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  • Media – Association of Professionals Treating Eating Disorders.
  • Oxford Brain-Body Research into Eating Disorders — Department of Psychiatry.
  • Starving for Affection: a journey of eating disorders, drugs, and sex?
  • Category: Eating Disorders;
  • 2.1. Anorexia nervosa.
  • Bio-Psycho-Social Contributions to Understanding Eating Disorders?
  • The Fruit of the Spirit.

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The patient group exhibited significantly more body shame, worse self-esteem, and a higher degree of body dysmorphia. These 18 patients demonstrated significant differences between perceived and ideal body image in all body areas as compared to the other two patients who displayed a mild degree of body dysmorphia. Patients who exhibited more severe dysmorphia demonstrated a greater difference between their perceived and idealized body image and proportionally lower self-esteem and greater body shame. The overlap of symptomatology between BDD and ED suggests comorbidity or dual diagnosis in eating disorder patients.

Body dissatisfaction is a risk factor for eating disorders, low mood and subsequent weight gain. In order to fully understand and develop new treatments for it, we need new methods of measuring both its perceptual and cognitive components. We developed new methods of measuring the perceptual component using reality-based avatars , quick measures of explicit dissatisfaction using Visual Analogue Scales, behavioural measures, and measures of implicit beliefs using Implicit Association Tests IAT and a Lexical Decision Task LDT. We compared them with existing measures of body dissatisfaction, the Body Shape Satisfaction Scale and the Eating Disorders Examination Questionnaire, using both regression and factor analysis.

We recruited 93 healthy year old women with a BMI of We found women were accurate at representing their size using reality-based avatars regression with measured BMI: 1. Brief VAS measures of size and satisfaction with size correlated highly with existing questionnaire measures of satisfaction, as did a behavioural measure of how women would feel wearing different outfits, and the word IAT.

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  5. The LDT did not correlate with existing measures of satisfaction or size. Factor analyses of the different measures supported these results. These novel measures have potential to be used as quicker, more scalable measures of perceived size and satisfaction with own size. The implicit tasks may also capture beliefs which patients may not be aware of, or may wish to conceal, and may have potential as early markers of response to treatment.

    The aim of the current study was to develop, test, and re-test two new male body satisfaction scales; The Male Body Scale consisting of emaciated to obese figures and the Male Fit Body Scale consisting of emaciated to very muscular figures. Firstly, they were asked which of the nine body figures on each scale most represented their current body figure.

    They were then asked to use the scales to indicate their ideal body figure. This was followed by a re-test and manipulation check two to six weeks later. However, only the new MFBS Ideal figure choice was significantly related to eating disorder tendencies and body measures, whilst the new MBS was highly related to body measures.

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    Importantly, the SFRS ideal choice was not significantly related to any of the measures. Results validate the new gender-relevant scales, reveal muscularity-ideal body choice, and inform male-focused eating disorder research. Anorexia Nervosa AN treatment is frequently associated with high costs often due to the use of hospitalisation. A series of independent samples t-test was undertaken to compare readmission rates to both the medical ward and psychiatric ward from pre to post implementation of FBT.

    Comparative analyses of an additional 40 female adolescents AN patients treated with FBT are also described. This comparative clinical data supports the current literature regarding the efficacy of FBT for the treatment of adolescents with AN, specifically that adolescents who receive guided assistance from their parents recover more quickly from AN and require less hospital admissions when FBT is provided. The purpose of the current study was to examine the relation between parental psychopathology, 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 Family Questionnaire and general psychopathology SCLR , and patients competed a measure of eating disorder psychopathology EDE-Q.

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    Both mothers and fathers scored higher on general psychopathology compared to nonpatient population means. Maternal psychopathology, particularly maternal obsessive-compulsive symptoms and global symptom severity, was found to be associated with patient symptom severity. Mothers high on emotional overinvolvement had higher parental psychopathology than mothers low on emotional overinvolvement; maternal critical comments and paternal expressed emotion were not related to parental psychopathology.

    Although it may be expected that parents suffering from their own psychopathology may be under more stress and could show higher levels of expressed emotion toward an ill child, findings suggest that parental psychopathology and parental expressed emotion may be different constructs that need to be addressed separately in treatment. Maternal obsessive-compulsive symptoms are associated with patient symptomatology and may be a useful clinical target in treatment. Neuroscience and Med. 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.

    Starving for Affection: A Journey of Eating Disorders, Drugs, and Sex by Nancy Lee Bausch

    In total adults with an eating disorder were assessed with a battery of standardized instruments, for measuring inter alia ADHD screening, demographic variables, eating disorder symptoms and psychiatric comorbidity. Presence of binge eating, purging, loss of control over eating and non-anorectic Body Mass Index were related to results indicating a possible ADHD.

    Psychiatric comorbidity correlated to ADHD symptoms without explaining the differences between eating disorder diagnoses. The purpose of this study was to investigate eating patterns among adolescents with type 1 diabetes T1D , and associations with eating disorder psychopathology, insulin omission due to weight and shape concerns, and metabolic control blood glucose — as measured by HbA1c.

    The sample consisted of adolescents 62 females with T1D, with an average age of Mean age at T1D onset was 9. Significant gender differences were found, with a lower proportion of females than males consuming breakfast on a daily basis over the past week Among females, less frequent breakfast consumption was significantly associated with higher global ChEDE scores, shape concerns, self-induced vomiting, binge eating, intentional insulin omission, and HbA1c. Among males, no significant bivariate associations were found. These findings suggest that the pattern and frequency of meal consumption may be addressed clinically to improve metabolic control and subsequent risk of somatic complications among adolescent females with T1D.

    Mental capacity to consent to treatment can be reduced in patients with anorexia nervosa AN. However, relevance of diminished mental capacity to course of the disorder is unknown. In this study we aim to examine the prognostic relevance of diminished mental capacity in AN. A longitudinal study was conducted in 70 adult female severe AN patients.

    At baseline mental capacity was assessed by psychiatrists and clinical and neuropsychological data decision making were collected. One third of patients was found to display diminished mental capacity to consent to treatment. After one and two year clinical and neuropsychological assessments were repeated and remission and admission rates were calculated. Patients with diminished mental capacity had a less favourable outcome with regard to remission and were admitted more frequently.

    Their appreciation of illness remained hampered.

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    Decision making did not improve in comparison to patients with full mental capacity. We conclude that patients with diminished mental capacity do less well in treatment and display decision-making deficiencies that do not ameliorate with weight improvement. Further research is needed to look into the role of emotion dysregulation in the hampered decision making and diminished mental capacity.

    Dieting is associated with the future development of eating disorders EDs. Nevertheless, greater understanding of the structure of dieting behavior is important because certain types of dieting may be differentially associated with ED risk. Although each proposed dimension represents a clinically relevant aspect of dieting behavior, few previous studies have tested the underlying structure of dieting.

    We hypothesized that the Three Dimensional Model would be empirically supported. Structural equation modeling SEM was used to validate the best-fitting factor structure and to test associations among dieting dimensions, ED risk, and body mass index. A one-factor model demonstrated the best fit to the data. Notably, ED risk significantly increased with dieting, whereas body mass index was not significantly associated with dieting. Our results suggested that dieting could be conceptualized as a unitary construct that confers risk for the future development of EDs.

    Findings also indicated that dieting was not associated with body weight, which supports results of other studies showing poor efficacy of self-led dieting for producing meaningful weight loss. Healthcare professionals should consider inquiring about dieting status both current and past and weight suppression as a part of routine medical care to help identify those at risk for EDs and to promote a greater focus on engagement in healthful eating, regardless of weight-loss goals or outcomes. The purpose of this study was to systematically review the literature on assessment of eating disorder prevalence during the DSM-IV era A PubMed search was conducted targeting articles on prevalence, incidence and epidemiology of eating disorders.

    A total of 74 studies fulfilled inclusion criteria and were included in the study. Results yielded evidence of over 40 different assessment instruments used to assess eating disorder prevalence, with the EAT being the most commonly used screening instrument, and the SCID being the most frequently used interview.