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Bulimia nervosa

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https://www.readbyqxmd.com/read/28221058/concurrent-and-prognostic-utility-of-subtyping-anorexia-nervosa-along-dietary-and-negative-affect-dimensions
#1
Kelsie T Forbush, Kelsey E Hagan, Rachel H Salk, Jennifer E Wildes
: Bulimia nervosa can be reliably classified into subtypes based on dimensions of dietary restraint and negative affect. Community and clinical studies have shown that dietary-negative affect subtypes have greater test-retest reliability and concurrent and predictive validity compared to subtypes based on the Diagnostic and Statistical Manual of Mental Disorders (DSM). Although dietary-negative affect subtypes have shown utility for characterizing eating disorders that involve binge eating, this framework may have broader implications for understanding restrictive eating disorders...
March 2017: Journal of Consulting and Clinical Psychology
https://www.readbyqxmd.com/read/28213045/identification-of-the-causes-for-chronic-hypokalemia-importance-of-urinary-sodium-and-chloride-excretion
#2
Kun-Lin Wu, Chih-Jen Cheng, Chih-Chen Sung, Ming-Hua Tseng, Yu-Juei Hsu, Sung-Sen Yang, Tom Chau, Shih-Hua Lin
BACKGROUND: Uncovering the correct diagnosis of chronic hypokalemia with potassium (K(+)) wasting from the kidneys or gut can be fraught with challenges. We identified clinical and laboratory parameters helpful for differentiating the causes of chronic hypokalemia. METHODS: Normotensive patients referred to our tertiary academic medical center for the evaluation of chronic hypokalemia were prospectively enrolled over five years. Clinical features, laboratory examinations-including blood and spot urine electrolytes, acid-base status, biochemistries and hormones-as well as genetic analysis were determined...
February 14, 2017: American Journal of Medicine
https://www.readbyqxmd.com/read/28199032/a-comparison-of-the-frequency-of-familial-suicide-attempts-across-eating-disorder-diagnoses
#3
Emily M Pisetsky, Carol B Peterson, James E Mitchell, Stephen A Wonderlich, Ross D Crosby, Daniel Le Grange, Laura Hill, Pauline Powers, Scott J Crow
This study examined the prevalence of reported suicide attempts among family members of individuals with an eating disorder (ED). 1870 individuals presenting for ED treatment reported whether their family members ever made a suicide attempt using the Eating Disorders Questionnaire. A lifetime suicide attempt by any family member was reported by 10.8% (n = 202) of the sample and ranged from 7.0% of those with eating disorder not otherwise specified to 16.1% of those with purging disorder. Controlling for age and gender, individuals with bulimia nervosa had a higher prevalence of any familial suicide attempt and mother suicide attempt than individuals with EDNOS; no other differences were observed across ED diagnoses...
February 15, 2017: International Journal of Eating Disorders
https://www.readbyqxmd.com/read/28188643/will-i-get-fat-22-year-weight-trajectories-of-individuals-with-eating-disorders
#4
Helen B Murray, Nassim Tabri, Jennifer J Thomas, David B Herzog, Debra L Franko, Kamryn T Eddy
OBJECTIVE: For some, fat phobia or fear of uncontrollable weight gain is diagnostic of eating disorders, often inhibiting treatment engagement and predicting symptom relapse. Prior research has reported weight changes at infrequent or long intervals, but rate, shape, and magnitude of long-term changes remain unknown. Our study examined 22-year longitudinal trajectories of body mass index (BMI) in women with anorexia nervosa (AN) and bulimia nervosa (BN). METHOD: Participants were followed over 10 years (N = 225) and at 22-year follow-up (N = 175)...
February 11, 2017: International Journal of Eating Disorders
https://www.readbyqxmd.com/read/28186317/diagnostic-distribution-of-eating-disorders-comparison-between-dsmiv-tr-and-dsm-5
#5
Eduardo Serrano-Troncoso, Laura Cañas, Xavier Carbonell, Marta Carulla, Carolina Palma, Josep Matalí, Montse Dolz
INTRODUCTION: The fifth edition of Diagnostic and Statistical Manual of Mental Disorders (DSM-5) includes a significant revision of Eating Disorders (ED). The objective of this study is to compare the distribution of diagnosis of ED in adolescents according to DSM-VI-TR and DSM-5 criteria. A second objective is to study the psychopathological differences between patients with ED (based on DSM-IV-TR) and those whose diagnosis changed by applying DSM-5 criteria. METHODOLOGY: One hundred and one adolescents diagnosed with ED (mean: 14...
January 2017: Actas Españolas de Psiquiatría
https://www.readbyqxmd.com/read/28164234/bulimia-nervosa-a-comprehensive-analysis-of-treatment-policy-and-social-work-ethics
#6
Dana Lynn Bernacchi
No abstract text is available yet for this article.
February 6, 2017: Social Work
https://www.readbyqxmd.com/read/28152200/population-based-cost-offset-analyses-for-disorder-specific-treatment-of-anorexia-nervosa-and-bulimia-nervosa-in-germany
#7
Katharina Bode, Nina Maria Götz von Olenhusen, Eva-Maria Wunsch, Sören Kliem, Christoph Kröger
Previous research has shown that anorexia nervosa (AN) and bulimia nervosa (BN) are expensive illnesses to treat. To reduce their economic burden, adequate interventions need to be established. Our objective was to conduct cost-offset analyses for evidence-based treatment of eating disorders using outcome data from a psychotherapy trial involving cognitive behavioral therapy (CBT) and focal psychodynamic therapy (FPT) for AN and a trial involving CBT for BN. Assuming a currently running, ideal healthcare system using a 12-month, prevalence-based approach and varying the willingness to participate in treatment, we investigated whether the potential financial benefits of AN- and BN-related treatment outweigh the therapy costs at the population level...
February 2, 2017: International Journal of Eating Disorders
https://www.readbyqxmd.com/read/28151055/can-patients-with-eating-disorders-learn-to-eat-intuitively-a-2-year-pilot-study
#8
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...
February 2, 2017: Eating Disorders
https://www.readbyqxmd.com/read/28133705/selective-visual-attention-towards-oneself-and-associated-state-body-satisfaction-an-eye-tracking-study-in-adolescents-with-different-types-of-eating-disorders
#9
Anika Bauer, Silvia Schneider, Manuel Waldorf, Karsten Braks, Thomas J Huber, Dirk Adolph, Silja Vocks
The development of eating disorders is associated with a body-related attentional bias. Although eating disorders are especially prevalent in adolescence, so far, no study has analyzed gaze patterns and state body image in response to viewing one's own body in youth. To fill this gap, the present study aimed to examine a body-related attentional bias and state body satisfaction in adolescents with various forms of eating disorders. Girls with anorexia nervosa, restrictive type (AN-R; n = 30), anorexia nervosa, binge eating/purging type (AN-BP; n = 26), bulimia nervosa (BN; n = 22), clinical controls with anxiety disorders (n = 20) and healthy controls (n = 43) looked at photographs of their own and a peer's body, while their spontaneous eye movements were recorded...
January 30, 2017: Journal of Abnormal Child Psychology
https://www.readbyqxmd.com/read/28130796/the-effects-of-restaurant-menu-calorie-labeling-on-hypothetical-meal-choices-of-females-with-disordered-eating
#10
Ann F Haynos, Christina A Roberto
Concerns have been raised that obesity public policy measures may have harmful effects on individuals with eating disorders. However, little research has investigated this topic. We examined the impact of a popular obesity public policy, menu calorie labeling, on hypothetical food choices of women with disordered eating. Seven hundred sixteen adult females completed an online survey in which they were randomly assigned to receive a restaurant menu with or without calorie information listed. Participants selected foods representative of a meal they would choose to consume and answered questions on restaurant ordering and menu labeling...
January 27, 2017: International Journal of Eating Disorders
https://www.readbyqxmd.com/read/28129307/comfortably-numb-the-role-of-momentary-dissociation-in-the-experience-of-negative-affect-around-binge-eating
#11
Tyler B Mason, Jason M Lavender, Stephen A Wonderlich, Howard Steiger, Li Cao, Scott G Engel, James E Mitchell, Ross D Crosby
Evidence suggests that both dissociation and negative affect (NA) may precipitate binge eating. The extent to which dissociation may impact the experience of NA around binge eating is unclear. Women with bulimia nervosa completed a 2-week ecological momentary assessment protocol of dissociation, NA, and binge eating. Multilevel modeling was used to examine dissociation as a moderator of NA before and after binge eating. NA was greater at the time of binge eating for participants higher in average dissociation (between subjects) and when momentary dissociation was greater than one's average (within subjects)...
January 26, 2017: Journal of Nervous and Mental Disease
https://www.readbyqxmd.com/read/28122128/an-8-item-short-form-of-the-eating-disorder-examination-questionnaire-adapted-for-children-chede-q8
#12
Sören Kliem, Ricarda Schmidt, Mandy Vogel, Andreas Hiemisch, Wieland Kiess, Anja Hilbert
Eating disturbances are common in children placing a vulnerable group of them at risk for full-syndrome eating disorders and adverse health outcomes. To provide a valid self-report assessment of eating disorder psychopathology in children, a short form of the child version of the Eating Disorder Examination (ChEDE-Q) was psychometrically evaluated. Similar to the EDE-Q, the ChEDE-Q provides assessment of eating disorder psychopathology related to anorexia nervosa, bulimia nervosa, and binge-eating disorder; however, the ChEDE-Q does not assess symptoms of avoidant/restrictive food intake disorder, pica, or rumination disorder...
January 25, 2017: International Journal of Eating Disorders
https://www.readbyqxmd.com/read/28122125/development-of-a-new-statewide-eating-disorder-service-the-role-of-evidence-in-a-real-world-setting
#13
Tracey Wade, Eva Vall, Angeline Kuek, Emma Altman, Randall Long, John Mannion
OBJECTIVE: There are three aims of this report. First, to describe how research evidence informed a service development rationale for a new statewide eating disorder service (SEDS) for people aged 15 years and older. Second, to examine the profile of people accessing SEDS in the first 2 years of its operation with respect to the three broad dimensions: illness stage, illness severity, and previous history of treatment. Finally, to examine which patient characteristics resulted in the recommendation of ongoing treatment contact with SEDS...
January 25, 2017: International Journal of Eating Disorders
https://www.readbyqxmd.com/read/28121991/single-session-transcranial-direct-current-stimulation-temporarily-improves-symptoms-mood-and-self-regulatory-control-in-bulimia-nervosa-a-randomised-controlled-trial
#14
Maria Kekic, Jessica McClelland, Savani Bartholdy, Elena Boysen, Peter Musiat, Bethan Dalton, Meyzi Tiza, Anthony S David, Iain C Campbell, Ulrike Schmidt
BACKGROUND: Evidence suggests that pathological eating behaviours in bulimia nervosa (BN) are underpinned by alterations in reward processing and self-regulatory control, and by functional changes in neurocircuitry encompassing the dorsolateral prefrontal cortex (DLPFC). Manipulation of this region with transcranial direct current stimulation (tDCS) may therefore alleviate symptoms of the disorder. OBJECTIVE: This double-blind sham-controlled proof-of-principle trial investigated the effects of bilateral tDCS over the DLPFC in adults with BN...
2017: PloS One
https://www.readbyqxmd.com/read/28117906/the-effects-of-psychotherapy-treatment-on-outcome-in-bulimia-nervosa-examining-indirect-effects-through-emotion-regulation-self-directed-behavior-and-self-discrepancy-within-the-mediation-model
#15
Carol B Peterson, Kelly C Berg, Ross D Crosby, Jason M Lavender, Erin C Accurso, Anna C Ciao, Tracey L Smith, Marjorie Klein, James E Mitchell, Scott J Crow, Stephen A Wonderlich
OBJECTIVE: The purpose of this investigation was to examine the indirect effects of Integrative Cognitive-Affective Therapy (ICAT-BN) and Cognitive-Behavioral Therapy-Enhanced (CBT-E) on bulimia nervosa (BN) treatment outcome through three hypothesized maintenance variables: emotion regulation, self-directed behavior, and self-discrepancy. METHOD: Eighty adults with BN were randomized to 21 sessions of ICAT-BN or CBT-E. A regression-based bootstrapping approach was used to test the indirect effects of treatment on outcome at end of treatment through emotion regulation and self-directed behavior measured at mid-treatment, as well as the indirect effects of treatment at follow-up through emotion regulation, self-directed behavior, and self-discrepancy measured at end of treatment...
January 24, 2017: International Journal of Eating Disorders
https://www.readbyqxmd.com/read/28111772/preliminary-evidence-for-the-off-label-treatment-of-bulimia-nervosa-with-psychostimulants-six-case-reports
#16
Aaron Keshen, Thomas Helson
Psychostimulants have been assessed in bulimia nervosa patients with comorbid attention deficit/hyperactivity disorder (ADHD), but few studies have examined the impact of psychostimulants on bulimia nervosa patients without comorbid ADHD. The aim of this study was to examine psychostimulants as a potential treatment for bulimia nervosa and to assess the concern of weight loss, given the medication's appetite-suppressing effects. This retrospective study describes 6 case reports of outpatients who were prescribed a psychostimulant specifically for their bulimia nervosa...
January 23, 2017: Journal of Clinical Pharmacology
https://www.readbyqxmd.com/read/28110674/evolution-of-cognitive-behavioral-therapy-for-eating-disorders
#17
W Stewart Agras, Ellen E Fitzsimmons-Craft, Denise E Wilfley
The evolution of cognitive-behavioral therapy (CBT) for the treatment of bulimic disorders is described in this review. The impacts of successive attempts to enhance CBT such as the addition of exposure and response prevention; the development of enhanced CBT; and broadening the treatment from bulimia nervosa to binge eating disorder are considered. In addition to developing advanced forms of CBT, shortening treatment to guided self-help was the first step in broadening access to treatment. The use of technology such as computer-based therapy and more recently the Internet, promises further broadening of access to self-help and to therapist guided treatment...
January 2017: Behaviour Research and Therapy
https://www.readbyqxmd.com/read/28104244/increased-risk-of-disordered-eating-in%C3%A2-polycystic-ovary-syndrome
#18
Iris Lee, Laura G Cooney, Shailly Saini, Maria E Smith, Mary D Sammel, Kelly C Allison, Anuja Dokras
OBJECTIVE: To determine the prevalence of eating disorders (EDs) in women with polycystic ovary syndrome (PCOS) and the effects of EDs on health-related quality of life. DESIGN: Cross-sectional study. SETTING: University practice. PATIENT(S): Women with PCOS (Rotterdam criteria; n = 148) and controls seen for routine gynecologic care (n = 106) from 2015 to 2016. INTERVENTION(S): Eating Disorder Examination-Questionnaire (EDE-Q), Night Eating Questionnaire (NEQ), Hospital Anxiety and Depression Scale, and Health-Related Quality of Life Questionnaire (PCOSQ)...
January 16, 2017: Fertility and Sterility
https://www.readbyqxmd.com/read/28095885/symptoms-of-attention-deficit-hyperactivity-disorder-adhd-among-adult-eating-disorder-patients
#19
Nils Erik Svedlund, Claes Norring, Ylva Ginsberg, Yvonne von Hausswolff-Juhlin
BACKGROUND: Very little is known about the prevalence of ADHD symptoms in Bulimia Nervosa and Binge Eating Disorder and even less in other eating disorders. This knowledge gap is of clinical importance since stimulant treatment is proven effective in Binge Eating Disorder and discussed as a treatment possibility for Bulimia Nervosa. The objective of this study was to explore the prevalence and types of self-reported ADHD symptoms in an unselected group of eating disorder patients assessed in a specialized eating disorder clinic...
January 17, 2017: BMC Psychiatry
https://www.readbyqxmd.com/read/28095833/lifetime-and-12-month-prevalence-of-eating-disorders-amongst-women-in-mid-life-a-population-based-study-of-diagnoses-and-risk-factors
#20
Nadia Micali, Maria G Martini, Jennifer J Thomas, Kamryn T Eddy, Radha Kothari, Ellie Russell, Cynthia M Bulik, Janet Treasure
BACKGROUND: Eating disorders (EDs) are common amongst women; however, no research has specifically investigated the lifetime/12-month prevalence of eating disorders amongst women in mid-life (i.e., fourth and fifth decade of life) and the relevant longitudinal risk factors. We aimed to investigate the lifetime and 12-month prevalence of EDs and lifetime health service use and to identify childhood, parenting, and personality risk factors. METHODS: This is a two-phase prevalence study, nested within an existing longitudinal community-based sample of women in mid-life...
January 17, 2017: BMC Medicine
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