scholarly journals Alexithymia and eating disorders: a critical review of the literature

2021 ◽  
Author(s):  
Matilda E Nowakowski ◽  
Traci McFarlane ◽  
Stephanie Cassin
Keyword(s):  
Eating Disorders ◽  
Eating Disorder ◽  
Critical Review ◽  
Theoretical Models ◽  
Future Research ◽  
Review Of The Literature ◽  
Eating Disorder Symptoms ◽  
Not Otherwise Specified ◽  
Bodily Sensations

Alexithymia is characterized by difficulties identifying feelings and differentiating between feelings and bodily sensations, difficulties communicating feelings, and a concrete cognitive style focused on the external environment. Individuals with eating disorders have elevated levels of alexithymia, particularly difficulties identifying and describing their feelings. A number of theoretical models have suggested that individuals with eating disorders may find emotions unacceptable and/or frightening and may use their eating disorder symptoms (i.e., restricting food intake, bingeing, and/or purging) as a way to avoid or cope with their feelings. The current critical review synthesizes the literature on alexithymia and eating disorders and examines alexithymia levels across eating disorders (i.e., anorexia nervosa, bulimia nervosa, and eating disorder not otherwise specified), the role of alexithymia in binge eating disorder, and the influence of alexithymia on the development of eating disorders as well as treatment outcome. The clinical implications of the research conducted to date and directions for future research are discussed.

Relationships Among Childhood Maltreatment, Limbic System Dysfunction, and Eating Disorders in College Women

2020 ◽  
pp. 088626052091259
Author(s):  
Andrea E. Mercurio ◽  
Fang Hong ◽  
Carolyn Amir ◽  
Amanda R. Tarullo ◽  
Anna Samkavitz ◽  
...  
Keyword(s):  
Eating Disorders ◽  
Eating Disorder ◽  
College Women ◽  
Limbic System ◽  
Indirect Effect ◽  
Childhood Maltreatment ◽  
Eating Pathology ◽  
Convenience Sample ◽  
Eating Disorder Symptoms

The mechanisms linking childhood maltreatment and eating pathology are not fully understood. We examined the mediating role of limbic system dysfunction in the relationships between three forms of childhood maltreatment (parental psychological maltreatment, parental physical maltreatment, and parental emotional neglect) and eating disorder symptoms. A convenience sample of college women ( N = 246, M age = 19.62, SD = 2.41) completed measures of maltreatment (Parent-Child Conflict Tactics Scales and the Parental Bonding Instrument), limbic system dysfunction (Limbic System Questionnaire), and eating pathology (Eating Disorder Examination Questionnaire). We hypothesized that there would be an indirect effect of each type of childhood maltreatment on eating disorder symptoms via limbic system irritability. Results generally supported the hypotheses. Examination of the individual paths that defined the indirect effect indicated that higher reported childhood maltreatment was associated with greater limbic irritability symptoms, and higher limbic irritability symptomatology was related to higher total eating disorder scores. There were no significant direct effects for any of the proposed models. Findings are in line with research supporting the role of limbic system dysfunction as a possible pathway in the maltreatment-eating disorder link. Given that limbic system dysfunction may underlie behavioral symptoms of eating disorders, efforts targeting limbic system dysfunction associated with child maltreatment might best be undertaken at an early developmental stage, although interventions for college women struggling with eating disorders are also crucial.

Eating Disorders

2014 ◽  
pp. 391-409
Author(s):  
Robyn Sysko ◽  
G. Terence Wilson
Keyword(s):  
Eating Disorders ◽  
Eating Disorder ◽  
American Psychiatric Association ◽  
Behavioral Therapy ◽  
Future Research ◽  
Pharmacological Treatments ◽  
Statistical Manual ◽  
Diagnostic And Statistical Manual ◽  
Not Otherwise Specified ◽  
Dsm Iv

The Diagnostic and Statistical Manual of Mental Disorders (DSM-IV; American Psychiatric Association, 1994) describes two eating disorder diagnoses, anorexia nervosa (AN) and bulimia nervosa (BN). Provisional criteria are also provided in DSM-IV for binge eating disorder (BED), which is an example of an eating disorder not otherwise specified. This chapter presents a summary and synthesis of research related to the clinical features and treatment of AN, BN, and BED, including studies of prevalence, common comorbidities, and treatment efficacy. Both psychological and pharmacological treatments are reviewed, including cognitive-behavioral therapy, interpersonal psychotherapy, family therapy, and the use of antidepressant medications. Recommendations are made for future research across the eating disorders.

Parents’ Speech and Children’s Stuttering: A Critique of the Literature

1995 ◽  
Vol 38 (5) ◽  
pp. 978-989 ◽  
Author(s):  
Marilyn A. Nippold ◽  
Mishelle Rudzinski
Keyword(s):  
Critical Review ◽  
Convincing Evidence ◽  
Future Research ◽  
Review Of The Literature ◽  
Speech Language Pathologists ◽  
Question Asking ◽  
Speech Behaviors ◽  
Role Of Parents ◽  
The Way

The role of parents in relation to their children’s stuttering has been of great interest to speech-language pathologists for more than 50 years. As part of treatment, speech-language pathologists frequently advise parents to modify their speech behaviors when talking with their children. For example, parents are often told to speak more slowly and to refrain from interrupting or questioning the child excessively. Given the commonness of this advice, it is important to examine the research upon which it is based. This article contains a critical review of the literature concerning the role of parents’ speech behaviors (e.g., rate, interruptions, question-asking) in relation to their children’s stuttering. Published studies are reported and analyzed in order to determine the extent to which parents may affect their children’s stuttering through their own speech behaviors. The review indicates that there is little convincing evidence to support the view that parents of children who stutter differ from parents of children who do not stutter in the way they talk with their children. Similarly, there is little objective support for the argument that parents’ speech behaviors contribute to children’s stuttering or that modifying parents’ speech behaviors facilitates children’s fluency. Implications for treatment and for future research are discussed.

Controversies and Questions in Current Evaluation, Treatment, and Research Related to Child and Adolescent Eating Disorders

2010 ◽  
pp. 50-72
Author(s):  
James Lock
Keyword(s):  
Eating Disorders ◽  
Eating Disorder ◽  
Emotional Disorders ◽  
Child And Adolescent ◽  
Outpatient Setting ◽  
Future Research ◽  
Research Issues ◽  
Not Otherwise Specified ◽  
Disorder Symptom ◽  
Adolescent Eating Disorders

This chapter addresses specific diagnostic, treatment, and research issues related to child and adolescent eating disorders. Current diagnostic formulations are inadequate for diagnosing eating disorders such as selective eating, food avoidance emotional disorders, and food phobias in children. Classification schemes for anorexia and bulimia nervosa are not developmentally sensitive, leading to overuse of “eating disorder not otherwise specified” as a diagnosis. Treatment studies in children and adolescents are few; however, those available suggest that certain guidelines are generally applicable. Adolescents with eating disorders should be treated as early as possible in an outpatient setting utilizing parents as resources. Medications, if used, should address comorbid conditions. Data hopefully forthcoming in the next 5 to 10 years will shed light on how best to classify and treat these disorders. Future research should integrate neuropsychological and neurofunctional findings related to brain development, cognitive functioning, and eating disorder symptom development in this age group.

The Prevalence of Eating Disorders in Recently Admitted Psychiatric In-patients

1991 ◽  
Vol 159 (4) ◽  
pp. 562-565 ◽  
Author(s):  
Phillipa J. Hay ◽  
Anne Hall
Keyword(s):  
Eating Disorders ◽  
Anorexia Nervosa ◽  
Eating Disorder ◽  
Bulimia Nervosa ◽  
Personality Disorders ◽  
Psychiatric Disorders ◽  
Psychiatric Patients ◽  
Diagnosis And Management ◽  
Eating Disorder Symptoms ◽  
Not Otherwise Specified

Of 107 recently admitted psychiatric patients screened for eating-disorder symptoms by questionnaire, 17% met DSM–III–R criteria for eating disorders. Eight patients (one male) had bulimia nervosa. Ten patients had eating disorder not otherwise specified: seven (three male) bulimic type, and three (one male) anorexia nervosa type. The most common concurrent diagnoses were mood and personality disorders. As eating-disorder symptoms are relevant to the diagnosis and management of other psychiatric disorders they should be assessed routinely in all psychiatric patients.

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.

scholarly journals Soleymani, Mazidi, Neimeijer, de Jong (2021). Eating disorder-specific rumination moderates the association between attentional bias to high-caloric foods and eating disorder symptoms: Evidence from a reliable free-viewing eye-tracking task.

2021 ◽  
Author(s):  
Ali Soleymani ◽  
Mazidi ◽  
Renate Niemeijer ◽  
Peter J. de Jong
Keyword(s):  
Eating Disorders ◽  
Eating Disorder ◽  
Eye Tracking ◽  
Attentional Bias ◽  
Dwell Time ◽  
Tracking Task ◽  
Eating Disorder Symptoms ◽  
Free Viewing ◽  
Food Images

Cognitive theories of eating disorders implicate Attentional Bias (AB) towards food-related information in the development and maintenance of eating disorders. Empirical evidence for this proposal, however, has been inconsistent and the measures used to examine AB to food-related stimuli typically showed poor reliability. The aim of the current study was twofold. Firstly, we aimed to examine the psychometric properties of a newly devised eye-tracking task for the assessment of AB in the context of eating disorders. Secondly, we examined the role of Eating Disorder-specific (ED-specific) rumination as a potential moderator of the association between attentional bias to food images and eating disorder symptoms. One hundred and three female students were recruited and completed an eye-tracking task comprising 21 matrices that each contained 8 low-caloric and 8 high-caloric food images. Each matrix was presented for 6 s. First fixation location, first fixation latency and total dwell time were assessed for low and high-caloric food images and the dwell-time based AB measure showed good reliability based on Cronbach’s alpha and split-half method. In addition, the results revealed that the ED-specific rumination plays the hypothesized moderating role. Specifically, while participants with high levels of ED-specific rumination exhibited a positive association between AB to high-caloric foods and eating disorder symptoms, this association was eliminated among participants with lower levels of ED-specific rumination. The employed free-viewing task seems a reliable measure of AB to food-related stimuli and the moderation analysis emphasizes the critical role of ED-specific rumination for eating disorder symptoms. Implications, limitations and directions for future research are discussed.

scholarly journals USE OF GESTURE FOR CORRECTING PRONUNCIATION ERRORS

2020 ◽  
Vol 31 (2) ◽  
pp. 342
Author(s):  
Amelyn A Thompson ◽  
Willy A Renandya
Keyword(s):  
Second Language Acquisition ◽  
Critical Review ◽  
Corrective Feedback ◽  
Language Teachers ◽  
Future Research ◽  
Review Of The Literature ◽  
Pronunciation Instruction ◽  
Oral Corrective Feedback ◽  
Promising Area

The role of gesture in second language acquisition (SLA) has recently become a promising area of research, characterized by the growing number of empirical research studies that examine the potential of incorporating gestures in such areas as the teaching of grammar, vocabulary, and pronunciation. This paper focuses on how gesture can be productively used to help students notice and subsequently correct their pronunciation errors, both segmental and suprasegmental errors. First, a critical review of the literature is presented in which we carefully explore recent research on oral corrective feedback and the role that gesture plays in facilitating comprehension and acquisition. Next, pedagogical implications are considered in which we discuss a pedagogical framework that language teachers can use as a guide for incorporating gestures in pronunciation instruction. Finally, future research possibilities are discussed, including suggestions for more robust research design and new areas to investigate.

Eating Disorders

2010 ◽  
pp. 387-405 ◽  
Author(s):  
Robyn Sysko ◽  
G. Terence Wilson
Keyword(s):  
Eating Disorders ◽  
Eating Disorder ◽  
American Psychiatric Association ◽  
Behavioral Therapy ◽  
Future Research ◽  
Pharmacological Treatments ◽  
Statistical Manual ◽  
Diagnostic And Statistical Manual ◽  
Not Otherwise Specified ◽  
Dsm Iv

The Diagnostic and Statistical Manual of Mental Disorders (DSM-IV; American Psychiatric Association, 1994) describes two eating disorder diagnoses, anorexia nervosa (AN) and bulimia nervosa (BN). Provisional criteria are also provided in DSM-IV for binge eating disorder (BED), which is an example of an eating disorder not otherwise specified. This chapter presents a summary and synthesis of research related to the clinical features and treatment of AN, BN, and BED, including studies of prevalence, common comorbidities, and treatment efficacy. Both psychological and pharmacological treatments are reviewed, including cognitive-behavioral therapy, interpersonal psychotherapy, family therapy, and the use of antidepressant medications. Recommendations are made for future research across the eating disorders.

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