scholarly journals To what extent does the COVID-19 pandemic impact patients with anorexia nervosa?

BJPsych Open ◽  
2021 ◽  
Vol 7 (S1) ◽  
pp. S273-S273
Author(s):  
Krishna Mehta
Keyword(s):  
Anorexia Nervosa ◽  
English Language ◽  
Mental Illnesses ◽  
Cross Sectional ◽  
Individual Level ◽  
Care Services ◽  
Treatment Services ◽  
Pubmed Database ◽  
Study Results ◽  
The Relationship

AimsThis systematic review aims to discuss the extent to which the measures undertaken to control the COVID-19 pandemic in several countries have affected those with Anorexia Nervosa (AN). The coronavirus pandemic is still raging on in many countries and its effects will still be felt years from now and previous studies have shown that it has impacted other mental illnesses. AN cases are on the rise and the nature of the illness has deadly consequences, therefore it is paramount to discuss the relationship between the COVID-19 measures and symptomatology of AN to ensure appropriate services are in place to deal with potential outcomes.MethodSystematic search of the PubMed database gave thirty-three total results with seven of these used in this review. These studies met the inclusion criteria; examples include primary studies and use of the English Language. The exclusion criteria involved literature reviews, studies with less than ten participants and studies not separating AN from other eating disorders.ResultMany studies were cross sectional in nature except two longitudinal studies. Anorexic symptomology increased in the majority of papers in this review. Specifically restricting intake has increased compared to before lockdown measures. Physical activity has varied on an individual level in most studies potentially due to compensatory behaviours. Co-morbid psychopathologies were also noted during these studies. There are many factors behind these changes such as food insecurity, the effect of media and social media, uncertainty and the lack of social interaction. A number of participants across the studies were dissatisfied with treatment services during lockdowns. Variability in study results may be due to the differences in measures between countries and the use of self-reported cases compared to those contacted through care services. Limitations of this review are largely due to the how current the topic is and recommendations for the future include reviewing new studies that are published and to review the situation once the full impact of COVID-19 is known.ConclusionPatients with AN have struggled more due to the COVID-19 measures and the true effect of the pandemic is yet to be felt. Further studies and reviews should be conducted. The appropriate services should be put into place to ensure patients are supported effectively.

Role Strain, Coping, and Marital Satisfaction of Stepparents

1992 ◽  
Vol 73 (2) ◽  
pp. 79-92 ◽  
Author(s):  
Doni Whitsett ◽  
Helen Land
Keyword(s):  
Marital Satisfaction ◽  
Inverse Relationship ◽  
Role Strain ◽  
Self Esteem ◽  
Coping Resources ◽  
Cross Sectional ◽  
New Information ◽  
Study Results ◽  
And Coping ◽  
The Relationship

The relationship among role strain, coping, and marital satisfaction is examined in a cross-sectional sample of 73 stepparents. New information is discussed pertaining to differential types of role strain identified in stepparent groups. The association between types of role strain and differential types of coping strategies and coping resources is analyzed. Results document the association between coping resources of self-esteem and self-efficacy and certain dimensions of role strain. An inverse relationship between role strain and marital satisfaction is noted. Based on study results, the authors identify vulnerable subgroups and suggest implications for practice with stepfamilies.

scholarly journals Increased hypothalamic–pituitary–adrenal drive is associated with decreased appetite and hypoactivation of food-motivation neurocircuitry in anorexia nervosa

2013 ◽  
Vol 169 (5) ◽  
pp. 639-647 ◽  
Author(s):  
Elizabeth A Lawson ◽  
Laura M Holsen ◽  
Rebecca DeSanti ◽  
McKale Santin ◽  
Erinne Meenaghan ◽  
...  
Keyword(s):  
Anorexia Nervosa ◽  
Visual Processing ◽  
Serum Cortisol ◽  
Brain Regions ◽  
Cross Sectional Study ◽  
Food Motivation ◽  
Cross Sectional ◽  
Hypothalamic Pituitary Adrenal ◽  
Cortisol Levels ◽  
The Relationship

ObjectiveCorticotrophin-releasing hormone (CRH)-mediated hypercortisolemia has been demonstrated in anorexia nervosa (AN), a psychiatric disorder characterized by food restriction despite low body weight. While CRH is anorexigenic, downstream cortisol stimulates hunger. Using a food-related functional magnetic resonance imaging (fMRI) paradigm, we have demonstrated hypoactivation of brain regions involved in food motivation in women with AN, even after weight recovery. The relationship between hypothalamic–pituitary–adrenal (HPA) axis dysregulation and appetite and the association with food-motivation neurocircuitry hypoactivation are unknown in AN. We investigated the relationship between HPA activity, appetite, and food-motivation neurocircuitry hypoactivation in AN.DesignCross-sectional study of 36 women (13 AN, ten weight-recovered AN (ANWR), and 13 healthy controls (HC)).MethodsPeripheral cortisol and ACTH levels were measured in a fasting state and 30, 60, and 120 min after a standardized mixed meal. The visual analog scale was used to assess homeostatic and hedonic appetite. fMRI was performed during visual processing of food and non-food stimuli to measure the brain activation pre- and post-meal.ResultsIn each group, serum cortisol levels decreased following the meal. Mean fasting, 120 min post-meal, and nadir cortisol levels were high in AN vs HC. Mean postprandial ACTH levels were high in ANWR compared with HC and AN subjects. Cortisol levels were associated with lower fasting homeostatic and hedonic appetite, independent of BMI and depressive symptoms. Cortisol levels were also associated with between-group variance in activation in the food-motivation brain regions (e.g. hypothalamus, amygdala, hippocampus, orbitofrontal cortex, and insula).ConclusionsHPA activation may contribute to the maintenance of AN by the suppression of appetitive drive.

Linguistic Integration and Immigrant Health: The Longitudinal Effects of Interethnic Social Capital

2018 ◽  
Vol 59 (2) ◽  
pp. 215-230 ◽  
Author(s):  
Mesay A. Tegegne
Keyword(s):  
Social Capital ◽  
Health Status ◽  
Immigrant Health ◽  
English Language ◽  
Language Use ◽  
The United States ◽  
Cross Sectional ◽  
Linguistic Integration ◽  
The Relationship

The literature on immigrant health has by and large focused on the relationship between acculturation (often measured by a shift in language use) and health outcomes, paying less attention to network processes and the implications of interethnic integration for long-term health. This study frames English-language use among immigrants in the United States as a reflection of bridging social capital that is indicative of social network diversity. Using longitudinal data on self-rated health and the incidence of chronic conditions from the New Immigrant Survey (2003, 2007), I examine the contemporaneous and longitudinal associations between interethnic social capital and health. The results show evidence for a positive long-term effect of linguistic integration on health status, but no cross-sectional associations were observed. Overall, these results highlight the possible role of network processes in linking English-language use with immigrant health and the time-dependent nature of the relationship between linguistic integration and health status.

The individual side of ambidexterity

2019 ◽  
Vol 41 (3) ◽  
pp. 592-613 ◽  
Author(s):  
Andrés Salas Vallina ◽  
Maria D. Moreno-Luzon ◽  
Anna Ferrer-Franco
Keyword(s):  
Structural Equation ◽  
Public Hospitals ◽  
Equation Modeling ◽  
Exploration And Exploitation ◽  
Cross Sectional ◽  
Learning Capability ◽  
Content Type ◽  
Individual Level ◽  
The Individual ◽  
The Relationship

PurposeThe purpose of this paper is twofold: first, to examine whether inspirational leadership of heads of specialized medical units is related to individual ambidexterity of their dependent physicians; and second, to study the possible mediating role of organizational learning capability (OLC) in the relationship between inspirational leadership and individual ambidexterity.Design/methodology/approachStructural equation modeling was used on a sample of 194 medical specialists from Spanish public hospitals.FindingsResults show that inspirational leadership is positively related to individual ambidexterity among healthcare physicians. In addition, the results of the study revealed that the relationship between inspirational leadership and individual ambidexterity is mediated by conditions that facilitate learning, namely, OLC.Research limitations/implicationsThis study uses cross-sectional data, which do not guarantee causality relationships among the examined variables.Practical implicationsThe results of this paper suggest first that heads of healthcare units should inspire followers to achieve both exploration and exploitation. Second, it is also necessary to consider that inspirational leaders promote those conditions that facilitate learning, which should be particularly taken into account to enhance both physician’s exploration and exploitation.Originality/valueIn stressing an evident gap in the relationship between leadership and ambidexterity at the individual level, this paper attempts to advance in the leadership literature by revealing how the action or power of moving the intellect or emotions, and enhancing enthusiasm and confidence, empowers physicians to both explore and exploit knowledge. The results also indicate that the inspiration transmitted by the heads of medical services, facilitate physician’s perceived learning conditions which, in turn, fosters their individual ambidexterity.

A dyadic model of investments: Partner effects on commitment

2019 ◽  
Vol 36 (11-12) ◽  
pp. 3471-3491
Author(s):  
Anthony E. Coy ◽  
Jody L. Davis ◽  
Jeffrey D. Green ◽  
Paul E. Etcheverry
Keyword(s):  
Investment Model ◽  
Relationship Dynamics ◽  
Cross Sectional ◽  
Individual Level ◽  
Relationship Study ◽  
Cross Sectional Studies ◽  
The Individual ◽  
The Relationship ◽  
Dyadic Model

A dyadic approach to studying relationship dynamics yields considerably more insights than examining each partner separately. Yet relatively little research has examined dyadic models of commitment, despite commitment being essential to relationship persistence. Accordingly, we tested a dyadic version of the investment model of commitment. In two cross-sectional studies of couples and one experiment, we tested the role of partner investments and perceived partner investments as novel antecedents of commitment. Studies 1 and 2 demonstrated that greater partner investments were related to greater levels of individuals’ commitment, while controlling for individuals’ own satisfaction with, investments in, and alternatives to the relationship. Study 3 revealed that partner-reported investments predicted commitment independent of perceived partner investments. The findings advance the investment model beyond the individual level, emphasizing the need to examine dyadic elements of relationships.

scholarly journals Density of Green Spaces and Cardiovascular Risk Factors in the City of Madrid: The Heart Healthy Hoods Study

2019 ◽  
Vol 16 (24) ◽  
pp. 4918 ◽  
Author(s):  
Elena Plans ◽  
Pedro Gullón ◽  
Alba Cebrecos ◽  
Mario Fontán ◽  
Julia Díez ◽  
...  
Keyword(s):  
Risk Factors ◽  
Cardiovascular Risk ◽  
Cardiovascular Risk Factors ◽  
Green Spaces ◽  
Buffer Size ◽  
High Cholesterol ◽  
Cross Sectional ◽  
Study Results ◽  
Clinical Diagnoses ◽  
The Relationship

The aim of this study is to evaluate the relationship between the density of green spaces at different buffer sizes (300, 500, 1000 and 1500 m) and cardiovascular risk factors (obesity, hypertension, high cholesterol, and diabetes) as well as to study if the relationship is different for males and females. We conducted cross-sectional analyses using the baseline measures of the Heart Healthy Hoods study (N = 1625). We obtained data on the outcomes from clinical diagnoses, as well as anthropometric and blood sample measures. Exposure data on green spaces density at different buffer sizes were derived from the land cover distribution map of Madrid. Results showed an association between the density of green spaces within 300 and 500 m buffers with high cholesterol and diabetes, and an association between the density of green spaces within 1500 m buffer with hypertension. However, all of these associations were significant only in women. Study results, along with other evidence, may help policy-makers creating healthier environments that could reduce cardiovascular disease burden and reduce gender health inequities. Further research should investigate the specific mechanisms behind the differences by gender and buffer size of the relationship between green spaces and cardiovascular risk factors.

Spatial distribution of gambling: two indexes in support of the reduction of health inequalities

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
E Papineau ◽  
E Robitaille ◽  
C Prisca Samba ◽  
F Lemétayer ◽  
Y Kestens ◽  
...  
Keyword(s):  
Relative Risk ◽  
Average Distance ◽  
Spatial Accessibility ◽  
Prevalence Survey ◽  
Cross Sectional ◽  
Treatment Services ◽  
Risk Monitoring ◽  
Dissemination Area ◽  
Interactive Map ◽  
The Relationship

Abstract Background Many studies have showed that disadvantaged areas residents have greater access to gambling sites and are more affected by gambling. Our research proposes an innovative method to characterize gambling environments in Quebec and addresses social inequality with respect to gambling exposure. Methods This cross-sectional ecological study was carried out in 3 stages: a Gambling Exposure Index (GEI) was built and is composed of 3 dimensions: spatial accessibility to gambling sites, density of gambling places, and relative risk associated with the types of game. The two-step floating catchment area (2SFCA) method was used to combine these dimensions into an overall GEI index. Data was retrieved from a geocoded directory of gambling sites and commercial databases. The relative risk of games is expressed by prevalence rates for those specific games in a Quebec population prevalence survey. A Vulnerability to Gambling Index (VGI) was produced based on 6 socio-economic proxies of problem gambling from the 2016 Canadian census, which were weighted and aggregated at the dissemination area (DA) level. Spatial and descriptive statistical analyses were conducted to explore the relationship between VGI and GEI, and to identify highly exposed and vulnerable areas. Results Our analyzes reveal significant associations between the GEI and the VGI in 2 599 out of 13 420 Quebec DAs (p < 0.05). Sectors with a high GEI show an average distance to the closest gambling sites of 2.8 km compared with 13.5 km for more advantaged sectors. Conclusions The interactive online mapping of the two indexes and statistical analysis of the results are beneficial to the professionals working in several fields such as risk monitoring, management of zoning, licensing and gambling distribution, prevention and treatment services. The method and the associated tools can be adapted to address the problem of increased accessibility to other unhealthy products in vulnerable neighborhoods. Key messages Two innovative ecological indexes show that increased accessibility to gambling correlates with a higher vulnerability to gambling in many Quebec regions. The online interactive map on gambling exposure and vulnerability provides reliable criteria to municipal, regional and governmental bodies for a safer distribution of gambling offer.

scholarly journals Examining the relationship between poverty and length of stay: a repeated cross-sectional study of paediatric hospitalisations in Chile

BMJ Open ◽  
2020 ◽  
Vol 10 (8) ◽  
pp. e034512
Author(s):  
Florencia Borrescio-Higa ◽  
Dominiquo Santistevan
Keyword(s):  
Length Of Stay ◽  
Fixed Effects ◽  
Patient Discharge ◽  
Cross Sectional Study ◽  
Poverty Rate ◽  
Sectional Study ◽  
Cross Sectional ◽  
Discharge Data ◽  
Individual Level ◽  
The Relationship

ObjectiveTo measure poverty-based disparities in inpatient length of stay for paediatric hospitalisations. In particular, this paper examines the relationship between municipality level poverty rates and length of stay, accounting for individual level characteristics.DesignWe use patient discharge data to conduct a repeated cross-sectional study of the totality of paediatric hospitalisations in 15 regions of Chile, in the years 2011, 2013, 2015 and 2017.SettingAll hospital discharges in 15 regions of Chile.Participants1 033 222 discharges for children under the age of 15, between 2011 and 2017.Outcome measuresLength of stay (LOS); LOS by type of insurance and type of hospital; hospitalisation rates; municipality-level average LOS.ResultsWe find that municipality level poverty rates are a significant predictor of LOS, even after controlling for individual and area level characteristics, including type of insurance. Children from municipalities in the poorest quintile have a LOS that is 14% shorter as compared with children from municipalities in the richest quintile. This relationship is stronger for publicly insured children: the decrease in LOS associated with the same poverty change is of 22%.ConclusionsThis paper shows that there is an association between municipality-level poverty rates and length of stay for paediatric hospitalisations in Chile. For the vast majority of the sample, and after controlling for individual level characteristics, an increase in the municipality level poverty rate is associated with a decrease in the length of stay. Further, there is a non-linearity in the relationship, where at the highest poverty rates, poverty and LOS are positively associated. These findings are robust after controlling for type of hospital (public vs private), type of insurance (public vs private), type of diagnosis, as well as year and region fixed effects.

The Relationship Between Insight and Internalized Stigma in Persons With Sever Mental Illness

2016 ◽  
Vol 33 (S1) ◽  
pp. S453-S453
Author(s):  
D. Szczesniak ◽  
I. Wojciechowska ◽  
M. Kłapciński ◽  
E. Zwyrtek ◽  
J. Rymaszewska
Keyword(s):  
Mental Illness ◽  
Psychotic Disorders ◽  
Cross Sectional Study ◽  
Mental Illnesses ◽  
Internalized Stigma ◽  
Related Factors ◽  
Cross Sectional ◽  
Stigma Of Mental Illness ◽  
The Relationship ◽  
Insight Into

IntroductionStigma is a multistage process that makes person marked by the stigma to be perceived as diminished or even as “not fully human”. The internalized stigmatization is seen as one of the levels of stigma to be present in persons with mental illness. A new perspective to mediation models between internalized stigma and illness-related factors is needed.AimTo assess the relationship between insight in mental illness and internalized stigma, as well to verify the knowledge of illness-related factors on the phenomenon of internalized stigma among patients with severe mental illnesses.MethodsA cross-sectional study design conducted among participants of both sexes between 18 years old and 65 years old with diagnosis of psychotic disorders (F20–29) and mood disorders (F30–39), who after reading the information about the study, give their written consent to participate. Among used methods were: a questionnaire of Internalized Stigma of Mental Illness (ISMI) by Ritsher [Boyed] et al. translated into Polish version and self-prepared interviews. Insight into mental illness was assessed using the Positive and Negative Syndrome Scale.ResultsThe preliminary results showed patients with the insight into the mental illness have significantly higher scores on the ISMI scale. Moreover, inpatient participants and those with the diagnosis of depression were characterized by higher level of stereotype endorsement compared with outpatients and psychotic patients.ConclusionsThe obtained results may contribute in the clinical and therapeutic fields, assuming that insight and the type of treatment are strongly linked with the process of recovery and the internalized stigma.Disclosure of interestThe authors have not supplied their declaration of competing interest.

Do empowered employees absorb knowledge?

2014 ◽  
Vol 37 (2) ◽  
pp. 130-151 ◽  
Author(s):  
Evangelia Siachou ◽  
Panagiotis Gkorezis
Keyword(s):  
Geographical Area ◽  
Three Dimensions ◽  
Hierarchical Regression ◽  
Cross Sectional ◽  
Content Type ◽  
Individual Level ◽  
Manufacturing Organizations ◽  
The Individual ◽  
The Impact ◽  
The Relationship

Purpose – The present study aims to contribute to the limited empirical research regarding the individual level antecedents of absorptive capacity (AC). In this vein, the authors examined the impact of employees' psychological empowerment (PE) dimensions on their AC. Moreover, the authors explored the magnitude of the relationship between one of PE four dimensions, namely competence, and AC compared to that of the rest three dimensions of PE. Design/methodology/approach – The authors collected data from 100 private employees working in two manufacturing organizations. In order to investigate the hypotheses, the authors conducted hierarchical regression and usefulness analysis. Findings – As predicted, the present results showed that all four PE dimensions affected employees' AC. Furthermore, competence demonstrated the strongest impact among all PE dimensions. Research limitations/implications – Data were drawn from two manufacturing organizations located in specific geographical area. Thus, this may constrain the generalizability of the results. Also, the cross-sectional analysis of the data cannot directly assess causality. Originality/value – To the best of the authors' knowledge, this is the first empirical study examining the relationship between PE and AC.

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