scholarly journals Uncovering ED: A Qualitative Analysis of Personal Blogs Managed by Individuals with Eating Disorders

2014 ◽  
Author(s):  
Jacqueline Gies ◽  
Sara Martino
Keyword(s):  
Eating Disorders ◽  
Grounded Theory ◽  
Eating Disorder ◽  
Qualitative Analysis ◽  
Future Research ◽  
Study Results ◽  
Mind And Body ◽  
Self Worth ◽  
Harmful Effects

Previous studies have investigated the potential harmful effects of pro-eating disorder (ED) websites. Websites, such as personal blogs, may contain eating disorder content that may hold important information as well and must be considered. Fifteen blogs hosted by the site “Tumblr” were qualitatively analyzed. Each blog owner was anonymous and all were female. Ten main themes were extracted using grounded theory: interaction, negative self-worth, mind and body disturbances, pictures, eating disorders, suicide, diet, exercise, stats, and recovery. Additional themes also appeared in the study. Results indicate that although each individual blog is unique to its owner, common concepts existed among the majority. The implications for the information in the ED blogs and directions for future research are discussed.

Feminist-Informed Protective Factors for Subthreshold Eating Disorders

2020 ◽  
Vol 30 (10) ◽  
pp. 1546-1560
Author(s):  
Emily C. Wacker ◽  
Megan L. Dolbin-MacNab
Keyword(s):  
Eating Disorders ◽  
Grounded Theory ◽  
Eating Disorder ◽  
Protective Factors ◽  
Theory Model ◽  
Constructivist Grounded Theory ◽  
Future Research ◽  
Sociocultural Context ◽  
Research And Practice ◽  
Tangible Support

Despite knowledge that the larger sociocultural context contributes to the development of eating disorders, few studies have examined protective factors for women with subthreshold eating disorders. Using feminist-informed constructivist grounded theory methodology, 15 women (ages 18–25 years) with subthreshold eating disorders were interviewed. Results suggest that participants spoke of their subthreshold eating disorders in an externalized way and used protective factors to guide decision making toward their preferred values. A grounded theory model was developed to illustrate this process. Protective factors included (a) people who provide emotional and tangible support, (b) support people who challenge the eating disorder, (c) personal sense of agency, and (d) community activism and involvement. Participants experiencing subthreshold eating disorders demonstrated a capacity to distinguish their own thoughts and values from those of the “eating disorder voice,” and protective factors facilitated this process. Implications for future research and practice are discussed.

Body Dysmorphic Disorder and Eating Disorders

2017 ◽  
pp. 112-125
Author(s):  
Danyale McCurdy-McKinnon ◽  
Jamie D. Feusner
Keyword(s):  
Eating Disorders ◽  
Body Image ◽  
Eating Disorder ◽  
Disordered Eating ◽  
Body Dysmorphic Disorder ◽  
Future Research ◽  
Body Image Concern ◽  
Core Feature ◽  
Visuospatial Processing

This chapter addresses the comorbid presentation of body dysmorphic disorder (BDD) and disordered eating. BDD affects approximately 2% of the population and involves perceived defects of appearance along with obsessive preoccupation and repetitive, compulsive-like behaviors. The prevalence of comorbid BDD and eating disorders is high: Approximately one–third of those with BDD will have a comorbid eating disorder, and almost half of those with an eating disorder will have comorbid BDD. There are complicating diagnostic and treatment factors that arise when an individual experiences both. A core feature of these disorders is body image concern, which may be explained by both shared and unique aberrancies in visual and visuospatial processing that have neurobiological underpinnings. Understanding shared and unique pathophysiology may help inform and guide treatment, as well as open up lines of future research into their etiology.

scholarly journals Workforce Diversity in Eating Disorders: A Multi-Methods Study

2020 ◽  
Vol 42 (12) ◽  
pp. 1068-1077 ◽  
Author(s):  
Karen Jennings Mathis ◽  
Carolina Anaya ◽  
Betty Rambur ◽  
Lindsay P. Bodell ◽  
Andrea K. Graham ◽  
...  
Keyword(s):  
Health Care ◽  
Eating Disorders ◽  
Eating Disorder ◽  
Theoretical Model ◽  
Qualitative Analysis ◽  
Perceived Barriers ◽  
Professional Organizations ◽  
Workforce Diversity ◽  
Focused Attention ◽  
Educational Pipeline

Despite growing recognition of the importance of workforce diversity in health care, limited research has explored diversity among eating disorder (ED) professionals globally. This multi-methods study examined diversity across demographic and professional variables. Participants were recruited from ED and discipline-specific professional organizations. Participants’ (n = 512) mean age was 41.1 years (SD = 12.5); 89.6% (n=459) of participants identified as women, 84.1% (n = 419) as heterosexual/straight, and 73.0% (n = 365) as White. Mean years working in EDs was 10.7 years (SD = 9.2). Qualitative analysis revealed three themes resulting in a theoretical framework to address barriers to increasing diversity. Perceived barriers were the following: “stigma, bias, stereotypes, myths”; “field of eating disorders pipeline”; and “homogeneity of the existing field.” Findings suggest limited workforce diversity within and across nations. The theoretical model suggests a need for focused attention to the educational pipeline, workforce homogeneity, and false assumptions about EDs, and it should be tested to evaluate its utility within the EDs field.

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.

Eating Disorder Comorbidity with OCD

2017 ◽  
Author(s):  
Marina Gershkovich ◽  
Olivia Pascucci ◽  
Joanna Steinglass
Keyword(s):  
Eating Disorders ◽  
Eating Disorder ◽  
Empirical Support ◽  
Future Research ◽  
Weight History ◽  
Eating Disorder Treatment ◽  
Weight Restoration ◽  
Disorder Treatment ◽  
Support Treatment ◽  
Shed Light

This chapter discusses the comorbidity of eating disorders with OCD, including epidemiology, neurobiology, clinical features, and treatment. These disorders frequently cooccur. There are hints that eating disorders and OCD may share underlying neural mechanisms of illness, but these neurobiological models are preliminary. Cooccurrence of eating disorders and OCD is more common in clinical populations than community samples, highlighting the importance of assessing eating and weight history among patients with OCD. Treatment for bulimia nervosa includes psychotherapy and medication options, all with good empirical support. Treatment for anorexia nervosa emphasizes behaviorally based approaches to weight restoration treatment, with no clear evidence for medication treatments. When these illnesses occur together, treatment focused on the eating disorder yields improvement in OCD symptoms. Integrating exposure and response prevention techniques into eating disorder treatment may yield synergistic improvement in both illnesses. Future research may shed light on shared and distinct neurobiological mechanisms of these illnesses.

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.

scholarly journals Current eating disorder healthcare services – the perspectives and experiences of individuals with eating disorders, their families and health professionals: systematic review and thematic synthesis

BJPsych Open ◽  
2019 ◽  
Vol 5 (4) ◽  
Author(s):  
Gemma Johns ◽  
Bridget Taylor ◽  
Ann John ◽  
Jacinta Tan
Keyword(s):  
Eating Disorders ◽  
Eating Disorder ◽  
Health Professionals ◽  
Help Seeking ◽  
Healthcare Services ◽  
Future Research ◽  
Inclusion Criteria ◽  
Specialist Care ◽  
Internet Resources ◽  
Quantitative Studies

Background Eating disorders have the highest mortality rate of mental disorders and a high incidence of morbidity, but if diagnosed and treated promptly individuals can benefit from full recovery. However, there are numerous problems at the healthcare interface (i.e. primary and secondary care) for eating disorders. It is important to examine these to facilitate appropriate, seamless treatment and improve access to specialist care. Aims To examine the current literature on the experiences and perspectives of those across healthcare interfaces for eating disorders, to include individuals with eating disorders, people close to or caring for those with eating disorders such as family and friends, and health professionals. Method To identify relevant papers, a systematic search of electronic databases was conducted. Other methods, including hand-searching, scanning reference lists and internet resources were also used. Papers that met inclusion criteria were analysed using a systematic methodology and synthesised using an interpretative thematic approach. Results Sixty-three papers met the inclusion criteria. The methodological quality was relatively good. The included papers were of both qualitative (n = 44) and quantitative studies (n = 24) and were from ten different countries. By synthesising the literature of these papers, three dominant themes were identified, with additional subthemes. These included: ‘the help-seeking process at primary care’; ‘expectations of care and appropriate referrals’ and ‘opposition and collaboration in the treatment of and recovery from eating disorders’. Conclusions This review identifies both facilitators and barriers in eating disorder healthcare, from the perspectives of those experiencing the interface first hand. The review provides recommendations for future research and practice. Declaration of interest None.

Being men with eating disorders: Perspectives of male eating disorder service-users

2012 ◽  
Vol 18 (2) ◽  
pp. 176-186 ◽  
Author(s):  
Kate J Robinson ◽  
Victoria A Mountford ◽  
David J Sperlinger
Keyword(s):  
Eating Disorders ◽  
Eating Disorder ◽  
Clinical Practice ◽  
Interpretative Phenomenological Analysis ◽  
Phenomenological Analysis ◽  
Future Research ◽  
Service Users ◽  
Eating Disorder Psychopathology ◽  
Men With Eating Disorders ◽  
Gender Specific

This study aimed to explore experiences of men currently using eating disorder services. Eight men from two eating disorder services were interviewed about their experiences of seeking and receiving treatment. Two superordinate themes emerged from Interpretative Phenomenological Analysis: (1) difficulty seeing self as having an eating disorder; and (2) experiences of treatment: how important is gender? The underlying themes varied in their specificity to men, with some echoing findings from the female eating disorder literature. Difficulty admitting the eating disorder may link with eating disorder psychopathology as well as gender-specific issues. Implications for clinical practice and future research are discussed.

Feeding and Eating Disorders

2018 ◽  
Author(s):  
Talya Feldman ◽  
Cristin D. Runfola ◽  
James Lock
Keyword(s):  
Eating Disorders ◽  
Eating Disorder ◽  
Dialectical Behavior Therapy ◽  
Behavioral Therapy ◽  
Cognitive Remediation ◽  
Future Research ◽  
Dissemination And Implementation ◽  
Feeding And Eating Disorders ◽  
Randomized Controlled Studies ◽  
Family Based

Eating disorders are severe, life-threatening psychological disorders that frequently manifest in children and adolescents. This chapter provides an overview of the prevalence, epidemiology, assessment, and treatment of the six child and adolescent feeding and eating disorders covered by the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders: pica, rumination disorder, avoidant/restrictive food intake disorder, anorexia nervosa, bulimia nervosa, binge-eating disorder, and other specified feeding or eating disorder. Existing research is limited, but the most evidenced treatments, depending on disorder, are applied behavioral analysis; individualized behavior plans; family-based therapy; cognitive behavioral therapy; and self-help. Given the limited number of randomized controlled studies and the moderate (at best) recovery rates, future research should investigate possible adjunctive treatments (i.e., cognitive remediation therapy, dialectical behavior therapy); adaptations for specific populations; and dissemination and implementation improvements (i.e., phone or Internet delivered interventions).

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.

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