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Truant, Laurie Gail. "Recovery from bulimia nervosa." Thesis, University of British Columbia, 1991. http://hdl.handle.net/2429/31151.
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Current research on formal treatment approaches to normal-weight bulimia presents inconclusive results on the efficacy of various treatments and limited empirical knowledge of the curative mechanisms involved. In the literature on therapeutic change agent studies which interviews individuals who have recovered from an eating disorder, only isolated aspects of the recovery experience are uncovered so that the meaning and process of recovery are limited. This case study applied Colaizzi's (1978) existential-phenomenological approach to elucidate thematic categories underlying the recovery experience as recounted by a former bulimic in order to provide a more complete and holistic understanding of the process and nature of recovery from bulimia. Initially, four individuals who self-reported feeling genuinely recovered from bulimia were prescreened by an independent rater in order to ensure that they had a previous diagnosis of bulimia nervosa as defined by the Diagnostic and Statistical Manual of Mental Disorders, Third Edition Revised (1987) and no previous history of anorexia nervosa, that they were free of bulimic symptoms, and that they exhibited no significant indicators of other active psychological problems since having recovered from bulimia. The four co-researchers described their recovery experience and each interview was transcribed. Categorical themes were formulated from the richest and most comprehensive transcript and information from another co-researcher's transcript served to cross-validate the categories. The remaining two transcripts were not included in the analysis
process. The co-researcher validated the thematic categories and their descriptions and also verified that the clustered categories clearly outlined the pattern or meaning of her recovery experience.
Results showed that recovery involves a synergetic interaction of curative factors both inside and outside of formal therapy. Once the individual acknowledges her eating problem, her bulimic behaviours begin to decrease as she experiences an increasing sense of efficacy and self-respect in areas of her life other than her body weight and shape. Her bingeing and purging gradually diminish to the point where she no longer engages in them. Aside from an occasional lapse, she now implements other activities to deal with uncomfortable emotional states. She feels stronger in knowing who she is, she cherishes herself as she is, and she is eager to affirm her personal growth by sharing her experience with recovering bulimics. In addition to a more comprehensive theoretical understanding of recovery, this study provided a deepened appreciation of the complexity of the recovery process. It also underscored the need for a multifaceted and individualized treatment approach which is adjusted throughout the recovery process as the adaptive functions or meanings of clients' eating behaviours change.Education, Faculty of
Educational and Counselling Psychology, and Special Education (ECPS), Department of
Graduate
2
Cooper, Myra. "Cognitive processes in anorexia nervosa and bulimia nervosa." Thesis, University of Oxford, 1991. http://ora.ox.ac.uk/objects/uuid:317050bf-48c7-4213-af41-939eb5576181.
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The series of studies reported in this thesis aimed to improve our knowledge of the cognitive disturbance in anorexia nervosa and bulimia nervosa. Techniques from experimental cognitive psychology were used to test predictions made by cognitive theories of eating disorders. In the first study, subjects performed three tasks related to eating, weight and shape and self-statements were measured using concurrent verbalisation and a selfreport questionnaire. Compared to dieters and non-dieting controls, patients with bulimia nervosa showed greater concern with weight and appearance while patients with anorexia nervosa showed greater concern with eating. In the second study, using an adaptation of the Stroop colour-naming task, patients with eating disorders showed greater selective processing of information related to eating, weight and shape than normal, non-dieting controls and normal dieters. In the third study it was found that this disturbance was more closely related to measures of the specific psychopathology of eating disorders rather than to measures of general psychopathology. In the fourth study information processing before and after treatment was compared. As predicted by cognitive theories, selective processing appeared to be related to the emotional salience of the clour-named words rather than to patients' familiarity with the issues represented by these words. In the fifth study information processing before and after three different psychological treatments for bulimia nervosa was measured. No support was found for the hypothesis that cognitive behaviour therapy operates through mechanisms specific to this treatment. Contrary to predictions, in the sixth study, when colour-naming was measured at the end of treatment and at 12 month follow-up, selective information processing did not predict relapse in symptoms of bulimia nervosa. Finally, a seventh study, which manipulated attitudes to eating, weight and shape experimentally, found evidence for a causal relationship between these attitudes and disturbed eating behaviour. Methodological issues, and the clinical and theoretical relevance of the research findings, are discussed.
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Quakenbush, Benita J. "Anorexia Nervosa and Bulimia Nervosa: The Patients' Perspective." DigitalCommons@USU, 1996. https://digitalcommons.usu.edu/etd/6094.
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Eating-disorder clients show low motivation, poor follow-through, and inordinate premature dropout rates in treatment. To date, little research has been conducted that might provide clinicians with an understanding of the critical factors that may aid clients' recovery. Such factors may be used by clinicians to better motivate clients to collaborate in treatment. The purpose of this study was to identify some of the critical factors that women with eating disorders believed were crucial in prompting or facilitating their recovery. Identification of these factors was accomplished through a systematic content analysis of semistructured interviews with recovered or recovering bulimics and anorexics. This study may contribute significantly to future research into the development of motivational supplements to eating disorder therapy ( e.g., psychoeducational materials or therapy orientation programs). Of interest were what personal, interpersonal, or environmental factors anorexic and bulimic clients reported increased their motivation to recover, and prompted them to begin the recovery process, maintain recovery, and cope with the threat of relapse. Also, factors that subjects reported hindered their progress in recovery were examined.
The anorexic and bulimic subjects reported social support as a critical factor across three stages of recovery, including beginning recovery, maintaining recovery, and coping with relapse. Being "tired" of the disorder and therapy were indicated to be relevant to beginning recovery. Improved self-esteem was deemed significant in helping subjects both maintain recovery and cope with the threat of relapse. Establishing healthy eating habits and attitudes was a necessary factor required to maintain recovery. Subjects shared that developing healthy ways to deal with emotions enabled them to deal successfully with the threat of relapse.
Anorexic subjects reported that people and societal expectations, fear of becoming fat, incentive to numb emotions, and poor eating habits and attitudes impeded their recovery. Bulimic subjects indicated that people and societal expectations, incentive to numb emotions, lack of understanding, and poor eating habits and attitudes hindered their recovery.
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Quackenbush, Benita J. "Anorexia Nervosa and Bulimia Nervosa: The Patients' Perspective." DigitalCommons@USU, 1996. https://digitalcommons.usu.edu/etd/5033.
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Eating-disorder clients show low motivation, poor follow-through, and inordinate premature dropout rates in treatment. To date, little research has been conducted that might provide clinicians with an understanding of the critical factors that may aid clients' recovery. Such factors may be used by clinicians to better motivate clients to collaborate in treatment. The purpose of this study was to identify some of the critical factors that women with eating disorders believed were crucial in prompting or facilitating their recovery. Identification of these factors was accomplished through a systematic content analysis of semistructured interviews with recovered or recovering bulimics and anorexics. This study may contribute significantly to future research into the development of motivational supplements to eating disorder therapy (e.g., psychoeducational materials or therapy orientation programs). Of interest were what personal, interpersonal, or environmental factors anorexic and bulimic clients reported increased their motivation to recover, and prompted them to begin the recovery process, maintain recovery, and cope with the threat ofrelapse. Also, factors that subjects reported hindered their progress in recovery were examined.
The anorexic and bulimic subjects reported social support as a critical factor across three stages of recovery, including beginning recovery, maintaining recovery, and coping with relapse. Being "tired" of the disorder and therapy were indicated to be relevant to beginning recovery. Improved self-esteem was deemed significant in helping subjects both maintain recovery and cope with the threat of relapse. Establishing healthy eating habits and attitudes was a necessary factor required to maintain recovery. Subjects shared that developing healthy ways to deal with emotions enabled them to deal successfully with the threat of relapse.
Anorexic subjects reported that people and societal expectations, fear of becoming fat, incentive to numb emotions, and poor eating habits and attitudes impeded their recovery. Bulimic subjects indicated that people and societal expectations, incentive to numb emotions, lack of understanding, and poor eating habits and attitudes hindered their recovery.
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Vincent, Norah K. "Self-treatment of bulimia nervosa." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1998. http://www.collectionscanada.ca/obj/s4/f2/dsk2/tape15/PQDD_0004/NQ32030.pdf.
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Todd, Gillian. "Cognitive factors in bulimia nervosa." Thesis, University of Cambridge, 2006. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.613854.
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Nordstrand, Emma, and Louise Leijonhufvud. "Omvårdnadsåtgärder vid anorexia nervosa och bulimia nervosa : en litteraturöversikt." Thesis, Sophiahemmet Högskola, 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:shh:diva-3875.
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Bakgrund Anorexia Nervosa och Bulimia Nervosa är två ätstörningar som kan leda till allvarliga fysiska och psykiska konsekvenser. Individer med dessa sjukdomar döljer för det mesta symtomen i den mån som går, vilket skapar stora mörkertal i samhället och försvårar sjuksköterskans förmåga att identifiera tidiga tecken. Prevalensen av ätstörningar ses öka i dagens samhälle, och sjuksköterskan kan därmed möta dessa patientgrupper i olika former av vårdkontexter. För detta krävs kunskap hos sjuksköterskan kring det omvårdnadsarbete som bedrivs vid dessa sjukdomar. Syfte Syftet med denna litteraturöversikt var att belysa omvårdnadsåtgärder vid Anorexia Nervosa och Bulimia Nervosa. Metod I denna litteraturöversikt har datainsamling skett genom databaserna CINAHL och PubMed. Efter noggrann kvalitetsgranskning valdes 15 artiklar av både kvalitativ och kvantitativ karaktär ut för en integrerad dataanalys. Resultat Fyra huvudkategorier som i sin tur bestod av egna underkategorier identifierades. Kategorin samtalet med tillhörande underkategorier första mötet och samtalets viktiga komponenter, kategorin socialt stöd med den terapeutiska alliansen, en svårbehandlad patientgrupp och familjen, kategorin främja hälsosamma vanor med matvanor, fysisk aktivitet och sociala aktiviteter samt kategorin kunskap och utbildning utan tillhörande underkategori. Slutsats Krav ställdes på samtalets innehåll och bemötandet önskades vara öppet, empatiskt och kunnigt. Dåliga upplevelser kunde resultera i negativa konsekvenser på tillfrisknandeprocessen. Att skapa en terapeutisk allians med såväl patient som familj lyftes vara av vikt för vårdförloppet, men karaktären av dessa sjukdomar försvårade den terapeutiska alliansen till följd av ambivalens inför viktuppgång och bristande sjukdomsinsikt. Erfarenhet och utbildning identifierades som viktiga faktorer för att kunna upprätthålla auktoritet och samtidigt balansera detta med ett empatiskt bemötande. Sjuksköterskorna ansvarade för att utbilda patienterna i hälsosamma vanor och guida patienten ur dess sociala och emotionella isolering. Ett flertal problematiska områden identifierades, varav bristande kunskap och utbildning hos vårdpersonalen var ett. I syfte att komma åt identifierade problemområden ställs krav på vidare forskning.
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Bradford, Karen Mayler. "The different faces of Bulimia Nervosa." Diss., Pretoria : [s. n.], 2007. http://upetd.up.ac.za/thesis/available/etd-10162007-081601.
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Small, Ken. "Habit Reversal Treatment of Bulimia Nervosa." DigitalCommons@USU, 1985. https://digitalcommons.usu.edu/etd/5936.
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Although several writers have emphasized the habit-like characteristics of bulimia nervosa, no study has investigated the extent to which bulimia responds to treatment specifically for habit disorders. Habit reversal is a general treatment plan which teaches individuals to regain lost awareness of all aspects of a habit. The habit is then interrupted at the earliest movement in the chain by a physically competing response. Habit reversal (Azrin & Nunn, 1973) has been effective in treating other habits (e.g., stuttering, tics, bruxism). In the present study, habit reversal was adapted for the treatment of bulimia.
In response to newspaper advertisements, ten females (aged 21-26) with a minimum of two binges/week were included in the study. Bingeing and vomiting ranged from .5/day to 3.57/day during baseline; duration of the disorder ranged from one to eight years. In a multiple-baseline, across-subjects design, subjects were randomly assigned to begin treatment following 14 days of baseline data collection. Subjects self-monitored and reported daily binge eating, vomiting, fasting and laxative use. Daily social contacts and athletic activities were self-monitored and reported as secondary dependent measures. A blood chemistry analysis to assess metabolic functioning, the Beck Depression Inventory (BDI) and the Symptom Checklist 90-Revised (SCL-90R) were administered pre- and post-treatment.
Two subjects reported cessation of bulimic episodes during baseline data collection apparently as a result of self-monitoring and frequent phone contacts. A rapid and substantial reduction in the target behaviors for the subjects who received treatment was reported following presentation of habit reversal (mean bingeing reduction=66.7%; mean vomiting reduction=52.0%). As reports of bingeing and vomiting decreased, concomitant increase in reported social contacts and athletic activities was observed in five of seven subjects without treatment for social behavior. Scores on the BDI and SCL-90 R did not change as a function of treatment. However, the self-reported frequency of binge eating during treatment correlated positively with psychopathology (r=.95, p
10
Hickman, Kelly. "Adult attachment, bulimia nervosa and relationship satisfaction." Thesis, University of Canterbury. Psychology, 1988. http://hdl.handle.net/10092/6964.
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Research interest of the role that childhood anxiety plays in the predisposition of eating disorder pathology has facilitated investigation into the antecendents of this anxiety within the framework of Bowlby's (1969, 1973, 1980) attachment theory and its inherent concept of internal working models.
Parallel findings within the literature on Bulimia Nervosa and insecure attachment, in terms of difficulties with affect regulation and autonomy focused behaviour, lead to the hypothesis that anxiety within close adult relationships will be positively related to bulimia. Research to date investigating attachment processes in eating disordered samples has typically focused on attachment in relation to parent-child relationships, overlooking the impact adult love relationships has on attachment. The present study investigates the links between adult attachment styles within close relationships, bulimia, dietary restraint, and relationship satisfaction.
120 female participants aged between 18 to 45 years were recruited from the University of Canterbury campus, and administered three to four brief questionnaires pertaining to the study. Results found that women with bulimia who were currently involved in romantic relationships were significantly more anxiously attached, more likely to engage in dieting behaviour and report low levels of satisfaction within their relationships. Multiple regression analyses further supported the significant independent contributions that attachment, dieting and relationship satisfaction constructs had on bulimia. Furthermore, a mediational model was supported, whereby securely attached women were more satisfied with their relationships, which in turn was related to lower levels of bulimia. The effect that secure attachment had on bulimia was not direct, but a function of relationship satisfaction within adult love relationships.
The findings of this study extend results from previous research concerning anxious attachment and bulimia, into the realm of adult love relationships. Further research investigation of attachment styles within adult love relationships, in terms of specific cognitive processing and types of symptom expression within the eating disordered population, represents a productive avenue for future research.
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Moore, Mary L. "A group treatment program for bulimia nervosa." Diss., Virginia Tech, 1996. http://hdl.handle.net/10919/39791.
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Maldonado, Christine R. Bardone-Cone Anna. "Exploring personality factors associated with treatment-seeking behavior among individuals with bulimia nervosa." Diss., Columbia, Mo. : University of Missouri-Columbia, 2006. http://hdl.handle.net/10355/5920.
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Thesis (M.A.)--University of Missouri-Columbia, 2006.The entire dissertation/thesis text is included in the research.pdf file; the official abstract appears in the short.pdf file (which also appears in the research.pdf); a non-technical general description, or public abstract, appears in the public.pdf file. Title from title screen of research.pdf file (viewed on August 30, 2007) Includes bibliographical references.
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Brito, Graziella Nuernberg Back [UNESP]. "Avaliação da microbiota bucal de pacientes com anorexia nervosa e bulimia nervosa." Universidade Estadual Paulista (UNESP), 2009. http://hdl.handle.net/11449/103862.
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brito_gnb_dr_sjc.pdf: 2623888 bytes, checksum: 9b38ae1778541597981089a1c5d9b974 (MD5)Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)
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Os Transtornos alimentares (TA) como Anorexia Nervosa (AN) e Bulimia Nervosa (BN) são acompanhados de inúmeras alterações sistêmicas e bucais relacionadas ao comprometimento do estado nutricional e às práticas compensatórias inadequadas para o controle do peso. O objetivo deste estudo foi avaliar diversidade microbiológica existente na cavidade bucal de pacientes com estes transtornos, por meio de técnicas de cultivo e utilizando métodos moleculares independentes de cultivo. Foram incluídos no estudo 32 pacientes anoréxicos e 27 bulímicos, pareados com 59 indivíduos controle. Amostras de enxágüe bucal foram semeadas para a avaliação da prevalência de leveduras do gênero Candida, estafilococos, enterococos, estreptococcos do grupo mutans (EGM), lactobacilos, enterobactérias/pseudomonas. Espécies de Candida, estafilococos, enterococos, enterobactérias/pseudomonas foram identificadas pelo sistema API. Amostras de biofilme supragengival foram coletadas e utilizadas somente nos procedimentos moleculares. As contagens de microrganismos nos grupos foram comparadas por ANOVA/Mann-Whitney (5%). Houve diferença estatisticamente significantes (p<0,05) para as contagem de leveduras do gênero Candida, estafilococos, enterococos, EGM e lactobacilos entre o grupo TA e controle, mas não houve diferenças significativas para a prevalência de enterobactérias/pseudomonas (p=0,312). Pequena diferença entre os grupos foi observada na diversidade de espécies dos microrganismos estudados pelo método de cultivo. Avaliação molecular foi realizada pela ribotipagem por seqüenciamento do 16S rRNA bacteriano e regiões D1/D2 do 28S rRNA. Foram avaliados cerca de 3000 clones do grupo TA e 1500 clones do controle. Sessenta e duas espécies ou filotipos de bactérias foram detectados...
Eating disorders such as nervous Anorexia and Bulimia Nervosa have several clinical and oral alterations related to the nutritional state involvement and the inadequate compensatory practices for weight control. The aim of this study was to evaluate the microbial diversity in the oral cavity of patients with Anorexia Nervosa and Bulimia nervosa by cultivation techniques and cultivationindependent molecular methods. The study included 32 patients and 27 bulimic anorexics, matched with 59 control subjects. Oral rinse samples were cultured to assess the prevalence of Candida species, staphylococci, enterococci, streptococci mutans (EGM), lactobacilli, Enterobacteriaceae / Pseudomonas. Candida species, staphylococci, enterococci, Enterobacteriaceae / Pseudomonas were identified by API systems. Supragingival biofilm samples were collected and used only in molecular procedures. Counts of microorganisms in the groups were compared by ANOVA / Mann-Whitney (5%). There was a statistically significant (p <0.05) for the counting of yeasts, staphylococci, enterococci, and lactobacilli EGM between TA and control groups, but there were no significant differences in the prevalence of Enterobacteriaceae / Pseudomonas (p = 0.312). Few differences between the groups were observed in the species diversity of organisms studied by the method of cultivation. Molecular analysis was performed by ribotyping by sequencing the 16S rRNA bacterial and D1/D2 regions of 28S rRNA. About 3000 clones of the TA group and 1500 clones of control were evaluated. Sixty-two species or filotypes of bacteria were detected, with 22 identifications were found only in the study group, only 6 in the control group and 34 in both groups. Microorganisms related to caries and periodontal diseases... (Complete abstract click electronic access below)
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Brito, Graziella Nuernberg Back. "Avaliação da microbiota bucal de pacientes com anorexia nervosa e bulimia nervosa /." São José dos Campos : [s.n.], 2009. http://hdl.handle.net/11449/103862.
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Resumo: Os Transtornos alimentares (TA) como Anorexia Nervosa (AN) e Bulimia Nervosa (BN) são acompanhados de inúmeras alterações sistêmicas e bucais relacionadas ao comprometimento do estado nutricional e às práticas compensatórias inadequadas para o controle do peso. O objetivo deste estudo foi avaliar diversidade microbiológica existente na cavidade bucal de pacientes com estes transtornos, por meio de técnicas de cultivo e utilizando métodos moleculares independentes de cultivo. Foram incluídos no estudo 32 pacientes anoréxicos e 27 bulímicos, pareados com 59 indivíduos controle. Amostras de enxágüe bucal foram semeadas para a avaliação da prevalência de leveduras do gênero Candida, estafilococos, enterococos, estreptococcos do grupo mutans (EGM), lactobacilos, enterobactérias/pseudomonas. Espécies de Candida, estafilococos, enterococos, enterobactérias/pseudomonas foram identificadas pelo sistema API. Amostras de biofilme supragengival foram coletadas e utilizadas somente nos procedimentos moleculares. As contagens de microrganismos nos grupos foram comparadas por ANOVA/Mann-Whitney (5%). Houve diferença estatisticamente significantes (p<0,05) para as contagem de leveduras do gênero Candida, estafilococos, enterococos, EGM e lactobacilos entre o grupo TA e controle, mas não houve diferenças significativas para a prevalência de enterobactérias/pseudomonas (p=0,312). Pequena diferença entre os grupos foi observada na diversidade de espécies dos microrganismos estudados pelo método de cultivo. Avaliação molecular foi realizada pela ribotipagem por seqüenciamento do 16S rRNA bacteriano e regiões D1/D2 do 28S rRNA. Foram avaliados cerca de 3000 clones do grupo TA e 1500 clones do controle. Sessenta e duas espécies ou filotipos de bactérias foram detectados... (Resumo completo, clicar acesso eletrônico abaixo)Abstract: Eating disorders such as nervous Anorexia and Bulimia Nervosa have several clinical and oral alterations related to the nutritional state involvement and the inadequate compensatory practices for weight control. The aim of this study was to evaluate the microbial diversity in the oral cavity of patients with Anorexia Nervosa and Bulimia nervosa by cultivation techniques and cultivationindependent molecular methods. The study included 32 patients and 27 bulimic anorexics, matched with 59 control subjects. Oral rinse samples were cultured to assess the prevalence of Candida species, staphylococci, enterococci, streptococci mutans (EGM), lactobacilli, Enterobacteriaceae / Pseudomonas. Candida species, staphylococci, enterococci, Enterobacteriaceae / Pseudomonas were identified by API systems. Supragingival biofilm samples were collected and used only in molecular procedures. Counts of microorganisms in the groups were compared by ANOVA / Mann-Whitney (5%). There was a statistically significant (p <0.05) for the counting of yeasts, staphylococci, enterococci, and lactobacilli EGM between TA and control groups, but there were no significant differences in the prevalence of Enterobacteriaceae / Pseudomonas (p = 0.312). Few differences between the groups were observed in the species diversity of organisms studied by the method of cultivation. Molecular analysis was performed by ribotyping by sequencing the 16S rRNA bacterial and D1/D2 regions of 28S rRNA. About 3000 clones of the TA group and 1500 clones of control were evaluated. Sixty-two species or filotypes of bacteria were detected, with 22 identifications were found only in the study group, only 6 in the control group and 34 in both groups. Microorganisms related to caries and periodontal diseases... (Complete abstract click electronic access below)
Orientador: Cristiane Yumi Koga Ito
Coorientador: Francisco Gorgônio da Nóbrega
Banca: Antonio Olavo Cardoso Jorge
Banca: Janete Dias Almeida
Banca: Flaviana Bombarda de Andrade Ferreira
Banca: Mário Henrique de Barros
Doutor
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Sävland, Emelie, and Bella Wennerholm. "Att tillfriskna från Bulimia Nervosa : vilka faktorer underlättar?" Thesis, Högskolan Väst, Avd för vårdvetenskap på grundnivå, 2013. http://urn.kb.se/resolve?urn=urn:nbn:se:hv:diva-5792.
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Welch, Sarah L. "Risk factors for the development of bulimia nervosa." Thesis, University of Oxford, 1994. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.359515.
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Hannon-Engel, Sandy. "Role of Altered CCK Response in Bulimia Nervosa." Thesis, Boston College, 2012. http://hdl.handle.net/2345/2648.
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Thesis advisor: Barbara E. WolfeThe core defining features of bulimia nervosa (BN) are repeated binge eating episodes and compensatory purging behavior. The biobehavioral aspects of binge eating are complex and not fully understood. One area of recent interest is the role of the satiety-signaling peptide cholecystokinin (CCK). Previous research observed a blunted postprandial plasma CCK response in those with BN, therefore suggesting this may be a cause, consequence, or maintenance factor in binge eating. It is unknown whether this altered response is due to a state versus trait phenomenon, thus having implications in the development of clinical treatment strategies. To examine the nature of this altered response, this study assessed whether CCK normalizes following remission from BN (RBN). This biobehavioral study utilized a comparative design to prospectively evaluate the biological CCK response and the corresponding behavioral ratings of satiety and other eating-related sensations in individuals with BN (n=10), RBN (n =14), and healthy controls (CON, n=13). CCK and behavioral ratings were assessed at baseline, +15, +30, and +60 minutes following the ingestion of a standardized liquid test meal. The BN group's CCK response was blunted and approached significance (p =.052) when compared to the RBN and CON groups. As predicted the RBN and CON groups' CCK response did not significantly differ. This finding supports the premise that CCK may normalize following abstinence from binge and purge (vomit) episodes and that this is a state versus trait related phenomenon. A significant positive relationship between CCK response and ratings of satiety occurred in the RBN group only (r=.59, p<.05). A new and unanticipated finding in the BN group was a significant relationship (r=.86, p < .01, two-tailed) between their CCK response and urge to vomit. A greater urge to vomit was reported by those individuals who had increased CCK response. Therefore, it is unknown whether the normalization of CCK functioning is a protective or liability factor in the stabilization and recovery process. Replication studies utilizing a larger sample size are needed to understand the role of CCK in recovery and the subsequent development of novel treatment strategies for those suffering with BN
Thesis (PhD) — Boston College, 2012
Submitted to: Boston College. Connell School of Nursing
Discipline: Nursing
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Carter, Jacqueline Christine Carleton University Dissertation Psychology. "Phototherapy in Bulimia Nervosa; the effects on eating behavior and mood." Ottawa, 1992.
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Shuck, Victoria C. "Cognitive content and schema association in eating psychopathology." Thesis, University of Southampton, 2000. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.326775.
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Karas, Michelle Anne. "Appraisal of negative and positive events in bulimia nervosa." Thesis, Canberra, ACT : The Australian National University, 1991. http://hdl.handle.net/1885/141346.
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Cox, Magdalene. "An investigation of thought-shape fusion in anorexia nervosa, bulimia nervosa and dieting." Thesis, Bangor University, 2001. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.367398.
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PAZDA, SUSAN LYNN. "ANOREXIA NERVOSA, BULIMIA, AND OBESITY: BODY WEIGHT AND BULIMIA AS DISCRIMINATORS OF PSYCHOLOGICAL CHARACTERISTICS." Diss., The University of Arizona, 1987. http://hdl.handle.net/10150/184177.
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This study hypothesized body weight and eating patterns to be important discriminators of psychological characteristics among eating disordered groups. A total of 146 bulimic and non-bulimic women from underweight (anorexic), normal weight, and overweight (obese) categories were examined. Based upon the theoretical and research literature reviewed, this study hypothesized locus of control, personal potency, self-esteem, and psychopathology to be central psychological characteristics in anorexia nervosa, bulimia, and obesity. These variables were measured by Rotter's Internal-External Locus of Control Scale, the Semantic Differential Potency Scale, Rosenberg's Self-Esteem Scale, and the Minnesota Multiphasic Personality Inventory, respectively. The relative importance of these variables in the disorders was also addressed. Results showed women in the eating disordered groups examined to demonstrate the following psychological characteristics: (1) Non-bulimic anorexics--an external locus of control, low self-esteem, and hysteria; (2) Bulimic anorexics--the greatest external locus of control, the lowest self-esteem, psychopathic deviance, hysteria, thought disorder, depression, a preoccupation with somatic concerns, and hypofemininity; (3) Normal weight bulimics--an external locus of control, low self-esteem, psychopathic deviance, hysteria, thought disorder, and depression; (4) Non-bulimic obese--low self-esteem; and (5) Bulimic obese--low self-esteem, an external locus of control, thought disorder and depression. The primary conclusion drawn from this study is that bulimia is a better predictor of the psychological characteristics than body weight. Bulimia, across all weight categories, was associated with an external locus of control, low self-esteem, psychopathic deviance, hysteria, thought disorder, and depression. That there was little variability in personality characteristics associated with bulimia across weight categories emphasized the stability of the symptom constellation associated with this disorder. This study supported the view of the normal weight bulimic as psychologically similar to the bulimic anorexic. This study also supported the stance that simple obesity does not represent a unitary psychological disorder.
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Dale, Sheilagh. "The lived experience of bulimia nervosa : a phenomenological study /." St. John's, NF : [s.n.], 2001.
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Santos, Camilla Vieira Esteves dos. "Características sociodemográficas, alterações orais e prevalência da Candida spp em pacientes com transtornos alimentares." Universidade de São Paulo, 2015. http://www.teses.usp.br/teses/disponiveis/23/23139/tde-21092015-121940/.
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As alterações orais nos pacientes com transtornos alimentares (TAs) são estudadas na literatura, porém poucos artigos abrangem a relação entre as alterações orais, candidose bucal e avaliação sociodemográfica. O presente estudo avaliou as características sociodemográficas, orais e a prevalência de Candida spp em pacientes com TAs. Foram avaliados 14 pacientes, destes 6 possuíam o diagnóstico estabelecido de Anorexia purgativa, 7 de Bulimia Nervosa e 1 TANE (transtorno alimentar não especificado). A idade média dos pacientes do estudo foi de 30,7 anos e todos eram do sexo feminino. Os pacientes responderam a um questionário elaborado pela pesquisadora e em seguida foram submetidos ao exame clínico inicial, para avaliação geral da saúde bucal, com enfoque na presença de lesões de mucosa, cáries, erosões e candidose. Também foi coletado saliva para a avaliação do fluxo salivar. As seguintes características sociodemográficas foram encontradas: 28,4% exerciam atividade remunerada; 42,8% possuíam terceiro grau completo e 78,6% eram solteiras; o tempo médio do transtorno alimentar foi de 14,8 anos e o tempo de diagnóstico médico foi de 8,07 anos. Na avaliação odontológica foram encontrados: CPO-d (dentes-cariados, perdidos e obturados) médio de 10,57; IHOS (índice de higiene oral) médio de 1,3; 71,4% das pacientes possuíam perda de brilho na face palatina dos dentes e 14,2% apresentaram perimólise. As pacientes purgativas apresentaram um índice CPO-d maior que as pacientes restritivas, a classe social mais prevalente foi a classe média. A Candida spp foi mais isolada em pacientes do serviço público e a xerostomia não foi um fator predisponente à colonização de Candida spp. A perimólise teve relação com o tempo de TAs das pacientes. Os resultados obtidos demonstram a necessidade de acompanhamento odontológico regular em pacientes com TAs.The oral changes in patients with eating disorders (ED) are studied in literature, but few articles disclose the connection between oral changes, oral candidiasis and sociodemographic characteristics. This study evaluated the sociodemographic characteristics, oral changes and the prevalence of Candida spp. Fourteen patients were evaluated. Six subjects were diagnosed with Anorexia (purging subtype), seven with Bulimia and one with EDNOS (eating disorders no specified). Every subject included was female with a mean age of 30,7 years. All of them answered a questionnaire and passed through a clinical exam to evaluate the oral health focusing on oral lesions, erosion, decayed and candidiasis. Saliva was collected for analysis. The social demographics characteristics were observed 28.4% of subjects exercise a paid activity, 42.8% had college degree and 78.5% were single. The mean time of ED was 14.8 years and mean time of medical diagnosis was 8.07 years. The clinical exam revealed the following data: DMFT mean of 10.57; Plaque index (oral hygiene) mean of 1.3; 71.4% of subjects showed tooth wear in enamel on palatine surface and 14,2%, perimolysis. This results suggest that patients with purging habits had higher DMFT than restrictive patients, the social class can be a predisposing factor for ED, the local where treatment was done influenced in isolation of Candida spp; and xerostomia did not influence in colonization of the fungus. The perimolysis presented relation with time of manifestation ED. This results showed the importance of concomitant treatment with dentistry.
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Gallo, Rosane Tronchin. "Estudo da disfunção temporomandibular em pacientes com transtornos alimentares: anorexia nervosa e bulimia nervosa." Universidade de São Paulo, 2016. http://www.teses.usp.br/teses/disponiveis/23/23139/tde-03112016-151727/.
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Este estudo tem como objetivo investigar a presença de disfunção temporomandibular (DTM) em pacientes previamente diagnosticados com transtorno alimentar (bulimia nervosa, anorexia nervosa ou anorexia nervosa purgativa), classificá-la em intra e extra-articular, investigar a possível correlação entre diagnósticos de transtorno alimentar e DTM e a correlação entre o tempo de duração do TA e o tempo de dor devido à DTM. O grupo estudado foi formado por 31 pacientes com transtorno alimentar (TA) composto quase pela totalidade (96,8%, 30/31) de mulheres, com idade média de 30,7 ± 6,7 (de 18 a 48 anos). Na primeira consulta, todos os participantes preencheram os questionários de saúde geral e o questionário de critérios diagnósticos em pesquisa da disfunção temporomandibular (RDC/TMD), foram entrevistados e examinados clinicamente para os sinais e sintomas de DTM. Os sinais clínicos contabilizados foram movimentos mandibulares, dor à palpação muscular e articular, sons articulares e dor espontânea contabilizada pela Escala Visual Analógica (EVA). Após o resumo de todas as variáveis do estudo, foram feitas as análises relacionadas à correlação dos dados obtidos. Para isso foram utilizados os seguintes testes: exato de Fisher, t-Student, Mann-Whitney,e teste de correlação de Pearson, conforme a natureza das variáveis. A significância estatística foi indicada para valores de p < 0,05. A maioria dos pacientes deste estudo, (83,9%, 26/31), foram diagnosticados com DTM, sendo 67,7% (21/31) intra-articular e 74,2% (23/31) extra-articular. Apresentaram os dois diagnósticos 54,8% (17/31) dos pacientes. A correlação entre o tempo do transtorno alimentar e o tempo de dor orofacial foi estatisticamente significativa, concluindo-se que quanto maior o tempo do TA, maior o tempo de dor orofacial caudada pela DTM. A correlação entre a classificação de DTM, intra e extra-articular, e os diagnósticos de TA, bulimia e anorexia nervosa, não foram significantes para este grupo estudado.This study aims to investigate the presence of temporomandibular disorders (TMD) in patients previously diagnosed with eating disorders (bulimia nervosa , anorexia nervosa or purgative anorexia nervosa ), to categorize the TMD into intra- and extra articular and to investigate the possible correlation between eating disorders diagnoses and TMD as well as the correlation between the longevity of TA and the longevity of pain due to TMD. The study group consisted of 31 patients with eating disorders (ED) and was mainly composed by women ( 96.8 % , 30/31 ) with a mean age of 30.7 ± 6.7 ( 18-48 years) At the first visit all participants completed the general health questionnaire and the research diagnostic criteria for temporomandibular disorders questionnaire (RDC / TMD ), they were also interviewed and clinically examined for signs and symptoms of TMD. The recorded clinical signs were jaw movements , pain upon palpation of muscles and temporomandibular joints , joint sounds and spontaneous pain recorded by the Visual Analogic Scale (VAS ). After the summary of all study variables, the analyses related to the correlation of the data were made. The following tests were used: Fisher \'s exact test, t- Student , Mann -Whitney , and Pearson correlation test , according to the nature of the variables. Statistical significance was indicated for p values < 0.05. Most patients in this study ( 83.9 % , 26/31 ) were diagnosed with TMD, of which 67.7 % ( 21/31 ) presented intra -articular and 74.2 % ( 23/31 ) extra -articular .while 54.8 % ( 17/31 ) presented both diagnoses. The correlation between the duration of the eating disorder and the duration of orofacial pain due to TMD was statistically significant , it was concluded that the longer the TA , the longer the pain. The correlation between TMD classification , intra- and extra -articular , and TA diagnostics, bulimia and anorexia nervosa , was not significant for this studied group.
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Núñez, Navarro Araceli. "Gender, Phenotypical Differentation and Therapy Response for Bulimia Nervosa." Doctoral thesis, Universitat de Barcelona, 2012. http://hdl.handle.net/10803/107755.
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The present PhD thesis is a compilation of four empirical studies and one review that try to better understand the clinical presentation of Bulimia Nervosa (BN) by investigating three important aspects: (1) gender differences in eating disorder (ED) symptomatology, associated traits and therapy outcome (study 1 and study 2), (2) phenomenology and boundaries of BN-purging, BN-non-purging and BED diagnoses (study 3) and (3) new technological approaches for the treatment of EDs with bulimic symptomatology (study 4 and study 5).
In the first study, 60 male and 60 female ED patients were compared to 120 healthy controls to find out similarities and differences in ED clinical features, psychopathology and personality traits by gender. The goal of the second study was to examine the efficacy of CBT treatment delivered in a group for BN male individuals compared with BN female individuals. In the third study, 34 females suffering from binge eating disorder (BED), 34 BN purging and 34 BN non-purging were compared to explore similarities and differences on clinical, psychopathological and personality variables. The forth study was a book chapter-review of ED interventions (specifically BN and BED) through new technologies. In the last study, an effectiveness analysis of an Internet-based therapy program (IBT) for BN was compared to a waiting list (WL).
Results regards to gender showed important clinical similarities between male and female ED participants. However, specific aspects related to shape or thinness were differently considered by them. Taking into account treatment response, results indicated that CBT treatment for BN was beneficial for both male and females ED patients. Moreover, the differences found in personality traits by gender appeared to be more related to gender differences in the general population rather than to ED per se.
Regards to BED, BN purging and BN non-purging spectrum, a linear trend in general psychopathology was observed between disorders showing a continuum were BNpurging represented the most severe disorder and BED the least severe. And obesity was a clinical variable strongly associated with BED. And finally, regards to Internet programs data suggested that the IBT program was useful for BN patient when compared to a waiting list.
All the studies presented in this dissertation have been published in international and national journals. Studies:
1) "Do men with eating disorders differ from women in clinics, psychopathology and personality?" Authors: Núñez- avarro, A.; Agüera, Z.; Krug, I.; Jimenez-Murcia, S.; Sánchez, I.; Araguz, N; Gorwood, P.; Granero, R.; Penelo, E.; Karwautz, A.; Moragas, L; Saldaña, S; Treasure, J.; Menchón, J.M. and Fernández-Aranda, F. (2012) European Eating Disorders Review 20 (1) 23-31.
2) “Male eating disorders and therapy: a controlled pilot study with one year follow-up” Authors: Fernández-Aranda, F.; Krug, I.; Jiménez-Murcia, S.; Granero, R.; N úñez, A.; Penelo, E.; Solano, R. and Treasure, J. (2009) J. Behav. Ther. & Exp. Psychiat. 40 (3) 479–486.
3) “Differentiating purging and nonpurging bulimia nervosa and binge eating disorder” Authors: úñez- avarro, A., Jiménez-Murcia, S., Álvarez-Moya, E., Villarejo, C., Sánchez, I.; Masuet, C., Granero, R., Penelo, E., Krug, I., Tinahones, FJ. Bulik, C. and Fernández-Aranda, F. (2011) International Journal of Eating Disorders 44(6)488-496.
4) “Nuevas tecnologías en el tratamiento de los trastornos de la alimentación” Authors: Fernández Aranda, F.; Martínez, C.; N úñez, A., Álvarez, E. y Jiménez-Murcia, S. (2007) Cuadernos de Medicina Psicosomática y Psiquiatría de enlace, 82, 7-16.
5) “Internet-based cognitive-behavioral therapy for bulimia nervosa: a controlled study” Authors: Fernández-Aranda, F.; Núñez, A.; Martínez, C.; Krug, I.; Cappozzo, M.; Carrard, I.; Rouget, P.; Jiménez-Murcia, S.; Granero, R.; Penelo, E.; Santamaría, J. and Lam, T. (2009) Cyberpsychology & behavior 12 (1) 37-41.Aquesta tesi doctoral és un recull de quatre estudis empírics (format article) i una revisió que tenen com objectiu comprendre en major profunditat tres aspectes específics de la Bulímia Nerviosa (BN): (1) diferències de gènere en la simptomatologia, trets associats i resposta a la teràpia (2) fenomenologia i límits entre la BN-purgativa, BNno-purgativa y Trastorn per Afartament (TA) i (3) enfocament terapèutic basat en noves tecnologies. A la primera àrea d'investigació, els resultats suggereixen que la presentació clínica entre homes i dones amb TCA es força similar. No obstant això, algunes especificitats de gènere deuen tenir-se en compte: desig de primesa (dones) versus desig de musculatura (homes). Al segon estudi, el tractament amb teràpia cognitiu-conductual (TCC) per a la BN es va trobar beneficiós tant per a dones com per a homes, tots dos sexes van presentar una resposta similar i positiva al tractament. Considerant la segona línia d'investigació, es va observar una tendència lineal en la psicopatologia general dels trastorns estudiats, mostrant un continu on la BN-purgativa era la de major gravetat i TA el de menor. A més l'obesitat va aparèixer fortament associada amb el TA, molt més que amb qualsevol de les formes de la BN. Finalment, en l'última línia d'investigació, es van revisar les potents possibilitats de les noves tecnologies com a intervencions específiques per a la simptomatologia bulímica. I les persones que van participar en el programa online van mostrar una disminució significativa tant en els índexs psicopatològics com en la gravetat de les conductes bulímiques. Quatre dels estudis presentats han estat publicats en revistes científiques internacionals i el cinquè en una revista científica nacional
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Vogel, Harry. "Social Factors Associated with Bulimia Nervosa in College Women." TopSCHOLAR®, 1995. http://digitalcommons.wku.edu/theses/922.
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The purpose of this research was to examine the social dimensions of bulimia. Bulimia was viewed using the symbolic interactionist perspective. This perspective was used to see bulimia as a socially constructed line of action. A questionnaire was given to 426 female students at a mid-sized Southern university during the fall of 1994. Crosstabulations and a logistic regression were used to analyze the data. Results suggest that sorority membership, a belief in the importance of avoiding becoming overweight, a belief that one's relationships with men are dependent on being attractive, and low satisfaction with one's social life are related to developing bulimia as a line of action.
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Lovell, Deborah May. "Anorexia and bulimia nervosa : an investigation of vulnerability factors." Thesis, Keele University, 1994. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.386595.
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Schnare-Hayes, Kim Carleton University Dissertation Psychology. "The comorbidity of bulimia nervosa, substance abuse and depression." Ottawa, 1995.
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Müller-Bock, Vera. "Wirksamkeit von Spironolacton auf die Essstörungssymptomatik bei Bulimia nervosa." [S.l. : s.n.], 2006. http://nbn-resolving.de/urn:nbn:de:bsz:289-vts-57782.
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Oliveira, Valência Avelino Marinho de [UNIFESP]. "Sinais vocais em adolescentes com características de Bulimia Nervosa." Universidade Federal de São Paulo (UNIFESP), 2010. http://repositorio.unifesp.br/handle/11600/10087.
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Previous issue date: 2010-07-28Objetivo: Verificar a prevalência de alterações vocais em adolescentes de 16 anos, estudantes da rede pública estadual da cidade de Recife-PE, com características de bulimia nervosa. Método: Para este estudo foram avaliados 216 adolescentes sendo 80 do gênero masculino e 136 do gênero feminino para identificar os que apresentavam características de bulimia nervosa foi utilizado o Teste de Investigação Bulímica (BITE) e a identificação dos sinais e sintomas vocais foi por meio de análises vocais subjetivas (Escala de GRBASI e Escala Analógica Visual- Escala Numérica EAV-EN) e objetiva (Voxmetria). Resultados: A prevalência de características de bulimia nervosa entre a população estudada foi de 70 indivíduos (32,4%), tendo percentual maior para o gênero feminino 52(74,3%) e menor para o masculino 18(25,7%). Quanto à análise vocal destes indivíduos com características de bulimia nervosa, na escala de GRBASI 19(27,1%) apresentaram vozes normais enquanto que 51(73,9%) mostraram alterações na voz (p<0,001); na EAV-EN 31(44,3%) apresentaram vozes no padrão normal e 39(56,5%) tinham alterações vocais (p<0,001), para o Voxmetria 37(53,6%) possuíam vozes normais e 33(47,1%) tinham algum tipo de alteração (p=0,381). Conclusão: Este estudo apresentou uma alta prevalência de adolescentes com características de bulimia nervosa das escolas públicas da cidade de Recife, com 16 anos de idade, além de encontrar neste grupo um alto percentual de sinais na voz, com isso se conclui a necessidade de que haja uma maior atenção aos riscos causados pelos transtornos alimentares nas vozes dos adolescentes.
Objective: To verify the prevalence of voice disorders in teenagers of 16 years old, students from public schools in the city of Recife-PE, with characteristics of bulimia nervosa. Method: For this study, 216 teenagers were rated with 80 males and 136 females to identify those that had characteristics of bulimia nervosa was used Bulimic Investigatory Test (BITE) and the identification of signs and symptoms vocal was by analysis subjective voice (Scale GRBASI and Visual Analog Scale-Scale Numerical- EN VAS) and objective (Voxmetria). Results: The prevalence of features of bulimia nervosa among the study population was 70 individuals (32.4%) and higher percentage for females 52 (74.3%) and lower for males 18 (25.7%). As for vocal analysis of these individuals with characteristics of bulimia nervosa, scale GRBASI 19 (27.1%) had normal voices while 51 (73.9%) showed changes in voice (p <0.001) in VAS-EN 31 (44.3%) had voices in the normal pattern and 39 (56.5%) had vocal changes (p <0.001) for Voxmetria 37 (53.6%) had normal voices and 33 (47.1%) had some type of change (p = 0.381). Conclusion: This study showed a high prevalence of teenagers with bulimia nervosa characteristics of public schools in the city of Recife, with 16 years of age, and find this group a high percentage of sings in her voice, it concludes with the need that there is greater attention to the risks posed by eating disorders in the voices of adolescents.
TEDE
BV UNIFESP: Teses e dissertações
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Ringer, Francoise. "Early attachment and eating disorders: A comparative study between anorexia nervosa and bulimia nervosa." Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 2000. https://ro.ecu.edu.au/theses/1531.
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The purpose of this research was to study the association between adult mental representations of curly attachment relationships and eating disorders, and to compare attachment classifications between anorexia nervosa and bulimia nervosa. The sample consisted of 62 women with eating disorders, divided between anorexia nervosa [restricting type (n=20) and binge-eating/purging type (n=l6)], and bulimia nervosa (n=26). The measures were (a) a structured interview based on the ''Diagnostic Survey for Eating Disorders" (Johnson and Connors, 1987) and the DSM IV criteria for the classification of eating disorders, and (b) the Adult Attachment Interview (AAI) (George, Kaplan and Main, 1985). The AAI was audio-taped, transcribed verbatim, and then scored by two independent scorers, following Crittenden (1998, 1999)'s dynamic-maturational model of attachment. The hypotheses were: (a) women with eating disorders show a high proportion of insecure attachment classifications, (b) the insecure attachment patterns are different (dismissing versus preoccupied) between women with anorexia nervosa and women with bulimia nervosa, and (c) the mental representation of early attachment of women with eating disorders with their fathers is characterised by negativity. The results showed that: (a) 60 out of 62 participants had an insecure attachment classification; (b) 65.4% of women with bulimia were classified preoccupied; of those with restricting anorexia, 42.1% were classified dismissing and 42.1% were classified combined dismissing/preoccupied; and for women with bulimic anorexia, 33,3% were dismissing, 46,7% preoccupied, and 20% combined dismissing/preoccupied [X² (4, N=60) = 11.337, p = .02]; and (c) concerning the "degree of negativity" in the mental representation of early attachment to the father, bulimic women were slightly more negative (57.7%) than positive (42.3%), restricting anorexics were more positive (70.0%) and bulimic anorexics were more negative (75.0%). These results were significant [X² (2,N = 62) = 7.589, p = .02]. The implications are: (a) For research, the application of the Adult Attachment lnterview to a clinical population; (b) for treatment, to differentiate appropriate treatments between types of eating disorders; and (c) for prevention, to underline the importance of early support and intervention in families "at risk".
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Vilela, Diana Rita Oliveira. "Anorexia e bulimia nervosas: diagnóstico, abordagem terapêutica e papel hormonal." Bachelor's thesis, [s.n.], 2013. http://hdl.handle.net/10284/4265.
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Trabalho Complementar apresentado à Universidade Fernando Pessoa como parte dos requisitos para obtenção do grau de licenciada em Ciências da NutriçãoObjetivo: Efetuar uma revisão tradicional da literatura sobre o diagnóstico, as abordagem terapêutica e o papel hormonal da grelina e da leptina na anorexia e na bulimia nervosas. Metodologia: Foi realizada uma pesquisa bibliográfica no PubMed, sites de internet e pesquisas em livros de bibliotecas, entre janeiro e julho de 2013. Para a pesquisa no PubMed, utilizaram-se as seguintes palavras- chave “leptina AND eating disorders”; ghrelin AND eating disorders”. Resultados: São várias as perturbações do comportamento alimentar entre as quais: anorexia e bulimia nervosa, entre muitas outras, que se têm tornado comuns na atualidade. A origem destas tem por base vários fatores genéticos, biológicos, psicológicos e sociais. É importante o seu diagnóstico precoce de modo a que seja aplicado o tratamento adequado e multidisciplinar tanto para o doente em questão como para a família que o rodeia. Até ao momento, ainda não existem tratamentos específicos para este tipo de situações, isto porque este tipo de patogénese ainda se encontra um pouco difuso no que respeita ao seu desenvolvimento e à sua origem. É conhecida apenas a existência de algumas hormonas como a grelina e a leptina, que tem ajudado na compreensão das perturbações do comportamento alimentar. Conclusões: A grelina e a leptina são as hormonas que influenciam recetores localizados na base do hipotálamo, que são sensíveis aos níveis de leptina e grelina. São duas hormonas que indicam ao organismo quando deve parar de comer ou quando se sente fome e é necessário alimentar. É de salientar, que existem vários tipos de tratamentos que são considerados fundamentais para que seja possível ultrapassar estes tipos de perturbações. Todas elas são bastante complexas e apresentam-se ainda um pouco difusas no que respeita à sua compreensão. Os indivíduos afetados por estas patologias apresentam distúrbios de personalidade, o que nem sempre facilita na recuperação. O tratamento será sempre acompanhado por equipas multidisciplinares, mas o mais importante é que não só o doente como também a sua família deverão ser sujeitas ao tratamento em questão mais apropriado ao tipo de situação (o que nem sempre acontece). Objective: This study possessed main goal a traditional review of the literature on the role of the hormones ghrelin and leptin developed in eating disorders, anorexia and bulimia nervosa, including the diagnosis and treatment of the same. Methods: We performed a literature search in PubMed, websites and research in library books between January and July 2013. For the PubMed search, we used the following keywords "leptin AND eating disorders"; “ghrelin AND eating disorders”. Results: There are various eating disorders including: anorexia and bulimia nervosa, among many others, which have become common nowadays. The origin of these is based on various genetic, biological, psychological and social. It is important for early diagnosis so that proper treatment is applied and multidisciplinary both the individual patient and the family that surrounds it. To date, there are no specific treatments even for this kind of situations such as this pathogenesis is still somewhat diffuse in respect to their development and their origin. It is known only to the existence of some hormones such as ghrelin and leptin, which has helped in the understanding of eating disorders. Conclusions: leptin and ghrelin are hormones which influence receptor located at the base of the hypothalamus, that are sensitive to leptin and ghrelin. Are two hormones that tell the body when to stop eating, or when we feel hungry and need to feed us. It is noteworthy that there are several types of treatments that are considered fundamental to be able to overcome these types of disturbances. All of these are quite complex and present some still diffuse with respect to its understanding. People who are victims of these present with personality affected, which is not always easy recovery. Treatment must always be accompanied by multidisciplinary teams, but the most important is that not only the sick person as well as your family should be subject to the treatment in question appropriate for the type of situation (which does not always happen).
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Naessén, Sabine. "Endocrine and metabolic disorders in bulimic women and effects of antiandrogenic treatment /." Stockholm, 2006. http://diss.kib.ki.se/2006/91-7357-003-6/.
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Demidenko, Natalie. "Differentiating anorexia nervosa, bulimia nervosa, and binge eating disorder using the PAI and EDI-2." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 2000. http://www.collectionscanada.ca/obj/s4/f2/dsk2/ftp03/MQ48422.pdf.
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Demidenko, Natalie Carleton University Dissertation Psychology. "Differentiating Anorexia Nervosa, Bulimia Nervosa, and Binge Eating disorder using the PAI and EDI-2." Ottawa, 2000.
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Johnsson, Frida, Sofia Persson, and Camilla Wåhlund. "Sjuksköterskans omvårdnadsarbete och behandling av patienter med ätstörningar : en litteraturstudie." Thesis, University West, Department of Nursing, Health and Culture, 2005. http://urn.kb.se/resolve?urn=urn:nbn:se:hv:diva-1104.
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Smith, Jacqueline. "Emotional well-being in children and adolescents attending specialist schools for the performing arts." Thesis, University College London (University of London), 1997. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.264169.
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Bighetti, Felícia. ""Tradução e validação do Eating Attitudes Test (EAT-26) em adolescentes do sexo feminino na cidade de Ribeirão Preto - SP"." Universidade de São Paulo, 2003. http://www.teses.usp.br/teses/disponiveis/22/22133/tde-12042004-234230/.
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BIGHETTI, F. Tradução e validação do Eating Attitudes Test (EAT-26) em adolescentes do sexo feminino na cidade de Ribeirão Preto - SP. 2003. (número de páginas) Dissertação de Mestrado Escola de Enfermagem de Ribeirão Preto da Universidade de São Paulo, Ribeirão Preto - SP. Os distúrbios da conduta alimentar, entre eles, a anorexia e bulimia nervosas, são síndromes psicossomáticas consideradas graves e de prognóstico ruim, caracterizadas pelo medo mórbido de engordar, levando à redução voluntária da ingestão alimentar com perda progressiva de peso, ingestão maciça de alimentos seguida de vômitos e uso abusivo de laxantes e/ou diuréticos. Desta forma, é de suma importância que o diagnóstico dessas doenças seja realizado precocemente, sendo que um dos instrumentos que auxiliam na triagem de possíveis doentes é o Eating Attitudes Test (EAT-26). O objetivo dessa pesquisa foi traduzir e validar o EAT-26 para a língua portuguesa em adolescentes do sexo feminino de nível sócio-econômico alto e, para tanto, o teste foi aplicado em 365 estudantes com idade entre 12 e 18 anos de duas escolas particulares de Ribeirão Preto-SP onde essas doenças ocorrem com maior incidência. Para desenvolver esta investigação, foram utilizados o referencial metodológico da tradução e retro-tradução do instrumento e métodos de análise estatística para avaliar a consistência interna dos itens do teste, isto é, a intensidade da concordância entre as versões traduzidas e sua confiabilidade. Além disso, caracterizou-se a amostra sob o ponto de vista nutricional e socioeconômico. Como resultados, a idade média das meninas foi de 14,2 anos com desvio-padrão de 1,7 anos e a maioria (81,7%) se mostrou eutrófica pelo índice de massa corporal. A avaliação socioeconômica revelou que praticamente todas as adolescentes recebem desconto na mensalidade escolar, moram em bairros de estrato socioeconômico médio-baixo e médio-alto, cujas famílias têm renda mensal entre 5 e 10 salários mínimos (28,8%) e 10 e 15 salários mínimos (7,5%). A contagem total média do EAT-26 foi de 19,8 pontos. A validação e confiabilidade de consistência interna do teste, representadas pelo alfa de Crombach 0,80, foram consideradas estatisticamente bastante satisfatórias por este valor estar próximo de 1,00. Concluímos assim, que o EAT-26 encontra-se em ótimas condições para ser aplicado em adolescentes, auxiliando no pré-diagnóstico de possíveis casos de transtornos alimentares. Além disso, políticas públicas devem reconhecer e valorizar a elaboração de programas informativos para adolescentes e outros grupos de risco para conhecimento mais amplo desses quadros, possibilitando a precocidade do tratamento e favorecendo o seu prognóstico.The disturbances of eating conduct, among them, anorexia and nervous bulimia, are psychosomatical syndrome considered serious and of a bad prognostic, characterized by the morbid fear of getting fat, taking to a volunteer reduction of the food ingestion with a losing of weight, solid food ingestion followed by vomit and abusive use of laxatives and/or diuretics. This way, it is very important to obtain the diagnostic for these diseases precociously, and one of the instruments that helps the triagem of possible sick people is the Eating Attitude Test (EAT-26). The objective of this research was translating EAT-26 into Portuguese and validating it in female adolescents and so, the test was applied in 365 students from two private schools from Ribeirão Preto, ages between 12 and 18, the ages where these diseases most frequently occur. To develop this investigation, the metodological referencial of translation and retro-translation of the instrument were used, and statistical analysis method, to evaluate the internal consistence of the items of the test, this is, the intensity of the concordance between the translated versions and their confiability. Besides that, the sample was characterized under the nutritional and socioeconomical point of view. As results, the girls average age was 14,2 years old and most of them looked eutrofic by the body mass index. The socioeconomical evaluation revelead that practically all the adolescents receive a discount in their school payment, they live in neighborhoods of middle-low and middle-high socioeconomical standard of living, whose families have a month income between 5 and 15 minimum wages. The total average count of EAT-26 was 19,8 points. The validation and confiability of internal consistence of the test, represented by alfa of 0,80, were considered statistically satisfactory, because this value is next to 1,00. We can conclude that, the EAT-26 is in great conditions for being applied in adolescents helping the pre-diagnostic of possible cases of these diseases. Besides that, public policies must recognize and value the elaboration of informative programs for adolescents and other risk groups so that they can have more knowledge about these diseases, allowing the precocity of the treatment and favoring its prognostic.
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Nåbäck, Emma, and Zena Lind. "Patienter med bulimia nervosas upplevelser av psykologiska behandlingar." Thesis, Högskolan i Halmstad, Akademin för hälsa och välfärd, 2021. http://urn.kb.se/resolve?urn=urn:nbn:se:hh:diva-44147.
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Bakgrund: Bulimia nervosa kännetecknas av perioder med hetsätning kombinerat med kräkning, användning av laxerande medel eller överdriven träning. Många patienter väljer att inte söka hjälp på grund av skam och skuld samt en rädsla för förändring. Psykologiska behandlingar som används är oftast kognitiv beteendeterapi på olika sätt. Sjuksköterskans främsta arbetsuppgift är att möta patienterna med lyhördhet och empati. Syfte: Syftet var att belysa patienter med bulimia nervosas upplevelser av psykologiska behandlingar. Metod: Studien var en allmän litteraturstudie där tio vetenskapliga artiklar samlades in och bearbetades. Resultat: De insamlade artiklarna resulterade i tre kategorier; tillit, motivation och lärande. Tillit till den som höll i de psykologiska behandlingarna var viktigt för att kunna öppna upp sig om sin sjukdom. De upplevde både förbättrad motivation till förändring men några uppgav även en försämrad motivation till förändring. Patienterna med bulimia nervosa upplevde ett lärande då de fick redskap för att hantera sin sjukdom genom de psykologiska behandlingarna. Konklusion: För patienter med bulimia nervosa var det viktigt att känna tillit till personalen för att bli motiverade till behandlingen och kunna lära sig hantera sin sjukdom för att lyckas gå vidare i sitt tillfrisknande. Det är viktigt att sjuksköterskan finns där för patienten.Background: Bulimia nervosa is characterized by periods of binge eating combined with vomiting, using of laxatives or obsessive exercise. Patients choose not to get help because of shame and guilt and also a fear of change. Psychological treatments used for bulimia nervosa is primarily cognitive behavior therapy in different ways. As a nurse it is important to meet patients with sensitivity and empathy. Objective: The purpose was to illustrate patients with bulimia nervosas experiences of psychological treatments. Method: This study is an general literature study where ten scientific articles was collected and processed. Results: The collected articles resulted in three categories; trust, motivation and learning. Trust to those who held in those psychological treatments was important in order to open up about their illness. Patients experienced both improved motivation to make a change and some patients experienced worsen motivation to make a change. The psychological treatments gave patients the tools they needed to handle their illness. Conclusion: For the patients with bulimia nervosa it was important to feel trust to get motivated to the treatment and to be able to handle their illness and to move on with the recovery. It´s important for the nurse to be there for the patient.
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Götvall, Johanna, and Therese Högman. "Att leva i ett helvete : Individers upplevelse av Bulimia Nervosa." Thesis, Högskolan i Skövde, Institutionen för hälsa och lärande, 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:his:diva-14538.
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Cockerham, Elaine S. "Investigating the Role of Implicit Self-Esteem in Bulimia Nervosa." Thesis, University of Southampton, 2006. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.484856.
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Current cognitive models of Bulimia Nervosa (BN) emphasize the importance of global negative self-evaluations in the development and maintenance of the disorder. However, there are inconsistencies in the research findings that have examined the relationship between levels of selfesteem and BN. Although investigations are being made into, and tools designed to measure implicit self-esteem, to date in the eating disorder literature self-esteem has only been measured using self-report questionnaires and thus may only allow access to explicit self-esteem. The literature review examines the relevance of self-esteem within cognitive behavioural theories of BN and reviews the literature that has attempted to investigate relationships between levels of self-esteem and BN. Research investigating implicit self-esteem is then reviewed and the value of extending this research into the area of eating disorders considered. The empirical research then primarily investigates whether there are differences in implicit biases of self between individuals with eating disorders compared to healthy controls, using the Implicit Associations Test (IAT: Greenwald, McGhee, & Schwartz, 1998; Greenwald & Farnham, 2000). Differences between the groups in explicit self-esteem are also investigated. The results show a significant difference between the groups on both the explicit and implicit measures of self-esteem, but show that individuals with eating disorders actually have higher levels of implicit self-esteem. The results are discussed in relation to other research that has found that a positive implicit self-esteem bias exists in clinical populations and that considers the discrepancies between implicit and explicit measures.
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Durand, Mary Alison Aine. "Effectiveness of general practitioner supported self-help for bulimia nervosa." Thesis, University College London (University of London), 2005. http://discovery.ucl.ac.uk/1444643/.
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While bulimia nervosa may affect up to five percent of women attending general practice, little attention has been paid to the possibility of treating patients in primary care. Improvements have been reported in patients using cognitive behaviour, self-help manuals. General practitioners may be well placed to support such patients. The study was designed to compare in a pragmatic, randomised controlled trial, the effectiveness of a general practice based self-help approach to the treatment of bulimia nervosa (a self-help manual with general practitioner support) with that of specialist out-patient treatment ascertain, through two postal questionnaires, general practitioners' views about the experience of supporting patients in primary care and explore, using qualitative and quantitative methods, patients' views of the treatment interventions. It was hypothesised that there would be no serious disadvantage in outcome for patients randomised to receive the self-help intervention in general practice compared to those receiving specialist care. Patients recruited from general practitioner referrals to specialist clinics were randomised to receive the general practice based self-help intervention (n=34) or specialist clinic treatment (n=34). The main outcome measure was the Bulimic Investigatory Test Edinburgh score assessed at baseline and at six and nine months. Secondary measures included eating pathology, depression, social adjustment and self-esteem. Seventy-four percent and 80% of patients were followed up at six and nine months respectively. An intention-to-treat analysis revealed that while bulimic symptoms declined in both groups over time, there was no significant difference in outcome between the two groups. The general practitioner surveys and patients' subjective views highlighted advantages and drawbacks to the self-help approach, but suggested that in general neither patients nor general practitioners were averse to using a general practice based intervention. The study findings suggest that general practitioners should consider offering self-help interventions to patients who present with bulimia nervosa.
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Oldfield, Abigail Elizabeth. "Impulsivity and narcissism across stages of recovery from Bulimia Nervosa." Thesis, University of Nottingham, 2013. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.601805.
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Introduction: Individuals with Bulimia Nervosa (BN) tend to score higher for impulsivity and narcissism than those without eating disorders (EOs), which literature suggests reduces recovery rates. Impulsivity and , narcissism than increase and maintain focus on the importance of low weight for higher self-worth and worth to others, and may limit ability to consider and alter patterns of thinking and behaviour. Therefore, these dimensions of personality may contribute to enable BN behaviour. This research explored this link across active BN and recovery by comparing impulsivity and narcissism scores across BN groups and in comparison to a non-EO control group. It was hypothesised that those with an 'active' BN would score highest, and that these scores would decrease further into recovery from BN. It was also hypothesised that the control group would have the lowest scores. Method: Participants were recruited through posters displayed at NHS services and voluntary organisations and through adverts sent to individuals who had previously 'registered as being interested in participating in research. There were five research groups. Participants represented three different stages of BN, a control group, and an additional group of participants originally meant for the control group, but who scored too highly for EO attitudes. There was an active BN group of 16 participants, a partially recovered BN group of 12 participants, a recovered BN group of five participants, a control group of 20 participants, and a non-EO non-control group of eight participants. This additional group's data is in the extended paper. Participants were recruited to these groups based on information on diagnosis collected through a demographic questionnaire as well as eating disordered attitudes and behaviour collected through the Eating Disorder Examination Questionnaire (EOE-Q). Impulsivity was measured on the Oickman Impulsivity Inventory (Oil), which collected both a total impulsivity score as well as functional and dysfunctional impulsivity scores. Narcissism was measured on the Narcissistic Personality Inventory (NPI) which gave a total narcissism score. 011 and NPI scores Page 2 of 211 were compared across these groups. EOE-Q data and number of binge/purge episodes were also explored. This was done to confirm that the participant groups were different. A correlation was also conducted to further explore the data that was collected. Results: No significant differences were found between these groups for narcissism scores, although all participants scored higher than average on the NPI. A significant difference was found for functional impulsivity between the control and 'active' BN groups with the control group scoring higher for functional impulsivity. Additionally, both the 'active' and 'partially recovered' BN groups had higher than average dysfunctional impulsivity scores. Significant differences were found for EOE-Q scores between all groups except the recovered BN group and the additional group. A correlation showed that there were significant positive correlations for NPI and 011 scores, and significant negative correlations for both NPI and functional impulsivity scores with EOE-Q scores. Discussion: This suggests that impulsivity and narcissism may not be linked to stages of recovery from BN in the way that was hypothesised and does not support previous research. Page
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DEIRO, PAULA ALMADA HORTA. "BULIMIA NERVOSA AND FAMILY: DEVELOPMENT AND TREATMENT OF THE DISEASE." PONTIFÍCIA UNIVERSIDADE CATÓLICA DO RIO DE JANEIRO, 2011. http://www.maxwell.vrac.puc-rio.br/Busca_etds.php?strSecao=resultado&nrSeq=34646@1.
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PONTIFÍCIA UNIVERSIDADE CATÓLICA DO RIO DE JANEIROEste estudo tem como objetivo investigar, a partir do relato de pacientes com diagnóstico de bulimia nervosa, o papel da família na evolução e no tratamento deste transtorno alimentar. Para tanto, foi realizada uma pesquisa qualitativa, com seis mulheres acometidas por bulimia nervosa, com idades entre 19 e 32 anos, pertencentes às camadas médias e altas da população carioca. Todas as entrevistadas estavam em tratamento com equipes especializadas em transtornos alimentares. Inicialmente, foi realizado um estudo teórico a respeito das características da bulimia nervosa e das famílias com um membro com transtorno alimentar, incluindo a evolução do tratamento familiar. Esse estudo fundamentou a análise das entrevistas e, posteriormente, a elaboração de seis categorias. Por meio da análise dos relatos das entrevistadas, evidenciou-se que a maioria delas associou diretamente os seus sintomas alimentares a questões familiares, apontando para situações específicas ou recorrentes, nas quais buscaram refúgio e apoio na comida. A partir da análise dos relatos das entrevistadas, concluiu-se ser de extrema importância o envolvimento da família no tratamento da bulimia nervosa para que as questões relacionadas à dinâmica disfuncional desse sistema sejam elaboradas e, com isso, a paciente possa apresentar melhoras em seus sintomas.
This study has the goal of investigating, through the interview of patients with bulimia nervosa, how the family takes part of the treatment and the development of such eating disorder. In order to reach this goal, a qualitative research was organized, with six women diagnosed as such, aged from 19 to 35 years old and members of the middle and high economic classes of the Rio de Janeiro society. Initially, a theoretic study of the characteristics of bulimia nervosa and of the families with a member that suffered of such eating disorders was made, including the evolution of family treatment. This study served as a foundation for the analysis the interviews and, later, in the creation of six categories. Through the analysis of the interviews, there was evidence that most of them related directly their eating symptoms to family issues, pointing towards specific or recurring situations, in which they seeked shelter and support in food. Analyzing such reports, the conclusion was that the participation of the family is of extreme importance in the treatment of bulimia nervosa, in order for the issues related to the dysfunctional dynamic of this system to be treated and, this way, for the patient to present an improvement of their symptoms.
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Briggs, Wendy Sue, and Kelly-Jo Chastain-Carlton. "Alcohol and amphetamine dependencies convoluted with anorexia and bulimia nervosa." CSUSB ScholarWorks, 1997. https://scholarworks.lib.csusb.edu/etd-project/1420.
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This study explored the possibility that some individuals with alcohol and amphetamine addictions are initially motivated to use alcohol and amphetamines because of underlying issues involving body dissatisfaction and weight reduction associated with Anorexia and Bilimia Nervosa. Current literature reveals similarities among chemical dependencies and eating disorders.
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SILVA, Tatiana Araújo Bertulino da. "Terapia cognitivo comportamental versus psicoeducação como tratamentos em adolescentes diagnosticados com bulimia nervosa." Universidade Federal de Pernambuco, 2016. https://repositorio.ufpe.br/handle/123456789/20006.
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Os adolescentes aprendem em nossa sociedade que uma das características do sucesso é o corpo magro. Esta pressão social pela magreza está mais presente nas adolescentes, criando o aumento da insatisfação corporal nesta população. A insatisfação com a própria imagem corporal é o cerne dos transtornos alimentares. Entre os transtornos alimentares destaca-se a bulimia nervosa, caracterizada pelos comportamentos de compulsão alimentar associado à purgação. O tratamento clínico recomendável para a bulimia nervosa é a terapia cognitivo-comportamental, realizado por um especialista em transtornos alimentares. Outras formas de intervenção nos pacientes com transtornos alimentares também são utilizadas, entre elas a psicoeducação. O objetivo deste estudo foi de avaliar as possíveis diferenças entre a intervenção psicoterápica do tipo cognitivocomportamental e a intervenção psicoeducativa em adolescentes diagnosticadas com bulimia nervosa. Foi realizado um ensaio clínico, constituído de 11 adolescentes do sexo feminino entre 13 a 19 anos com diagnóstico de bulimia nervosa. Para o diagnóstico utilizou-se a entrevista clínica diagnóstica: Levantamento sobre o Desenvolvimento e Bem – Estar de Crianças e Adolescentes (DAWBA). As adolescentes foram divididas em dois grupos: controle e experimental. No grupo controle, constituído de cinco adolescentes, o tratamento utilizado foi a terapia cognitivo-comportamental em grupo durante 13 encontros em 12 semanas. No grupo experimental, constituído de seis adolescentes, o tratamento utilizado foi a psicoeducação em grupo, em 13 encontros semanais. As medidas primárias de eficácia no estudo foram: diminuição dos sintomas de bulimia nervosa, diminuição dos sintomas de compulsão alimentar e diminuição da insatisfação corporal. Houve diminuição de sintomas de bulimia nervosa nos dois grupos, porém não se comprovou diferença significativa entre os grupos. Em relação a compulsão alimentar não houve modificação nos sintomas em nenhum dos grupos. A insatisfação corporal foi a variável que demonstrou melhora significativa quando os grupos foram analisados em conjunto, porém não houve diferença significativa entre os grupos. Na terapia cognitivocomportamental é aceitável que após o tratamento da bulimia nervosa, os pacientes ainda apresentem sintomas de transtorno alimentar, como a compulsão alimentar, pois o principal objetivo é que o sistema de manutenção das crenças que mantem a bulimia nervosa seja interrompido. A psicoeducação possui como foco o aumento da satisfação com a imagem corporal, o que de fato ocorreu no estudo. A psicoeducação não foca especificamente na melhora da bulimia nervosa e de seus sintomas, como a compulsão alimentar. Apesar de estudos anteriores terem encontrado melhora na relação alimentar dos participantes de psicoeducação, além da melhora nos sintomas da insatisfação corporal. Os dois tratamentos realizados na pesquisa demonstraram diminuição de sintomas, porém essa diminuição não foi significativa em nenhum dos grupos quando avaliados individualmente. É necessária a continuação da pesquisa, com o aumento da amostra e se possível com a análise qualitativa dos dados. A pesquisa demonstrou a possibilidade da utilização da psicoeducação, em um primeiro momento, em populações não crônicas.
Teenagers learn in our society that one of the characteristics of success is a thin body. This social pressure for thinness is more prevalent among the girls, causing increased body dissatisfaction in their group. Dissatisfaction with their own body image is the core of eating disorders. Among the eating disorders, bulimia nervosa stands out, characterized by binge eating behaviors associated with purging. The recommended medical treatment for bulimia nervosa is cognitive-behavioral therapy with a specialist in eating disorders. Other forms of intervention in patients with eating disorders are also used, including psychoeducation. The goal of this study was to evaluate possible differences between the psychotherapeutic intervention of cognitive-behavioral type and the psychoeducational intervention in female teenagers diagnosed with bulimia nervosa. A clinical trial was performed, consisting of 11 female teenagers between 13 and 19 years old, all of whom were diagnosed with bulimia nervosa. The clinical interview Development and Well-Being Assessment (DAWBA) was used for the diagnosis. The teenagers were split into two groups: control and experimental. In the control group, consisting of five teenagers, the treatment used was cognitive-behavioral group therapy for 13 meetings in 12 weeks. In the experimental group, consisting of six teenagers, the treatment used was group psychoeducation, in 13 weekly meetings. The primary effectiveness measures in the study were: reduction of the symptoms of bulimia nervosa, decreased symptoms of binge eating, and decreased body dissatisfaction. There was a reduction of the symptoms of bulimia nervosa in both groups; however, no significant difference was proved between them. Regarding binge eating, there was no change in symptoms in either group. Body dissatisfaction was the variable that showed most significant improvement when the groups were analyzed together, but once again there was no significant difference between groups. In cognitive-behavioral therapy, it is acceptable that after the treatment of bulimia nervosa, patients still present symptoms of eating disorders such as binge eating, because the main goal is that the system of beliefs which sustains bulimia nervosa is interrupted. Psychoeducation, on the other hand, focuses on increasing body image satisfaction, which actually happened in the study; psychoeducation does not focus specifically on the improvement of bulimia nervosa and its symptoms, though previous studies have found an improvement in the participants' relationship with food, besides an improvement in the symptoms of body dissatisfaction. Both treatments carried out in the research showed decreased symptoms, but this decrease was not significant in either group when assessed individually. Continued research, with a larger sample and qualitative data analysis, if possible, is required. The study has shown the possibility of using psychoeducation, at first, in nonchronic populations.
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Eklund, Hulda, and Annelie Jartelius. "Orala problem som förekommer vid ätstörningar." Thesis, Högskolan Kristianstad, Sektionen för hälsa och samhälle, 2014. http://urn.kb.se/resolve?urn=urn:nbn:se:hkr:diva-12281.
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Ätstörningar som anorexia nervosa (AN) och bulimia nervosa (BN) innebär ett folkhälsoproblem som kan orsaka oral ohälsa Studiens syfte: Syftet med denna litteraturstudie var att undersöka vilka orala problem som förekommer vid AN och BN. Material och metod: Studien genomfördes i form av en litteraturstudie. Material samlades in via sökningar i databasen Web of Science. Resultatet baserades på en sammanställning av sju vetenskapliga artiklar. Resultat: Resultatet visade att ett flertal studier har redovisat förekomst av orala förändringar vid diagnoserna AN och BN. Mest förekommande var dentala erosioner och hypertrofi av glandula parotis. Men även förekomst av karies, parodontal sjukdom samt orala slemhinneförändringar och infektioner framgick. Slutsats: Slutsatsen med denna studie visar att de mest förekommande orala problemen som uppstår vid AN och BN är dentala erosioner samt hypertrofi av salivkörtlarna, även orala slemhinneförändringar och infektioner förekommer.Eating disorders such as anorexia nervosa (AN) and bulimia nervosa (BN) represents public health problem that may cause poor oral health. Objective: The aim of this study was to examine the side effects that arise in the oral health with AN and BN. Material and methods: The study was carried out as a literature review. The data was collected through searches in the database “Web of Science”. The final result was based on the findings of seven scientific articles. Results: The results showed that several studies have reported the occurrence of oral changes in the diagnoses of AN and BN. Dental erosions and hypertrophy of the parotid gland were the most common oral changes. The presence of caries, periodontal disease, oral mucosal lesions and infections also appeared. Conclusion: The conclusion of this study is that the most common oral problems associated with AN and BN are dental erosions, hypertrophy of the salivary glands, and oral mucosal lesions. Infections may also appear.
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Palma, Raphaela Fernanda Muniz. "Hospitalização integral para o tratamento de transtornos alimentares: características e resultados." Universidade de São Paulo, 2012. http://www.teses.usp.br/teses/disponiveis/22/22133/tde-16012013-101933/.
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Os transtornos alimentares (TA) são doenças graves de etiologia multifatorial, que cursam com alterações importantes no comportamento alimentar e complicações clínicas como desnutrição e distúrbios hidroeletrolíticos, além de comorbidades psiquiátricas. A hospitalização integral é uma modalidade terapêutica indicada quando o seguimento ambulatorial não atinge resultados satisfatórios associados à piora dos sintomas. O objetivo deste estudo foi descrever as características e resultados da hospitalização dos pacientes com TA atendidos pelo Grupo de Assistência em Transtornos Alimentares do Hospital das Clínicas da Faculdade de Medicina de Ribeirão Preto-USP. Dados antropométricos, bioquímicos e clínicos foram coletados a partir da revisão de prontuários dos pacientes internados durante o período de 1982 a 2011. Como resultado, observou-se que das 186 pessoas que receberam atendimento pelo serviço, 44,6% deles (n=83) necessitaram de no mínimo, uma internação durante o tratamento. A predominância foi do sexo feminino (95,2%), da raça branca (94%), solteira (76%) e sem filhos (78,3%). Cursavam o ensino médio (50,6%) com idade de 23,3±10,8 anos. O diagnóstico era de anorexia do tipo restritivo (AN-R) para 54,2% (n=45) deles, 31,3% (n=.26) apresentavam anorexia do subtipo compulsão periódica/purgativo (AN-CP) e 14,5% (n=12) tinham bulimia nervosa (BN). A média de internações foi de 1,9±3,9 vezes sendo que 73,5% (n=61) dos pacientes foram internados apenas uma vez, por 41,2±37,6 dias. Para aqueles que precisaram dessa modalidade de tratamento por mais de uma vez, a duração da hospitalização, considerando todas as internações, foi de 70,6±115,9 dias com extensa variação (3 a 804 dias). Não foi observada associação entre o número de internações com o Índice de Massa Corporal (IMC) e com o tempo de sintomas antes do diagnóstico. O IMC dos pacientes mudou significativamente (p<0,05) durante a internação (para o grupo com AN-R: de 13,5kg/m2 para 14,8kg/m2 ; para os com AN-CP: de 15,7kg/m2 para 16,9kg/m2 ; naqueles com BN: de 22,0kg/m2 para 21,0kg/m2 ). A amenorréia esteve presente em 69% (n=45) das mulheres, sendo mais frequente naquelas com AN-R (65,1%). Dos 23 pacientes (27,7%) que realizaram o exame de densitometria óssea, 44,4% (n=10) apresentam osteopenia e 29,7% (n=7) osteoporose. Os valores médios da maioria dos parâmetros bioquímicos avaliados estavam dentro da normalidade, com exceção do beta-caroteno, que encontrava-se elevado, tanto no início quanto no final da internação. A Nutrologia foi a enfermaria na qual a maioria das internações ocorreu (79,5%) e a necessidade de terapia nutricional foi a indicação mais frequente (62,3%). A via de administração de nutrientes preferencialmente utilizada foi a via oral (67,5%), apesar de ter sido observado aumento de 2,3 vezes na escolha da terapia nutricional enteral exclusiva nos pacientes que foram internados mais de uma vez. O acompanhamento multidisciplinar foi evidenciado, pois além do médico, houve a participação maciça de nutricionistas (87,9%) e psiquiatras (72,3%). Como conclusão, a hospitalização integral é uma modalidade bastante indicada no tratamento de pacientes com TA, mas sua duração é prolongada e requer a assistência de diversos profissionais. No entanto, quando indicada a partir de critérios bem estabelecidos proporciona melhora no estado nutricional. Futuros estudos são necessários para ampliar e aprofundar os resultados encontrados possibilitando o aprimoramento de condutas terapêuticas.Eating disorders (ED) are serious diseases with multiple etiologies that course with major changes in eating behavior and clinical complications such as malnutrition and electrolyte disturbances, and also psychiatric comorbidities. Inpatient treatment is a modality of treatment used when the outpatient follow-up did not reach satisfactory results associated with worsening of clinical status. The aim of this study was to describe the characteristics and outcomes of the hospitalization in patients with ED who were treated by Assistance Group on Eating Disorders from the Hospital das Clínicas da Faculdade de Medicina de Ribeirão Preto - USP. Anthropometric, biochemical and clinical data were collected from the medical records of patients admitted between 1982 and 2011. It was observed that among 186 patients attended by the service, 44.6% (n = 83) required at least one inpatient treatment. Most patients were female (95.2%) and white (94%). The majority was single (76%), with no children 78.3%) and were high school students (50.6%). The mean age was 23.3± 10.8 years old. According to the diagnosis, 54.2% of patients had anorexia nervosa, restricting subtype (AN-R), 31.3% had anorexia nervosa binge-eating/purging subtype (AN-CP) and 14.5% had bulimia nervosa (BN). The mean age at admission was 23.3 ± 10.8 years (range 8-58 years), 73.5% of patients were hospitalized only once. The mean number of admissions was 1.9 ± 3.9 times and 73.5% (n=61) were hospitalized only once, during 41.2 ± 37.6 days. For those who needed this type of treatment more than once, the length of stay, considering all admissions, was 70.6 ± 115.9 days with extensive variation (3-804 days). No associations were observed between the number of hospitalizations and Body Mass Index (BMI) and duration of symptoms before diagnosis. The BMI of the patients changed significantly (p <0.05) during hospitalization (for the group with AN-R, from 13.5 kg/m2 to 14.8 kg/m2 ; for AN-CP: 15.7 kg/m2 to 16.9 kg/m2 , those with BN: from 22.0 kg/m2 to 21.0 kg/m2 ). Amenorrhea was present in 69% (n = 45) women, most frequently in those with AN-R (65.1%). According to exam of bone densitometry of 23 patients (27.7%), 44.4% (n=10) had osteopenia and 29.7% (n=7) had osteoporosis. The mean values of most biochemical parameters were within normal limits, except for beta- carotene, which was above the normal range, both in admission and discharge. The Nutrology was the infirmary where the majority of hospitalizations occurred (79.5%), nutritional support was the most frequent indication for hospitalization (62.3%). The route of administration of nutrients preferably used was oral (67.5%), although it has been observed an increase at 2.3 times on exclusively enteral feeding in patients admitted more than once. The multidisciplinary team reveals, besides the doctor, the massive presence of dietitians (87.9%) and extensive involvement of psychiatrists (72.3%). It is concluded that inpatient treatment is needed in patients with ED, often shows prolonged duration and requires the assistance of various professionals. However, when indicated based on criteria well established can provide improvement in nutritional status. Future studies are needed to broaden the results enabling the improvement of therapeutic approaches.
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MacDonald, Kirsty. "A comparison of neuropsychological test performance on the Ravello Profile between bulimia nervosa and anorexia nervosa." Thesis, University of Edinburgh, 2011. http://hdl.handle.net/1842/5707.
Full textAbstract:
Background The Ravello Profile is a battery of standardised neuropsychological measures of areas of functioning that evidence indicates are impaired in Anorexia Nervosa (AN), namely visuo-spatial functioning, central coherence and executive functioning. The neuropsychological profile of individuals with Bulimia Nervosa (BN) is less well established. The current study aimed to examine differences in cognitive performance between people with BN, AN and non-eating disordered controls on the Ravello Profile. Methods The AN group (N=60) comprised participants from an existing database (Frampton et al. 2009). The BN group (N=22) largely comprised participants from NHS adult out-patient services. The non-eating disordered control group (N=20) comprised of colleagues and acquaintances of the researcher. Differences between AN, BN and control samples on visuo-spatial functioning, central coherence, executive functioning and error rates were examined. Results The AN group performed significantly worse than the BN group on a measure of central coherence and on some measures of executive function, but the BN group did not perform worse than the control group. There was no significant difference between the groups on three measures of visuo-spatial functioning. However, the AN group was significantly slower than both the BN and control group to copy the figure. The results showed some evidence of increased error rates in BN relative to AN, which may reflect greater impulsivity in BN. Conclusions The results indicate separate patterns of neuropsychological performance between AN, BN and controls, with AN demonstrating poorer performance on measures of executive function and central coherence, whilst BN participants showed higher rates of errors. The BN group were also generally faster to complete some tasks, indicative of a preference for speed over accuracy or impulsivity. Those working with individuals with AN or BN should take into consideration possible effects of their respective cognitive limitations and adapt interventions accordingly.