scholarly journals A kötődési jellemzők és multiimpulzív tünetek kapcsolata evészavarokban

2017 ◽  
Vol 158 (27) ◽  
pp. 1058-1066
Author(s):  
Tamás Dömötör Szalai
Keyword(s):  
Eating Disorders ◽  
Eating Disorder ◽  
Paternal Care ◽  
Secure Attachment ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Distinct Subgroup ◽  
Eating Disorder Symptoms ◽  
Therapeutic Value ◽  
The Relationship

Abstract: Introduction: Attachment dysfunctions determine borderline personality disorder, which is a frequent background factor of multi-impulsivity; however, the relationship between attachment and multi-impulsive eating disorders is almost unexplored. Aim: To compare attachment features of multi-impulsive and classical eating disorder patients with individuals without eating disorders, and to test attachment as a predictor of multi-impulsivity. Method: A cross-sectional survey (148 females, mean age: 30.9 years) investigated maternal, paternal and adult attachment, depression, anxiety, eating disorder and multi-impulsive symptoms in these groups. Results: Altogether 41.3% of the individuals without eating disorders, 17.6% of classical and 11.8% of multi-impulsive eating disorder patients had secure attachment. Multi-impulsive patients had the most severe eating disorder symptoms (F(2) = 17.733) and the lowest paternal care (F(2) = 3.443). Preoccupied and fearful attachment explained 14.5% of multi-impulsive symptoms; however, with adjustment for depression only latter one remained the predictor of multi-impulsivity (t = 5.166, p<0.01). Conclusion: Multi-impulsives are a distinct subgroup of eating disorder patients from the aspects of both symptoms and attachment. Handling their negative moods may hold therapeutic potentials. Longitudinal studies are required to investigate the therapeutic value of paternal care, attachment preoccupation and fearfulness. Orv Hetil. 2017; 158(27): 1058–1066.

scholarly journals Parental and Adult Attachment and Eating Symptomology in Eating Disorder Patients and Sine Morbo Individuals

2017 ◽  
Vol 5 (6) ◽  
pp. 43 ◽  
Author(s):  
Tamás Dömötör Szalai ◽  
Edit Czeglédi M.A.
Keyword(s):  
Eating Disorders ◽  
Eating Disorder ◽  
Parental Care ◽  
Adult Attachment ◽  
Emotional Eating ◽  
Online Survey ◽  
Attachment Security ◽  
Cross Sectional ◽  
Eating Disorder Symptoms ◽  
The Relationship

Attachment can contribute to eating disorder symptomology through various paths, including emotion regulation. However, the relationship between parental and adult attachment and emotional eating and other eating disorder symptoms have been barely investigated on comparative samples. This cross-sectional, questionnaire-based online survey aimed to assess the relationship between parental and adult attachment qualities with the eating behavior severity, emotional eating, and the level of depression in 67 female anorexia nervosa, bulimia nervosa, and binge eating disorder patients, compared to 67 female sine morbo individuals. Eating disorder patients less frequently had secure attachment, and were more often fearful or preoccupied than sine morbo individuals. In sine morbo individuals lower adult attachment security, but in patients, lower parental care was related to eating disorder symptoms. In sine morbo individuals, higher preoccupation, but in patients, higher fearfulness and lower care was related to emotional eating. Lower attachment security (OR = 0.54), younger age (OR = 0.93) and higher depression (OR = 1.04) explained 36.6% of the variance of diagnosed eating disorders. A complex interplay could be highlighted between dysfunctional attachment dimensions and eating symptomology in both groups—but with different patterns. Perceived parental care may be influential for eating disorder patients, whilst the degree of adult attachment security can be influential for sine morbo individuals. Lower attachment security was a predictor of eating disorders, which suggests the protective value of enhancing attachment security. However, further attachment-based interventions are required.

scholarly journals Transitioning To Digital First Line Intervention – Validation Of A Brief Online Screener For Early Identification Of A Suspected Eating Disorder: Study Protocol

2020 ◽  
Author(s):  
Emma Bryant ◽  
Jane Miskovic-Wheatley ◽  
Stephen Touyz ◽  
Ross D Crosby ◽  
Eyza Koreshe ◽  
...  
Keyword(s):  
Eating Disorders ◽  
Eating Disorder ◽  
Early Intervention ◽  
Discriminant Validity ◽  
Screening Tool ◽  
Test Reliability ◽  
Baseline Survey ◽  
Pathways To Care ◽  
Cross Sectional Survey ◽  
Cross Sectional

Abstract Background: Only one in four people with eating disorders seeks treatment, and of those who do seek treatment, 20% go on to experience a chronic course. Early intervention has been associated with better prognosis, with those seeking specialised intervention in the early stages of their illness more than twice as likely to achieve remission. Current screening measures typically require expert administration and are rarely validated across a spectrum of DSM-5 eating disorder presentations or for online use. In light of COVID-19 and increasing reliance on telehealth technologies in the intervention and delivery of mental health services, online assessments suitable for self-referral are likely to be the first step to seeking care. InsideOut Institute has developed a 6-item online screening tool for the purposes of identifying eating disorder risk and symptomatology, aimed specifically at increasing help-seeking behaviour in subsyndromal and early presentations. Methods: This study investigates the reliability and validity of the InsideOut Institute Screener (IOI-S), using a cross-sectional survey research design. Participants aged 14 and over will complete an extensive baseline survey battery for evaluation. 50% of participants will be randomly selected for one follow-up re-test of the IOI-S only, two weeks post initial testing. The IOI-S will be analysed for statistical reliability on two parameters: internal consistency and test re-test reliability, and for statistical validity on four parameters: concurrent validity, sensitivity and specificity, convergent and discriminant validity. Discussion: The rapid and ongoing shift to digital intervention has highlighted gaps and opportunities in our pathways to care. Adequate screening for eating disorders is a major gap. This study aims to validate an online screening tool for use in telehealth early intervention, designed for users seeking information for a suspected eating disorder. The screener meets those at risk ‘where they are’ (i.e. online) and may improve timely referrals to relevant services. This is of particular salience as face-to-face healthcare and traditional frontline interventions are disrupted, and we are challenged to re-design our practices to deliver diagnostic and treatment services in highly adaptive digital contexts.Trial registration: N/A

scholarly journals Transitioning To Digital First Line Intervention – Validation Of A Brief Online Screener For Early Identification Of A Suspected Eating Disorder: Study Protocol

2020 ◽  
Author(s):  
Emma Bryant ◽  
Jane Miskovic-Wheatley ◽  
Stephen Touyz ◽  
Ross D Crosby ◽  
Eyza Koreshe ◽  
...  
Keyword(s):  
Eating Disorders ◽  
Eating Disorder ◽  
Early Intervention ◽  
Discriminant Validity ◽  
Screening Tool ◽  
Test Reliability ◽  
Baseline Survey ◽  
Pathways To Care ◽  
Cross Sectional Survey ◽  
Cross Sectional

Abstract Background: Only one in four people with eating disorders seeks treatment, and of those who do seek treatment, 20% go on to experience a chronic course. Early intervention has been associated with better prognosis, with those seeking specialised intervention in the early stages of their illness more than twice as likely to achieve remission. Current screening measures typically require expert administration and are rarely validated across a spectrum of DSM-5 eating disorder presentations or for online use. In light of COVID-19 and increasing reliance on telehealth technologies in the intervention and delivery of mental health services, online assessments suitable for self-referral are likely to be the first step to seeking care. InsideOut Institute has developed a 6-item online screening tool for the purposes of identifying eating disorder risk and symptomatology, aimed specifically at increasing help-seeking behaviour in subsyndromal and early presentations. Methods: This study investigates the reliability and validity of the InsideOut Institute Screener (IOI-S), using a cross-sectional survey research design. Participants aged 14 and over will complete an extensive baseline survey battery for evaluation. 50% of participants will be randomly selected for one follow-up re-test of the IOI-S only, two weeks post initial testing. The IOI-S will be analysed for statistical reliability on two parameters: internal consistency and test re-test reliability, and for statistical validity on four parameters: concurrent validity, sensitivity and specificity, convergent and discriminant validity. Discussion: The rapid and ongoing shift to digital intervention has highlighted gaps and opportunities in our pathways to care. Adequate screening for eating disorders is a major gap. This study aims to validate an online screening tool for use in telehealth early intervention, designed for users seeking information for a suspected eating disorder. The screener meets those at risk ‘where they are’ (i.e. online) and may improve timely referrals to relevant services. This is of particular salience as face-to-face healthcare and traditional frontline interventions are disrupted, and we are challenged to re-design our practices to deliver diagnostic and treatment services in highly adaptive digital contexts.

scholarly journals Transitioning To Digital First Line Intervention – Validation Of A Brief Online Screener For Early Identification of A Suspected Eating Disorder: Study Protocol

2020 ◽  
Author(s):  
Emma Bryant ◽  
Jane Miskovic-Wheatley ◽  
Stephen Touyz ◽  
Ross D Crosby ◽  
Eyza Koreshe ◽  
...  
Keyword(s):  
Eating Disorders ◽  
Eating Disorder ◽  
Early Intervention ◽  
Discriminant Validity ◽  
Screening Tool ◽  
Test Reliability ◽  
Baseline Survey ◽  
Pathways To Care ◽  
Cross Sectional Survey ◽  
Cross Sectional

Abstract Background: Only one in four people with Eating Disorders (ED) seeks treatment, and of those who do seek treatment, 20% go on to experience a chronic course. Early intervention has been associated with better prognosis, with those seeking specialised intervention in the early stages of their illness more than twice as likely to achieve remission. Current screening measures typically require expert administration and are rarely validated across a spectrum of DSM-5 eating disorder presentations or for online use. In light of COVID-19 and increasing reliance on telehealth technologies in the intervention and delivery of mental health services, online assessments suitable for self-referral are likely to be the first step to seeking care. InsideOut Institute has developed a 6-item online screening tool for the purposes of identifying eating disorder risk and symptomatology, aimed specifically at increasing help-seeking behaviour in subsyndromal and early presentations. Methods: This study investigates the reliability and validity of the InsideOut Institute Screener (IOI-S), using a cross-sectional survey research design. Participants aged 14 and over will complete a baseline survey battery consisting of the EDE-Q, the SCOFF questionnaire, the IOI-S and either the MC-SDS (adults) or CSD-S (adolescents) for evaluation. 30% of participants will be randomly selected for one follow-up re-test of the IOI-S only, two weeks post initial testing. The IOI-S will be analysed for statistical reliability on two parameters: internal consistency and test re-test reliability, and for statistical validity on four parameters: concurrent validity, sensitivity and specificity, convergent and discriminant validity. Discussion: The rapid and ongoing shift to digital intervention has highlighted gaps and opportunities in our pathways to care. Adequate screening for eating disorders is a major gap. This study aims to validate an online screening tool for use in telehealth early intervention, designed for users seeking information for a suspected eating disorder. The screener meets those at risk ‘where they are’ (i.e. online) and may improve timely referrals to relevant services. This is of particular salience as face-to-face healthcare and traditional frontline interventions are disrupted, and we are challenged to re-design our practices to deliver diagnostic and treatment services in highly adaptive digital contexts.Trial registration: N/A

scholarly journals Diagnosis of Eating Disorders Among College Students: A Comparison of Military and Civilian Students

2021 ◽  
Author(s):  
Sarah E Falvey ◽  
Samantha L Hahn ◽  
Olivia S Anderson ◽  
Sarah K Lipson ◽  
Kendrin R Sonneville
Keyword(s):  
College Students ◽  
Eating Disorders ◽  
Eating Disorder ◽  
Univariate Analysis ◽  
The United States ◽  
P Value ◽  
Cross Sectional ◽  
Eating Disorder Symptoms ◽  
Chi Square Analysis ◽  
The Military

ABSTRACT Introduction Eating disorders are often under-detected, which poses a serious threat to the health of individuals with eating disorder symptoms. There is evidence to suggest that the military represents a subpopulation that may be susceptible to high prevalence of eating disorders and vulnerable to their underdiagnosis. Underreporting of eating disorder symptoms in the military could lead to this underdiagnosis of individuals with eating disorder symptoms. The purpose of this study was to examine the association between military affiliation and eating disorder symptoms among college students and the likelihood of eating disorder diagnosis among those with eating disorder symptoms using a large, diverse college-aged sample of both military-involved and civilian students. Materials and Methods Participants for this study were from the 2015-2016, 2016-2017, and 2017-2018 Healthy Minds Study (HMS). Healthy Minds Study is a large, cross-sectional cohort study of both undergraduate and graduate students from universities and colleges across the United States and Canada. The Healthy Minds Study survey questions include assessment of demographic information, military status, self-reported eating disorder symptoms using the SCOFF questionnaire, and self-reported eating disorder diagnosis. Univariate analysis, chi-square analysis, and logistic regression with an unadjusted and covariate adjusted model were used to examine the association between eating disorder symptoms and military affiliation. These analyses were also used to examine the association between eating disorder diagnosis among those with eating disorder symptoms and military affiliation. All analyses were conducted using SPSS. Results The prevalence of eating disorder symptoms was high among both the civilian (20.4%) and military-involved (14.4%) students. Among females, there was a significantly higher (P value = .041) prevalence of eating disorder symptoms among civilian college students (24.7%) compared to military-involved students (21.3%). Among those with eating disorder symptoms, the prevalence of diagnosis was low in both military and civilian students. Specifically, the prevalence of diagnosis was significantly lower (P value = .032) among military-involved college students (10.8%) compared to civilian college students (16.4%). Differences in sociodemographic characteristics (e.g., gender, race/ethnicity, and age) among military-involved and civilian college students appear to explain this association. Conclusions The underdiagnosis of eating disorders is far too common, and this represents a threat to the health of military and civilian populations alike. Underdiagnosis of eating disorders within military environments may be due to underreporting, particularly among men and racial/ethnic minority groups.

scholarly journals The Relationship between Body Dissatisfaction and Eating Disorder Symptoms in Young Women Aspiring Fashion Models: The Mediating Role of Stress

2021 ◽  
Vol 11 (2) ◽  
pp. 607-615
Author(s):  
Sabrina Castellano ◽  
Agostino Rizzotto ◽  
Sergio Neri ◽  
Walter Currenti ◽  
Claudia Savia Guerrera ◽  
...  
Keyword(s):  
Eating Disorders ◽  
Eating Disorder ◽  
Body Dissatisfaction ◽  
Young Women ◽  
Stress Level ◽  
Eating Attitudes ◽  
Health Concern ◽  
Eating Disorder Symptoms ◽  
Fashion Models ◽  
The Relationship

It is widely recognized that body dissatisfaction is an important public health concern. In the past, being a fashion model was almost synonymous with anorexia/bulimia, and even today, there are cases of eating disorders in young women whose ambition is to become a top model. Moreover, stress can play a substantial role within ill health via related behaviors such as smoking, substance abuse, and inappropriate eating. In our study, we examined 112 aspiring fashion models aged between 15 and 24 years (M = 19.5, SD = 2.08) from 32 different countries of the world during an international contest, and 100 students (control group), aged between 16 and 22 years (M = 18.6, SD = 1.39). The purpose of this cross-sectional study was to examine whether stress mediated the relationship between body dissatisfaction and eating disorders. The study included the administration of stress and self-efficacy and the locus of control dimensions, body (image) dissatisfaction, and eating attitude disorder. Results indicated higher scores on body dissatisfaction, stress level, and eating attitudes disorder among the group of fashion models compared to the control. Mediational analyses showed that body dissatisfaction was partially mediated by stress level on eating disorders. Especially in the aspiring fashion models, there are often many possibilities that competitive stress causes candidates to exacerbate attempts to maintain their body weight below normal weight/height parameters. These results indicated that appropriate intervention for the management of stress level could possibly defend against the negative impact of body dissatisfaction on eating disorder symptoms. The presence of skilled health workers in the field of nutrition and psychology can be extremely important in the field of fashion to maintain an adequate quality of life.

Eating Disorders: Relations with Inconsistent Discipline, Anxiety, and Drinking among College Women

2002 ◽  
Vol 91 (1) ◽  
pp. 289-298 ◽  
Author(s):  
Lisa Thomson Ross ◽  
Jessica L. Gill
Keyword(s):  
Eating Disorders ◽  
Eating Disorder ◽  
College Women ◽  
Inconsistent Parenting ◽  
Eating Disorder Symptoms ◽  
Retrospective Reports ◽  
Inconsistent Discipline ◽  
First Time ◽  
The Relationship ◽  
Time Eating

Since as many as 20% of all college women report symptoms of eating disorders, the present study examined the relationship between self-reported eating disorder symptoms, anxiety, drinking, and retrospective reports of inconsistent parenting during childhood. 101 college women, 85% Euro-Americans of mean age 19 yr., completed an anonymous survey including questions from the Eating Disorder Index-1, the Retrospective Family Unpredictability Scale, the Trait Anxiety Scale, and measures of drinking in the previous month. Eating disorder symptoms correlated with self-reported drinking quantity, anxiety, and retrospective ratings of inconsistent discipline. This appears to be the first time eating disorder symptoms have been associated with inconsistent discipline. Implications for etiology and treatment of eating disorders are discussed.

Sexual Assault Victimization and Eating Disorders Among College-enrolled Men

2020 ◽  
pp. 088626052095863
Author(s):  
Kyle T. Ganson ◽  
Rachel F. Rodgers ◽  
Sarah K. Lipson ◽  
Tamara J. Cadet ◽  
Michelle Putnam
Keyword(s):  
Eating Disorders ◽  
Eating Disorder ◽  
Sexual Assault ◽  
Mental Health Professionals ◽  
Female Students ◽  
Sexual Minority Men ◽  
Eating Disorder Symptoms ◽  
Minority Men ◽  
Using Data ◽  
The Relationship

Sexual assault victimization and eating disorder rates are high among college populations and have significant psychological, physiological, and social outcomes. Previous research has found a positive relationship between experiences of sexual assault and eating disorder symptoms; however, these analyses have primarily focused on female students. Using data from the 2017-2018 Healthy Minds Study, the aim of this study was to investigate the relationship between experiencing a sexual assault within the previous 12 months and screening positive for an eating disorder among cisgender college-enrolled men. It was hypothesized that college-enrolled men who report experiencing a sexual assault within the previous 12 months would be more likely to screen positive for an eating disorder. Analyses were conducted using a sample of 14,964 cisgender college-enrolled men. Among the sample, nearly 4% reported a sexual assault within the previous 12 months and nearly 16% screened positive for an eating disorder. Results from logistic regression analyses indicated that college-enrolled men who reported experiencing a sexual assault in the previous 12 months, compared to those who did not, had significantly greater odds of screening positive for an eating disorder (OR = 1.40, p < .01). Analyses also indicated that college-enrolled men who identified as gay, queer, questioning, or other sexual orientation and reported experiencing a sexual assault in the previous 12 months had greater odds of screening positive for an eating disorder (OR = 2.50, p < .001) compared to their heterosexual peers who did not experience a sexual assault in the previous 12 months. These results indicate that eating disorders may be a negative outcome among college-enrolled men who have experienced a sexual assault, particularly among sexual minority men. Thus, mental health professionals need to be adequately prepared to treat the underserved population of men who experience an eating disorder and who have experienced sexual assault.

scholarly journals The mediating role of mentalizing between attachment and eating disorders

2018 ◽  
Vol 82 (3) ◽  
pp. 202-223 ◽  
Author(s):  
Iratxe Redondo ◽  
Patrick Luyten
Keyword(s):  
Eating Disorders ◽  
Eating Disorder ◽  
Structural Equation ◽  
Insecure Attachment ◽  
Equation Modeling ◽  
Mediation Analyses ◽  
Mediating Role ◽  
Eating Disorder Symptoms ◽  
The Relationship

The objective of the study was to investigate whether mindfulness mediated the relationship between attachment and eating disorders in a sample of 323 female university students and 38 anorexic inpatients using structural equation modeling. All insecure attachment subscales were positively related to eating disorder symptoms and negatively to mindfulness. Furthermore, mindfulness scores were negatively associated with eating disorder symptoms. Mediation analyses showed that the relationship between all the insecure attachment subscales and eating disorders was partially mediated by the mindfulness effects. These results are in line with Bateman and Fonagy's (2004a, 2004b) theory that implies a mediating role of mindfulness used as a proxy for mentalizing between attachment and psychopathology. Further research is needed, however, to replicate these findings.

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.

Sign in / Sign up

Export Citation Format

Share Document