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Eating Disorders

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https://www.readbyqxmd.com/read/29452025/subgrouping-the-users-of-a-specialized-app-for-eating-disorders
#1
Shiri Sadeh-Sharvit, Jane Paik Kim, Alison M Darcy, Eric Neri, Molly Vierhile, Athena Robinson, Jenna Tregarthen, James D Lock
Although mobile technologies for eating disorders (EDs) are burgeoning, there is limited data about the clinical characteristics of individuals using specialized smartphone applications (apps) without accompanying traditional forms of treatment. This study evaluated whether the users of an ED app cluster in clinically meaningful groups. Participants were 1,280 app users (91.3% female; mean age 27) who reported not being in a weekly treatment for their ED. A hierarchical cluster analysis distinguished five groups of participants, all approximating DSM-5 ED categories...
February 16, 2018: Eating Disorders
https://www.readbyqxmd.com/read/29240529/cross-sectional-associations-between-gender-linked-personality-traits-and-use-of-weight-loss-and-muscle-building-products-among-u-s-young-adults
#2
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...
December 14, 2017: Eating Disorders
https://www.readbyqxmd.com/read/29210607/detection-of-anorexia-nervosa-in-primary-care
#3
Ashley Higgins, Stacey Cahn
In the years preceding diagnosis, individuals with anorexia nervosa (AN) attend more primary care appointments than their peers. Primary care physicians (PCPs) may be uniquely situated to detect AN in early manifestations. In this study, a sample of physicians was recruited online. Videotaped vignettes of a primary care appointment were shown to these participants, who were asked to diagnose the patient and could make a referral. 61.2% of participants identified an eating disorder (ED) diagnosis. However, of those, only 40% intended to refer for therapy...
December 6, 2017: Eating Disorders
https://www.readbyqxmd.com/read/29199902/examining-associations-among-sensitivity-to-punishment-and-reward-shame-and-eating-pathology-through-tests-of-mediation
#4
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...
December 4, 2017: Eating Disorders
https://www.readbyqxmd.com/read/29192839/telephone-helplines-as-a-source-of-support-for-eating-disorders-service-user-carer-and-health-professional-perspectives
#5
Amie-Louise Prior, Debbie Woodward, Toni Hoefkens, Debbie Clayton, Katie Thirlaway, Caroline Limbert
Access to care for eating disorders can be problematic for numerous reasons including lack of understanding and delays with treatment referrals. Previous research has highlighted the benefits of telephone helplines as an accessible source of support for those who may not wish to access face-to-face support or to fill a gap for those waiting for treatment. This study aimed to gain an insight into the perspectives of those who may use or refer others to a telephone helpline in order to identify the requirements of such a service...
December 1, 2017: Eating Disorders
https://www.readbyqxmd.com/read/29182474/disordered-eating-and-insulin-restriction-in-type-1-diabetes-a-systematic-review-and-testable-model
#6
Tara De Paoli, Peter J Rogers
AIM: To provide an overview of the existing literature pertaining to insulin restriction as a disordered eating behaviour in individuals with type 1 diabetes and present a novel maintenance model: The Transdiagnostic Model of Disordered Eating in Type 1 Diabetes. METHOD: A systematic review was conducted of the current literature relevant to insulin restriction and/or omission in the context of disordered eating in type 1 diabetes. A new maintenance model was then developed by incorporating diabetes-specific factors into existing eating disorder models...
November 28, 2017: Eating Disorders
https://www.readbyqxmd.com/read/29173080/eating-disorder-mental-health-literacy-what-do-psychologists-naturopaths-and-fitness-instructors-know
#7
Kate A Worsfold, Jeanie K Sheffield
At present, there are no known studies investigating the eating disorder mental health literacy (ED-MHL) of common frontline health providers such as psychologists, naturopaths, and fitness instructors. Little research also exists around practitioner knowledge for the spectrum of eating disorders. The current study sought to fill these research gaps and comprised 115 health practitioners who completed an online survey. A fictional vignette describing a female (Sarah) experiencing a subthreshold bulimic variant without purging was presented alongside common ED-MHL items...
November 27, 2017: Eating Disorders
https://www.readbyqxmd.com/read/29173058/examining-youth-and-caregiver-reports-of-depression-and-anxiety-in-families-seeking-eating-disorder-treatment
#8
Ashley A Hicks White, Anastasia Snyder
This study examines discrepancies between adolescent and caregiver reports of youth internalizing symptoms in families presenting for an initial eating disorder assessment. Initial diagnostic assessments of 49 adolescent-caregiver dyads seeking treatment at an urban pediatric hospital eating disorder clinic were utilized to examine differences between youth and caregiver reports of youth anxiety and depression symptoms. Caregivers reported significantly higher scores of major depression and generalized anxiety than adolescents (p=...
November 27, 2017: Eating Disorders
https://www.readbyqxmd.com/read/29384466/affective-predictors-of-the-severity-and-change-in-eating-psychopathology-in-residential-eating-disorder-treatment-the-role-of-social-anxiety
#9
Kathryn E Smith, Tyler B Mason, Rachel C Leonard, Chad T Wetterneck, Brad E R Smith, Nicholas R Farrell, Brad C Riemann
Despite evidence documenting relationships between eating disorder (ED) psychopathology, depression, and anxiety, little is known regarding how social anxiety is related to ED symptoms in treatment. Therefore this study examined associations between depression, general anxiety, social anxiety, and ED psychopathology at the beginning and end of treatment (EOT) among patients (N = 380) treated in a residential ED program. Participants completed measures of ED psychopathology and affective variables. Higher depression and general anxiety, but not social anxiety, were related to higher ED psychopathology at baseline...
January 2018: Eating Disorders
https://www.readbyqxmd.com/read/29384465/a-test-of-a-state-based-self-control-theory-of-binge-eating-in-adults-with-obesity
#10
Carolyn M Pearson, Tyler B Mason, Li Cao, Andrea B Goldschmidt, Jason M Lavender, Ross D Crosby, Scott J Crow, Scott G Engel, Stephen A Wonderlich, Carol B Peterson
It has been theorized that state the levels of self-control depletion (as caused by negative affect and restraint) may lead to binge eating (BE) when individuals also endorse momentary expectancies that eating will make them feel better (EE). Given commonalities in precipitants of BE across populations, the current study tested this theory in a sample of adults with obesity using ecological momentary assessment (EMA). Fifty obese adults completed the EMA protocol during which they provided pre-eating episode ratings of negative affect, restraint, and EE, and post-eating episode ratings of BE...
January 2018: Eating Disorders
https://www.readbyqxmd.com/read/29384464/an-introduction-to-the-special-issue-on-emotion-regulation-and-eating-disorders
#11
Kimberly Claudat, Jason M Lavender
No abstract text is available yet for this article.
January 2018: Eating Disorders
https://www.readbyqxmd.com/read/29384463/emotion-dysregulation-across-the-spectrum-of-pathological-eating-comparisons-among-women-with-binge-eating-overeating-and-loss-of-control-eating
#12
Sarah E Racine, Sarah A Horvath
Emotion regulation difficulties influence the etiology and maintenance of binge eating and eating disorders, but differential associations between emotion dysregulation and objective binge eating (OBE) components have not been examined. We compared emotion dysregulation dimensions in women with OBEs (n = 27), overeating only (n = 25), loss of control (LOC) only (n = 32), or no pathological eating (n = 137). Women with OBEs had significantly more difficulty with overall emotion dysregulation, access to strategies, and impulse control when upset than other groups...
January 2018: Eating Disorders
https://www.readbyqxmd.com/read/29384462/an-open-trial-targeting-emotional-eating-among-adolescents-with-overweight-or-obesity
#13
Kerri N Boutelle, Abby Braden, Stephanie Knatz-Peck, Leslie K Anderson, Kyung E Rhee
Emotional eating is associated with obesity and disordered eating in adolescents, and thus, is an important target for treatment. We developed a program called PEER (Preventing Emotional Eating Routines), which incorporates emotion regulation skills with behavioral weight loss and parenting techniques for adolescents who are overweight or obese (OW/OB) and their parent. This open label trial evaluated the feasibility, acceptability, and initial efficacy of the PEER program. Thirty adolescents who were OW/OB (86...
January 2018: Eating Disorders
https://www.readbyqxmd.com/read/29384461/restrictive-eating-is-associated-with-emotion-regulation-difficulties-in-a-non-clinical-sample
#14
Ann F Haynos, Shirley B Wang, Alan E Fruzzetti
The relationship between emotion regulation difficulties and restrictive eating has not been established in non-clinical samples. In this study, undergraduates (n = 98) provided information regarding general and specific emotion regulation difficulties on the Difficulties in Emotion Regulation Scale (DERS) and whether they had engaged in recent restrictive eating. Generalized linear models were used to determine if individuals endorsing versus denying recent restrictive eating differed on emotion regulation problems...
January 2018: Eating Disorders
https://www.readbyqxmd.com/read/29384460/negative-urgency-and-expectancies-increase-vulnerability-to-binge-eating-in-bulimia-nervosa
#15
Sarah Fischer, Joseph Wonderlich, Lauren Breithaupt, Catherine Byrne, Scott Engel
Negative urgency (NU), the tendency to act impulsively when distressed, is associated with binge eating. Women who believe that eating alleviates negative affect are also more likely to binge eat. Thus, it is hypothesized that the individuals with high levels of NU, and who endorse these eating expectancies, will binge eat the following acute distress. This study tested these hypotheses using ecological momentary assessment. Sixteen women with the symptoms of BN completed clinical assessments, and were asked to report on distress and binges multiple times daily for two weeks...
January 2018: Eating Disorders
https://www.readbyqxmd.com/read/29384459/radically-open-dbt-targeting-emotional-loneliness-in-anorexia-nervosa
#16
Roelie Hempel, Emily Vanderbleek, Thomas R Lynch
This article conceptualizes Anorexia Nervosa (AN) as a prototypical overcontrolled disorder, characterized by low receptivity and openness, low flexible control, pervasive inhibited emotional expressiveness, low emotional awareness, and low social connectedness and intimacy with others. As a result, individuals with AN often report high levels of emotional loneliness. A new evidence-based treatment, Radically Open Dialectical Behavior Therapy (RO-DBT), and its underlying neuroregulatory theory, offer a novel way of understanding how self-starvation and social signaling deficits are used as maladaptive regulation strategies to reduce negative affect...
January 2018: Eating Disorders
https://www.readbyqxmd.com/read/29384458/out-of-touch-interoceptive-deficits-are-elevated-in-suicide-attempters-with-eating-disorders
#17
April Smith, Lauren Forrest, Elizabeth Velkoff
People with eating disorders have elevated interoceptive deficits and risk for self-injurious behaviors (SIBs). Across two eating disorder samples, the relationship between interoceptive deficits (IDs) and SIBs was tested. Study 1 (n = 100) found that suicide attempters and those engaging in non-suicidal self-injury (NSSI) had greater IDs than those with no self-injury history. Lack of access to emotion regulation strategies accounted for the link between IDs and SIBs. In Study 2 (n = 92) multiple suicide attempters had greater IDs than single attempters and those engaging in NSSI; however, the latter two groups did not differ from one another...
January 2018: Eating Disorders
https://www.readbyqxmd.com/read/29161197/acceptance-and-psychological-change-at-the-higher-levels-of-care-a-naturalistic-outcome-study
#18
Keegan Walden, Jamie Manwaring, Dan V Blalock, Emmett Bishop, Alan Duffy, Craig Johnson
This naturalistic outcome study reports on psychological change among a large (N = 617), transdiagnostic sample of eating disordered adults treated at higher levels of care at a private facility. Patients were assessed at admission and discharge for eating disorder psychopathology, depression, personality, and acceptance. Effect sizes ranged from d = .29 to d = 1.29, and the majority of participants (58.2%) were treatment responders, with BN patients showing a higher response rate than AN-R patients. Increased acceptance over the course of treatment was strongly associated with decreased eating disorder risk and may be an important factor in recovery...
November 21, 2017: Eating Disorders
https://www.readbyqxmd.com/read/29161184/comparison-of-mental-health-treatment-status-and-use-of-antidepressants-in-men-and-women-with-eating-disorders
#19
Priyanka Thapliyal, Deborah Mitchison, Caroline Miller, Jacqueline Bowden, David Alejandro González-Chica, Nigel Stocks, Stephen Touyz, Phillipa Hay
Mental health treatment status and antidepressant use were investigated among men and women with an eating disorder (ED) who were interviewed in a general population survey of 3005 adults (aged ≥15 years). Compared to women, men with an ED were significantly less likely to receive treatment for a mental health problem or to be currently using an antidepressant. On multivariate analyses, female gender, lower mental health-related quality of life, and lower weight/shape overvaluation were significant predictors of receiving treatment and antidepressant use...
November 21, 2017: Eating Disorders
https://www.readbyqxmd.com/read/29131718/is-abstinence-really-the-best-option-exploring-the-role-of-exercise-in-the-treatment-and-management-of-eating-disorders
#20
Danika A Quesnel, Maya Libben, Nelly D Oelke, Marianne I Clark, Sally Willis-Stewart, Cristina M Caperchione
OBJECTIVE: Exercise prescription is suggested to help manage exercise abuse and improve overall eating disorder (ED) prognosis. This study explored emerging perceptions of ED health professionals concerning the role of exercise as a supportive treatment for EDs. METHODS: Semi-structured interviews were conducted with international health professionals (n=13) with expertise in ED treatment. Verbatim transcripts were analyzed through thematic analysis. RESULTS: Four themes were revealed and titled 1) understanding the current state; 2) gaining perspectives; 3) barriers and benefits; 4) one size does not fit all...
November 13, 2017: Eating Disorders
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