scholarly journals The Relationship between Eating Disorder Symptoms and Treatment Rejection among Young Adult Men in Residential Substance Use Treatment

2016 ◽  
Vol 10 ◽  
pp. SART.S33396 ◽  
Author(s):  
JoAnna Elmquist ◽  
Ryan C. Shorey ◽  
Scott E. Anderson ◽  
Jeff R. Temple ◽  
Gregory L. Stuart
Keyword(s):  
Substance Use ◽  
Eating Disorder ◽  
Young Adult ◽  
Mental Health Problems ◽  
Hierarchical Regression ◽  
Future Research ◽  
Depression Symptoms ◽  
Negative Consequences ◽  
Adult Men ◽  
Eating Disorder Symptoms

Research has demonstrated that individuals with substance use disorders (SUDs) and comorbid mental health problems evidence heightened negative consequences, including poorer treatment outcomes, a higher risk for relapse, and mortality compared to individuals with a single disorder. In this study, we focus on the comorbidity between SUDs and eating disorder (ED) symptomatology, as EDs are similarly associated with high rates of relapse, morbidity, and mortality. Of particular importance is research examining treatment rejection among individuals in treatment for SUDs with cooccurring ED symptomatology. This study seeks to add to the literature by examining treatment rejection among young adult men in residential treatment for SUDs ( N = 68) with cooccurring ED symptomatology. Results from hierarchical regression analyses indicated that ED symptoms were significantly associated with treatment rejection after controlling for alcohol and drug use and problems and depression symptoms. Although this is a preliminary study, the results add to a growing body of research examining the comorbidity between SUDs and ED symptomatology. Future research examining this relationship is needed to further elucidate the treatment patterns among individuals with comorbid ED symptoms and substance use diagnoses.

scholarly journals Adapting a neuroscience-informed intervention to alter reward mechanisms of anorexia nervosa: a novel direction for future research

2021 ◽  
Vol 9 (1) ◽  
Author(s):  
Ann F. Haynos ◽  
Lisa M. Anderson ◽  
Autumn J. Askew ◽  
Michelle G. Craske ◽  
Carol B. Peterson
Keyword(s):  
Anorexia Nervosa ◽  
Eating Disorder ◽  
Anxiety Disorders ◽  
Reward Processing ◽  
Future Research ◽  
Restrictive Eating ◽  
Eating Disorder Symptoms ◽  
Mood And Anxiety Disorders ◽  
Reward Responsivity ◽  
Eating Disorder Behaviors

AbstractAccumulating psychobiological data implicate reward disturbances in the persistence of anorexia nervosa (AN). Evidence suggests that individuals with AN demonstrate decision-making deficits similar to those with mood and anxiety disorders that cause them to under-respond to many conventionally rewarding experiences (e.g., eating, interacting socially). In contrast, unlike individuals with other psychiatric disorders, individuals with AN simultaneously over-respond to rewards associated with eating-disorder behaviors (e.g., restrictive eating, exercising). This pattern of reward processing likely perpetuates eating-disorder symptoms, as the rewards derived from eating-disorder behaviors provide temporary relief from the anhedonia associated with limited responsivity to other rewards. Positive Affect Treatment (PAT) is a cognitive-behavioral intervention designed to target reward deficits that contribute to anhedonia in mood and anxiety disorders, including problems with reward anticipation, experiencing, and learning. PAT has been found to promote reward responsivity and clinical improvement in mood and anxiety disorders. This manuscript will: (1) present empirical evidence supporting the promise of PAT as an intervention for AN; (2) highlight nuances in the maintaining processes of AN that necessitate adaptations of PAT for this population; and (3) suggest future directions in research on PAT and other reward-based treatments that aim to enhance clinical outcomes for AN.

Coping with childhood maltreatment: Avoidance and eating disorder symptoms

2020 ◽  
pp. 135910532093706
Author(s):  
Diane L Rosenbaum ◽  
Kamila S White ◽  
Tiffany M Artime
Keyword(s):  
Eating Disorder ◽  
Indirect Effect ◽  
Childhood Maltreatment ◽  
Additive Effect ◽  
Avoidant Coping ◽  
Future Research ◽  
Adaptive Coping ◽  
Eating Disorder Symptoms ◽  
Coping Patterns

Childhood maltreatment is associated with eating disorder symptoms; however, the nature of this association is unclear. We found those who experienced childhood maltreatment had higher avoidant coping and eating disorder symptoms. We also found an additive effect for maltreatment, such that with more types of maltreatment experienced, avoidant coping and eating disorder symptoms were greater. We also found evidence of an indirect effect such that childhood maltreatment was related to eating disorder symptoms through avoidant coping. Future research is needed to better understand factors that may promote development of adaptive coping patterns and prevention of eating disorder symptoms.

scholarly journals Adolescent Mental Health, Behavior Problems, and Academic Achievement

2012 ◽  
Vol 53 (4) ◽  
pp. 482-497 ◽  
Author(s):  
Jane D. McLeod ◽  
Ryotaro Uemura ◽  
Shawna Rohrman
Keyword(s):  
Mental Health ◽  
Academic Achievement ◽  
Substance Use ◽  
Behavior Problems ◽  
Mental Health Problems ◽  
Attention Problems ◽  
Social Consequences ◽  
Negative Consequences ◽  
High School Gpa ◽  
Academic Aptitude

Prior research on the association of mental health and behavior problems with academic achievement is limited because it does not consider multiple problems simultaneously, take co-occurring problems into account, and control for academic aptitude. We addressed these limitations using data from the National Longitudinal Study of Adolescent Health ( N = 6,315). We estimated the associations of depression, attention problems, delinquency, and substance use with two indicators of academic achievement (high school GPA and highest degree received) with controls for academic aptitude. Attention problems, delinquency, and substance use were significantly associated with diminished achievement, but depression was not. Combinations of problems involving substance use were especially consequential. Our results demonstrate that the social consequences of mental health problems are not the inevitable result of diminished functional ability but, rather, reflect negative social responses. These results also encourage a broader perspective on mental health by demonstrating that behavior problems heighten the negative consequences of more traditional forms of distress.

Risk classes of patients diagnosed with substance use disorders in Dutch forensic psychiatric centers

2021 ◽  
Vol 23 (1) ◽  
pp. 39-52
Author(s):  
Michele Schmitter ◽  
Jeroen Vermunt ◽  
Eric Blaauw ◽  
Stefan Bogaerts
Keyword(s):  
Substance Use ◽  
Substance Use Disorders ◽  
Latent Class ◽  
Mental Health Problems ◽  
Treatment Approach ◽  
Future Research ◽  
Content Type ◽  
Forensic Patients ◽  
Axis I ◽  
Forensic Psychiatric

Purpose Given the complex association between substance use disorders (SUD), comorbid mental health problems and criminal recidivism in forensic patients, homogenous patient classes can contribute to a refined treatment. This paper aims to construct those classes in forensic patients (N = 286) diagnosed with SUD, unconditionally released between 2004 and 2013 of one of ten Dutch forensic psychiatric centers. Design/methodology/approach Retrospective data were derived from electronic patient files. Classes were based on the Dutch risk assessment tool, the Historisch Klinisch Toekomst-Revisie (Historical Clinical Future–Revised [HKT-R]) and identified by means of explorative Latent Class Analysis in Latent Gold version 5.1. In a three-step approach, posterior class memberships were related to external variables (i.e. diagnoses, type of drug and type of offence). Findings Four classes were identified that differ in the risk of recidivism, as well as Axis I and II diagnoses and type of drug consumption. Practical implications This study informed on the heterogeneity of forensic patients with SUD and identified four homogenous classes that differ in important variables for the treatment approach. Based on these classes, a more refined treatment approach can be developed. Possible treatment approaches are discussed, but future research is needed to provide evidence. Originality/value This study is the first to identify classes within forensic patients with SUD and, therefore, sets the first step to develop a tailored treatment approach based on characteristics informative for treatment.

Group-Delivered Enhanced Cognitive Behavior Therapy: A Focus on a Young Adult Woman With Bulimia Nervosa

2019 ◽  
Vol 19 (1) ◽  
pp. 62-77
Author(s):  
Ashlea L. Hambleton ◽  
Tanya L. Hanstock ◽  
Rachel Simeone ◽  
Michelle Sperling
Keyword(s):  
Eating Disorder ◽  
Young Adult ◽  
Bulimia Nervosa ◽  
Group Intervention ◽  
Behavioral Therapy ◽  
Stage Of Change ◽  
Eating Disorder Symptoms ◽  
Weight And Shape Concerns ◽  
Clinical Impairment ◽  
Australian Community

Enhanced Cognitive Behavioral Therapy (CBT-E) is an evidence-based treatment for bulimia nervosa (BN), which can be delivered individually or in a group format. This case study describes a young adult female’s progress through a CBT-E group program at an Australian community outpatient eating disorder service. She completed 20 sessions over 10 weeks. The client was administered measures for eating disorder symptoms, depression, anxiety, stress, stage of change, and clinical impairment at pre- and posttreatment. She improved on global eating disorder symptoms, food restriction, eating concern, and her stage of change. Her weight and shape concerns remained unchanged. Her levels of depression, anxiety, and stress significantly increased after treatment, highlighting the need for concurrent treatment for these comorbidities. These results support the developing literature on the efficacy of CBT-E for BN and describe in detail the progress of an individual, including their progress and challenges within a group intervention.

scholarly journals Early experiences and their relationship to maternal eating disorder symptoms, both lifetime and during pregnancy

2005 ◽  
Vol 187 (3) ◽  
pp. 268-273 ◽  
Author(s):  
R. Senior ◽  
J. Barnes ◽  
J. R. Emberson ◽  
J. Golding
Keyword(s):  
Eating Disorder ◽  
Large Scale ◽  
Mental Health Problems ◽  
Community Sample ◽  
Aetiological Factor ◽  
Eating Problems ◽  
Unwanted Sexual Experiences ◽  
Eating Disorder Symptoms ◽  
Laxative Use ◽  
Early Experiences

BackgroundThere is some evidence that early sexual abuse is an aetiological factor for eating disorder. However, there is sparse information from large-scale, non-clinical studies.AimsThis study was designed to explore which early experiences, recalled during pregnancy, were associated with both lifetime and antenatal eating disorder symptoms in a community sample.MethodUnivariate and multivariate analyses were conducted of data from questionnaires administered during pregnancy to a community sample of pregnant women.ResultsRecall of parental mental health problems and of early unwanted sexual experiences were independently associated with both lifetime eating problems, laxative use and vomiting during pregnancy, and marked concern during pregnancy over shape and weight.ConclusionsThere are public health implications for these results. Eating disorders in mothers represent a risk for child development. It may be important to enquire during pregnancy about a history of eating problems and to provide the opportunity for early experiences to be discussed.

scholarly journals Testing a developmental cascade model of adolescent substance use trajectories and young adult adjustment

2010 ◽  
Vol 22 (4) ◽  
pp. 933-948 ◽  
Author(s):  
Sarah D. Lynne-Landsman ◽  
Catherine P. Bradshaw ◽  
Nicholas S. Ialongo
Keyword(s):  
Risk Factors ◽  
Substance Use ◽  
Young Adult ◽  
Mental Health Problems ◽  
Growth Mixture Modeling ◽  
First Grade ◽  
Cascade Model ◽  
The Impact ◽  
Adult Adjustment ◽  
Adjustment Outcomes

AbstractDevelopmental models highlight the impact of early risk factors on both the onset and growth of substance use, yet few studies have systematically examined the indirect effects of risk factors across several domains, and at multiple developmental time points, on trajectories of substance use and adult adjustment outcomes (e.g., educational attainment, mental health problems, criminal behavior). The current study used data from a community epidemiologically defined sample of 678 urban, primarily African American youth, followed from first grade through young adulthood (age 21) to test a developmental cascade model of substance use and young adult adjustment outcomes. Drawing upon transactional developmental theories and using growth mixture modeling procedures, we found evidence for a developmental progression from behavioral risk to adjustment problems in the peer context, culminating in a high-risk trajectory of alcohol, cigarette, and marijuana use during adolescence. Substance use trajectory membership was associated with adjustment in adulthood. These findings highlight the developmental significance of early individual and interpersonal risk factors on subsequent risk for substance use and, in turn, young adult adjustment outcomes.

scholarly journals Breaking the Silence

2016 ◽  
Vol 10 (6) ◽  
pp. NP118-NP126 ◽  
Author(s):  
Abigail S. Dubovi ◽  
Yue Li ◽  
Jessica L. Martin
Keyword(s):  
Eating Disorder ◽  
Personality Traits ◽  
Big Five ◽  
College Men ◽  
Eating Pathology ◽  
Intervention Programs ◽  
Future Research ◽  
Big Five Personality ◽  
Targeted Prevention ◽  
Eating Disorder Symptoms

Men remain largely underrepresented in the eating disorder literature and few studies have investigated risk factors for disordered eating among men. The current study examined associations between Big Five personality traits and eating disorder symptoms in a sample of college men (N = 144). Participants completed the Eating Disorder Diagnostic Scale and Ten Item Personality Inventory online. Results suggested that openness was positively associated with purging-type behaviors and that emotional stability was positively related to symptoms of anorexia nervosa and global eating pathology. Findings highlight the prevalence of eating disorder symptoms among college men and suggest that these symptoms are associated with a different constellation of personality traits than is typically reported among women. Implications for targeted prevention and intervention programs and future research are discussed.

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