A Family-based Intervention of Adolescents With Eating Disorders: the Role of Assertiveness

Author(s):  
Gustavo Gonzalez-Cuevas
2018 ◽  
pp. 359-374
Author(s):  
Debra K. Katzman ◽  
Tania Turrini ◽  
Seena Grewal

Adolescent health providers (AHPs) and nutritionists each have a unique role in the care of adolescents with eating disorders. Their respective roles and responsibilities are especially refined in the context of family-based therapy (FBT). The role of the AHP and nutritionist in the context of FBT requires a fundamental change in how these members of the interdisciplinary team think about and provide care to young people with eating disorders. This article focuses on the distinct roles of the AHP and nutritionist in FBT in the care of adolescents with eating disorders and their families.


2013 ◽  
Vol 53 (4) ◽  
pp. 433-440 ◽  
Author(s):  
Debra K. Katzman ◽  
Rebecka Peebles ◽  
Susan M. Sawyer ◽  
James Lock ◽  
Daniel Le Grange

2017 ◽  
Vol 41 (S1) ◽  
pp. S553-S553
Author(s):  
A.L. Barrios-Hernandez ◽  
G. Gonzalez-Cuevas ◽  
M. Graell-Berna ◽  
A. Blanco Fernandez

IntroductionOne of the key profile features of adolescents with Eating Disorders (ED) is a difficulty with assertiveness. Indeed, current research points to the importance of these patients’ perception of excessive control exerted by their families. Because these adolescents generally live with their families of origin, family-based variables may impact the development and evolution of psychosocial risk factors associated with this psychiatric disorder.ObjectiveTo investigate whether adolescents with ED improve on assertive communication as a result of parental assertiveness training.MethodsThe sample was comprised of 50 female adolescents with ED receiving group therapy treatment at Niño Jesús hospital in Madrid. Out of the 77 parents participating in the study, 36 were part of the experimental group and subjected to training in assertive skills (8-week sessions for about 2 hours). In addition, 41 parents formed the control group (with no assertiveness training). Before and after this training (or the same amount of time for the control group), adolescents were administered the psychometric test known as the Rathus Assertiveness Schedule (RAS).ResultsA significant increase in RAS scores was found in adolescents whose parents were subjected to the assertiveness training. Moreover, there was a significant decrease in self-restriction scores in patients with ED after their parental assertiveness intervention. No significant changes were observed, however, in the control group.ConclusionsOur results indicate that providing families with educational tools that aim at developing assertive communication may boost the level of assertiveness in adolescents and, thereby, presumably help in the prognosis of ED.Disclosure of interestThe authors have not supplied their declaration of competing interest.


Author(s):  
Navnit S. Makaram ◽  
Stuart H. Ralston

Abstract Purpose of Review To provide an overview of the role of genes and loci that predispose to Paget’s disease of bone and related disorders. Recent Findings Studies over the past ten years have seen major advances in knowledge on the role of genetic factors in Paget’s disease of bone (PDB). Genome wide association studies have identified six loci that predispose to the disease whereas family based studies have identified a further eight genes that cause PDB. This brings the total number of genes and loci implicated in PDB to fourteen. Emerging evidence has shown that a number of these genes also predispose to multisystem proteinopathy syndromes where PDB is accompanied by neurodegeneration and myopathy due to the accumulation of abnormal protein aggregates, emphasising the importance of defects in autophagy in the pathogenesis of PDB. Summary Genetic factors play a key role in the pathogenesis of PDB and the studies in this area have identified several genes previously not suspected to play a role in bone metabolism. Genetic testing coupled to targeted therapeutic intervention is being explored as a way of halting disease progression and improving outcome before irreversible skeletal damage has occurred.


2014 ◽  
Vol 14 (2) ◽  
pp. 179-242 ◽  
Author(s):  
Jessica Coon ◽  
Pedro Mateo Pedro ◽  
Omer Preminger

Many morphologically ergative languages display asymmetries in the extraction of core arguments: while absolutive arguments (transitive objects and intransitive subjects) extract freely, ergative arguments (transitive subjects) cannot. This falls under the label “syntactic ergativity” (see, e.g. Dixon 1972, 1994; Manning 1996; Polinsky to appear(b)). These extraction asymmetries are found in many languages of the Mayan family, where in order to extract transitive subjects (for focus, questions, or relativization), a special construction known as the “Agent Focus” (AF) must be used. These AF constructions have been described as syntactically and semantically transitive because they contain two non-oblique DP arguments, but morphologically intransitive because the verb appears with only a single agreement marker and takes an intransitive status suffix (Aissen 1999; Stiebels 2006). In this paper we offer a proposal for (i) why some morphologically ergative languages exhibit extraction asymmetries, while others do not; and (ii) how the AF construction in Q’anjob’al circumvents this problem. We adopt recent accounts which argue that ergative languages vary in the locus of absolutive case assignment (Aldridge 2004, 2008a; Legate 2002, 2008), and propose that this variation is present within the Mayan family. Based primarily on comparative data from Q’anjob’al and Chol, we argue that the inability to extract ergative arguments does not reflect a problem with properties of the ergative subject itself, but rather reflects locality properties of absolutive case assignment in the clause. We show how the AF morpheme -on circumvents this problem in Q’anjob’al by assigning case to internal arguments.


2014 ◽  
Vol 10 (5) ◽  
pp. 392-399 ◽  
Author(s):  
Erin C. Accurso ◽  
Gregory J. Norman ◽  
Scott J. Crow ◽  
Cheryl L. Rock ◽  
Kerri N. Boutelle

CNS Spectrums ◽  
2004 ◽  
Vol 9 (7) ◽  
pp. 523-529 ◽  
Author(s):  
Palmiero Monteleone ◽  
Antonio DiLieto ◽  
Eloisa Castaldo ◽  
Mario Maj

AbstractLeptin is an adipocyte-derived hormone, which is involved predominantly in the long-term regulation of body weight and energy balance by acting as a hunger suppressant signal to the brain. Leptin is also involved in the modulation of reproduction, immune function, physical activity, and some endogenous endocrine axes. Since anorexia nervosa (AN) and bulimia nervosa (BN) are characterized by abnormal eating behaviors, dysregulation of endogenous endocrine axes, alterations of reproductive and immune functions, and increased physical activity, extensive research has been carried out in the last decade in order to ascertain a role of this hormone in the pathophysiology of these syndromes. In this article, we review the available data on leptin physiology in patients with eating disorders. These data support the idea that leptin is not directly involved in the etiology of AN or BN. However, malnutrition-induced alterations in its physiology may contribute to the genesis and/or the maintenance of some clinical manifestations of AN and BN and may have an impact on the prognosis of AN.


2015 ◽  
Vol 23 (5) ◽  
pp. 413-416 ◽  
Author(s):  
Lies Depestele ◽  
Laurence Claes ◽  
Eva Dierckx ◽  
Imke Baetens ◽  
Katrien Schoevaerts ◽  
...  

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