scholarly journals Eating psychopathology and psychosocial impairment in patients treated at a Singapore eating disorders treatment programme

2018 ◽  
Vol 59 (1) ◽  
pp. 33-38 ◽  
Author(s):  
KW Ng ◽  
A Kuek ◽  
HY Lee
Keyword(s):  
Eating Disorders ◽  
Treatment Programme ◽  
Eating Psychopathology ◽  
Psychosocial Impairment

Adult attachment in eating disorders mediates the association between perceived invalidating childhood environments and eating psychopathology

2019 ◽  
Author(s):  
Sónia Gonçalves ◽  
Ana Isabel Vieira ◽  
Tânia Rodrigues ◽  
Paulo P. Machado ◽  
Isabel Brandão ◽  
...  
Keyword(s):  
Eating Disorders ◽  
Adult Attachment ◽  
Eating Psychopathology

scholarly journals Outpatient CBT for Underweight Patients with Eating Disorders: Effectiveness Within a National Health Service (NHS) Eating Disorders Service

2018 ◽  
Vol 47 (2) ◽  
pp. 217-229
Author(s):  
Paul E. Jenkins ◽  
Ceri Morgan ◽  
Catherine Houlihan
Keyword(s):  
Eating Disorders ◽  
Anorexia Nervosa ◽  
National Health Service ◽  
Health Service ◽  
National Health ◽  
Real World ◽  
Evidence Base ◽  
Behaviour Therapy ◽  
Psychosocial Impairment ◽  
Cognitive Behaviour

Background: Underweight eating disorders (EDs) are notoriously difficult to treat, although a growing evidence base suggests that outpatient cognitive behaviour therapy for EDs (CBT-ED) can be effective for a large proportion of individuals. Aims: To investigate the effectiveness of CBT-ED for underweight EDs in a ‘real-world’ settings. Method: Sixty-three adults with underweight EDs (anorexia nervosa or atypical anorexia nervosa) began outpatient CBT-ED in a National Health Service setting. Results: Fifty-four per cent completed treatment, for whom significant changes were observed on measures of ED symptoms, psychological distress and psychosocial impairment. There was also a large effect on body weight at end-of-treatment. Conclusions: The results suggest that good outcomes can be achieved by the majority of those who complete treatment, although treatment non-completion remains a significant barrier to recovery. Future studies should focus on improving treatment retention, as evidence suggests that CBT-ED in ‘real-world’ settings is effective.

Sexual Abuse and Eating Disorders

1993 ◽  
Vol 162 (6) ◽  
pp. 771-775 ◽  
Author(s):  
Glenn Waller
Keyword(s):  
Eating Disorders ◽  
Sexual Abuse ◽  
Borderline Personality Disorder ◽  
Personality Disorder ◽  
Psychological Factors ◽  
Case Series ◽  
Causal Link ◽  
Borderline Personality ◽  
Psychological Factor ◽  
Eating Psychopathology

Sexual abuse appears to be causally linked to eating disorders, particularly those involving bulimic features. However, the psychological factors that mediate between these two phenomena are not understood. Recent findings suggest that borderline personality disorder may explain some of the association. The present research investigates the potential links between reported sexual abuse, borderline personality disorder, and eating psychopathology in a case series of 100 women with eating disorders. The results suggest that borderline personality disorder is a psychological factor that explains a small part of the causal link between sexual abuse and bulimic behaviour - especially frequency of bingeing. However, other factors are likely to be involved, and further research is suggested to investigate these.

Parental bonding and eating psychopathology in bulimia nervosa: personality traits as possible mediators

2010 ◽  
Vol 19 (3) ◽  
pp. 214-222 ◽  
Author(s):  
Secondo Fassino ◽  
Federico Amianto ◽  
Giuseppe Rocca ◽  
Giovanni Abbate Daga
Keyword(s):  
Eating Disorders ◽  
Eating Disorder ◽  
Personality Traits ◽  
Paternal Care ◽  
Parental Bonding ◽  
Mediation Effect ◽  
Novelty Seeking ◽  
Eating Psychopathology ◽  
Mediating Role ◽  
Character Inventory

SUMMARYAims– The relationship between eating disorders, attachment, personality traits and eating psychopathology remains unexplored. This study tested the mediating role of temperament and character between parental bonding and psy-chopathology in bulimic women.Methods– 154 bulimic subjects and 154 healthy controls were compared using Parental Bonding Instrument (PBI), Temperament and Character Inventory (TCI), Eating Disorder Inventory-2 (EDI-2), and Beck Depression Inventory (BDI). Multiple regression analysis tested the mediation of personality traits between parenting and eating psy-chopathology.Results– Bulimic subjects displayed low maternal and paternal care and low self-directedness, and high novelty seeking and eating psychopathology. Maternal care was negatively related to social insecurity, inadequacy and impulsiveness. Paternal care predicted novelty seeking, self-directedness, interoceptive awareness, impulsiveness, and asceticism. The mediation effect of self-directedness between paternal care and psychopathology was significant, not the one of novelty seeking. Conclusions – Parental care is lower in bulimic than in control women even when controlled for possible confounding variables. Some eating psychopathology traits are related to maternal and paternal care, but not the bulimia subscale. Paternal care is also related to temperament and character traits which are related to eating psychopathology. Self-directedness mediates with different degrees between parenting and eating psychopathology. Clinical implications are discussed.Declaration of Interest:The first author received financing from Compagnia di San Paolo Foundation for the research on eating disorders (3989 IT/FA 2005.1797). The National Eating Disorder Association (NEDA) awarded a Charron Family Grant to the second author to sustain research about the families of subjects affected by eating disorders. The third author received a grant from “Regione Piemonte” for research on Eating Disorders for the years 2008 and 2009. The authors have not received any other financing for the present research, including pharmaceutical company support or any honoraria for consultancies for interventions during the last two years. The authors are not involved in any conflict of interest in connection to the submitted article.

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