Skip to main content
Log in

Fluid intake, personality and behaviour in patients with eating disorders

  • Brief Report
  • Published:
Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity Aims and scope Submit manuscript

Abstract

Objective: To examine psychological and behavioural variables associated with the disordered fluid intake of 112 eating disorder patients. Method: Fluid intake history for previous seven days, and standardized psychological and behavioural measures of eating disorders, mood, personality and health, were completed on admission to hospital. Results: Only behaviours associated with eating disorders were associated with fluid intake. Greater amounts of total and energy-free fluids are consumed if patients report overeating, binge eating and dieting between overeating more frequently, drinking more caffeine-containing energy free drinks, vomiting and using laxatives. Energy-containing fluid intake is higher if patients feel their body weight is less important and if they binge eat. There is a significant difference in the amount of fluid drunk (ml or ml/kg) by patients with bulimia nervosa (BN) when compared to patients with no current diagnosis but not compared with anorexia nervosa (AN) or eating disorders not otherwise specified (EDNOS) patients. Discussion: Fluid intake is associated with eating disorder behaviour rather than personality and psychological variables. Patients eating more drink more.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Subscribe and save

Springer+ Basic
$34.99 /Month
  • Get 10 units per month
  • Download Article/Chapter or eBook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now

Buy Now

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Hart S., Luscombe G., Abraham S., Russell J.: Fluid intake in patients with eating disorders. Int. J. Eat. Disord., 38, 55–59, 2005.

    Article  PubMed  Google Scholar 

  2. Beumont P.J., George G.C., Smart D.E.: “Dieters” and “vomiters and purgers” in anorexia nervosa. Psychol. Med., 6, 617–22, 1976.

    Article  PubMed  CAS  Google Scholar 

  3. Bulik C.M., Sullivan P.F., Joyce P.R., Carter F.A.: Temperament, character, and personality disorder in bulimia nervosa. J. Nerv. Ment. Dis., 183, 593–598, 1995.

    Article  PubMed  CAS  Google Scholar 

  4. Casper R.: Personality features of women with a good outcome from restricting anorexia nervosa. Psychosom. Med., 52, 156–170, 1990.

    PubMed  CAS  Google Scholar 

  5. Fairburn G.C., Cooper Z., Doll H.A., Welsch S.L.: Risk factors for anorexia nervosa: three integrated case contolled comparisons. Arch. Gen. Psychiatry, 56, 468–476, 1999.

    Article  PubMed  CAS  Google Scholar 

  6. Fassino S., Abbate-Daga G., Leombruni P., Rovera G.: Anger and personality in eating disorders. J. Psychosom. Res., 51, 757–764l, 2001.

    Article  PubMed  CAS  Google Scholar 

  7. Klump K.L., Strober M., Bulik C.M., Thorton L., Johnson C., Devlin B., Fitcher M.M., Halmi K.A. Kaplan A.S., Woodside D.B., Crow S., Mitchell J., Rotondo A., Keel P.K., Berrettini W.H., Plotnicov K., Pollice C., Lilenfeld L.R., Kaye W.H.: Personality characteristics of women before and after recovery from an eating disorder. Psychol. Med., 34, 1407–1418, 2004.

    Article  PubMed  Google Scholar 

  8. Scholberg S., Strober M.: Personality in anorexia nervosa: and update and theoretical intergration. Acta Psychiatr. Scand., 89 (suppl.) 378, 1–15, 1994.

    Article  Google Scholar 

  9. Wade T., Tiggerman M., Heath A., Abraham S., Martin N.: EPQ-R personality correlates of bulimia in an Australian twin population. Person. Ind. Differences, 18, 283–285, 1995.

    Article  Google Scholar 

  10. Engell D.: Interdependency of food and water intake in humans. Appetite, 10, 133–141, 1988.

    Article  PubMed  CAS  Google Scholar 

  11. Gold P.W., Kaye W., Robertson G.L., Ebert M.: Abnormalities in plasma and cerebrospinal-fluid arginine vasopressin in patients with anorexia nervosa. N. Engl. J. Med., 308, 1117–1123, 1983.

    Article  PubMed  CAS  Google Scholar 

  12. Nishita J.K., Ellinwood E.H., Jr., Rockwell W.J., Kuhn C.M., Hoffman G.W. Jr., McCall W.V., Manepalli J.N.: Abnormalities in the response of plasma arginine vasopressin during hypertonic saline infusion in patients with eating disorders. Biol. Psychiatry, 26, 73–86, 1989.

    Article  PubMed  CAS  Google Scholar 

  13. American Psychiatric Association: American Psychiatric Association, Diagnostic and statistical manual of mental disorders, 4th ed., Author, Washington, DC, 1994.

    Google Scholar 

  14. Beck A.T., Ward C.H., Mendelson M., Mock J., Ergaugh J.: An inventory for measuring depression. Arch. Gen. Psychiatry, 4, 61–71, 1961.

    Article  Google Scholar 

  15. Speilberger C.D., Gorsuch R.L., Lushene R.E.: Manual for the State-Trait Anxiety Inventory. Palo Alto, CA, Consulting Psychologists Press, 1970.

    Google Scholar 

  16. Eysenck H.J., Eysenck S.B.G.: Manual of the Eysenck personality questionnaire. Kent, Hodder & Stoughton Educational, 1981.

    Google Scholar 

  17. Rosneberg M.: Society and the adolescent self image. Princeton, NJ, Princeton University Press, 1965.

    Google Scholar 

  18. Garner D.M., Garfinkel P.E.: Development and validation of a multidimensional eating disorder inventory. Int. J. Eat. Dis., 2, 15–34, 1983.

    Article  Google Scholar 

  19. Garner D.M., Garfinkel P.E: The eating attitude test. Psychol. Med., 9, 1–7, 1979.

    Article  Google Scholar 

  20. Pasman M.A., Thompson J.K.: Body image and eating disturbance in obligatory runners, obligatory weightlifters and sedentary individuals. Int. J. Eat. Disord., 7, 759–769, 1988.

    Article  Google Scholar 

  21. Ware J., Kosinski M., Keller S.: A 12-Item Short-Form Health Survey: Construction of scales and preliminary tests of reliability and validity. Med. Care, 34, 220–233, 1996.

    Article  PubMed  Google Scholar 

  22. Department of Nutrition Dietetics & Food Science. Dietitian’s Pocket Book. Perth, Western Australia, Curtin University of Technology, 1998.

    Google Scholar 

  23. Gaspar P.M.: Water intake of nursing home residents. J. Gerontol. Nurs., 25, 23–29, 1999.

    PubMed  CAS  Google Scholar 

  24. Reedy D.E.: How can you prevent dehydration? Geriatr. Nurs., 9, 224–226, 1988.

    Article  PubMed  CAS  Google Scholar 

  25. Passmore R., Eastwood M.A.: 1986. Human Nutrition and Dietetics, 8th ed. Edinburgh, Churchill Livingstone, pp. 490–501.

    Google Scholar 

  26. Valtin H.: “Drink at least eight glasses of water a day.” Really? Is there scientific evidence for “8 × 8”?. [Review] [100 refs]. Am. J. Physiol., Regulatory Integrative & Comparative Physiology, 283, R993–R1004, 2002.

    Google Scholar 

  27. Manz F., Wentz A., Sichert-Hellert W.: The most essential nutrient: defining the adequate intake of water. J. Pediatr., 141, 587–592, 2002.

    Article  PubMed  Google Scholar 

  28. Lowinger K., Griffiths R.A., Beumont P.J., Scicluna H., Touyz S.W.: Fluid restriction in anorexia nervosa: a neglected symptom or new phenomenon? Int. J. Eat. Disord., 26, 392–396, 1999.

    Article  PubMed  CAS  Google Scholar 

  29. Santonastaso P., Sala A., Favaro A.: Water intoxication in anorexia nervosa: a case report. Int. J. Eat. Disord., 24, 439–442, 1998.

    Article  PubMed  CAS  Google Scholar 

  30. Stanley-Tilt C.A.: Recognizing the psychiatric water intoxicator. AJN, 89, 1636–1637, 1989.

    Article  PubMed  CAS  Google Scholar 

  31. Ribble D.J., Thelander B.: Patients with disordered water balance. Innovative psychiatric nursing intervention strategies. J. Psychosoc. Nurs. Ment. Health Serv., 32, 35–42, 1994.

    PubMed  CAS  Google Scholar 

  32. McKenna K.T.C.: Osmoregulation in clinical disorders of thirst appreciation (Review). Clin. Endocrinol., 49, 139–152, 1998.

    CAS  Google Scholar 

  33. Loas G., Mercier-Guidez E.: Fatal self-induced water intoxication among schizophrenic inpatients. Eur. Psychiatry, 17, 307–310, 2002.

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Suzanne F. Abraham.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Abraham, S.F., Hart, S., Luscombe, G. et al. Fluid intake, personality and behaviour in patients with eating disorders. Eat Weight Disord 11, e30–e34 (2006). https://doi.org/10.1007/BF03327750

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF03327750

Key words

Navigation