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Eating Disorders

Melissa Kimber, Gina Dimitropoulos, Emily P Williams, Manya Singh, Katharine L Loeb, Elizabeth K Hughes, Andrea Garber, April Elliott, Ellie Vyver, Daniel Le Grange
The treatment of atypical anorexia nervosa (AN) poses new research and practice challenges for the field of eating disorders. 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...
November 10, 2018: Eating Disorders
Gina Dimitropoulos, Ashley L Landers, Victoria Freeman, Jason Novick, Olivia Cullen, Daniel Le Grange
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 = ...
October 25, 2018: Eating Disorders
Caitlin A Martin-Wagar, Samantha Holmes, Kelly A C Bhatnagar
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...
October 25, 2018: Eating Disorders
Riccardo Dalle Grave, Massimiliano Sartirana, Chiara Milanese, Marwan El Ghoch, Chiara Brocco, Chiara Pellicone, Simona Calugi
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 session-by-session data identified two factors ('eating concerns' and 'body image concerns') that accounted for 51...
October 22, 2018: Eating Disorders
Clare Stockford, Biza Stenfert Kroese, Adam Beesley, Newman Leung
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...
September 24, 2018: Eating Disorders
Una Foye, Diane E Hazlett, Pauline Irving
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 to the experience of an eating disorder...
September 20, 2018: Eating Disorders
Scott Griffiths, Susan L Rossell, Deborah Mitchison, Stuart B Murray, Jonathan M Mond
Most individuals with eating disorders do not receive treatment for their eating disorder. Closing this "treatment gap" requires a quantitative examination of individuals' attitudes towards accessing various types of treatment and of individuals' perceived barriers to seeking treatment. Thus, we recruited a sample of 425 individuals with either diagnosed or undiagnosed eating disorders and asked them to complete a survey assessing treatment attitudes, treatment barriers, and eating disorder symptom severity...
September 17, 2018: Eating Disorders
Kendra J Homan, Susan L Crowley, Leslie A Sim
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...
September 17, 2018: Eating Disorders
Nicole A Hayes, Leah J Welty, Noel Slesinger, Jason J Washburn
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...
September 11, 2018: Eating Disorders
Stuart B Murray, Devin Rand-Giovannetti, Scott Griffiths, Jason M Nagata
The theoretical agnosticism of family-based treatment (FBT) has precluded a thorough understanding of treatment mechanisms. 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...
September 2018: Eating Disorders
Grace A Kennedy, Katherine A McDermott, Brittany M Mathes, Berta J Summers, Jesse R Cougle
"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 obsessive-compulsive symptoms, negative affect, and perfectionism, NJRE frequency was associated with greater drive for thinness, body dissatisfaction, and bulimic symptoms...
September 2018: Eating Disorders
Ryan J Watson, Nicole A VanKim, Hilary A Rose, Carolyn M Porta, Jacqueline Gahagan, Marla E Eisenberg
Unhealthy weight control behaviors (UWCBs) have been decreasing for most youth over time, yet little is known whether these behaviors have changed for sexual minority (e.g., non-heterosexual) youth. This is important because many studies have found that sexual minorities report some of the highest rates of UWCBs. To determine whether or not these behaviors have changed over time, given the extreme changes in social contexts over the past two decades, we utilised three waves of the Minnesota Student Survey (N = 55,597, Mage  = 17)...
September 2018: Eating Disorders
Emalee T Green, Amanda Venta
The purpose of this study was to examine the implementation of eating disorder education and prevention programs in high schools retrospectively, as reported by incoming college freshmen, exploring whether characteristics of the school influenced implementation. The sample, 169 first-year students from a public university, participated in an online survey inquiring about exposure to programs and high school characteristics. Results demonstrated few students exposed to any eating disorder programming (29.0%), with no students reporting exposure to prevention programming...
September 2018: Eating Disorders
Vivienne M Hazzard, Kelley A Borton, Katherine W Bauer, Kendrin R Sonneville
This study examined the cross-sectional associations between gender-linked personality traits and use of products for weight loss and muscle building using data from young adults participating in Wave III of the National Longitudinal Study of Adolescent to Adult Health who completed the short-form Bem Sex-Role Inventory (n = 3,343). Among men, a higher score on the masculinity scale was associated with greater odds of diet pill use, legal performance-enhancing substance (PES) use, and illicit PES use, while a higher score on the femininity scale was associated with lower odds of illicit PES use...
September 2018: Eating Disorders
Alexandra N Brockdorf, Grace A Kennedy, Pamela K Keel
This study investigated associations between sensitivity to punishment and reward, shame, and eating pathology by testing alternative mediation models in which shame mediated associations between temperament and eating pathology or eating pathology mediated associations between temperament and shame. Participants were 96 female undergraduate students who completed questionnaires. Results indicated shame fully mediated the relationship between sensitivity to punishment and eating pathology. Further, eating pathology did not mediate the association between sensitivity to punishment and shame...
September 2018: Eating Disorders
Eva Schoen, Rebecca Brock, Jennifer Hannon
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...
August 6, 2018: Eating Disorders
Emma Austen, Scott Griffiths
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...
July 27, 2018: Eating Disorders
Rejane Augusta de Oliveira Figueiredo, Sabina Simola-Ström, Rasmus Isomaa, Elisabete Weiderpass
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...
July 24, 2018: Eating Disorders
Sasha Gorrell, Erin E Reilly, Katherine Schaumberg, Lisa M Anderson, Joseph M Donahue
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...
July 24, 2018: Eating Disorders
Tanja van Langenberg, Rony E Duncan, J Sabura Allen, Susan M Sawyer, Daniel Le Grange, Elizabeth K Hughes
Little is known about the involvement of siblings in family-based treatment (FBT) for anorexia nervosa (AN). To explore the experience of families, adolescents who had completed FBT, their siblings, and parents were interviewed. Siblings reported that involvement in FBT enhanced their understanding of anorexia and that they supported their family in various ways. While siblings often wished they had attended more sessions, there was no consensus among parents and patients regarding sibling attendance and many were concerned about potential negative impacts on siblings...
July 2018: Eating Disorders
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