Eating Disorders

2020 ◽  
pp. 511-530
Author(s):  
Anoop Narahari ◽  
Raman Baweja ◽  
Piyush Das ◽  
Amit Chopra
Keyword(s):  
Eating Disorders ◽  
Eating Disorder ◽  
Sleep Disturbances ◽  
The Body ◽  
Current Evidence ◽  
Evidence Based ◽  
Short Sleep Duration ◽  
Nocturnal Eating ◽  
Abnormal Eating ◽  
Nutritional Balance

Sleep and eating behavior are complimentary homeostatic functions and adequate sleep is fundamental for the nutritional balance of the body. Short sleep duration has been linked to development of obesity and abnormal eating patterns in children and adults. Individuals with eating disorders report significantly higher sleep disturbances of sleep apnea, insomnia, circadian rhythm disorders, and impairment of daytime functioning, as compared to controls. Sleep disturbances have been implicated in suicidal behaviors in patients with eating disorders. This chapters outline the current evidence examining the pathophysiology and comorbidity of sleep disturbance in daytime eating disorders and focus on clinical assessment and management of nocturnal eating disorders including night eating syndrome and particularly sleep-related eating disorder, which is a combination of parasomnia and eating disorder. There is an imminent need to develop evidence-based pharmacological and psychological treatments for management of nocturnal eating disorders and the sleep disturbances associated with daytime eating disorders.

Anorexia Nervosa and Depression in a Woman Blind since the Age of Nine Months

1993 ◽  
Vol 38 (7) ◽  
pp. 469-471 ◽  
Author(s):  
Clifford W. Sharp
Keyword(s):  
Eating Disorders ◽  
Body Image ◽  
Anorexia Nervosa ◽  
Eating Disorder ◽  
Major Depression ◽  
Food Intake ◽  
Older Women ◽  
The Body ◽  
Atypical Presentation ◽  
History Of

A woman aged 58 who has been blind since the age of nine months presented with major depression and a 40 year history of an eating disorder characterized by a restriction of food intake and body disparagement. The case is additional evidence that a specifically visual body image is not essential for the development of anorexia nervosa and supports the view that the concept of body image is unnecessary and unproductive in eating disorders. Greater emphasis should be placed on attitudes and feelings toward the body, and the possibility of an eating disorder should be considered in cases of older women with an atypical presentation.

scholarly journals Longitudinal experiences and impact of the COVID-19 pandemic among people with past or current eating disorders in Sweden

2021 ◽  
Author(s):  
Andreas Birgegård ◽  
Afrouz Abbaspour ◽  
Stina Borg ◽  
David Clinton ◽  
Emma Forsén Mantilla ◽  
...  
Keyword(s):  
Eating Disorders ◽  
Eating Disorder ◽  
Data Availability ◽  
Evidence Based ◽  
List Type ◽  
Convenience Sample ◽  
Eating Disorder Symptom ◽  
Disorder Symptom ◽  
Evidence Based Care ◽  
The Impact

AbstractObjectiveTo document the impact of the COVI-19 pandemic on the health and well-being of individuals with past and current eating disorders in Sweden.MethodWe re-contacted participants from two previous Swedish studies who had a known lifetime history of an eating disorder. Participants completed an online questionnaire about their health and functioning at baseline early in the pandemic (Wave 1; N=982) and six months later (Wave 2); N=646).ResultsThree important patterns emerged: 1) higher current eating disorder symptom levels were associated with greater anxiety, worry, and pandemic-related eating disorder symptom increase; 2) patterns were fairly stable across time, although a concerning number who reported being symptom-free at Wave 1 reported re-emergence of symptoms at Wave 2; and only a minority of participants with current eating disorders were in treatment, and of those who were in treatment, many reported fewer treatment sessions than pre-pandemic and decreased quality of care.ConclusionsThe COVID-19 pandemic is posing serious health challenges for individuals with eating disorders, whether currently symptomatic or in remission. We encourage health service providers and patient advocates to be alert to the needs of individuals with eating disorders and to take active measures to ensure access to appropriate evidence-based care both during and following the pandemic.Significant Outcomes and LimitationsIndividuals with eating disorders symptoms or current active disorder report higher adverse impact of COVID-19 on their mental healthEven individuals who were symptom-free early in the pandemic reported a resurgence of eating disorder symptomsA large proportion of symptomatic individuals were not in treatment for their eating disorder, services should be aware and access to evidence-based care should be ensured across SwedenLimitations included the use of a convenience sample with atypical diagnostic distribution, and a low initial response rate, possibly introducing bias and limiting generalisability.Data Availability StatementFully anonymized data are available from the corresponding author upon request.

Couple and Family Therapy

2017 ◽  
Author(s):  
Jessica ChenFeng ◽  
Diane Gehart
Keyword(s):  
Eating Disorders ◽  
Substance Use ◽  
Family Therapy ◽  
Couples Therapy ◽  
Evidence Base ◽  
Current Evidence ◽  
Evidence Based ◽  
Couple And Family Therapy ◽  
Current Evidence Base ◽  
Cord Injury

Evidence-based couple and family therapies have a robust and well-established evidence base as a cost-effective treatment for numerous conditions and are the treatment of choice for several childhood and adult mental health issues. This review provides a brief overview of systemic couple and family therapy principles and then reviews the evidence base for using these methods with specific disorders. Family therapy treatments have been identified as a primary intervention for several childhood and adolescent disorders, including conduct, alcohol and substance use, attention-deficit, autism, psychotic, mood, anxiety, and eating disorders, as well as certain physical disorders, including diabetes, enuresis, and asthma. For adults, the current evidence base supports couples therapy for major depressive disorder with couple distress, alcohol and substance use disorders, anxiety disorders, distressed couples, and interpersonal violence with certain batterers. In addition, couple and family therapy is indicated for certain adult chronic health conditions, including stroke, traumatic brain injury, spinal cord injury, cardiovascular diseases, cancer, dementia, and diabetes. The review concludes with a discussion of effective referral for and training in evidence-based family therapy approaches. This review contains 6 figures, 5 tables, and 53 references. Key words: ADD/ADHD, adolescent, childhood trauma, conduct disorder, couples therapy, depression, eating disorders, family therapy,  marital therapy, mood disorder

The Body Project

2015 ◽  
Author(s):  
Eric Stice ◽  
Paul Rohde ◽  
Heather Shaw
Keyword(s):  
Eating Disorders ◽  
Eating Disorder ◽  
Young Women ◽  
Prevention Program ◽  
Evidence Base ◽  
The Body ◽  
Thin Ideal ◽  
Eating Disorder Prevention ◽  
Body Project ◽  
Disorder Prevention

The Body Project is an empirically based eating disorder prevention program that offers young women an opportunity to critically consider the costs of pursuing the ultra-thin ideal promoted in the mass media, and it improves body acceptance and reduces risk for developing eating disorders. Young women with elevated body dissatisfaction are recruited for group sessions in which they participate in a series of verbal, written, and behavioral exercises in which they consider the negative effects of pursuing the thin-ideal. This online resource provides information on the significance of body image and eating disorders, the intervention theory, the evidence base which supports the theory, recruitment and training procedures, solutions to common challenges, and a new program aimed at reducing obesity onset, as well as intervention scripts and participant handouts. It is the only currently available eating disorder prevention program that has been shown to reduce risk for onset of eating disorders and received support in trials conducted by several independent research groups.

Comparison of Eating Disorder Inventory (EDI-2) Scores of Male Bodybuilders to the Male College Student Subgroup

1996 ◽  
Vol 6 (3) ◽  
pp. 255-262 ◽  
Author(s):  
Sara Long Anderson ◽  
Kate Zager ◽  
Ronald K. Hetzler ◽  
Marcia Nahikian-Nelms ◽  
Georganne Syler
Keyword(s):  
Eating Disorders ◽  
Eating Disorder ◽  
Body Shape ◽  
The Body ◽  
Eating Disorder Inventory ◽  
Male College Student ◽  
College Age ◽  
Male College ◽  
The Mean ◽  
Eating Disorders Inventory

The intensity and effort of bodybuilding training suggest an overinvestment in body shape and physical appearance, which has been suggested to be a risk factor for developing eating disorders. The purpose of this study was to investigate the prevalence of eating disorder tendencies among a sample of collegiate male bodybuilders (BB,n= 68) and controls (C,n= 50) (nonbodybuilders), using the Eating Disorders Inventory 2 (EDI-2).Ttests were used to test the hypothesis that bodybuilders' scores would be higher than those of controls. The mean scores on the EDI-2 did not indicate the presence of eating disorder tendencies for either group. Controls scored significantly higher than bodybuilders on the Body Dissatisfaction scale. Results indicate that when the EDI-2 is used, college-age male bodybuilders are not shown to be more likely to have eating disorders than a group of college-age male controls.

scholarly journals The effect of body image preoccupation on decision making in eating disorders

2020 ◽  
Author(s):  
Jakub Onysk ◽  
Peggy Seriès
Keyword(s):  
Decision Making ◽  
Eating Disorders ◽  
Body Image ◽  
Eating Disorder ◽  
The Body ◽  
Body Image Disturbance ◽  
Model Based ◽  
Healthy Control ◽  
Body Image Issues ◽  
Reinforcement Learning Model

AbstractEating disorders are associated with one of the highest mortality rates among all mental disorders, yet there is very little research about them within the newly emerging and promising field of computational psychiatry. As such, we focus on investigating a previously unexplored, yet a core aspect of eating disorders – body image preoccupation. We continue a freshly opened debate about model-based learning in eating disorders and perform a study that utilises a two-step decision-making task and a reinforcement learning model to understand the effect of body image preoccupation on model-based learning in a subclinical eating disorder population, as recruited using Prolific. We find a significantly reduced model-based contribution in the body image disturbance task condition in the eating disorder group as compared to a healthy control. We propose a new digital biomarker that significantly predicts disordered eating, and body image issues.

scholarly journals A Review of Cook-Cottone's Embodiment and the Treatment of Eating Disorders: The Body as a Resource in Recovery

2021 ◽  
Vol 55 (2) ◽  
Author(s):  
Sarah Nutter
Keyword(s):  
Eating Disorders ◽  
Eating Disorder ◽  
Disordered Eating ◽  
Theoretical Framework ◽  
The Body ◽  
Practice Recommendations ◽  
Eating Disorder Treatment ◽  
Disorder Treatment

Embodiment and the Treatment of Eating Disorders: The Body as a Resource in Recovery by Catherine Cook-Cottone provides over its 13 chapters a theoretical framework and practice recommendations for infusing embodiment in eating disorder treatment via her Embodied Approach to Treating Eating Disorders model. Part 1 of the book provides an overview of the model and Part 2 provides a framework for integrating the model into treatment, using several aspects of embodiment. Cook-Cottone includes numerous resources in the book to support counsellors in integrating this model into practice. For clinicians working with clients struggling with disordered eating or eating disorders, Cook-Cottone’s book provides an engaging addition to eating disorders treatment.

Music Therapy with People Who Have Eating Disorders

2015 ◽  
Author(s):  
Helen Loth
Keyword(s):  
Eating Disorders ◽  
Body Weight ◽  
Eating Disorder ◽  
Food Intake ◽  
Music Therapy ◽  
Significant Role ◽  
The Body ◽  
Music Therapists ◽  
Psychological Issues ◽  
And Control

This chapter gives an overview of approaches, theoretical ideas, and techniques which music therapists have developed to work with adults and older teenagers who have eating disorders. Eating disorders are complex psychological disorders; the restriction of food intake and control of body weight serve to meet a psychological or emotional need. Music therapy can help people to explore and understand the psychological issues that may have led them to using eating as a way of controlling their feelings and emotions. Methods such as free and structured improvisation, songwriting and listening to pre-composed music can be used to help clients to address specific aspects of eating disorder pathology, such as being able to recognise and tolerate their feelings, connect with others, and make links between thoughts, feelings, and the body. Music therapy can have a significant role within the overall treatment of a person with an eating disorder.

scholarly journals The Renfrew Unified Treatment for Eating Disorders and Comorbidity: Long-Term Effects of an Evidence-Based Practice Implementation in Residential Treatment

2021 ◽  
Vol 12 ◽  
Author(s):  
Heather Thompson-Brenner ◽  
Simar Singh ◽  
Taylor Gardner ◽  
Gayle E. Brooks ◽  
Melanie T. Smith ◽  
...  
Keyword(s):  
Eating Disorders ◽  
Eating Disorder ◽  
Anxiety Sensitivity ◽  
Experiential Avoidance ◽  
Multilevel Models ◽  
Sensitivity Index ◽  
Evidence Based ◽  
Long Term Study ◽  
Significant Difference

Background: The Renfrew Unified Treatment for Eating Disorders and Comorbidity (UT) is a transdiagnostic, emotion-focused treatment adapted for use in residential group treatment. This study examined the effect of UT implementation across five years of treatment delivery.Methods: Data were collected by questionnaire at admission, discharge (DC), and 6-month follow-up (6MFU). Patient outcomes were measured by the Eating Disorder Examination-Questionnaire, Center for Epidemiologic Studies-Depression Scale, Brief Experiential Avoidance Questionnaire (BEAQ), Anxiety Sensitivity Index, and Southampton Mindfulness Scale. Data were analyzed for N = 345 patients treated with treatment-as-usual (TAU), and N = 2,763 treated with the UT in subsequent years.Results: Results from multilevel models demonstrated a significant interaction between implementation status (TAU vs. UT) and time, both linear and quadratic, for the depression, experiential avoidance, anxiety sensitivity, and mindfulness variables. Patients treated with the UT showed more improvement in these variables on average, as well as more rebound between DC and 6MFU. Results from multilevel models examining eating disorder outcome showed no significant difference between the TAU and UT for the full sample, but a significant three-way interaction indicated that the UT produced more improvement in the EDE-Q relative to the TAU particularly for patients who entered treatment with high levels of experiential avoidance (BEAQ score).Conclusion: This long-term study of a transdiagnostic, evidence-based treatment in residential care for eating disorders and comorbidity suggests implementation was associated with beneficial effects on depression and emotion function outcomes, as well as eating disorder severity for patients with high levels of baseline emotion regulation problems. These effects did not appear to diminish in the 5 years following initial implementation.

scholarly journals Eating disorders and oral health: a scoping review on the role of dietitians

2020 ◽  
Vol 8 (1) ◽  
Author(s):  
Tiffany Patterson-Norrie ◽  
Lucie Ramjan ◽  
Mariana S. Sousa ◽  
Lindy Sank ◽  
Ajesh George
Keyword(s):  
Health Care ◽  
Health Promotion ◽  
Eating Disorders ◽  
Eating Disorder ◽  
Oral Health ◽  
Oral Health Care ◽  
Health Screening ◽  
Current Evidence ◽  
Oral Health Promotion

Abstract Background Compromised nutritional intake due to eating disorder related behaviors, such as binge eating and purging, can lead to multi-system medical complications, including an irreversible impact on oral health. However, dental anxiety, fear or embarrassment may hinder individuals with an eating disorder from seeking assistance for their oral health concerns. As key health professionals in eating disorder treatment, dietitians are well positioned to provide basic dental screening, however, their capacity to perform this role in practice has not been established. The aim of this review was to identify current evidence on the role of dietitians in promoting oral health among individuals with eating disorders. Methods A comprehensive search of eight electronic databases and the grey literature was conducted to address the following three focus areas: 1) guidelines and recommendations on the role of dietitians in oral health 2) knowledge, attitudes and practices of dietitians regarding oral health promotion and; 3) current models of oral health care and resources for dietitians. Results Twelve articles were included. The review indicated that current national and international position statements encourage dietitians to conduct basic oral health screening and promote oral health in high risk populations, such as those with an eating disorder. However, no evidence was found to indicate dietitians performed oral health screening or education in populations with an eating disorder. In other population settings, dietitians were found to play a role in oral health promotion, however, were noted to have mixed knowledge on oral health risk factors, prevention and treatment and generally were not providing referrals. Some oral health promotion resources existed for dietitians working in pediatric, HIV and geriatric clinical areas however no resources were identified for dietitians working in eating disorder settings. Conclusion Despite current evidence showing that dietitians can play a role in oral health care, no models of care exist where dietitians promote oral health among individuals with an eating disorder. There are also no training resources and screening tools for dietitians in this area. Further research is required to develop this model of care and assess its feasibility and acceptability.

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