International Journal of Eating Disorders
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Micrographia and hypophonia in anorexia nervosa
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Micrographia is a condition, in which the sufferers write with small handwriting. Hypophonia is described as low volume speech. Both conditions have been described in neurological conditions, such as lesions in the deep white matter of the brain, Parkinson's disease etc., In this case report, we are presenting a 22-years-old female patient with anorexia nervosa who suffered from both these conditions. The patient also suffered from epilepsy. The onset of these symptoms, progress, and current status provides scope for discussing both the possible biological and psychodynamic etiology for these symptoms in this young woman. ...
Source: International Journal of Eating Disorders - November 3, 2009 Category: Eating Disorders and Weight Management Authors: Murali Krishnan Sekar, Jon Arcelus, Robert L. Palmer Source Type: journals
A pilot study of interpersonal psychotherapy for preventing excess weight gain in adolescent girls at-risk for obesity
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Interpersonal psychotherapy (IPT) is effective at reducing binge episodes and inducing weight stabilization in obese adults with binge eating disorder.We piloted the administration of IPT to girls at-risk for excess weight gain (BMI 75th-97th percentile; IPT-WG) with and without loss of control (LOC) eating. Thirty-eight girls (12-17 years) were randomized to IPT-WG or a standard-of-care health education group.All 38 girls completed the programs and all follow-up visits through 6 months. Thirty-five of 38 returned for a complete assessment visit at 1 year. Among girls with baseline LOC (n = 20), those in IPT-WG experienced...
Source: International Journal of Eating Disorders - October 31, 2009 Category: Eating Disorders and Weight Management Authors: Marian Tanofsky-Kraff, Denise E. Wilfley, Jami F. Young, Laura Mufson, Susan Z. Yanovski, Deborah R. Glasofer, Christine G. Salaita, Natasha A. Schvey Source Type: journals
Binge eating, purging, or both: Eating disorder psychopathology findings from an internet community survey
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This study aimed to compare bulimia nervosa (BN), binge eating disorder (BED), and purging disorder (PD) on clinically significant variables and examine the utility of once versus twice-weekly diagnostic thresholds for disturbed eating behaviors.234 women with BN, BED, or PD were identified through self-report measures via an online survey and categorized based on either once-weekly or twice-weekly disturbed eating behaviors.BN emerged as a more severe disorder than BED and PD. The three groups differed significantly in self-reported restraint and disinhibition and the BN and BED groups reported higher levels of depression...
Source: International Journal of Eating Disorders - October 28, 2009 Category: Eating Disorders and Weight Management Authors: Christina A. Roberto, Carlos M. Grilo, Robin M. Masheb, Marney A. White Source Type: journals
Eating-disordered behavior in Australian and Singaporean women: A comparative study
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We used the Eating Disorder Examination Questionnaire (EDE-Q) to compare the specific eating disorder psychopathology of young adult women in Australia (n = 339) and Singapore (n = 164). All participants completed a brief questionnaire that included the EDE-Q, basic socio-demographic information, and self-reported height and weight.Overall levels of eating disorder psychopathology, as measured by the EDE-Q global score, were very similar. There were also no differences between groups on the EDE-Q subscales. However, analysis at the item level indicated that Singaporean women were more fearful of losing control over their e...
Source: International Journal of Eating Disorders - October 20, 2009 Category: Eating Disorders and Weight Management Authors: Jonathan M. Mond, Anna Chen, Rajeev Kumar Source Type: journals
Pain severity in eating disorders predicts longer inpatient hospitalization
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This study examined pain intensity (PI) in eating disorders.Comparisons between inpatients (N = 208) reporting moderate to severe pain (HiP) and no pain or mild pain (LoP) at admission were made, and the relationship between PI and treatment response was examined.Patients with HiP were older, had a greater likelihood of having a bingeing and/or purging diagnosis, and reported greater body dissatisfaction, drive for thinness, depressive symptomatology, and neuroticism in comparison to those with LoP. They were also more likely to report widespread pain, to catastrophize about pain and to use praying and hoping to cope with ...
Source: International Journal of Eating Disorders - October 19, 2009 Category: Eating Disorders and Weight Management Authors: Janelle W. Coughlin, Robert R. Edwards, Graham W. Redgrave, Angela S. Guarda Source Type: journals
Physical activity and exercise dependence during inpatient treatment of longstanding eating disorders: An exploratory study of excessive and non-excessive exercisers
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To describe changes in physical activity (PA) and exercise dependence score during treatment of eating disorders (ED), and to explore correlations among changes in PA, exercise motivation, exercise dependence score and ED psychopathology in excessive and non-excessive exercisers.Thirty-eight adult females receiving inpatient treatment for anorexia nervosa, bulimia nervosa or ED not otherwise specified participated in this prospective study. Assessments included accelerometer assessed PA, Exercise Dependence Scale, Reasons for Exercise Inventory, ED Examination, and ED Inventory.Amount of PA was significantly reduced in non...
Source: International Journal of Eating Disorders - October 16, 2009 Category: Eating Disorders and Weight Management Authors: Solfrid Bratland-Sanda, Jorunn Sundgot-Borgen, Øyvind Rø, Jan H. Rosenvinge, Asle Hoffart, Egil W. Martinsen Source Type: journals
Salience of loss of control for pediatric binge episodes: Does size really matter?
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The subjective experience of loss of control (LOC) during eating, independent of overeating, may be a salient marker of disordered eating and risk for overweight in youth. However, few studies have directly tested this notion in an adequately powered sample.Three-hundred-sixty-seven youth (M ± SD age = 12.7 ± 2.8 y) were categorized as reporting objective binge eating (OBE; 12.5%), subjective binge eating (SBE; 11.4%), objective overeating without LOC (OO; 18.5%), or no episodes (NE; 57.5%). Disordered eating attitudes, general psychopathology, and adiposity were assessed.Children with OBE and SBE generally did not diffe...
Source: International Journal of Eating Disorders - October 13, 2009 Category: Eating Disorders and Weight Management Authors: Lauren B. Shomaker, Marian Tanofsky-Kraff, Camden Elliott, Laura E. Wolkoff, Kelli M. Columbo, Lisa M. Ranzenhofer, Caroline A. Roza, Susan Z. Yanovski, Jack A. Yanovski Source Type: journals
Increased QT variability in patients with anorexia nervosa - An indicator for increased cardiac mortality?
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In this study, we examined the relative importance of repolarization abnormalities and vagal modulation of heart rate. In particular, we hypothesized that patients with anorexia nervosa show increased QT interval variability, particularly since this measure has been shown to correlate with serious cardiac arrhythmias.We assessed linear and nonlinear heart rate variability (HRV) parameters as well as measures of QT variability in 20 female patients with anorexia nervosa and 20 controls. In patients, parameters were correlated with serum electrolytes.QT variability was significantly increased in the patient group and correla...
Source: International Journal of Eating Disorders - October 8, 2009 Category: Eating Disorders and Weight Management Authors: Mandy Koschke, Michael K. Boettger, Claudia Macholdt, Steffen Schulz, Vikram K. Yeragani, Andreas Voss, Karl-Jürgen Bär Source Type: journals
Disordered eating in adulthood is associated with reported weight loss attempts in childhood
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To determine whether history of attempted weight loss in childhood (age [le]12 years) is associated with binge eating disorder (BED) and unhealthy weight loss behaviors in adults.Cross-sectional analysis from baseline visit data of 588 participants of a clinical trial. Data were collected from survey answers on health status, nutritional status, weight loss history, and weight loss behaviors.History of childhood weight loss attempts was associated with high odds of BED in adults (odds ratio [OR] 3.4; 95% confidence interval [CI] 2.8-6.3) and high odds of unhealthy weight loss behaviors (OR 2.3; 95% CI 1.2, 2.6). A linear t...
Source: International Journal of Eating Disorders - October 7, 2009 Category: Eating Disorders and Weight Management Authors: Tamar B. Rubinstein, Aileen P. McGinn, Rachel P. Wildman, Judith Wylie-Rosett Source Type: journals
A comparison of stigma toward eating disorders versus depression
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The goal of this study was to compare the degree of stigma associated with anorexia nervosa (AN), bulimia nervosa (BN), and depression.Participants read one of three vignettes describing clinical cases of AN, BN, or depression, and answered questions assessing stigma toward individuals with one of these three mental disorders.Attitudes toward individuals with eating disorders were significantly more stigmatizing than attitudes toward individuals with depression. Individuals with an eating disorder were rated as more fragile, more responsible for their disorder, and more likely to use their disorder to gain attention than i...
Source: International Journal of Eating Disorders - October 7, 2009 Category: Eating Disorders and Weight Management Authors: James P. Roehrig, Carmen P. McLean Source Type: journals
Body dissatisfaction moderates weight curves in the inpatient treatment of anorexia nervosa
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To examine whether drive for thinness, body dissatisfaction, and restrictive/binge eating-purging subtype at admission moderates the weight curves of patients with Anorexia Nervosa (AN) over the course of inpatient treatment.The nature of weight curves, individual differences herein and moderating factors are examined in 92 AN patients by means of multilevel modeling.The average weight curve of AN patients is characterized by a linear weight increase during treatment that levels off near the end of treatment. Substantial individual differences exist in the shape of patients' weight curves. Patients with stronger body dissa...
Source: International Journal of Eating Disorders - October 7, 2009 Category: Eating Disorders and Weight Management Authors: Kristof Vansteelandt, Guido Pieters, Johan Vanderlinden, Michel Probst Source Type: journals
Early response to family-based treatment for adolescent anorexia nervosa
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The purpose of this study was to determine if early weight gain predicted remission at the end of treatment in a clinic sample of adolescents with anorexia nervosa (AN).Sixty five adolescents with AN (mean age = 14.9 years, SD = 2.1), from two sites (Chicago n = 45; Columbia n = 20) received a course of manualized family-based treatment (FBT). Response to treatment was assessed using percent ideal body weight (IBW) with remission defined as having achieved [ge]95% IBW at end of treatment (Session 20).Receiver operating characteristic analyses showed that a gain of at least 2.88% in ideal body weight by Session 4 best predi...
Source: International Journal of Eating Disorders - October 7, 2009 Category: Eating Disorders and Weight Management Authors: Peter M. Doyle, Daniel le Grange, Katharine Loeb, Angela Celio Doyle, Ross D. Crosby Source Type: journals
Thrombopoietin and thrombocytopenia in anorexia nervosa with severe liver dysfunction
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Patients with anorexia nervosa (AN) display various physical complications. One such problem is thrombocytopenia. However, no studies have investigated links between AN and thrombopoietin (TPO), which is the primary regulator of megakaryocyte and platelet production produced mainly in the liver, although TPO has been recently reported to play a role in thrombocytopenia in liver diseases. We therefore clarified temporal relationships between platelet counts and TPO level in a woman with AN and severe liver dysfunction in whom platelet count decreased to 53 × 109/L.While international normalized ratio (INR) was low, serum T...
Source: International Journal of Eating Disorders - October 6, 2009 Category: Eating Disorders and Weight Management Authors: Kazuhiro Yoshiuchi, Yoshiyuki Takimoto, Junko Moriya, Shuji Inada, Akira Akabayashi Source Type: journals
Dysregulated eating behaviors in borderline personality disorder: Are rejection sensitivity and emotion dysregulation linking mechanisms?
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Individuals with borderline personality disorder (BPD) often engage in dysregulated eating behaviors, such as binge-eating and purging. Rejection sensitivity, or the tendency to worry about and expect rejection in most situations, may be involved in this relationship by increasing the intensity and frequency of emotion dysregulation.Using a sample which included individuals diagnosed with BPD, a structural equation model was constructed using BPD symptoms and measures of rejection sensitivity, emotion dysregulation, and dysregulated eating behaviors.The hypothesized model was supported in which BPD symptoms predicted high ...
Source: International Journal of Eating Disorders - October 5, 2009 Category: Eating Disorders and Weight Management Authors: Edward A. Selby, Anne C. Ward, Thomas E. Joiner Jr. Source Type: journals
Expressed emotion in relatives of patients with eating disorders following skills training program
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The first aim of this work was to examine whether high expressed emotion (EE) would be associated with psychological distress and negative appraisal of caregiving. The second aim was to examine whether could replicate the findings of (Uehara et al., Compr Psychiatr, 42, 132-138, 2001) regarding a reduction in EE in association with a psycho-educational intervention.A prospective exploratory follow-up assessment of 47 caregivers in which EE was measured by Five Minutes Speech Sample, Experience of Caregiving Inventory and General Health Questionnaire (GHQ-12).High EE ratings were found in 26/47 (55%) carers at baseline. The...
Source: International Journal of Eating Disorders - October 4, 2009 Category: Eating Disorders and Weight Management Authors: Ana R. Sepulveda, Gill Todd, Wendy Whitaker, Miriam Grover, Daniel Stahl, Janet Treasure Source Type: journals
Childhood risk factors in Korean women with anorexia nervosa: Two sets of case-control studies with retrospective comparisons
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The aim of this study was to investigate the characteristics of the risk factors for anorexia nervosa (AN) in Korean women.Two sets of case-control comparisons were conducted, in which 52 women with lifetime AN from Seoul, S. Korea, were compared with 108 Korean healthy controls and also with 42 women with lifetime AN from the UK in terms of their childhood risk factors. A questionnaire designed to conduct a retrospective assessment of the childhood risk factors was administered to all participants.The Korean AN women were more likely to report premorbid anxiety, perfectionism, and emotional undereating and were less likel...
Source: International Journal of Eating Disorders - October 4, 2009 Category: Eating Disorders and Weight Management Authors: Youl-Ri Kim, Si Young Heo, Heechan Kang, Ki Jun Song, Janet Treasure Source Type: journals
Cost-utility of treatment of bulimia nervosa
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The costs of treating eating disorders are high. Our objective was to perform a cost-utility analysis of treatment of bulimia nervosa.72 patients entering treatment of bulimia nervosa (ICD-10 diagnosis) completed the 15D health-related quality of life (HRQoL) questionnaire and the Eating Disorder Inventory (EDI) before and 6 months after the start of treatment. Quality-adjusted life years (QALYs) gained were calculated and cost-utility was assessed within the time horizon of 10 years.Baseline HRQoL was severely impaired in the patients. As a consequence of treatment, mean HRQoL improved clinically and statistically signifi...
Source: International Journal of Eating Disorders - October 4, 2009 Category: Eating Disorders and Weight Management Authors: Veera Pohjolainen, Pirjo Räsänen, Risto P. Roine, Harri Sintonen, Kristian Wahlbeck, Hasse Karlsson Source Type: journals
Behavioral assessment of the reinforcing effect of exercise in women with anorexia nervosa: Further paradigm development and data
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To use a Progressive Ratio (PR) computerized "work" paradigm to measure course and correlates of exercise motivation in in-patients with Anorexia Nervosa (AN).Sixteen inpatients with AN participated in a PR task assessing the relative reinforcing effect of two different increments of cash versus the opportunity to exercise for upto 30 min, twice; at low weight, and, for n = 10 participants, after weight restoration.There was a trend toward a higher work for exercise with 2 versus 5 increments of cash as the alternative reinforcer. Exercise breakpoint did not differ between low and normal-weight states. Exercise breakpoint ...
Source: International Journal of Eating Disorders - October 4, 2009 Category: Eating Disorders and Weight Management Authors: Diane A. Klein, Janet E. Schebendach, Marina Gershkovich, Lindsay P. Bodell, Richard W. Foltin, B. Timothy Walsh Source Type: journals
A qualitative study of perceived social barriers to care for eating disorders: Perspectives from ethnically diverse health care consumers
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The study aim was to identify and describe health consumer perspectives on social barriers to care for eating disorders in an ethnically diverse sample.We conducted an exploratory secondary analysis of qualitative data comprising transcripts from semi-structured interviews with past and prospective consumers of eating disorder treatment (n = 32). Transcripts were inputted into NVivo 8 for coding, sorting, and quantifying thematic content of interest within strata defined by ethnic minority and non-minority participants. We then examined the influence of key social barriers - including stigma and social stereotypes - on per...
Source: International Journal of Eating Disorders - October 4, 2009 Category: Eating Disorders and Weight Management Authors: Anne E. Becker, Adrienne Hadley Arrindell, Alexandra Perloe, Kristen Fay, Ruth H. Striegel-Moore Source Type: journals
Epigenetic dysregulation of dopaminergic genes in eating disorders
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The pathophysiology of eating disorders such as anorexia nervosa (AN) and bulimia nervosa (BN) has been linked to an impaired dopaminergic neurotransmission, still the origin of this disturbance remains unknown. The aim of the present study was, therefore, to evaluate whether the expression of dopaminergic genes is altered in the blood of patients suffering from eating disorders and if these alterations can be explained by changes in the promoter specific DNA methylation of the genes.We used quantitative real-time PCR to measure both the expression and the promoter specific DNA methylation of the dopamine transporter (DAT)...
Source: International Journal of Eating Disorders - September 3, 2009 Category: Eating Disorders and Weight Management Authors: Helge Frieling, Konstanze D. Römer, Sarah Scholz, Franziska Mittelbach, Julia Wilhelm, Martina De Zwaan, Georg E. Jacoby, Johannes Kornhuber, Thomas Hillemacher, Stefan Bleich Source Type: journals
Academy for eating disorders position paper: The role of the family in eating disorders
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No abstract. (Source: International Journal of Eating Disorders)
Source: International Journal of Eating Disorders - September 1, 2009 Category: Eating Disorders and Weight Management Authors: Daniel Le Grange, James Lock, Katharine Loeb, Dasha Nicholls Source Type: journals
"I'm not physically active - I only go for walks": Physical activity in patients with longstanding eating disorders
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To examine self reported versus objectively assessed moderate-to-vigorous physical activity (MVPA), and different reasons for exercise, in patients with longstanding eating disorders (ED) when compared with controls.Inpatient females (n = 59, mean 30.1 years) and nonclinical age matched controls (n = 53, mean 31.3 years) accepted participation in this cross sectional study. Instruments included accelerometer ActiGraph, physical activity diary, Reasons for Exercise Inventory, and Eating Disorders Examination interview.Self reported and objectively assessed MVPA were higher across all ED diagnoses when compared with controls...
Source: International Journal of Eating Disorders - September 1, 2009 Category: Eating Disorders and Weight Management Authors: Solfrid Bratland-Sanda, Jorunn Sundgot-Borgen, Øyvind Rø, Jan H Rosenvinge, Asle Hoffart, Egil W Martinsen Source Type: journals
Psychobiology of purging disorder: Reduction in circulating leptin levels in purging disorder in comparison with controls
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This study examined whether PD is also characterized by low serum leptin.Participants included women with PD (n = 20) or BN (n = 37), and non-eating disorder controls (n = 33). Blood samples for measurement of leptin and total ghrelin were obtained after overnight fast.In comparison with control values, leptin levels were significantly decreased in PD (p < .01), as well as in BN (p < .02). Plasma ghrelin levels did not differ significantly across groups.These results provide the first evidence that PD is associated with alteration in a neurobiological pathway influencing eating patterns and body weight. Further research is...
Source: International Journal of Eating Disorders - August 31, 2009 Category: Eating Disorders and Weight Management Authors: David C. Jimerson, Barbara E. Wolfe, Devon P. Carroll, Pamela K. Keel Source Type: journals
Eating disorders in DSM-V: Review of existing literature (Part 1)
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No abstract. (Source: International Journal of Eating Disorders)
Source: International Journal of Eating Disorders - August 28, 2009 Category: Eating Disorders and Weight Management Authors: B. Timothy Walsh Source Type: journals
The relationships between body mass index and television viewing, internet use and cellular phone use: The moderating effects of socio-demographic characteristics and exercise
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This study aimed to examine the relationships between body mass index (BMI) and television viewing, Internet use and cellular phone use and the moderators for these relationships in adolescents.The relationship between BMI and the time spent on three kinds of sedentary activities and the moderators for these relationships were analyzed among 9,278 Taiwanese adolescents. The different relationships between BMI and various Internet and cellular phone-related activities were analyzed.High television viewing and high Internet use were associated with increased BMI in adolescents. Exercising had a moderating effect on the relat...
Source: International Journal of Eating Disorders - August 27, 2009 Category: Eating Disorders and Weight Management Authors: Cheng-Fang Yen, Ray C. Hsiao, Chih-Hung Ko, Ju-Yu Yen, Chi-Fen Huang, Shu-Chun Liu, Shing-Yaw Wang Source Type: journals
Self-reported weight gain following smoking cessation: A function of binge eating behavior
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This study investigated patterns of self-reported weight gain following smoking cessation among overweight individuals with and without binge eating.Participants were 103 overweight (BMI [ge] 25) community volunteers who completed a battery of questionnaires online. Key items queried smoking cessation history and weight gain in the year following cessation. Participants were classified as nonbinge eating overweight (NBO, n = 56) or binge eating disorder (BED, n = 47).BED participants were significantly more likely to report weight gain in the year following smoking cessation than NBO participants. After controlling for cur...
Source: International Journal of Eating Disorders - August 27, 2009 Category: Eating Disorders and Weight Management Authors: Marney A. White, Robin M. Masheb, Carlos M. Grilo Source Type: journals
The measure of a man: Associations between digit ratio and disordered eating in males
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The current study sought to determine whether there is a relationship between prenatal testosterone exposure, as indicated by the digit ratios of the second to fourth fingers (2D:4D ratio), and disordered eating and drive for muscularity in men.Digit ratios were calculated by measuring photocopies of participants' finger lengths. Self-reported body image and eating attitudes and behaviors were assessed.There were significant correlations between 2D:4D ratio and disordered eating and drive for leanness, indicating that greater prenatal testosterone exposure was associated with less disordered eating and increased drive for ...
Source: International Journal of Eating Disorders - August 27, 2009 Category: Eating Disorders and Weight Management Authors: April R. Smith, Sean E. Hawkeswood, Thomas E. Joiner Source Type: journals
Factors associated with body dissatisfaction and disordered eating in women in midlife
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This study provides support for the role of developmentally relevant factors in body dissatisfaction and disordered eating in midlife women. © 2009 by Wiley Periodicals, Inc. Int J Eat Disord 2009 (Source: International Journal of Eating Disorders)
Source: International Journal of Eating Disorders - August 27, 2009 Category: Eating Disorders and Weight Management Authors: Siân A. McLean, Susan J. Paxton, Eleanor H. Wertheim Source Type: journals
Narcissistic characteristics and eating-disordered behaviors
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This study aimed to examine the relationship between narcissism and eating-disordered behaviors (e.g., bingeing and purging).The participants, 110 women presenting with an eating disorder, completed measures of narcissism and eating disorder psychopathology.Associations were found between patients who engaged in excessive exercise and levels of narcissism. There were also dimensional associations between eating-disordered behaviors and specific aspects of narcissism.Clinical implications and limitations of the study are discussed, and future directions for research suggested. © 2009 by Wiley Periodicals, Inc. Int J Eat Di...
Source: International Journal of Eating Disorders - August 27, 2009 Category: Eating Disorders and Weight Management Authors: Mari Campbell, Glenn Waller Source Type: journals
Prospectively predicting dietary restraint: The role of interpersonal self-efficacy, weight/shape self-efficacy, and interpersonal stress
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This study investigated how the precursors of interpersonal self-efficacy and weight/shape self-efficacy would interact in the face of interpersonal stress to prospectively predict dietary restraint. Three models were explored, each with a different type of interpersonal stress: stress from same sex friendships, opposite sex friendships, or romantic relationships.At Time 1 (T1), participants (N = 406) reported on their typical levels of interpersonal self-efficacy and weight/shape self-efficacy, and recent (past 28 days) dietary restraint. At Time 2 (T2), 11 weeks after T1, participants reported on their recent (past 28 da...
Source: International Journal of Eating Disorders - August 27, 2009 Category: Eating Disorders and Weight Management Authors: A.S. Cain, A.M. Bardone-Cone, L.Y. Abramson, K.D. Vohs, T.E. Joiner Source Type: journals
Service users' views of eating disorder services: An international comparison
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To perform a United States-United Kingdom cross-national comparison of service users' perspectives on eating disorder (ED) treatments and services.Qualitative, exploratory study. One hundred forty-four US and 150 UK ED service users completed a questionnaire developed by the Academy for Eating Disorders. Data were analyzed using conventional content analysis.Both samples identified the following as essential aspects of care: good therapeutic relationship, holistic approach, individual psychotherapy/counseling, specialized treatment, client-centered care, and support. In the US sample, the main concerns involved lack of fin...
Source: International Journal of Eating Disorders - August 27, 2009 Category: Eating Disorders and Weight Management Authors: Tatiana Escobar-Koch, Judith D. Banker, Scott Crow, Jan Cullis, Susan Ringwood, Gráinne Smith, Eric van Furth, Kitty Westin, Ulrike Schmidt Source Type: journals
Twenty-year follow-up of bulimia nervosa and related eating disorders not otherwise specified
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This study reports 20-year outcome of bulimia nervosa (BN) and related eating disorders not otherwise specified (EDNOS) and point prevalence of BN and EDNOS for a cohort of women and men in late adolescence (mean age = 20 ± 2 years), adulthood (30 ± 2 years), and mid-life (40 ± 2 years).N = 654 women and men, 73% of those assessed in 1982, completed 20-year follow-up in a two-stage design including questionnaires and structured clinical interviews.Approximately 75% of women with BN were in remission at 20-year follow-up, and outcome did not differ significantly between BN and EDNOS. Eating disorder point prevalence decl...
Source: International Journal of Eating Disorders - August 27, 2009 Category: Eating Disorders and Weight Management Authors: Pamela K. Keel, Julie A. Gravener, Thomas E. Joiner Jr., Alissa A. Haedt Source Type: journals
Mobile therapy: Use of text-messaging in the treatment of bulimia nervosa
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To examine a text-messaging program for self-monitoring symptoms of bulimia nervosa (BN) within the context of cognitive-behavioral therapy (CBT).Thirty-one women participated in 12 weekly group CBT sessions and a 12 week follow-up. Participants submitted a text message nightly indicating the number of binge eating and purging episodes and rating their urges to binge and purge. Automatic feedback messages were tailored to their self-reported symptoms.Fully 87% of participants adhered to self-monitoring and reported good acceptability. The number of binge eating and purging episodes as well as symptoms of depression (BDI), ...
Source: International Journal of Eating Disorders - August 27, 2009 Category: Eating Disorders and Weight Management Authors: Jennifer R. Shapiro, Stephanie Bauer, Ellen Andrews, Emily Pisetsky, Brendan Bulik-Sullivan, Robert M. Hamer, Cynthia M. Bulik Source Type: journals
Psychological and behavioral correlates of excess weight: Misperception of obese status among persons with Class II obesity
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This study examined psychological and behavioral correlates of weight status perception in 173 Class II obese adult community volunteers.Participants completed the Eating Disorder Examination-Self-Report (EDE-Q), Three Factor Eating Questionnaire (TFEQ), Beck Depression Inventory, and Rosenberg Self-Esteem Scale online. Key items assessed dieting frequency, weight history, and perceived current weight status (normal weight, overweight, or obese). Actual weight status was determined using NIDDK/CDC classification schemes.Among participants with Class II obesity, 50.9% incorrectly classified their weight as overweight versus...
Source: International Journal of Eating Disorders - August 27, 2009 Category: Eating Disorders and Weight Management Authors: Megan Jones, Carlos M. Grilo, Robin M. Masheb, Marney A. White Source Type: journals
Interpersonal problems in eating disorders
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Eating disorders are often chronic in nature and lead to a number of problems among which interpersonal issues are suggested to be central. Although research has shown that individuals with disturbed patterns of eating consistently report problems in social interactions, this study is unique in assessing a range of interpersonal problems among patients with all types of eating disorders before and after intensive hospital-based treatment.A total of 208 patients receiving a primary diagnosis of restrictive anorexia nervosa, bulimia nervosa, or anorexia nervosa of the binge/purging-subtype were included in the study. Eating ...
Source: International Journal of Eating Disorders - August 27, 2009 Category: Eating Disorders and Weight Management Authors: Armin Hartmann, Almut Zeeck, Marna S. Barrett Source Type: journals
Eating disorders in DSM-V: Review of existing literature (Part 2)
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No abstract. (Source: International Journal of Eating Disorders)
Source: International Journal of Eating Disorders - August 27, 2009 Category: Eating Disorders and Weight Management Authors: B. Timothy Walsh Source Type: journals
Nocturnal eating: Association with binge eating, obesity, and psychological distress
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This study confirms the association between nocturnal eating and binge eating previously found in treatment seeking samples yet also suggests that the elevated eating disorder symptoms and decreased psychosocial adjustment observed in nocturnal eaters is not simply a function of binge eating. © 2009 by Wiley Periodicals, Inc. Int J Eat Disord 2009 (Source: International Journal of Eating Disorders)
Source: International Journal of Eating Disorders - August 25, 2009 Category: Eating Disorders and Weight Management Authors: Ruth H. Striegel-Moore, Francine Rosselli, G. Terence Wilson, Nancy Perrin, Kate Harvey, Lynn DeBar Source Type: journals
Association between serotonin transporter gene polymorphism and eating disorders: A meta-analytic study
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Compelling evidence has suggested a role for serotonin system dysfunction in the pathogenesis of eating disorders (EDs), including anorexia nervosa (AN) and bulimia nervosa (BN). Studies have examined the association between EDs and a functional polymorphism of the serotonin transporter gene promoter (5-HTTLPR). These studies have yielded inconsistent results. The present study aimed to determine conclusively whether there is an association by using a meta-analytic method.Data of over 2,000 participants from eight independent case-controlassociation studies were pooled by using a random effects model.AN was found to be sig...
Source: International Journal of Eating Disorders - August 24, 2009 Category: Eating Disorders and Weight Management Authors: Yu Lee, Pao-Yen Lin Source Type: journals
Emotion avoidance in patients with anorexia nervosa: Initial test of a functional model
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This study aimed to evaluate emotion avoidance in patients with anorexia nervosa (AN) and to examine whether emotion avoidance helps to explain (i.e., mediates) the relation between depressive and anxiety symptoms and eating disorder (ED) psychopathology in this group.Seventy-five patients with AN completed questionnaires to assess study variables. Rates of emotion avoidance were compared to published data, and regression models were used to test the hypothesis that emotion avoidance mediates the relation between depressive and anxiety symptoms and ED psychopathology in AN.Patients with AN endorsed levels of emotion avoida...
Source: International Journal of Eating Disorders - August 7, 2009 Category: Eating Disorders and Weight Management Authors: Jennifer E. Wildes, Rebecca M. Ringham, Marsha D. Marcus Source Type: journals
Genetic and environmental influences on restrained eating behavior
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We examined the relative contributions of genetic and environmental influences to restrained eating.Restrained eating was assessed by the Restraint Scale in a survey mailed to all twins enrolled in the University of Washington Twin Registry. We used structural equation modeling to estimate genetic and nongenetic contributions to restrained eating.1,196 monozygotic (MZ), 456 same-sex dizygotic (DZ) twins, and 447 opposite-sex twins were included in analyses. Restraint Scale scores were more closely correlated in MZ twins (rmale = .55, rfemale = .55) than in same-sex DZ twins (rmale = .31, rfemale = .19). Based on structural...
Source: International Journal of Eating Disorders - August 5, 2009 Category: Eating Disorders and Weight Management Authors: Ellen Schur, Carolyn Noonan, Janet Polivy, Jack Goldberg, Dedra Buchwald Source Type: journals
Time course of bone loss in patients with anorexia nervosa
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To evaluate the time course of bone mineral density (BMD) in women with anorexia nervosa (AN) during 2-year follow-up.We prospectively studied 51 female with AN aged 18-38 years, and 40 age-matched healthy women (19-34 years). BMD was measured in lumbar spine (LS), femoral neck (FN), and total hip (TH) by DXA.At baseline, weight, body mass index, and lumbar and hip BMD were significantly (p < .001) lower in AN patients than in controls. Patients who gain weight showed a significant increase in BMD at FN (+1.6%; p < .05), and TH (+4.4%; p < .05) and lower nonsignificant changes in LS (+1.3%). Weight at entry, and percent ch...
Source: International Journal of Eating Disorders - August 4, 2009 Category: Eating Disorders and Weight Management Authors: José M. Olmos, Carmen Valero, Andrés Gómez del Barrio, José A. Amado, José L. Hernández, José Menéndez-Arango, Jesús González-Macías Source Type: journals
Should non-fat-phobic anorexia nervosa be included in DSM-V?
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Cross-cultural data suggest that rationales for food refusal vary in anorexia nervosa (AN), and a variant, termed non-fat-phobic AN (NFP-AN), has been described. This review evaluates whether data support modification of the requirement for intense fear of weight gain to meet AN criterion B in DSM-V.We performed a systematic search of the Medline and PsychInfo literature and evaluated the relevant publications by Robins and Guze's (Am J Psychiatry 126, 983-987, 1970) criteria as a standard for diagnostic validity. We also performed a meta-analysis comparing the severity of eating pathology in AN to (a) NFP-AN and (b) AN wi...
Source: International Journal of Eating Disorders - August 4, 2009 Category: Eating Disorders and Weight Management Authors: Anne E. Becker, Jennifer J. Thomas, Kathleen M. Pike Source Type: journals
Broad categories for the diagnosis of eating disorders (BCD-ED): An alternative system for classification
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The objective of this review was to examine the advantages and disadvantages of adopting this scheme for DSM-V.We reviewed published studies to assess the proportion of individuals with DSM-IV EDNOS that would be reclassified under the BCD-ED system, support for the hierarchy of the three categories, and the potential risk of "overdiagnosis."Adopting the BCD-ED scheme would have both advantages and disadvantages, but would likely substantially reduce the number of individuals who would receive an EDNOS diagnosis.BCD-ED is a potential method of addressing the high frequency of EDNOS, but would be a major change in how eatin...
Source: International Journal of Eating Disorders - July 31, 2009 Category: Eating Disorders and Weight Management Authors: B. Timothy Walsh, Robyn Sysko Source Type: journals
Clarifying criteria for cognitive signs and symptoms for eating disorders in DSM-V
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This article reviews literature relevant to challenges in clinical ascertainment of cognitively-based diagnostic criteria of anorexia nervosa (AN) and bulimia nervosa (BN) to examine whether revision might enhance their clinical utility.We performed a systematic literature search to identify publications relevant to clinical evaluation of cognitive symptoms of AN and BN.The literature supports several reasons that individuals with an eating disorder may not endorse cognitive symptoms, despite their presence. These include limited insight, minimization, or denial, as well as intentional concealment related to perceived stig...
Source: International Journal of Eating Disorders - July 30, 2009 Category: Eating Disorders and Weight Management Authors: Anne E. Becker, Kamryn T. Eddy, Alexandra Perloe Source Type: journals
Five-year longitudinal predictive factors for disordered eating in a population-based sample of overweight adolescents: Implications for prevention and treatment
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The objective of this study is to identify predictors of prevalence and incidence of disordered eating (binge eating and extreme weight control behaviors) among overweight adolescents.Five-year longitudinal associations were examined in 412 overweight adolescents who participated in Project EAT-I and II.Among both overweight males and females, risk factors for disordered eating included exposure to weight loss magazine articles, higher weight importance, and unhealthy weight control behaviors, while family connectedness, body satisfaction, and regular meals were protective factors, although there were some differences in p...
Source: International Journal of Eating Disorders - July 29, 2009 Category: Eating Disorders and Weight Management Authors: Dianne Neumark-Sztainer, Melanie Wall, Mary Story, Nancy E. Sherwood Source Type: journals
The validity and clinical utility of purging disorder
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To review evidence of the validity and clinical utility of Purging Disorder and examine options for the Diagnostic and Statistical Manual of Mental Disorders fifth edition (DSM-V).Articles were identified by computerized and manual searches and reviewed to address five questions about Purging Disorder: Is there "ample" literature? Is the syndrome clearly defined? Can it be measured and diagnosed reliably? Can it be differentiated from other eating disorders? Is there evidence of syndrome validity?Although empirical classification and concurrent validity studies provide emerging support for the distinctiveness of Purging Di...
Source: International Journal of Eating Disorders - July 28, 2009 Category: Eating Disorders and Weight Management Authors: Pamela K. Keel, Ruth H. Striegel-Moore Source Type: journals
Should amenorrhea be a diagnostic criterion for anorexia nervosa?
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This article presents and discusses the arguments for maintaining as well as those for removing the criterion.The psychological and biological literatures on the utility of amenorrhea as a distinguishing diagnostic criterion for AN and as an indicator of illness severity are reviewed.The findings suggest that the majority of differences among patients with AN who do and do not meet the amenorrhea criterion appear largely to reflect nutritional status. Overall, the two groups have few psychological differences. There are mixed findings regarding biological differences between those with AN who do and do not menstruate and t...
Source: International Journal of Eating Disorders - July 20, 2009 Category: Eating Disorders and Weight Management Authors: Evelyn Attia, Christina A. Roberto Source Type: journals
The validity and clinical utility of binge eating disorder
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This review attempted to examine the validity and clinical utility of the DSM-IV binge eating disorder (BED) diagnosis across a wide range of validating strategies.Various electronic databases (Pub Med, Psych Info) were searched for terms relevant to the diagnosis of BED (e.g., binge eating disorder, binge eating) in order to identify papers. Additionally, published papers were reviewed in order to locate additional manuscripts and papers that were presented at meetings.The validity and utility of BED varied substantially according to the validator chosen. There is reasonable evidence that BED can be differentiated from ot...
Source: International Journal of Eating Disorders - July 19, 2009 Category: Eating Disorders and Weight Management Authors: Stephen A. Wonderlich, Kathryn H. Gordon, James E. Mitchell, Ross D. Crosby, Scott G. Engel Source Type: journals
The validity and clinical utility of night eating syndrome
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To review the empirical literature for evidence in support of inclusion of Night Eating Syndrome (NES) in the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders.Based on a literature search using PubMed, 47 empirical studies of NES were identified.The literature reflects use of varying definitions; progress has been made toward reliable measurement of night eating symptoms; evidence regarding a differentiation of NES from "normalcy" or from other eating disorders is based largely on samples of convenience; only one controlled treatment study has been published.There are limited data supporting the c...
Source: International Journal of Eating Disorders - July 19, 2009 Category: Eating Disorders and Weight Management Authors: Ruth H. Striegel-Moore, Debra L. Franko, Jennifer Garcia Source Type: journals
The validity and utility of subtyping bulimia nervosa
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To review the evidence for the validity and utility of subtyping bulimia nervosa (BN) into a purging (BN-P) and a nonpurging subtype (BN-NP), and of distinguishing BN-NP from binge eating disorder (BED), by comparing course, complications, and treatment.A literature search of psychiatry databases for studies published in peer-reviewed journals that used the DSM-definitions of BN and BED, and included both individuals with BN-NP and individuals with BN-P and/or BED.Twenty-three studies compared individuals with BN-NP (N = 671) to individuals with BN-P (N = 1795) and/or individuals with BED (N = 1921), two of which reported ...
Source: International Journal of Eating Disorders - July 19, 2009 Category: Eating Disorders and Weight Management Authors: Daphne van Hoeken, Wim Veling, Sjoukje Sinke, James E. Mitchell, Hans W. Hoek Source Type: journals
