Session 4: Anorexia Nervosa—A Disease of Disconnection—Introduction, Recovery Process, Motivational Interviewing Principles, and the Spiral of Change (Continued)

2020 ◽  
pp. 114-125
Author(s):  
Mary Tantillo ◽  
Jennifer Sanftner McGraw ◽  
Daniel Le Grange
Keyword(s):  
Anorexia Nervosa ◽  
Motivational Interviewing ◽  
Recovery Process

scholarly journals Stigmatization toward People with Anorexia Nervosa, Bulimia Nervosa, and Binge Eating Disorder: A Scoping Review

Nutrients ◽  
2021 ◽  
Vol 13 (8) ◽  
pp. 2834
Author(s):  
Lisa Brelet ◽  
Valentin Flaudias ◽  
Michel Désert ◽  
Sébastien Guillaume ◽  
Pierre-Michel Llorca ◽  
...  
Keyword(s):  
Eating Disorders ◽  
Anorexia Nervosa ◽  
Eating Disorder ◽  
Bulimia Nervosa ◽  
Binge Eating ◽  
Binge Eating Disorder ◽  
Scoping Review ◽  
Low Income ◽  
Research Question ◽  
Recovery Process

Research about stigmatization in eating disorders (EDs) has highlighted stereotypes, prejudices, and discrimination against people with EDs, as well as their harmful effects on them, including self-stigma and a difficult recovery process. Whereas a recent review focused on the consequences of ED stigma, our work aimed to provide a broader synthesis of ED stigma, including its consequences, but also its content and distribution. More precisely, we focused on three EDs—namely, anorexia nervosa, bulimia nervosa, and binge eating disorder. Based on a systematic search of four major databases in psychology, the present scoping review includes 46 studies published between 2004 and 2021. We did not conduct any quality assessment of the studies included, because our aim was to provide a wide-ranging overview of these topics instead of an appraisal of evidence answering a precise research question. The review confirmed the existence of a common ED stigma: all individuals affected by EDs reviewed here were perceived as responsible for their situation, and elicited negative emotions and social distance. However, our review also depicted a specific stigma content associated with each ED. In addition, the demographic characteristics of the stigmatizing individuals had a notable influence on the extent of ED stigma: men, young adults, and low-income individuals appeared to be the most stigmatizing toward individuals with EDs. It is important to note that ED stigma had a negative effect on individuals’ eating disorders, psychological wellbeing, and treatment-seeking behavior. There is an urgent need for further research on the adverse effects of ED stigma and its prevention.

scholarly journals Unexpected Association of Desacyl-Ghrelin with Physical Activity and Chronic Food Restriction: A Translational Study on Anorexia Nervosa

2020 ◽  
Vol 9 (9) ◽  
pp. 2782 ◽  
Author(s):  
Philibert Duriez ◽  
Lauralee Robichon ◽  
Roland Dardennes ◽  
Guillaume Lavoisy ◽  
Dominique Grouselle ◽  
...  
Keyword(s):  
Physical Activity ◽  
Anorexia Nervosa ◽  
Food Restriction ◽  
Plasma Concentrations ◽  
Caloric Intake ◽  
Positive Association ◽  
Recovery Process ◽  
Post Discharge ◽  
Ad Libitum ◽  
Energy Deprivation

Anorexia nervosa (AN) is a severe metabopsychiatric disorder characterised by caloric intake restriction and often excessive physical exercise. Our aim is to assess in female AN patients and in a rodent model, the co-evolution of physical activity and potential dysregulation of acyl—(AG) and desacyl—(DAG) ghrelin plasma concentrations during denutrition and weight recovery. AN inpatients were evaluated at inclusion (T0, n = 29), half—(T1) and total (T2) weight recovery, and one month after discharge (T3, n = 13). C57/Bl6 mice with access to a running wheel, were fed ad libitum or submitted to short—(15 days) or long—(50 days) term quantitative food restriction, followed by refeeding (20 days). In AN patients, AG and DAG rapidly decreased during weight recovery (T0 to T2), AG increased significantly one-month post discharge (T3), but only DAG plasma concentrations at T3 correlated negatively with BMI and positively with physical activity. In mice, AG and DAG both increased during short- and long-term food restriction. After 20 days of ad libitum feeding, DAG was associated to persistence of exercise alteration. The positive association of DAG with physical activity during caloric restriction and after weight recovery questions its role in the adaptation mechanisms to energy deprivation that need to be considered in recovery process in AN.

scholarly journals Characterization of Anorexia Nervosa on Social Media: textual, visual, relational, behavioral, and demographical analysis (Preprint)

2020 ◽  
Author(s):  
Diana Ramírez-Cifuentes ◽  
Ana Freire ◽  
Ricardo Baeza-Yates ◽  
Nadia Sanz Lamora ◽  
Aida Álvarez ◽  
...  
Keyword(s):  
Social Media ◽  
Anorexia Nervosa ◽  
Transtheoretical Model ◽  
Signs And Symptoms ◽  
Recovery Process ◽  
Health Behavior Change ◽  
Control Group ◽  
And Control ◽  
Random Control

BACKGROUND Eating disorders are psychological conditions characterized by unhealthy eating habits. Anorexia Nervosa (AN) is defined by the thought of being overweight despite being dangerously underweight. Psychological signs involve emotional and behavioral issues. There is evidence that signs and symptoms can be manifested on social media, where both harmful and beneficial content is shared daily. OBJECTIVE The aim of this work is to characterize Spanish speaking users with Anorexia signs on Twitter through the extraction and inference of behavioral, demographical, relational, and multi-modal data. This analysis is focused on characterizing and comparing users at different stages of the process to overcome the illness, including treatment and full recovery periods considering the Transtheoretical Model of Health Behavior Change (TTM). METHODS We analyze tweets published by users going through different stages of Anorexia. Users are characterized through their writings, posting patterns, relations, and images. We analyze the differences among users going through each stage of the illness and control users (users not suffering from AN). We also analyze the topics of interest of their followees (users followed by them). We perform a clustering approach to distinguish users at an early phase of the illness (precontemplation) from users that recognize that their behavior is problematic (contemplation); and generate models dedicated to the detection of tweets and images related to AN. We consider two types of control users: focused control users that use terms related to anorexia; and random control users. RESULTS We found significant differences between users at each stage of the recovery process (P<.001) and control groups. Users with AN tend to tweet more at night, with a median sleep period tweeting ratio of 0.05 in comparison to random control users (0.04) and focused control users (0.03). Pictures are relevant for the characterization of users. Focused and random control users are characterized by the usage of text on their profile pictures. We also found a strong polarization between focused control users, and users at the first stages of the disorder. There was a strong correlation (Spearman’s coefficient) among the shared interest between users with AN and their followees (0.96). Also, the interests of recovered users and users in treatment were more highly correlated to those corresponding to the focused control group (0.87 for both) in comparison to AN’s users (0.67), suggesting a shift on users’ interest during the recovery process. CONCLUSIONS We have mapped signs of Anorexia Nervosa to the Social media context. These results enforce the findings of related work on other languages and involve a deep analysis on the topics of interest of users at each phase of the disorder. The features and patterns identified provide a basis for the development of detection tools and recommender systems.

scholarly journals ‘Learning to live your life again’: An interpretative phenomenological analysis of weblogs documenting the inside experience of recovering from anorexia nervosa

2016 ◽  
Vol 23 (10) ◽  
pp. 1287-1298 ◽  
Author(s):  
Laura Smethurst ◽  
Daria Kuss
Keyword(s):  
Anorexia Nervosa ◽  
Eating Disorder ◽  
Interpretative Phenomenological Analysis ◽  
Recovery Process ◽  
Phenomenological Analysis ◽  
Public Perceptions ◽  
Process Data ◽  
Supportive Relationships ◽  
Professional Help ◽  
The Public

This study aimed to explore the construct of recovery from anorexia nervosa through the medium of weblogs, focusing on the benefits and barriers to the recovery process. Data were extracted from female ( n = 7) and male ( n = 1) participants’ textual pro-recovery weblogs, all of which were posted between 2013 and 2015 in the public domain. Data were analysed using interpretative phenomenological analysis. Three superordinate themes were identified: (1) barriers to recovery, (2) factors increasing the likelihood of recovery and (3) support. Results suggest supportive relationships, regaining control and recognising the consequences of the eating disorder benefit recovery, whereas public perceptions, the anorexia nervosa voice and time act as barriers to recovery. Out of eight participants, four described seeking professional help as part of their recovery, of which three believed their professional therapy experience helped aid recovery. Implications for anorexia nervosa treatment are discussed in detail.

scholarly journals The role of exercise in the treatment and recovery process of anorexia nervosa

2013 ◽  
Vol 1 (S1) ◽  
Author(s):  
Sarah Young ◽  
Paul Rhodes ◽  
Stephen Touyz ◽  
Phillipa Hay
Keyword(s):  
Anorexia Nervosa ◽  
Recovery Process

Family Therapy

2017 ◽  
Author(s):  
Daniel Le Grange ◽  
Renee Rienecke
Keyword(s):  
Anorexia Nervosa ◽  
Family Therapy ◽  
Parental Involvement ◽  
Bulimia Nervosa ◽  
Recovery Process ◽  
The United States ◽  
Transition Age Youth ◽  
Transition Age ◽  
Adolescent Anorexia Nervosa ◽  
Family Based

Family therapy is increasingly recommended as the treatment of choice for eating disorders among adolescents. The shift from blaming parents for causing an ED to seeing them as a necessary part of the recovery process was set in motion by Salvador Minuchin and colleagues, and then reinforced and expanded on by researchers at the Maudsley Hospital in London, UK, and in the United States and Australia. Data supporting the efficacy of family therapy for adolescent anorexia nervosa has been solidified, while family-based approaches in the treatment of adolescents with bulimia nervosa show promise. Further research is needed to replicate the findings of existing studies and to further clarify the utility of parental involvement in the treatment of older adolescents, or transition age youth, with anorexia nervosa and bulimia nervosa.

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