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Journal of Eating Disorders

Janet Conti, Paul Rhodes, Heather Adams
A bold step forward in our approach to Severe and Enduring Anorexia Nervosa invites new paradigms for research and practice. It provides an opportunity for us to explore fault lines, both in our communities of practice and the social structures that inform them. This paper serves to question the medical metaphors on which treatment has been based, in favour of alternative perspectives that resonate more clearly with the lived experience of those for whom it has failed. We invite the consideration of alternative metaphors, which can disrupt the notion of heroic patients (and therapists), mediate against acts of self-silencing and sensitising us to more radical acts of listening...
2016: Journal of Eating Disorders
Siân A McLean, Susan J Paxton, Eleanor H Wertheim
BACKGROUND: Evaluation of media literacy-based interventions for the prevention of eating disorder risk is limited by the lack of appropriate measures with established psychometric properties with which to assess change in media literacy. This study aims to fill this gap by examining the psychometric properties and use in eating disorders risk factor research of six measures of media literacy that assess media processing and critical thinking about general media and critical thinking about appearance-focused media...
2016: Journal of Eating Disorders
Angela S Alberga, Shelly Russell-Mayhew, Kristin M von Ranson, Lindsay McLaren
Weight-related issues (including excess weight, disordered eating and body concerns) are often considered as comprising distinct domains of 'obesity' and 'eating disorders'. In this commentary we argue that the concept of weight bias is an important variable when considering wellbeing across the spectrum of weight-related issues. We make the following six points in support of this argument: i) weight bias is common and has adverse health consequences, ii) shaming individuals for their body weight does not motivate positive behaviour change, iii) internalized weight bias is particularly problematic, iv) public health interventions, if not carefully thought out, can perpetuate weight bias, v) weight bias is a manifestation of social inequity, and vi) action on weight bias requires an upstream, population-level approach...
2016: Journal of Eating Disorders
Erika Hansson, Daiva Daukantaitė, Per Johnsson
BACKGROUND: Using the person-oriented approach, we determined the relationships between four indicators (restraint and eating, shape, and weight concerns) of disordered eating (DE), as measured by the self-reported Eating Disorders Examination Questionnaire (EDE-Q), to identify typical DE patterns. We then related these patterns to clinical EDE-Q cut-off scores and emotion dysregulation, depression, self-esteem, and two categories of DE behaviors (≥2 or ≤1 "yes" responses on the SCOFF questionnaire)...
2016: Journal of Eating Disorders
Jessica M Brown, Stephanie Selth, Alexander Stretton, Susan Simpson
BACKGROUND: Preliminary studies suggest that both childhood experiences and coping behaviours may be linked to eating disorder symptoms. METHODS: In this study maladaptive schema coping modes were investigated as mediators in the relationship between perceived negative parenting and disordered eating. A total of 174 adults with eating and/or body image concerns completed questionnaires measuring parenting experiences, schema modes, and disordered eating behaviours...
2016: Journal of Eating Disorders
Hana F Zickgraf, Martin E Franklin, Paul Rozin
BACKGROUND: One presentation of Avoidant/Restrictive Food Intake Disorder (ARFID) is characterized by picky eating, i.e., selective eating based on the sensory properties of food. The present study has two aims. The first is to describe distress and impairment in individuals with ARFID secondary to picky eating. The second is to determine whether eating behaviors hypothesized to be specific to picky eating can differentiate picky eaters with and without ARFID from typical eaters (e.g...
2016: Journal of Eating Disorders
M Molin, Y von Hausswolff-Juhlin, C Norring, L Hagberg, S A Gustafsson
BACKGROUND: Patients with severe and enduring eating disorders (SEED) are seriously ill and have a low quality of life. Case management (CM), originally developed for adult patients with severe mental disabilities, has been shown to enhance social functioning and improve quality of life, while reducing the number and length of hospitalizations. In 2014, a special unit based on CM, for patients with SEED (the Eira unit) was started at Stockholm Centre for Eating Disorders, Sweden. METHOD/DESIGN: This study aims to investigate if CM can improve SEED patients' quality of life, and reduce their eating disorder symptoms as well as their health care consumption...
2016: Journal of Eating Disorders
Thamyres Souza da Silva, Maria Del Carmen Bisi Molina, Maria Angélica Antunes Nunes, Carolina Perim de Faria, Nagela Valadão Cade
BACKGROUND: This study investigates the relationship between recurrent binge eating episodes and nutritional and food profiles and lifestyle in the Brazilian Longitudinal Study of Adult Health (Estudo Longitudinal da Saúde do Adulto - ELSA-Brazil) cohort. RESULTS: Recurrent binge eating episodes were associated with obesity (OR 5.188; confidence interval [CI] 4.051-6.645), overweight (OR 2.534; CI 1.980-3.243), female sex (OR 1.918; CI 1.573-2.338), age between 34 and 54 years old (OR 1...
2016: Journal of Eating Disorders
Phillip Aouad, Phillipa Hay, Nerissa Soh, Stephen Touyz
BACKGROUND: This systematic review is an evaluation of the empirical literature relating to the disordered eating behaviour Chew and Spit (CHSP). Current theories postulate that CHSP is a symptom exhibited by individuals with recurrent binge eating and Bulimia Nervosa. AIMS: The review aimed to identify and critically assess studies that have examined the distribution of CHSP behaviour, its relationship to eating disorders, its physical and psychosocial consequences and treatment...
2016: Journal of Eating Disorders
Caroline Meyer, Carolyn R Plateau, Lorin Taranis, Nicola Brewin, Jackie Wales, Jon Arcelus
BACKGROUND: This study aimed to determine the psychometric properties of the Compulsive Exercise Test (CET) among an adult sample of patients with eating disorders. METHOD: Three hundred and fifty six patients and 360 non-clinical control women completed the CET and the Eating Disorders Examination questionnaire (EDE-Q). RESULTS: A confirmatory factor analysis revealed that the clinical data showed a moderate fit to the previously published five factor model derived from a community sample (Taranis L, Touyz S, Meyer C, Eur Eat Disord Rev 19:256-268, 2011)...
2016: Journal of Eating Disorders
Erin C Accurso, Jocelyn Lebow, Stuart B Murray, Andrea E Kass, Daniel Le Grange
BACKGROUND: Weight suppression (WS), which is the difference between a patient's highest and current weight, has been associated with bulimic symptom severity in adults with bulimia nervosa (BN). However, the impact of WS on eating disorder psychopathology in youth with BN is unknown. METHODS: Participants included 85 youth with DSM-5 BN who presented for outpatient treatment. Current WS was calculated as the difference between highest and current body mass index z-score (BMIz), while greatest WS was the difference between highest and lowest BMIz, both assessed at participants' current height...
2016: Journal of Eating Disorders
Úna Mulkerrin, Bryony Bamford, Lucy Serpell
BACKGROUND: Despite an increasing clinical interest in the use of personal values as a motivational tool in psychological therapies for Anorexia Nervosa (AN), research is limited. This study explored personal values among individuals with AN, with a particular focus on the 'fit' between participants' values and their AN. METHODS: A qualitative research design was employed in this study. In-depth, semi-structured interviews were carried out among eight female outpatients and inpatients with a diagnosis of AN or Eating Disorder Not Otherwise Specified - AN type (EDNOS-AN type)...
2016: Journal of Eating Disorders
Joanna E Steinglass, B Timothy Walsh
Anorexia Nervosa (AN) is characterized by the maintenance of an undernourished, or starved, state. Persistent restrictive eating, or the recurrent intake of a diet that is inadequate to sustain a healthy weight, is the central behavior maintaining AN. To understand this disturbance, we need to understand the neural mechanisms that allow or promote the persistent choice of inadequate caloric intake. While a range of neural disturbances have been reported in AN, abnormalities in systems relevant to reward processing and the development of habit systems have been consistently described in both structural and functional neuroimaging studies...
2016: Journal of Eating Disorders
Sarah Fogarty, Lucie M Ramjan
BACKGROUND: Anorexia nervosa (AN) is characterised by restriction of energy intake, fear of gaining weight and severe disturbances in weight or shape. Recovery from AN is a complicated and often multifaceted experience that can take many years to achieve. Qualitative research has found that support, being understood, hope, desire for recovery, positive experiences in treatment, self-efficacy, motivation and relationships are important in recovery from AN. The experience of treatment for patients with an eating disorder is an important aspect of recovery with the potential to enhance recovery or hinder it...
2016: Journal of Eating Disorders
Marsha Rowsell, Danielle E MacDonald, Jacqueline C Carter
BACKGROUND: Difficulties with emotion regulation have been established as a core deficit in anorexia nervosa (AN). However, limited research has evaluated whether weight gain is associated with improvements in emotion regulation difficulties in AN and whether improvements in emotion regulation are associated with reductions in eating disorder psychopathology. The aims of this study were threefold: 1) to examine the nature and extent of emotion regulation difficulties in AN; 2) to determine whether these difficulties improved during intensive treatment for the eating disorder; and 3) to study whether improvements in emotion regulation were associated with improvements in eating disorder psychopathology...
2016: Journal of Eating Disorders
Anna Brytek-Matera, Lorenzo Maria Donini, Magdalena Krupa, Eleonora Poggiogalle, Phillipa Hay
[This corrects the article DOI: 10.1186/s40337-015-0038-2.].
2016: Journal of Eating Disorders
Sarah Greer, Myra Cooper
BACKGROUND: The processing of schema-related information is important in the maintenance of specific eating disorder (ED)-related belief systems and psychopathology. To date, most research on differences in the processing of ED schematic information has used interview or self-report questionnaire measures. Dieting is a known risk factor for EDs and dieters have been included in some studies. However, they have not been compared with non-dieters on a novel, objective measure of ED related schema processing...
2016: Journal of Eating Disorders
Franzisca V Froreich, Lenny R Vartanian, Jessica R Grisham, Stephen W Touyz
BACKGROUND: Issues of personal control have been proposed to play a central role in the aetiology and maintenance of eating disorders. Empirical evidence supporting this relationship is inconsistent, partly due to the multiplicity of constructs used to define "control". This study compares six commonly used measures of control with the aim of determining which operationalisation of control is most centrally relevant to eating pathology. Given the high level of comorbidity between eating disorders and obsessive-compulsive disorder and the potentially common risk/maintenance factors for the two disorders, we also examine the relationship between control and obsessive-compulsive symptomatology...
2016: Journal of Eating Disorders
Colleen Stiles-Shields, Bryony H Bamford, Stephen Touyz, Daniel Le Grange, Phillipa Hay, Hubert Lacey
BACKGROUND: Therapeutic alliance (TA) has been found to be a significant predictor of outcome for patients with severe and enduring anorexia nervosa (SE-AN), accounting for more variance than treatment type. To better understand how to promote TA for this population, the aim of the current study was to investigate predictors of TA in adults with SE-AN. METHODS: Participants were 63 adult females with SE-AN presenting to an outpatient, multi-site randomized controlled trial conducted at two clinical sites...
2016: Journal of Eating Disorders
Maciej Wojciech Pilecki, Kinga Sałapa, Barbara Józefik
BACKGROUND: The goal of this study was to assess the relationship between sociocultural factors and clinical eating disorders during the intensive process of Westernisation in Poland that occurred after 1989. The study population included girls diagnosed with an eating disorder according to DSM-IV criteria (n = 47 anorexia nervosa restrictive type [ANR], n = 16 anorexia binge/purge type [ANBP], n = 34 bulimia nervosa [BN], n = 19 eating disorder not otherwise specified [EDNOS]) who received consultation for the first time between 2002 and 2004 in the Department of Clinical Child and Adolescent Psychiatry, University Hospital, Kraków, Poland...
2016: Journal of Eating Disorders
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