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Eating Disorders

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
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
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
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
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
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
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
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
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
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
Greet S Kuipers, Zara van Loenhout, L Andries van der Ark, Marrie H J Bekker
In a sample of 38 eating disorder (ED) patients who received psychotherapeutic treatment, changes in attachment security, and mentalization in relation to symptoms reduction were investigated. Attachment security improved in 1 year but was unrelated to improvement of ED or comorbid symptoms. Mentalization did not change significantly in 1 year. Pretreatment mentalization was negatively related to the severity of ED symptoms, trait anxiety, psycho-neuroticism, and self-injurious behavior after 1 year of treatment...
November 10, 2017: Eating Disorders
Jocelyn Lebow, Leslie A Sim, Erin C Accurso
Successful outcome for adolescent anorexia nervosa includes achieving weight restoration. Despite the importance of this measurement, there are significant discrepancies in the field on how to quantify expected body weight (EBW). A survey was sent to 113 child and adolescent eating disorder treatment providers inquiring about the methods used to determine weight restoration in their clinical practice. Although 40.7% used growth curve data, the remaining employed a diverse range of approaches. Providers who specialize in Family-Based Treatment were significantly more likely to use an individualized approach versus considering adolescent preference...
October 31, 2017: Eating Disorders
Renee D Rienecke, Rebekah L Richmond
Family-based treatment principles have been incorporated into higher levels of care. However, outcome data for these programs, and, in particular, follow-up data, are limited. The current study assessed 3-month follow-up data for patients in a family-based partial hospitalization/intensive outpatient program. Patients completed measures of eating disorder psychopathology and depression, while parents completed measures of self-efficacy and expressed emotion. With the exception of paternal self-efficacy, all measures stayed the same or improved between end of treatment and follow-up, suggesting that improvements in a family-based higher level of care can be sustained once families step down to less intensive treatment...
October 31, 2017: 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...
October 26, 2017: 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...
October 16, 2017: 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...
September 20, 2017: Eating Disorders
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
(no author information available yet)
No abstract text is available yet for this article.
October 2017: Eating Disorders
Leigh Cohn
No abstract text is available yet for this article.
October 2017: Eating Disorders
Arnold Andersen, John Foreyt, Margo Maine, Leigh Cohn
I founded Eating Disorders: The Journal of Treatment & Prevention 25 years ago, and its character, reputation, and success are highly attributable to Arnold Andersen, John Foreyt, and Margo Maine, the three original senior editors, whose perspectives follow in this article. Having made the decision to retire from the journal, I asked the senior editors to transition to the emeritus board along with me, which I explain further in my own Last Word, "Goodbye, Eating Disorders," in this volume (Cohn, 2017). Over our 25 years of collaboration, the senior editors have acquired unique insights into the evolution of the eating disorders field; so, I asked them to contribute retrospective essays in which they also look forward within their primary areas of expertise-presented here in alphabetical order...
October 2017: Eating Disorders
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