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Eating Disorders

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https://www.readbyqxmd.com/read/28569611/parental-marital-satisfaction-in-a-family-based-partial-hospitalization-program
#1
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...
June 1, 2017: Eating Disorders
https://www.readbyqxmd.com/read/28569604/adaptation-and-implementation-of-family-based-treatment-enhanced-with-dialectical-behavior-therapy-skills-for-anorexia-nervosa-in-community-based-specialist-clinics
#2
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...
June 1, 2017: Eating Disorders
https://www.readbyqxmd.com/read/28498014/self-efficacy-as-a-predictor-of-treatment-outcome-in-an-outpatient-eating-disorder-program
#3
Aaron Keshen, Thomas Helson, Joel Town, Karly Warren
This prospective pilot study examined the relationship between self-efficacy and treatment outcome in an adult outpatient eating disorder program. Data from 59 eating disorder outpatients were collected, including measures of self-efficacy, eating disorder symptom severity, negative emotions (depression, anxiety, and stress), body mass index, and duration of illness. Hierarchical regression was used to examine the impact of baseline self-efficacy, and early treatment changes in self-efficacy (i.e., baseline to 6 weeks), on end-of-treatment (EoT) eating disorder symptom severity and treatment dropout...
May 12, 2017: Eating Disorders
https://www.readbyqxmd.com/read/28441121/an-exploratory-evaluation-of-the-feasibility-acceptability-and-efficacy-of-the-mental-fitness-disordered-eating-program-in-schools
#4
Christina N Anderson, Kyle J Holody, Mark A Flynn, Robyn Hussa-Farrell
The present study examines the feasibility, acceptability, and efficacy of a tiered professional development disordered eating prevention program. A pretest/posttest quasi-experimental design assessed elementary and junior high school faculty and staff's disordered eating knowledge and attitudes. Findings indicate participants experienced increased awareness of students' susceptibility to and the severity of disordered eating, increased self-efficacy about referring students to appropriate resources, and overall perceived acceptability of the training...
May 2017: Eating Disorders
https://www.readbyqxmd.com/read/28287919/cost-effectiveness-of-achieving-clinical-improvement-with-a-dissonance-based-eating-disorder-prevention-program
#5
Laura Akers, Paul Rohde, Eric Stice, Meghan L Butryn, Heather Shaw
Using data from an effectiveness trial delivered by college clinicians, we examined the cost-effectiveness of the dissonance-based Body Project program for reducing eating disorder symptoms in women with body dissatisfaction. The outcome of interest was individual-level change; 14.9% of Body Project participants attained clinically meaningful improvement vs. 6.7% of controls. Delivering the intervention costs approximately $70 (2012 U.S. dollars) per person. Incremental cost-effectiveness was $838 for each additional at-risk person reducing eating disorder symptomology to a clinically meaningful degree...
May 2017: Eating Disorders
https://www.readbyqxmd.com/read/28139175/association-of-a-history-of-childhood-onset-obesity-and-dieting-with-eating-disorders
#6
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...
May 2017: Eating Disorders
https://www.readbyqxmd.com/read/28059633/adolescent-and-young-adult-women-s-opinions-of-common-eating-disorder-prevention-messages
#7
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...
May 2017: Eating Disorders
https://www.readbyqxmd.com/read/28051927/female-athlete-experiences-of-seeking-and-receiving-treatment-for-an-eating-disorder
#8
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...
May 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...
May 2017: 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
#10
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...
May 2017: Eating Disorders
https://www.readbyqxmd.com/read/28448244/perceptions-of-disordered-eating-and-associated-help-seeking-in-young-women
#11
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...
April 27, 2017: Eating Disorders
https://www.readbyqxmd.com/read/28448243/the-patient-experience-of-illness-treatment-and-change-during-intensive-community-treatment-for-severe-anorexia-nervosa
#12
Julia Hannon, Lindsey Eunson, Calum Munro
This study explores experiences of intensive community treatment, illness, and change among patients with severe anorexia nervosa (sAN), particularly seeking to understand the processes involved in change and inability to change. A qualitative design with purposive semi-stratified sampling, using semi-structured interviews and interpretive phenomenological analysis, investigated in detail the experiences of five participants. Participants all had sAN at the start of treatment and represented a spectrum of outcomes from deterioration to full recovery...
April 27, 2017: Eating Disorders
https://www.readbyqxmd.com/read/28394743/a-qualitative-analysis-of-male-eating-disorder-symptoms
#13
Katherine D Arnow, Talya Feldman, Elizabeth Fichtel, Iris Hsiao-Jung Lin, Amber Egan, James Lock, Marcus Westerman, Alison M Darcy
Insights into how males experience eating disorder symptoms early in the course of illness are important to improve detection efforts and may also provide valuable information for treatment. In this qualitative study, 10 adolescent males and 10 matched female patients completed standardized questionnaires and were interviewed. Results indicated that although there were many similarities between the genders, females were more likely to describe the involvement of family systems and males were more likely to describe involvement in sports as being catalysts for their disorders...
April 10, 2017: Eating Disorders
https://www.readbyqxmd.com/read/28394720/lessons-learned-from-training-peer-leaders-to-conduct-body-project-workshops
#14
Rachel Vanderkruik, Samantha Strife, Sona Dimidjian
The Body Project is a cognitive-dissonance intervention that is effective in improving body satisfaction for high school and college aged women. The Body Project can be implemented by trained peers, thus increasing its potential for broad and cost-effective dissemination. Little is known, however, about peer-leaders' perceptions of their training needs and preferences to deliver prevention programs. This qualitative study explored the perceptions of training strengths and areas of improvement among 14 Body Project peer-leaders at a college campus through a series of focus groups...
April 10, 2017: Eating Disorders
https://www.readbyqxmd.com/read/28281883/exploring-the-association-between-eating-disorders-and-gender-dysphoria-in-youth
#15
Stephen Feder, Leanna Isserlin, Emily Seale, Nicole Hammond, Mark L Norris
This study reviews the overlap between eating disorders (EDs) and gender dysphoria (GD) in an adolescent population. A retrospective chart review was conducted on a clinical population presenting for concerns of GD. It was noted that five of the 97 patients had been found to be suffering from an ED at presentation. An additional 10 patients were noted to have ED-related symptoms. Although ED risk was elevated in trans males and females, absolute risk was higher in trans males when compared to population based prevalence rates...
March 10, 2017: Eating Disorders
https://www.readbyqxmd.com/read/28151055/can-patients-with-eating-disorders-learn-to-eat-intuitively-a-2-year-pilot-study
#16
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...
March 2017: Eating Disorders
https://www.readbyqxmd.com/read/28060578/therapist-self-disclosure-and-the-therapeutic-alliance-in-the-treatment-of-eating-problems
#17
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...
March 2017: 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
#18
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)...
March 2017: Eating Disorders
https://www.readbyqxmd.com/read/27935432/to-bend-or-not-to-bend-rule-adherence-among-staff-at-an-eating-disorder-unit
#19
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...
March 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...
March 2017: Eating Disorders
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