–1619, 1994.

    Article  PubMed  CAS  Google Scholar 

  8. Streiner D.L., Norman G.R.: PDQ epidemiology, 2nd ed. St. Louis, Mosby, 1996.

  9. Wiederman M.W., Pryor T.: A comparison of ever-married and never-married women with anorexia nervosa or bulimia nervosa. Int. J. Eat. Disord., 22, 395–401, 1997.

    Article  PubMed  CAS  Google Scholar 

  10. Heavey A., Parker Y., Bhat A., Crisp A.H., Gowers S.G.: Anorexia nervosa and marriage. Int. J. Eat. Disord., 8, 275–284, 1989.

    Article  Google Scholar 

  11. Bussolotti D., Fernández-Aranda F., Solano R., Jiménez-Murcia S., Turón V., Vallejo J.: Marital status and eating disorders, an analysis of its relevance. J. Psychosom. Res., 53, 1139–1145, 2002.

    Article  PubMed  Google Scholar 

  12. Kiriike N., Nagata T., Matsunaga H., Tobitan W., Nishiura T.: Single and married patients with eating disorders. Psychiatry Clin. Neurosci., 52 (Suppl), S306–S308, 1998.

    PubMed  Google Scholar 

  13. Kiriike N., Nagata T., Matsunaga H., Tobitan W., Nishiura T.: Married patients with eating disorders in Japan. Acta Psychiatr. Scand., 94, 428–432, 1996.

    Article  PubMed  CAS  Google Scholar 

  14. Calam R., Griffiths R., Slade P.: Eating disorders, body dissatisfaction and unwanted sexual experience: U.K., Australian and U.S. data. Eur. Eating Dis. Rev., 5, 158–169, 1997.

    Article  Google Scholar 

  15. Schmidt U., Evans K., Tiller J., Treasure J.: Puberty, sexual milestones and abuse: How are they related in eating disorder patients? Psychol. Med., 25, 413–417, 1995.

    Article  PubMed  CAS  Google Scholar 

  16. Wonderlich S.A., Crosby R.D., Mitchell J.E., Thompson K.M., Redlin J., Demuth G., Smyth J., Haseltine B.: Eating disturbance and sexual trauma in childhood and adulthood. Int. J. Eat. Disord., 30, 401–412, 2001.

    Article  PubMed  CAS  Google Scholar 

  17. Fornari V., Dancyger I.F.: Psychosexual development and eating disorders. Adolesc. Med., 14, 61–70, 2003.

    PubMed  Google Scholar 

  18. Derogatis L.R., Melisaratos N.: The DSFI: A multidimensional measure of sexual functioning. J. Sex Marital Ther., 5, 244–280, 1979.

    Article  PubMed  CAS  Google Scholar 

  19. Morgan J.F.: Eating disorders and reproduction. Aust. N. Z. J. Obstet. Gynaecol., 39, 167–173, 1999.

    Article  CAS  Google Scholar 

  20. Beumont P.J.V., Abraham S.F., Simson K.G.: The psychosexual histories of adolescent girls and women with anorexia nervosa. Psychol. Med., 11, 131–140, 1981.

    Article  PubMed  CAS  Google Scholar 

  21. Haimes A.L., Katz J.L.: Sexual and social maturity versus social conformity in restricting anorectic, bulimic, and borderline women. Int. J. Eat. Disord., 7, 331–341, 1988.

    Article  Google Scholar 

  22. Raboch J., Faltus F.: Sexuality and women with anorexia nervosa. Acta Psychiatr. Scand., 84, 9–11, 1991.

    Article  PubMed  CAS  Google Scholar 

  23. Rothschild B.S., Fagan P.J., Woodall C., Andersen A.E.: Sexual functioning of female eating-disordered patients. Int. J. Eat. Disord., 10, 389–394, 1991.

    Article  Google Scholar 

  24. Wiederman M.W., Pryor T., Morgan C.D.: The sexual experience of women diagnosed with anorexia nervosa or bulimia nervosa. Int. J. Eat. Disord., 19, 109–118, 1996.

    Article  PubMed  CAS  Google Scholar 

  25. Ruuska J., Kaltiala-Heino R., Koivisto A.M., Rantanen P.: Puberty, sexual development and eating disorders in adolescent outpatients. Eur. Child Adolesc. Psychiatry, 12, 214–220, 2003.

    Article  PubMed  Google Scholar 

  26. Leon G.R., Lucas A.R., Colligan R.C. Ferdinande R.J., Kamp J.: Sexual body-image, and personality attitudes in anorexia nervosa. J. Abnorm. Child Psychol., 2, 245–258, 1985.

    Article  Google Scholar 

  27. Morgan J.F., Lacey J.H., Reid F.: Anorexia nervosa: Changes in sexuality during weight restoration. Psychosom. Med., 61, 541–545, 1999.

    PubMed  CAS  Google Scholar 

  28. Van den Broucke S., Vandereycken W., Vertommen H.: Marital communication in eating disorder patients: A controlled observational study. Int. J. Eat. Disord., 17, 1–21, 1995.

    Article  PubMed  Google Scholar 

  29. Hansen J.E., Schuldt W.J.: Marital self-disclosure and marital satisfaction. J. Marital Fam. Ther., 46, 923–926, 1984.

    Google Scholar 

  30. Jourard S.M.: Self-disclosure: An experimental analysis of the transparent self. New York, Wiley- Interscience, 1971.

    Google Scholar 

  31. Schaefer M., Olsen D.: Assessing intimacy: The PAIR inventory. J. Marital Fam. Ther., 7, 47–60, 1981.

    Article  Google Scholar 

  32. Schnarch D.M.: Constructing the sexual crucible: An integration of sexual and marital therapy. New York, W.W. Norton, 1991.

    Google Scholar 

  33. Lichtenberg P.: Intimacy as a function of autonomy and merging. Gestalt Journal, 15, 27–43, 1991.

    Google Scholar 

  34. Dahms A.: Emotional intimacy. Denver, Pruett, 1972. 35. Hatfield E.: Passionate and companionate love. In: Sternberg R., Barnes M. (Eds.), The psychology of love. London, Yale University Press, 1988.

    Google Scholar 

  35. Buhrmester D., Furman W.: The development of companionship and intimacy. Child Dev., 58, 1101–1113, 1987.

    Article  PubMed  CAS  Google Scholar 

  36. Gilligan C.: In a different voice. Cambridge, Harvard University Press, 1982.

    Google Scholar 

  37. Waring E., McElrath D., Lefcoe D., Weisz G.: Dimensions of intimacy in marriage. Psychiatry, 44, 169–175, 1981.

    PubMed  CAS  Google Scholar 

  38. Beck A.: Love is never enough: How couples can overcome misunderstanding, resolve conflicts, and solve relationship problems through cognitive therapy. New York, Harper & Row, 1988.

    Google Scholar 

  39. Van den Broucke S., Vandereycken W., Vertommen H.: Marital intimacy in patients with an eating disorder: A controlled self-report study. Int. J. Eat. Disord., 34, 67–78, 1995.

    Google Scholar 

  40. Woodside D.B., Lackstrom J.B., Shekter-Wolfson L.: Marriage in eating disorders: Comparisons between patients and spouses and changes over the course of treatment. J. Psychosom. Res., 49, 165–168, 2000.

    Article  PubMed  CAS  Google Scholar 

  41. Tiller J.M., Sloane G., Schmidt U., Troop N., Power M., Treasure J.L.: Social support in patients with anorexia nervosa and bulimia nervosa. Int. J. Eat. Disord., 21, 31–38, 1997.

    Article  PubMed  CAS  Google Scholar 

  42. Sobal J., Bursztyn M.: Dating people with anorexia nervosa and bulimia nervosa: Attitudes and beliefs of university students. Womens Health, 27, 73–88, 1998.

    Article  CAS  Google Scholar 

  43. Van den Broucke S., Vandereycken W.: The marital relationship of patients with an eating disorder: A questionnaire study. Int. J. Eat. Disord., 8, 541–556, 1989.

    Article  Google Scholar 

  44. Maxwell G.M.: Behaviour of lovers: Measuring the closeness of relationships. J. Soc. Person. Rel., 2, 215–237, 1985.

    Article  Google Scholar 

  45. Waring E.M.: Measurement of intimacy: Conceptual and methodological issues of studying close relationships. Psychol. Med., 15, 9–14, 1985.

    Article  PubMed  CAS  Google Scholar 

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Authors and Affiliations

  1. Faculty of Health Sciences, School of Nursing, McMaster University, Hamilton, ON, Canada

    M. Newton RN, Ph.D., S. Boblin, B. Brown & D. Ciliska

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  1. M. Newton RN, Ph.D.
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  2. S. Boblin
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  3. B. Brown
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  4. D. Ciliska
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Correspondence to M. Newton RN, Ph.D..

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Newton, M., Boblin, S., Brown, B. et al. Romantic relationships for women with anorexia nervosa: An integrative literature review. Eat Weight Disord 10, 139–153 (2005). https://doi.org/10.1007/BF03327541

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