The objective of the study was to determine whether levels of biochemical and haematological parameters in patients with eating disorders (EDs) varied from the general population. Whilst dietary restrictions can lead to nutritional deficiencies, specific abnormalities may be relevant to the diagnosis, pathogenesis and treatment of EDs.
Using ICD-11 criteria, this study aimed to determine the prevalence of PTSD and DSO symptoms, diagnostic rates of PTSD and CPTSD, and childhood trauma exposure in eating disorder treatment-seekers. To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
This systematic review aims to identify and evaluate the literature investigating protective factors and eating disorders (EDs), to establish what is known about factors in family systems that could be considered protective against the development of ED/disordered eating.
Compulsive exercise (CE) has been proposed as significant in the etiology, development and maintenance of eating disorders (EDs), resulting in more severe and enduring pathology. However, few studies have investigated CE longitudinally in adolescents with EDs. We aimed to test if adolescents show the same associations between CE and other clinical variables as previous research has found in adults.
Psychological Bulletin143.3 (Mar 2017): 293-320.
It remains unclear whether body dissatisfaction, a widely recognized predictor of eating-related pathologies and depressive symptomatology, is consistent across cohorts and time. This question is important to investigate because dominant theories propose that sociocultural influences, which may fluctuate, play an important role in the development of body dissatisfaction. Previous efforts for tracking body dissatisfaction across cohorts and time are limited by relying on data from a single institution or using assessments that lack psychometric support across genders. In this study, we utilized cross-temporal meta-analyses to examine changes in 2 dimensions of body dissatisfaction...To read the full article, log in using your NHS OpenAthens details.
Reward and punishment sensitivities have been identified as potential contributors to binge eating and compensatory behaviors, though few studies have examined gender differences in these behaviors.
Anorexia nervosa is a psychiatric disorder of unknown etiology. Understanding associations between behavior and neurobiology is important in treatment development. Using a novel monetary reward task during functional magnetic resonance brain imaging, the authors tested how brain reward learning in adolescent anorexia nervosa changes with weight restoration. : Login at top right hand side of page using your SSSFT NHS Athens for full text. SSOTP - You can request a copy of this article by replying to this email. Please ensure you are clear which article you are requesting.
Young individuals with anorexia nervosa (AN) or recovered from AN display impairments of social function. To date, however, it is not clear whether they differ from controls with respect to neurocognitive performance and whether those functions contribute to the compromised social function observed in individuals with AN.
Most weight loss research focuses on weight as the primary outcome, often to the exclusion of other physiological or psychological measures. This study aims to provide a holistic evaluation of the effects from weight loss interventions for individuals with obesity by examining the physiological, psychological and eating disorders outcomes from these interventions.
People seem to have a basic drive to assess the correctness of their opinions, abilities, and emotions. Without absolute indicators of these qualities, people rely on a comparison of themselves with others. Social comparison theory can be applied to eating behavior. For example, restrained eaters presented with a standard slice of pizza ate more of a subsequent food if they thought that they had gotten a bigger slice of pizza than others (i.e., had broken their diets), whereas unrestrained eaters ate less. Social influences on eating such as modeling and impression formation also rely on comparison of one’s own eating to others. Comparing one’s food to others’ meals generally influences eating, affect, and satisfaction.
A 12-month, open-label extension study assessed the long-term safety and tolerability of lisdexamfetamine dimesylate (LDX) in adults with binge eating disorder (BED). SSSFT staff can use the OVID link, or you can request a copy of this article by replying to this email. Please ensure you are clear which article you are requesting.
Family-based treatment (FBT) is an effective evidence-based therapy for adolescent anorexia nervosa (AN) and is the recommended approach to treatment at the present time.1 The effectiveness of other treatments such as individual psychotherapy (ego-oriented therapy) and generic family therapy (systemic family therapy) is based on less evidence and such treatments are not as effective as FBT.1 Whether treatment involving the whole family, or a simpler treatment involving parents only, differ in effectiveness is not known. To read the full article, log in using your NHS OpenAthens details.
First episode and rapid early intervention for eating disorders (FREED) is a novel service for young people with a first episode of an eating disorder, which focuses on optimal delivery of rapid, personally tailored and well integrated care. The introduction of FREED has been shown to significantly improve treatment uptake, clinical outcomes and service satisfaction and reduces needs for in-patient care.
Insecure and unresolved/disorganized attachment states of mind may impact affect regulation and interpersonal functioning that contribute to binge eating in women with binge-eating disorder (BED). Group psychological treatment may facilitate changes from insecure to secure and from unresolved–disorganized to non-unresolved/disorganized attachment states of mind. This study used attachment theory to understand better the psychopathology of BED and co-morbid overweight status and to understand better the treatment response of patients with BED who receive group psychotherapy. Login using your SSSFT NHS OpenAthens details for full text.
This guideline covers assessment, treatment, monitoring and inpatient care for children, young people and adults with eating disorders. It aims to improve the care people receive by detailing the most effective treatments for anorexia nervosa, binge eating disorder and bulimia nervosa.
Carers of individuals with eating disorders (EDs) report high levels of burden and distress and describe a number of unmet needs. As a result, a number of interventions have been designed to support carers, including the “Maudsley eating disorder collaborative care skills workshops,” which comprise six 2-hr workshops delivered over 3 months for parents and carers of people with EDs. The current study aimed to test a proof-of-concept that this workshop could be effectively delivered in 1 day. An additional aim was to assess whether the workshop had direct effects on carer skills. A nonexperimental repeated measures research design was employed, giving measures before and after a 1-day workshop. Results suggested significant increases in carer self-efficacy and carer skills, with moderate to large effect sizes. Qualitative analyses supported these results whilst also generating ideas to improve the 1-day workshop. To read the full article, log in using your SSSFT NHS OpenAthens details.
Less money is being spent on services to treat people with eating disorders in Wales than in England. This is despite more men and boys suffering from eating disorders, according to an investigation by the BBC's Panorama. Panorama asked every mental health trust and board how many men were referred to eating disorder services for a first assessment. From those that responded, in 2016 there were 871 referrals, an increase from 2014 of 43%. It also found a 42% rise in under-18s of both sexes receiving help in 2016 compared with 2014.
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Individuals with restrictive eating disorders present with co-morbid psychiatric disorders and many attempt to control symptoms using strenuous exercises that increase caloric expenditure. Yoga offers a safe avenue for the engagement in physical activity while providing an outlet for disease-associated symptoms. This study sought to examine use of yoga practice in an outpatient setting and its impact on anxiety, depression and body image disturbance in adolescents with eating disorders.
Health Psychology36.10 (Oct 2017): 927-936.
Objective: Studies indicate that transgender individuals may be at risk of developing eating disorder symptoms (EDS). Elevated risk may be attributed to body dissatisfaction and/or societal reactions to nonconforming gender expression, such as nonaffirmation of a person’s gender identity (e.g., using incorrect pronouns). Limited research suggests that gender-confirming medical interventions (GCMIs) may prevent or reduce EDS among transgender people. To read the full article, log in using your NHS OpenAthens details.
This randomized clinical trial evaluates the maintenance of efficacy of lisdexamfetamine dimesylate vs placebo after withdrawal in binge-eating disorder. Please contact the library to request a copy of this article - http://bit.ly/1Xyazai
Eating disorders form a group of mental health conditions characterised by abnormal eating habits and are associated with high mortality rates. This article provides nurses working in various settings with evidence-based strategies to identify, manage and refer children and young people with eating disorders.
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If you haven't had the chance to watch Louis Theroux's documentary Talking To Anorexia on BBC 2 then please take the opportunity to watch it again on iPlayer.
It is a thoughtful, thought-provoking dive into a difficult, dangerous, and debilitating eating disorder.
Our Trust, its staff and some of its patients on the Eating Disorders Clinic at St Ann's featured in the documentary which was both illuminating and heart-breaking as you experience the stories of people suffering with the UK's most deadly mental illnesses.
Psychoeducation initiatives in which patients read primary scientific literature have not yet been studied as a treatment intervention for eating disorders. In this paper, we discuss and evaluate the acceptability of a novel psychoeducational journal club for individuals with anorexia and bulimia nervosa in inpatient and partial hospitalization program settings. Primary literature about eating disorders is presented and discussed with patients. By presenting scientifically-supported information, our “Psychoeducational Research Group” is designed to help patients restructure disordered thoughts and encourage adherence to evidence-based treatment.
Outcome studies for eating disorders regularly measure pathology change or remission as the only outcome. Researchers, patients and recovered individuals highlight the importance of using additional criteria for measuring eating disorder recovery. There is no clear consensus on which additional criteria are most fundamental. Studies focusing on the perspectives of recovered patients show criteria which are closely related to dimensions of positive functioning as conceptualized in the complete mental health model. The aim of this study was to identify fundamental criteria for eating disorder recovery according to recovered individuals.
Psychology of Men & Masculinity Vol. 18, Iss. 4, (Oct 2017): 414-421.
The mechanisms through which childhood neglect leads to disordered eating behaviors are not well-understood, and these phenomena have been particularly understudied in men. The current study examined the associations between physical and emotional neglect occurring in childhood and 2 types of disordered eating symptoms (binge eating and drive for muscularity) among college men and women. Specifically, it was hypothesized that the relations between childhood physical and emotional neglect and eating disorder symptoms would be mediated by alexithymia. To read the full article, log in using your NHS OpenAthens details.
Journal of Consulting and Clinical Psychology Vol. 85, Iss. 11, (Nov 2017): 1080-1094.
Objective: This meta-analysis examined the efficacy of cognitive–behavioral therapy (CBT) for eating disorders. To read the full article, log in using your NHS OpenAthens details.
What you need to know
Prompt referral of patients with suspected eating disorders to specialist services is important as early treatment substantially improves prognosis
Eating disorders have relatively high mortality and associated morbidity (resulting from physical health, psychological consequences, and suicide)
Indications for urgent referral to specialist mental health services for children and young people include rapid weight loss, body mass index <75% of expected body weight, and binge eating and purging several times a day
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Objectives To investigate how women with bulimia nervosa (BN) and binge eating disorder (BED) experience participating in a new treatment programme for eating disorders, based on guided physical exercise and dietary therapy.
Open Access Article
The treatment of eating disorders is a difficult endeavor, with only a relatively small proportion of clients responding to and completing standard cognitive behavioural therapy (CBT). Given the prevalence of co-morbidity and complex personality traits in this population, Schema Therapy has been identified as a potentially viable treatment option. A case series of Group Schema Therapy for Eating Disorders (ST-E-g) yielded positive findings and the study protocol outlined in this article aims to extend upon these preliminary findings to evaluate group Schema Therapy for eating disorders in a larger sample (n = 40).. Login at top right hand side of page using your SSSFT NHS OpenAthens for full text. SSOTP- Please contact the library to receive a copy of this article - http://bit.ly/1Xyazai
There is limited evidence to inform nutrition and dietetic interventions for individuals with eating disorders even though it is recommended as an essential part of multidisciplinary management. There is minimal guidance, an absence of standardised nutrition educational material, and no research on how best to educate patients on healthy eating and how to achieve nutrition adequacy. Therefore the REAL Food Guide was developed.
The study aimed to evaluate the trajectories of change over time in body-image concern components in patients with anorexia nervosa treated by means of intensive enhanced cognitive behavioural therapy. Moreover, it aimed to study the role of body-image concern components in changes in eating and general psychopathology as well as work and social functioning.. Please contact the library to request a copy of this article - http://bit.ly/1Xyazai
The present study tested hypothesized mechanisms underlying the effects of two selective prevention interventions targeting both obesity and eating disorders (Healthy Weight and the newly developed Project Health), relative to video control. Tests examined mediation for the significant weight gain prevention and eating disorder symptom prevention effects previously reported. . Please contact the library to request a copy of this article - http://bit.ly/1Xyazai
This study investigated the extent to which therapists fail to apply empirically supported treatments in a sample of clinicians in The Netherlands, delivering cognitive behavioral therapy for eating disorders (CBT-ED). It aimed to replicate previous findings, and to extend them by examining other potential intra-individual factors associated with the level of (non-)use of core CBT-ED techniques.. Please contact the library to request a copy of this article - http://bit.ly/1Xyazai
Spirituality in Clinical Practice (May 21, 2018): No Pagination Specified.
This article reports two qualitative studies that explored how religion and spirituality (R/S) influenced the treatment and recovery process of patients with eating disorder.. To read the full article, log in using your NHS OpenAthens details.
Eating disorders affect 1%–4% of the population and they are associated with an increased rate of mortality and multimorbidity. Following the avoidable deaths of three people the parliamentary ombudsman called for a review of training for all junior doctors to improve patient safety.. To read the full article, log in using your NHS OpenAthens details.
Journal of Abnormal Psychology Vol. 127, Iss. 6, (Aug 2018): 548-558. DOI:10.1037/abn0000371
Stress is known to be a trigger for binge eating in individuals with binge eating disorder (BED). However, the influence of stressful situations on BED patients’ body image is less understood. Our study objective was to gain insight into the effects of inducing psychosocial stress on body dissatisfaction in women with BED.. To read the full article, log in using your NHS OpenAthens details.
Findings In this cross-sectional multimodal brain imaging study of 56 female adolescents and young adults with AN and 52 matched controls, the AN group showed hyperactivation in the caudate head, nucleus accumbens, and insula compared with controls during a classical conditioning paradigm that has been associated with dopamine function. Orbitofrontal brain response in the AN group was positively associated with harm avoidance and striatal-hypothalamic connectivity but negatively associated with change in body mass index during treatment.. Please contact the library to request a copy of this article - http://bit.ly/1Xyazai
Internet prevention of eating disorders is a relatively new field that is expanding rapidly. We review randomized controlled trial designs examining the efficacy of Internet prevention in eating disorders that have emerged from 2016.. MPFT staff can use the OVID link, or you can request a copy of this article by replying to this email. Please ensure you are clear which article you are requesting.
The aim of this study was to provide an update of the most recent (since January 2014) enhanced cognitive behavioural therapy (CBT-E) effectiveness studies (randomized controlled trials and open trials) on bulimia nervosa, binge eating disorder and transdiagnostic samples.. MPFT staff can use the OVID link, or you can request a copy of this article by replying to this email. Please ensure you are clear which article you are requesting.
Family interventions for eating disorders are often recommended for the treatment of children and adolescents. Treatment studies and a range of treatment guidelines now recommend family-based treatment (FBT) for adolescents with anorexia nervosa (AN) and bulimia nervosa. The current report focused on studies that have been conducted over the past 2 years, most of them aimed at augmenting or improving outcomes using a range of new family approaches or adding other forms of therapy to standard FBT. . MPFT staff can use the OVID link, or you can request a copy of this article by replying to this email. Please ensure you are clear which article you are requesting.
Open access. Emotional eating, or overeating in response to negative emotions, is a behavior endorsed by both normal weight and people with overweight/obesity. For some individuals, emotional eating contributes to weight gain and difficulties losing weight. However, there are also many who engage in emotional eating who maintain a normal weight. Little is known about the mechanisms by which these individuals are able to regulate their weight.
Open access. Avoidant/restrictive food intake disorder (ARFID) was added to the Diagnostic and Statistical Manual of Mental Disorders Fifth Edition in 2013. ARFID can result in impaired growth and significant nutritional deficiency; individuals with ARFID may be so nutritionally compromised that they require medical stabilization in a hospital. Prior to the new diagnostic criteria, it is unclear how patients now diagnosed with ARFID may have been medically stabilized when hospitalized. Our study aim was to assess the inpatient medical management of adolescents with ARFID.
Diabulimia has become a common term used to describe a condition when a person with type 1 diabetes has an eating disorder. The individual may omit or restrict their insulin dose to lose/control weight. Evidence suggests that as many as 20% of women with type 1 diabetes may have this condition. To read the full article, log in using your NHS OpenAthens details.
Letter. We thank Dr Ayton and Dr Ibrahim for publishing their insightful research into the current issues of the UK medical curriculum in the article, ‘Does UK medical education provide doctors with sufficient skills and knowledge to manage patients with eating disorders safely?’.1
We are two UK medical students who have undergone what we consider to be extensive and valuable training in eating disorders as part of our undergraduate curriculum. It is because of our personal experiences that we were disappointed to read the average time dedicated to eating disorder teaching in medical schools was under 2 hours.1 We feel that by sharing our experiences of education on eating disorders and nutrition, we will be able to support those involved with designing medical curricula.. To read the full article, log in using your NHS OpenAthens details.
Hundreds of people will receive therapy to counteract the impact of harmful social media, as part of a new NHS service for the rare eating disorder diabulimia.
Patients will be coached to deal with unrealistic body images amid increasing concerns about the potential damage social media can have on young peoples’ mental health.
Cultural Diversity and Ethnic Minority Psychology (Feb 25, 2019). DOI:10.1037/cdp0000277
Objectives: Limited research exists examining the association of maternal weight-, shape-, and size-related criticism with disordered eating pathology across racial and ethnic groups.. To read the full article, log in using your NHS OpenAthens details.
Open access. Maudsley Family Therapy (MFT), and its manualised version, Family-Based Therapy (FBT), are the only well-established treatment interventions for adolescent anorexia nervosa (AN), with treatment efficacy primarily measured by improvements in eating behaviours and weight restoration. A crucial component of this therapy is an intensive home-based refeeding intervention that requires a substantial commitment from parents for up to one year. While this treatment works to restore weight in a proportion of adolescents, very little is known about its impacts on family distress, relationships and identity, including in the 40% of families where the adolescent experiences ongoing eating disorder (ED) symptomatology and/or psychological distress during and post-treatment.
The medical aesthetics sector is very often associated with ideas of body image and self-perception. It is important that aesthetic practitioners have a sound knowledge of mental health disorders that may affect their patients or drive individuals to seek aesthetic treatment. In this article, Eda Gorbis and Justine Jamero compare some of these disorders and consider the implications for aesthetic practitoners. To read the full article, log in using your MPFT NHS OpenAthens details
Open access. Mentalizing, the mental capacity to understand oneself and others in terms of mental states, has been found to be reduced in some mental disorders such as Borderline Personality Disorder (BPD). Some studies have suggested that Eating Disorders (EDs) may also be associated with impairments in mentalizing, but studies have not always yielded consistent results. This is the first study to systematically investigate mentalizing impairments in patients with Bulimia Nervosa (BN) compared with controls. In addition, we investigated whether impairments in mentalizing were related to BPD features, rather than BN per se, given the high comorbidity between BPD and BN.
Open access. Although “clean eating” is widely propagated through social media and anecdotal reports in the popular press, there is almost no scientific research on this potentially risky dietary strategy. The current investigation explored definitions and perceptions of “clean eating” and its associations with indicators of disordered eating among diverse U.S.-based undergraduates.
Open access. Eating disorders (EDs) are serious psychiatric illnesses that have high rates of morbidity and mortality, and low long-term recovery rates. Peer mentor programs (PMPs) have been associated with reduced psychiatric hospitalisation and shorter lengths of stay for those with other severe mental illnesses. The present study evaluated the feasibility and preliminary efficacy of a PMP for individuals with EDs in improving symptomatology and quality of life.
Open access. Avoidant/Restrictive Food Intake Disorder (ARFID) is a comparatively new DSM-5 diagnosis. In an effort to better understand this heterogeneous patient group, this study aimed to describe the physical and psychological attributes of children and adolescents with ARFID, and to compare them to patients with full-threshold or atypical anorexia nervosa (AN).
Open access. There are a number of factors commonly believed to be important to the development and maintenance of binge eating that have been identified across multiple models and theories in the psychological literature. In the present study, we sought to develop and test a psychological model for binge eating that incorporated the main variables identified in the literature to drive binge eating behaviour; specifically, core low self-esteem, negative affect, difficulty with emotional regulation, restricted eating and beliefs about eating.
Open access. Maudsley Family Therapy and its manualised version Family-Based Therapy for Anorexia Nervosa (FBT-AN) have accrued the most significant research evidence-base for the treatment of adolescent Anorexia Nervosa (AN). A tradition of seeking augmentations for this treatment has also been established to enhance efficacy. There exists, however, a gap in the uptake of this form of manualised treatment into the “real world” of clinicians who work with adolescent AN.
To provide meta-analytical evidence of bone mineral density (BMD), fractures, and osteoporosis rates in eating disorders (ED) vs. healthy controls (HCs). Login using your SSSFT NHS OpenAthens for full text. SSOTP - request a copy of the article from the library - www.sssft.nhs.uk/library
Considering the prevalence of obesity in society it can be expected that some adolescents with an eating disorder (ED) start weight loss from an overweight and present at a near-normal weight. Presently, the influence of premorbid BMI on clinical characteristics of adolescent girls presenting with an ED has ben studied.
Objectives Investigating for the first time in Germany Diagnostic and Statistical Manual Fifth Edition (DSM-5) prevalences of adolescent full syndrome, Other Specified Feeding or Eating Disorder (OSFED), partial and subthreshold anorexia nervosa (AN), bulimia nervosa (BN) and binge eating disorder (BED). Open Access Article
Cigarette smoking is associated with severe mental illness including schizophrenia and bipolar disorder, and with morbidity and mortality, but the association withanorexia (AN), bulimia nervosa (BN) and Binge Eating Disorder (BED), is unclear. This meta-analysis compared the odds of smoking in Eating Disorders (ED) (ED = AN or BN or BED) versus healthy controls (HC) and calculated the prevalence of smokers in people with ED. Please contact the library to receive a copy of this article - http://bit.ly/1Xyazai
Restrictive eating disorders in young people are increasingly requiring admission to the hospital and can be a challenge to manage on acute general paediatric wards. We have developed a joint working model with Child and Adolescent Mental Health services (CAMHS) using short, structured, supported feeding admissions to supplement outpatient treatment in high risk or ‘stuck’ cases. To read the full article, log in using your NHS OpenAthens details
Anorexia Nervosa (AN) is characterized by the maintenance of an undernourished, or starved, state. Persistent restrictive eating, or the recurrent intake of a diet that is inadequate to sustain a healthy weight, is the central behavior maintaining AN. To understand this disturbance, we need to understand the neural mechanisms that allow or promote the persistent choice of inadequate caloric intake. While a range of neural disturbances have been reported in AN, abnormalities in systems relevant to reward processing and the development of habit systems have been consistently described in both structural and functional neuroimaging studies. Most recently, brain and behavior have been directly examined by investigating the neural underpinnings of restrictive food choice. These recent data suggest that, among individuals with AN, dorsal frontostriatal circuits play a greater role in guiding decisions regarding what to eat than among healthy individuals. This line of research attempts to leverage advances in the field of cognitive neuroscience to further our understanding of persistent maladaptive choices of individuals with AN, in the hope that such advances will help in the development of novel treatments for this potentially fatal disorder.
Anorexia nervosa (AN) has consistently been associated with reduced gray (GM) and white matter (WM) brain volumes. It is unclear whether GM alterations are present following recovery from AN, as previous findings are inconsistent. The aim of the present study was to determine if women recovered from AN exhibit reduced global or regional GM volumes.
Over a quarter of children (28%) who were referred for specialist mental health treatment in 2015 did not receive a service, according to new information collected by the Children’s Commissioner for England using her unique powers to request data from public bodies. In one trust 75% of referrals were not considered to meet the threshold for treatment.
A significant proportion of children with life-threatening mental health conditions - 14% of the 3,000 about whom information was obtained - were denied specialist support. These included children who had attempted suicide or serious self-harm and those with psychosis and anorexia nervosa.
Anorexia nervosa (AN) continues to remain poorly understood within eating disorders. Recent research and theory have moved away from understanding its aetiological causes, addressing instead potential maintaining factors. This study is focused on interpersonal maintenance factors: the response of close others. Relatives of those with AN typically carry the main burden of care, and research has found high levels of carer distress and unmet needs. Recent theories have proposed this emotional impact to contribute to expressed emotion and other unhelpful caregiver interactions which inadvertently maintain AN. One such understudied response is accommodation, described as a ‘process’ whereby caregivers ‘assist or participate’ in symptomatic behaviours of the cared for individual. There is a dearth of research relating to accommodation within eating disorders, particularly qualitative accounts. This study utilized a grounded theory methodology to explore caregivers' responses to managing AN, focusing particularly on carers' experience of accommodation. Login using your SSSFT NHS OpenAthens for full text. SSOTP - You can request a copy of this article by replying to this email. Please ensure you are clear which article you are requesting.
Difficulties in set-shifting are commonly reported in both autism spectrum disorder (ASD) and anorexia nervosa (AN) populations. Despite this, it is not known whether this cognitive profile persists across different ages, or whether the profiles seen in ASD and AN are comparable. This systematic review and meta-analyses aimed to compare the set-shifting profiles, as measured by the Wisconsin Card Sorting Test (WCST) in adults and younger people with either ASD or AN, relative to healthy controls (HCs) and to statistically compare performance on the WCST between ASD and AN. You can request a copy of this article by replying to this email. Please ensure you are clear which article you are requesting.
The aim of a recent systematic review (Ágh et al, 2016) was to study both the health-related quality of life (HRQoL) and economic burden of eating disorders. The review focused on the three most common eating disorders, which are distinct illnesses with differing epidemiology and outcomes: Anorexia Nervosa (AN); Bulimia Nervosa (BN); Binge Eating Disorder (BED)
Come and visit our first pop-up library at Severn Fields, Shrewsbury 19th July 11.00am-3.00pm. Join the library, borrow and return books, get help finding information and evidence, set up an Athens account, find out what the library can do for you and your team.
Treatment for anorexia nervosa (AN) features exposure processes, as the primary fear is adopted as a core treatment goal.
The translation of extinction theory to AN has been stymied by a lack of clarity around feared cues versus feared outcomes.
We review several pathways of feared cue-outcome associations in AN, outlining key theoretical and clinical implications. Please contact the library to request a copy of this article - http://bit.ly/1Xyazai
Eating disorders are severe and disabling mental disorders. The scientific study of eating disorders has expanded dramatically over the past few decades, and provided significant understanding of eating disorders and their treatments. Those significant advances notwithstanding, there is scant knowledge about key processes that are crucial to clinical improvement. The lack of understanding mechanisms that cause, maintain and change eating disorders, currently is the biggest problem facing the science of eating disorders. It hampers the development of really effective interventions that could be fine-tuned to target the mechanisms of change and, therefore, the development of more effective treatments. It is argued here that the science of eating disorders and eating disorder treatment could benefit tremendously from pure experimental studies into its mechanisms of change, that is, experimental psychopathology (EPP). To read the full article, log in using your NHS OpenAthens details.
Teenager Jade Long, who has anorexia, says nurse Sarah Duffy has played a crucial role in her progress to beat the condition. To read the full article, log in using your NHS OpenAthens details
Open access. The growing body of research on eating disorders among male adolescents reveals some sex differences in clinical presentation. The current study set out to replicate and extend recent research on the clinical and medical characteristics of male youth with eating disorders, and examine sex differences between biological males and females in a tertiary pediatric eating disorder treatment setting.
Open access. Orthorexia nervosa (ON) is characterized by an obsession with healthy eating, which may lead to severe physical, psychological and social disorders. It is particularly important to research this problem in populations that do not receive clinical care in order to improve early detection and treatment. The aim of this study was to research the prevalence of ON in a population of Spanish university students and to analyze the possible associations between ON and psychological traits and behaviors that are common to ED.
The festival featured two dramas about the eating disorder – one depicting its emotional aftermath and the other its deceptive nature. Two outstanding shows about people with eating disorders featured at this year’s Edinburgh Fringe Festival in August. To read the full article, log in using your MPFT NHS OpenAthens details.
Psychological Assessment (Dec 6, 2018). DOI:10.1037/pas0000666
Clinical reports suggest that interpersonal problems are associated with the onset and maintenance of eating pathology, but existing measures of such problems have limited links to eating pathology. Therefore, the aim of this study was to develop an eating-specific measure of interpersonal problems. The new measure, the Interpersonal Relationships in Eating Disorders scale (IR-ED), was administered to a large community sample, a nonclinical replication sample, and a clinical group of eating disorder patients. To read the full article, log in using your NHS OpenAthens details.
Open access. Hospitalisation for an eating disorder is rare, however treatment in the acute medical setting can be a life-saving admission. While the multidisciplinary team delivers overall patient care, medical decisions are the responsibility of the treating physicians. Treatment decisions directly impact on patient care and outcomes. This study aimed to explore the considerations that influence the medical decisions of physicians when treating patients with eating disorders in the acute setting.
Implications for practice and research:
>While specialist interventions may relieve weight-based symptoms in people with anorexia nervosa (AN) in the short term, they have little advantage over comparator treatments in relation to psychological symptoms.
>Further exploration is required into the experiences of people with AN receiving treatment interventions. To read the full article, log in using your MPFT NHS OpenAthens details.
Journal of Abnormal Psychology (Dec 20, 2018). DOI:10.1037/abn0000400
Prospective studies have identified risk factors that predict future onset of eating disorders, but none has provided a test of the temporal sequencing of the emergence of risk factors hypothesized in a multivariate etiologic model of eating disorder development. . To read the full article, log in using your NHS OpenAthens details.
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As said by participants in this survey, there are key systemic issues that need addressing as a priority. Food insecurity (a lack of economic, social or physical means to ensure a sufficient supply of nutritionally appropriate food; Purdam et al., 2016) is at an all-time high in the UK and greatly affects those with EDs (Hazzard et al., 2023; Kuehne et al., 2023). Introducing measures that contribute to a culture of shame and anxiety around food will exacerbate the guilt and shame already experienced by those affected by food insecurity and eating disorders. Adding calorie information on menus feels like an extra cruel addition to the hostile environment those recovering from an ED already find themselves in.
Family-based treatment (FBT) has the greatest evidence base for the treatment of adolescents with anorexia nervosa (AN). However, little is known about the long-term outcomes for patients who receive FBT. The current study aimed to investigate the long-term psychological health of former patients who received FBT for AN during adolescence. To read the full article, choose “Institutional Login” and search for “Midlands Partnership”.
These findings and the added understanding surrounding engagement and communication of Pro-ED groups could be used in the future to provide intervention and support to those with eating disorders.
Eating disorders CBT - Alice Potter finds that motivational work may be important for patients with initially low motivation and resistance to therapy.
This review highlights the importance of cultural competence in treating eating disorders. Recognising how culture may influence the presentation of symptoms and accounting for these cultural factors in treatment will result in more person-centred support.
Anorexia holds the highest mortality rate of any mental health illness, associated with poor treatment response and high relapse rates. There have been calls for a consideration into what anorexia does for the individual, as opposed to only what it does to an individual’s body. Such discussions can provide insight into the lived experience of anorexia and the complex functions maintaining its presence. To read the full article, choose “Institutional Login” and search for “Midlands Partnership”
Eating disorders are mental health illnesses that are influenced by various individual, family and social factors. The present study aimed to examine the influence of self-esteem and socialisation through social networks on eating disorder behaviours in adolescence. To read the full article, choose “Institutional Login” and search for “Midlands Partnership”
In this paper, the feelings, thoughts and experiences of an individual with bulimia nervosa are explained, and the positive and negative effects of their experiences during the treatment process are emphasized. To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
Explore treatment response and effectiveness of virtual treatment for a paediatric eating disorder sample. To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
Literature suggested that metacognitions are involved in eating problems and may be relevant to the understanding of Binge Eating Disorder (BED). The goal of the current studies was to develop the first self-report instrument on metacognitions about binge eating. To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
The present study was aimed at investigating the interplay between ASEs and specific psychopathology in FED. To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.