scholarly journals Everyday flexibility and functional milestones in anorexia nervosa: survey results from a mixed community sample

2021 ◽  
Author(s):  
Kelly M. Dann ◽  
Phillipa Hay ◽  
Stephen Touyz
Keyword(s):  
Anorexia Nervosa ◽  
Community Sample ◽  
Survey Results ◽  
Mixed Community

Do parent factors predict early weight gain in family therapy for anorexia nervosa? Revisiting variables in a community treatment sample

2020 ◽  
Author(s):  
Layla Hamadi ◽  
Tayla Hurlock ◽  
Hannah Line ◽  
Joanna Holliday
Keyword(s):  
Anorexia Nervosa ◽  
Weight Gain ◽  
Family Therapy ◽  
Self Efficacy ◽  
Distress Tolerance ◽  
Community Sample ◽  
Community Treatment ◽  
Treatment Change ◽  
Family Accommodation ◽  
Early Weight Gain

Objective: It is unclear why some children and adolescents respond well to family therapy for anorexia nervosa (AN) and others do not. Previous exploratory studies have suggested that parent variables may be important in early treatment change. This study aimed to investigate if parental self-efficacy, distress tolerance and family accommodation were associated with weight gain in a community sample. As there is variability in how parental self-efficacy is measured in eating disorder research, the study also sought to answer whether the two primary questionnaires used were correlated.Method: Fifty-five patients with a diagnosis of AN and 89 parents were recruited from a community treatment service. Parents completed self-efficacy, distress tolerance and family accommodation questionnaires at assessment. Patient clinical data was collected routinely during treatment. Results: No parent variables predicted early weight change. Moreover, scores from the two commonly used measures of self-efficacy in parents did not appear to be correlated. Parents could tolerate significantly more distress in themselves than in their children.Conclusions: There remains no well-established, modifiable predictors of outcome in treatment for AN. It may be beneficial to reach a consensus on the best measure for parental self-efficacy for use in AN research.

The development of the Ben-Tovim Walker Body Attitudes Questionnaire (BAQ), a new measure of women's attitudes towards their own bodies

1991 ◽  
Vol 21 (3) ◽  
pp. 775-784 ◽  
Author(s):  
David I. Ben-Tovim ◽  
M. Kay Walker
Keyword(s):  
Anorexia Nervosa ◽  
Body Fat ◽  
Community Sample ◽  
The Body ◽  
Self Report ◽  
Lower Body ◽  
Body Experience ◽  
Final Version ◽  
Wide Range ◽  
Body Attitudes

SYNOPSISA measure has been developed which assesses a broad range of attitudes which women hold towards their bodies. The Ben-Tovim Walker Body Attitudes Questionnaire (BAQ) is a 44-item self-report questionnaire whose subscales encompass six distinct aspects of body experience (feelings of overall fatness, self-disparagement, strength, salience of weight, feelings of attractiveness and consciousness of lower body fat). The development of the BAQ involved administering increasingly refined versions to a wide range of female respondents. The final version appears to have satisfactory psychometric properties. When the BAQ scores of 29 patients with anorexia nervosa were compared with those of a large community sample, a more complex pattern of deviant attitudes appeared than would previously have been suspected. The BAQ appears to have potential as a research instrument in this and other fields in which the measurement of attitudes towards the body is important.

scholarly journals Contingency Contracts for Weight Gain of Patients with Anorexia Nervosa in Inpatient Therapy: Practice Styles of Specialized Centers

2018 ◽  
Vol 7 (8) ◽  
pp. 215
Author(s):  
Katrin Ziser ◽  
Katrin Giel ◽  
Gaby Resmark ◽  
Christoph Nikendei ◽  
Hans-Christoph Friederich ◽  
...  
Keyword(s):  
Anorexia Nervosa ◽  
Weight Gain ◽  
Mental Health Professionals ◽  
Multimodal Treatment ◽  
University Hospital ◽  
Inpatient Setting ◽  
Negative Consequences ◽  
Survey Results ◽  
High Degree ◽  
Contingency Contract

The treatment of patients with anorexia nervosa (AN) is often challenging, due to a high degree of ambivalence towards recovery and weight gain these patients often express. One part of the multimodal treatment is the utilization of treatment contracts (i.e., contingency contracts) that aim to motivate patients to gain weight by applying positive and negative consequences for the (non-)achievement of weight goals. The main aim of this study is to assess and analyze current standards of contingency contracts’ utilization in German eating disorder centers. n = 76 mental health professionals of twelve specialized university centers in Germany that are currently or were formerly treating patients with AN in an inpatient setting participated. Most experts use contingency contracts in their clinic with weekly weight goals ranging between 500 and 700 g. Overall effectiveness and significance of contingency contracts for the inpatient treatment of patients with AN was rated high. Typical characteristics of a contingency contract in specialized German university hospital centers, such as the most frequent consequences, are described. The survey results assist the planning of further studies aiming to improve the multimodal treatment of patients with AN. For clinical practice, using external motivators such as contingency contracts as well as targeting internal motivation (e.g., by using motivational interviewing) is proposed.

scholarly journals The Anorexia Nervosa Genetics Initiative: Study description and sample characteristics of the Australian and New Zealand arm

2017 ◽  
Vol 51 (6) ◽  
pp. 583-594 ◽  
Author(s):  
Katherine M Kirk ◽  
Felicity C Martin ◽  
Amy Mao ◽  
Richard Parker ◽  
Sarah Maguire ◽  
...  
Keyword(s):  
Body Mass Index ◽  
Eating Disorders ◽  
Anorexia Nervosa ◽  
New Zealand ◽  
Medical Care ◽  
General Practitioners ◽  
Body Mass ◽  
Community Sample ◽  
Online Questionnaire ◽  
Current Body Mass Index

Objectives: Anorexia nervosa is a severe psychiatric disorder with high mortality rates. While its aetiology is poorly understood, there is evidence of a significant genetic component. The Anorexia Nervosa Genetics Initiative is an international collaboration which aims to understand the genetic basis of the disorder. This paper describes the recruitment and characteristics of the Australasian Anorexia Nervosa Genetics Initiative sample, the largest sample of individuals with anorexia nervosa ever assembled across Australia and New Zealand. Methods: Participants completed an online questionnaire based on the Structured Clinical Interview Diagnostic and Statistical Manual of Mental Disorders (4th ed.; DSM-IV) eating disorders section. Participants who met specified case criteria for lifetime anorexia nervosa were requested to provide a DNA sample for genetic analysis. Results: Overall, the study recruited 3414 Australians and 543 New Zealanders meeting the lifetime anorexia nervosa case criteria by using a variety of conventional and social media recruitment methods. At the time of questionnaire completion, 28% had a body mass index ⩽ 18.5 kg/m2. Fasting and exercise were the most commonly employed methods of weight control, and were associated with the youngest reported ages of onset. At the time of the study, 32% of participants meeting lifetime anorexia nervosa case criteria were under the care of a medical practitioner; those with current body mass index < 18.5 kg/m2 were more likely to be currently receiving medical care (56%) than those with current body mass index ⩾ 18.5 kg/m2 (23%). Professional treatment for eating disorders was most likely to have been received from general practitioners (45% of study participants), dietitians (42%) and outpatient programmes (42%). Conclusions: This study was effective in assembling the largest community sample of people with lifetime anorexia nervosa in Australia and New Zealand to date. The proportion of people with anorexia nervosa currently receiving medical care, and the most common sources of treatment accessed, indicates the importance of training for general practitioners and dietitians in treating anorexia nervosa.

scholarly journals Treatment utilization and medical problems in a community sample of adult women with anorexia nervosa

2019 ◽  
Author(s):  
Brooks Brodrick ◽  
Jessica A. Harper ◽  
Erin Van Enkevort ◽  
Carrie J. McAdams
Keyword(s):  
Anorexia Nervosa ◽  
Primary Care Physicians ◽  
Community Sample ◽  
Clinical Status ◽  
Treatment Utilization ◽  
Adult Women ◽  
Medical Problems ◽  
Course Of Illness ◽  
Clinical Utilization

ABSTRACTAnorexia nervosa has a prolonged course of illness, making both defining recovery and determining optimal outpatient treatments difficult. Here, we report the types of treatments utilized in a naturalistic sample of adult women with anorexia nervosa in Texas. Participants were recruited from earlier studies of women with anorexia nervosa (AN-C, n = 28) and in weight recovery following anorexia nervosa (AN-WR, n = 18). Participants provided information about both their illness and treatments during their most severe period (severe period) as well as during the two to six years following original assessments (follow-up period). New follow-up groups were defined based on current clinical status (continued eating disorder, AN-CC; newly in recovery, AN-CR; sustained weight-recovery, AN-WS), and clinical utilization was compared across groups. There were no differences in groups related to symptoms or treatments utilized during the severe-period. During the follow-up period, intensive outpatient programs were utilized significantly more by the AN-CC group than the other groups, and dietitians were seen significantly less by the AN-WS group. Medical complications related to the ED were significantly more common in the AN-CC group. All groups maintained similar levels of contact with outpatient psychiatrists, therapists, and primary care physicians.

scholarly journals Treatment Utilization and Medical Problems in a Community Sample of Adult Women With Anorexia Nervosa

2019 ◽  
Vol 10 ◽  
Author(s):  
Brooks Brodrick ◽  
Jessica A. Harper ◽  
Erin Van Enkevort ◽  
Carrie J. McAdams
Keyword(s):  
Anorexia Nervosa ◽  
Community Sample ◽  
Treatment Utilization ◽  
Adult Women ◽  
Medical Problems

scholarly journals The Mental Health Effects of Cumulative Lifetime Violence in Men: Disruptions in the Capacity to Connect with Others and Finding Ways to Reengage

2021 ◽  
Vol 8 ◽  
pp. 233339362110215
Author(s):  
Petrea Lea Taylor ◽  
Susanne O’Donnell ◽  
Judith Wuest ◽  
Kelly Scott-Storey ◽  
Charlene Vincent ◽  
...  
Keyword(s):  
Mental Health ◽  
Community Sample ◽  
Role Expectations ◽  
Health Study ◽  
Post Traumatic Stress ◽  
Eastern Canada ◽  
Multiple Method ◽  
Survey Results ◽  
Post Traumatic ◽  
Mental Health Effects

We report qualitative findings of our Men’s Violence Gender and Health Study, a multiple method study using a sequential design in which we explored the mental health manifestations of cumulative lifetime violence in men. Survey results revealed that higher cumulative lifetime violence scores were significantly associated with higher scores on depression, post-traumatic stress disorder, and anxiety in a community sample of men ( n = 685) living in Eastern Canada. To obtain a deeper understanding of men’s scores, we used an interpretive description approach to analyze data derived from 32 participant interviews. The main mental health manifestation of cumulative lifetime violence is perceptual interference, a sense of being disconnected or detached from others. This is managed by rectifying detachment, a process that includes efforts to gain connections with others. Findings suggest mental health needs in men with cumulative lifetime violence contradict gender role expectations to be stoic. Implications for nurses are explored.

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