Eating disorder behaviors and treatment seeking in self-identified military personnel and veterans: Results of the National Eating Disorders Association online screening

2021 ◽  
Vol 43 ◽  
pp. 101562
Author(s):  
Rachael E. Flatt ◽  
Elliott Norman ◽  
Laura M. Thornton ◽  
Ellen E. Fitzsimmons-Craft ◽  
Katherine N. Balantekin ◽  
...  
BJPsych Open ◽  
2021 ◽  
Vol 7 (5) ◽  
Author(s):  
Zoe M. Jenkins ◽  
Serafino G. Mancuso ◽  
Andrea Phillipou ◽  
David J. Castle

The transition from DSM-IV to DSM-5 relaxed diagnostic criteria for anorexia nervosa and bulimia nervosa, and recognised a third eating disorder, binge eating disorder. However, a large proportion of cases remain in the ill-defined category of ‘other specified feeding and eating disorders’. We sought to investigate the utility of a proposed solution to classify this group further, subdividing based on the dominant clinical feature: binge eating/purging or restraint. Cluster analysis failed to identify clusters in a treatment-seeking sample based on symptoms of restraint, binge eating, purging and over-evaluation of shape and weight. Further investigation of this highly heterogeneous group is required.


2021 ◽  
Author(s):  
Ann Frances Haynos ◽  
Kelsey E. Hagan

Researchers have long grappled to understand the persistence of behaviors that are non-hedonic and, ostensibly, aversive. At times, such behaviors can be taken to excess in the form of psychopathology. Eating disorders characterize a prototype of psychiatric disorders in which behaviors that most people find unpleasant (e.g., restrictive eating, excessive exercise) are rigidly and repeatedly performed. The learned industriousness theory, which has roots in behavioral neuroscience, provides a theoretical account for such phenomena. Informed by humans and animal data, this theory posits that effort (intense physical or mental activity) can be conditioned to acquire secondary rewarding properties through repeatedly pairing high-effort behavior with reward. Over time, effort sensations would become less aversive and more appetitive because they signal impending reward, increasing eagerness to engage in effortful behavior. In this manuscript we: 1) review biobehavioral data supporting learned industriousness; 2) highlight evidence that this theory may account for persistence of certain eating disorder behaviors; and 3) consider clinical and research implications of this model, including the translation to other psychiatric presentations.


Author(s):  
Carolyn Black Becker ◽  
Nicholas R. Farrell ◽  
Glenn Waller

One shared feature between eating disorders and anxiety-based disorders is the functional relationship between fears and associated avoidance and safety behaviors. Patients with eating disorders are individuals; thus, they will experience different symptoms. The clinician’s task is to understand those symptoms and plan treatment accordingly. That understanding is much easier when clinicians’ focus their assessment on both the short- and long-term functions that eating disorder behaviors serve. Identifying those functions allows clinicians to engage their patients and their family in making changes, because patients and families will understand that their existing responses are not working and are worsening the ED symptoms.


2018 ◽  
Vol 49 (5) ◽  
pp. 819-827 ◽  
Author(s):  
Katherine Schaumberg ◽  
Andreas Jangmo ◽  
Laura M. Thornton ◽  
Andreas Birgegård ◽  
Catarina Almqvist ◽  
...  

AbstractBackgroundTransition across eating disorder diagnoses is common, reflecting instability of specific eating disorder presentations. Previous studies have examined temporal stability of diagnoses in adult treatment-seeking samples but have not uniformly captured initial presentation for treatment. The current study examines transitions across eating disorder diagnostic categories in a large, treatment-seeking sample of individuals born in Sweden and compares these transitions across two birth cohorts and from initial diagnosis.MethodsData from Swedish eating disorders quality registers were extracted in 2013, including 9622 individuals who were seen at least twice from 1999 to 2013. Patterns of remission were examined in the entire sample and subsequently compared across initial diagnoses. An older (born prior to 1990) and younger birth cohort were also identified, and analyses compared these cohorts on patterns of diagnostic transition.ResultsAlthough diagnostic instability was common, transition between threshold eating disorder diagnoses was infrequent. For all diagnoses, transition to remission was likely to occur following a diagnosis state that matched initial diagnosis, or through a subthreshold diagnostic state. Individuals in the younger cohort were more likely to transition to a state of remission than those in the older cohort.ConclusionsResults indicate more temporal continuity in eating disorder presentations than suggested by previous research and highlight the importance of early detection and intervention in achieving remission.


Author(s):  
Sarah E. Racine ◽  
Sarah A. Horvath

This chapter reviews evidence for the role of emotion dysregulation in the etiology and maintenance of eating disorders. It examines theoretical models that describe functional relations between emotions and eating disorder behaviors. Data from self-report questionnaire studies, ecological momentary assessment, and experimental research designs are considered, with a focus on identifying similarities and differences in emotion dysregulation across eating disorders. The chapter concludes by describing a model in which stable (i.e., trait) emotion regulation difficulties increase the likelihood of using maladaptive strategies, such as eating disorder behaviors, to regulate emotions. Future work must identify factors that predict whether someone will express trait emotion dysregulation as an eating disorder versus another psychiatric disorder, and whether emotion dysregulation maintains eating disorders and can be targeted in treatment.


2021 ◽  
pp. 000486742110201
Author(s):  
Amber Hamilton ◽  
Deborah Mitchison ◽  
Christopher Basten ◽  
Susan Byrne ◽  
Mandy Goldstein ◽  
...  

Objective: Only a small proportion of individuals with an eating disorder will receive targeted treatment for their illness. The aim of this study was to examine the length of delay to treatment-seeking and determine the barriers preventing earlier access and utilisation of eating disorder treatment for each diagnostic group – anorexia nervosa, bulimia nervosa, binge eating disorder and other specified feeding or eating disorder. Method: Participants were recruited as part of the TrEAT multi-phase consortium study. One hundred and nineteen Australians (13–60 years; 96.9% female) with eating disorders currently accessing outpatient treatment for their illness completed an online survey comprised of self-report measures of eating disorder severity, treatment delay and perceived barriers to treatment-seeking. The treating clinician for each participant also provided additional information (e.g. body mass index and diagnosis). Results: Overall, the average length of delay between onset of eating disorder symptoms and treatment-seeking was 5.28 years. Controlling for age, latency to treatment-seeking was significantly longer for individuals with bulimia nervosa and binge eating disorder compared to anorexia nervosa. However, when perceived barriers to treatment-seeking were investigated, there were no significant differences between the diagnostic groups in regard to the perceived barriers they experienced. Stigma was rated as the most impactful barrier for each diagnostic group. Conclusion: Findings suggest that individuals with eating disorders face substantial delays in accessing appropriate treatment and that latency to treatment-seeking is often magnified for counter-stereotypical eating disorder presentations. Further research is required to investigate other factors contributing to this delay.


Sign in / Sign up

Export Citation Format

Share Document