An Interactive, Graphical Tool for Retrospectively Assessing Symptom Frequency and Severity: An Illustration With Eating Disorder Behaviors, Body Weight, and Stress

Assessment ◽  
2016 ◽  
Vol 24 (7) ◽  
pp. 835-852 ◽  
Author(s):  
Kyle P. De Young ◽  
Drew A. Anderson
Keyword(s):  
Eating Disorder ◽  
Assessment Tool ◽  
Future Research ◽  
Eating Disorder Symptoms ◽  
Related Symptom ◽  
Graphical Tool ◽  
Symptom Frequency ◽  
Symptom Changes ◽  
Eating Disorder Behaviors ◽  
Better Than

There are few assessments that gather valid, highly detailed data on short-term (i.e., weekly) symptom frequency/severity retrospectively. In particular, methodologies that provide valid data for research investigating symptom changes are typically prospective, expensive, and burdensome. The purpose of this study was to evaluate a new interactive and graphical assessment tool for gathering detailed information about eating-related symptom frequency/severity retrospectively over a 3-month period. A mixed eating disorder sample ( N = 113) recruited from the community provided symptom data once weekly for 12 weeks and completed the Interactive, Graphical Assessment Tool (IGAT) assessing eating disorder symptoms on three occasions to determine the test–retest and concurrent validity of the IGAT. The IGAT performed marginally better than other measures for retrospective symptom frequency assessment in the eating disorders and did so at a greater level of detail than other available tools. Future research should evaluate the IGAT with other behaviors of interest.

scholarly journals Adapting a neuroscience-informed intervention to alter reward mechanisms of anorexia nervosa: a novel direction for future research

2021 ◽  
Vol 9 (1) ◽  
Author(s):  
Ann F. Haynos ◽  
Lisa M. Anderson ◽  
Autumn J. Askew ◽  
Michelle G. Craske ◽  
Carol B. Peterson
Keyword(s):  
Anorexia Nervosa ◽  
Eating Disorder ◽  
Anxiety Disorders ◽  
Reward Processing ◽  
Future Research ◽  
Restrictive Eating ◽  
Eating Disorder Symptoms ◽  
Mood And Anxiety Disorders ◽  
Reward Responsivity ◽  
Eating Disorder Behaviors

AbstractAccumulating psychobiological data implicate reward disturbances in the persistence of anorexia nervosa (AN). Evidence suggests that individuals with AN demonstrate decision-making deficits similar to those with mood and anxiety disorders that cause them to under-respond to many conventionally rewarding experiences (e.g., eating, interacting socially). In contrast, unlike individuals with other psychiatric disorders, individuals with AN simultaneously over-respond to rewards associated with eating-disorder behaviors (e.g., restrictive eating, exercising). This pattern of reward processing likely perpetuates eating-disorder symptoms, as the rewards derived from eating-disorder behaviors provide temporary relief from the anhedonia associated with limited responsivity to other rewards. Positive Affect Treatment (PAT) is a cognitive-behavioral intervention designed to target reward deficits that contribute to anhedonia in mood and anxiety disorders, including problems with reward anticipation, experiencing, and learning. PAT has been found to promote reward responsivity and clinical improvement in mood and anxiety disorders. This manuscript will: (1) present empirical evidence supporting the promise of PAT as an intervention for AN; (2) highlight nuances in the maintaining processes of AN that necessitate adaptations of PAT for this population; and (3) suggest future directions in research on PAT and other reward-based treatments that aim to enhance clinical outcomes for AN.

Coping with childhood maltreatment: Avoidance and eating disorder symptoms

2020 ◽  
pp. 135910532093706
Author(s):  
Diane L Rosenbaum ◽  
Kamila S White ◽  
Tiffany M Artime
Keyword(s):  
Eating Disorder ◽  
Indirect Effect ◽  
Childhood Maltreatment ◽  
Additive Effect ◽  
Avoidant Coping ◽  
Future Research ◽  
Adaptive Coping ◽  
Eating Disorder Symptoms ◽  
Coping Patterns

Childhood maltreatment is associated with eating disorder symptoms; however, the nature of this association is unclear. We found those who experienced childhood maltreatment had higher avoidant coping and eating disorder symptoms. We also found an additive effect for maltreatment, such that with more types of maltreatment experienced, avoidant coping and eating disorder symptoms were greater. We also found evidence of an indirect effect such that childhood maltreatment was related to eating disorder symptoms through avoidant coping. Future research is needed to better understand factors that may promote development of adaptive coping patterns and prevention of eating disorder symptoms.

scholarly journals The Relationship between Eating Disorder Symptoms and Treatment Rejection among Young Adult Men in Residential Substance Use Treatment

2016 ◽  
Vol 10 ◽  
pp. SART.S33396 ◽  
Author(s):  
JoAnna Elmquist ◽  
Ryan C. Shorey ◽  
Scott E. Anderson ◽  
Jeff R. Temple ◽  
Gregory L. Stuart
Keyword(s):  
Substance Use ◽  
Eating Disorder ◽  
Young Adult ◽  
Mental Health Problems ◽  
Hierarchical Regression ◽  
Future Research ◽  
Depression Symptoms ◽  
Negative Consequences ◽  
Adult Men ◽  
Eating Disorder Symptoms

Research has demonstrated that individuals with substance use disorders (SUDs) and comorbid mental health problems evidence heightened negative consequences, including poorer treatment outcomes, a higher risk for relapse, and mortality compared to individuals with a single disorder. In this study, we focus on the comorbidity between SUDs and eating disorder (ED) symptomatology, as EDs are similarly associated with high rates of relapse, morbidity, and mortality. Of particular importance is research examining treatment rejection among individuals in treatment for SUDs with cooccurring ED symptomatology. This study seeks to add to the literature by examining treatment rejection among young adult men in residential treatment for SUDs ( N = 68) with cooccurring ED symptomatology. Results from hierarchical regression analyses indicated that ED symptoms were significantly associated with treatment rejection after controlling for alcohol and drug use and problems and depression symptoms. Although this is a preliminary study, the results add to a growing body of research examining the comorbidity between SUDs and ED symptomatology. Future research examining this relationship is needed to further elucidate the treatment patterns among individuals with comorbid ED symptoms and substance use diagnoses.

scholarly journals Breaking the Silence

2016 ◽  
Vol 10 (6) ◽  
pp. NP118-NP126 ◽  
Author(s):  
Abigail S. Dubovi ◽  
Yue Li ◽  
Jessica L. Martin
Keyword(s):  
Eating Disorder ◽  
Personality Traits ◽  
Big Five ◽  
College Men ◽  
Eating Pathology ◽  
Intervention Programs ◽  
Future Research ◽  
Big Five Personality ◽  
Targeted Prevention ◽  
Eating Disorder Symptoms

Men remain largely underrepresented in the eating disorder literature and few studies have investigated risk factors for disordered eating among men. The current study examined associations between Big Five personality traits and eating disorder symptoms in a sample of college men (N = 144). Participants completed the Eating Disorder Diagnostic Scale and Ten Item Personality Inventory online. Results suggested that openness was positively associated with purging-type behaviors and that emotional stability was positively related to symptoms of anorexia nervosa and global eating pathology. Findings highlight the prevalence of eating disorder symptoms among college men and suggest that these symptoms are associated with a different constellation of personality traits than is typically reported among women. Implications for targeted prevention and intervention programs and future research are discussed.

The Effects of Yoga on Eating Disorder Symptoms and Correlates: A Review

2013 ◽  
Vol 23 (2) ◽  
pp. 41-50 ◽  
Author(s):  
Jessalyn Klein ◽  
Catherine Cook-Cottone
Keyword(s):  
Systematic Review ◽  
Eating Disorders ◽  
Eating Disorder ◽  
Protective Factors ◽  
Future Research ◽  
Yoga Practice ◽  
Cross Sectional ◽  
Eating Disorder Symptoms ◽  
Positive Effects ◽  
Yoga Practitioners

Background: Yoga is a popular adjunct therapy for eating disorders (EDs). A systematic review and synthesis of the yoga literature is needed to guide treatment recommendations and future research. This article provides a review of studies that used yoga for preventing and treating EDs. Method: Databases were searched for peer-reviewed articles about yoga practice and ED symptoms and correlates. Results: Of the 14 articles reviewed, 40% used cross-sectional designs to examine risk and protective factors for EDs among yoga practitioners, and 60% used longitudinal designs to assess the effectiveness of yoga interventions for preventing and treating EDs. Yoga practitioners were reported to be at decreased risk for EDs, and ED risk and symptoms were reduced or unchanged after yoga interventions. Conclusions: Well-controlled studies are needed to understand whether the positive effects of yoga on ED symptoms and correlates are related to the type of yoga practiced, the amount/frequency of practice, and/or other variables.

scholarly journals Alexithymia and eating disorders: a critical review of the literature

2021 ◽  
Author(s):  
Matilda E Nowakowski ◽  
Traci McFarlane ◽  
Stephanie Cassin
Keyword(s):  
Eating Disorders ◽  
Eating Disorder ◽  
Critical Review ◽  
Theoretical Models ◽  
Future Research ◽  
Review Of The Literature ◽  
Eating Disorder Symptoms ◽  
Not Otherwise Specified ◽  
Bodily Sensations

Alexithymia is characterized by difficulties identifying feelings and differentiating between feelings and bodily sensations, difficulties communicating feelings, and a concrete cognitive style focused on the external environment. Individuals with eating disorders have elevated levels of alexithymia, particularly difficulties identifying and describing their feelings. A number of theoretical models have suggested that individuals with eating disorders may find emotions unacceptable and/or frightening and may use their eating disorder symptoms (i.e., restricting food intake, bingeing, and/or purging) as a way to avoid or cope with their feelings. The current critical review synthesizes the literature on alexithymia and eating disorders and examines alexithymia levels across eating disorders (i.e., anorexia nervosa, bulimia nervosa, and eating disorder not otherwise specified), the role of alexithymia in binge eating disorder, and the influence of alexithymia on the development of eating disorders as well as treatment outcome. The clinical implications of the research conducted to date and directions for future research are discussed.

scholarly journals Eating disorders in the Arab world: a literature review

2020 ◽  
Vol 8 (1) ◽  
Author(s):  
Bernou Melisse ◽  
Edwin de Beurs ◽  
Eric F. van Furth
Keyword(s):  
Eating Disorders ◽  
Eating Disorder ◽  
High Risk ◽  
Literature Review ◽  
Assessment Tool ◽  
Arab World ◽  
Assessment Tools ◽  
Thin Body ◽  
Thin Ideal ◽  
Eating Disorder Symptoms

Abstract Background The prevalence of eating disorders has been assumed to be low in the Arab world, due to the alleged absence of the thin ideal. However, the Arab world is undergoing rapid sociocultural changes, and there are reports of an increase of the desire to be thin. This literature review therefore provides point-prevalence of Arabs at high risk for eating disorders, and a comprehensive synthesis of correlates of eating disorder symptoms, eating disorder-related variables and of a high risk for eating disorders. Method Several electronic databases were searched for published, peer-reviewed studies between 1986 and 2019 involving several key terms. From 317 screened studies, 81, mainly cross-sectional, were included. Preferred Reporting Items for Systematic reviews and meta-analyses was used as guidance and the quality of studies were assessed using the Newcastle-Ottawa scale. Results Estimates of individuals at high risk for eating disorders ranged from 2 to 54.8%. The eating disorder-related variables identified were desire to be thin, body dissatisfaction, disturbed-, and dieting- eating behavior. Identified correlates were increased affluence, media use, western influences, and obesity. An additional finding was that in some cases eating disorders were expressed somatically rather than psychiatrically. Discussion In the Arab world, females were most at risk for eating disorders and eating disorder symptoms. Sociocultural changes gave rise to the thin ideal and the prevalence of obesity, increasing the risk for the development of eating disorder-related variables and eating disorders. The literature on eating disorders in the Arab world suffers from potential limitations due to the use of non-validated assessment tools. Further research is necessary, particularly on the development and validation of a culturally sensitive assessment tool. Improved knowledge is likely to increase the number of people seeking treatment and decrease the stigma of psychotherapy.

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