Attachment, body appreciation, and body image quality of life in adolescents with eating disorders.
This study aims to highlight the influence of parental attachment on a positive body image in adolescence. PMID: 32507077 [PubMed - as supplied by publisher] (Source: Eating Disorders)
Source: Eating Disorders - June 6, 2020 Category: Eating Disorders & Weight Management Authors: Laporta-Herrero I, Jáuregui-Lobera I, Serrano-Troncoso E, Garcia-Argibay M, Cortijo-Alcarria MC, Santed-Germán MA Tags: Eat Disord Source Type: research
Weight discrimination inflates psychological health risk and academic impairment in sexual minority cisgender college students relative to their heterosexual peers.
This study examined whether exposure to weight discrimination modified the association between sexual orientation, self-reported eating disorders, self-reported depression and academic impairment in a large sample of college students. Participants (n = 13,782) were from the 2015-2018 College Student Health Survey. Logistic regressions tested whether weight discrimination magnified psychological health concerns and academic impairment in sexual minority students (i.e., lesbian, gay) relative to their heterosexual peers and were stratified by gender (cisgender men and cisgender women). Sexual minority men and women...
Source: Eating Disorders - May 31, 2020 Category: Eating Disorders & Weight Management Authors: Simone M, Pisetsky EM, Lust K Tags: Eat Disord Source Type: research
A yoga-based therapy program designed to improve body image among an outpatient eating disordered population: program description and results from a mixed-methods pilot study.
Abstract Poor body image is a critical barrier to eating disorder recovery. This pilot project was designed as a feasibility study to examine a novel group-based, therapeutic yoga and body image program (YBI) for addressing negative body image in those clinically diagnosed with an eating disorder (anorexia, bulimia nervosa, and other specified feeding or eating disorder) receiving outpatient level treatment at an eating disorder treatment center located in Minneapolis-St. Paul, Minnesota. Self-administered questionnaires were completed by 67 participants at the beginning and end of the 8-week series, to better und...
Source: Eating Disorders - May 18, 2020 Category: Eating Disorders & Weight Management Authors: Diers L, Rydell SA, Watts A, Neumark-Sztainer D Tags: Eat Disord Source Type: research
Naturalistically assessed associations between physical activity, affective functioning, and binge eating among adults with binge-eating disorder.
Abstract Binge-eating disorder (BED) is associated with overweight/obesity, physical inactivity, and disturbances in affective functioning. While research suggests that physical activity (PA) may have beneficial effects on BED symptoms, little is known about the daily correlates of PA. As a first step in understanding the processes linking PA and binge eating, this study examined associations between PA (i.e., self-reported time engaged in moderate-to-vigorous PA), affective functioning (i.e., positive and negative affect, body satisfaction, emotion regulation), and eating-related cognitions and behaviors (i.e., c...
Source: Eating Disorders - May 13, 2020 Category: Eating Disorders & Weight Management Authors: Smith KE, Mason TB, Anderson LM, Schaefer LM, Crosby RD, Engel SG, Crow SJ, Wonderlich SA, Peterson CB Tags: Eat Disord Source Type: research
Dialectical behavioral therapy for the treatment of adolescent eating disorders: a review of existing work and proposed future directions.
Abstract Over the past several decades, Dialectical Behavior Therapy (DBT) has been adapted for a range of presenting problems related to emotion dysregulation. Considerable enthusiasm exists regarding the use of DBT for treating eating disorders; however, to date, there have been no reviews summarizing empirical efforts to adapt DBT for eating disorders in youth. Accordingly, in the present narrative review, we provide a comprehensive summary of existing work testing DBT for adolescent eating disorders. First, we briefly review existing work applying DBT to eating disorders in adults and general adolescent sample...
Source: Eating Disorders - April 17, 2020 Category: Eating Disorders & Weight Management Authors: Reilly EE, Orloff NC, Luo T, Berner LA, Brown TA, Claudat K, Kaye WH, Anderson LK Tags: Eat Disord Source Type: research
Correlates of co-occurring eating disorders and substance use disorders: a case for dialectical behavior therapy.
Abstract Given the high rates of comorbidity between eating disorders (EDs) and substance use disorders (SUDs), it is important to develop effective treatment approaches for individuals with both an ED and SUD (ED-SUD). To date, there is limited information guiding the concurrent treatment of these disorders. To build on existing research, the present study compared adult patients with ED-SUD (n = 36) to patients with ED-only (n = 62) in terms of demographics, psychiatric comorbidity, and self-reported eating disorder and related psychopathology. Results indicated that ED-SUD patients had a higher number...
Source: Eating Disorders - April 17, 2020 Category: Eating Disorders & Weight Management Authors: Claudat K, Brown TA, Anderson L, Bongiorno G, Berner LA, Reilly E, Luo T, Orloff N, Kaye WH Tags: Eat Disord Source Type: research
Dialectical Behavior Therapy for Eating Disorders: State of the Research and New Directions.
PMID: 32301685 [PubMed - as supplied by publisher] (Source: Eating Disorders)
Source: Eating Disorders - April 17, 2020 Category: Eating Disorders & Weight Management Authors: Brown TA, Wisniewski L, Anderson LK Tags: Eat Disord Source Type: research
Pretreatment unresolved-disorganized attachment status in eating disorder patients associated with stronger reduction of comorbid symptoms after psychotherapy.
Discussion: The differential recovery of ED patients with or without U confirms the trauma-related heterogeneity of patients found in other diagnostic groups and calls for further investigation into the treatment needs of patients with different attachment representations. PMID: 32228371 [PubMed - as supplied by publisher] (Source: Eating Disorders)
Source: Eating Disorders - March 31, 2020 Category: Eating Disorders & Weight Management Authors: Kuipers GS, Bekker MHJ, Riem MME Tags: Eat Disord Source Type: research
A conceptual model describing mechanisms for how yoga practice may support positive embodiment.
Abstract Yoga practice has been associated with various indices of positive embodiment in correlational and intervention studies. Yet, systematic, theoretically-grounded models detailing specific mechanisms by which yoga supports positive embodiment are lacking. In this article, we present a conceptual model that describes mechanisms (i.e., mediators and moderators) that can be used to guide research to help answer how, for whom, and under what conditions yoga practice may promote positive embodiment. Based on existing theoretical frameworks and empirical findings, this model suggests that (a) yoga practice may cu...
Source: Eating Disorders - March 22, 2020 Category: Eating Disorders & Weight Management Authors: Cox AE, Tylka TL Tags: Eat Disord Source Type: research
Benefits of yoga in the treatment of eating disorders: Results of a randomized controlled trial.
Abstract Yoga has begun to be incorporated into the treatment of eating disorders despite limited empirical support for this practice. The purpose of this study was to investigate the efficacy of incorporating Yoga into the treatment of eating disorders. This preliminary randomized controlled trial investigated the benefits of participating in an eight-week Kripalu Yoga program for 53 women with symptoms of bulimia nervosa and binge eating disorder. Compared to waitlist controls, Yoga participants experienced decreases in binge eating frequency, emotional regulation difficulties and self-criticism, and increases i...
Source: Eating Disorders - March 17, 2020 Category: Eating Disorders & Weight Management Authors: Brennan MA, Whelton WJ, Sharpe D Tags: Eat Disord Source Type: research
Internalized weight bias and loss-of-control eating following bariatric surgery.
CONCLUSIONS: Findings suggest that IWB is common and associated with a range of heightened eating-disorder and psychosocial difficulties among patients experiencing LOC eating following bariatric surgery. Future research exploring the longitudinal post-operative prognostic significance of IWB is recommended. PMID: 32182194 [PubMed - as supplied by publisher] (Source: Eating Disorders)
Source: Eating Disorders - March 17, 2020 Category: Eating Disorders & Weight Management Authors: Lawson JL, LeCates A, Ivezaj V, Lydecker J, Grilo CM Tags: Eat Disord Source Type: research
Examining the effects of mindfulness-based yoga instruction on positive embodiment and affective responses.
We examined the effect of teaching a single yoga class using mindfulness-based instruction compared to appearance-based and neutral instruction alternatives on embodiment (i.e., state body surveillance, state body appreciation, pleasure during yoga) and changes in affect from before to after class. Female participants (N = 62; Mage = 23.89, SD = 6.86) were randomly assigned to a yoga class that emphasized: being mindfully present in one's body, changing one's appearance, or just getting into yoga poses. ANOVAs revealed significantly higher body surveillance (ηp2 =.10) and lower forecasted ...
Source: Eating Disorders - March 15, 2020 Category: Eating Disorders & Weight Management Authors: Cox AE, Ullrich-French S, Cook-Cottone C, Tylka TL, Neumark-Sztainer D Tags: Eat Disord Source Type: research
Predictors of improvement in a family-based partial hospitalization/intensive outpatient program for eating disorders.
Abstract The efficacy of family-based treatment (FBT) in outpatient settings has led to efforts to incorporate FBT principles into higher levels of care. The present study examined predictors of improvement in an FBT-based partial hospitalization program/intensive outpatient program (PHP/IOP) as measured by the Eating Disorder Examination-Questionnaire. Participants were 113 patients with anorexia nervosa (AN) or eating disorder not otherwise specified (EDNOS) consecutively participating in an FBT-based PHP/IOP. Multilevel modeling was used to investigate predictors for adolescents and young adults separately. Pre...
Source: Eating Disorders - March 15, 2020 Category: Eating Disorders & Weight Management Authors: Homan KJ, Crowley SL, Rienecke RD Tags: Eat Disord Source Type: research
Acceptance-based skill acquisition and cognitive reappraisal in a culturally responsive treatment for binge eating in adolescence.
Abstract Emotional overeating, or eating in excess to soothe negative emotions, is a high-risk behavior for the future development of the binge-eating disorder (BED). The Emotional Overeating Intervention (EOI) is a culturally responsive, 10-week condensed dialectical behavior therapy (DBT) skills group intervention for adolescents endorsing emotional-overeating and binge-eating behaviors. The present study served as a secondary analysis of the intervention data, with the aim of using quantitative measures and qualitative interviews to examine intervention acceptability and DBT skill acquisition. Data were analyze...
Source: Eating Disorders - March 10, 2020 Category: Eating Disorders & Weight Management Authors: Kamody RC, Thurston IB, Burton ET Tags: Eat Disord Source Type: research
Realizing Yoga's all-access pass: a social justice critique of westernized yoga and inclusive embodiment.
Abstract In the 21st century, the ancient mind-body practice of yoga has surged in popularity among western enthusiasts for its numerous health benefits. Particularly, a growing evidence base supports yoga for cultivating positive embodiment and reducing risk for disordered eating. Nevertheless, amidst its rise are concerns about yoga's departure from its spiritual foundations and increasing assimilation into the appearance- and commercial-driven exercise and fitness culture. Consequently, an exclusionary identity has been perpetuated in shaping norms surrounding who can and does practice yoga, which contradicts e...
Source: Eating Disorders - March 9, 2020 Category: Eating Disorders & Weight Management Authors: Webb JB, Rogers CB, Thomas EV Tags: Eat Disord Source Type: research
Last Word: Ending the intergenerational transmission of body dissatisfaction and disordered eating: a call to investigate the mother-daughter relationship.
Abstract The ubiquity and gravity of female body dissatisfaction and disordered eating has motivated countless academics and practitioners to better understand and treat these issues. Many researchers have found familial, and more specifically maternal influence, to impact daughters' development of body dissatisfaction and disordered eating. Researchers have demonstrated that mothers who struggle with body dissatisfaction and disordered eating tend to transmit and reinforce harmful weight-related attitudes and behaviours to their daughters, which has been found to result in the development of daughters' own body d...
Source: Eating Disorders - March 6, 2020 Category: Eating Disorders & Weight Management Authors: Brun I, Russell-Mayhew S, Mudry T Tags: Eat Disord Source Type: research
Blurred boundaries between Pro-Anorexia and Fitspiration media? Diverging cognitive and emotional effects.
Abstract Social media is an emerging source of body-focused messages affecting young women. This research investigated the diverging cognitive and emotional effects of Pro-Anorexia (Pro-Ana) and Fitspiration content using linguistic analysis. Undergraduate college women (N = 129) viewed one of six experimentally-created blogs: text or images of Fitspiration, Pro-Ana, or control (Home Décor) and completed an open-ended prompt with their reaction. Linguistic analysis on post-exposure writing suggested Fitspiration blogs produced positive emotions and social comparison processes; Pro-Ana blogs produced negativ...
Source: Eating Disorders - March 4, 2020 Category: Eating Disorders & Weight Management Authors: Jennings AF, LeBlanc H, Kisch K, Lancaster S, Allen J Tags: Eat Disord Source Type: research
Food insecurity & dietary restraint in a diverse urban population.
Food insecurity & dietary restraint in a diverse urban population. Eat Disord. 2020 Mar 04;:1-14 Authors: Middlemass KM, Cruz J, Gamboa A, Johnson C, Taylor B, Gomez F, Becker CB Abstract The primary aim of this study was to investigate self-reported reasons for engaging in dietary restraint (DR) in a food insecure urban population. It also tested whether DR was associated with increased eating disorder (ED) pathology when DR was broadly assessed. The initial sample (N = 503) consisted of adult clients visiting food pantries who completed the Eating Disorder Diagnostic Scale for DSM 5, the Ra...
Source: Eating Disorders - March 4, 2020 Category: Eating Disorders & Weight Management Authors: Middlemass KM, Cruz J, Gamboa A, Johnson C, Taylor B, Gomez F, Becker CB Tags: Eat Disord Source Type: research
Dialectical behavioral therapy: an update and review of the existing treatment models adapted for adults with eating disorders.
Abstract Despite the effectiveness of CBT in reducing shape/weight concerns and dietary restraint, research suggests that patients considered recovered may still exhibit emotional difficulties related to eating disorders (EDs). Dialectical behavior therapy (DBT) has been adapted for a variety of mental disorders characterized by emotion dysregulation and, more recently, for EDs specifically. The current review found that the majority of the research studies employed one of the following three adaptations of DBT for EDs: The Stanford Model, Radically Open-DBT (RO-DBT), or Multidiagnostic ED-DBT (MED-DBT). Therefore...
Source: Eating Disorders - March 4, 2020 Category: Eating Disorders & Weight Management Authors: Ben-Porath D, Duthu F, Luo T, Gonidakis F, Compte EJ, Wisniewski L Tags: Eat Disord Source Type: research
Outpatient treatment for adults with complex eating disorders and co-morbid conditions: a decision making model and case example.
Abstract Although Cognitive Behavioral Therapy (CBT-E) for eating disorders has the most empirical support for the outpatient treatment of adult eating disorders (EDs), this model does not include a focus on intense emotion dysregulation, suicidality, and non-suicidal self-injury (NSSI). Furthermore, a subset of patients do not achieve sustained remission with CBT-E. Given that Dialectical Behavior Therapy (DBT) was designed for treatment refractory, complex patients, clinicians must be able to use assessment information to determine which type of treatment to use. The aims of this manuscript are to 1) describe a ...
Source: Eating Disorders - March 4, 2020 Category: Eating Disorders & Weight Management Authors: Marino J, Hardin R, Gasbarro A, Dansereau VA, Fischer S Tags: Eat Disord Source Type: research
Associations between ergogenic supplement use and eating behaviors among university students.
The objective of this study was to examine associations between ergogenic supplement use and disordered eating attitudes and behaviors among university students, and to compare differences by sex. Undergraduate students from 10 top-ranked National College Athletics Association (NCAA) Division I colleges completed an online survey on supplement use, athletic activities, and eating attitudes and behaviors. Among 1633 university students, males (38.9%) reported higher rates of current supplement use than females (15.2%) (p
Source: Eating Disorders - March 4, 2020 Category: Eating Disorders & Weight Management Authors: Nagata JM, Peebles R, Hill KB, Gorrell S, Carlson JL Tags: Eat Disord Source Type: research
Yoga and the experience of embodiment: a discussion of possible links.
Abstract The impact of yoga on body image and embodiment has been a recent area of focus in the field of body image and eating disorders. This paper comprises a theoretical discussion of how the practice of yoga can lead to positive ways of inhabiting the body, specifically through the lens of the Developmental Theory of Embodiment. Yoga may enhance the overall experience of embodiment, by having a positive impact on each of its five dimensions: body connection and comfort, agency and functionality, attuned self-care, subjective immersion (resisting objectification), and experience and expression of desires. The a...
Source: Eating Disorders - January 10, 2020 Category: Eating Disorders & Weight Management Authors: Piran N, Neumark-Sztainer D Tags: Eat Disord Source Type: research
Self-criticism longitudinally predicts nonsuicidal self-injury in eating disorders.
Abstract Dialectical Behavior Therapy (DBT) has long been successfully applied to such behaviors such as nonsuicidal self-injury (NSSI) and more recently, bulimic behaviors. However, it is less clear how patients experiencing these comorbid symptoms may benefit from this treatment modality. Self-criticism, defined as a highly negative attitude towards the self, has been implicated in both EDs and NSSI and is amenable to DBT; thus, further examination of this construct may be beneficial in informing DBT treatment approaches. However, research has only examined these relationships cross-sectionally and no published ...
Source: Eating Disorders - December 12, 2019 Category: Eating Disorders & Weight Management Authors: Perkins NM, Ortiz SN, Smith AR Tags: Eat Disord Source Type: research
What role can accredited exercise physiologists play in the treatment of eating disorders? A descriptive study.
Abstract Including exercise alongside other therapeutic approaches may help to address dysfunctional exercise use and improve eating disorder treatment outcomes. However, traditional treatment teams often lack the expertise needed to safely prescribe exercise. The aims of this study were to explore the perceptions and experiences of Accredited Exercise Physiologists (AEPs) relating to working with clients diagnosed with eating disorders to identify the role they play in the treatment of eating disorders and identify future training needs. Individual semi-structured telephone interviews were conducted with 12 (n = ...
Source: Eating Disorders - December 9, 2019 Category: Eating Disorders & Weight Management Authors: Bergmeier HJ, Morris H, Mundell N, Skouteris H Tags: Eat Disord Source Type: research
Yoga Practice in a College Sample: Associated Changes in Eating Disorder, Body Image, and Related Factors Over Time.
This study continued to evaluate this relationship while also assessing changes in variables negatively associated with ED symptoms (self-compassion, mindfulness, body appreciation, self-efficacy) that are emphasized throughout yoga. Men were also included in this study given studies have predominantly focused on women. Participants (N = 99, 77.8% women) were recruited from a university-implemented yoga course and completed assessments at the beginning (Time 1 (T1)) and end (Time 2 (T2)) of an eight-week yoga course meeting three times a week for fifty minutes. Body dissatisfaction (ps
Source: Eating Disorders - December 3, 2019 Category: Eating Disorders & Weight Management Authors: Kramer R, Cuccolo K Tags: Eat Disord Source Type: research
Mindfulness in persons with anorexia nervosa and the relationships between eating disorder symptomology, anxiety and pain.
This study aimed to determine the relationship between mindfulness, eating disorder symptomology and indicators of health in women with AN (n = 59) entering residential treatment. Participants completed a self-administered survey, including the Cognitive Affective Mindfulness Scale and other measures. Additional data from medical records were collected. Greater mindfulness was associated with less eating disorder symptoms (p = .049). This relationship was most profound in individuals with AN, including restrictive and binge-purge subtypes compared to individuals with atypical AN (interaction p-value = 0.044). Greater mindf...
Source: Eating Disorders - December 3, 2019 Category: Eating Disorders & Weight Management Authors: Dunne JP, Shindul-Rothschild J, White L, Lee CS, Wolfe BE Tags: Eat Disord Source Type: research
Evaluating patterns of inconsistent and missing data on the eating disorders examination-questionnaire in a sample of treatment-seeking adults and adolescents.
Abstract Missing or inconsistent responses on self-report assessments can have implications for the use of empirically validated measurements in research and clinical practice. However, literature on frequency and systematic patterns of missingness on common measures of eating pathology is lacking. The current study evaluated EDE-Q missing and inconsistent responding in a clinical eating disorders (EDs) sample (N = 739). Thirteen percent (13.4%; n = 99) of the sample failed to provide complete responses on the EDE-Q and 13.8% (n = 101) inconsistently responded to behavioral items of the EDE-Q. Males were more like...
Source: Eating Disorders - November 27, 2019 Category: Eating Disorders & Weight Management Authors: Reilly EE, Brown TA, Wierenga CE Tags: Eat Disord Source Type: research
Is experiencing care as collaborative associated with enhanced outcomes in inpatient eating disorders treatment?
This study examined whether collaborative care is associated with better outcomes in adult inpatient treatment and explored a possible determinant of collaborative care, the manner in which mandatory treatment components were delivered (e.g. consistent implementation of weight gain guidelines, provision of choices regarding intensity of treatment). Inpatients (N = 146) completed measures of eating disorder symptoms, psychological functioning and readiness and motivation for change, pre and post-treatment. At post, they also completed measures of collaborative care, treatment satisfaction, and a new measure designed to eval...
Source: Eating Disorders - November 27, 2019 Category: Eating Disorders & Weight Management Authors: Geller J, Maiolino N, Samson L, Srikameswaran S Tags: Eat Disord Source Type: research
Chew and spit (CHSP) in a large adolescent sample: prevalence, impact on health-related quality of life, and relation to other disordered eating features.
This study also explores the relationship between CHSP and other demographic and eating disorder (ED) features in 5111 adolescents (11-to-19 years of age) from 13 schools in New South Wales, Australia. Participants completed measures of ED symptoms and behaviors and change to impairment with two components: psychological distress (K-10) and health related quality of life (HRQoL; PedsQL). CHSP was found to have a 12.2% (95% CI 0.114, 0.132]) point-prevalence rate. Participants who indicated engaging in CHSP reported significantly higher levels of psychological distress (K-10) and lower HRQoL scores (PedsQL) compared to...
Source: Eating Disorders - November 26, 2019 Category: Eating Disorders & Weight Management Authors: Aouad P, Hay P, Soh N, Touyz S, Mannan H, Mitchison D Tags: Eat Disord Source Type: research
'Feeling fat,' eating pathology, and eating pathology-related impairment in young men and women.
Abstract 'Feeling fat' has received little empirical attention despite clinical recognition as an eating disorder maintenance factor. This experience also occurs in non-clinical populations and may relate to elements of subclinical eating pathology. The present study examined whether 'feeling fat' independently contributes to eating pathology and eating pathology-related impairment, over and above over-evaluation of weight and shape and dysphoria. University students (N = 990; 54.3% female) completed questionnaires measuring these constructs. Moderated multiple hierarchical regression analyses evaluated 'feel...
Source: Eating Disorders - November 25, 2019 Category: Eating Disorders & Weight Management Authors: Mehak A, Racine SE Tags: Eat Disord Source Type: research
Changes in meal-related anxiety predict treatment outcomes in an intensive family-based treatment program for adolescents with anorexia nervosa.
Abstract Meal-related anxiety in individuals with eating disorders is associated with reduced caloric intake and persisting eating-disordered behaviors, which may reduce the likelihood of attaining or sustaining remission. The current study is the first to examine changes in meal-related anxiety as a predictor of outcomes in the context of a family-based partial hospitalization program. A sample of 51 adolescents with anorexia nervosa or atypical anorexia rated anxiety before and after all treatment meals using the Subjective Units of Distress Scale (SUDS). Regression analyses suggested that participants experienc...
Source: Eating Disorders - November 10, 2019 Category: Eating Disorders & Weight Management Authors: Smith KN, Van Huysse JL, Rienecke RD Tags: Eat Disord Source Type: research
Family-based inpatient treatment for adolescent anorexia nervosa: a thematic analysis of former patients' post-treatment reflections.
This study investigated former patients' experiences with family-based inpatient treatment. Interviews of thirty-seven patients diagnosed with anorexia nervosa during the admissions were conducted to examine their post-treatment perspectives. The accounts were analyzed by utilizing an inductive thematic analytic approach. The analysis yielded 4 main themes, constituted by in all 8 subthemes. The main themes were; 1) Enabling new ways of understanding and relating, 2) Enhancing or maintaining negative power dynamics, 3) Vulnerable transitions, and 4) Sibling relationships and different ways of involvement. With its "in...
Source: Eating Disorders - November 4, 2019 Category: Eating Disorders & Weight Management Authors: Nilsen JV, Hage TW, Rø Ø, Halvorsen I, Oddli HW Tags: Eat Disord Source Type: research
Cognitive rigidity and heightened attention to detail occur transdiagnostically in adolescents with eating disorders.
Abstract Cognitive inflexibility and attention to detail bias represent a promising target in eating disorder (ED) treatment. While prior research has found that adults with eating disorders exhibit significant cognitive inflexibility and heightened attention to detail, less is known about these cognitive impairments among adolescents, and across EDs transdiagnostically. To address this gap, adolescent females (N = 143) from a residential ED program with anorexia nervosa, bulimia nervosa, or other specified feeding or eating disorder completed the Detail and Flexibility Questionnaire (DFlex) and measures of ED and...
Source: Eating Disorders - November 1, 2019 Category: Eating Disorders & Weight Management Authors: Wang SB, Gray EK, Coniglio KA, Murray HB, Stone M, Becker KR, Thomas JJ, Eddy KT Tags: Eat Disord Source Type: research
Disordered eating measures validated in pregnancy samples: a systematic review.
Abstract Although disordered eating in pregnancy has been linked to numerous negative consequences, there is currently no published instrument specifically devised to identify or measure such symptoms in pregnancy. As such, this study systematically reviewed the literature to evaluate the performance of general measures of disordered eating in pregnancy samples. A systematic search of the following electronic databases was undertaken from inception to April 2019: Scopus, Medline, PsycINFO, Embase, ProQuest Dissertations and Theses, and the Cumulative Index to Nursing and Allied Health Literature. From 1724 citatio...
Source: Eating Disorders - November 1, 2019 Category: Eating Disorders & Weight Management Authors: Bannatyne AJ, McNeil E, Stapleton P, MacKenzie-Shalders K, Watt B Tags: Eat Disord Source Type: research
Self-weighing behavior in individuals with binge-eating disorder.
This study examined self-weighing behaviors and correlates in patients with BED. Hypotheses: (1) women would weigh more frequently than men, (2)> weekly weighers would have higher restraint scores than weekly weighers reported significantly higher restraint (2.0Â±1.2 versus 1.6Â±1.3; t(421) = 3.1, p = .02). (3) No significant gender*self-weighing interaction on restraint (p = .99). (4) Self-weighing is inversely correlated with BMI (rho = -0.20; p
Source: Eating Disorders - November 1, 2019 Category: Eating Disorders & Weight Management Authors: Pacanowski CR, Crosby RD, Grilo CM Tags: Eat Disord Source Type: research
A primary care modification of family-based treatment for adolescent restrictive eating disorders.
Abstract Although eating disorders pose a significant threat to the health and well-being of children and adolescents, due to a profound scarcity of specialty providers, only a small percentage of patients receives evidence-based treatment. To improve access to care for restrictive eating disorders, we developed a modified version of Family-Based Treatment to be delivered by primary care providers (PCPs) and conducted a pilot study to evaluate the feasibility and preliminary outcomes of this intervention. Fifteen adolescents (mean age = 15.5 years) with restrictive eating disorders and their caregiver(s) were enro...
Source: Eating Disorders - November 1, 2019 Category: Eating Disorders & Weight Management Authors: Lebow J, O'Brien JRG, Mattke A, Narr C, Geske J, Billings M, Clark MM, Jacobson RM, Phelan S, Le Grange D, Sim L Tags: Eat Disord Source Type: research
Validity of the compulsive exercise test in regular exercisers.
Abstract Measurement of compulsive exercise is important for the study of eating pathology in individuals who regularly participate in sport and exercise. The current study examined the factor structure, internal consistency and validity of the compulsive exercise test (CET) in regular exercisers. Participants were recruited via the internet and from sport clubs (n = 313 adults; M = 32 years; 57% female). A three-factor model for the CET was supported which included the weight control exercise, avoidance and rule-driven behaviour, and mood improvement subscales (fit statistics for the three-factor m...
Source: Eating Disorders - October 21, 2019 Category: Eating Disorders & Weight Management Authors: Limburg K, Bodill K, Watson HJ, Kane RT, Hagger MS, Egan SJ Tags: Eat Disord Source Type: research
Dialectical behavior therapy guided self-help for binge-eating disorder.
Abstract Binge-eating disorder (BED) is a prevalent and serious public health issue. BED is characterized by recurrent out-of-control binge eating episodes in the absence of extreme weight control behavior and is associated with significant psychosocial and physiological impairment. Dialectical Behavior Therapy (DBT), based on the affect regulation model of binge eating, is an evidence-based treatment (EBT) approach for BED. Unfortunately, access to EBTs is often limited due to geographical barriers (i.e., lack of local providers with specialized training in EBTs), lack of financial resources, and/or time constrai...
Source: Eating Disorders - October 16, 2019 Category: Eating Disorders & Weight Management Authors: Kenny TE, Carter JC, Safer DL Tags: Eat Disord Source Type: research
Reconsidering the use of cut-off scores for the Eating Disorder Examination-Questionnaire.
Abstract The Eating Disorder Examination-Questionnaire (EDE-Q) is one of the most widely used self-report measures for the assessment of eating disorder psychopathology. Numerous studies have provided norm data for different populations and suggested possible cut-off values for the EDE-Q global score that may indicate the presence of an eating disorder. This commentary argues against the unquestioned use of such cut-off scores as their application may often be unnecessary, disadvantageous, or inappropriate. PMID: 31619144 [PubMed - as supplied by publisher] (Source: Eating Disorders)
Source: Eating Disorders - October 16, 2019 Category: Eating Disorders & Weight Management Authors: Meule A Tags: Eat Disord Source Type: research
Parental caregiver burden and recovery of adolescent anorexia nervosa after multi-family therapy.
This study investigated whether parental caregiving burden changed during adjunct multi-family therapy of adolescent anorexia nervosa and eating disorders not otherwise specified (EDNOS) and whether caregiver burden at baseline and changes in caregiver burden during treatment were associated with treatment outcome. Twenty-four females, 13 to 16 years old, and their parents, participated in the study. Caregiver burden was measured with the Eating Disorders Symptom Impact Scale, by mothers (n = 23) and fathers (n = 22). Treatment outcome was measured by adolescent body mass index, level of global fun...
Source: Eating Disorders - October 16, 2019 Category: Eating Disorders & Weight Management Authors: Dennhag I, Henje E, Nilsson K Tags: Eat Disord Source Type: research
Multi-family therapy for bulimia nervosa in adolescence: a pilot study in a community eating disorder service.
ic M Abstract Multi-family therapy for Bulimia Nervosa (MFT-BN) was developed in response to the modest outcomes following both Family Therapy and Cognitive Behavior Therapy for adolescents with BN. BN impacts individuals and their family members with high levels of carer stress. MFT-BN targets barriers to treatment including low motivation to change, hostility and criticism, negative affect alongside emotion dysregulation and common comorbidities. MFT-BN enhances treatment, providing a community of support and acquisition of emotional regulation and interpersonal skills. The study describes the clinical character...
Source: Eating Disorders - October 14, 2019 Category: Eating Disorders & Weight Management Authors: Stewart CS, Baudinet J, Hall R, Fiskå M, Pretorius N, Voulgari S, Hunt K, Eisler I, Simic M Tags: Eat Disord Source Type: research
Effectiveness of treatment for adolescents and adults with anorexia nervosa in a routine residential setting.
This study tests how effective residential treatment is at helping adolescent and adult patients to reduce their eating pathology to levels that can be managed in outpatient settings. Ninety-eight patients with anorexia nervosa started treatment in a routine residential setting (83 completers). The adolescent and adult groups showed comparable levels of benefit, showing gains in weight and reductions in eating pathology, compatible with transitioning to less intensive treatment. Change was particularly substantial over the first 6 weeks. This effectiveness study has shown that an appropriate period of residential treatment...
Source: Eating Disorders - October 12, 2019 Category: Eating Disorders & Weight Management Authors: Hiney-Saunders K, Ousley L, Caw J, Cassinelli E, Waller G Tags: Eat Disord Source Type: research
Clinical guidance on osteoporosis and eating disorders: the NEDA continuing education series.
Abstract Osteoporosis is a common and very serious complication of anorexia nervosa. It affects these patients, both males and females, at very young ages. This loss of bone mineral density begins quickly, soon after the onset of the eating disorder. It is one of the rare medical complications of anorexia nervosa which may result in irreparable harm, even if there is successful nutritional rehabilitation and weight restoration. Nevertheless, notwithstanding its high importance, there is a paucity of evidence-based medicine to guide the optimal approach to diagnosis, prevention, and treatment. This paper attempts t...
Source: Eating Disorders - September 15, 2019 Category: Eating Disorders & Weight Management Authors: Mehler PS Tags: Eat Disord Source Type: research
Family accommodation in eating disorders: a preliminary examination of correlates with familial burden and cognitive-behavioral treatment outcome.
ll NR Abstract Previous research suggests caregivers of individuals with eating disorders (EDs) may attempt to reduce family strain by engaging in accommodation and enabling behaviors to avoid conflict or alleviate stress of the affected individual. Moreover, families often reorganize life around the ED, reinforcing ED behaviors and exacerbating family dysfunction and caregiver distress. However, limited research has examined how accommodation relates to caregivers' distress, family functioning, and treatment outcomes. The current study provides an initial evaluation of these associations among treatment-seeking i...
Source: Eating Disorders - August 15, 2019 Category: Eating Disorders & Weight Management Authors: Anderson LM, Smith KE, Nuñez MC, Farrell NR Tags: Eat Disord Source Type: research
Last word: A call to develop specific medical treatment guidelines for adolescent males with eating disorders.
Abstract Males with eating disorders are underdiagnosed and undertreated, which may be a result of inadequate guidance and training to assess and treat eating disorders for medical professionals. This may be particularly problematic for adolescent males given the focus of eating disorders research and treatment on adolescent females. Furthermore, there is a paucity of research to guide screening, medical treatment, and training of health professions in adolescent males with eating disorders. The development of eating disorders education and training for medical professionals are included in the 21st Century Cures ...
Source: Eating Disorders - August 15, 2019 Category: Eating Disorders & Weight Management Authors: Ganson KT, Murray SB, Nagata JM Tags: Eat Disord Source Type: research
Cognitive dissonance-based eating disorder prevention: pilot study of a cultural adaptation for the Orthodox Jewish community.
Abstract The Body Project (BP) is a cognitive dissonance-based eating disorders (ED) prevention program that targets thin-ideal internalization and reduces ED risk factors and onset for higher-risk adolescent/young adult females. Although the more insular Orthodox Jewish communities reduce exposure to mainstream secular media, they are not immune to thin-ideal internalization and EDs. The present uncontrolled study evaluated the preliminary effects of a cultural adaptation of the BP for Orthodox Jewish girls. The modified manual improved fit with ultra-Orthodox Jewish norms, practices, and values. Eighty-nine 11th...
Source: Eating Disorders - July 29, 2019 Category: Eating Disorders & Weight Management Authors: Casasnovas AF, Huryk KM, Levinson D, Markowitz S, Friedman S, Stice E, Loeb KL Tags: Eat Disord Source Type: research
Comparing the clinical presentation of eating disorder patients with and without trauma history and/or comorbid PTSD.
This study examined whether clinical characteristics among patients presenting to residential eating disorder (ED) treatment differed according to patients' trauma history and current PTSD diagnostic status. Participants (699 girls and women) completed surveys at treatment onset. One-way analysis of covariance (ANCOVA) tests assessed cross-sectional differences between three groups of patients: those reporting no trauma history (No Trauma, n = 185), those with trauma history but without PTSD (Trauma, n = 263), and those with current PTSD (PTSD, n = 251). Relative to the No Trauma group, the combined Trauma a...
Source: Eating Disorders - July 26, 2019 Category: Eating Disorders & Weight Management Authors: Scharff A, Ortiz SN, Forrest LN, Smith AR Tags: Eat Disord Source Type: research
Emotion regulation and emotional eating in anorexia nervosa and bulimia nervosa.
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 - July 25, 2019 Category: Eating Disorders & Weight Management Authors: Meule A, Richard A, Schnepper R, Reichenberger J, Georgii C, Naab S, Voderholzer U, Blechert J Tags: Eat Disord Source Type: research
Bingeing, Purging, and Suicidal Ideation in Clinical and Non-Clinical Samples of Youth.
Abstract Suicidal ideation is a serious mental health concern reported by adolescents. Despite understanding of increased suicidal ideation in patients with eating disorders (EDs) and obesity, few studies have compared how disordered eating (bingeing, vomiting and over exercising) is associated with suicidal ideation in clinical and non-clinical samples of youth across the ED and weight spectrum. The present study aimed to 1) comparatively examine rates of suicidal ideation and disordered eating behaviors in clinical samples of youth with EDs, complex obesity, or from the community, and 2) examine whether disorder...
Source: Eating Disorders - July 17, 2019 Category: Eating Disorders & Weight Management Authors: Obeid N, Norris ML, Valois DD, Buchholz A, Goldfield GS, Hadjiyannakis S, Henderson KA, Flament M, Hammond NG, Dunn J, Spettigue W Tags: Eat Disord Source Type: research
Symptoms of anorexia nervosa and bulimia nervosa have differential relationships to borderline personality disorder symptoms.
This study examined relationships between BPD symptoms and symptoms of bulimia nervosa (BN) and anorexia nervosa (AN), including whether the nine BPD symptoms differentially relate to BN versus AN. Participants were 208 adolescent psychiatric inpatients. BPD symptoms, measured via structured interview, correlated more strongly with self-reported BN than AN symptoms. BN and AN symptoms were greater among individuals who endorsed unstable relationships, affective instability, emptiness, identity disturbance, inappropriate anger, dissociation/paranoia, and suicidal behavior. BN, but not AN symptoms, were higher when impulsivi...
Source: Eating Disorders - July 15, 2019 Category: Eating Disorders & Weight Management Authors: Miller AE, Racine SE, Klonsky ED Tags: Eat Disord Source Type: research