There is growing evidence for the efficacy of self-help bibliotherapy as a treatment for eating disorders, although little understanding of how specific linguistic characteristics may enhance or constrain its effects. Meanwhile, ‘creative bibliotherapy’ (the therapeutic use of fiction, poetry, or sometimes film, rather than self-help books) is widely practised, but even more poorly understood than the self-help variety: although a range of theoretical models exist, claims of the healing power of literature are far more commonly made than tested.
A bold step forward in our approach to Severe and Enduring Anorexia Nervosa invites new paradigms for research and practice. It provides an opportunity for us to explore fault lines, both in our communities of practice and the social structures that inform them. This paper serves to question the medical metaphors on which treatment has been based, in favour of alternative perspectives that resonate more clearly with the lived experience of those for whom it has failed. We invite the consideration of alternative metaphors, which can disrupt the notion of heroic patients (and therapists), mediate against acts of self-silencing and sensitising us to more radical acts of listening. Beyond the randomised trials and manuals it is time for us to listen to the realities of suffering, the minutiae of resistance and the life that can still be lived.
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
How do you use information for your work and CPD? What do you think of MPFT library services? Tell us here and you could win £25 vouchers: https://www.surveymonkey.co.uk/r/B2JVNPR
Health professionals are not immune to stigmatizing attitudes and stereotypes found in society-at-large. Along with patients and their loved ones, treatment providers are important stakeholders – and gatekeepers – in the successful delivery of mental healthcare. Prevailing attitudes among professionals can facilitate timely recognition, enable access to care and uptake of evidence-based practices, or undermine help-seeking and therapeutic engagement. At an interactive activity at the 2016 Nordic Eating Disorders Society (NEDS) meeting, we asked health professionals to describe individuals with eating disorders. The most common descriptive term used was “anxiety” followed by “thin”, “sad”, “control”, "female", and "suffering/pain". Further research on professionals’ attitudes toward individuals with eating disorders is necessary to inform education, awareness, and advocacy efforts following the diagnostic revisions in the DSM-5.
Did you know that our Yorkshire Centre for Eating Disorders (YCED) service is actively involved in research?
A recent study found that 1 in 5 people with eating disorders have used novel psychoactive substances (NPS), ketamine and mephedrone being the most commonly used. Ours is the first study to examine NPS use in individuals with eating disorders and lead researcher Dr. William Rhys Jones said ‘Patterns of substance misuse in the UK are changing with the emergence of NPS and prescription drug abuse and clinicians should be aware of the risky effects of NPS, particularly in individuals with eating disorders who are often already physically compromised’.
FREED stands for ‘First Episode and Rapid Early Intervention Service for Young Adults with Eating Disorders’, and is for young people aged 18 to 25 who have developed an eating disorder within the last three years.
Previous studies have shown that the FREED early intervention service model speeds up treatment for eating disorders and has a wide range of benefits
Objective: The objective of this study was to determine the efficacy of the web-based guided, 9-month, cognitive-behavioral aftercare program IN@ for women with BN following inpatient treatment.
Conclusions: A substantial proportion of Canadian females 12-29 years of age spent large amounts of time (>20 hours) on the Internet each week, and body dissatisfaction was significantly more likely among this group. Those who spent 11-20 hours online were also more likely to be less satisfied with their bodies. Efforts are needed to support girls and young women to achieve and maintain a positive body image in today’s digital age.
MotivATE is a fully automated, novel, Web-based program intended to increase motivation to change eating disorder behaviors, designed for delivery at the point of invitation to an eating disorder service, with the aim of increasing service attendance.
Editorial. There is now a general consensus that Anorexia Nervosa (AN) is a serious mental disorder [1], with adolescent females being at the most risk for developing this debilitating illness [2]. Although unhealthy exercise was documented in the earliest descriptions of the disorder [3], it remains a significant barrier to recovery [4]. There has been a dearth of research as to what is best practice to address over-exercise in both the inpatient and outpatient treatment of adolescents with AN [4].
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.
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.
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.
Despite a number of qualitative studies published from the perspective of eating disorder (ED) service users, there has been no attempt to exclusively synthesise their views to gain a fuller understanding of their ED service experiences. It is important to understand this perspective, since previous research highlights the difficulties ED healthcare professionals report when working with this client group. To read the full article, log in using your MPFT NHS OpenAthens details.
The findings of this review and analysis suggest IPT may be a viable alternative to CBT, and so further research needs to be conducted looking at this approach for all types of eating disorders. Whilst CBT is currently considered the ‘gold standard’, research has estimated that roughly one in four people drop out of CBT for eating disorders (Linardon, Hindle & Brennan, 2018). Therefore, the different focus of IPT (on interpersonal relationships) may mean it could be an alternative option for those dropping out of CBT. Additionally, given the results finding that IPT may be more beneficial for those who are younger, or of a lower weight, further research may also need to further look into who may benefit from IPT the most.
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.
Because no study has tested for interactions between risk factors in the prediction of future onset of each eating disorder, this exploratory study addressed this lacuna to generate hypotheses to be tested in future confirmatory studies.. Please contact the library to request a copy of this article - http://bit.ly/1Xyazai
Highlights
There is no consensus on how to treat severe and enduring anorexia nervosa (SE-AN).
Patients with SE-AN and without SE-AN were treated with inpatient CBT-E.
At discharge both groups had improvement of body mass index and psychopathology.
At 12-month follow-up more than 40% in both groups had a good BMI outcome.
Inpatient CBT-E is a viable and promising treatment for patients with SE-AN.Please contact the library to request a copy of this article - http://bit.ly/1Xyazai
Psychology of Men & Masculinity18.1 (Jan 2017): 1-11.
Research on men’s health has increasingly recognized the importance of depression and eating disorders among men. The present study sought to extend extant work on self-concept and depression to men, incorporating muscularity-related attitudes and behaviors, and also incorporating risk for disordered eating. To read the full article, log in using your NHS OpenAthens details.
‘Take yourself back to the age of 15. What thoughts swirled around your head? Did you worry about how you looked or what your friends and teachers thought of you?’ Wendy Clarke, specialist lead for eating disorders at Aneurin Bevan University Health Board in South Wales, believes nurses should be asking themselves these questions if they are to fully empathise, engage with and help young people with eating disorders. To read the full article, log in using your NHS OpenAthens details
The current study aimed to assess insecure attachment and the disconnection and rejection domain of maladaptive schema in the context of disordered eating. Rejection sensitivity (RS) was proposed as a mediator between maladaptive schema and disordered eating. 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.
This innovative service focuses on effective treatment for young people aged 18-25 who are in the early stages of their illness. It has been shown to improve clinical outcomes and reduce the need for inpatient care.
Open access. Attentional biases for body shape and weight information have been found in people with eating disorders, indicating disorder-specific changes in the way this information is processed. To date, the literature has focused on the initial capture of attention, with little research on the maintenance of attention to shape/weight-related information. The current study aims to investigate the occurrence of attentional maintenance through the use of an Inhibition of Return task to shape and weight stimuli in those with and without an eating disorder.
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.
The Royal College of Psychiatrists recently published data showing an 84% increase in UK hospital admissions for eating disorders over the past 5 years, highlighting the importance of the college's new Medical Emergencies in Eating Disorders (MEED) guidance.
To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
Anorexia nervosa (AN) in adults is difficult to treat, and no current treatment is supported by robust evidence. A few studies, most of which were performed by highly specialized research units, have indicated that enhanced cognitive behaviour therapy (CBT-E) for eating disorders can be effective. However, the dropout rate is high and the evidence from non-research clinical units is sparse.
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.
Caitlin S, 17, and her mother, Sally, talk about what helped, and what didn’t help, when Caitlin developed anorexia.
To read the full article, log in using your NHS OpenAthens details.
In the Editorial ‘Is the neglect of exercise in anorexia nervosa research a case of “running out” of ideas or do we need to take a “LEAP” of faith into the future?’ these authors express their doubts concerning the suitability of keeping patients warm as a beneficial treatment option in managing excessive activity in anorexia nervosa (AN) patients.
The new service will be based at Beverley Health Centre and will cover both Hull and the East Riding. People can access the service either by seeking a referral through their GP or they can self-refer by completing an online referral form or contacting the service directly.
The service will offer support from a range of professionals including a psychologist and a psychiatrist, a dietician, and a team of nurses, with support provided to both service users and their families.
espite an increasing clinical interest in the use of personal values as a motivational tool in psychological therapies for Anorexia Nervosa (AN), research is limited. This study explored personal values among individuals with AN, with a particular focus on the ‘fit’ between participants’ values and their AN.
Open access. The importance of physical activity and exercise among patients with eating disorders (EDs) is acknowledged among clinicians and researchers. The lack of clinical guidelines, the differing attitudes towards exercise approaches in treatment, and the lack of specialized competence all influence the management of ED symptoms in specialist ED treatment units. The purpose of the study was to examine 15 years of clinical experience with exercise approaches as an integrated part our inpatients treatment program.
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.
In Northamptonshire, the local Healthwatch decided to find out how much young people understood about anorexia, bulimia and other eating disorders, how to spot the signs and where they could turn to for help.
The aim of this research was to investigate the relationship between family functioning, adolescent-parent attachment and remission, as well as changes in these variables over time for adolescents with severe anorexia nervosa treated with family based treatment (FBT). Understanding how families respond to treatment is important because the family will be the ongoing context for psychosocial development in the longer term. The relationship between family functioning and outcome is also an important variable because it is potentially modifiable during treatment and this may improve outcome.
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
Objectives The aim of the current study is to investigate what males experience as helpful in their recovery process from eating disorders (ED).
Methods Qualitative in-depth interviews within a phenomenological approach, and using content analysis to excavate overarching text themes. Open Access Article
Open access. Patients with anorexia nervosa often report a conscious alteration of body image representation, with both body overestimation and body dissatisfaction. Cognitive and behavioural therapy is effective for treating many psychiatric disorders but often fails to treat anorexia nervosa and body image distortions. Although patients are aware of their weight loss, they continue to feel overweight - as if there were a conflict between a previous (maybe already false) body representation and the new one. These distortions are linked to negative emotions focused on the body but which can extend to the self (e.g. disgust and sadness).
The current study aimed to evaluate group Cognitive remediation therapy (CRT) inpatients with Anorexia Nervosa (AN). We aimed to examine the treatment response of group CRT in AN patients with high or low levels of autistic traits.
Although findings suggest that binge eating is becoming increasingly normative, the ‘clinical significance’ of this behaviour at a population level remains uncertain. We aimed to assess the time trends in binge-eating prevalence and burden over 18 years in an Australian sample. 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.
Whilst the authors consider the results of this review as preliminary, the finding that a significant barrier to help-seeking in eating disorders is denying or failing to perceive the severity of illness is consistent with systematic reviews (e.g., Ali et al., 2017) and qualitative research from a lived experience perspective (Leppanen et al, 2021). Breaking through this denial is a difficult but important development for many patients in their eating disorder recovery, and is an important element for clinicians working in early intervention services to consider.
There is a high prevalence of overweight or obesity in people with eating disorders. However, therapies for eating disorders, namely binge eating disorder and bulimia nervosa, do not address weight management. Conversely, weight loss treatments for people with overweight or obesity do not address psychological aspects related to eating disorders. Thus we developed a new treatment for overweight or obesity with comorbid binge eating disorder or bulimia nervosa, entitled HAPIFED (a Healthy APproach to weIght management and Food in Eating Disorders). This paper describes HAPIFED and reports a case series examining its feasibility and acceptability.
Internet-based guided self-help remains a viable, slower-acting, low-threshold treatment alternative compared with cognitive behavioral therapy for adults with binge eating disorder. Please contact the library to request a copy of this article - http://bit.ly/1Xyazai
The current study sought to assess the acceptability and feasibility of a compassion-focused therapy (CFT) group as an adjunct to evidence-based outpatient treatment for eating disorders, and to examine its preliminary efficacy relative to treatment as usual (TAU). Login using your SSSFT NHS OpenAthens details 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 requesting.
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
The Eating Disorders Team, run by Cornwall Partnership NHS Foundation Trust (CFT), presented their work on dietetic led psycho-education groups in March at the fourth biennial Eating Disorders International Conference. Since then the work has been shared on a national level by eating disorders charity, B-eat.
We capture recent findings in the field of genetic epidemiology of eating disorders. As analytic techniques evolve for twin, population, and molecular genetic studies, new findings emerge at an accelerated pace. We present the current status of knowledge regarding the role of genetic and environmental factors that influence risk for eating disorders. 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.
Overall, these findings shed light on the barriers faced by transgender and gender diverse service users in receiving care for eating disorders (EDs), from the perspective of providers. The study has important implications for clinical practice, particularly regarding potential areas for improvement in the attitudes of healthcare professionals towards gender minority individuals receiving treatment within ED services.
Traumatology: An International Journal22.3(Sep 2016): 222-232.
Eating disorders (EDs) and posttraumatic stress disorder (PTSD) are frequently comorbid psychological conditions in persons who have experienced traumatic life events. This study investigates a gendered analysis of the co-occurrence of symptoms of ED, PTSD, and dissociation using perceived causal relations (PCR) scaling in a convenience sample recruited online (n = 519; 221 male, 298 female) as well as in women seeking inpatient treatment for EDs (n = 21). To read the full article, log in using your NHS OpenAthens details.
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.
The fact that the research found a strong genetic influence on both food fussiness and refusal to try new food might reassure parents, who often feel judged or guilty for their child's fussy eating.
However, despite a strong genetic basis, children's behaviour can be changed. The researchers themselves stressed in their conclusion that "parent-led eating behavior change programs to fussy or food neophobic young children is likely to be effective in decreasing their expression [gene influence]".
Neuroimaging allows for the identification of brain abnormalities and alterations that are associated with anorexia nervosa (AN). We performed a scoping review to map out the extent and nature of recent research activity on functional magnetic resonance imaging (fMRI) in individuals diagnosed with, or recovered from, AN (AN-REC).
FREED stands for ‘First Episode and Rapid Early Intervention Service for Young Adults with Eating Disorders’ and is for young people aged 18 to 25 who have developed an eating disorder within the last three years.
Previous studies have shown that the FREED early intervention service model speeds up treatment for eating disorders and has a wide range of benefits, including:
• cutting waiting times, making patients much more likely to engage with treatment;
• reducing dropout rates;
• promoting more rapid recovery and improved prognosis;
• increased patient and carer satisfaction.
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.
Studies show that patients' perception of their illness has a direct influence both on their utilization of health services and their adherence to treatment plans. This may be particularly relevant to the treatment of Anorexia Nervosa (AN). Previous studies on AN have typically explored single psycho-social factors that patients with AN relate to the emergence of their illness. There is a need for more coherent systematic descriptions of the complexity of the patients' narratives about how their illness emerged. In this study, we sought to identify common components in the participants' narratives. By identifying different combinations of these components in the narratives, we sought to describe differences in patients' perceived pathways to AN. 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.
Journal of Consulting and Clinical Psychology Vol. 85, Iss. 11, (Nov 2017): 1095-1103.
Objective: Body-image disturbance is a core aspect of eating disorders, yet the clinical manifestations of individuals’ weight and shape concerns are complex, vary considerably, and are poorly understood by clinicians and researchers. This study aimed to distinguish different aspects of body-image disturbance—including weight/shape dissatisfaction, weight/shape overvaluation, weight/shape preoccupation, and fear of weight gain—in patients with binge-eating disorder (BED). To read the full article, log in using your NHS OpenAthens details.
In December 2017, the Parliamentary and Health Services Ombudsman (PHSO) published its report Ignoring the alarms: How NHS eating disorder services are failing patients and presented it to Parliament. In ‘Ignoring the alarms’, the PHSO set out three cases that it investigated which illustrated significant failings in eating disorder services and serious issues that required national attention.
The Public Administration and Constitutional Affairs Committee (PACAC) is holding an oral evidence session to explore key issues raised in the report and the actions needed to address those issues.
Access to and the quality of mental health services has been raised as a priority by more than half of local Healthwatch, making it the number one issue for 2016.
With the recent Mental Health Taskforce report aiming to improve mental health services, it is vital that the views of local people are heard and included from the beginning. Our mental health briefing gives an insight into the current challenges people face when accessing the support they need. Here are just five examples of how local Healthwatch are already helping to make positive changes to mental health services.
[examples include body image, crisis services, more culturally sensitive MH training within a MH trust, eating disorders video and CAMHS mental health and wellbeing initiative]
Open access. Fitspiration, or images and text promoting health and fitness, and thinspiration, or images and text promoting thinness, have both received criticism for their negative effects on body image and dieting behaviors. In this study, we critically examined and compared the content of fitspiration and thinspiration on three social networking sites (SNS).
Eating disorders (EDs) are now often approached as biopsychosocial problems. But it has been suggested by scholars interested in sociocultural factors that all is not equal within this biospsychosocial framework, with the ‘social’ aspects of the equation relegated to secondary factors within ED treatment contexts. Although sociocultural influences are well-established as risk factors for EDs, the exploration of whether or how such perspectives are useful in treatment has been little explored. In responding to this context, this article seeks to discuss and evaluate a 10 week closed group intervention based on feminist approaches to EDs at a residential eating disorder clinic in the East of England.
The objective of this study was to systematically review the literature on the prevalence of eating disorders (EDs) during the DSM-5 era, and to report rates of point- and lifetime prevalence.
Journal of Consulting and Clinical Psychology85.5 (May 2017): 484-494.
Objective: To investigate the effect of client feedback in group psychotherapy on attendance and treatment outcome for patients with eating disorders. To read the full article, log in using your NHS OpenAthens details.
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”.
Family-Based Treatment (FBT) is the first line of care in paediatric treatment while adult programs focus on individualized models of care. Transition age youth (TAY) with Anorexia Nervosa (AN) are in a unique life stage and between systems of care. As such, they and their caregivers may benefit from specialized, developmentally tailored models of treatment.
Family-based treatments are first-line treatments for adolescents with restrictive eating disorders (ED) but have to be improved since outcome is poor for some. We have investigated the one-year outcome of a family-based intervention programme with defined and decisive interventions at the start of treatment.
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.
The length of stay (LOS) strongly influences anorexia nervosa (AN) inpatient weight outcomes. Hence, understanding the predictors of LOS is highly relevant. However, the existing evidence is inconsistent and to draw conclusions, additional evidence is required.
Anorexia nervosa (AN) is characterised by restriction of energy intake, fear of gaining weight and severe disturbances in weight or shape. Recovery from AN is a complicated and often multifaceted experience that can take many years to achieve. Qualitative research has found that support, being understood, hope, desire for recovery, positive experiences in treatment, self-efficacy, motivation and relationships are important in recovery from AN. The experience of treatment for patients with an eating disorder is an important aspect of recovery with the potential to enhance recovery or hinder it. The aim of the questionnaire was to better understand factors impacting the care experiences during treatment and or recovery from self-reported Anorexia Nervosa (AN).
Although the Eating Disorder Examination Questionnaire (EDE-Q) is perhaps the single most widely used self-report measure of eating disorder (ED) symptoms, important questions remain about its validity and applicability in relation to particular groups of individuals, especially adolescents of both genders.
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
Lessons on how to express anger in direct and positive ways could help reduce eating disorders in girls, say researchers. To read the full article, log in using your NHS OpenAthens details
This study investigated patient experience in a Family Admissions Program (FAP) – a pilot treatment program for adolescents with Anorexia Nervosa at the Children’s Hospital, Westmead. Based on Maudsley Family Based Treatment (FBT), the FAP involves an adolescent and his/her family undergoing a two-week family-based hospital admission at the outset of treatment. The program aims to increase intensity and support to a level needed by some families struggling to engage with or access FBT.
The current study aimed to examine the relationship between early adaptive schemas and eating disorder symptomatology in adults. To read the full article, choose Open Athens “Institutional Login” and search for “Midlands Partnership”.
Recovering from bulimia nervosa challenges a person to learn, revise, and do occupations that contribute to rather than detract from health. This study utilized Interpretative Phenomenological Analysis to (a) explore the recovery experiences of six adult women with histories of bulimia nervosa and (b) interpret how their accounts reflected the assumptions and characteristics of occupation. To read the full article, log in using your NHS OpenAthens details.
Individuals with eating disorders (EDs) experience suicidal thoughts and behaviors at elevated rates compared to the general population. Hope‐engendering nursing actions may increase patients’ levels of hope for the future, improve coping self‐efficacy, and possibly reduce suicidality. Although nursing staff are integral ED treatment team members, little is known about nursing actions targeting hopefulness.. To read the full article, log in using your NHS Athens details. To access full-text: click “Log in/Register” (top right hand side). Click ‘Institutional Login’ then select 'OpenAthens Federation', then ‘NHS England’. Enter your Athens details to view the article.
Journal of Abnormal Psychology126.5 (Jul 2017): 593-606.
Genetic influences on disordered eating (DE) increase across age and puberty in girls, an effect that is at least partially due to ovarian hormone activation. However, development shifts in genetic effects have not been detected in boys; genetic influences have been found to be relatively constant from prepuberty to adulthood, suggesting that gonadal hormones may be less important. One caveat is that studies have examined males ages 10 or older. Genetic effects on DE may emerge earlier in boys, such as during adrenarche, when androgens begin to increase but the physical changes of puberty are not yet observable. The current study investigated this hypothesis in 1,212 male twins (ages 6–28) from the Michigan State University Twin Registry. To read the full article, log in using your NHS OpenAthens details.
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.
An illness staging model for anorexia nervosa (AN) has received increasing attention, but assessing the merits of this concept is dependent on empirically examining a model in clinical samples. Building on preliminary findings regarding the reliability and validity of the Clinician Administered Staging Instrument for Anorexia Nervosa (CASIAN), the current study explores operationalising CASIAN severity scores into stages and assesses their relationship with other clinical features.
Eating disorders, once thought to be largely confined to females, are increasingly common in males. However, the presentation of disordered eating among males is often distinct to that observed in females and this diversity is not accommodated in current classification schemes. Here, we consider the diagnostic and clinical challenges presented by these distinctive presentations. Please contact the library to receive a copy of this article - http://bit.ly/1Xyazai
The evolution of cognitive-behavioral therapy (CBT) for the treatment of bulimic disorders is described in this review. The impacts of successive attempts to enhance CBT such as the addition of exposure and response prevention; the development of enhanced CBT; and broadening the treatment from bulimia nervosa to binge eating disorder are considered. In addition to developing advanced forms of CBT, shortening treatment to guided self-help was the first step in broadening access to treatment. The use of technology such as computer-based therapy and more recently the Internet, promises further broadening of access to self-help and to therapist guided treatment. Controlled studies in this area are reviewed, and the balance of risks and benefits that accompany the use of technology and lessened therapist input are considered Please contact the library to request a copy of this article - http://bit.ly/1Xyazai
The current systematic review sought to compare available evidence-based clinical treatment guidelines for all specific eating disorders. 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.
Social appearance anxiety (SAA), or fear of having one's appearance negatively evaluated by others, is a risk factor for eating pathology and social anxiety, but maintenance processes for SAA remain unclear. The current study evaluated repetitive negative thinking (RNT) as a process through which SAA is maintained over time. . Please contact the library to request a copy of this article - http://bit.ly/1Xyazai
ABSTRACT FROM: Salerno L, Rhind C, Hibbs R et al. A longitudinal examination of dyadic distress patterns following a skills intervention for carers of adolescents with anorexia nervosa. Eur Child Adolesc Psychiatry 2016;25:1337–47.
Family-based interventions are considered a mainstay of treatment for adolescents with AN. Although family-based therapy has provided the greatest evidence base, clinicians employ a variety of treatment methods for AN, and fidelity to the first-line approach varies considerably.1 Primary outcomes of studies of adolescent AN are typically limited to patients; little research exists on how carers influence outcomes, and how family dynamics interact with and, in complex cases, potentially maintain the illness. To read the full article, log in using your NHS OpenAthens details.
Commentary on: Salerno L, Rhind C, Hibbs R et al. A longitudinal examination of dyadic distress patterns following a skills intervention for carers of adolescents with anorexia nervosa. Eur Child Adolesc Psychiatry 2016;25:1337–47.. To read the full article, log in using your NHS OpenAthens details.
Eating disorders – anorexia nervosa, bulimia nervosa, and binge eating disorder – affect numerous Europeans. This narrative review summarizes European studies on their prevalence, incidence, comorbidity, course, consequences, and risk factors published in 2015 and the first half of 2016. 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.