Pride Before a Fall: Shame, Diagnostic Crossover, and Eating Disorders

This study found that, in the minds of participants, the different diagnostic labels were associated with various good or bad character traits. This contributed to the belief in a diagnos tic hierarchy, whereby individuals diagnosed with anorexia nervosa were viewed as morally better than those diagnosed with bulimia nervosa or binge eating disorder. Consequently, diagnostic crossover from a “better” to a “worse” eating disorder was often experienced as shameful moral failing , and a new diagnosis impacted the individual’s sense of self-identity. These findings are of significance for both ethicists and clinicians; the paper concludes by outlining the relevance and possible clinical implications of shame in diagnostic crossover and suggesting avenues for future researc h.
Source: Journal of Bioethical Inquiry - Category: Medical Ethics Source Type: research

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ConclusionOur panoramic meta-overview suggests that exercise can be an effective adjunctive treatment for improving symptoms across a broad range of mental disorders.
Source: Sports Medicine - Category: Sports Medicine Source Type: research
ConclusionsThere is a need to further understand AN-BP and BP patients ’ oral health knowledge and self-image perceptions as it relates to their smile (teeth, mouth) to assist in developing a standardized oral health program for eating disorder centers to implement into their daily curricula. A dental team member in an interdisciplinary eating disorder treatment team is important. Including an oral health education program improves patients’ oral hygiene and oral health knowledge, as well as provides a supportive environment to empower the patients to take control of their overall oral health.Trial registration...
Source: Journal of Eating Disorders - Category: Eating Disorders & Weight Management Source Type: research
CONCLUSIONS: Our results suggest continuities of eating behaviours into eating disorders from early life to adolescence. It remains to be determined whether childhood eating behaviours are an early manifestation of a specific phenotype or whether the mechanisms underlying this continuity are more complex. Findings have the potential to inform preventative strategies for eating disorders.Declaration of interestC.M.B. reports conflict of interest with Shire (grant recipient, Scientific Advisory Board member) and Pearson and Walker (author, royalty recipient). All other authors have indicated they have no conflicts of interes...
Source: The British Journal of Psychiatry for Mental Science - Category: Psychiatry Tags: Br J Psychiatry Source Type: research
In this episode, our hosts discuss whether or not mental illness is a real disorder or if it’s just something that medical and pharmaceutical companies made up to make a profit.  SUBSCRIBE &REVIEW “Instead of taking my psychiatric medications this morning, should I have just gone to yoga?” – Michelle Hammer Highlights from ‘Mental Illness Made Up’ Episode [2:00] Is mental illness real? [4:00] Yoga doesn’t cure all mental illnesses, just like it wouldn’t cure cancer. [16:00] Dealing with people who think mental illness is not real. [19:30] Eating disorders ar...
Source: World of Psychology - Category: Psychiatry & Psychology Authors: Tags: A Bipolar, A Schizophrenic, and a Podcast Brain and Behavior Disorders General Source Type: blogs
In the current issue of Mayo Clinic Proceedings, Coffino et  al1 present the results of the largest population-based study of Diagnostic and Statistical Manual of Mental Disorders, Fifth Revision (DSM-5) eating disorders to date. The researchers found discouragingly low rates of help-seeking behavior in adults with anorexia nervosa (AN) (34.5%), bulimia ner vosa (62.6%), and binge eating disorder (BED) (49.0%). Because these authors defined help-seeking broadly, and included not only seeing a doctor, counselor, or therapist about eating or weight but also modalities such as chat rooms and support groups, it is unlikel...
Source: Mayo Clinic Proceedings - Category: Internal Medicine Authors: Tags: Editorial Source Type: research
Abstract Individuals with anorexia nervosa (AN) and bulimia nervosa (BN) show emotion regulation deficits. While individuals with BN use binge eating to regulate negative affect, individuals with restricting-type AN may use self-starvation for this purpose. The current study examined the emotion regulatory function of over- and undereating in response to different emotional states in women with restrictive AN (n = 54), BN (n = 47), and women without eating disorders (n = 68). Participants completed self-report measures assessing the use of emotion regulation strategies and emotional eating. Both patient groups rep...
Source: Eating Disorders - Category: Eating Disorders & Weight Management Authors: Tags: Eat Disord Source Type: research
American culture seems obsessed with dieting. According to the Centers for Disease Control, almost 70% of Americans over the age of 20 are overweight, including 35% that are considered obese. In kids and teens, it’s 17%. Meanwhile, the cultural ideal is to be fit, thin, and trim. The quest for body perfection has created a U.S. weight loss industry that was estimated to be worth $68.2 billion in 2017. In 2018, the fitness industry topped $30 billion. While 45 million Americans go on a diet every year and 54 million Americans paid for gym memberships last year, the sad reality is that most diets fail and most pe...
Source: Psych Central - Category: Psychiatry Authors: Tags: Eating Disorders Exercise Healthy Living Avoidant Restrictive Food Intake Disorder Disordered Eating food aversion Muscle Dysmorphia Orthorexia unhealthy dieting Source Type: news
This study aims to provide a comprehensive understanding of the neural mechanisms by which LDX improves symptoms of BED. We hypothesise that LDX will act by normalising connectivity within neural circuits responsible for reward and impulse control, and that this normalisation will correlate with reduced binge eating episodes.MethodsThis is an open-label Phase 4 clinical trial of LDX in adults with moderate to severe BED. Enrolment will include 40 adults with moderate to severe BED aged 18 –40 years and Body Mass Index (BMI) of 20–45 kg/m2, and 22 healthy controls matched for age, gender and BMI. C...
Source: Journal of Eating Disorders - Category: Eating Disorders & Weight Management Source Type: research
This article provides a state-of-the-art review of our current understanding of the neurobiology of anorexia nervosa and bulimia nervosa. This includes brain structure and function studies to understand food restriction, binge-eating or purging behaviors, cognitive and emotional factors, as well as interoception. Binge-eating disorder and avoidant restrictive food intake disorder are also discussed, but the literature is still very small.
Source: Child and Adolescent Psychiatric Clinics of North America - Category: Psychiatry Authors: Source Type: research
This article reviews the evidence base on psychotropic medications, including all randomized trials, uncontrolled trials, and case reports for the treatment of anorexia nervosa, bulimia nervosa, other specified feeding and eating disorders, binge-eating disorder, and avoidant/restrictive food intake disorder. Despite advances in the number of medication-based studies completed in young patients with eating disorders over the last 2 decades, significantly more work needs to be done in terms of identifying what role, if any, psychotropic medications can have on treatment outcomes.
Source: Child and Adolescent Psychiatric Clinics of North America - Category: Psychiatry Authors: Source Type: research
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