Characteristics and clinical implications of the relationship between veganism and pathological eating behaviours

Author(s):  
Courtney P. McLean ◽  
Ella K. Moeck ◽  
Gemma Sharp ◽  
Nicole A. Thomas
Author(s):  
Omer Van den Bergh ◽  
Nadia Zacharioudakis ◽  
Sibylle Petersen

Medical practice and the disease model importantly rely on the accuracy assumption of symptom perception: patients’ symptom reports are a direct and accurate reflection of physiological dysfunction. This implies that symptoms can be used as a read-out of dysfunction and that remedying the dysfunction removes the symptoms. While this assumption is viable in many instances of disease, the relationship between symptoms and physiological dysfunction is highly variable and, in a substantial number of cases, completely absent. This chapter considers symptom perception as a form of unconscious inferential somatic decision-making that compellingly produces consciously experienced symptoms. At a mechanistic level, this perspective removes the categorical distinction between symptoms that are closely associated with physiological dysfunction and those that are not. In addition, it brings symptom perception in accordance with general theories of perception. Some clinical implications to understand and treat symptoms poorly related to physiological dysfunction are discussed.


2020 ◽  
pp. 003329412097175
Author(s):  
Johanna Levallius ◽  
Elin Monell ◽  
Andreas Birgegård ◽  
David Clinton ◽  
Emma Forsén Mantilla

Introduction Binge eating is a common behaviour that is strongly linked to both obesity and eating disorder. There is evidence that binge eating commonly co-occurs with other problematic and addictive-like behaviours; however, this has not been explored systematically. The present study aimed to examine the relationship between binge eating, body weight, disordered eating behaviours and associated addictive-like behaviours, with particular attention paid to gender differences. Method A community sample ( N = 500; 75% female, Mage = 32.5 years) reported disordered eating behaviours (i.e. binge eating, purging, restriction of eating, compulsive exercise), body mass index (BMI), food addiction, starvation addiction, exercise dependence, tobacco use and alcohol consumption. Results 42% of females and 21% of males reported binge eating during the past four weeks. Binge eating was significantly associated with all investigated behaviours in females, and with purging, compulsive exercise and overweight/obesity in males. Controlling for BMI, self-starvation predicted binge eating in males (OR = 1.07), while food addiction (OR = 1.73) and alcohol dependence (OR = 1.11) predicted binge eating in females. Conclusions The multiple associations between binge eating and addictive-like behaviors supports broad screening and generalized prevention efforts. Prevention efforts should reflect gender differences.


2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Natalie Merinuk ◽  
Stephanie C. Varcoe ◽  
Peter J. Kelly ◽  
Laura D. Robinson

Purpose Substance use disorder (SUD) frequently co-occurs with other psychological conditions, such as eating disorders (EDs). Psychological factors such as emotional dysregulation, rash impulsivity (RI) and reward sensitivity (RS) play a role in the etiology of each disorder, yet little is known about the combined effects of these on comorbid SUDs and EDs or disordered eating behaviours (DEBs). This study aims to examine the role of these psychological factors in comorbid DEBs and SUDs among individuals in treatment for SUDs. The role of gender is tested as a moderator. Design/methodology/approach A cross-sectional self-report survey was completed by 131 participants attending Australian residential substance use treatment centres. A binomial logistic regression analysis was performed to examine the effects of emotional dysregulation, RI and RS on comorbid DEB and SUD. Further, moderation analyses were used to examine the moderating effect for gender on the relationship between these three personality variables and comorbidity. Findings The most commonly reported primary substance of use was alcohol (43.5%), followed by amphetamines (38.6%). Findings showed that emotional dysregulation and RI were significantly related to an increase in comorbidity likelihood; however, RS was not. Gender moderated the relationship between comorbidity and RI only. Originality/value The significant positive relationship found between RI and comorbidity for females only was a novel finding for the current study. Further research is needed to develop an understanding of the etiology of comorbidity.


Author(s):  
Blossom Fernandes ◽  
Roseann Tan-Mansukhani ◽  
Cecilia A. Essau

Chapter 6 describes emotion dysregulation features which are associated with children and adolescents with Attention Deficit Hyperactivity Disorder (ADHD). In ADHD adaptive emotion regulation processes are impaired; this negatively impacts the individual’s ability to flexibly select, attend, and appraise emotionally evocative stimuli. This is identified as emotion dysregulation, which occurs when individuals fail to alter emotional states that affect behaviours necessary for achieving one’s goals. This review also examines the relationship between executive functions and emotion dysregulation in ADHD. Successful modulation of emotion occurs as a result of intact executive functions; however, ADHD is characterized by poor executive functions as a result of deficits in the prefrontal cortical networks. Along with describing neural mechanisms associated with ADHD, this review also focuses on the development of emotion dysregulation, clinical implications and current interventions.


Author(s):  
Lindsey L. Monteith ◽  
Shira Maguen

Suicide rates among veterans and military service members have reached unprecedented levels. This underscores the critical need to understand risk factors for suicide in these populations. Combat-related killing is reported by a substantial number of military personnel and veterans and is associated with negative psychiatric and functional outcomes. Killing has been identified as a potentially important and understudied risk factor for suicide in military personnel and veterans. This chapter proposes the interpersonal-psychological theory of suicide (IPTS; Joiner, 2005) as a theoretical model for understanding the relationship between combat-related killing and suicide. The IPTS proposes that thwarted belongingness and perceived burdensomeness cause suicidal desire, whereas prior experiences with pain, provocation, and death result in habituation to the fear and pain associated with suicide, thus influencing one’s capability for suicide. The chapter concludes with a discussion of clinical implications and recommendations for future research.


2002 ◽  
Vol 26 (7) ◽  
pp. 257-263 ◽  
Author(s):  
S. P. Tyrer ◽  
W.-C. Leung ◽  
J. Smalls ◽  
C. Katona

Aims and MethodFactors leading to success in the MRCPsych Part I and Part II examinations, including age, gender and original medical school of training, were examined in the 1999 MRCPsych examination entrants to determine how far they are associated with the results. The ethnic breakdown of examiners of the MRCPsych examinations was also determined and compared with the origin of all consultant psychiatrists.ResultsYounger age at taking the examination and training at a British or Irish medical school were found to be highly significant predictors of success in the MRCPsych examinations. When allowance was made for confounding variables, the gender of candidates did not contribute to success. There was no difference in ethnic background of examiners compared with consultant psychiatrists overall.Clinical ImplicationsFactors affecting trainees wishing to undertake a psychiatric career need to be more closely examined. To ensure fairness and transparency in future examinations the ethnicity of candidates taking the examination needs to be addressed.


2000 ◽  
Vol 45 (1) ◽  
pp. 63-66 ◽  
Author(s):  
Yves Lamontagne ◽  
Richard Boyer ◽  
Céline ILL Hétu ◽  
Céline Lacerte-Lamontagne

Objective: To evaluate the relationship among demographic data, anxiety, significant losses, depression, and irrational beliefs reported by first-offence shoplifters. Method: One hundred and six adult shoplifters who were first-time offenders completed a self-administered questionnaire. Results: Men and women were equally likely to be arrested for this offence. The majority of offenders were poor and unemployed. Depression, but not anxiety, was the most common psychiatric disorder associated with shoplifting. Subjects with depression presented the greatest number of irrational beliefs related to shoplifting. Conclusions: The authors suggest 2 categories of shoplifters: those who shoplift through rational choice; and those for whom shoplifting is a response to depression or leads to the fulfilment of some psychological needs. In conclusion, shoplifting does not have a unitary motive, and the clinical implications are that the affective and cognitive aspects of shoplifters' behaviours must be taken into account.


2003 ◽  
Vol 128 (2) ◽  
pp. 185-190 ◽  
Author(s):  
Mark T. Agrama ◽  
David Reiter ◽  
Mary F. Cunnane ◽  
Allan Topham ◽  
William M. Keane

OBJECTIVES: The purpose of this study was to begin investigating the relationship between nodal yield in neck dissection and the likelihood of finding cervical metastases in T1 and T2 head and neck squamous cell carcinoma (HNSCC). No clinical implications are drawn from this preliminary work. STUDY DESIGN AND SETTING: This study was a retrospective analysis of 564 patients with T1 and T2 HNSCC of the oral cavity, oropharynx, or hypopharynx from the National Cancer Institute Surveillance, Epidemiology, and End Results (SEER) Program registry. A multivariate analysis was performed to evaluate the relationship between nodal yield in neck dissection and the discovery of cervical metastases. Other independent factors included in the analysis were gender, age, race, and primary site of tumor. RESULTS: Compared with nodal yield < 13, cervical metastases were more likely to be found for nodal yield 21–28 ( P < 0.001, odds ratio (OR) = 3.68), 29–40 (P = 0.021, OR = 1.98), and >40 (P < 0.001, OR = 3.52). Increased age, male sex, and oropharynx and hypopharynx primaries were also associated with a significantly increased likelihood of finding cervical metastases. CONCLUSION: In T1 and T2 cases of HNSCC, nodal yield >20, increased age, male sex, and primary site correspond with an increased likelihood of finding cervical metastases.


2017 ◽  
Vol 28 (7) ◽  
Author(s):  
Ahmed A. Moustafa ◽  
Mohamed Salama ◽  
Roseanne Peak ◽  
Richard Tindle ◽  
Amir Salem ◽  
...  

AbstractIn this review, we provide an overview of the relationship between cannabis use and the development of schizophrenia, using both animal and human studies. We further discuss the potential neural mechanism that may mediate the relationship between cannabis use and schizophrenia symptoms. We finally provide clinical implications and future studies that can further elucidate the relationship between cannabis and schizophrenia.


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