scholarly journals Self-esteem as a catalyst for change in adolescent inpatients with anorexia nervosa: a pilot randomised controlled trial

2021 ◽  
Author(s):  
Hannah Biney ◽  
Emma Giles ◽  
Matt Hutt ◽  
Rachel Matthews ◽  
J. Hubert Lacey
Keyword(s):  
Eating Disorder ◽  
Self Esteem ◽  
The Self ◽  
Self Report ◽  
Potential Effectiveness ◽  
Time Points ◽  
Qualitative Feedback ◽  
Eating Disorder Psychopathology ◽  
Randomised Controlled ◽  
Adolescent Inpatients

Abstract Purpose To determine the potential effectiveness of a six-session manualised self-esteem group using CBT approaches when given as an adjuvant to adolescent inpatients with Anorexia Nervosa (AN). Methods Using a randomised controlled design, 50 girls aged 12–17 years with AN were assigned to either self-esteem group with treatment as usual (TAU) (n = 25) or TAU alone (n = 25). 50/78 (64%) consented to be randomised. Both groups completed self-report measures of self-esteem and eating disorder psychopathology at three time points to measure the potential effectiveness of the treatment. Qualitative feedback was collected to assess acceptability. Results 29 participants completed the study: 15 self-esteem group with TAU, 14 TAU alone. Self-esteem group participants had greater improvement in all outcomes than TAU participants at all time points, the difference in self-report self-esteem at T2 is 1.12 (95% CI − 1.44–3.69; effect size = 0.21). Similar small effect sizes were found for the eating disorder psychopathology measure following completion of the intervention but not at four-week follow-up. Favourable qualitative feedback was gained. Conclusion These findings demonstrate that the self-esteem group supplements an intensive treatment package which also addresses elements of low self-esteem. The self-esteem group was beneficial for addressing self-esteem and acted as a catalyst for change in eating disorder psychopathology. Positive qualitative feedback indicated the intervention was acceptable to users. Self-esteem group is a potential new adjuvant treatment for AN. EMB Rating Level 1.

Effect of Self - Care Program on the Self- Esteem of Multiple Sclerosis Patients

2009 ◽  
Vol 24 (S1) ◽  
pp. 1-1
Author(s):  
H. Madani ◽  
H. Navipoor ◽  
P. Roozbayani
Keyword(s):  
Multiple Sclerosis ◽  
Self Care ◽  
Care Program ◽  
Self Esteem ◽  
The Self ◽  
Self Report ◽  
The Mean ◽  
Muscular Spasm ◽  
Multiple Sclerosis Patients ◽  
Paired T Test

Aims:According to decreased self- esteem in multiple sclerosis (MS) patients, it is necessary to utilize appropriate methods in order to improve self- esteem in MS patients. So this study was conducted on patients with MS supported by the Iranian MS society for determining the effect of self - care program on their self- esteem.Method:In this semi - experimental study 34 patients with MS who were not in the acute phase of disease were selected. The data were collected via personal questionnaires, problem list, Cooper and smith standard questionnaire for self- esteem and self report check lists. Self - care program(self - care for muscular spasm, fatigue, constipation and amnesia and …) was educated, then it was performed for one month period and the data were analyzed using paired t- test, wilcoxon, croscal - wallis and manwithney tests.Results:Application of self - care program improve the self- esteem and reduced some symptoms such as muscular spasm, fatigue, constipation and amnesia in MS patients. The mean valve of self- esteem increased from 54 before performing the program to 68 after the program ( p < 0.05).Conclusion:Using self-care program can be an effective method for improving self- esteem of MS patients.

scholarly journals Emotion regulation difficulties in anorexia nervosa: associations with improvements in eating psychopathology

2021 ◽  
Author(s):  
Marsha Rowsell ◽  
Danielle E. MacDonald ◽  
Jacqueline C. Carter
Keyword(s):  
Emotion Regulation ◽  
Anorexia Nervosa ◽  
Eating Disorder ◽  
Intensive Treatment ◽  
Self Report ◽  
Eating Psychopathology ◽  
Eating Disorder Symptoms ◽  
Core Deficit ◽  
Eating Disorder Psychopathology ◽  
Regulation Strategies

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. Method The participants were 108 patients who met DSM-IV-TR criteria for AN and were admitted to a specialized intensive treatment program. Self-report measures of eating disorder symptoms and difficulties with emotion regulation were administered at admission to and discharge from the program. Results Patients with the binge-purge subtype of AN reported greater difficulties with impulse control when upset and more limited access to emotion regulation strategies when experiencing negative emotions than those with the restricting subtype. Among those who completed treatment and became weight restored, improvements in emotion regulation difficulties were observed. Greater pre-to-post treatment improvements in emotional clarity and engagement in goal directed behaviours when upset were associated with greater reductions in eating disorder psychopathology during treatment. Conclusions These findings add to growing evidence suggesting that eating disorder symptoms may be related to emotion regulation difficulties in AN and that integrating strategies to address emotion regulation deficits may be important to improving treatment outcome in AN.

Experiences and Expectations in Evaluating Preparation for an Examination

2000 ◽  
Vol 86 (3) ◽  
pp. 895-898 ◽  
Author(s):  
Karl Schweizer
Keyword(s):  
University Students ◽  
Self Efficacy ◽  
Self Esteem ◽  
Oral Examination ◽  
The Self ◽  
Self Report ◽  
Self Concept ◽  
Personal Optimism ◽  
Past Experiences

The predictability of the evaluation of preparing for an oral examination by means of self-concept and self-esteem as well as optimism and self-efficacy was investigated in a sample of 49 university students. Self-concept was measured by Frankfurter Selbstkonzeptskalen, self-esteem by the 16PF-O scale, personal optimism, social optimism, and self-efficacy by Fragebogen für Personalen Optimismus und Sozialen Optimismus—Erweitert, and the evaluation of the preparation by a self-report sheet. Data were collected 5 wk. before the examination. The self-report sheet was given again one week before the examination. Significant correlations of self-report scores with self-concept scores as well as 16PF-O scores representing past experiences were found for the first assessment. The correlations with personal optimism scores and self-efficacy scores representing expectations were also significant for the second assessment.

scholarly journals Believing emotions are uncontrollable is linked to eating disorder psychopathology via suppression and reappraisal

2021 ◽  
Vol 9 (1) ◽  
Author(s):  
Laura Vuillier ◽  
Jemma Joseph ◽  
Matthew P. Somerville ◽  
Amy Harrison
Keyword(s):  
Emotion Regulation ◽  
Eating Disorder ◽  
Psychological Health ◽  
Community Sample ◽  
Self Report ◽  
Emotion Regulation Strategies ◽  
Eating Psychopathology ◽  
Eating Disorder Psychopathology ◽  
Regulation Strategies ◽  
The Relationship

Abstract Objective Research suggests that beliefs about emotional controllability influence the use of emotion regulation strategies, which in turn impact psychological health and illness. However, no research has yet investigated whether emotional controllability is linked to eating psychopathology. The current study investigates whether these concepts are related, as individuals with eating disorders have problems with emotion regulation. Method We collected self-report data from 718 participants from a community sample using validated questionnaires, and ran mediational analyses to assess the relationship between emotional controllability and eating psychopathology, via reappraisal and suppression, two emotion regulation strategies. Results Our mediational analyses suggest that believing emotions to be uncontrollable relates to high levels of suppression (β = −.08), low levels of reappraisal (β = .19) and poorer eating disorder psychopathology (β = −.11). Reappraisal and suppression were found to partially mediate the relationship between emotional controllability and eating psychopathology. Discussion The current study has demonstrated relationships that support investigations relating emotional controllability, emotion regulation and psychological health. This research has potential implications for developing interventions to target beliefs about emotions in order to help improve emotion regulation skills and eating psychopathology.

scholarly journals Enhancing Self-Esteem in Classroom Language Learning: The Potential of Implementing a Strength-Based Positive Psychology Intervention at Higher Education

2018 ◽  
Vol 2 (3) ◽  
pp. 334-345
Author(s):  
Mehry Haddad Narafshan ◽  
Samieh Noori
Keyword(s):  
Higher Education ◽  
Positive Psychology ◽  
Language Learning ◽  
Empirical Studies ◽  
Self Esteem ◽  
The Self ◽  
Self Report ◽  
Positive Psychology Intervention ◽  
Quasi Experimental ◽  
The Impact

Since positive psychology (PP) is a nascent area of research, there are very few empirical studies assessing the impact of positive psychology interventions. Accordingly, this article reports on a quantitative study concerning the use of a positive psychology intervention to develop learners’ self-esteem in the context of higher education in the English as a foreign language (EFL) sector in Iran. Data was collected during the academic year 2016–2017 from a university in Iran using Cooper Smith (1967, 1981) Self Esteem Inventory Adult Form (CSEI-A) , a self-report questionnaire, as the instrument and administering it before and after a TEFL master course. Thirty six university students participated in a five-month long quasi-experimental study. The current study’s primary aim was to investigate in detail the potential of PP intervention for supporting the self-esteem progress in the context in question. The study showed a statistically significant improvement in the self-esteem of the participants in the experimental group after completing the course suggesting positive paths from positive psychology to understanding the strengths, and managing the weaknesses effectively. The encouraging results from this program suggest new avenues for approaching the change of self-esteem.

scholarly journals No Occasion for Pleasure: The Self-Worth Contingency of a Setback and Coping With Humor

2014 ◽  
Vol 10 (3) ◽  
pp. 520-531
Author(s):  
Fay Caroline Mary Geisler ◽  
Vera Loureiro de Assunção
Keyword(s):  
Self Esteem ◽  
Higher Order ◽  
The Self ◽  
Self Report ◽  
Self Worth ◽  
Domains Of Life ◽  
Incongruity Theory ◽  
And Coping ◽  
Domain Level

Whether or not one uses humor to cope with a setback may depend on the idiosyncratic relation of the setback to feeling of self-worth. All people pursue the higher order goal of self-validation, but people differ in what domains of life their self-worth is contingent upon and to what extent. In this article based on an incongruity theory of humor we argue that the use of humor in coping with a highly self-worth-contingent setback may be impeded by two cognitive-motivational processes: goal-driven activation and goal shielding. From the outlined theory we derived the hypothesis that the more a domain is contingent upon self-worth, the less likely a person will be to use humor to deal with a setback in that domain. We tested this hypothesis in two studies employing two forms of self-report, i.e., ratings of reaction likelihood to setbacks described at an abstract domain level (Study 1), and ranking of reaction likelihood to concrete setbacks from different domains (Study 2). The hypothesis was affirmed in different domains of self-worth contingency controlling for the influence of habitual coping with humor, coping by disengagement, and global self-esteem.

Correlates of the use of Purging and Non-Purging Methods of Weight Control in a Community Sample of Women

2006 ◽  
Vol 40 (2) ◽  
pp. 136-142 ◽  
Author(s):  
Jonathan J. Mond ◽  
Phillipa J. Hay ◽  
Bryan Rodgers ◽  
Cathy Owen ◽  
James Mitchell
Keyword(s):  
Eating Disorder ◽  
Binge Eating ◽  
Dietary Restriction ◽  
Functional Impairment ◽  
Weight Control ◽  
Community Sample ◽  
Self Report ◽  
Adult Women ◽  
Eating Disorder Psychopathology ◽  
Diet Pills

Objective: To inform the classification of bulimic-type eating disorders, the correlates of purging and non-purging methods of weight control were examined in a large community sample of young adult women reporting recurrent episodes of binge eating. Method: Scores on self-report measures of eating disorder psychopathology, functional impairment and health-service utilization were compared among individuals who reported (recurrent episodes of binge eating and) the use of either purging (self-induced vomiting, laxative or diuretic misuse; n = 41) or non-purging (extreme dietary restriction, excessive exercise, or use of diet pills; n = 62) methods of weight control. Individuals who reported recurrent binge eating in the absence of extreme weight control behaviours (n = 442) were also included in the analysis. Results: Non-purgers tended to be younger and heavier and have higher levels of eating disorder psychopathology and functional impairment than purgers and non-compensating binge eaters, however these differences were not statistically significant. Purgers were more likely than non-purgers to have sought treatment specifically for a problem with eating, however this difference was no longer significant after age and body mass index were statistically controlled. In multivariate analysis, frequency of extreme dietary restriction was the best predictor of functional impairment. Conclusions: These findings call into question the validity of subtyping of bulimia nervosa into purging and non-purging forms as outlined in the fourth edition of the Diagnostic and Statistical Manual of Mental Disorders.

Association of Self-Preoccupation and Self-Reported Duration and Severity of Depressive Episodes

2002 ◽  
Vol 90 (3) ◽  
pp. 861-868 ◽  
Author(s):  
Shinji Sakamoto ◽  
Atsuko Tomoda ◽  
Nobuhiko Kijima
Keyword(s):  
Depressive Symptoms ◽  
Depressive Episode ◽  
Self Esteem ◽  
The Self ◽  
Self Report ◽  
Focused Attention ◽  
Tokyo Metropolitan Area ◽  
External Objects ◽  
Scale Scores ◽  
Depressive Episodes

The present study investigated the relation of self-preoccupation, i.e., the tendency to focus more on the self than on external objects and to maintain this self-focused attention, with the duration and severity of depressive episodes. The hypotheses were that, compared with people low on self-preoccupation, people scoring higher on self-preoccupation may experience more long-lasting depressive episodes and during such episodes they may experience a greater number of depressive symptoms. The present study examined association of self-esteem with the severity or duration of depressive episodes. A total of 1,076 undergraduates (361 men, 700 women, 15 unknown) from nine universities in the Tokyo metropolitan area participated. Of the total, 246 undergraduates (55 men and 191 women) reported that they had experienced a depressive episode continuing four or more days; these data were analyzed and are reported here. Self-preoccupation, self-esteem, and depressive episodes within 12 mo. were measured by a self-report questionnaire. The results tentatively supported the hypotheses. Specifically, rated self-esteem was significantly correlated with the number of depressive symptoms reported in a depressive episode but not with the duration of the episode. However, rated self-preoccupation was correlated with the severity and duration of the depressive episode, although the correlation of self-preoccupation scale scores with the duration of the episode was quite weak and requires further research.

scholarly journals A randomised controlled trial of three psychological treatments for anorexia nervosa

2017 ◽  
Vol 47 (16) ◽  
pp. 2823-2833 ◽  
Author(s):  
S. Byrne ◽  
T. Wade ◽  
P. Hay ◽  
S. Touyz ◽  
C. G. Fairburn ◽  
...  
Keyword(s):  
Anorexia Nervosa ◽  
Eating Disorder ◽  
Randomised Controlled Trial ◽  
Controlled Trial ◽  
Healthy Weight ◽  
Psychological Treatments ◽  
Psychosocial Impairment ◽  
Eating Disorder Psychopathology ◽  
Randomised Controlled

BackgroundThere is a lack of evidence pointing to the efficacy of any specific psychotherapy for adults with anorexia nervosa (AN). The aim of this study was to compare three psychological treatments for AN: Specialist Supportive Clinical Management, Maudsley Model Anorexia Nervosa Treatment for Adults and Enhanced Cognitive Behavioural Therapy.MethodA multi-centre randomised controlled trial was conducted with outcomes assessed at pre-, mid- and post-treatment, and 6- and 12-month follow-up by researchers blind to treatment allocation. All analyses were intention-to-treat. One hundred and twenty individuals meeting diagnostic criteria for AN were recruited from outpatient treatment settings in three Australian cities and offered 25–40 sessions over a 10-month period. Primary outcomes were body mass index (BMI) and eating disorder psychopathology. Secondary outcomes included depression, anxiety, stress and psychosocial impairment.ResultsTreatment was completed by 60% of participants and 52.5% of the total sample completed 12-month follow-up. Completion rates did not differ between treatments. There were no significant differences between treatments on continuous outcomes; all resulted in clinically significant improvements in BMI, eating disorder psychopathology, general psychopathology and psychosocial impairment that were maintained over follow-up. There were no significant differences between treatments with regard to the achievement of a healthy weight (mean = 50%) or remission (mean = 28.3%) at 12-month follow-up.ConclusionThe findings add to the evidence base for these three psychological treatments for adults with AN, but the results underscore the need for continued efforts to improve outpatient treatments for this disorder.Trial RegistrationAustralian New Zealand Clinical Trials Registry (ACTRN 12611000725965) http://www.anzctr.org.au/

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