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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...
June 4, 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...
June 4, 2018: Eating Disorders
Jessyca N Arthur-Cameselle, Jeimi Burgos, Jacqueline Burke, Jessica Cairo, Melissa Colón, Maria Estefania Piña
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-athletes reported Negative Emotions/Cognitions, Lack of Support, and Hurtful Modelling...
May 29, 2018: Eating Disorders
Kelly A Romano, Deborah Ebener
This research examines how eudaimonic psychological well-being (PWB) relates to variant levels of eating disorder (ED) recovery (full, partial, active ED), both self-defined and objectively determined, and to subjective-objective recovery status concordance. Participants (N = 132; Mage = 30.1) completed an online survey targeting ED symptomology, PWB, and recovery. MANOVAs revealed idiosyncratic relationships between recovery and PWB when objective criteria, subjective perceptions, and concordance were considered...
May 23, 2018: Eating Disorders
Simona Calugi, Elisa Chignola, Marwan El Ghoch, Riccardo Dalle Grave
OBJECTIVE: The aim of this study was to evaluate the change in starvation symptoms over time and their role as potential predictors of change in eating disorder and general psychopathology in patients with anorexia nervosa treated by means of intensive enhanced cognitive behavioral therapy (ICBT-E). METHOD: Ninety adult female patients with anorexia nervosa (63 restricting type and 27 binge-eating/purging type) were recruited. Body mass index (BMI), Eating Disorder Examination (EDE) interview, Eating Disorder Examination Questionnaire (EDE-Q), Brief Symptom Inventory (BSI) and Starvation Symptoms Inventory (SSI) scores were recorded at admission, at the end of treatment, and at 6-month follow-up...
May 8, 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...
April 23, 2018: Eating Disorders
Jade Pelletier Brochu, Dominique Meilleur, Giuseppina DiMeglio, Danielle Taddeo, Eric Lavoie, Julius Erdstein, Robert Pauzé, Caroline Pesant, Isabelle Thibault, Jean-Yves Frappier
Few studies have examined how the perceived quality of multiple interpersonal relationships is related to eating disorder (ED) symptom severity in adolescents and how psychological variables might influence these associations. The aim of this study is to determine whether the perceived level of trust, communication, and alienation in the relationship with one's mother, father, and peers are predictive of ED severity in adolescent females and to test the mediating effects of low self-esteem and negative mood on these associations...
April 23, 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)...
March 30, 2018: Eating Disorders
Stephanie R Damiano, Zali Yager, Siân A McLean, Susan J Paxton
Negative body image attitudes develop in early childhood and there is a need for school-based resources during the early school years, but no teacher-delivered curriculum-based resources exist to mitigate these attitudes in young children. Achieving Body Confidence for Young Children (ABC-4-YC), a universal body dissatisfaction and weight stigma prevention program, was developed and then delivered in a pilot study. Fifty-one 5- to 8-year-old children completed pre- and post-intervention interviews assessing body image attitudes, and seven teachers provided feedback...
March 26, 2018: Eating Disorders
Brittany L Stevenson, Robert D Dvorak, Stephen A Wonderlich, Ross D Crosby, Kathryn H Gordon
Our study examined momentary mood and emotional instability pre- and post-loss of control (LOC) eating on non-LOC and LOC eating days, using randomly timed assessments. Community and university participants (n = 45) who endorsed LOC eating at least once per week completed 2 weeks of ecological momentary assessment. All negative moods and emotional instability were elevated on LOC eating days, but trajectories between days did not differ. Guilt exhibited an increasing trajectory prior to a LOC eating episode, but remained elevated after LOC eating episodes...
March 22, 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...
March 22, 2018: Eating Disorders
Catherine Cook-Cottone, Leslie Karwoski Anderson
No abstract text is available yet for this article.
March 2018: Eating Disorders
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...
March 2018: Eating Disorders
Laura Eickman, Jessica Betts, Lauren Pollack, Frances Bozsik, Marshall Beauchamp, Jennifer Lundgren
Short-term outcomes associated with participation in REbeL, a peer-led dissonance-based eating disorder prevention program for high school students, were evaluated. Seventy-one students across the three high schools were enrolled in the study (REbeL N = 48; Control N = 23) and were assessed on measures of eating attitudes and behaviors, body image, weight bias, self-esteem, empowerment, and mood at the beginning of the school year; 37 REbeL students and 20 control students completed assessments at the end of the school year...
March 2018: Eating Disorders
Brittany L Stevenson, Mun Yee Kwan, Robert D Dvorak, Kathryn H Gordon
BACKGROUND: The empirical structure of eating disorder (ED) pathology has often been studied in female, clinical samples, leaving questions about the structure of ED pathology in males and nonclinical samples. METHOD: A latent class analysis was performed on data combined from two different studies (N = 1,751) using the behavioral items in the Eating Disorder Examination Questionnaire (EDE-Q; binge eating, self-induced vomiting, laxative use, and excessive exercise), with the addition of an item representing restraint...
March 2018: Eating Disorders
Eric B Lee, Clarissa W Ong, Michael P Twohig, Tera Lensegrav-Benson, Benita Quakenbush-Roberts
OBJECTIVE: The purpose of this study was to examine the effects of changes in body image psychological flexibility over the course of treatment on various outcome variables. METHOD: Participants included 103 female, residential patients diagnosed with an eating disorder. Pretreatment and posttreatment data were collected that examined body image psychological flexibility, general psychological flexibility, symptom severity, and other outcome variables. RESULTS: Changes in body image psychological flexibility significantly predicted changes in all outcome measures except for obsessive-compulsive symptoms after controlling for body mass index, depression, and anxiety...
March 2018: Eating Disorders
Renee D Rienecke
In family-based treatment, parents are initially put in charge of the weight restoration process, requiring parents to work closely together to help their child recover, possibly putting a strain on the marital relationship. The purpose of the current study was to examine marital satisfaction in families before and after treatment in a family-based program and to determine whether marital satisfaction is related to patient outcome. Parents of 53 adolescent patients participated in the study. Almost half of mothers and a third of fathers reported a decrease in marital satisfaction over the course of treatment...
March 2018: Eating Disorders
Erin C Accurso, Ellen Astrachan-Fletcher, Setareh O'Brien, Susan F McClanahan, Daniel Le Grange
Although family-based therapy (FBT) is a well-established treatment for anorexia nervosa, its implementation and effectiveness in clinical settings has been neglected. A group of seven therapists at a community-based eating disorders clinic were trained in skills-enhanced FBT and provided treatment to 11 youth with anorexia nervosa. Family-based skills training, which borrowed heavily from dialectical behavior therapy, was introduced in four additional sessions and then integrated throughout the remainder of FBT...
March 2018: Eating Disorders
Annamaria J McAndrew, Rosanne Menna
Disordered eating is common among young women, but rates of help-seeking are remarkably low. Studies attempting to understand how disordered eating is perceived by young women have exposed participants to fictional vignettes that describe characters exhibiting eating pathologies, and assessed beliefs about the women's issues. These studies have informed our understanding of how young women perceive disordered eating in other women, but do not address the question of how disordered eating is perceived in oneself...
March 2018: Eating Disorders
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
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