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Eating Disorders

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https://www.readbyqxmd.com/read/28151055/can-patients-with-eating-disorders-learn-to-eat-intuitively-a-2-year-pilot-study
#1
P Scott Richards, Sabree Crowton, Michael E Berrett, Melissa H Smith, Kimberly Passmore
The present article reports on a 2-year pilot study that evaluated the effectiveness of an intuitive eating program for patients in an eating disorder treatment center. Standardized measures of intuitive eating and eating disorder and psychological symptoms were administered. Psychotherapists and dietitians rated patients on the healthiness of their eating attitudes and behaviors. Preliminary findings indicated that patients can develop the skills of intuitive eating, and that the ability to eat intuitively is associated with positive treatment outcomes for each diagnostic category (i...
February 2, 2017: Eating Disorders
https://www.readbyqxmd.com/read/28139177/comparison-of-a-gratitude-based-and-cognitive-restructuring-intervention-for-body-dissatisfaction-and-dysfunctional-eating-behavior-in-college-women
#2
Wendy L Wolfe, Kaitlyn Patterson
Researchers have investigated the efficacy of a gratitude intervention for decreasing body dissatisfaction (BD) in an internet treatment-seeking sample and demonstrated it worked equally well to decrease BD as cognitive restructuring. We extend this research by testing the efficacy of a gratitude intervention on BD, along with common sequelae of BD: dysfunctional eating, negative mood, and depressive symptoms. Females were randomly assigned to Gratitude, Cognitive Restructuring, or Control conditions. Pre- to post-intervention period comparisons found the gratitude intervention to perform better than the other conditions at increasing body esteem, decreasing BD, reducing dysfunctional eating, and reducing depressive symptoms...
January 31, 2017: Eating Disorders
https://www.readbyqxmd.com/read/28139175/association-of-a-history-of-childhood-onset-obesity-and-dieting-with-eating-disorders
#3
Hellas Cena, Fatima Cody Stanford, Luana Ochner, Maria Luisa Fonte, Ginevra Biino, Rachele De Giuseppe, Elsie Taveras, Madhusmita Misra
This was a retrospective, observational chart review conducted on a convenience sample of 537 outpatients, aged 16-60 years, referred to an Italian Dietetic and Nutrition University Center. The study aimed to look at the association between a history of childhood obesity and dieting behaviors with development of eating disorders (EDs) at a later age. Subjects with a history of EDs (n = 118), assessed using both self-report and health records, were compared with those with no EDs (n = 419), who were attending the clinic mainly for primary prevention of metabolic and cardiovascular risk...
January 31, 2017: Eating Disorders
https://www.readbyqxmd.com/read/28060579/a-comparison-of-the-metabolic-complications-and-hospital-course-of-severe-anorexia-nervosa-by-binge-purge-and-restricting-subtypes
#4
Melanie Rylander, John T Brinton, Allison L Sabel, Philip S Mehler, Jennifer L Gaudiani
This study examines adult patients with severe, life-threatening anorexia nervosa who were admitted to an inpatient, medical stabilization unit between October 1, 2008 and December 31, 2014. Specifically, the study compares anorexia nervosa, binge purge subtype (AN-BP) and anorexia nervosa, restricting subtype (AN-R) on admission measures, hospital course, and outcomes. Of the 232 patients, 46% (N = 108) had AN-BP. Patients with AN-R manifested a higher frequency of underweight-mediated medical complications, including bone marrow dysfunction, hepatic dysfunction, and hypoglycemia...
January 6, 2017: Eating Disorders
https://www.readbyqxmd.com/read/28060578/therapist-self-disclosure-and-the-therapeutic-alliance-in-the-treatment-of-eating-problems
#5
Laura M Simonds, Naomi Spokes
Evidence is mixed regarding the potential utility of therapist self-disclosure. The current study modelled relationships between perceived helpfulness of therapist self-disclosures, therapeutic alliance, patient non-disclosure, and shame in participants (n = 120; 95% women) with a history of eating problems. Serial multiple mediator analyses provided support for a putative model connecting the perceived helpfulness of therapist self-disclosures with current eating disorder symptom severity through therapeutic alliance, patient self-disclosure, and shame...
January 6, 2017: Eating Disorders
https://www.readbyqxmd.com/read/28059633/adolescent-and-young-adult-women-s-opinions-of-common-eating-disorder-prevention-messages
#6
Jennifer S Mills, Nicole Vu, Ron Manley, Shasha Tse
We examined young women's opinions of five common eating disorder (ED) prevention themes in terms of persuasiveness and impact on behavioral intentions. Video-taped prevention themes were rated by female adolescents and young adults (ages 13-25) with and without eating disorders. Overall, younger participants found the prevention messages less persuasive than older participants. Controlling for age, clinical participants found the messages to be less persuasive than did non-clinical participants. Clinical participants reported no change in their behavioral intentions after watching the videos, whereas non-clinical participants reported a lower intention to diet and make body comparisons after viewing the messages...
January 6, 2017: Eating Disorders
https://www.readbyqxmd.com/read/28051927/female-athlete-experiences-of-seeking-and-receiving-treatment-for-an-eating-disorder
#7
Carolyn R Plateau, Jon Arcelus, Newman Leung, Caroline Meyer
Clinical eating disorders are common among athletes; however research has yet to explore the process of seeking and receiving treatment for an eating disorder in this population. Semi-structured interviews were conducted with 13 female athletes currently receiving treatment for an eating disorder. A total of three themes emerged: challenges to treatment seeking, feeling out of place, and coping with exercise transitions. Athletes reported low levels of eating disorder literacy and lacked motivation to engage with therapy due to a lack of perceived relevance...
January 4, 2017: Eating Disorders
https://www.readbyqxmd.com/read/28051922/evidence-informed-practices-in-the-real-world-treatment-of-people-with-eating-disorders
#8
Howard Steiger
No abstract text is available yet for this article.
January 4, 2017: Eating Disorders
https://www.readbyqxmd.com/read/27935473/correlates-of-the-over-evaluation-of-weight-and-shape-in-binge-eating-disorder-and-mixed-eating-disorder-samples-a-meta-analytic-review
#9
Jake Linardon
This meta-analysis assessed the strength of the association between correlates of shape and weight over-evaluation across binge eating disorder and mixed eating disorder samples. Across 32 studies, over-evaluation correlates were divided into demographic, eating pathology, or psychosocial. Shape and weight over-evaluation was associated with higher eating pathology and psychosocial impairment. The method of assessment (interview versus self-report questionnaire) moderated some of the relationships. Over-evaluation was unrelated to demographics and treatment outcome...
December 9, 2016: Eating Disorders
https://www.readbyqxmd.com/read/27935443/acceptability-and-tolerability-of-omega-3-fatty-acids-as-adjunctive-treatment-for-children-and-adolescents-with-eating-disorders
#10
Julia Woo, Jennifer Couturier, Bharadwaj Pindiprolu, Lindsay Picard, Charlotte Maertens, Anick Leclerc, Sheri Findlay, Natasha Johnson, Christina Grant, Melissa Kimber
The objective of this study was to examine the acceptability and tolerability of omega-3 fatty acids as an adjunctive treatment for children and adolescents with eating disorders (EDs). Children and adolescents with EDs received omega-3 supplements (300 mg eicosapentaenoic acid [EPA] and 200 mg docosahexaenoic acid [DHA]/day) in addition to standard treatment for 8 weeks. Primary outcomes were dropout rate, compliance, and side effects. Secondary outcomes included percent ideal body weight, Eating Disorders Inventory-3 (EDI-3), Children's Depression Inventory-2 (CDI-2), and Multidimensional Anxiety Scale for Children (MASC)...
December 9, 2016: Eating Disorders
https://www.readbyqxmd.com/read/27935432/to-bend-or-not-to-bend-rule-adherence-among-staff-at-an-eating-disorder-unit
#11
Trine Wiig Hage, Øyvind Rø, Anne Moen
On inpatient eating disorder units, resolving under-nutrition and reestablishing normal eating behavior are key treatment aims. Consequently, the provision of support at mealtimes is a core work task for patients with severe eating disorders. The purpose of this study was to explore staff deliberations and actions, as observed during staff-patient interactions at mealtimes on an inpatient eating disorder unit (EDU). We specifically aimed to characterize how and why staff members intervene during staff-patient interactions in which a refeeding script is activated...
December 9, 2016: Eating Disorders
https://www.readbyqxmd.com/read/27897463/a-qualitative-analysis-of-factors-related-to-eating-disorder-onset-in-female-collegiate-athletes-and-non-athletes
#12
Jessyca Arthur-Cameselle, Kayla Sossin, Paula Quatromoni
Female athletes are at risk for clinical eating disorders, yet their onset experiences have rarely been studied with qualitative methods. This study, which included interviews with 12 collegiate female athletes and 17 non-athletes, identified factors that contributed to eating disorder onset for both subgroups. Inductive content analysis revealed that low self-worth, peer issues, and comorbid psychological disorders were common in both groups. However, athletes reported sport-specific factors including performance pressure, team weigh-ins, and injuries, whereas family dysfunction, bullying, and puberty were more commonly reported triggers for non-athletes...
November 29, 2016: Eating Disorders
https://www.readbyqxmd.com/read/27869569/change-in-expressed-emotion-and-treatment-outcome-in-adolescent-anorexia-nervosa
#13
Ashley A Moskovich, C Alix Timko, Lisa K Honeycutt, Nancy L Zucker, Rhonda M Merwin
Expressed emotion (EE) has been associated with poor outcomes in anorexia nervosa (AN); however, whether changes in EE predict superior treatment outcomes is unknown. The current study examined whether decreases in EE during an open trial of a novel family-based treatment for AN predicted symptoms at end of treatment. Forty-seven adolescents (12-18 years of age) with AN or sub-threshold AN and their parents (mothers: n = 47, fathers: n = 39) participated in 6 months of family treatment. Measures of AN symptomatology (Eating Disorder Examination completed by adolescent and end of treatment recovery status) and parental EE (Family Questionnaire completed by parents which measures two facets of EE: critical communication [CC] and emotional over-involvement [EOI]) were collected at baseline and end of treatment...
January 2017: Eating Disorders
https://www.readbyqxmd.com/read/27775490/neuroticism-and-clinical-course-of-weight-restoration-in-a-meal-based-rapid-weight-gain-inpatient-partial-hospitalization-program-for-eating-disorders
#14
Laura K Fischer, Colleen C Schreyer, Janelle W Coughlin, Graham W Redgrave, Angela S Guarda
We evaluated the impact of personality on weight restoration in 211 underweight (BMI ≤ 19 kg/m(2)) females admitted to an inpatient-partial hospitalization program for eating disorders. Symptomatology and personality were assessed by questionnaires, and clinical and demographic variables were assessed by chart review. Neuroticism, a personality trait associated with reactivity to stress, was correlated with higher symptomatology, chronicity, length of stay, and income source. Contrary to our hypothesis, neuroticism was positively associated with weight restoration...
January 2017: Eating Disorders
https://www.readbyqxmd.com/read/27775488/fluctuations-in-negative-emotions-predict-binge-eating-both-in-women-and-men-an-experience-sampling-study
#15
Katrin Kukk, Kirsti Akkermann
This study investigated the associations between emotional fluctuations and emotion regulation difficulties in predicting binge eating and overeating episodes using the experience sampling method among 97 women and 61 men. Among women, fluctuations in negative emotion, emotion regulation difficulties, restrained eating, and the interaction of negative emotion fluctuations and emotion regulation difficulties predicted binge eating. Among men, trait impulsivity and fluctuations in negative emotion predicted binge eating...
January 2017: Eating Disorders
https://www.readbyqxmd.com/read/27723416/yoga-in-the-treatment-of-eating-disorders-within-a-residential-program-a-randomized-controlled-trial
#16
RANDOMIZED CONTROLLED TRIAL
Carly R Pacanowski, Lisa Diers, Ross D Crosby, Dianne Neumark-Sztainer
To investigate the effect of yoga on negative affect (an eating disorders risk factor), 38 individuals in a residential eating disorder treatment program were randomized to a control or yoga intervention: 1 hour of yoga before dinner for 5 days. Negative affect was assessed pre- and post-meal. Mixed-effects models compared negative affect between groups during the intervention period. Yoga significantly reduced pre-meal negative affect compared to treatment as usual; however, the effect was attenuated post-meal...
January 2017: Eating Disorders
https://www.readbyqxmd.com/read/27715475/learning-to-eat-again-intuitive-eating-practices-among-retired-female-collegiate-athletes
#17
Carolyn R Plateau, Trent A Petrie, Anthony Papathomas
The present study used an open-ended survey to collect information about current eating practices and coping strategies among 218 retired female athletes. An inductive and deductive thematic analysis revealed three themes relevant to the intuitive eating framework-permission to eat; recognizing internal hunger and satiety cues; and eating to meet physical and nutritional needs. Athletes described feeling liberated with regards to their eating following retirement from sport, and for some this included an alleviation of disordered eating practices...
January 2017: Eating Disorders
https://www.readbyqxmd.com/read/27485375/assessing-treatment-barriers-in-eating-disorders-a-systematic-review
#18
REVIEW
Natasha T Innes, Bonnie A Clough, Leanne M Casey
This systematic review evaluated methods used to assess treatment barriers among individuals with eating disorders or disordered eating. A total of 11 studies were identified and evaluated according to attributes considered important in the accurate assessment of treatment barriers. The majority of studies used qualitative methods, with five studies utilizing either a checklist or scale-based instrument. Adequate psychometric investigation was lacking. This review highlights the paucity of research examining barriers to accessing and/or receiving treatment in disordered eating populations...
January 2017: Eating Disorders
https://www.readbyqxmd.com/read/27463764/frontline-clinicians-perspectives-on-and-utilization-of-trauma-focused-therapy-with-individuals-with-eating-disorders
#19
Kathryn Trottier, Candice M Monson, Stephen A Wonderlich, Danielle E MacDonald, Marion P Olmsted
With this study, we sought to survey clinicians regarding their perspectives and use of concurrent or integrated psychotherapy for co-occurring eating disorders (EDs) and posttraumatic stress disorder. We conducted a quantitative survey of 184 frontline ED clinicians to investigate whether, and to what extent, they view concurrent EDs and trauma-focused therapy as clinically important. We also assessed clinicians' specific concerns regarding concurrent EDs and trauma-focused treatment, as well as barriers to implementation of an evidence-based concurrent treatment...
January 2017: Eating Disorders
https://www.readbyqxmd.com/read/27869572/is-listening-to-fat-talk-the-same-as-participating-in-fat-talk
#20
Linda Lin, Meghann Soby
Our study examined whether verbally participating in fat talk conversations had a different effect on women's body image perception than merely listening to friends engage in fat talk conversations. Participants were 321 women who completed measures of listening to and participating in fat talk conversations, drive for thinness, body dissatisfaction, and dietary restraint. Results indicated that verbally participating in fat talk was a much stronger predictor of women's drive for thinness, body dissatisfaction, and dietary restraint than merely listening to friends engage in fat talk conversations...
November 21, 2016: Eating Disorders
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