Journal of Consulting and Clinical Psychology Vol. 86, Iss. 8, (Aug 2018): 702-709.
Objective: The present study aimed to examine whether Anorexia Nervosa (AN) illness severity or duration is associated with retention or treatment response in outpatient, enhanced cognitive–behavioral therapy (CBT-E).. To read the full article, log in using your NHS OpenAthens details.
Open access journal. The aim of this study was to review the existing literature and evaluate whether deficits in set-shifting, central coherence and decision-making persist in individuals recovered from anorexia nervosa (AN-REC).
In a report on NHS care for patients with eating disorders, PACAC finds that there is a lack of understanding of eating disorders among doctors which is resulting in too many avoidable deaths.
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”
Compulsive exercise (CE) is a frequent symptom in patients with eating disorders (EDs). It includes, in addition to quantitatively excessive exercise behaviour, a driven aspect and specific motives of exercise. CE is generally associated with worse therapy outcomes. The aims of the study were to compare self-reported quantity of exercise, compulsiveness of exercise as well as motives for exercise between patients with anorexia nervosa (AN), bulimia nervosa (BN) and healthy controls (HC). Additionally, we wanted to explore predictors of compulsive exercise (CE) in each group.
Open access. Many patients with an eating disorder report difficulties in regulating their emotions and show a high prevalence of self-injurious behaviour. Several studies have stated that both eating disorder and self-injurious behaviour help emotion regulation, and are thus used as coping mechanisms for these patients. We aimed to determine the prevalence of self-injurious behaviour, its characteristics and its emotion-regulation function in patients with anorexia nervosa or an eating disorder not otherwise specified (n = 136).
Open access. The interpersonal Structural Analysis of Social Behavior (SASB) model of self-image has repeatedly proven valuable in relation to eating disorder (ED) symptoms and in predicting ED outcome.
Interest has increased in programs offering self-admission to inpatient treatment for patients with severe psychiatric illness, whereby patients who are well-known to a service are afforded the opportunity to admit themselves at will for a brief period of time. The aim of the present study was to examine patient experiences of practical considerations during the start-up phase of a self-admission program in an eating disorder service.
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
Compulsive exercise (CE) has been the neglected “Cinderella” among eating disorder (ED) symptoms, even though it seems to impact severity, treatment and outcome. This prompted a large-scale and systematic examination of the impact of CE in a representative ED sample.
Traditionally perceived as a disorder of women, Eating Disorders (EDs) are known to have impacts on people irrespective of their gender. This study is designed to synthesise the available qualitative research studies to more broadly understand the diverse experiences of ED and their treatment, specifically in relationship to issues of gender.
To investigate psychiatric outcomes after bariatric surgery, including suicide, self-harm, psychiatric service use and substance misuse. 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.
The risk of certain psychiatric disorders is elevated among immigrants. To date, no population studies on immigrant health have addressed eating disorders. We examined whether risk of eating disorders in first- and second-generation immigrants differs from native-born Danes and Swedes. 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 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.
There are few previous reports regarding the cause and evolution of liver injury in patients with anorexia nervosa (AN) during the refeeding process, and its management remains controversial. This study aimed to determine the risk factors for elevated liver enzymes during refeeding and their effect on the therapeutic process in severely malnourished patients with eating disorders.
Editorial. Anorexia nervosa (AN) is associated with the highest mortality rate of any psychiatric illness1 as well as significant health care costs and lost wages. While there have been notable advances in understanding biobehavioral mechanisms of AN, the brain systems that underlie the illness remain poorly understood. Clinically, it is widely accepted that the critical first step in treatment is renourishment—that is, restoring individuals to a healthy body weight. Yet knowing that the primary medical intervention is simply to eat does not, in itself, change behavior. In fact, even after full weight restoration, individuals with AN continue to restrict caloric and fat intake, which is associated with poor longer-term outcomes.2 The severity and persistence of this illness makes understanding the pathophysiology and neural mechanisms of AN a research priority.. Please contact the library to request a copy of this article - http://bit.ly/1Xyazai
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.
Editorial. 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.
For people with anorexia nervosa (AN), compulsive exercise is characterized by extreme concerns about the perceived negative consequences of stopping/reducing exercise, dysregulation of affect, and inflexible exercise routines. It is associated with increased eating disorder psychopathology and poor clinical outcome. However, its relationships with two important clinical issues, quality of life (QoL) and motivation to change, are currently unknown. This study aimed to assess the cross-sectional relationships between compulsive exercise, QoL, psychological distress (anxiety and depressive symptoms, and obsessive-compulsive traits) and motivation to change in patients with AN.
The aim of this research was to investigate the process of familial relationship change for adolescents with anorexia nervosa and their parents, who participated in Family-Based Treatment (FBT).
Relapse is common in patients with anorexia nervosa. The aim of this study is to systematically review the existing literature on relapse in anorexia nervosa.. 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.
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
Journal of Consulting and Clinical Psychology84.5 (May 2016): 402-414.
Objective: Eating disorders (EDs) are serious problems among college-age women and may be preventable. An indicated online eating disorder (ED) intervention, designed to reduce ED and comorbid pathology, was evaluated. To read the full article, log in using your 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.
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.
To read the full article, log in using your NHS OpenAthens details.
This article aims to increase awareness of T1DE among children’s nurses and to explain the role of the multidisciplinary team in diagnosis and treatment. It outlines the pathophysiology and signs and symptoms of T1DE and discusses how healthcare professionals, including nurses, can support children and young people with the condition. To read the full article, log in using your NHS OpenAthens details.
Open access. Objective binge eating (OBE) is common among individuals with type 1 diabetes (T1D) and may have negative consequences for glycemic control. Recent studies have suggested that diabetes distress (i.e., emotional distress specific to diabetes and living with the burden of management) is a distinct emotional experience among individuals with diabetes. Preliminary studies have found diabetes distress is associated with eating disorder symptoms and poor glycemic control. The aim of the current study was to examine real-time emotional precursors and consequences of OBE in adults with T1D (i.e., general negative affect, specific emotional states and diabetes distress) using ecological momentary assessment methods. We also explore the impact of OBE on 2-h postprandial glycemic control relative to non-OBE eating episodes.
Psychology of Sexual Orientation and Gender Diversity (May 17, 2018): No Pagination Specified
The current study explored the rates of disordered eating behaviors across sexual minority undergraduate men and women. The sample included 3,411 undergraduate men and women from a large, public university. Participants completed a self-report, online questionnaire regarding sexual orientation, demographics, and disordered eating behaviors. Descriptive analyses revealed that women who have sex with women endorsed the greatest subclinical and clinical levels of self-induced vomiting and subclinical levels of laxative misuse. Women who have sex only with men reported rates of disordered eating behaviors consistent with the existing literature.. To read the full article, log in using your NHS OpenAthens details.
Relapse is common among recovered anorexia nervosa (AN) patients. Studies on relapse prevention with an average follow-up period of 18 months found relapse rates between 35 and 41 %. In leading guidelines there is general consensus that relapse prevention in patients treated for AN is a matter of essence. However, lack of methodological support hinders the practical implementation of relapse prevention strategies in clinical practice. For this reason we developed the Guideline Relapse Prevention Anorexia Nervosa. In this study we examine the rate, timing and predictors of relapse when using this guideline. - Mental Elf Blog post.
Journal of Consulting and Clinical Psychology Vol. 87, Iss. 1, (Jan 2019): 79-90. DOI:10.1037/ccp0000365
Objective: This report evaluates a dissonance-based group eating disorder treatment designed to be a cost-effective front-line transdiagnostic treatment that could be more widely implemented than extant treatments that are more intensive and expensive relative to a supportive mindfulness group treatment typical of that offered at colleges. To read the full article, log in using your NHS OpenAthens details.
Treatment options for severe, enduring anorexia nervosa (SE-AN) are limited. Non-invasive neuromodulation is a promising emerging intervention. Our study is a feasibility randomised controlled trial of repetitive transcranial magnetic stimulation (rTMS) in individuals with SE-AN, which aims to inform the design of a future large-scale trial.
Open Access Article
Emerging evidence suggests that changes in quality of life (QoL) predicts later changes in eating disorder (ED) symptoms. The objective of this study was to explore individual sufferers’ perspectives on the influence of QoL on the onset, maintenance, and/or remission of ED symptoms.
Schizophrenia and anorexia nervosa were recently added to the list of conditions for which whole genome sequencing might be indicated as part of the 100 000 Genomes Project, reflecting the remarkable recent progress in findings emerging from psychiatric genetics research. Genetic testing methods may offer increased opportunities for diagnosis and estimation of familial risk and could have implications for management and treatment options. They also present ethical and philosophical questions about the role of testing and storage of genetic information. Mental health professionals will need to have a good understanding of this area in order for patients to fully realise the benefits of these advances.. To read the full article, log in using your MPFT NHS OpenAthens details.
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”.
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.
Against a backdrop of increasing research, clinical and taxonomic attention in non-suicidal self-injury (NSSI), evidence suggests a link between NSSI and eating disorders (ED). The frequency estimates of NSSI in ED vary widely. Little is known about the sources of this variation, and no meta-analysis has quantified the association between ED and NSSI.
Method Using random-effects meta-analyses, meta-regression analyses, and 1816–6466 unique participants with various ED, we estimated the weighted average percentage of individuals with ED, those with anorexia nervosa (AN) and those with bulimia nervosa (BN) who are reported to have a lifetime history of NSSI across studies. We further examined predictors of NSSI in ED. Please contact the library to receive a copy of this article - http://bit.ly/1Xyazai
Traditional approaches for the classification of eating disorders (EDs) attribute symptoms to an underlying, latent disease entity. The network approach is an alternative model in which mental disorders are represented as networks of interacting, self-reinforcing symptoms. This project was the first to use network analysis to identify interconnected systems of ED symptoms. You can request a copy of this article by replying to this email. Please ensure you are clear which article you are requesting.
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.
There is a need for novel treatment approaches in anorexia nervosa (AN). While there is broad knowledge with regard to altered appetite regulation and neuropsychological deficits in AN patients on the one hand, and the effects of estrogen replacement upon neuropsychological performance in healthy subjects on the other, up to now, no study has implemented estrogen replacement in AN patients, in order to examine its effects upon AN-associated and general psychopathology, neuropsychological performance and concentrations of peptide components of the hypothalamus-pituitary-adrenal (HPA) axis and within appetite-regulating circuits.
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. 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.
Open access. The increased prevalence of disturbed eating behaviors (DEB), depression, and anxiety in type 1 diabetes (T1D) is generally well established; however the majority of existing research to date has focused on female adolescents and young adults. Data on males and older females is scarce. The aim of this study was to assess prevalence of DEB and symptoms of depression and anxiety among adult males and females with type 1 diabetes, to investigate differences between individuals scoring below and above the cut-off on psychopathology, and to examine patterns of eating disorder psychopathology by age and weight.
Research shows highly palatable foods can elicit addictive eating behaviours or ‘food addiction’. Early adolescence is theorised to be a vulnerable period for the onset of addictive eating behaviours, yet minimal research has examined this. This study explored the prevalence and correlates of addictive eating behaviours in a large early adolescent sample.
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
Therapeutic alliance (TA) has been found to be a significant predictor of outcome for patients with severe and enduring anorexia nervosa (SE-AN), accounting for more variance than treatment type. To better understand how to promote TA for this population, the aim of the current study was to investigate predictors of TA in adults with SE-AN.
Consistent predictors, and more especially moderators, of response to psychological treatments for eating disorders have not been identified. The present exploratory study examined predictors and moderators of outcome in adult patients who took part in a randomised clinical trial comparing two leading treatments for these disorders, enhanced cognitive behavioural therapy (CBT-E) and interpersonal psychotherapy (IPT). To read the full article, log in using your NHS OpenAthens details.
Intolerance of Uncertainty (IU) is recognized for its contribution to various psychopathologies, in particular anxiety and depression. Studies highlight the relevance of IU for Eating Disorders (EDs) however, potential factors contributing to IU in EDs remain unstudied.
There has been a significant increase in the number of people experiencing eating disorders, leading to a greater demand in healthcare. This highlights the need for nurses to be sufficiently educated on the aetiology, symptoms and treatment of the disorder to ensure they are willing and equipped to work adequately with service users so care is effective, actively promoted and easily accessible. It is important to understand student nurses' views of eating disorders in order to ensure pre-registration nurses are prepared to provide the highest standard of care to this client group. To read the full article, log in using your NHS OpenAthens details.
This paper reports on an ethnographic study conducted in two eating disorders treatment settings in New South Wales, Australia. The study set out to make a social work contribution to the debate on the ethics of involuntary treatment for anorexia nervosa (AN) drawing on the authors' practice experience
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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”.
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.
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.
Medications are commonly prescribed in the treatment of eating disorders. In this review, we discuss relevant medications used for the treatment of bulimia nervosa, binge eating disorder (BED), and anorexia nervosa. We focus on recent research developments, where applicable, in addition to discussing important findings from older studies to provide a complete synopsis of the current evidence base for eating disorder treatment using pharmacologic agents. 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.
Interpersonal problems play a prominent role in the development of binge‐eating disorder (BED), so that reducing their intensity may be a key focus of many psychological interventions. In recent years, several interpersonal treatments for BED were developed, which posit that binge‐eating arises to manage relational problems. However, few studies have evaluated the prototypical interpersonal problems, and no studies evaluated the longitudinal changes in interpersonal functioning after treatment within this population. . 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.
Adults with eating disorders could benefit from specialised cognitive behavioural therapy which aims to help patients better understand their condition, the new NICE draft quality standard says.
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.
Women with bulimia nervosa and binge eating disorder often suffer for many years before they seek professional help. Evidence-based treatments like cognitive–behavioural therapy (CBT) might be poorly accessible, and about 50% of those who receive CBT respond to it. Such outcome may reflect the heterogeneous nature of eating disorders, and addressing this heterogeneity calls for expanding the portfolio of treatment options. In particular, it is important to explore such options’ acceptability, tolerability and affordability expressed through experiences with the treatment. This protocol outlines the rationale and design of a qualitative study. It captures experiences from patients and therapists who were involved in a randomised controlled trial (RCT) exploring the efficacy of a new group-based treatment programme combining physical exercise and dietary therapy.
Open Access Article
Although self-compassion has been shown to facilitate eating disorder (ED) remission, significant barriers to acquiring this skill have been identified. This is particularly true for tertiary care populations, where ED behaviours provide a valued identity and readiness issues are highly salient. In this research, the voices and perspectives of patients who have recovered as well as those in later stages of tertiary care treatment were captured using qualitative methods.. To read the full article, log in using your MPFT NHS OpenAthens details.
To explore the experiences of intimate partners of people with an eating disorder.. 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.
Current evidence seems to indicate that families can play a role in supporting successful treatment outcomes for adolescents with anorexia nervosa. It is not known whether this is through providing valuable support or by addressing any causes of anorexia that are potentially rooted in family interactions. Regardless of its mechanism of action, there have been few randomised controlled trials for treatments for adolescents with anorexia nervosa. The majority of the clinical trials that do exist demonstrate that involving family members in treatment often supports more favourable outcomes than treatments with no family involvement.
Medical stabilization through inpatient nutritional rehabilitation is often necessary for patients with eating disorders (EDs) but includes the inherent risk of refeeding syndrome. Here we describe our experience of implementing and sustaining an inpatient nutritional rehabilitation protocol designed to strategically prepare patients with EDs and their families for discharge to a home setting in an efficient and effective manner from a general adolescent medicine unit. We report outcomes at admission, discharge, and 4-weeks follow-up. Please contact the library to request a copy of this article - http://bit.ly/1Xyazai
This research presents novel findings relating to online FBT for children and young people with eating disorders, indicating its potential to aid weight gain, reduce eating disorder and anxiety symptom severity, and improve caregiver self-efficacy. These findings emphasise the potential utility of online FBT within clinical practice, and the possibilities for addressing long waiting times and clinician availability. In addition, traditional FBT was extended by the provision of support from peer and family mentors, highlighting the potential for integrating lived experience perspectives alongside medical expertise within online FBT.
This study evaluated the benefits of olanzapine compared with placebo for adult outpatients with anorexia nervosa.. Login at top right hand side of page using your MPFT NHS OpenAthens for full text.
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”
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.
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.
On Thursday, February 28, 2019, NIMH hosted a Twitter chat on eating disorders in recognition of National Eating Disorders Awareness Week. This chat covered the common types of eating disorders, treatment, current research, and how to find help.
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.
Benefits of the new service include:
- Early identification and support – increasing the likelihood of successful recovery and reducing the chances of the young person needing to be admitted to hospital;
Intensive community-based treatment – such as home-based support with mealtimes, where needed;
Extending care and treatment to young people aged up to 18 years right across the Pennine Care footprint (it is currently only available up to 16 years in some boroughs);
In addition, young people who do need a stay in hospital will experience a smooth transfer of care, thanks to joined up working between the Eating Disorders Service, the community-based Healthy Young Minds staff and hospital-based child and adolescent mental health staff.
This is why we’ve introduced new community eating disorder services for children and young people, where for the first time those that need help can refer themselves to the service. The new North West London based services will allow young people fast access to professional help; in urgent cases, within one week and for routine cases within four weeks.
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Psychological interventions are the treatment of choice for most eating disorders; however, significant proportions of patients do not recover with these. Advances in understanding of the neurobiology of eating disorders have led to the development of targeted treatments, such as deep brain stimulation (DBS), noninvasive brain stimulation (NIBS), and neurofeedback. We review the emerging clinical evidence for the use of these interventions in eating disorders and obesity, together with their theoretical rationale. Finally, we reflect on future developments. 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.
In recent decades there has been growing interest in the use of neuroimaging techniques to explore the structural and functional brain changes that take place in those with eating disorders. However, to date, the majority of research has focused on patients with anorexia nervosa. This systematic review addresses a gap in the literature by providing an examination of the published literature on the neurobiology of individuals who binge eat; specifically, individuals with bulimia nervosa (BN) and binge eating disorder (BED).
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 (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.
First Episode Rapid Early Intervention for Eating Disorders (FREED) is an early intervention model for young people with recent-onset eating disorders (ED). Promising results from a previous single-centre study and a four-centre study (FREED-Up) have led to the rapid national scaling of FREED to ED services in England (FREED-4-All). Our aim was to evaluate duration of an untreated ED (DUED), wait time target adherence, and clinical outcomes in FREED-4-All and compare these to the (benchmark) findings of the earlier FREED-Up study. Open access article- no login required
Open access. The link between clubbing and laxative abuse has been reported several times in the literature, in all cases in young females. The nature of this relationship is not understood.
Commentary on: Eisler I, Simic M, Hodsoll JA, et al. Pragmatic randomised multicentre trial of multifamily and single-family therapy for adolescent anorexia nervosa. BMC Psychiatry 2016;16:422.. To read the full article, log in using your NHS OpenAthens details.
ABSTRACT FROM: Eisler I, Simic M, Hodsoll JA, et al. Pragmatic randomised multicentre trial of multifamily and single-family therapy for adolescent anorexia nervosa. BMC Psychiatry 2016;16:422. To read the full article, log in using your NHS OpenAthens details.
Understanding motivation to change is a key issue in both the assessment and the treatment of eating disorders. Therefore, sound instruments assessing this construct are of great help to clinicians. Accordingly, the present study analysed the psychometric properties of the Anorexia Nervosa Stages of Change Questionnaire (ANSOCQ), including its relation to coping style and self-esteem.
This study investigated moderators of intervention response in a fully automated Internet-based monitoring and feedback intervention (‘Featback’) with different levels of therapist support for individuals with eating disorder (ED) symptoms. Please contact the library to request a copy of this article - http://bit.ly/1Xyazai
Psychological Trauma: Theory, Research, Practice, and Policy (May 11, 2017).
Objective: There are strong associations among trauma and eating disorders. However, while trauma and eating disorders are more common among veterans than other populations, there is little information on how military-specific stressors affect eating disorder risk. This study’s objective was to determine whether military sexual trauma and combat exposure were independent predictors of eating disorders among women veterans, a high-risk group. To read the full article, log in using your NHS OpenAthens details.
Journal of Consulting and Clinical Psychology Vol. 87, Iss. 1, (Jan 2019): 91-105. DOI:10.1037/ccp0000358
Objective: To provide a comprehensive meta-analysis on the efficacy of psychological and medical treatments for binge-eating disorder (BED), including those targeting weight loss.. To read the full article, log in using your NHS OpenAthens details.
Binge-eating disorder (BED) was included as its own diagnostic entity in the Fifth Edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5). An increasing number of treatment studies have been published, but an up-to-date comprehensive meta-analysis on diverse treatment approaches for BED is lacking. In an updated and extension of a previous meta-analysis, the goals of this study are to assess the short-term and long-term effectiveness of psychological and medical treatments for BED. Open Access Article
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.
The success of a specialist eating disorder service run by Norfolk and Suffolk NHS Foundation Trust (NSFT) has attracted the attention of renowned author who has produced a video about how it is helping more people by extending the care it provides.
Eva Musby, who has written a book, called “Anorexia and Other Eating Disorders: How to Help Your Child Eat Well and Be Well”, based on her own experiences caring for her daughter, produced the educational video which explores the care provided by Great Yarmouth and Waveney Community Eating Disorder Service.
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
Individuals with eating disorders experience high anxiety when eating, which may contribute to the high relapse rates seen in the eating disorders. However, it is unknown if specific cognitions associated with such anxiety (e.g., fears of gaining weight) may lead to engagement in eating disorder behaviors (e.g., weighing oneself). . Please contact the library to request a copy of this article - http://bit.ly/1Xyazai
Journal of Abnormal Psychology126.5 (Jul 2017): 552-564.
Previous studies of the relationship between maternal eating disorders and adverse perinatal outcomes have failed to control for familial transmission of perinatal phenotypes, which may confound the reported association. In a unique design afforded by the Norwegian Mother and Child Cohort Study and Medical Birth Registry of Norway, we linked three generations through birth register records and maternal-reported survey data to investigate whether maternal eating disorders increase risk after parsing out the contribution of familial transmission of perinatal phenotypes. To read the full article, log in using your NHS OpenAthens details.
In this longitudinal study, a cascade model revealed significant concurrent associations among bullying by peers, disordered eating behavior, and depressive symptoms at every time point during a 5-year period. Disordered eating behavior was repeatedly associated with future symptoms of depression and bullying by peers at 2 time points during 1-year intervals; the risk of depressive symptoms and bullying by peers 1 year after disordered eating behavior was equivalent in girls and boys.. Please contact the library to request a copy of this article - http://bit.ly/1Xyazai