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
Is Ramadan fasting correlated with disordered eating behaviours in adolescents?
This study aimed to examine the cross-sectional relationship between Ramadan fasting as a spiritual factor with prolonged hunger and disordered eating behaviors. The study was conducted in June 2016 (11th-29th days of Ramadan) and consisted of 238 fasting and 49 non-fasting adolescents. Risk of disordered eating was evaluated using the Eating Attitudes Test-26 (EAT-26) and Three Factor Eating Questionnaire-R18 (TFEQ-R18). Body image dissatisfaction was rated with Stunkard's Figure Rating Scale (FRS). Nutritional status was assessed using a 24-hour dietary recall. There was no significant difference between energy intake, E...
Source: Eating Disorders - July 13, 2019 Category: Eating Disorders & Weight Management Authors: Düzçeker Y, Akgül S, Durmaz Y, Yaman M, Örs S, Tüzün Z, Büyüktuncer Z, Kanbur N Tags: Eat Disord Source Type: research
Threat appraisal partially mediates the relation between neuroticism and bulimic symptoms.
Abstract Several studies support an association between neuroticism and bulimic symptoms; however, few studies have focused on how neuroticism exerts its influence. The purpose of this study was to extend the literature by investigating threat appraisal as a potential mediator of the relation between neuroticism and bulimic symptoms. One hundred and twenty women completed self-report measures of trait neuroticism, threat appraisal, and bulimic symptoms. Approximately half of the sample reported moderate or high levels of bulimic symptoms. Bootstrapping analyses revealed that neuroticism and threat appraisal were b...
Source: Eating Disorders - June 24, 2019 Category: Eating Disorders & Weight Management Authors: Dougherty EN, Badillo K, Johnson NK, Haedt-Matt AA Tags: Eat Disord Source Type: research
Female Athlete Body Project Intervention with Professional Dancers: A Pilot Trial.
Abstract As aesthetic athletes, professional dancers have increased vulnerability for eating disorders (EDs), with three times higher risk than non-dancers. Among ballet dancers, generalized risk for EDs associated with internalization of western cultural female beauty ideals is compounded by idealization of a ballet-specific body ideal, a combination that confers unique vulnerability for eating pathology. Empirical support has been established for an athlete-specific intervention promoting body acceptance and reduced eating pathology among general populations of young-adult women and female collegiate athletes; t...
Source: Eating Disorders - June 24, 2019 Category: Eating Disorders & Weight Management Authors: Gorrell S, Schaumberg K, Boswell JF, Hormes JM, Anderson DA Tags: Eat Disord Source Type: research
Longer-term follow-up of college students screening positive for anorexia nervosa: psychopathology, help seeking, and barriers to treatment.
Abstract The purpose of this study was to conduct a longer-term (i.e., 9-month) follow-up of students identified with possible anorexia nervosa (AN) as part of the Healthy Body Image Program, an online platform for screening and delivering tailored feedback and interventions, offered at 36 US universities. Participants were 61 individuals who screened positive for AN and who completed the follow-up. Regarding results, some indices of ED pathology and psychiatric comorbidity decreased over time, while others did not. Participants most commonly endorsed feeling ashamed, nervous, validated, and sad in response to rec...
Source: Eating Disorders - May 20, 2019 Category: Eating Disorders & Weight Management Authors: Fitzsimmons-Craft EE, Eichen DM, Monterubio GE, Firebaugh ML, Goel NJ, Taylor CB, Wilfley DE Tags: Eat Disord Source Type: research
Evaluating gender bias in an eating disorder risk assessment questionnaire for athletes.
Abstract Due to stigma, eating disorders are under-researched, underdiagnosed and undertreated among men. This is particularly pertinent among athletes, as athletic goals are a major risk factor for disordered eating in men. This gender stereotype may be reinforced by eating disorder risk assessment tools that better reflect female symptoms. We examine an eating disorder risk assessment questionnaire in a population of athletes to assess both (1) gender bias in individual items and (2) gender differences on a cognitive and behavioral subscale, identified through a factor analysis. Controlling for eating disorder r...
Source: Eating Disorders - May 11, 2019 Category: Eating Disorders & Weight Management Authors: Gallagher KA, Sonneville KR, Hazzard VM, Carson TL, Needham BL Tags: Eat Disord Source Type: research
Mental health literacy regarding eating disorders in female Japanese university students.
Abstract Mental health literacy (MHL) refers to one's knowledge and beliefs about mental disorders. MHL is necessary for the prevention and early detection of eating disorders, but little research exists on the MHL of Japanese people. This paper aims to reveal the degree of MHL about eating disorders in the Japanese individuals most susceptible to them (namely, female university students). Female Japanese university students were surveyed with a self-report questionnaire, using the Japanese versions of anorexia nervosa and bulimia nervosa vignettes. Most participants responded that the main problem described in ea...
Source: Eating Disorders - May 11, 2019 Category: Eating Disorders & Weight Management Authors: Nishida-Hikiji E, Okamoto M, Iwanaga R, Nakane H, Tanaka G Tags: Eat Disord Source Type: research
Examination of momentary maintenance factors and eating disorder behaviors and cognitions using ecological momentary assessment.
Abstract The integrative cognitive-affective therapy (ICAT) momentary maintenance model proposes a number of situational factors that precipitate eating disorder (ED) behaviors and cognitions. The current study examines momentary situational triggers in relation to a broad range of ED symptoms in a diagnostically heterogeneous sample of individuals with ED psychopathology. In the current study, 30 women with binge eating pathology completed a 14-day ecological momentary assessment (EMA) protocol during which they responded to five random signals throughout the day. During signaled assessments, participants complet...
Source: Eating Disorders - May 11, 2019 Category: Eating Disorders & Weight Management Authors: Mason TB, Smith KE, Crosby RD, Engel SG, Wonderlich SA Tags: Eat Disord Source Type: research
Exploring the primary care experiences of adult patients with eating disorders: a qualitative analysis.
The objective of this study was to explore the primary care experiences of adult patients with EDs. Ten individual, semi-structured interviews with adult women with an ED were conducted. A qualitative descriptive approach was adopted using thematic analysis. The researchers identified codes, which were categorized into five major themes: 1) disparate patient experiences in primary care, 2) delayed diagnosis, 3) key family physician qualities for ED care, 4) individual and systemic barriers to recovery, and 5) patient needs in primary care. Most participants reported that their diagnosis was not timely, suggesting a need fo...
Source: Eating Disorders - April 18, 2019 Category: Eating Disorders & Weight Management Authors: Lazare K, Mehak A, Telner D Tags: Eat Disord Source Type: research
Parents' perceptions of parent-child interactions related to eating and body image: an experimental vignette study.
This study is among the first to examine parents' opinions about parenting practices related to weight and eating using an experimental design. Findings might inform future research and continued work on prevention and treatment applications to help align parents' existing opinions about weight and eating with evidence-based health-promoting strategies. PMID: 30977721 [PubMed - as supplied by publisher] (Source: Eating Disorders)
Source: Eating Disorders - April 12, 2019 Category: Eating Disorders & Weight Management Authors: Lydecker JA, Cunningham PM, O'Brien E, Grilo CM Tags: Eat Disord Source Type: research
Recovery as an "Act of rebellion": a qualitative study examining feminism as a motivating factor in eating disorder recovery.
Recovery as an "Act of rebellion": a qualitative study examining feminism as a motivating factor in eating disorder recovery. Eat Disord. 2019 Apr 02;:1-7 Authors: Venturo-Conerly K, Wasil A, Shingleton R, Weisz J Abstract Patients with eating disorders (EDs) often feel ambivalent about recovery, and motivation-enhancement interventions are ineffective for many patients. Identifying new targets for motivational interventions may be particularly valuable. We interviewed 13 recovered ED patients to identify factors that motivated recovery, applying thematic analysis to identify central themes....
Source: Eating Disorders - April 2, 2019 Category: Eating Disorders & Weight Management Authors: Venturo-Conerly K, Wasil A, Shingleton R, Weisz J Tags: Eat Disord Source Type: research
The Emotional Eating Scale Adapted for Children and Adolescents (EES-C): development and preliminary validation of a short-form.
Abstract The 25-item Emotional Eating Scale for children and adolescents (EES-C) is a psychometrically sound instrument that measures the extent to which youth eat in response to negative emotions. Nonetheless, questionnaire length may serve as a barrier to routine administration in clinical and school settings, and diminish the likelihood of the measure being utilized in population-wide health studies. The present study reported on the development and preliminary validation of a short-form of EES-C using data from two previously published studies. Guidelines for the development of short-form questionnaires, conte...
Source: Eating Disorders - April 1, 2019 Category: Eating Disorders & Weight Management Authors: Limbers CA, Larson M, Young D, Simmons S Tags: Eat Disord Source Type: research
An introduction to the special issue on the state of the art research on treatment and prevention of eating disorders on ethnic minorities.
e;n E PMID: 30849292 [PubMed - as supplied by publisher] (Source: Eating Disorders)
Source: Eating Disorders - March 8, 2019 Category: Eating Disorders & Weight Management Authors: Perez M, Ramirez AL, Trujillo-ChiVacuán E Tags: Eat Disord Source Type: research
The recruitment and acceptability of a project ECHO ® eating disorders clinic: a pilot study of telementoring for primary medical and behavioral health care practitioners.
We describe the program and recruitment strategies and review baseline participant evaluation findings. Continuing Medical Education (CME) evaluation findings are presented as a measure of practitioner acceptability and satisfaction. Content analysis of CME participant evaluation comments provides an understanding of the impact of the program on participant knowledge and intended practice changes. We end with implications for training, practice, and research. PMID: 30829141 [PubMed - as supplied by publisher] (Source: Eating Disorders)
Source: Eating Disorders - March 4, 2019 Category: Eating Disorders & Weight Management Authors: Tantillo M, Starr T, Kreipe R Tags: Eat Disord Source Type: research
Compensatory behaviors among racial and ethnic minority undergraduate women.
Abstract Limited research has examined prevalence rates of disordered eating across racial and ethnic groups. The current study aimed to assess the prevalence of compensatory behaviors across minority undergraduate women. Self-report responses (N = 3,430) on the Eating Disorder Examination Questionnaire were analyzed from 2,094 White (55.9%), 684 Hispanic/Latina (18.3%), 508 Asian (13.6%), 235 Black (6.3%), and 65 Native American/Alaskan Native (1.7%) women attending college within the United States. Racial and ethnic differences were significant across all compensatory behaviors. Most notably, Asian and Nati...
Source: Eating Disorders - March 1, 2019 Category: Eating Disorders & Weight Management Authors: Bruening AB, Perez M Tags: Eat Disord Source Type: research
Intuitive eating is connected to self-reported weight stability in community women and men.
This study examines how intuitive eating and eating restraint (flexible and rigid control) are linked to retrospective reports of weight stability (i.e., maintained weight) and instability (i.e., lost, gained, or cycled weight) during the past year. Community women (n = 192) and men (n = 190) completed online self-report measures of eating behaviors and weight patterns. Intuitive eating was linked to greater weight stability, whereas rigid and flexible control were linked to greater weight instability. Additional research is required to assess the directionality of these associations. Nevertheless, these findings...
Source: Eating Disorders - March 1, 2019 Category: Eating Disorders & Weight Management Authors: Tylka TL, Calogero RM, Daníelsdóttir S Tags: Eat Disord Source Type: research
Eating Disorders: The Journal of Treatment and Prevention year in review statement from the Editors.
PMID: 30760182 [PubMed - as supplied by publisher] (Source: Eating Disorders)
Source: Eating Disorders - February 13, 2019 Category: Eating Disorders & Weight Management Authors: Anderson LK, Cook-Cottone C Tags: Eat Disord Source Type: research
Spanish validation of the Eating Disorder Examination Questionnaire for Adolescents (EDE-Q-A): confirmatory factor analyses among a clinical sample.
ute;s P, Graell M Abstract Most studies of eating disorders (ED) among adolescents have relied on the use of self-report questionnaires given its cost-effectiveness compared to interviews approaches. The Eating Disorders Examination Questionnaire (EDE-Q) is one of the most commonly used self-report measures of eating psychopathology, despite issues regarding the underlying latent structure and its validity in this population. Given the lack of validated measures among Hispanic clinical samples, the current study aimed to validate previously suggested models for the adolescent version (EDE-Q-A) among female teenage...
Source: Eating Disorders - February 13, 2019 Category: Eating Disorders & Weight Management Authors: Sepúlveda AR, Compte EJ, Faya M, Villaseñor A, Gutierrez S, Andrés P, Graell M Tags: Eat Disord Source Type: research
"Do I exist in this world, really, or is it just her?" Youths' perspectives of living with a sibling with anorexia nervosa.
In conclusion, siblings' experiences of severe AN are complex and ambiguous. Family-based treatment for AN in young people should address siblings' perspectives. PMID: 30712482 [PubMed - as supplied by publisher] (Source: Eating Disorders)
Source: Eating Disorders - February 3, 2019 Category: Eating Disorders & Weight Management Authors: Fjermestad KW, Rø AE, Espeland KE, Halvorsen MS, Halvorsen IM Tags: Eat Disord Source Type: research
Prevention of eating disorders: 2018 in review.
This article reviews the 10 prevention-related publications in Eating Disorders: The Journal of Treatment & Prevention during 2018. Two models frame this analysis. This first is the Mental Health Intervention Spectrum from health promotion → types of prevention → case identification and referral → treatment (recovery). The second parses the phases of prevention into rationale, theory, and methodology → clarification of risk factors, including very high risk, shading into warning signs → implications for specific preventive interventions → design innovation and feasibility (pilot) research ...
Source: Eating Disorders - January 31, 2019 Category: Eating Disorders & Weight Management Authors: Levine MP Tags: Eat Disord Source Type: research
Disclosure in therapy by clients with eating difficulties: a Q-Methodology study.
This study suggests that clinicians need to assess influences on the decision to disclose for individual clients and to modify the early stages of intervention accordingly. Future research could assess the utility of using the Q-sort process and materials in this study as a way to elicit influences on disclosure decisions. PMID: 30676885 [PubMed - as supplied by publisher] (Source: Eating Disorders)
Source: Eating Disorders - January 24, 2019 Category: Eating Disorders & Weight Management Authors: Murphy K, Simonds LM, Spokes N Tags: Eat Disord Source Type: research
Dialectical behavioral therapy skills group as an adjunct to family-based therapy in adolescents with restrictive eating disorders.
Abstract Dialectical behavior therapy (DBT) is commonly used in the treatment of eating disorders (ED), yet few studies have examined the utility of DBT skills groups as an adjunct to evidence-based therapy for ED. Thus, we sought to examine the preliminary efficacy of a DBT skills group as an adjunct to Family-Based Treatment (FBT) for adolescent restrictive ED. Our preliminary pilot study included 18 adolescent girls ages 13-18 (M = 15.3, SD = 1.64) with restrictive ED, including Anorexia Nervosa (AN; N = 10), Atypical Anorexia Nervosa (AAN, N = 5), and Other Specific Feeding or Eating D...
Source: Eating Disorders - January 23, 2019 Category: Eating Disorders & Weight Management Authors: Peterson CM, Van Diest AMK, Mara CA, Matthews A Tags: Eat Disord Source Type: research
Hearing vs. engaging in negative body talk: an examination of adult men.
This study examined the negative body talk both engaged in and heard by adult men as separate constructs and how both constructs are related to men's body dissatisfaction and muscle dysmorphia. Data were collected from 260 adult men on negative body talk both engaged in and heard, body fat dissatisfaction, muscle dissatisfaction, and muscle dysmorphia. Results indicated that the muscle talk that men engaged in acted as a mediator between the relationship between the body talk men heard and muscle dissatisfaction. The same mediating relationship also existing for muscle dysmorphia symptoms. Similarly, the fat talk that men ...
Source: Eating Disorders - January 22, 2019 Category: Eating Disorders & Weight Management Authors: Lin L, Flynn M, Roberge A Tags: Eat Disord Source Type: research
Patients' views on a new treatment for Bulimia nervosa and binge eating disorder combining physical exercise and dietary therapy (the PED-t). A qualitative study.
Abstract A new group based treatment for patients with bulimia nervosa (BN) and binge eating disorder (BED), combining guided Physical Exercise and Dietary therapy (PED-t), has shown the capacity to alleviate BN and BED symptoms. The PED-t is run by therapists with a professional background in sport sciences and nutrition, which in many clinical settings is an uncommon group of professionals. The symptom reduction effects using the PED-t need validation from patients who have been given this kind of treatment, as negative experiences may impinge further clinical implementation. To explore such experiences, semistr...
Source: Eating Disorders - January 21, 2019 Category: Eating Disorders & Weight Management Authors: Bakland M, Rosenvinge JH, Wynn R, Sundgot-Borgen J, Fostervold Mathisen T, Liabo K, Hanssen TA, Pettersen G Tags: Eat Disord Source Type: research
Evaluating the effectiveness of ecological momentary assessment and intervention targeting body checking behaviors.
This study investigated the efficacy of using ecological momentary assessment and intervention (EMA/EMI) to target body checking behaviors. Body checking has been shown to increase body dissatisfaction and play a role in eating disorders, but few treatments specifically targeting body checking have been empirically evaluated. Forty-four female undergraduates who reported engaging in frequent body checking behaviors participated in a five-day study wherein they were assessed five times a day via smart phone. On the final two days of the study, intervention messages were sent containing cognitive-behavioral strategies for de...
Source: Eating Disorders - January 21, 2019 Category: Eating Disorders & Weight Management Authors: Smith JM, Whisenhunt BL, Buchanan EM, Hudson DL Tags: Eat Disord Source Type: research
A scoping review of the role of primary care providers and primary care-based interventions in the treatment of pediatric eating disorders.
Abstract Youth with eating disorders are often cared for by specialized interdisciplinary teams in pediatric tertiary care centers. Enhanced involvement of primary care providers may provide added benefits to patients because it offers improved access, better continuity of care, and possibly less financial burden. This paper aims to synthesize and assess the literature on the role of the primary care provider in treating pediatric eating disorders in order to identify an optimal model of shared care. Sources were identified by entering search terms in 10 databases. Eligible sources were English publications focusi...
Source: Eating Disorders - January 21, 2019 Category: Eating Disorders & Weight Management Authors: Lenton-Brym T, Rodrigues A, Johnson N, Couturier J, Toulany A Tags: Eat Disord Source Type: research
Meaning in life is associated with the psychopathology of eating disorders: differences depending on the diagnosis.
acute;rez S Abstract Previous studies indicated that meaning in life was inversely associated with eating behaviors and a negative attitude toward food, body satisfaction, and borderline symptoms. However, research on the association between meaning in life and eating disorder psychopathology is scarce, and there are no studies on the association between meaning in life and the eating disorder psychopathology depending on the diagnosis. The aim of the present study is to verify whether meaning in life is differentially associated with a broad range of psychopathology symptoms commonly observed in people with ED, d...
Source: Eating Disorders - January 20, 2019 Category: Eating Disorders & Weight Management Authors: Marco JH, Cañabate M, Pérez S Tags: Eat Disord Source Type: research
Updates in the treatment of eating disorders in 2018: A year in review in eating disorders: The Journal of Treatment & Prevention.
Updates in the treatment of eating disorders in 2018: A year in review in eating disorders: The Journal of Treatment & Prevention. Eat Disord. 2019 Jan 20;:1-12 Authors: Murray SB Abstract Current evidence suggests that the majority of patients with eating disorders will not fully recover during treatment, and little doubt can exist around the urgent need for improved treatment outcomes across the field of eating disorders. While empirical efforts are underway to optimize outcomes, this article reviews treatment-related research findings published in Eating Disorders: The Journal of Treatment &...
Source: Eating Disorders - January 20, 2019 Category: Eating Disorders & Weight Management Authors: Murray SB Tags: Eat Disord Source Type: research
Treatment outcome research of enhanced cognitive behaviour therapy for eating disorders: a systematic review with narrative and meta-analytic synthesis.
Abstract Enhanced cognitive behaviour therapy (CBT-E) has recently generated interest as a potentially useful treatment for eating disorders (ED). In the current study, we conducted a systematic review of the outcome literature on CBT-E, with both narrative and meta-analytic synthesis. We included single-group uncontrolled pre-post design studies and randomised control trials (RCTs) of CBT-E, which allowed us to include a larger number of studies, and also compare the two methodologies in terms of effect size. The primary analysis included 15 CBT-E studies with a total of 948 participants. Narrative synthesis exam...
Source: Eating Disorders - January 11, 2019 Category: Eating Disorders & Weight Management Authors: Norris SC, Gleaves DH, Hutchinson AD Tags: Eat Disord Source Type: research
Caregiving experience and expressed emotion among parents of adolescents suffering from anorexia nervosa following illness onset.
Abstract The aim of this study was to better understand the relationship between parents' experience of caregiving and expressed emotion during the early stage of their child's eating disorder. Fifty mothers and 38 fathers of adolescents suffering from anorexia nervosa and hospitalized for the first time participated in this study. They completed the Experience of Caregiving Inventory, a measure of the negative and positive aspects of the caregiving experience, and the Family Questionnaire, which measured the different dimensions of expressed emotion, namely emotional over-involvement and critical comments. Result...
Source: Eating Disorders - January 6, 2019 Category: Eating Disorders & Weight Management Authors: Blondin S, Meilleur D, Taddeo D, Frappier JY Tags: Eat Disord Source Type: research
Tackling mixed messages: Practitioner reflections on working with adolescents with atypical anorexia and their families.
The objective of this study was to describe frontline practitioners' perceptions of differences between adolescents living with atypical versus typical AN, as well as the intervention challenges they experience when working with these adolescents and their families. We followed the principles of fundamental qualitative description and recruited a purposeful sample of practitioners treating adolescent eating disorders to complete a one-on-one semi-structured interview. Conventional content analysis and the constant comparison technique were used for data analysis. A total of 23 practitioners from four countries participated...
Source: Eating Disorders - November 10, 2018 Category: Eating Disorders & Weight Management Authors: Kimber M, Dimitropoulos G, Williams EP, Singh M, Loeb KL, Hughes EK, Garber A, Elliott A, Vyver E, Le Grange D Tags: Eat Disord Source Type: research
Predictors of Weight Restoration in a Day-Treatment Program that Supports Family-Based Treatment for Adolescents with Anorexia Nervosa.
Abstract Family-Based Treatment (FBT) is considered a first-line treatment for adolescents with eating disorders. The traditional outpatient model of FBT may not, however, be appropriate for adolescents requiring more intensive treatment due to severe medical complications or insufficient progress in traditional outpatient FBT. In response, efforts have been made to incorporate FBT into higher levels of care, such as day-treatment programs (DTPs), for families who need additional support. Little is known about the factors that predict weight restoration for DTPs intended to support FBT. The current study examined ...
Source: Eating Disorders - October 25, 2018 Category: Eating Disorders & Weight Management Authors: Martin-Wagar CA, Holmes S, Bhatnagar KAC Tags: Eat Disord Source Type: research
Family-based treatment for transition age youth: the role of expressed emotion and general family functioning.
Abstract The aim of this study was to investigate changes in family functioning and parental expressed emotion (EE) in parents and transition age youth (18 to 25 years old) with Anorexia Nervosa participating in Family-Based Treatment for Transition Age Youth (FBT-TAY). Further, we examined whether perceived family functioning and EE were associated with changes in eating disorder behaviour and weight in participants at end-of-treatment and three months post-treatment. Generalized estimating equations revealed that changes in family functioning significantly improved from baseline to end-of-treatment (p ...
Source: Eating Disorders - October 25, 2018 Category: Eating Disorders & Weight Management Authors: Dimitropoulos G, Landers AL, Freeman V, Novick J, Cullen O, Le Grange D Tags: Eat Disord Source Type: research
Validity and reliability of the Eating Problem Checklist.
Abstract The aim of this study was to validate the latest version of the Eating Problem Checklist (EPCL), a tool designed to assess eating-disorder behaviours and psychopathology in patients with eating disorders, session-by-session. The EPCL was completed at baseline by participants with eating disorders (n = 161) and a healthy control group (n = 379) and then administered session-by-session in a subgroup of 75 participants with eating disorders. The EPCL demonstrated good internal consistency, test-retest reliability, and concurrent and criterion validity, and principal axis analysis of the s...
Source: Eating Disorders - October 22, 2018 Category: Eating Disorders & Weight Management Authors: Dalle Grave R, Sartirana M, Milanese C, El Ghoch M, Brocco C, Pellicone C, Calugi S Tags: Eat Disord Source Type: research
Women's recovery from anorexia nervosa: a systematic review and meta-synthesis of qualitative research.
Abstract Anorexia nervosa (AN) is a complex and challenging condition and recovery can be a slow and difficult process. Predicting factors remain largely unknown. This paper aims to systematically review qualitative studies which have investigated female service users' experiences of recovering from AN and carry out a meta-synthesis of the themes they identified. Meta-ethnography was used to select and synthesize the studies. Articles published between 2002 and 2017 were searched in PsycInfo, EMBASE, CINAHL and Medline. Studies were included if they explored recovery from AN using a qualitative methodology. The me...
Source: Eating Disorders - September 24, 2018 Category: Eating Disorders & Weight Management Authors: Stockford C, Stenfert Kroese B, Beesley A, Leung N Tags: Eat Disord Source Type: research
'The body is a battleground for unwanted and unexpressed emotions': exploring eating disorders and the role of emotional intelligence.
Abstract Emotional difficulties have been observed in individuals with eating disorders across awide range of studies, including poor interoceptive awareness, confusion of emotionalstates and difficulties with emotional language. Literature has linked these difficultieswith emotional functioning as being an important factor related to the core aetiology ofeating disorders, however limited knowledge exists to how this impacts on professionalability to engage patients within treatment as a result of such dysfunction. Using aqualitative design this paper explores how facets of Emotional intelligence (EI) arerelated t...
Source: Eating Disorders - September 20, 2018 Category: Eating Disorders & Weight Management Authors: Foye U, Hazlett DE, Irving P Tags: Eat Disord Source Type: research
Motivation for sport participation and eating disorder risk among female collegiate athletes.
Abstract In light of conflicting research regarding eating disorder risk and sports participation, the current study examined the relationship between specific aspects of sports participation (i.e., level of competition, leanness requirements, and physical/cardiovascular intensity level), an individual's motivation for sports participation, and eating disorder symptomatology/risk. Participants included 319 female collegiate athletes (M age = 19.88; SD = 1.62) representing a variety of sports and competition levels. Multilevel modeling found that level of competition, receiving a scholarship, ag...
Source: Eating Disorders - September 17, 2018 Category: Eating Disorders & Weight Management Authors: Homan KJ, Crowley SL, Sim LA Tags: Eat Disord Source Type: research
Pathways into treatment for eating disorders: A quantitative examination of treatment barriers and treatment attitudes.
In conclusion, the development and dissemination of novel treatments and the provision of eating disorders mental health literacy may offer promising potential pathways into treatment for individuals with undiagnosed eating disorders. Nevertheless, researchers must pay attention and improve, individuals' attitudes towards accessing these novel treatments. The positive correlations of symptom severity with treatment barrier strength highlights the importance of early intervention for individuals with eating disorders. Finally, the fear of losing control may be a uniquely salient treatment barrier for individuals with eating...
Source: Eating Disorders - September 17, 2018 Category: Eating Disorders & Weight Management Authors: Griffiths S, Rossell SL, Mitchison D, Murray SB, Mond JM Tags: Eat Disord Source Type: research
Moderators of treatment outcomes in a partial hospitalization and intensive outpatient program for eating disorders.
Abstract Eating disorders cause a number of severely impairing symptoms that may require more intensive intervention that is available through outpatient therapy services. The PHP/IOP level of care may be an effective mode of treatment in these cases, but few studies have examined overall outcomes or treatment moderators for this level of care. Using a large sample from a PHP/IOP specifically designed for the treatment of eating disorders, the current study examines a variety of symptoms (eating disorder severity, quality of life, depression, etc.) from admission to discharge, as well as potential moderators of tr...
Source: Eating Disorders - September 11, 2018 Category: Eating Disorders & Weight Management Authors: Hayes NA, Welty LJ, Slesinger N, Washburn JJ Tags: Eat Disord Source Type: research
Gender bias, other specified and unspecified feeding and eating disorders, and college students: a vignette study.
Abstract This vignette study examined perceptions of 237 male and female undergraduate students regarding two severity levels (low and high) of other specified (OSFED) and unspecified feeding and eating disorders (UFED) in their male and female peers. Multilevel modeling showed that female characters received stronger endorsements of eating pathology than male characters for similar symptom presentations. College men were more likely than college women to rate female characters as having eating disorders. Gender bias about eating disorders affected men and women differently in this study. Implications for gender-i...
Source: Eating Disorders - August 6, 2018 Category: Eating Disorders & Weight Management Authors: Schoen E, Brock R, Hannon J Tags: Eat Disord Source Type: research
Why do men stigmatize individuals with eating disorders more than women? Experimental evidence that sex differences in conformity to gender norms, not biological sex, drive eating disorders' stigmatization.
Abstract Previous research has shown that men are more stigmatizing than women toward individuals with eating disorders, including anorexia nervosa and muscle dysmorphia. We hypothesized that previously observed sex differences in eating disorders' stigmatization are driven by sex differences in individuals' levels of conformity to masculine and feminine gender norms. Young adults (N = 545) completed validated measures of conformity to masculine and feminine norms and were then randomly assigned to read a character description of a male or female individual with anorexia or muscle dysmorphia. Subsequently, partici...
Source: Eating Disorders - July 27, 2018 Category: Eating Disorders & Weight Management Authors: Austen E, Griffiths S Tags: Eat Disord Source Type: research
Weight suppression and its relation to eating disorder and weight outcomes: a narrative review.
Abstract Weight suppression (WS) refers to the discrepancy between highest adult weight and current weight, and has been examined as a key construct related to both: eating pathology and weight management. However, despite increasing interest in WS, findings regarding the clinical implications of WS are often conflicting. For instance, WS has been associated with both adaptive and maladaptive outcomes across various populations. Moreover, results regarding the predictive utility of WS within clinical samples have been inconsistent. The current paper aims to provide a narrative review of existing investigation rela...
Source: Eating Disorders - July 24, 2018 Category: Eating Disorders & Weight Management Authors: Gorrell S, Reilly EE, Schaumberg K, Anderson LM, Donahue JM Tags: Eat Disord Source Type: research
Body dissatisfaction and disordered eating symptoms in Finnish preadolescents.
s E Abstract To evaluate whether body dissatisfaction is associated with disordered eating symptoms in Finnish preadolescents, and to assess the moderator effects of gender and body mass index on this association. We included 10,526 9- to 12-year-old preadolescents at baseline from the Finnish Health in Teens cohort. We used the Children's Eating Attitudes Test for assessing disordered eating symptoms and a pictoral instrument for evaluating body dissatisfaction, comparing self-assessment of wanted and current body shape. Odds ratio (OR) for disordered eating symptoms were estimated using unconditional logistic re...
Source: Eating Disorders - July 24, 2018 Category: Eating Disorders & Weight Management Authors: Figueiredo RAO, Simola-Ström S, Isomaa R, Weiderpass E Tags: Eat Disord Source Type: research
"Not just right" experiences account for unique variance in eating pathology.
"Not just right" experiences account for unique variance in eating pathology. Eat Disord. 2018 Jun 04;:1-13 Authors: Kennedy GA, McDermott KA, Mathes BM, Summers BJ, Cougle JR Abstract "Not just right" experiences (NJREs) are uncomfortable sensations of incompleteness linked to obsessive-compulsive disorder; however, NJREs may be transdiagnostic and play a role in eating pathology. The current study examined relations between NJREs and eating pathology in undergraduate students. Participants (n = 248) completed self-report and behavioral assessments. Controlling for obses...
Source: Eating Disorders - June 4, 2018 Category: Eating Disorders & Weight Management Authors: Kennedy GA, McDermott KA, Mathes BM, Summers BJ, Cougle JR Tags: Eat Disord Source Type: research
Locating the mechanisms of therapeutic agency in family-based treatment for adolescent anorexia nervosa: A pilot study of clinician/researcher perspectives.
We examined clinician and researcher perspectives on the mechanisms of FBT. Thirty-eight clinicians/researchers who had recently published in the domain of anorexia nervosa (AN) indicated their opinions as to the mechanisms of FBT, and content analysis was performed to identify relevant themes. Parental input was deemed crucial for weight-based symptom remission, and weight restoration was deemed crucial for cognitive symptom relief. Participants reported that mechanisms of FBT may be nullified by psychiatric comorbidities (50%), inappropriate weight goals (37%), or a long illness duration (24%). Attributions of causality ...
Source: Eating Disorders - June 4, 2018 Category: Eating Disorders & Weight Management Authors: Murray SB, Rand-Giovannetti D, Griffiths S, Nagata JM Tags: Eat Disord Source Type: research
Factors that assist and hinder efforts towards recovery from eating disorders: A comparison of collegiate female athletes and non-athletes.
This study compared female intercollegiate athletes' and non-athletes' experiences of working towards recovery from an eating disorder. Participants (55 athletes, 99 non-athletes) responded to open-ended questions about factors that influenced their progress towards recovery. Both subgroups reported that Supportive Relationships and Cognitive/Emotional Shifts were most helpful. The third most frequent helpful factor for athletes was Sport Performance Concerns, for non-athletes it was Treatment. Athletes' most frequent hindering factors were Negative Emotions/Cognitions, Sport Pressures, and Hurtful Modelling, while non-ath...
Source: Eating Disorders - May 29, 2018 Category: Eating Disorders & Weight Management Authors: Arthur-Cameselle JN, Burgos J, Burke J, Cairo J, Colón M, Piña ME Tags: Eat Disord Source Type: research