scholarly journals Stuck in painful time: perception of time by individuals with eating disorders depending on their mood

2021 ◽  
Vol 21 (2) ◽  
pp. 104-109
Author(s):  
Małgorzata Starzomska-Romanowska ◽  
◽  
Ewa Sas ◽  
Paulina Rosińska ◽  
Jan Bielecki ◽  
...  

Introduction: Eating disorders still pose a formidable challenge to health care professionals. The suffering of eating-disordered individuals may be profound, with the main contributing factors being low self-esteem, guilt and depression, a sense of hopelessness, and loneliness. The objective of the study was to determine how patients with eating disorders perceive time, and in particular whether their experience of time differs from that of healthy individuals. Another goal was to examine the relationship between the mood of the subjects and their time perspective. Materials and methods: The subjects were 30 women with eating disorders and 30 age-matched healthy female controls. The three measures applied were: the Time Metaphors Questionnaire by Małgorzata Sobol-Kwapińska, the Time Perspective Inventory by Philip Zimbardo, and the UWIST Mood Adjective Checklist (UMACL) by Gerald Matthews et al. Results: As expected, statistical analyses revealed that women with eating disorders were characterised by a more negative perception of time than healthy subjects. The study also confirmed the expected correlations between positive and negative time perceptions and mood. Conclusion: The results appear to have a considerable scholarly and practical value, and should be used in the psychotherapy of eating-disordered individuals focusing on existential aspects, including in particular topics regarding the experience of time by sufferers.

Author(s):  
Humsheer Singh Sethi ◽  
Kamal Kumar Sen ◽  
Sudhansu Sekhar Mohanty ◽  
Sangram Panda ◽  
Kolluru Radha Krishna ◽  
...  

Abstract Background There has been a rapid rise in the number of COVID-19-associated rhino-orbital mucormycosis (CAROM) cases especially in South Asian countries, to an extent that it has been considered an epidemic among the COVID-19 patients in India. As of May 13, 2021, 101 CAROM cases have been reported, of which 82 cases were from India and 19 from the rest of the world. On the other hand, pulmonary mucormycosis associated with COVID-19 has a much lesser reported incidence of only 7% of the total COVID-19-associated mucormycosis cases (Singh AK, Singh R, Joshi SR, Misra A, Diab Metab Syndr: Clin Res Rev, 2021). This case report attempts to familiarize the health care professionals and radiologists with the imaging findings that should alarm for follow-up and treatment in the lines of CAROM. Case presentation Rhino-orbital mucormycosis (ROM) is a manifestation of mucormycosis that is thought to be acquired by inhalation of fungal spores into the paranasal sinuses. Here, we describe a 55-year-old male, post COVID-19 status with long standing diabetes who received steroids and ventilator therapy for the management of the viral infection. Post discharge from the COVID-19 isolation ICU, the patient complained of grayish discharge from the right nostril and was readmitted to the hospital for the nasal discharge. After thorough radiological and pathological investigation, the patient was diagnosed with CAROM and managed. Conclusion Uncontrolled diabetes and imprudent use of steroids are both contributing factors in the increased number of CAROM cases. Our report emphasizes on the radiological aspect of CAROM and reinforces the importance of follow-up imaging in post COVID-19 infection cases with a strong suspicion of opportunistic infections.


1996 ◽  
Vol 20 (2) ◽  
pp. 217-228 ◽  
Author(s):  
Christina M. Frederick ◽  
Virginia M. Grow

This study expands upon existing literature by examining how the relationship between autonomy deficits and low self-esteem may create a psychological environment conducive to the development of eating disordered behaviors. Findings supported a mediational model to account for eating disordered behaviors in 71 college women. In this model, lack of autonomy was related to decreased global self-esteem, which in turn was associated with bulimia, body dissatisfaction, and drive for thinness. Although only tentative and cross-sectional in nature, this study is of particular importance because it links autonomy and self-esteem in a coherent model predictive of eating disordered behaviors in college women. Developmental aspects of eating disorders and treatment implications are discussed.


2021 ◽  
pp. 104973232110516
Author(s):  
Vincent Wagner ◽  
Jorge Flores-Aranda ◽  
Ana Cecilia Villela Guilhon ◽  
Shane Knight ◽  
Karine Bertrand

Young psychoactive substance users in social precarity are vulnerable to a range of health and social issues. Time perspective is one aspect to consider in supporting change. This study draws on the views expressed by young adults to portray their subjective experience of time, how this perception evolves and its implications for their substance use and socio-occupational integration trajectories. The sample includes 23 young psychoactive substance users ( M = 24.65 years old; 83% male) in social precarity frequenting a community-based harm reduction centre. Thematic analysis of the interviews reveals the past to be synonymous with disappointment and disillusionment, but also a constructive force. Participants expressed their present-day material and human needs as well as their need for recognition and a sense of control over their own destiny. Their limited ability to project into the future was also discussed. Avenues on how support to this population might be adapted are suggested.


Author(s):  
А.В. Васильева ◽  
Р.И. Антохина ◽  
Е.Ю. Антохин

Цель исследования - определение специфики переживания психологического стресса, временной перспективы и симптоматики адаптационных нарушений у пожилых людей в чрезвычайной ситуации пандемии по сравнению с активным взрослым населением. На первом этапе были обследованы 587 человек с помощью шкалы PSM-25, затем были отобраны 100 респондентов с дезадаптационным уровнем стресса (сумма ≥155 баллов). Основную группу составили 50 человек 60-74 лет (средний возраст - 65±2,7 года), 50 человек 18-44 лет (средний возраст - 32±3,8 года) вошли в группу сравнения, которые были обследованы с помощью опросника SCL-90-R для оценки психопатологической симптоматики и опросника ZTPI для оценки восприятия временной перспективы. Выявлено наличие адаптационных расстройств в обеих группах. В группе пожилых установлена активация восприятия позитивного прошлого, что может быть адаптационным ресурсом, и большая выраженность фаталистического восприятия настоящего, что обусловливает пассивное преодоление стресса и сужает адаптационные возможности пожилых людей. Результаты исследования позволяют обозначить потенциальные «мишени» психотерапевтической работы с населением в условиях пандемического стресса с учетом возрастного фактора. The purpose of the study - to determine the specifics of experiencing psychological stress, the time perspective and symptoms of adaptation disorders in older people in a pandemic emergency compared to the active adult population. At the first stage, 587 people were examined using the PSM-25 scale, then 100 respondents with maladaptive stress levels (sum ≥155 points) were selected. The main group consisted of 50 people aged 60 to 74 years (aver age age 65±2,7 years), 50 people aged 18 to 44 years (average age 32±3,8 years) were included in comparison group, who were examined with using the SCL-90-R questionnaire for assessing psychopathological symptoms and the ZTPI questionnaire for assessing the perception of time perspective. The presence of adaptation disorders in both groups was revealed. In the elderly group, the activation of the perception of the positive past was established, which can be an adaptive resource, and the greater severity of the fatalistic perception of the present, which causes passive overcoming with stress and narrows the adaptive capabilities of the elderly. The results of the study make it possible to identify potential «targets» of psychotherapeutic work with the population in conditions of pandemic stress, taking into account the age factor.


1993 ◽  
Vol 72 (3_suppl) ◽  
pp. 1211-1221
Author(s):  
Dawn S. O'Neil ◽  
Anthony F. Grasha

This study examined the connotative meaning which beginner ( n = 15), intermediate ( n = 14), and advanced ( n = 15) therapists assigned to time in psychotherapy and their perception of time as a factor in designing therapeutic interventions. Therapists' conceptualization of the subjective experience of time as a component of psychotherapeutic interventions was assessed by examining their selection of metaphors for time, their semantic differential assessments of past, present, and future perspectives, and through their responses to a semistructured interview. Therapists at all three levels of experience appeared to view time for their clients as moving slowly, promoting growth, and allowing progress, with an emphasis on the importance of future time-based interventions for growth while the clients' past was viewed as reflective of distress. Responses appeared to be atheoretical and idiosyncratic, showing lack of clear integration of time with specific treatment interventions.


1986 ◽  
Vol 31 (7) ◽  
pp. 656-660 ◽  
Author(s):  
G. Sloan ◽  
P. Leichner

The significance of sexual conflicts in many patients with eating disorders has been well documented. However, even when these have been considered to have some degree of etiological importance, the occurrence of actual sexual trauma or incest in the early lives of these patients has been generally neglected in the literature. At one point in time, it was noted that five of six patients on an inpatient unit for eating disorders revealed an early history of sexual abuse or incest. These five cases are described. A parallel is drawn between the psychological problems experienced by victims of childhood sexual abuse and by patients with anorexia nervosa and/or bulimia. Our suspicion that these experiences may not be atypical led to the present article, which has implications for the investigation and management of eating-disordered patients.


Author(s):  
Aniruddha Bhattacharjee ◽  
Ariitharan A/l Thygoo ◽  
Subramanian Rammohan

Objectives: The sedentary lifestyle, physical inactivity, and unhealthy diet of Malaysian female have become important contributing factors to the rise of obesity. Studies on pulmonary function in relation to obesity are very few in Malaysia. Therefore, the study was aimed to evaluate the effect of obesity on pulmonary functions among young adult healthy female students of Shah Alam, Malaysia.Methods: A cross-sectional comparative study was conducted in a total of 100 (50 obese and 50 non-obese) adult non-smoker healthy female students aged 18–25 years. Forced vital capacity (FVC), forced expiratory volume in 1 sec (FEV1), FEV1 as a percentage of FVC (FEV1/FVC%), maximum midexpiratory flow rate (FEF 25–75%), and peak expiratory flow rate (PEFR) were measured using a computerized spirometer. Body weight, height, waist circumference (WC), and hip circumference (HC) were measured.Results: The mean FVC (L), FEV1 (L), FEV1/FVC ratio, FEF 25–75% (L/s), and PEFR (L/s) of obese group were marginally lower than non-obese control group, but the differences were not statistically significant. WC and waist–hip ratio exhibited significant (p<0.05) inverse correlation with all pulmonary function measurements except FEV1/FVC%. However, body mass index had no significant correlation with any spirometric variables in studied obese females.Conclusion: There was no significant effect of obesity on pulmonary functions in the studied Malaysian females. However, abdominal obesity had more impact on the impairment of pulmonary functions than overall relative obesity.


2020 ◽  
Vol 8 (3) ◽  
pp. 245-258
Author(s):  
Zohreh Behjati Ardakani ◽  
Mehrdad Navabakhsh ◽  
Fahimeh Ranjbar ◽  
Soraya Tremayne ◽  
Mohammad Mehdi Akhondi ◽  
...  

Objectives: Cesarean delivery without medical indication has regularly increased among Iranian women in the last three decades, and Iran has one of the highest rates of cesarean in the world. The present study aimed at reviewing the studies regarding the increase of cesarean in Iran and discussing the root causes for such an increase. Methods: This literature review focused on the existing quantitative and qualitative studies conducted from January 1990 to January 2019 regarding the reasons for an increase in the cesarean section in Iran. The combination of keywords including "cesarean section", "C-section", "cesarean delivery", and "Iran" was searched in several databases such as MEDLINE/PubMed, Embase, ISI Web of Science and Scopus, along with national databases (e.g., SID, MagIran, Iran Medex, and IranDoc). Results: A dramatic rise in cesarean birth stems from a number of factors including the role of health care professionals, insurance companies, socio-cultural factors, and the health policies, all of which have their roots in the medicalization of birth. Conclusions: In general, reducing the cesarean on maternal request necessitates the de-medicalization of birth, cultural awareness through the mass media, informing women of the long-term complications of cesarean, and physical and mental preparation of the mother. In addition, other contributing factors include encouraging inter-professional teamwork and collaboration between midwives and obstetrician-gynecologists, transforming the current curriculum of the midwifery and residency education, applying the midwifery-led care models, and decreasing the fear of litigation in midwifery and obstetrics-gynecology. Otherwise, maternal and fetal mortality will rise in the near future due to increased complications in subsequent pregnancies.


1999 ◽  
Vol 33 (4) ◽  
pp. 521-528 ◽  
Author(s):  
Lisa Brown ◽  
Janice Russell ◽  
Christopher Thornton ◽  
Stewart Dunn

Objective: Anumber of European and Northern American studies have investigated a possible association between dissociative phenomena, eating disorders, child sexual abuse and self-mutilation. However, there has been little confirmation from other countries and cultures, and the Australian experience of these interrelationships has not previously been studied. Method: Dissociative symptomatology and self-reported history of abusive experiences, physical and sexual, were retrospectively studied in a sample of Australian eating disordered patients using a self-report measure, the Dissociation Questionnaire (DIS-Q). Results: As hypothesised, dissociative symptoms were particularly frequent in those who reported child and adult sexual abuse and in those who self-mutilated. A correlation between multiple forms of abuse and higher dissociation scores was only partially upheld. Conclusions: Interrelationships between victimisation and dissociation are discussed within the context of current knowledge in the field, and brief suggestions for therapeutic strategies are offered.


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