Anorexia nervosa is a life-threatening illness. Brain circuits believed to drive anorexia nervosa symptoms can be accessed with surgical techniques such as deep brain stimulation (DBS). Initial results suggest that DBS of the subcallosal cingulate is safe and associated with improvements in mood and anxiety. Here, we investigated the safety, clinical, and neuroimaging outcomes of DBS of the subcallosal cingulate in a group of patients during 12 months of active stimulation. Please contact the library to request a copy of this article - http://bit.ly/1Xyazai
Comment: Anorexia nervosa is characterised by physiological starvation, a biological insult to the physical brain and body. Starvation in and of itself is traumatic, and starvation alone causes psychological disturbances. In anorexia nervosa, starvation often occurs because of a patient's dissatisfaction with their body, creating a potentially dangerous cycle.1 Conventional treatment of anorexia nervosa includes behavioural modifications to improve feeding, combined with psychological therapy to address cognitive distortions related to self-esteem, eating, and body dissatisfaction. Please contact the library to request a copy of this article - http://bit.ly/1Xyazai
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
Despite the theoretical links between eating disorders and perfectionism, the definition of perfectionism in practice is complicated. The present study explored descriptions and experiences of perfectionism described by a transdiagnostic sample of patients.
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.
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.
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.
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.
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.
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.
Binge eating disorder (BED) is associated with several psychological and medical problems, such as obesity. Approximately 30% of individuals seeking weight loss treatments present binge eating symptomatology. Moreover, current treatments for BED lack efficacy at follow-up assessments. Developing mindfulness and self-compassion seem to be beneficial in treating BED, although there is still room for improvement, which may include integrating these different but complimentary approaches. BEfree is the first program integrating psychoeducation-, mindfulness-, and compassion-based components for treating women with binge eating and obesity. 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.
Eating disorders are serious mental disorders as reflected in significant impairments in health and psychosocial functioning and excess mortality. Despite the clear evidence of clinical significance and despite availability of evidence-based, effective treatments, research has shown a paradox of elevated health services use and, yet, infrequent treatment specifically targeting the eating disorder (i.e., high unmet treatment need). This review paper summarizes key studies conducted in collaboration with G. Terence Wilson and offers an update of the research literature published since 2011 in three research areas that undergirded our collaborative research project: unmet treatment needs, cost of illness, and cost-effectiveness of treatments. Please contact the library to request 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
This study has not been able to take into account all aspects of a person's mental and physical health, interpersonal relationships and lifestyle prior to the onset of an eating disorder. Therefore the study can show associations but cannot prove definite causation with any individual factor.
The researchers say that this research has implications for health service provision in the UK, which needs to recognise that women in mid-life can still be suffering from the effects of long-standing disorders, or be at risk of developing new disorders. Therefore better awareness of eating disorders and their symptoms is needed.
Journal of Abnormal Psychology126.1 (Jan 2017): 38-51.
Because no single report has examined risk factors that predict future onset each type of eating disorder and core symptom dimensions that crosscut disorders, we addressed these aims to advance knowledge regarding risk factor specificity. Data from 3 prevention trials that targeted young women with body dissatisfaction (N = 1,272; Mage = 18.5, SD = 4.2) and collected annual diagnostic interview data over 3-year follow-up were combined to identify predictors of subthreshold/threshold anorexia nervosa (AN), bulimia nervosa (BN), binge eating disorder (BED), and purging disorder (PD). To read the full article, log in using your NHS OpenAthens details.
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.
Research News. The prevalence of eating disorders in women in midlife is higher than expected, a study published in BMC Medicine has found, as 3.6% of women in their 40s and 50s reported having experienced an eating disorder in the past 12 months.
Eating disorders are often associated with adolescence and early adulthood, but the study, which assessed the prevalence of eating disorders in the fifth and sixth decades of life, found that they were surprisingly common and frequently went untreated. To read the full article, log in using your NHS OpenAthens details
Very little is known about the prevalence of ADHD symptoms in Bulimia Nervosa and Binge Eating Disorder and even less in other eating disorders. This knowledge gap is of clinical importance since stimulant treatment is proven effective in Binge Eating Disorder and discussed as a treatment possibility for Bulimia Nervosa. The objective of this study was to explore the prevalence and types of self-reported ADHD symptoms in an unselected group of eating disorder patients assessed in a specialized eating disorder clinic.