Reconceptualization of recovery from anorexia nervosa: Patients’ perspective

2017 ◽  
Vol 41 (S1) ◽  
pp. S554-S554
Author(s):  
M. Jarrige
Keyword(s):  
Anorexia Nervosa ◽  
Eating Disorder ◽  
Health Professionals ◽  
Free Association ◽  
Recovery Process ◽  
Empirical Validation ◽  
The Social ◽  
Competing Interest ◽  
Definition Of ◽  
Patients Perspective

Outcome research has not found a consistent definition of recovery from anorexia nervosa by consensus of experts, or by empirical validation. Therefore, medical criterion of recovery varies between studies and results are not comparable. This poster refers to a study of 44 participants treated for anorexia nervosa and who believe they have recovered. The purpose of this study is to reconceptualize recovery from patients’ perspective. The Free Association about Recovery – Questionnaire (FAR-Q) is a new tool by which to explore and understand the anorexic's account of recovery. Content analysis reveals four subjective definitions of recovery: (1). Return to the social normality; (2). Cohabit with eating disorder; (3). Self-acceptance; (4). Rebirth. This study assesses patients’ stages of recovery process and gives recommendations to health professionals.Disclosure of interestThe author has not supplied his/her declaration of competing interest.

scholarly journals Stigmatization toward People with Anorexia Nervosa, Bulimia Nervosa, and Binge Eating Disorder: A Scoping Review

Nutrients ◽  
2021 ◽  
Vol 13 (8) ◽  
pp. 2834
Author(s):  
Lisa Brelet ◽  
Valentin Flaudias ◽  
Michel Désert ◽  
Sébastien Guillaume ◽  
Pierre-Michel Llorca ◽  
...  
Keyword(s):  
Eating Disorders ◽  
Anorexia Nervosa ◽  
Eating Disorder ◽  
Bulimia Nervosa ◽  
Binge Eating ◽  
Binge Eating Disorder ◽  
Scoping Review ◽  
Low Income ◽  
Research Question ◽  
Recovery Process

Research about stigmatization in eating disorders (EDs) has highlighted stereotypes, prejudices, and discrimination against people with EDs, as well as their harmful effects on them, including self-stigma and a difficult recovery process. Whereas a recent review focused on the consequences of ED stigma, our work aimed to provide a broader synthesis of ED stigma, including its consequences, but also its content and distribution. More precisely, we focused on three EDs—namely, anorexia nervosa, bulimia nervosa, and binge eating disorder. Based on a systematic search of four major databases in psychology, the present scoping review includes 46 studies published between 2004 and 2021. We did not conduct any quality assessment of the studies included, because our aim was to provide a wide-ranging overview of these topics instead of an appraisal of evidence answering a precise research question. The review confirmed the existence of a common ED stigma: all individuals affected by EDs reviewed here were perceived as responsible for their situation, and elicited negative emotions and social distance. However, our review also depicted a specific stigma content associated with each ED. In addition, the demographic characteristics of the stigmatizing individuals had a notable influence on the extent of ED stigma: men, young adults, and low-income individuals appeared to be the most stigmatizing toward individuals with EDs. It is important to note that ED stigma had a negative effect on individuals’ eating disorders, psychological wellbeing, and treatment-seeking behavior. There is an urgent need for further research on the adverse effects of ED stigma and its prevention.

Anxiety, Stress And Depression: a Comparison Between Anorexic, Obese And Healthy Control Women

2016 ◽  
Vol 33 (S1) ◽  
pp. S425-S426
Author(s):  
G. Botteon
Keyword(s):  
Bariatric Surgery ◽  
Anorexia Nervosa ◽  
Eating Disorder ◽  
Statistical Analysis ◽  
General Population ◽  
Control Group ◽  
Obese Women ◽  
Obese People ◽  
Healthy Control ◽  
Competing Interest

IntroductionSeveral studies have proved that people who suffer from Anorexia Nervosa (AN) experience higher levels of anxiety, stress and depression than general population; while controversial results have been found among obese people (OB); the purpose of this study is to compare levels of anxiety, stress, and depression in AN sample, in OB sample and in Healthy Control Group (HC).MethodsAN sample: 27 anorexic inpatient women in an eating disorder unit. OB sample: 27 obese women evaluated for elegibility of bariatric surgery intervention. HC group: 27 women from different countries had been recruited. DASS 21 and STAI-Y questionnaires had been subministred to evaluate anxiety, stress and depression. The questionnaires had been scores and statistical analysis had been held to determine whether the differences founded in the 3 populations were significant or not (P-value < 0.05).ResultsTable 1. The differences founded were significant.ConclusionAnxiety and stress (DASS21, STAI): AN have reported higher levels than OB and HC that present similar levels. Depression (DASS21): AN have reported higher levels than OB and HC; OB higher levels than HC.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Recognition Of Emotional Prosody In Anorexia Nervosa

2016 ◽  
Vol 33 (S1) ◽  
pp. S427-S427
Author(s):  
T. Dondaine ◽  
B. Douailler-Gautier ◽  
M. Guillery ◽  
G. Robert ◽  
B. Millet ◽  
...  
Keyword(s):  
Anorexia Nervosa ◽  
Social Functioning ◽  
Emotional Prosody ◽  
Visual Analog Scales ◽  
Emotional Processes ◽  
Intense Fear ◽  
The Social ◽  
Wide Range ◽  
Competing Interest ◽  
Emotional Bias

Deficits in emotional processes are often observed by clinicians in anorexia nervosa and may have an impact on social functioning. Recognition of emotion was mostly investigated using visual stimuli as faces of emotional scenes. Only one study (Kucharska-Pietura et al., 2004) demonstrated impairments in emotional prosody using positive and negative valenced stimuli. However, this study did not provide a highlight for the identification of emotional bias (for example, to recognize an intense fear in a friendly voice). The aim of this study is to better understand the recognition of emotional prosody in anorexia nervosa using a wide range of positive, negative and neutral stimuli (Belin et al., 2008).In order to test emotion recognition biases in emotional prosody, we exposed 15 patients with anorexia nervosa and 15 healthy controls (HCs) to emotional vocal tasks asking them to rate emotional intensity on visual analog scales. In addition, we assessed clinical symptomatology and cognitive functioning for all participants.We showed that patients with anorexia nervosa provided higher intensity ratings on the non-target scales (e.g., surprise scale for fear stimuli) than HCs for sadness, fear and neutral voices. Furthermore, with the exception of neutral vocal stimuli, they provided the same intensity ratings on the target scales as the HCs.These findings suggested a bias in the processing of emotional prosody and may impact the social functioning of patients with anorexia nervosa. The bias may result from a sensorial deficit or a high-order cognitive dysfunction and have to be investigated in future studies.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Anorexia nervosa and attachment

2017 ◽  
Vol 41 (S1) ◽  
pp. S552-S552
Author(s):  
H. De la Red Gallego ◽  
A. Alonso Sánchez ◽  
A. Álvarez Astorga ◽  
S. Gómez Sánchez ◽  
L. Rodríguez Andrés ◽  
...  
Keyword(s):  
Emergency Department ◽  
Eating Disorders ◽  
Anorexia Nervosa ◽  
Eating Disorder ◽  
Clinical Case ◽  
Cognitive Distortions ◽  
Insecure Attachment ◽  
Weight Restoration ◽  
Competing Interest ◽  
The One

IntroductionAttachment is an innate programming whereby a child seeks for security. There is scientific and empirical evidence that insecure attachment is usual in eating disorder patients [1].ObjectivesTo highlight the relevance of attachment between child and caregivers, as well as its significance in therapeutic approach.MethodsA 17-year-old girl hospitalized after attending to emergency department due to fainting. BMI: 12.89. She reports restrictive behavior since age 11 that her mother regards as “child issues”. Divorced parents, she grew up with her mother, diagnosed of hypochondria, who mentions not understanding why she is not the one who is hospitalized.ResultsDuring hospitalization, she turned 18-years-old. Guardianship of her younger siblings was removed to her mother. She had a secure relationship with her 24-year-old sister, so she decided to move in with her. Later on, she had a positive progress, maintaining the gained weight and mood stability, although cognitive distortions persist.ConclusionsAmong developmental and maintaining factors of eating disorders, impaired attachment is becoming increasingly interesting. Even though the main goal of treatment is weight restoration, exploring attachment patterns can facilitate to achieve that aim. This clinical case emphasizes the importance of attachment in eating disorders among child and young adults.Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals Ana's Friends. Friendship in Online Pro-Ana Communities

2011 ◽  
Vol 16 (1) ◽  
pp. 149-161 ◽  
Author(s):  
Natàlia Cantó-Milà ◽  
Swen Seebach
Keyword(s):  
Anorexia Nervosa ◽  
Eating Disorder ◽  
Social Relationships ◽  
Online Communities ◽  
Online Community ◽  
Secret Societies ◽  
The Social

The objective of this article is to analyse the social relationships within online communities of anorectics, their bonds, their emotions and friendships, and their subsequent relation to anorexia nervosa. The research has focused on their blogs and their forums, which create a space in which they share their experiences, and sometimes encourage each other not to give up on their eating disorder – which they view as an illness, but an illness that has become their lifestyle, and their attitude towards life. Within the article an analysis of the special bonds of friendship that tie the members of the online community together will be presented. Special attention will be paid to the similarities between secret societies and friendship bonds within pro-ana communities.

scholarly journals ‘Learning to live your life again’: An interpretative phenomenological analysis of weblogs documenting the inside experience of recovering from anorexia nervosa

2016 ◽  
Vol 23 (10) ◽  
pp. 1287-1298 ◽  
Author(s):  
Laura Smethurst ◽  
Daria Kuss
Keyword(s):  
Anorexia Nervosa ◽  
Eating Disorder ◽  
Interpretative Phenomenological Analysis ◽  
Recovery Process ◽  
Phenomenological Analysis ◽  
Public Perceptions ◽  
Process Data ◽  
Supportive Relationships ◽  
Professional Help ◽  
The Public

This study aimed to explore the construct of recovery from anorexia nervosa through the medium of weblogs, focusing on the benefits and barriers to the recovery process. Data were extracted from female ( n = 7) and male ( n = 1) participants’ textual pro-recovery weblogs, all of which were posted between 2013 and 2015 in the public domain. Data were analysed using interpretative phenomenological analysis. Three superordinate themes were identified: (1) barriers to recovery, (2) factors increasing the likelihood of recovery and (3) support. Results suggest supportive relationships, regaining control and recognising the consequences of the eating disorder benefit recovery, whereas public perceptions, the anorexia nervosa voice and time act as barriers to recovery. Out of eight participants, four described seeking professional help as part of their recovery, of which three believed their professional therapy experience helped aid recovery. Implications for anorexia nervosa treatment are discussed in detail.

Contribution Of Night Eating Syndrome To The Evolution Of Anorexia Nervosa – Case Report

2016 ◽  
Vol 33 (S1) ◽  
pp. S426-S426
Author(s):  
F. Coutinho ◽  
I. Brandão
Keyword(s):  
Anorexia Nervosa ◽  
Eating Disorder ◽  
Case Report ◽  
Sleep Disturbances ◽  
Review Of The Literature ◽  
Night Eating Syndrome ◽  
Eating Pattern ◽  
Night Eating ◽  
Competing Interest ◽  
The Relationship

IntroductionNight Eating Syndrome (NES) was described in 1955 in a subset of patients resistant to weight loss. It is characterized by morning anorexia, evening hyperfagia and sleep disturbances. It is also more prevalent among patients with another eating disorder (ED), particularly binge-eating disorder (BED) or bulimia nervosa (BN).ObjectiveReview of the literature about the relationship between NES and another EDs and to present a case report of a patient with a long-standing purgative anorexia nervosa (AN-BP) and comorbid NES.Methodsreview of the literature using the database Medline through Pubmed, with the keywords: “night eating syndrome” and “eating disorder”.ResultsNES is highly prevalent among patients with EDs, with an estimated prevalence of about 5–44%. However, most of the existent literature explores the relationship between NES and BED or BN, and it is not consensual if NES is a subtype of another ED. There is still scarce evidence about NES and AN comorbidity.ConclusionIn this case report, we present a patient with a history of AN-BP, in which the recovery of lost weight and the increase of body mass index (BMI) occurred simultaneously with a period of worsening NES symptoms, which leads the authors to question if the psychopathology of NES has contributed to the recovery of BMI at the expense of maintaining a dysfunctional eating pattern.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Association between eating disorders and 5-HTTLPR polymorphism: The experience of an Italian eating disorders unit

2017 ◽  
Vol 41 (S1) ◽  
pp. S558-S558
Author(s):  
M.G. Oriani ◽  
M. Barchiesi ◽  
L. Sabbatini ◽  
B. Nardi
Keyword(s):  
Eating Disorders ◽  
Anorexia Nervosa ◽  
Eating Disorder ◽  
Bulimia Nervosa ◽  
Allele Frequency ◽  
Psychiatric Diseases ◽  
Dsm 5 ◽  
Competing Interest ◽  
S Allele ◽  
The Moment

IntroductionEating Disorders (ED) as Anorexia Nervosa (AN), Bulimia Nervosa (BN) and Binge Eating Disorder (BED) are severe and debilitating psychiatric diseases whose etiology is complex and still largely unknown. Several studies seem to suggest that serotonin could be involved and notably there are several associations with 5-HTTLPR polymorphism, especially with the S allele and the S/S genotype.ObjectivesThe purpose of this study is to evaluate if an association between ED and 5-HTTLPR (especially the S allele frequency) can be shown.Material and methodsA group of about 100 subjects attending the eating disorders unit of Ancona will be tested. Their DNA will be taken and the frequency of the S allele will be compared with a control subjects group negative for ED. Then, the ED group will be divided, according to the DSM-5 criteria, in 3 subgroups (AN, BN, BED) and potential differences will be evaluated.ResultsAt the moment, we are still collecting patients. According to other studies involving 5-HTTLPR, the S allele frequency in Italy is comparable with the European one, so there is reason to believe that an association could be found.ConclusionsSerotonin involvement in ED in literature is shown, but it still has to be completely expounded. Studies as this one could help in describing the etiology and the development of this disease.Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals Construction and transformation of social representations of AIDS and implications for health care

2013 ◽  
Vol 21 (spe) ◽  
pp. 276-286 ◽  
Author(s):  
Denize Cristina de Oliveira
Keyword(s):  
Health Care ◽  
Structural Analysis ◽  
Health Professionals ◽  
Social Representations ◽  
Free Association ◽  
Process Of Change ◽  
Human Interactions ◽  
Data Collection And Analysis ◽  
The Social ◽  
Complex Movement

OBJECTIVES: to analyze the process of the constitution and evolution of social representations and practices referent to aids, based on studies carried out in the last eleven years among health professionals. METHOD: a comparison of representational structures of aids in different decades was undertaken, accompanied by a study of the silent zone, involving health professionals. Data collection and analysis included techniques of free association, structural analysis, and study of the silent zone. RESULTS: the existence of a process of change was observed in the social representations of aids, with the introduction of the possibility of co-existence with the disease and the reduction of the importance of death. CONCLUSIONS: this process is presented as the result of a complex movement of symbolic constructions arising from human interactions, contributing to knowledge of ways of thinking associated with the syndrome and to professional practices in healthcare.

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