scholarly journals Eating disorders among borderline patients: understanding the prevalence and psychopathology

2020 ◽  
Author(s):  
Mohsen Khosravi

Abstract Background: Common comorbidity and the shared psychopathology in borderline personality disorder (BPD) and feeding and eating disorder (FED) resulted in conceptualization of the relationship theory between disordered eating behaviors (DEB), alexithymia, depression, and anxiety. Therefore, the present study aims at investigating the FED prevalence in patients with BPD and evaluating the relationship between DEB, alexithymia, anxiety, and depression.Methods: This cross-sectional study was performed from August 2018 to November 2019; 110 patients with BPD and 110 healthy people were studied in this research. The participants were selected by systematic random sampling out of the patients referring to Baharan psychiatric hospital in Zahedan, Iran, with the sampling interval of 3. The subjects were evaluated by demographic data form, the 26-item eating attitudes test (EAT-26), 20-item Toronto alexithymia scale (TAS-20), Beck anxiety disorder (BAI), and Beck depression inventory-II (BDI-II).Results: The results show a 65.4% (n = 72) prevalence of FED in borderline patients; the highest and lowest prevalence rates are reported for avoidant/restrictive food intake disorder (ARFID) and bulimia nervosa, respectively. The highest mean score of TAS-20 is reported in anorexia nervosa. The regression analysis results show that anxiety and depression play a mediating role in the relationship between alexithymia and DEB.Conclusions: The results suggest that alexithymia should be paid clinical attention as a trait and distress-independent construct in the BPD and FED comorbidity.

2017 ◽  
Vol 41 (S1) ◽  
pp. S557-S557
Author(s):  
N. Messedi ◽  
I. Feki ◽  
R. Masmoudi ◽  
B.N. Saguem ◽  
J. Masmoudi

IntroductionThe student population seems to be vulnerable to eating disorders (ED) but is this in relation to their ability to express their emotions or alexithymia?ObjectivesStudying the prevalence of ED and alexithymia among medical students, and establish the relationship between these entities.MethodsIt was a cross-sectional study of 97 students in Sfax University Medicine (Tunisia). We used:– a questionnaire containing demographic and clinical data;– Eating Attitudes Test (EAT-26): a score ≥ 20 indicates ED;– Toronto Alexithymia Scale (TAS-20): a score ≥ 61 indicates alexithymia.ResultsThe average age of participants was 24.07 years (± 2.71); the sex ratio (M/W) was 0.4. Their average BMI was 22.85 kg/m2 (± 3.36). They were smoking in 36.1% and sedentary in 43.3% of case. They had a nibbling activity in 57.7%. The average score of the EAT-26 was 11.66 ± 8.66 and prevalence of TCA was 19.6%. The average score of TAS-20 was 50.92, 0.46 and alexithymia was found in 16.5% of students. ED was significantly correlated with nibbling (P = 0.02), BMI or overweight (P = 0.012), smoking (P = 0.006) and physical inactivity (P < 0.00). Also alexithymia was significantly correlated with smoking (P = 0.003) and physical inactivity (P = 0.025). A significant correlation was found between alexithymia and ED (P = 0.008).ConclusionIt is clear from our study an association between alexithymia and the ED. Psychological support aimed specifically alexithymic dimension is indispensable, not only for decreasing the emergence of ED but also contributing to lower any addictive behavior.Disclosure of interestThe authors have not supplied their declaration of competing interest.


Healthcare ◽  
2021 ◽  
Vol 9 (5) ◽  
pp. 594
Author(s):  
Teshome Sirak Bedaso ◽  
Buxin Han

This study aimed to examine attitude toward aging as a potential mediator of the relationship between personality factors and mental health in terms of depression and life satisfaction among older adults. A cross-sectional study was conducted with 438 Ethiopian elderly individuals aged 60 to 69. The results of the regression-based path analysis showed that after adjusting for demographic data, the relationship between agreeableness and depression in older adults was partially mediated by attitude toward aging. Likewise, attitude toward physical change due to aging and psychological growth subscales jointly mediated the correlation between neuroticism and depression. However, a significant direct path between neuroticism and depression persisted. On the contrary, openness had no significant direct association with depression apart from an indirect through psychosocial loss. The link between life satisfaction and agreeableness as well as openness to experience were partially mediated by psychosocial loss. Therefore, a person’s attitude toward aging and personality characteristics should be taken into consideration while designing interventions for managing mental health issues among older adults.


Children ◽  
2021 ◽  
Vol 8 (3) ◽  
pp. 245
Author(s):  
Alejandro Martínez-Rodríguez ◽  
Manuel Vicente-Martínez ◽  
Javier Sánchez-Sánchez ◽  
Laura Miralles-Amorós ◽  
María Martínez-Olcina ◽  
...  

(1) Background: The preoccupation with the increasing appearance of eating disorders (ED) in athletes continues to grow, especially in athletes who practice team sports. ED severely affects the eating habits of the athletes, who tend to use unhealthy approaches to control their body weight. The development of nutritional education and early interventions by training staff is essential, and these factors are widely perceived as beneficial in sports medicine. This study evaluates the frequency at which beach handball (BH) players develop ED, also comparing the differences by sex and age (junior: adolescents vs. senior: young adults). In addition, the relation between body composition variables and ED was studied. (2) Methods: A descriptive and cross-sectional study was carried out in 69 top elite handball players (36 males and 33 females) from the Spanish National BH Team; who were separated by age (junior: adolescents and senior: young adults). The athletes completed the Eating Attitudes Test in its 26 item version (EAT-26). (3) Results: The prevalence of ED indicated that 11% of females had a high possibility of developing an ED, and 3% of males. Regarding the EAT-26 total score and subscales, no significant differences were found between female and male participants, or between the junior and senior categories. The correlations showed an association between body composition, in terms of body mass index, and the EAT-26 total score in both males and females. In the case of males, the correlation was negative. (4) Conclusions: Although there are no significant differences between sex or categories, it has been found that elite athletes are a population that is at high risk of developing ED.


2021 ◽  
Vol 25 (1) ◽  
pp. 78-86
Author(s):  
Fatma Esra Güneş ◽  
Şule Aktaç ◽  
Dicle Kargin

Introduction: This study aimed to investigate the relationship between media using habits, frequency and duration, and body mass index on eating attitudes. Material and methods: The cross-sectional study was conducted with female students who received nutrition and dietetics education in Istanbul. A questionnaire consisting of a socio-demographic questionnaire, Eating Attitude Test (EAT-40), and Social Media Attitude Scale was applied to 1248 female volunteers by the face-to-face interview method.Results: It was found that 35.7% of the participants had abnormal eating attitudes and 89.6% showed a positive attitude towards social media. 93.7% of the group with abnormal eating attitudes indicated a positive attitude towards social media, 0.4% had a negative attitude and the difference was statistically significant (p=0.001). It was observed that a significant difference between EAT-40 and thought of an eating problem, having a social media membership, and spending time on social media (p<0.05).Conclusions: Social media have an effect on nutrition dietetics students on abnormal eating attitude; it did not show a significant effect on BMI.


2020 ◽  
Author(s):  
lulua falah alasousi ◽  
sara alhammouri ◽  
sara alabdulhadi

Background: Rising fear and panic among public during COVID19 pandemic increase concern regarding anxiety cases in Kuwait. Media capture our attention during this period looking for daily virus update lead to more fear . Our purpose of this study to examine the relationship between anxiety and media exposure among Kuwaiti during COVID19 outbreak Method: cross sectional study among Kuwaiti citizen between age23-55yrs old was conducted from April,21,2020 to May,15,2020 using online survey. Total of 1230 participants involve in the current study after exclusion criteria removed. Beside demographic data and media exposure anxiety was assessed using generalized anxiety disorder scale GAD-7. multivariable regression was used to identify the correlation between anxiety and media exposure Result: the result show that there is positive correlation between media exposure and anxiety during COVID19 outbreak in Kuwait (p<.001), furthermore it revealed that there is significant relationship between the frequency of exposure and anxiety(<.001) Conclusion: from this study we can understand that during COVID19 pandemic exposure to media can cause anxiety therefore measures should be taken by the governments to fight misinformation and physician should pay more attention to mental health disease during this period.


2021 ◽  
Vol 16 (3) ◽  
pp. 417-427
Author(s):  
Destika Fahrina ◽  
Mahmuddin Mahmuddin ◽  
Irina Kemala Nasution ◽  
Yuneldi Anwar

Several studies have shown that there is an increase in bilirubin levels, leukocytes, and blood pressure in acute phase strokes. The purpose of this study was to determine the relationship between liver function levels, leucocytes, and blood pressure with the functional outcome of acute stroke. The method was a cross-sectional study with a sample size of 30 people who were selected by consecutive non-random sampling method, clinically proven acute stroke patients, and computed tomography (CT) scan. They were studied at the General Hospital of the Adam Malik Center. Demographic data were analyzed using descriptive statistics. The results showed that all subjects did not differ in terms of demographic characteristics. This study concluds that there is no relation between liver function (total bilirubin, direct bilirubin, indirect bilirubin, serum glutamic oxaloacetic transaminase [AST], serum glutamic pyruvic transaminase [SGPT], alkaline phosphatase [ALP]), leukocytes, and blood pressure with acute stroke functional outcome. The functional outcome in acute hemorrhagic stroke is worse than acute ischemic stroke. Higher levels of liver function, leucocytes, and blood pressure were found in patients with the worse functional outcome though not significantly associated.


Author(s):  
Hawraa Alsunni ◽  
Rabab AlJumian ◽  
Sarah AlSalman ◽  
Reham AlFaraj ◽  
Fatimah AlMatrook ◽  
...  

Background: The relationship between coffee and tea consumption and dental caries in Saudi Arabia has not been covered adequately. The aim of this cross-sectional study was to assess the association between the frequency and quantity of coffee and tea consumption and dental caries severity among adolescents (middle and high schools) in the Eastern Province, Saudi Arabia. Methods: A cross-sectional observational survey study that was carried out in Eastern Province, Saudi Arabia. Validated interview-based questionnaires were used to ask about the background information and the frequency and quantity of coffee and tea consumption with two sections of the survey: the first section was about the demographic data and the second section assessed the frequency and quantity of coffee and tea consumption and examination was done during daylight using disposable dental mirror and blunt probe. Result: A total of 2265 middle school children with a response rate of 77.8%. Out of them, Females accounted for 1288 (56%) and the mean age (±SD) was 14 (±1.322). Regarding parents’ education, 1916 (84.6%) of participants’ fathers and 1836 (81.1%) of their mothers had a high school certificate or higher. There was a significant association between the frequency of coffee and tea consumption and caries (p=0.013). Conclusion: There was a significant association between the frequency of coffee and tea consumption and caries (p=0.013). The frequency of coffee and tea consumption, the higher the caries. However, there was no association between the quantity of coffee and tea consumption and D nor with the overall DMF score.


2017 ◽  
Vol 27 (8) ◽  
pp. 917-935 ◽  
Author(s):  
Stephanie Pickett ◽  
Thomas P. McCoy

Psychosocial stress and negative emotions have been associated with the consumption of highly palatable foods and excess weight. Few studies have examined these variable relationships among young African American women. The purpose of this cross-sectional study was to examine the relationship of perceived stress, depressive symptoms, eating behaviors, and body mass index (BMI) among 191 African American women who were 18 to 40 years old. Multivariate analysis indicated that depressive symptoms had a greater impact on highly palatable eating behaviors compared with perceived stress. This study extends understanding of depressive symptoms on eating behaviors among young African American women.


2019 ◽  
Vol 7 (3) ◽  
pp. 698-707
Author(s):  
Tarfa Albrahim ◽  
Anwar Abdullah Alrubaish ◽  
Jewaher Turki Saleh Alfadhliah ◽  
Manal Khalid Alaskar ◽  
Mona Abdulla Alatawi ◽  
...  

To explore the prevalence of disordered eating attitudes among the students of the Princess Nourah Bint Abdulrahman University (PNU), in Riyadh, Saudi Arabia. Methods: In this cross-sectional study, 396 (18-24 years) undergraduate students from the PNU were requested to participate, after acquiring their verbal consent. The two-part questionnaire included the demographic and anthropometric data like age, weight and height in the first part, while the assessment of the disordered eating attitudes according to the tools listed in the Eating Attitude Test 26 (EAT-26) were included in the second part. A total score of 20 or more on questions 1-26 was classified as being at risk of eating disorders. The study showed 145 students (36.8%) in all, fell under the class of high level of concern for an eating disorder, registering a score of 20 or higher on the EAT-26. With respect to the EAT score among the BMI categories marked differences were evident on the EAT items, feeling extremely guilty after eating, occupied with a desire to be thinner, burning up calories during exercise, preoccupied with the thought of having fat on my body, eating diet food, feeling uncomfortable after eating sweets and engaging in dieting behavior, having gone on eating binges where I feel I may not be able to stop and feeling that others would prefer if I ate more food and other people think I am too thin. Besides, in comparison to students with normal weight, students who were underweight, overweight, and obese exhibited considerable disparities on the total EAT score. More than one third (36.6%) of females at PNU university, Saudi Arabia had disordered eating attitudes. The present study revealed that female students require awareness regarding proper nutrition.


2021 ◽  
Vol 9 (1) ◽  
Author(s):  
Ruty Eulália de Medeiros Eufrásio ◽  
Rannapaula Lawrynhuk Urbano Ferreira ◽  
Leilane Lílian Araújo Leal ◽  
Erikarla Baracho Avelino ◽  
Rafaela Nayara da Costa Pelonha ◽  
...  

Abstract Background Ballet dancers are a risk group for body image (BI) distortion, dissatisfaction and eating disorders (ED), but few studies have investigated these aspects in amateur adult practitioners. This study aimed to evaluate if amateur female adult classical ballet dancers presented different BI and behaviors for ED than gym users and sedentary women. Methods This is a cross-sectional study where classical ballet dancers (n = 19) were compared to gym users (n = 19) and sedentary women (n = 19). Body mass index (BMI) was assessed, and a figure rating scale was applied to assess BI distortion/dissatisfaction. The body shape questionnaire (BSQ) was used to measure BI concern. The eating attitudes test (EAT-26) and the bulimic investigatory test, Edinburgh (BITE) were used for behaviors toward anorexia and bulimia. Results BMI was significantly lower in ballet dancers than gym users and sedentary women (F, p = .04). BI distortion did not differ among the studied groups. BI dissatisfaction was lower (X2, p = .041) in ballet dancers (75.0%) and gym users (70.6%) compared to sedentary women (100%). Correspondence analysis showed ballet dancers were mostly not concerned with BI, which was not observed among the other groups. The EAT-26 did not differ between the studied groups. The BITE score was lower (Tukey’s post hoc test, p = .005) in the ballet dancers [mean 5.3 (5.6)] compared to the sedentary women [mean 10.9 (4.8)]. Conclusions Data suggest that amateur classical ballet practicing is associated to better BI and fewer behaviors for ED in the studied population. The lower BMI in ballet dancers might explain these findings, and further studies should explore these associations.


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