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Eating Disorders

journal
https://www.readbyqxmd.com/read/29035152/empirically-derived-classes-of-eating-pathology-in-male-and-female-college-students
#1
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...
October 16, 2017: Eating Disorders
https://www.readbyqxmd.com/read/28929944/increasing-body-image-flexibility-in-a-residential-eating-disorder-facility-correlates-with-symptom-improvement
#2
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...
September 20, 2017: Eating Disorders
https://www.readbyqxmd.com/read/28929940/a-controlled-trial-of-a-yoga-based-prevention-program-targeting-eating-disorder-risk-factors-among-middle-school-females
#3
Catherine Cook-Cottone, Kellie Talebkhah, Wendy Guyker, Emily Keddie
This study investigates outcomes of a revised version of a yoga-based, eating disorder prevention program, targeting eating disorder risk factors, among fifth grade girls (i.e., Girls Growing in Wellness and Balance: Yoga and Life Skills to Empower [GGWB]). The program is designed to decrease eating disorder risk factors and bolster self-care and includes revisions not yet studied that extend the program to 14 weeks and enhance content addressing self-care. Efficacy was assessed using a controlled, repeated measures design...
September 20, 2017: Eating Disorders
https://www.readbyqxmd.com/read/28876200/the-moderating-role-of-emotional-reactivity-in-the-link-between-parental-hostility-and-eating-disorder-symptoms-in-early-adolescence
#4
Anna K Hochgraf, Rachel E Kahn, Jungmeen Kim-Spoon
Parent-adolescent relationship quality and affective functioning have been implicated in eating disorder development. This study examined whether maternal and paternal hostility interact to explain adolescents' eating disorder symptoms and whether parental hostility effects are more pronounced among adolescents with high emotional reactivity. A sample of 699 adolescents, ages 11-12 years, reported their parents' hostility and their own eating disorder symptoms, and parents reported adolescents' emotional reactivity...
September 6, 2017: Eating Disorders
https://www.readbyqxmd.com/read/28632087/psychopathology-and-expressed-emotion-in-parents-of-patients-with-eating-disorders-relation-to-patient-symptom-severity
#5
Renee D Rienecke, Rebekah L Richmond
The purpose of the current study was to examine the relation between parental psychopathology, parental expressed emotion, and patient symptom severity. One hundred twenty-six parents of 79 patients receiving treatment for an eating disorder completed measures of expressed emotion and general psychopathology, and patients completed a measure of eating disorder psychopathology. Mothers reported higher expressed emotion scores than fathers. Both mothers and fathers scored higher on general psychopathology compared to nonpatient population means...
July 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
#6
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...
July 2017: Eating Disorders
https://www.readbyqxmd.com/read/28394743/a-qualitative-analysis-of-male-eating-disorder-symptoms
#7
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...
July 2017: Eating Disorders
https://www.readbyqxmd.com/read/28394720/lessons-learned-from-training-peer-leaders-to-conduct-body-project-workshops
#8
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...
July 2017: Eating Disorders
https://www.readbyqxmd.com/read/28281883/exploring-the-association-between-eating-disorders-and-gender-dysphoria-in-youth
#9
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...
July 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
#10
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...
July 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
#11
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...
July 2017: Eating Disorders
https://www.readbyqxmd.com/read/28569611/parental-marital-satisfaction-in-a-family-based-partial-hospitalization-program
#12
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
#13
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
#14
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
#15
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
#16
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
#17
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
#18
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
#19
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
#20
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
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