Proceeding from a cognitive view of depression, the relationship between depression and cognitive characteristics referring to shape and weight was investigated in 99 patients with anorexia nervosa or bulimia. Significant correlations between depression and cognitive schemata were found in both patient groups. Multiple regression analysis revealed that four scales measuring cognitive features explained between 34% and 45% of the variance in the depression score. The strongest single predictor was the variable “negative body attitudes.” In conjunction with observations in cognitive‐behavioral treatments, the data indicate that the role of cognitive distortions characteristic of patients with eating disorders is crucial for the development and maintenance of depressive symptoms in these patients.
International Journal of Eating Disorders – Wiley
Published: Sep 1, 1988
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