scholarly journals Self-reported Precipitating Factors for the Development of Eating Disorders in Young Adulthood: A Preliminary Study

2020 ◽  
Author(s):  
Cassandra Lenza

Abstract Objective: This study aimed to identify the perceived precipitating factors for seeking eating disorder treatment in the Millennial population. The purpose of this study was to understand the Millennial population, and determine if self-reported causes of eating concerns are different for this age demographic than that of the general population. Method: An exploratory analysis of the charts of one hundred individuals, mainly women, who sought eating disorder treatment at an outpatient eating disorder treatment center, for the period of 2014-2018, was completed. Respondents met the age criteria and were 18-36 years old. Results: The majority of individuals reported beginning dieting behaviors or restricting their food intake as the main cause of their eating disorder (44%). Discussion: Millennial individuals are comparative to the general public when self-reporting precipitating events that lead to the development of an eating disorder. Risk factors inherent to eating disorders, such as early dieting, body dissatisfaction, anxiety, and depression remain the same for this population.

Author(s):  
Sarah Nutter

Embodiment and the Treatment of Eating Disorders: The Body as a Resource in Recovery by Catherine Cook-Cottone provides over its 13 chapters a theoretical framework and practice recommendations for infusing embodiment in eating disorder treatment via her Embodied Approach to Treating Eating Disorders model. Part 1 of the book provides an overview of the model and Part 2 provides a framework for integrating the model into treatment, using several aspects of embodiment. Cook-Cottone includes numerous resources in the book to support counsellors in integrating this model into practice. For clinicians working with clients struggling with disordered eating or eating disorders, Cook-Cottone’s book provides an engaging addition to eating disorders treatment.


Author(s):  
Marina Gershkovich ◽  
Olivia Pascucci ◽  
Joanna Steinglass

This chapter discusses the comorbidity of eating disorders with OCD, including epidemiology, neurobiology, clinical features, and treatment. These disorders frequently cooccur. There are hints that eating disorders and OCD may share underlying neural mechanisms of illness, but these neurobiological models are preliminary. Cooccurrence of eating disorders and OCD is more common in clinical populations than community samples, highlighting the importance of assessing eating and weight history among patients with OCD. Treatment for bulimia nervosa includes psychotherapy and medication options, all with good empirical support. Treatment for anorexia nervosa emphasizes behaviorally based approaches to weight restoration treatment, with no clear evidence for medication treatments. When these illnesses occur together, treatment focused on the eating disorder yields improvement in OCD symptoms. Integrating exposure and response prevention techniques into eating disorder treatment may yield synergistic improvement in both illnesses. Future research may shed light on shared and distinct neurobiological mechanisms of these illnesses.


Author(s):  
B. Timothy Walsh ◽  
Evelyn Attia ◽  
Deborah R. Glasofer

Eating disorders are complex conditions, and adequate treatment commonly requires a team (multidisciplinary) approach. Navigating the landscape of treatment providers can be overwhelming, but it is worth taking the time to really understand who’s who in eating disorder treatment and what role they each...


Author(s):  
Carolyn Black Becker ◽  
Nicholas R. Farrell ◽  
Glenn Waller

Three relatively novel approaches to the use of exposure for eating disorders are considered. Each is relatively experimental in treating eating disorders but is well established in treating anxiety-based disorders. Interoceptive exposure can be used to treat distress over bodily cues (e.g., fullness). Imaginal exposure can be used to elevate and treat anxiety as a prelude to in vivo exposure, although it should be used only when necessary. Finally, exposure can be used to address “magical thinking,” such as thought–shape fusion. These methods show promise with eating disorder treatment but are in the early stages of conceptualization and development. Their use should be treated as experimental at present, and clinicians should be alert to their impact in clinical practice.


2019 ◽  
Vol 65 (4) ◽  
pp. 469-475
Author(s):  
Hannah N. Ziobrowski ◽  
Kendrin R. Sonneville ◽  
Kamryn T. Eddy ◽  
Ross D. Crosby ◽  
Nadia Micali ◽  
...  

2018 ◽  
Vol 12 (4) ◽  
pp. 562-577 ◽  
Author(s):  
Laura K. Fewell ◽  
Riley Nickols ◽  
Amanda Schlitzer Tierney ◽  
Cheri A. Levinson

Understanding the unique needs of athletes who undergo eating disorder (ED) treatment is sorely needed. This study explores changes of strength and power in athlete (n = 21) and non-athlete (n = 36) patients from intake to discharge. Maximal oxygen consumption, vertical jump, push-ups, hand grip strength, and body mass index (in anorexia nervosa; AN) were measured among treatment center patients. The number of push-ups and hand grip strength were significantly improved upon discharge in the full sample (ps < .005) and in AN only (ps < .001). Body mass index was also significantly higher in AN (p < .001). Maximal oxygen consumption and vertical jump did not significantly improve between admission and discharge in either group (ps > .40). This study is the first to investigate measures of strength in athletes engaged in intensive eating disorder treatment and indicates the need to address the psychological mindset around physical activity using exercise education as part of a comprehensive program. Recommendations for incorporating exercise into an intensive ED treatment center are also provided.


2021 ◽  
Vol 9 (1) ◽  
Author(s):  
Louise Fletcher ◽  
Henrietta Trip ◽  
Rachel Lawson ◽  
Nicki Wilson ◽  
Jennifer Jordan

Abstract Background Eating disorders are widely recognized as serious illnesses, with complex psychological and physiological comorbidities. Affected individuals face a protracted and challenging treatment journey which, particularly for children and adolescents, requires significant input from family members as carers. This study investigated the perspectives and experiences of those caring for family members with an eating disorder diagnosis. Method Participants were carers of affected individuals with an eating disorder, and were recruited from an online survey, subsequently consenting to a semi-structured qualitative interview. Inductive thematic analysis was undertaken to identify themes. Results Most participants in the sample were parents of affected individuals. Significant and ongoing psychological and emotional impacts were identified across the sample. The diagnosis, treatment journey and overall impact of the carer role created a situation captured by the over-arching theme ‘life is different now’. Impacts profoundly influenced relationships and were felt across all aspects of life by carers, affected individuals and other family members. Heightened worry and vigilance experienced by carers continued beyond improvement or recovery. Conclusions This research highlighted challenging and often exhausting impacts felt by carers due to their pivotal role in eating disorder treatment. Inadequate support for most carers in this sample has clear implications for families as well as service and funding providers. Further research should more fully investigate carer experience with different eating disorders to explore the type of support necessary to build capacity and resilience to reduce carer burden.


2020 ◽  
Vol 8 (1) ◽  
Author(s):  
Siân A. McLean ◽  
Kim Hurst ◽  
Hilary Smith ◽  
Beth Shelton ◽  
Jeremy Freeman ◽  
...  

Abstract Advances are needed to ensure safe and effective treatment is available for people with eating disorders. Recently developed clinical practice and training standards for mental health professionals and dietitians represent a significant step in this direction by providing a consensus statement on eating disorder treatment as a foundation on which to build competent practice. This commentary argues that a credentialing system could promote implementation of these practice standards through formal recognition of qualifications, knowledge, training and professional activities to meet minimum standards for delivery of safe and effective eating disorder treatment. Drivers for credentialing include the imperative to provide safe and effective care, promotion of workforce development in eating disorder practice and, importantly, readily available and transparent information for referrers, consumers, and carers to identify health professionals credentialed to provide eating disorder treatment. However, a number of factors must be considered to ensure that credentialing does not restrict access to care, such as prohibitively narrow criteria to become credentialed, absence of pathways for education, training, or professional development opportunities, and lack of consultation with or endorsement by stakeholders of the credentialing criteria, application and approval processes, and ways of identifying credentialed practitioners. Further work, including development of credentialing criteria and aligned training opportunities, currently being undertaken by the Australia & New Zealand Academy for Eating Disorders and the National Eating Disorders Collaboration in consultation with stakeholders in the eating disorders sector and health professions will advance understanding of the feasibility of a system of credentialing for eating disorders within Australia and New Zealand. The availability of clinical practice and training standards, supported by implementation pathways, including credentialing of eating disorders practitioners, aim to improve quality of life, reduce financial burden, and close the treatment gap.


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