Collaborative dietetic and psychological care in Interprofessional Enhanced Cognitive Behaviour Therapy for adults with Anorexia Nervosa: a novel treatment approach
AbstractClinical practice guidelines for anorexia nervosa (AN) and atypical anorexia nervosa recommend treatment from a team including a mental health professional and a dietitian. To date, however, AN treatment models such as Enhanced Cognitive Behaviour Therapy (CBT-E) seldom include dietitians and have low to moderate treatment efficacy. Given interprofessional approaches to healthcare have been shown to improve treatment outcomes and enhance patient and clinician satisfaction, formalising collaborative dietetic and psychological treatment may be a feasible strategy to improve treatment outcomes and the patient and clin...
Source: Journal of Eating Disorders - February 27, 2023 Category: Eating Disorders & Weight Management Source Type: research
Associations between sex differences, eating disorder behaviors, physical and mental health, and self-harm among Chinese adolescents
ConclusionsThe results revealed significant sex and sexual orientation differences of ED behaviors. The study suggests that adolescents is a period of sexuality development and could be critical for understanding adolescents ’ eating behaviors. It is important to guide adolescents to healthy eating during their development and considerations should be made by clinicians when creating interventions for ED behaviors among the different sex and sexual orientation groups. (Source: Journal of Eating Disorders)
Source: Journal of Eating Disorders - February 27, 2023 Category: Eating Disorders & Weight Management Source Type: research
Exploring multisensory integration of non-naturalistic sounds on body perception in young females with eating disorders symptomatology: a study protocol
DiscussionOur study may contribute to our understanding of the mechanisms underlying body image disturbances. The results may pave the way for novel clinical interventions targeting early symptoms prior to the development of the disorder in young females. (Source: Journal of Eating Disorders)
Source: Journal of Eating Disorders - February 27, 2023 Category: Eating Disorders & Weight Management Source Type: research
The role of discrimination and adverse childhood experiences in disordered eating
ConclusionDiscrimination is a salient risk factor for ED symptoms even when accounting for individuals ’ history of ACEs. Future research should utilize an intersectional approach to examine how perceived discrimination affects ED pathology over time. (Word count: 234). (Source: Journal of Eating Disorders)
Source: Journal of Eating Disorders - February 27, 2023 Category: Eating Disorders & Weight Management Source Type: research
The mother –daughter Shared Agency in Weight Management Scale (SAWMS): development, validation, and implications for body dissatisfaction
ConclusionsResults suggested that maternal control in weight management was associated with daughters ’ increased body dissatisfaction, whereas maternal autonomy support in weight management was associated with daughters’ lower body dissatisfaction. These specific ways in which mother work with daughters in weight management provide nuances in understanding young women’s body dissatisfaction. Our SAWMS offers new ways to examine body image among young women through the mother–daughter relationship dynamics in weight management. (Source: Journal of Eating Disorders)
Source: Journal of Eating Disorders - February 20, 2023 Category: Eating Disorders & Weight Management Source Type: research
Renal and electrolyte complications in eating disorders: a comprehensive review
AbstractEating disorders are psychiatric disorders with significant and widespread medical complications, including renal disorders. Renal disease is not uncommon in patients with eating disorders but is often unrecognized. It includes both acute renal injury and progression to chronic kidney disease requiring dialysis. Electrolyte abnormalities including hyponatremia, hypokalemia, and metabolic alkalosis are common in eating disorders and vary depending on whether patients engage in purging behaviors. Chronic hypokalemia due to purging in patients with anorexia nervosa-binge purge subtype or bulimia nervosa can lead to hy...
Source: Journal of Eating Disorders - February 20, 2023 Category: Eating Disorders & Weight Management Source Type: research
It ’s not all about control: challenging mainstream framing of eating disorders
ConclusionsTo mitigate against pathologisation of an individual, it is important to challenge a discourse that can lead to EDs being perceived as something ‘wrong’ with the individual, rather than a consequence of life events or other environmental influences. We identify priorities for the future for researchers, clinicians, policy makers and the wider public. (Source: Journal of Eating Disorders)
Source: Journal of Eating Disorders - February 19, 2023 Category: Eating Disorders & Weight Management Source Type: research
Epidemiology of eating disorders: population, prevalence, disease burden and quality of life informing public policy in Australia —a rapid review
ConclusionsThere is no doubt that eating disorder prevalence and impact are on the rise, particularly in at-risk and understudied populations. Much of the evidence came from female-only samples, and Western, high-income countries which more readily have access to specialised services. Future research should examine more representative samples. There is an urgent need for more refined epidemiological methods to better understand these complex illnesses over time, to guide health policy and development-of-care. (Source: Journal of Eating Disorders)
Source: Journal of Eating Disorders - February 15, 2023 Category: Eating Disorders & Weight Management Source Type: research
Endocrine complications of anorexia nervosa
AbstractAn important component in the treatment of anorexia nervosa (AN) is the evaluation and management of its endocrine complications, including functional hypogonadotropic hypogonadism and increased fracture risk. The body ’s adaptive response to chronic starvation results in many endocrine abnormalities, most of which are reversible upon weight restoration. A multidisciplinary team with experience in treating patients with AN is critical to improving endocrine outcomes in patients with this disorder, including in w omen with AN who are interested in fertility. Much less is understood about endocrine abnormalities in...
Source: Journal of Eating Disorders - February 15, 2023 Category: Eating Disorders & Weight Management Source Type: research
Reimagining eating disorder spaces: a qualitative study exploring M āori experiences of accessing treatment for eating disorders in Aotearoa New Zealand
ConclusionMore education is needed for those working in the space of primary health settings about the diversity of those with eating disorders to enable them to look beyond the stereotype of what an eating disorder looks like, and to take seriously the concerns of whaiora and wh ānau who present with disordered eating concerns. There is also a need for thorough assessment and early referral for eating disorder treatment to ensure the benefits of early intervention are enabled for Māori. Attention given to these findings will ensure a place for Māori in specialist eating disorder services in New Zealand.Graphical Abstra...
Source: Journal of Eating Disorders - February 15, 2023 Category: Eating Disorders & Weight Management Source Type: research
The relationship between self-control and symptoms of anxiety and depression in patients with eating disorders: a cross-sectional study including exploratory longitudinal data
ConclusionsOur results indicated that anxiety/depression symptoms, in patients with EDs, were not strongly correlated with levels of self-control, but rather with ED symptoms. However, extreme values of both over- and undercontrol showed a tendency to be associated with higher levels of depression symptoms, whereas anxiety symptoms increased with increasing levels of undercontrol. Future studies could benefit from considering both over- and undercontrol as potentially dysfunctional. (Source: Journal of Eating Disorders)
Source: Journal of Eating Disorders - February 14, 2023 Category: Eating Disorders & Weight Management Source Type: research
Transdiagnostic fears and avoidance behaviors in self-reported eating disorders
ConclusionsEating related fears, general fears, and food avoidance behaviors were found to be transdiagnostic symptoms in self-reported eating disorders. Individuals with binge eating disorder also exhibit more fears and avoidance behaviors than healthy controls, but to a lesser extent than the other eating disorders. Specialized interventions targeting fears and avoidance may be promising add-on interventions not only in the treatment of anorexia nervosa, but in the treatment of all eating disorders. (Source: Journal of Eating Disorders)
Source: Journal of Eating Disorders - February 13, 2023 Category: Eating Disorders & Weight Management Source Type: research
Assessment and management of disorders of gut –brain interaction in patients with eating disorders
AbstractDisorders of gut –brain interaction (DBGI), also known as functional gastrointestinal disorders, are common in individuals with eating disorders, and may precede or perpetuate disordered eating. Understanding the pathophysiology of common gastrointestinal symptoms in DGBI can be important for the care of many pati ents with eating disorders. In this review, we summarize the literature to date on the complex relationship between DBGI and eating disorders and provide guidance on the assessment and management of the most common symptoms of DBGI by anatomic region: esophageal symptoms (globus and functional dysph agi...
Source: Journal of Eating Disorders - February 13, 2023 Category: Eating Disorders & Weight Management Source Type: research
Sex-specific mechanisms for eating disorder risk in men and women with autistic traits: the role of alexithymia
ConclusionsWhile cross-sectional, these findings suggest that the relationship between autistic traits and ED symptomatology is mediated by other variables. In support of its proposed role in the aetiology of ED, alexithymia was directly associated with ED symptoms in women. It also affected ED symptoms indirectly, in all participants, via its effect on depressive/anxious symptoms. Interventions focusing on alexithymia may facilitate recovery not only via their effect on ED, but via their effect on other forms of state psychopathology which contribute to the maintenance and development of ED. Sex differences, however, refl...
Source: Journal of Eating Disorders - February 10, 2023 Category: Eating Disorders & Weight Management Source Type: research
“Work WITH us”: a Delphi study about improving eating disorder treatment for autistic women with anorexia nervosa
ConclusionsThe results highlight the need to distinguish between autism- and AN-related difficulties, accommodate autistic traits such as sensory sensitivities and communication differences, and ensure the autistic voice is present in both the development and delivery of care. Future research should investigate the impact of these adaptations on outcomes. The applicability of these recommendations to autistic people with other eating disorders and of other genders needs to be investigated further. (Source: Journal of Eating Disorders)
Source: Journal of Eating Disorders - February 9, 2023 Category: Eating Disorders & Weight Management Source Type: research
