scholarly journals A New Integrative Model For The Co-Occurrence of Non-Suicidal Self-Injury Behaviours and Eating Disorder Symptoms

2021 ◽  
Author(s):  
Isabel Krug ◽  
Mercedes Delgado Arroyo ◽  
Sarah Giles ◽  
An Binh Dang ◽  
Litza Kiropoulos ◽  
...  
Keyword(s):  
Eating Disorder ◽  
Online Survey ◽  
Community Sample ◽  
Integrative Model ◽  
Drive For Thinness ◽  
Maladaptive Schemas ◽  
Affect Dysregulation ◽  
Community Group ◽  
Self Injury ◽  
Unique Predictor

Abstract Objective: The high co-occurrence of non-suicidal self-injury (NSSI) behaviours and eating disorder (ED) symptoms suggests these conditions share common aetiological processes. We assessed whether insecure attachment and maladaptive schemas were related to NSSI and ED symptoms through affect dysregulation, impulsivity, self-esteem, and body dissatisfaction. Method:123 ED patients and 531 individuals from the community completed an online survey, which included measures assessing the variables of interest. Results: The model was a good fit for the ED group, however only a revised model reached an acceptable fit for the community sample. In the community group, impulsivity was a shared predictor for NSSI and bulimic symptoms, whereas affect dysregulation was a unique predictor for NSSI in both the ED and community groups. No other variables were shared by NSSI and ED symptoms in the two groups. Both attachment and maladaptive schemas were implicated in the pathways leading to ED and NSSI symptoms in the clinical ED and the community sample. The variance explained for NSSI and drive for thinness were highest for the clinical ED sample (29% and 57% respectively). Conclusion: Common factors may underlie NSSI and ED symptoms, however, these factors may become more specific and less prevalent as a function of disorder severity.

scholarly journals A new integrative model for the co-occurrence of non-suicidal self-injury behaviours and eating disorder symptoms

2021 ◽  
Vol 9 (1) ◽  
Author(s):  
Isabel Krug ◽  
Mercedes Delgado Arroyo ◽  
Sarah Giles ◽  
An Binh Dang ◽  
Litza Kiropoulos ◽  
...  
Keyword(s):  
Eating Disorder ◽  
Online Survey ◽  
Community Sample ◽  
Insecure Attachment ◽  
Integrative Model ◽  
Maladaptive Schemas ◽  
Community Group ◽  
Proposed Model ◽  
Bulimic Symptoms ◽  
Self Harm

Abstract Objective The high co-occurrence of non-suicidal self-injury (NSSI) behaviours and eating disorder (ED) symptoms suggests these conditions share common aetiological processes. We assessed a new integrative model of shared factors for NSSI and ED symptoms, where affect dysregulation, impulsivity, self-esteem, and body dissatisfaction mediated the relationship between insecure attachment and maladaptive schemas and NSSI and ED symptoms. A further aim of the study was to assess whether the model behaved similarly across a clinical eating disorder (ED) and a community sample. Method 123 females with a lifetime ED diagnosis and 531 female individuals from the community completed an online survey, which included measures assessing the variables of interest. A cross-sectional single time point analysis was used. Results Invariance testing indicated that the model was structurally non-invariant (different across groups). The proposed integrative model was a good fit for the ED group, but for the community sample only a revised model reached an acceptable fit. Both attachment and maladaptive schemas, included early in the model, were implicated in the pathways leading to ED and NSSI symptoms in the ED and community groups. In the community group, impulsivity, a mediator, was a shared predictor for NSSI and bulimic symptoms. No other mediating variables were shared by NSSI and ED symptoms in the two groups. Overall, the proposed model explained slightly more variance for the ED group relative to the community group in drive for thinness (R2 = .57 vs .51) and NSSI (R2 = .29 vs .24) but less variance in bulimic symptoms (R2 = .33 vs .39). Conclusion We conclude that the current model provides only limited support for explaining the comorbidity between NSSI and ED symptoms. It is vital to consider both common (e.g., attachment and maladaptive schemas) and specific factors (e.g., impulsivity) to better understand the pathways that lead to the co-occurrence of NSSI and ED symptoms. A new integrative model assessed whether emotion dysregulation, impulsivity, self-esteem, and body dissatisfaction were mediators in the relationship between insecure attachment and maladaptive beliefs about the world and the self and subsequent eating disorder and self-harm symptoms. A further aim was to assess whether the proposed model differed between a clinical eating disorder and a community sample. All participants were female and included 123 patients with a lifetime eating disorder and 531 individuals from the community. Participating individuals completed an online survey at one timepoint, which included measures assessing the variables of interest. The findings of the current study indicated that the proposed model was a good match for the clinical eating disorder sample, but for the community sample only a revised model yielded acceptable statistical fit. Both insecure attachment and maladaptive beliefs about the world and the self, included early in the model, were indirectly related to eating disorder and self-harm symptoms for both the eating disorder and the community groups. Impulsivity, a mediator, was the only shared predictor for self-harm, and bulimic symptoms in the community group. We conclude that the current model provides only limited support for explaining the comorbidity between self-harming behaviours and disordered eating symptoms.

Prevalence and Correlates of Eating Disorder Symptoms in a Community Sample with Non-Suicidal Self-Injury

2014 ◽  
Vol 37 (3) ◽  
pp. 504-511 ◽  
Author(s):  
Angelina Yiu ◽  
Brianna J. Turner ◽  
Brianne K. Layden ◽  
Alexander L. Chapman ◽  
Shannon L. Zaitsoff
Keyword(s):  
Eating Disorder ◽  
Community Sample ◽  
Eating Disorder Symptoms ◽  
Self Injury

scholarly journals Behavioral measures of impulsivity and compulsivity in adolescents with nonsuicidal self-injury

CNS Spectrums ◽  
2021 ◽  
pp. 1-9
Author(s):  
Nina M. Lutz ◽  
Samuel R. Chamberlain ◽  
Ian M. Goodyer ◽  
Anupam Bhardwaj ◽  
Barbara J. Sahakian ◽  
...  
Keyword(s):  
Decision Making ◽  
Negative Binomial ◽  
Community Sample ◽  
Future Research ◽  
Gambling Task ◽  
Reversal Task ◽  
Behavioral Measures ◽  
Self Injury ◽  
Neurocognitive Measures ◽  
Nonsuicidal Self Injury

Abstract Background Nonsuicidal self-injury (NSSI) is prevalent among adolescents and research is needed to clarify the mechanisms which contribute to the behavior. Here, the authors relate behavioral neurocognitive measures of impulsivity and compulsivity to repetitive and sporadic NSSI in a community sample of adolescents. Methods Computerized laboratory tasks (Affective Go/No-Go, Cambridge Gambling Task, and Probabilistic Reversal Task) were used to evaluate cognitive performance. Participants were adolescents aged 15 to 17 with (n = 50) and without (n = 190) NSSI history, sampled from the ROOTS project which recruited adolescents from secondary schools in Cambridgeshire, UK. NSSI was categorized as sporadic (1-3 instances per year) or repetitive (4 or more instances per year). Analyses were carried out in a series of linear and negative binomial regressions, controlling for age, gender, intelligence, and recent depressive symptoms. Results Adolescents with lifetime NSSI, and repetitive NSSI specifically, made significantly more perseverative errors on the Probabilistic Reversal Task and exhibited significantly lower quality of decision making on the Cambridge Gambling Task compared to no-NSSI controls. Those with sporadic NSSI did not significantly differ from no-NSSI controls on task performance. NSSI was not associated with behavioral measures of impulsivity. Conclusions Repetitive NSSI is associated with increased behavioral compulsivity and disadvantageous decision making, but not with behavioral impulsivity. Future research should continue to investigate how neurocognitive phenotypes contribute to the onset and maintenance of NSSI, and determine whether compulsivity and addictive features of NSSI are potential targets for treatment.

scholarly journals Prognosis of adolescent partial syndromes of eating disorder

2008 ◽  
Vol 192 (4) ◽  
pp. 294-299 ◽  
Author(s):  
George C. Patton ◽  
Carolyn Coffey ◽  
John B. Carlin ◽  
Lena Sanci ◽  
Susan Sawyer
Keyword(s):  
Eating Disorder ◽  
Bulimia Nervosa ◽  
Young Adulthood ◽  
Social Adjustment ◽  
Substance Misuse ◽  
Social Role ◽  
Community Sample ◽  
Clinical Intervention ◽  
Health Significance ◽  
Dsm Iv

BackgroundPartial syndromes of eating disorder are common in adolescents but the health significance of these syndromes remains uncertain.AimsTo document the health and social adjustment in young adulthood of females assessed as having a partial syndrome of eating disorder in adolescence.MethodA community sample of 1943 participants was tracked over 10 years in an eight-wave cohort study. A partial syndrome was defined as the fulfilment of at least two DSM-IV criteria for either anorexia or bulimia nervosa at one assessment or more between the ages of 15 years and 17 years.ResultsPartial syndromes were found in 9.4% of 15- to 17-year-old female participants and 1.4% of males. There were few instances of progression of partial syndromes to fully fledged anorexia and bulimia nervosa. However, among those with partial syndromes depressive and anxiety symptoms were two to three times higher in young adulthood, substance misuse was common, and a majority of those with a partial syndrome of anorexia nervosa were still underweight in their mid-20s.ConclusionsGiven the level of subsequent psychopathology and social role impairment, there may be justification for initiating trials of preventive and early clinical intervention strategies for adolescent partial syndromes.

scholarly journals Prevalence and demographic, substance use, and mental health correlates of fasting among U.S. college students

2021 ◽  
Vol 9 (1) ◽  
Author(s):  
Kyle T. Ganson ◽  
Rachel F. Rodgers ◽  
Stuart B. Murray ◽  
Jason M. Nagata
Keyword(s):  
Mental Health ◽  
College Students ◽  
Substance Use ◽  
Eating Disorder ◽  
Suicidal Ideation ◽  
Drug Use ◽  
Illicit Drug ◽  
Men And Women ◽  
The Past ◽  
Self Injury

Abstract Background Fasting is an unhealthy behavior that has been frequently used as part of weight loss attempts. To date, little research has been conducted to determine the prevalence and substance use and mental health correlates of fasting among college students. Therefore, the aim of this study was to estimate the prevalence and associations between any (≥ 1 time) and regular (≥ 13 times) occurrences of fasting in the past 4 weeks and substance use and mental health correlates among a large sample of college students from 2016 to 2020. Methods Data from four academic survey years (2016–2020; N = 8255) of the national (USA) Healthy Minds Study were analyzed. Unadjusted prevalence of any and regular fasting by survey year and gender was estimated. Multiple logistic regression analyses were conducted to estimate the associations between any and regular fasting and the demographic (age, body mass index, race/ethnicity, sexual orientation, highest parental education), substance use (cigarette use, marijuana use, other illicit drug use, alcohol use), and mental health (depression, anxiety, eating disorder symptoms, suicidal ideation, non-suicidal self-injury) correlates. Results Any fasting in the past 4 weeks was common among both men (14.77%) and women (18.12%) and significantly increased from 2016 (10.30%) to 2020 (19.81%) only among men. Regular fasting significantly increased among both men and women from 2016 (men: 1.46%; women: 1.79%) to 2020 (men: 3.53%; women: 6.19%). Among men and women, both any and regular fasting in the past 4 weeks were associated with higher odds of all mental health symptoms, including a positive depression, anxiety, and eating disorder screen, suicidal ideation, and non-suicidal self-injury. Among women, but not men, any and regular fasting in the past 4 weeks were associated with higher odds of marijuana use and other illicit drug use (e.g., cocaine, ecstasy). Conclusions The results from this study underscore both the high and increasing prevalence of fasting among a national sample of college students, as well as the substance use and mental health symptoms associated with this behavior. Healthcare professionals both on and off campus should consider screening for fasting behaviors among college students and provide appropriate intervention when needed.

scholarly journals #SocialMedia: Exploring the Relationship of Social Networking Sites on Body Image, Self-Esteem, and Eating Disorders

2017 ◽  
Vol 3 (2) ◽  
pp. 205630511770440 ◽  
Author(s):  
Sara Santarossa ◽  
Sarah J. Woodruff
Keyword(s):  
Body Image ◽  
Eating Disorder ◽  
Social Networking ◽  
Social Networking Sites ◽  
Online Survey ◽  
Self Esteem ◽  
Social Networking Site ◽  
Dependent Relationship ◽  
Relationship Of ◽  
The Relationship

The aim of this study was to investigate whether problematic social networking site (SNS) use (i.e., degree of dependent relationship with SNSs), total SNS time/day, total SNS friends, and specific SNS activities were related to body image (BI), self-esteem (SE), and eating disorder (ED) symptoms/concerns. A sample of young adults ( N = 147) completed an online survey which measured SNS usage, problematic SNS use, BI, SE, and ED symptom/concerns. The findings revealed that females and males spent 4.1 ± 3.9 and 2.9 ± 2.8 hr on SNS, respectively, with the majority of time spent lurking (i.e., looking at another users’ profile but not actually communicating with them). Furthermore, problematic SNS use was found to be related to BI, SE, and ED symptoms/concerns. Moreover, SNS activities, such as lurking and posting comments on others’ profiles, were found to be related to BI, whereas SNS total time was found to be related to ED symptoms/concerns. Overall, this study demonstrates the possible correlational influence of SNSs on BI, SE, and ED symptoms/concerns.

scholarly journals Burnout among staff on specialized eating disorder units in Norway

2021 ◽  
Vol 9 (1) ◽  
Author(s):  
Trine Wiig Hage ◽  
Karin Isaksson Rø ◽  
Øyvind Rø
Keyword(s):  
Eating Disorders ◽  
Regression Analysis ◽  
Eating Disorder ◽  
Work Environment ◽  
Online Survey ◽  
Healthcare Providers ◽  
Personal Accomplishment ◽  
Emotional Dissonance ◽  
Specific Factors ◽  
Low Levels

Abstract Objective Burnout is commonly associated with low workplace wellbeing. Patients with eating disorders are frequently referred to as a particularly challenging group to treat. It is therefore important to study healthcare providers´ workplace wellbeing in settings which treat eating disorders. The aims of the current study were to (a) measure burnout among healthcare providers working on specialized eating disorder units in Norway, and (b) explore factors predicting burnout. Methods 186 participants from 11 specialized eating disorder units in Norway completed an online survey including the Mashlach Burnout Inventory, and eating disorder-specific factors related to burnout, job satisfaction, work environment, emotional dissonance and stress. Multiple regression analysis was used to identify predictors of burnout. Results Overall, low levels of burnout were found among the participants. Eating disorder-specific factors and emotional dissonance predicted the three central aspects of burnout, namely, emotional exhaustion, depersonalization, and a diminished sense of personal accomplishment. Conclusions Findings suggest a relatively low level of burnout across age, gender, and professional categories working at specialized eating disorder units, contrary to commonly-held assumptions pertaining to the challenges involved in treating individuals with eating disorders.

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