Advances in eating disorders (Abingdon, England )最新文献

{"title":"Special considerations","authors":"Melissa Hart","doi":"10.1080/21662630.2016.1208145","DOIUrl":"https://doi.org/10.1080/21662630.2016.1208145","url":null,"abstract":"ABSTRACT Nutrition plays a vital role in the treatment of eating disorders. Careful consideration of the risks involved and strategies to successfully facilitate nutritional change is required. The first two papers of this series cover the importance of healthy nutrition, effects of inadequate nutrition, assessment and concepts of refeeding and rehydration in eating disorders. This paper discusses special considerations for nutrition change in eating disorders, including the mode of feeding, children and adolescents, chronic illness, pregnancy, nutrition education, prevention and promotion, and working as a team.","PeriodicalId":90089,"journal":{"name":"Advances in eating disorders (Abingdon, England )","volume":"47 1","pages":"323 - 331"},"PeriodicalIF":0.0,"publicationDate":"2016-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73893687","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Advances in eating disorders","authors":"R. Bryant-Waugh","doi":"10.1080/21662630.2016.1226702","DOIUrl":"https://doi.org/10.1080/21662630.2016.1226702","url":null,"abstract":"I recently received an email from a young professional who had been treated in our hospital for an eating disorder nearly 20 years ago. Around the same time as she was under our care, founding editor of Advances in Eating Disorders, Bryan Lask and I, together with Bryan’s friend and colleague Isky Gordon and some other colleagues, published a paper entitled ‘Childhood onset anorexia nervosa in children – towards identifying a biological substrate’ (Gordon, Lask, Bryant-Waugh, Christie, & Tamimi, 1997). In 1997, our in-patient unit was busy and we were working with families experiencing extremely challenging times as they and their children struggled with anorexia nervosa. We recognised that our attempts to assist in this process, although well-intentioned and as far as possible guided by what we knew from reading and experience worked best, were hampered by woefully inadequate understanding of the aetiology of this destructive condition. By then, a good 10 years into running a specialist eating disorders service for children and young adolescents, we had built up a modest but respectable publication record. Our papers had discussed recognising eating disorders in the younger population; we had outlined tools to assess and describe psychopathology in an age-appropriate manner; we had explored correlates and conducted follow-up and outcome studies; we had commented on the seriousness of anorexia nervosa in this age group and we had advised about monitoring of progress. We had not, however, published anything of substance relating to the central issue of aetiology; targeting treatment to known causes remained elusive. Our 1997 article was based on a small study involving 15 young people between the ages of 8 and 16 years treated on our unit for anorexia nervosa. All consented, with parental agreement, to undergo regional cerebral blood flow radioisotope scans, and three of them agreed to a follow-up scan when their weight had returned to normal. The findings of the study revealed that 87% (13 of the 15) were identified as having unilateral temporal lobe hypoperfusion, which was also seen in the 3 girls who had a follow-up scan after weight restoration. We commented that the study was the first to report on reduced regional cerebral blood flow in childhood-onset anorexia nervosa, and suggested that this may point to an underlying primary functional abnormality (Gordon et al., 1997). We cautiously stated that ‘The etiology of anorexia nervosa is not fully understood, but is probably multifactorial, including a biological substrate’. Meanwhile, we were treating our patients with a combination of experienced nursing care and milieu type therapy on the in-patient unit, with concurrent family therapy and individual work. The young professional who recently contacted me wrote that she had wanted to contact Bryan Lask for some time to let him know how much she appreciated, and continues to appreciate, the support he gave 20 years ago at the most difficult t","PeriodicalId":90089,"journal":{"name":"Advances in eating disorders (Abingdon, England )","volume":"1 1","pages":"233 - 234"},"PeriodicalIF":0.0,"publicationDate":"2016-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90911326","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A pilot study of attachment style and emotional experience in adolescent girls with loss of control eating","authors":"L. Ranzenhofer, S. Engel, R. Crosby, M. Haigney, M. Tanofsky-Kraff","doi":"10.1080/21662630.2016.1227273","DOIUrl":"https://doi.org/10.1080/21662630.2016.1227273","url":null,"abstract":"ABSTRACT The established link between attachment insecurity and disinhibited eating may in part be explained by social problems, negative mood, and/or physiologic ‘stress’; however, these mechanisms have not been tested in adolescents with loss of control (LOC) eating. We therefore examined associations among attachment styles, social problems, negative emotions, and autonomic indices in 32 adolescent girls with recurrent LOC eating (body mass index z-score = 2.2 ± 0.4; age = 14.9 ± 1.6 years). Participants completed the Behavioral Systems Questionnaire to assess relational styles (secure, preoccupied, avoidant) and the Beck Depression Inventory to assess depressive symptoms. Parents completed the Child Behavior Checklist to assess teen social problems. Ecological momentary assessment (EMA) of real-world negative affect and social problems was collected for two weeks, and ambulatory monitoring of autonomic indices for two days. Preoccupied attachment was positively associated with depressive symptoms (n = 32, p = .03), greater EMA negative affect (n = 29, p = .03), and marginally higher EMA social problems (p = .06). Further, avoidant attachment was positively associated with ambulatory heart rate (n = 18, p < .05), but was not associated with any self-report indices. Adolescent girls with preoccupied versus dismissing attachment may exhibit different patterns of social problems, negative mood, and physiologic ‘stress’, suggesting the need for more detailed investigations of the mechanisms responsible for the relationship between insecure attachment and LOC eating.","PeriodicalId":90089,"journal":{"name":"Advances in eating disorders (Abingdon, England )","volume":"1 1","pages":"250 - 263"},"PeriodicalIF":0.0,"publicationDate":"2016-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86143298","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Inflated responsibility and perfectionism in child and adolescent anorexia","authors":"C. Kerr, B. Watkins, F. Jones","doi":"10.1080/21662630.2016.1217494","DOIUrl":"https://doi.org/10.1080/21662630.2016.1217494","url":null,"abstract":"ABSTRACT Objective: The aim of the pilot study was to investigate the cognitive biases of inflated responsibility (IR) and perfectionism in children and adolescents with a diagnosis of Anorexia Nervosa (AN). An additional aim was to provide a preliminary investigation into whether there is an interaction effect with AN severity, measured by body mass index (BMI). Method: A cross-sectional multi-site pilot study using standardised questionnaires was conducted and 30 young people diagnosed with AN participated. Results: Children and adolescents with AN reported significantly higher levels of IR and perfectionism, compared to published normative non-clinical data. Self-orientated perfectionism (SOP) was associated with frequency of IR thoughts. There was also a significant interaction effect: young people who had a higher frequency of IR thoughts and SOP had lower BMIs. Discussion: Further independent replication of these results is needed. IR and perfectionism should be considered in the assessment and treatment of child and adolescent AN, both in individual and systemic interventions. This research also adds to the growing body of literature examining cognitive biases of obsessive–compulsive disorder in an AN population, which may offer some insight into the overlap between the two disorders.","PeriodicalId":90089,"journal":{"name":"Advances in eating disorders (Abingdon, England )","volume":"17 1","pages":"309 - 314"},"PeriodicalIF":0.0,"publicationDate":"2016-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78759458","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Eating disorders and marriage: the couple in focus","authors":"G. Wright","doi":"10.1080/21662630.2016.1217463","DOIUrl":"https://doi.org/10.1080/21662630.2016.1217463","url":null,"abstract":"","PeriodicalId":90089,"journal":{"name":"Advances in eating disorders (Abingdon, England )","volume":"109 1","pages":"332 - 333"},"PeriodicalIF":0.0,"publicationDate":"2016-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79190893","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Encountering anorexia: challenging stigma with recovery stories","authors":"Emma Sheens, P. Rhodes, Lisa Dawson","doi":"10.1080/21662630.2016.1217495","DOIUrl":"https://doi.org/10.1080/21662630.2016.1217495","url":null,"abstract":"ABSTRACT The current study aimed to explore the effect of recovery stories on challenging stigma towards those who experience anorexia nervosa. Semi-structured interviews were conducted with 25 participants before and after exposure to an anorexia nervosa recovery narrative. Audio recordings were transcribed verbatim. Transcripts were then analysed using thematic analysis, informed by an interpretative phenomenological framework. Exposure to a recovery narrative challenged participants, enabling them to recognise the subjective experience of those living with anorexia. Their views shifted, from minimising the effects of the condition, to understanding its severity and legitimacy as a mental illness. Participants also shifted from a reductionist view to one that embraced the complexity of the illness, its aetiology and the significant challenge of recovery. These findings highlight the benefit of using recovery narratives to change popular discourse and stigmatised views.","PeriodicalId":90089,"journal":{"name":"Advances in eating disorders (Abingdon, England )","volume":"1 1","pages":"315 - 322"},"PeriodicalIF":0.0,"publicationDate":"2016-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83112080","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exercise for the compulsive exercisers? An exploratory study in adolescent inpatients with anorexia nervosa","authors":"M. Noetel, J. Miskovic-Wheatley, Daniel S. J. Costa, R. Crosby, P. Hay, M. Kohn, S. Madden, S. Touyz","doi":"10.1080/21662630.2016.1202123","DOIUrl":"https://doi.org/10.1080/21662630.2016.1202123","url":null,"abstract":"ABSTRACT Objective: This study aimed to explore whether exercise produced acute psychological benefits for adolescent inpatients receiving treatment for anorexia nervosa (AN). Specifically, the study examined whether a supervised inpatient exercise programme resulted in negative or positive affective changes over time, and if the participant’s reported level of compulsive exercise influenced such changes. Method: Forty-seven adolescent female inpatients with a DSM-5 diagnosis of AN completed a measure of compulsive exercise at admission to an eating-disorder inpatient programme. Participants routinely attended physiotherapy sessions (exercise condition) and school lessons (school condition) throughout their admission, and completed visual analogue scales assessing anxious, depressed, and positive affect immediately prior to and after both conditions. Results: Participants reported a significant decrease in anxious and depressed affect, and an increase in positive affect after the exercise condition compared to the school condition. Participants with higher levels of compulsive exercise features reported significantly greater decreases in anxious affect following exercise. Discussion: The current study provides promising results in terms of the acute psychological benefits supervised exercise can offer adolescent inpatients with AN. Research and clinical efforts are required to develop standardised treatment guidelines for exercise programmes and the management of compulsive exercise in this population during active treatment.","PeriodicalId":90089,"journal":{"name":"Advances in eating disorders (Abingdon, England )","volume":"13 1","pages":"264 - 276"},"PeriodicalIF":0.0,"publicationDate":"2016-07-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87819592","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Wiley handbook of eating disorders","authors":"P. Buckley","doi":"10.1080/21662630.2016.1199934","DOIUrl":"https://doi.org/10.1080/21662630.2016.1199934","url":null,"abstract":"","PeriodicalId":90089,"journal":{"name":"Advances in eating disorders (Abingdon, England )","volume":"21 1","pages":"333 - 334"},"PeriodicalIF":0.0,"publicationDate":"2016-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83761034","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Facilitating research on eating disorders stigma: validation of the internalised stigma of mental illness scale for use in people with eating disorders","authors":"S. Griffiths, Daniel S. J. Costa, J. Boyd, S. Murray, D. Mitchison, J. Mond","doi":"10.1080/21662630.2016.1202125","DOIUrl":"https://doi.org/10.1080/21662630.2016.1202125","url":null,"abstract":"ABSTRACT Stigma internalisation in people with eating disorders is an area of increasing scientific interest. To date, however, no measure of stigma internalisation has been validated for use in people with eating disorders, which may help explain the paucity of research investigating stigma in this population. We conducted a confirmatory factor analysis of the 29-item Internalised Stigma of Mental Illness Scale (ISMI) in a sample of 331 individuals with various eating disorders, and further examined its concurrent predictive validity and convergent validity. The original factor structure of the ISMI indicated poor fit. Five modifications were made; one item was excluded, three items had their factor loadings moved to a different subscale, and the co-variance between two items was modelled. The modified ISMI indicated good fit and exhibited evidence of concurrent predictive validity and convergent validity. The ISMI is valid for use in people with eating disorders with minimal changes to subscale scoring. Although relatively few changes to the ISMI were proposed, the capacity to compare ISMI scores across patient populations should be weighed against obtaining empirically and theoretically defensible factor structures that may be population-specific.","PeriodicalId":90089,"journal":{"name":"Advances in eating disorders (Abingdon, England )","volume":"22 1","pages":"293 - 308"},"PeriodicalIF":0.0,"publicationDate":"2016-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86635066","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Adolescent patients’ perspectives on rapid-refeeding: a prospective qualitative study of an inpatient population","authors":"Sarah Kezelman, P. Rhodes, C. Hunt, G. Anderson, S. Clarke, R. Crosby, S. Touyz","doi":"10.1080/21662630.2016.1202124","DOIUrl":"https://doi.org/10.1080/21662630.2016.1202124","url":null,"abstract":"ABSTRACT In this study, we aimed to examine the psychological experience over the course of an inpatient treatment implementing rapid-refeeding protocol for adolescent patients with anorexia nervosa (AN). Ten female participants were included in the study and interviews were conducted on a weekly basis over the course of their admissions. Interviews were audio-recorded and analysed according to the principles of thematic analysis. Results revealed a multidimensional process broadly implicating three phases of treatment; reconciling with the ‘AN’ diagnosis, adjustment to treatment, and reflection and integration. Overall, these phases demonstrated a complex and often ambivalent psychological process whereby acceptance for physical and medical interventions was often in conflict with individuals’ affective experiences. Clinical implications of these findings are discussed and avenues for future research highlighted.","PeriodicalId":90089,"journal":{"name":"Advances in eating disorders (Abingdon, England )","volume":"23 8 1","pages":"277 - 292"},"PeriodicalIF":0.0,"publicationDate":"2016-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80152768","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}