scholarly journals The Mediator Effect of Personality on the Relationship Between Symptomatic Impairment and Treatment Outcome in Eating Disorders

2021 ◽  
Vol 12 ◽  
Author(s):  
Laura Muzi ◽  
Laura Tieghi ◽  
Anna Franco ◽  
Michele Rugo ◽  
Vittorio Lingiardi
Keyword(s):  
Eating Disorders ◽  
Treatment Outcome ◽  
Binge Eating ◽  
Treatment Effectiveness ◽  
Self Report ◽  
Therapy Outcome ◽  
Assessment Procedure ◽  
Personality Functioning ◽  
Pre Treatment ◽  
The Relationship

Features of personality disorders (PDs) have been found to explain meaningful variance in the onset, maintenance, and symptomatic presentation of eating disorders (EDs), and a co-occurent personality pathology is commonly associated with poorer response to ED treatment. The “pathoplasty model” of the relationship between personality and EDs implies that, once both conditions are established, they are likely to interact in ways that modify therapy outcome; however, to date, no studies have explored overall personality functioning, and especially PD clusters, as a mediator of treatment outcome. The present study aimed at conjointly exploring the associations between personality functioning and PDs, respectively, with pre-treatment ED symptomatic impairment and therapy outcome; and the mediating role of personality variables. At treatment onset, a sample of 107 women with ED problems were evaluated using both the Structured Clinical Interview for DSM-5 (SCID-5-CV) and the Shedler-Westen Assessment Procedure-200 (SWAP-200)—a clinician-rated procedure to dimensionally assess personality. Participants were also asked to complete self-report questionnaires on overall ED symptomatology, symptoms of binge eating and purging behaviors, and therapy outcome. The findings showed that, over and above the categorical ED diagnosis, the SWAP-200 healthy personality functioning score mediated the relationship between baseline ED symptom severity and therapy outcome, as well as the association between baseline bulimic symptoms and treatment outcome; furthermore, SWAP-200 Cluster B PD scores mediated the link between baseline binge eating and purging symptoms and therapy outcome, whereas scores in Clusters A and C showed no significant effects. The findings suggest that personality-based outcome research may improve treatment effectiveness in this difficult-to-treat population.

scholarly journals Measuring Knowledge, Attitudes, and Barriers to Medication Adherence in Potential Bariatric Surgery Patients

2021 ◽  
Author(s):  
Emanuela Bianciardi ◽  
Claudio Imperatori ◽  
Marco Innamorati ◽  
Mariantonietta Fabbricatore ◽  
Angelica Maria Monacelli ◽  
...  
Keyword(s):  
Bariatric Surgery ◽  
Binge Eating ◽  
Treatment Effectiveness ◽  
Self Report ◽  
General Level ◽  
Psychiatric Interview ◽  
Obesity Epidemic ◽  
Post Surgery ◽  
Final Sample ◽  
The Status

Abstract Background Bariatric surgery is an effective treatment for the obesity epidemic, but the poor attendance and adherence rates of post-surgery recommendations threaten treatment effectiveness and health outcomes. Preoperatively, we investigated the unique contributions of clinical (e.g., medical and psychiatric comorbidities), sociodemographic (e.g., sex, age, and educational level), and psychopathological variables (e.g., binge eating severity, the general level of psychopathological distress, and alexithymia traits) on differing dimensions of adherence in a group of patients seeking bariatric surgery. Methods The final sample consisted of 501 patients (346 women). All participants underwent a full psychiatric interview. Self-report questionnaires were used to assess psychopathology, binge eating severity, alexithymia, and three aspects of adherence: knowledge, attitude, and barriers to medical recommendations. Results Attitude to adherence was associated with alexithymia (β = ˗2.228; p < 0.001) and binge eating disorder (β = 0.103; p = 0.047). The knowledge subscale was related to medical comorbidity (β = 0.113; p = 0.012) and alexithymia (β = −2.256; p < 0.001); with age (β = 0.161; p = 0.002) and psychiatric comorbidity (β =0.107; p = 0.021) manifesting in the barrier subscale. Conclusion We demonstrated that alexithymia and psychiatric and eating disorders impaired adherence reducing attitude and knowledge of treatment and increasing the barriers. Both patient and doctor can benefit from measuring adherence prior to surgery, with a qualitative approach shedding light on the status of adherence prior to the postsurgical phase when the damage regarding adherence is, already, done.

Treatment Outcome in Psychiatric Inpatients: The Discriminative Value of Self-Esteem

2009 ◽  
Vol 39 (3) ◽  
pp. 227-241 ◽  
Author(s):  
France Talbot ◽  
Gregory E. Harris ◽  
Douglas J. French
Keyword(s):  
Treatment Outcome ◽  
Symptom Severity ◽  
Psychiatric Inpatients ◽  
Self Esteem ◽  
Self Report ◽  
Clinical Variable ◽  
Convenience Sample ◽  
Discriminative Value ◽  
Pre Treatment ◽  
Predicting Treatment Outcome

Self-esteem has been identified as an important clinical variable within various psychological and psychiatric conditions. Surprisingly, its prognostic and discriminative value in predicting treatment outcome has been understudied. Objective: The current study aims to assess, in an acute psychiatric setting, the comparative role of self-esteem in predicting treatment outcome in depression, anxiety, and global symptom severity, while controlling for socio-demographic variables, pre-treatment symptom severity, and personality pathology. Design: Treatment outcome was assessed with pre- and post-treatment measures. Method: A heterogeneous convenience sample of 63 psychiatric inpatients completed upon admission and discharge self-report measures of depression, anxiety, global symptom severity, and self-esteem. Results: A significant one-way repeated-measures multivariate analysis of variance (MANOVA) followed up by analyses of variance (ANOVAs) revealed significant reductions in depression (η2 = .72), anxiety (η2 = .55), and overall psychological distress (η2 = .60). Multiple regression analyses suggested that self-esteem was a significant predictor of short-term outcome in depression but not for anxiety or overall severity of psychiatric symptoms. The regression model predicting depression outcome explained 32% of the variance with only pre-treatment self-esteem contributing significantly to the prediction. Conclusions: The current study lends support to the importance of self-esteem as a pre-treatment patient variable predictive of psychiatric inpatient treatment outcome in relation with depressive symptomatology. Generalization to patient groups with specific diagnoses is limited due to the heterogeneous nature of the population sampled and the treatments provided. Implications for clinical practice and future research are discussed.

scholarly journals Food Insecurity and Eating Pathology in Adolescents

2021 ◽  
Vol 18 (17) ◽  
pp. 9155
Author(s):  
Brittany H. Kim ◽  
Lisa Ranzenhofer ◽  
Jill Stadterman ◽  
Yvette G. Karvay ◽  
Natasha L. Burke
Keyword(s):  
Binge Eating ◽  
Food Insecurity ◽  
Clinical Sample ◽  
Community Sample ◽  
Eating Pathology ◽  
Self Report ◽  
Significant Relationships ◽  
Episode Frequency ◽  
Ecological Momentary ◽  
The Relationship

Adolescence is a critical period for the emergence of eating disorders, and food insecurity may be related to eating pathology and weight, as evidenced in adults. However, little is known about food insecurity and eating pathology during this developmental period, and associations between food insecurity and body mass index (BMI) are mixed. Therefore, we examined associations between food insecurity and BMI percentile, self-reported eating-related pathology and binge eating, and subgroup differences by race/ethnicity. In a subset, we examined the relationship between food insecurity and real-world hunger, food craving, and loss-of-control eating using ecological momentary assessment (EMA). Fifty-eight adolescents at two sites (clinical sample, n = 38, BMI percentile ≥ 70th; community sample, n = 20, all BMI strata) completed self-report questionnaires. Adolescents were 15.2 ± 2.1 years old, 62% female, 50% Black, 34.5% Hispanic, with BMI percentile = 80.5 ± 25.8 (range 4–99). In the full sample, food insecurity was associated with greater BMI (p < 0.01), higher shape/weight overvaluation (p = 0.04), and greater number of binge eating episodes among those reporting at least one binge episode (p < 0.01), with significant relationships for BMI percentile, shape/weight overvaluation, body dissatisfaction, and binge episode frequency among Hispanic adolescents only (each p < 0.01). As in adults, food insecurity may be a risk factor for eating pathology, particularly for Hispanic teens.

scholarly journals The Relationship between Childhood Trauma, Eating Disorders, and Sleep Quality among Registered Hospital Nurses in South Korea

Healthcare ◽  
2020 ◽  
Vol 8 (4) ◽  
pp. 490
Author(s):  
Gyehyun Jung ◽  
Jihyun Oh
Keyword(s):  
Eating Disorders ◽  
South Korea ◽  
Sleep Quality ◽  
Childhood Trauma ◽  
Emotional Abuse ◽  
Health Knowledge ◽  
Linear Regression Analysis ◽  
Self Report ◽  
Hospital Nurses ◽  
The Relationship

This cross-sectional study examined the relationship between childhood trauma, eating disorders, and sleep quality among registered hospital nurses in South Korea. Self-report questionnaires were answered by 279 nurses from six general hospitals. Factors affecting sleep quality were analyzed with a linear regression analysis. The factors that influenced sleep quality included age, alcohol consumption, chronic disease, BMI, and emotional abuse in childhood trauma. Hospital nurses need to increase their sleep health knowledge to maintain a healthy lifestyle while working as a nurse. Therefore, hospital and nursing managers should consider strategies to prevent and intervene in the sleep quality threats attributed to the adverse childhood experiences of hospital nurses.

The Impact of Symptomatic Hoarding in OCD and its Treatment

2010 ◽  
Vol 38 (2) ◽  
pp. 157-171 ◽  
Author(s):  
Catherine Seaman ◽  
Victoria B. Oldfield ◽  
Olivia Gordon ◽  
Elizabeth Forrester ◽  
Paul M. Salkovskis
Keyword(s):  
Treatment Outcome ◽  
Self Report ◽  
Response To Treatment ◽  
Obsessive Compulsive ◽  
Compulsive Disorder ◽  
Recent Debate ◽  
Pre Treatment ◽  
Obsessive Compulsive Personality Disorder ◽  
The Impact ◽  
Report Measure

Background: The value of defining subtypes in obsessive compulsive disorder (OCD) has become an important issue for recent debate. Probably the most robust example of subtyping is the identification of hoarding as being different both in terms of psychopathology and response to treatment. Aims: To identify differences in psychopathology and treatment response in OCD patients with and without additional hoarding symptoms. Method: Patients who had undertaken CBT for OCD were selected as falling into either a high or a low hoarding group. The high hoarding group (n = 18) was selected on the basis of a high score on the hoarding subscale of a self-report measure of OCD symptoms in addition to reaching clinician judged “threshold” on the hoarding item of the Obsessive Compulsive Personality Disorder (OCPD) SCID-II module. The low hoarding group (n = 20) was selected on the basis of a low score on the hoarding subscale and a clinician judgement that the hoarding item of the OCPD SCID-II module was “absent”. Results: On some measures of pre-treatment psychopathology, patients with OCD with hoarding symptoms were more severely affected than those without hoarding symptoms. It was found that there was no difference in eventual treatment outcome between the two groups, although there was some evidence that the hoarding group showed greater symptom decreases. Conclusions: The presence of hoarding symptoms does not negatively impact on the treatment of OCD.

The relationship between pre-treatment clinical profile and treatment outcome in an integrated stuttering program

2006 ◽  
Vol 31 (1) ◽  
pp. 43-63 ◽  
Author(s):  
Wendy J. Huinck ◽  
Marilyn Langevin ◽  
Deborah Kully ◽  
Kees Graamans ◽  
Herman F.M. Peters ◽  
...  
Keyword(s):  
Treatment Outcome ◽  
Clinical Profile ◽  
Pre Treatment ◽  
The Relationship

scholarly journals Circulating cytokine levels in the treatment of comorbid anxiety disorders

2020 ◽  
pp. 1-7
Author(s):  
Sverre Urnes Johnson ◽  
Asle Hoffart ◽  
Terje Tilden ◽  
Helge Toft ◽  
Sudan P. Neupane ◽  
...  
Keyword(s):  
Treatment Outcome ◽  
Anxiety Disorders ◽  
Interleukin 1 ◽  
Multilevel Modelling ◽  
Self Report ◽  
Necrosis Factor Alpha ◽  
Monocyte Chemoattractant Protein 1 ◽  
Comorbid Anxiety ◽  
Cytokine Levels ◽  
The Relationship

Abstract Psychotherapy research aims to investigate predictors and moderators of treatment outcome, but there are few consistent findings. This study aimed to investigate cytokines in patients undergoing treatment for anxiety disorders and whether the level of cytokines moderated the treatment outcome. Thirty-seven patients with comorbid and treatment-resistant anxiety disorders were investigated using multilevel modelling. Serum cytokine levels were measured three times: pretreatment, in the middle of treatment, and at the end of treatment. Anxiety and metacognitions were measured weekly throughout treatment by self-report. The levels of monocyte chemoattractant protein-1, tumour necrosis factor-alpha, and interleukin-1 receptor antagonist did not change during therapy or were not related to the level of anxiety. Metacognitive beliefs predicted anxiety, but the relationship between metacognitions and anxiety was not moderated by cytokines. Limitations of the study include that the patients were not fasting at blood sampling, and we did not assess body mass index, which may affect cytokine levels. The lack of significance for cytokines as a predictor or moderator may be due to a lack of power for testing moderation hypotheses, a problem associated with many psychotherapy studies. Cytokines did not predict the outcome in the treatment of comorbid anxiety disorders in our sample. Furthermore, cytokines did not moderate the relationship between metacognitions and anxiety.

scholarly journals Examining the correlates and antecedents of subjective binge eating episodes in female undergraduates

2021 ◽  
Author(s):  
Molly E. Atwood
Keyword(s):  
Eating Disorder ◽  
Negative Affect ◽  
Binge Eating ◽  
Undergraduate Students ◽  
Cognitive Distortions ◽  
Self Report ◽  
Diagnostic Feature ◽  
General Pathology ◽  
Definition Of ◽  
The Relationship

Binge eating is a core diagnostic feature of several eating disorders; however, controversy exists regarding the extent to which the size of an eating episode is important in the definition of a binge. The present study examined the relationship between subjective binge eating episodes (SBEs: experiencing loss of control while eating relatively small amounts of food) and eating disorder pathology, general pathology, and eating disorder-specific and general cognitive distortions in female undergraduate students (N=116) via self-report measures. In addition, negative affect and stress were examined as proximal antecedents of SBEs using naturalistic prospective monitoring. Findings indicated SBEs are associated with broad markers of eating disorder pathology and aspects of general pathology, and that eating disorder-specific cognitive distortions mediate the relationship between dietary restraint and SBE frequency. In addition, higher levels of negative affect were found to precede SBEs; however, stress was not identified as a statistically significant proximal antecedent. Findings are interpreted in light of methodological limitations, and clinical implications are discussed.

scholarly journals Investigating the relationship of attention deficit hyperactivity disorder and eating disorders in adults

2019 ◽  
Vol 5 (1) ◽  
pp. 01-11
Author(s):  
Mohammad Reza Khodabakhsh ◽  
Seyed Hesam Ahmadian Hoseini
Keyword(s):  
Attention Deficit Hyperactivity Disorder ◽  
Eating Disorders ◽  
Eating Disorder ◽  
Attention Deficit ◽  
Eating Attitudes ◽  
Self Report ◽  
World Health ◽  
Hyperactivity Disorder ◽  
Relationship Of ◽  
The Relationship

ADHD is a neurodevelopmental disorder which starts from childhood and early juvenility and can even continue until adolescence. It is noticeable with three factors: hyperactivity, attention inability, and Impulsivity. Researches have demonstrated that the main symptoms of ADHD is also present in patients diagnosed with eating disorders. The goal of the present study is to investigate the relationship of Attention deficit hyperactivity disorder and eating disorders in adults.The present study is a correlational study with a cross sectional descriptive method. The sample contains of 150 people chosen from adults using random sampling method. All of the participants answered the Eating attitudes scale (Garner and Garfinkel, 1982) and the Adult ADHD self-report scale (world health organization, 1994). The data were analyzed using Pearson correlation coefficient and Spearman correlation coefficient.Considering the result of current study it can be said that ADHD and Eating disorders are related to one another, because based on the evidence gathered, these two variables have similar neurobiological properties and clinical features, and thus ADHD has the ability of eating disorder occurrence anticipation.   Keyword: Attention deficit hyperactivity disorder; Diet;  Eating disorder; Impulsivity

Sign in / Sign up

Export Citation Format

Share Document