PMID- 25923301 OWN - NLM STAT- PubMed-not-MEDLINE DCOM- 20150501 LR - 20191113 IS - 2237-6089 (Print) IS - 2237-6089 (Linking) VI - 35 IP - 2 DP - 2013 TI - Impairment in psychosocial functioning in patients with different subtypes of eating disorders. PG - 111-8 LID - S2237-60892013000200004 [pii] AB - OBJECTIVE: To examine psychosocial functioning in eating disorder (ED) patients with restrictive and purgative subtypes. METHOD: Forty-four adult female patients with a diagnosis of ED were divided into restrictive (RP) and purgative (PP) groups according the presence of purgative symptoms. Functioning was assessed using the Functioning Assessment Short Test (FAST) and the Global Assessment of Functioning Scale (GAF). RESULTS: No differences were found in total FAST scores or in specific domains between the RP (39.58+/-11.92) and PP (45.75+/-11.75) groups (p = 0.19). However, PP showed more severe functional impairment than RP in the financial domain (p < 0.01). There were no differences in comorbidity with mood disorders, depressive symptoms, or general psychiatric symptoms between the two ED subtypes. CONCLUSIONS: The similarities found between PP and PR in overall functioning and in autonomy, cognition, work, interpersonal relationships, and leisure seem to reflect the use of an objective scale that corresponds to the clinical impression. In fact, the assessment of psychosocial functioning in ED patients using self-report instruments requires careful consideration because results may reflect the egosyntonic nature of symptoms commonly observed in these patients, particularly in the restrictive subtype. FAU - Moser, Carolina Meira AU - Moser CM AD - Adult Eating Disorders Program, Hospital de Clinicas de Porto Alegre, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil. FAU - Lobato, Maria Ines Rodrigues AU - Lobato MI AD - HCPA, UFRGS, Porto Alegre, RS, Brazil. FAU - Rosa, Adriane R AU - Rosa AR AD - Bipolar Disorders Program, Clinical Institute of Neuroscience, Hospital Clinic of Barcelona, Barcelona, Spain. FAU - Thome, Emi AU - Thome E AD - Adult Eating Disorders Program, Hospital de Clinicas de Porto Alegre, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil. FAU - Ribar, Julia AU - Ribar J AD - Adult Eating Disorders Program, Hospital de Clinicas de Porto Alegre, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil. FAU - Primo, Lucas AU - Primo L AD - Adult Eating Disorders Program, Hospital de Clinicas de Porto Alegre, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil. FAU - Santos, Ana Carolina Faedrich Dos AU - Santos AC AD - Adult Eating Disorders Program, Hospital de Clinicas de Porto Alegre, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil. FAU - Brunstein, Miriam Garcia AU - Brunstein MG AD - Adult Eating Disorders Program, Hospital de Clinicas de Porto Alegre, Universidade Federal do Rio Grande do Sul, Porto Alegre, RS, Brazil. LA - eng PT - Journal Article PL - Brazil TA - Trends Psychiatry Psychother JT - Trends in psychiatry and psychotherapy JID - 101610695 EDAT- 2013/01/01 00:00 MHDA- 2013/01/01 00:01 CRDT- 2015/04/30 06:00 PHST- 2012/04/06 00:00 [received] PHST- 2012/08/19 00:00 [accepted] PHST- 2015/04/30 06:00 [entrez] PHST- 2013/01/01 00:00 [pubmed] PHST- 2013/01/01 00:01 [medline] AID - S2237-60892013000200004 [pii] AID - 10.1590/s2237-60892013000200004 [doi] PST - ppublish SO - Trends Psychiatry Psychother. 2013;35(2):111-8. doi: 10.1590/s2237-60892013000200004.