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Dissertations / Theses on the topic 'Eating disorder'
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1
Arnold, Marla N. "Validating a model of risk factors associated with eating disorder risk in adolescents." Columbus, Ohio : Ohio State University, 2006. http://rave.ohiolink.edu/etdc/view?acc%5Fnum=osu1148575712.
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Hilbert, Anja. "Binge-Eating Disorder." Elsevier, 2019. https://ul.qucosa.de/id/qucosa%3A75711.
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Binge-eating disorder (BED) was first included as its own diagnostic entity in the Fifth Edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) within the Feeding and Eating Disorders section.1 BED’s hallmark feature is recurrent binge eating, involving the consumption of an amount of food that is definitively larger than what others would eat under comparable circumstances within a certain time, associated with a feeling of loss of control over eating. Diagnosis of BED according to DSM-5 (307.59) requires this objective binge eating to occur at least once per week over 3 months. In contrast to binge eating in bulimia nervosa, binge eating in BED occurs without regular inappropriate compensatory behaviors aimed at preventing weight gain, such as self-induced vomiting, fasting, or laxative misuse. Binge eating in BED is further characterized by behavioral abnormalities, such as eating rapidly or until feeling uncomfortably full, and results in marked distress.
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Schweitzer, Jana. "Eating disorders : the correlation of family relationships with an eating disorder continuum." PDXScholar, 1988. https://pdxscholar.library.pdx.edu/open_access_etds/3844.
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For the purposes of this study, eating disturbances were placed on a continuum ranging from disordered to normal, and family factors were examined via this framework. Research on anorectics and bulimics indicates that a variety of family variables contribute to the etiology of eating disorders. Research suggests the presence of a subgroup of persons who experience some disturbance in their relationships with food but not to the severity observed among eating disordered individuals. This study examined the relationship between family factors and eating disturbances.
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Thompson, Beth E. "Use of the eating disorder inventory in determining eating disorder tendencies among runners." Thesis, Virginia Polytechnic Institute and State University, 1986. http://hdl.handle.net/10919/76442.
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The purpose of this study was to use the Eating Disorder Inventory (EDI), Negative Addiction Scale (NAS) and other measured characteristics to determine differences between consistent runners and sedentary controls. 38 male and 23 female local non-team related runners of more than 9 miles per week were studied. They completed the EDI and NAS. 31 male and 30 female nonexercisers completed the EDI. They were drawn from college classes and participated in less than one hour per week of physical activity. Height, weight and body fat were determined for both groups. As compared with anorectics, none of the EDI subscale averages for runners or controls were higher than the 38th percentile. Body dissatisfaction was less for runners than controls. Females scored higher on drive for thinness and body dissatisfaction. Female runners scored significantly higher on drive for thinness than all other groups. The mean NAS score was 78 for the females and 74 for the males. Significant body dissatisfaction subscale differences found between runners and controls were probably due to the runners' lower body fat and weight. In looking at the male/female differences, females typically have a stronger concern about weight and are less satisfied with their bodies. It is believed that in the group of runners studied, severe eating disorders did not exist.Master of Science
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Hausenblas, Heather A. "Eating disorder correlates and athletes." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1998. http://www.collectionscanada.ca/obj/s4/f2/dsk2/tape15/PQDD_0011/NQ32309.pdf.
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Kliem, Sören, Thomas Mößle, Markus Zenger, Bernhard Strauß, Elmar Brähler, and Anja Hilbert. "The eating disorder examination-questionnaire 8: a brief measure of eating disorder psychopathology (EDE-Q8)." International Journal of Eating Disorders (2015) 49, 6, S. 613-616, 2015. https://ul.qucosa.de/id/qucosa%3A15492.
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Objective: The aim of this study was to develop, evaluate, and standardize a short form of the well-established Eating Disorder Examination-Questionnaire (EDE-Q). The newly developed EDE-Q8 was required to reflect the originally postulated structure of the EDE-Q.
Method: Data were drawn from two nationwide representative population surveys in Germany: a survey conducted to develop the EDE-Q8 in 2009 (N = 2520); and a survey conducted in 2013 (N = 2508) for the evaluation and calculation of EDE-Q8 percentiles.
Results: The EDE-Q8 had excellent item characteristics, very good reliability and a very good model fit for the postulated second-order factorial structure. Furthermore, a strong correlation between the EDE-Q8 and a 13 item short form of the Eating Attitudes Test was observed.
Discussion: The EDE-Q8 appears to be particularly suitable in epidemiological research, when an economical assessment of global eating disorder psychopathology is required.
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Allen, Karina. "The development and maintenance of cognitive and behavioural eating disorder symptoms." University of Western Australia. School of Psychology, 2009. http://theses.library.uwa.edu.au/adt-WU2010.0011.
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[Truncated abstract] Eating disorders affect a significant proportion of adolescent and young adult women and a smaller proportion of children, men, and older individuals. They are associated with a range of physical, psychological, and social consequences that can have a profound and lasting impact on affected individuals. Eating disorder symptoms (e.g., marked weight and shape concern, strict dieting, binge eating, purging) are also associated with physiological and psychosocial morbidity, and are reported by up to half of adolescent girls and one-third of adolescent boys. If eating disorders are to be effectively prevented or treated, it is imperative that risk and maintaining factors for the conditions are identified. ... This thesis aimed to identify the variables and models that may best account for the development and maintenance of eating disorder symptoms, through two broad studies and six sub-studies. Study 1 focused on identifying predictors of cognitive (i.e., elevated weight and shape concern) and behavioural (i.e., binge eating) eating disorder symptoms in pre- to early-adolescent children followed over time. Prospective tests of the dual-pathway (Stice, 2001) and cognitive-behavioural (Fairburn, 2002; Fairburn, Cooper, & Shafran, 2003) models of eating pathology were also conducted, and a distinction was made between weight and shape concern and weight and shape over-evaluation. Low selfesteem, perceived media pressure to be thin, weight and shape over-evaluation, and maternal concern about child weight prospectively predicted increases in child weight and shape concern over time (Studies 1b and 1c), and weight and shape concern was the most robust predictor of increases in dietary restraint (Studies 1b and 1d). Dietary restraint and affect-related eating prospectively predicted binge eating onset (Studies 1a and 1d), and the dual-pathway and cognitive-behavioural models were both able to account for the development of binge eating over a two year period (Study 1d). Evidence was also provided for the relative superiority of the most recent, enhanced cognitivebehavioural model (Fairburn et al., 2003) over other available theoretical accounts. Study 2 focused more specifically on the role of mood intolerance in predicting and maintaining eating pathology in adults. In Study 2a, a new measure of mood intolerance was developed, revised, and evaluated. In Study 2b, the role of mood intolerance in cross-sectionally predicting binge eating and purging was examined within the framework of the enhanced cognitive-behavioural model. The importance of mood intolerance in accounting for eating disorder symptoms was confirmed, and additional support for the cognitive-behavioural model was provided. Collectively, the six empirical studies have provided new data regarding the relative importance of different variables in the development and maintenance of different eating disorder symptoms. They also provide initial insight into the relative validity of alternate theoretical models in this area. The results suggest that the most recent, enhanced cognitive-behavioural model may provide the best account of how eating disorder symptoms develop and are maintained, providing that the mood intolerance component of the model is specified.
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Butler, Emma. "The clinical relevance of personality disorder cognitions in the eating disorders." Thesis, University of East London, 2009. http://roar.uel.ac.uk/3729/.
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Although cognitive behavioural therapy (CBT) is recommended by the National Institute for Clinical Excellence (2004) as the treatment of choice for bulimia nervosa, it has only been found to be effective for 50-60% of individuals. In addition, the evidence base for the efficacy of CBT in the treatment of anorexia nervosa is weak. It is commonly recognised that there is a high comorbidity between personality disorders (and their associated traits) and eating disorders. The purpose of this study was therefore to examine the cognitions underpinning personality disorders in individuals with eating disorders, and to investigate whether those cognitions reduce the impact of CBT for eating disorders. Participants were 59 individuals with a diagnosed eating disorder presenting for CBT at a specialist eating disorder service. Each participant completed measures of personality disorder cognitions, eating disorder attitudes/dysfunctional assumptions and other psychological symptoms at session one of CBT. Participants were then asked to repeat the measures of eating disorder attitudes/dysfunctional assumptions at session six of CBT. Drop-out rates were recorded. Findings provided evidence of the rapid onset of action of CBT for eating disorders. There was a significant reduction in eating disorder attitudes over the first six sessions. Six personality disorder cognitions were significantly associated with eating disorder attitudes/dysfunctional assumptions and other psychological symptoms. These were avoidant, obsessive-compulsive, dependent, borderline, histrionic and paranoid personality disorder cognitions. Higher levels of dependent and narcissistic personality disorder cognitions were associated with dropping out of treatment before session seven of CBT, and higher levels of histrionic, avoidant and borderline personality disorder cognitions were associated with an improvement in eating disorder attitudes in the first six sessions of CBT. The limitations of the study and recommendations for future research are discussed. In addition, the clinical implications of the findings are considered.
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Marchand, Stephanie Milbradt. "Disordered eating behaviors among collegiate athletes /." View online ; access limited to URI, 2007. http://0-digitalcommons.uri.edu.helin.uri.edu/dissertations/AAI3284826.
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Evans, Charlotte Marie. "Treatment seeking for binge eating disorder." Thesis, Staffordshire University, 2016. http://eprints.staffs.ac.uk/2659/.
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The aim of this thesis is to explore the process of treatment seeking for eating disorders (EDs). EDs are frequently associated with psychological distress and poor quality of life, and it is widely recognised that there is a large proportion of individuals with EDs who are not accessing appropriate specialist treatment. This is concerning given that delays in treatment have been associated with poorer outcomes. A review of the literature regarding the experience of treatment seeking for an ED was carried out, this included: anorexia nervosa (AN); bulimia nervosa (BN); eating disorder not otherwise specified (EDNOS); binge eating disorder (BED); and sub-threshold eating difficulties. This review highlighted five themes across the papers; social stereotypes and norms; external factors; client (internal) factors; interpersonal factors; and gender. Critical review of eight papers found inconsistencies in the methods used for screening EDs and also large heterogeneity in the ED samples used. These methodological limitations should be taken into account when considering the findings. Paucity in research focusing specifically on treatment seeking for BED was highlighted. In response to this gap in the literature, Interpretative Phenomenological Analysis was used to explore the lived experience of people treatment seeking for BED. This analysis resulted in the following themes: the self as a barrier; the overlooked eating disorder; factors contributing to treatment seeking and disclosure; and making sense of BED. These findings are integral to engaging individuals with BED in services and ensuring that this often overlooked group are not left without appropriate treatment. These themes are considered in relation to existing theory; together with clinical implications and directions for future research. A reflective commentary considers personal reflections of completing the research; the influence of society on weight and shape; EDs and gender; and the controversial topic of psychiatric diagnosis.
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Kliem, Sören, Thomas Mößle, Markus Zenger, Bernhard Strauß, Elmar Brähler, and Anja Hilbert. "The eating disorder examination-questionnaire 8." Universitätsbibliothek Leipzig, 2017. http://nbn-resolving.de/urn:nbn:de:bsz:15-qucosa-221951.
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Objective: The aim of this study was to develop, evaluate, and standardize a short form of the well-established Eating Disorder Examination-Questionnaire (EDE-Q). The newly developed EDE-Q8 was required to reflect the originally postulated structure of the EDE-Q.
Method: Data were drawn from two nationwide representative population surveys in Germany: a survey conducted to develop the EDE-Q8 in 2009 (N = 2520); and a survey conducted in 2013 (N = 2508) for the evaluation and calculation of EDE-Q8 percentiles.
Results: The EDE-Q8 had excellent item characteristics, very good reliability and a very good model fit for the postulated second-order factorial structure. Furthermore, a strong correlation between the EDE-Q8 and a 13 item short form of the Eating Attitudes Test was observed.
Discussion: The EDE-Q8 appears to be particularly suitable in epidemiological research, when an economical assessment of global eating disorder psychopathology is required.
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Fowler, Emma. "Supporting someone with an eating disorder : a systematic review of caregiver experiences of eating disorder treatment and a qualitative exploration of burnout management within eating disorder services." Thesis, University of Edinburgh, 2016. http://hdl.handle.net/1842/22830.
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Aims: Eating disorder recovery is often supported by caregivers and mental health professionals. This research portfolio focuses on the experiences of supporting someone with an eating disorder from the perspective of the caregivers and also mental health professionals. The aims of this research portfolio are: Firstly, to systematically review the published qualitative literature relating to the experiences of caregivers supporting someone during eating disorder treatment; and secondly, to investigate the factors which may contribute to burnout, the factors which may protect against burnout and ways of managing work related stress for healthcare professionals who work in an eating disorder service. Method: A systematic review and meta-synthesis of caregiver experiences with eating disorder treatment was conducted. Searches identified 1927 studies of which 12 met the inclusion criteria for the study. Quality assessment revealed a number of strengths and also some limitations of the studies. For the research study ten healthcare professionals were interviewed on their experiences of supporting people with an eating disorder and ways of managing work related stress/burnout in this role. Interpretative Phenomenological Analysis was used to analyse the data. Results: Five major themes were identified from the systematic review: “access to treatment”, “key features of treatment”, “support for the caregiver”, “encounters with health care professionals” and “the future – hopes and fears”. The research study identified seven super-ordinate themes: “Dealing with Client Physical Health Risks”, “Working to Different Goals from the Client”, “Awareness of own Eating Patterns”, “Personal Accomplishment”, “Working Together as a Team”, “Working with Caregivers” and “Ways of Managing Work Related Stress”. Conclusions: The systematic review highlighted a number of clinical implications including the importance to caregivers of early intervention, the provision of practical, tailored information, support for the caregiver, the need for caregivers and professionals to work collaboratively and the importance of instilling hope in caregivers. The research study highlights potential contributors to burnout in eating disorder services as well as positive or protective factors to burnout. It also highlights ways of managing burnout through ensuring a work-life balance, utilising self-care strategies, self-reflection and realising recovery is not 'all or nothing'.
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Hwang, Anthony D. "Classifying Symptom Change in Eating Disorders: Clinical Significance Metrics for the Change in Eating Disorder Symptoms Scale." BYU ScholarsArchive, 2010. https://scholarsarchive.byu.edu/etd/2563.
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Despite well-established diagnostic measures and measures of specific dimensions of eating disorder symptomatology, little work has been done to develop a brief, comprehensive, and valid measure for assessing change in eating disorder symptoms. Further, empirically-supported change indices to assess treatment progression and outcome have not yet been developed. The Change in Eating Disorder Symptoms Scale (CHEDS) is a new comprehensive measure designed to assess progress and change during treatment in persons with diagnoses on the eating disorder spectrum. Previous studies have demonstrated the subscale structure, reliability, and validity of the CHEDS. This study determined clinically significant change criteria for the CHEDS to complement the studies that have supported the CHEDS as a reliable and valid measure of eating disorder symptomatology. The CHEDS was also compared to a life functioning scale, the Clinical Impairment Assessment. A reliable change index (RCI) was developed, which generated an inferential statistic that estimates the magnitude of change in a score necessary for a change score to be considered statistically reliable. A cutscore was also developed, which differentiates between functional and dysfunctional populations, between eating disordered clinical subjects and non-clinical subjects. Trajectories were identified using hierarchical linear modeling methods for use in conjunction with clinical significance criteria to aid in the tracking of symptoms during treatment, treatment decision-making, and tailoring treatment according to expected and observed progress. The clinical significance change criteria were then applied to the clinical sample to determine change patterns descriptive of recovered, reliable improvement, deterioration, and no change. Finally, a scoring program with clinical significance change criteria and trajectory analyses for total and subscale scores was developed.
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Chung, Marilyn. "DISORDERED EATING AMONG NONBINARY INDIVIDUALS." OpenSIUC, 2020. https://opensiuc.lib.siu.edu/dissertations/1876.
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Research on influences of eating disorders have informed diagnosis and treatment of eating disorders, particularly for White cisgender women. A Perfect Biopsychosocial Storm is a theory of influences of disordered eating development: sociocultural influences of rigid body shape and size ideals, high rates of trauma and violence, experiences of objectification and sexualization, and biological changes (Maine & Bunnell, 2010). For transgender individuals, recent findings suggest disparities and negative mental health outcomes such as elevated prevalence of disordered eating, body image concerns, and self-reported disordered eating. For transgender men and women, researchers found that disordered eating may be related to attempts to masculinize/feminize the body, through effects like suppression of weight and secondary sex characteristics. For nonbinary individuals, motivations are unclear regarding masculinization/feminization. Further, while previous research has implicated experiences of marginalization in reduced body appreciation, impact on disordered eating behaviors in nonbinary individuals have yet to be explored. This study addressed gaps in research regarding experiences of nonbinary individuals with disordered eating. Through Grounded Theory qualitative analysis, I developed a framework to understand disordered eating among nonbinary individuals. Disordered eating was the surface-level manifestations of experiences such as trauma, distress surrounding bodily changes in puberty, and marginalization. Repeated marginalization, like misgendering and identity erasure, created conditions of shame to be associated with identity and self. Shame is a universal emotion that occurs when one does something they perceive as social transgressive and, thus, prevents connection. Shame motivates individuals to reduce socially transgressive behavior to increase connection with others. When one experiences marginalization and repeated shame surrounding identity, identity and self then can be experienced as a social transgression that prevents belonging. For example, participants described feelings of shame in comparison to the stereotypical image of a nonbinary person (White, masculine-leaning/androgynous, thin, tall). Disordered eating facilitated emotional coping, and, for some participants, helped achievement of gender presentation. Disordered eating also was associated with consequences of further shame around eating behaviors, and feelings of lack of control. Recovery and healing was supported through combating shame and disempowerment: being seen and empowerment through choice.
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Chetluru, Soujanya Sreedhara. "Mindful Eating and Eating Pathology: Correlation between the Mindful Eating Questionnaire and the Eating Disorder Inventory-3rd Edition." TopSCHOLAR®, 2018. https://digitalcommons.wku.edu/theses/3050.
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The purpose of this study is to examine the relationship between mindful eating and eating pathology. This was accomplished by using two measures, the Eating Disorder Inventory, Third Edition (EDI-3), and the Mindful Eating Questionnaire (MEQ). Participants included in this study were 134 students from a midsized mid-south university who were asked to complete a demographics measure, EDI-3, and MEQ. Only three scales from the EDI-3 were considered; Drive for Thinness, Bulimia, and Body Dissatisfaction. Combined they provide an Eating Disorder Risk Composite (EDRC) score. Results indicated that there was no significant relationship between the MEQ overall score and the EDRC score, which implies that there is no relationship between mindful eating and eating pathology, specifically eating disorder risk. Additional analyses revealed significant negative correlations between the Awareness, Disinhibition, and Emotional Response subscales of the MEQ and the EDRC score. This study contributes to the limited research on the relationship between mindful eating and eating pathology. Results from this study indicate that the specific aforementioned factors have a greater impact on eating pathology when compared to the overall concept of mindfulness.
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Tobiassen, Linn Graham. "Eating Disorders in Obsessive-Compulsive Disorder : Prevalence and Effect on Treatment Outcome." Thesis, Norges teknisk-naturvitenskapelige universitet, Psykologisk institutt, 2013. http://urn.kb.se/resolve?urn=urn:nbn:no:ntnu:diva-25188.
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The aim of the present study was to examine the prevalence of eating disorder symptoms in patients with obsessive-compulsive disorder (OCD). Additional aims were to assess whether having comorbid eating disorders could influence the treatment outcome for OCD, and if symptoms of eating disorders were reduced after treatment for OCD. The sample consisted of 93 patients with a primary diagnosis of OCD. The patients underwent assessment with the Yale-Brown Obsessive-Compulsive Scale, Beck Depression Inventory, and Eating Disorder Inventory both prior to and after treatment. First, the analysis showed that the sample of OCD patients had higher prevalence of eating disorders than a population of physically active students. Moreover, the women in the sample had significantly more symptoms of eating disorders than the men. Correlational analysis showed that eating disorders did not affect the treatment outcome for OCD; the patients generally had a significant improvement of OCD symptoms. On the other hand, symptoms of eating disorders were not significantly reduced after treatment. Summarized, this study concludes that there is a high prevalence of eating disorder symptoms among patients with OCD. It further shows that comorbid eating disorders does not hinder the effect of treatment for OCD. However, as the symptoms of eating disorders persist after such treatment, an implication of the present study is that these symptoms may need closer attention.
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Collyer, Leigh Suzanne. "Experiences of using pro-eating disorder websites : a qualitative study with service users in NHS eating disorder services." Thesis, Cardiff University, 2014. http://orca.cf.ac.uk/63612/.
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There is a growing professional concern regarding the existence of pro eating disorder (pro-ED) websites. Previous research investigating the impact of pro-ED websites has comprised analyses of website content and experimental exposure of mock pro-ED content with participants from non-clinical populations. The few studies involving the assessment of pro-ED website use in individuals with eating disorders have predominantly used online survey methodology. The findings from these studies suggest that pro-ED websites may have a detrimental impact on emotional and physical wellbeing. The present study sought to explore the function and impact of pro-ED websites in a clinical sample of individuals in treatment for an eating disorder. Participants were recruited through tier two community mental health teams and tier three specialist eating disorder services within two NHS Health Boards in South Wales. Individual face to face interviews were conducted with seven adult females receiving treatment for an eating disorder who had disclosed historic or current use of pro-ED websites. Constructivist Grounded Theory was used to analyse the data. Five key themes were identified within the interview transcripts: fear, cognitive dissonance, social comparisons, shame, and pro-ED website maintaining eating disordered behaviour. Pro-ED websites were often used to reduce a sense of social isolation, fuelled by stigma and shame associated with the eating disorder and use of pro-ED websites. Individuals experienced cognitive dissonance regarding their use of pro-ED websites, and the websites were often used to protect themselves from pressures to recover. The pro-ED websites appeared to offer a sense of support, validation and reassurance, whilst simultaneously reinforcing and maintaining eating disordered behaviour. Websites were often used to motivate food restriction, and were at times used as a method of punishment when individuals experienced self-criticism. The findings are discussed in relation to implications for eating disorder treatment services and recommendations for future research are outlined.
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Forrest, Lauren N. "Do eating disorder symptoms predict suicidal desire among eating disorder patients? An examination of the Interpersonal Psychological–Theory of Suicide." Miami University / OhioLINK, 2015. http://rave.ohiolink.edu/etdc/view?acc_num=miami1444730237.
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Fingeret, Michelle Cororve. "Eating disorder prevention research: a meta-analysis." Diss., Texas A&M University, 2003. http://hdl.handle.net/1969.1/2258.
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The purpose of this study was to quantitatively evaluate the overall effectiveness of eating disorder prevention programs and to investigate potential moderating variables that may influence the magnitude of intervention effects. Meta-analysis was used to conduct a comprehensive and systematic analysis of data across 46 studies. Effect size estimates were grouped into outcome sets based on the following variables: knowledge, general eating pathology, dieting, thin-ideal internalization, body dissatisfaction, negative affect, and self-esteem. Q statistics were used to analyze the distribution of effect size estimates within each outcome set and to explore the systematic influence of moderating variables. Results revealed large effects on the acquisition of knowledge and small net effects on reducing maladaptive eating attitudes and behaviors at posttest and follow-up. These programs were not found to produce significant effects on negative affect, and there were inconsistent effects on self-esteem across studies. Population targeted was the sole moderator that could account for variability in effect size distributions. There was a tendency toward greater benefits for studies targeting participants considered to be at a relatively higher risk for developing an eating disorder. Previous assumptions regarding the insufficiency of "one-shot" interventions and concerns about the iatrogenic effects of including information about eating disorders in an intervention were not supported by the data. These findings challenge negative conclusions drawn in previous review articles regarding the inability of eating disorder prevention programs to demonstrate behavioral improvements. Although these findings have implications for the prevention of eating disorders, it was argued that a clear link between intervention efficacy and a decreased incidence of eating disorders was not demonstrated. Rather, only direct information was offered about the ability to influence eating disorder related knowledge, attitudes, and behaviors. Specific recommendations related to intervention content, reasonable goals/expectations, and outcome criteria were offered for improving research in this area.
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Wendell, Johanna. "Psychological Flexibility and Eating Disorder Spectrum Problems." Digital Archive @ GSU, 2011. http://digitalarchive.gsu.edu/psych_theses/85.
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Problematic levels of eating disorder (ED) spectrum problems are becoming increasingly pervasive on college campuses, especially among female college students. Research suggests that ED cognitions and a lack of body image acceptance are linked to diminished psychological flexibility (PF), which is linked to ED and other negative health symptoms. Two hundred thirty-six undergraduates completed an online survey, and mediation analyses were conducted. PF fully mediated the relation between ED cognitions and non-specific psychiatric symptoms and partially mediated the link between ED cognitions and ED symptoms. PF also partially mediated the link between body image acceptance and non-specific psychiatric symptoms, but not the relation between body image acceptance and ED symptoms. Findings suggest that clinical symptoms and one’s coping style are both important factors to take into consideration in case conceptualization and treatment, and suggest that therapies such as ACT that target PF may be beneficial in treating ED spectrum problems.
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Taranis, Lorin. "Compulsive exercise and eating disorder related pathology." Thesis, Loughborough University, 2010. https://dspace.lboro.ac.uk/2134/8386.
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Compulsive exercise has been observed as a significant feature of the eating disorders throughout their history. It has variously been conceptualised as primarily an analogue of purgation, an emotion regulation strategy, an addiction, or an obsessivecompulsive behaviour, with evidence supporting each to varying degrees. The importance of compulsive exercise is underlined by the finding that it often precedes the onset of an eating disorder and is one of the last symptoms to subside. In addition, it is associated with a longer length of hospitalisation and higher rates of relapse. As a result, compulsive exercise is now recognised as a significant factor in the aetiology, development and maintenance of the eating disorders across diagnoses. Yet despite the importance of compulsive exercise and previous recommendations to target it, no clear conceptual model of compulsive exercise exists upon which an intervention could be based. This thesis has three broad aims: (1) critically review the evidence for and against factors implicated in the maintenance of compulsive exercise and propose a new theoretically coherent and empirically derived model of compulsive exercise that could be used to inform future cognitive-behavioural interventions; (2) develop and provide preliminary validation for a new measure of compulsive exercise; and (3) present six studies utilising the new measure of compulsive exercise to empirically test some of the relationships suggested by the proposed model. Main findings: The resulting Compulsive Exercise Test (CET) is a new multidimensional measure of compulsive exercise, consistent with the proposed cognitive-behavioural conceptualisation, and demonstrating good psychometric properties. Utilising the CET, the empirical chapters demonstrate that compulsive exercise was associated with (a) elevated levels of eating-disordered cognitions and increased frequency of eating-disordered behaviours, (b) avoidanceoriented coping and a range of difficulties in regulating emotions, and (c) perfectionism (particularly the self-critical dimension). Implications: The current findings provide preliminary support for the proposed cognitive-behavioural maintenance model of compulsive exercise. This may inform clinical interventions and prevention programs designed to address compulsive exercise, as well as enhancing current treatment efficacy by providing specific targets for intervention. In addition, the new measure of compulsive exercise is potentially a useful screening tool in formulating the maintenance of an individual's exercise behaviour, and is further a potentially useful research and outcome tool.
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Springer, Michelle J. "Religious and eating disorder beliefs and behaviors." Virtual Press, 1997. http://liblink.bsu.edu/uhtbin/catkey/1041888.
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This study utilized both qualitative and quantitative procedures to examine the relationship between religiosity and eating disorders among a sample of nineteen eating disordered individuals who sought treatment at one of two college counseling centers, or at a hospital unit which specializes in treating eating disorders. Following theoretical works that point to asceticism as the link between religion and eating disorders, it was hypothesized that subject scores on the Shepherd Scale, a measure of religiosity from a Christian perspective, would positively correlate with scores on the Eating Disorder Inventory, a measure of eating disorder symptomatology, which includes a subscale that assesses asceticism. Analysis of subject scores shows no statistically significant correlation between religiosity and asceticism, though statistically significant negative correlations were found between religiosity and other Eating Disorder Inventory subscales. A marked difference in asceticism scores was found between subjects treated at the college counseling centers and those treated at the hospital unit.Department of Counseling Psychology and Guidance Services
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Bohn, Kristin Sonja. "Towards the definition of an 'eating disorder'." Thesis, University of Oxford, 2006. http://ora.ox.ac.uk/objects/uuid:3e8b0997-53cb-4d55-8041-768d30b8f676.
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Lord, Vanessa. "Defining eating disorder recovery| A qualitative approach." Thesis, California State University, Long Beach, 2015. http://pqdtopen.proquest.com/#viewpdf?dispub=1601310.
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Binge eating disorder (BED) is a new eating disorder warranting further research due to the relatively high-prevalence and limited research on the subject of recovery, particularly from a qualitative standpoint. Qualitative methods were used to analyze secondary data from pro-recovery internet message boards in order to investigate the changes in thinking and motivation of binge-eating disorder sufferers who were able to recover from the disorder, to understand more fully how guilt and self-blame play a role in hindering recovery, and to explore the perceived challenges to recovery among persons with BED. Five “changes in thinking” emerged from qualitative analysis of Grace on the Moon message board postings, many of which are supported in the literature regarding eating disorder recovery. These changes include changes in the way participants think about themselves, the way they think about food, the way they cope with pain and difficulty, and the way they view their experiences and their perception of their own disorder. Further analysis of the postings suggested that guilt and self-blame hinder recovery by promoting a cycle of binging which leads to guilt and self-blame, which leads to restricting food intake, which creates a feedback loop and leads to more binge eating. The data ultimately identified several experiences that resulted from seeking recovery that resulted in or hindered recovery. Validation was one of these experiences which appeared to result in recovery by putting participants in a position in which they were less inclined to engage in disordered eating behaviors. Conversely, weight loss or attempts at weight loss appeared to hinder recovery by ultimately promoting more disordered eating behaviors.
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Syrén, Petra. "Ätstörningar inom skolan. Eating disorder in school." Thesis, Malmö högskola, Lärarutbildningen (LUT), 2006. http://urn.kb.se/resolve?urn=urn:nbn:se:mau:diva-28172.
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Quansah, Amissah Richard. "The reward system and binge eating disorder." Doctoral thesis, Université Laval, 2020. http://hdl.handle.net/20.500.11794/66331.
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Brundin, Malin. "Binge Eating Disorder : Neural correlates and treatments." Thesis, Högskolan i Skövde, Institutionen för biovetenskap, 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:his:diva-17594.
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Binge eating disorder (BED) is the most prevalent of all eating disorders and is characterized by recurrent episodes of eating a large amount of food in the absence of control. There have been various kinds of research of BED, but the phenomenon remains poorly understood. This thesis reviews the results of research on BED to provide a synthetic view of the current general understanding on BED, as well as the neural correlates of the disorder and treatments. Research has so far identified several risk factors that may underlie the onset and maintenance of the disorder, such as emotion regulation deficits and body shape and weight concerns. However, neuroscientific research suggests that BED may characterize as an impulsive/compulsive disorder, with altered reward sensitivity and increased attentional biases towards food cues, as well as cognitive dysfunctions due to alterations in prefrontal, insular, and orbitofrontal cortices and the striatum. The same alterations as in addictive disorders. Genetic and animal studies have found changes in dopaminergic and opioidergic systems, which may contribute to the severities of the disorder. Research investigating neuroimaging and neuromodulation approaches as neural treatment, suggests that these are innovative tools that may modulate food-related reward processes and thereby suppress the binges. In order to predict treatment outcomes of BED, future studies need to further examine emotion regulation and the genetics of BED, the altered neurocircuitry of the disorder, as well as the role of neurotransmission networks relatedness to binge eating behavior.
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Dobmeyer, Anne C. "Eating Disorder Risk Factors: A Prospective Analysis." DigitalCommons@USU, 2000. https://digitalcommons.usu.edu/etd/5574.
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The current study examined whether elevations on four variables (drive for thinness, depressed mood, maladaptive cognitions, and ineffectiveness) were related to increased risk of developing an eating disorder over a 4-year prospective interval. Subjects (N = 191) were female undergraduates who were assessed with the Anorexia-Bulimia Inventory (ABI), Eating Disorder Inventory (EDI), and a structured clinical interview.
Results indicated that individuals with elevated scores on each of the four variables at the initial assessment did not show higher absolute eating disorder incidence rates over the 4-year interval. However, initial scores on the four variables together lll explained approximately 13% of both anorexia and bulimia symptom severity variance at the final assessment. Changes over time in the four variables were more highly related to later symptom severity, explaining 34% of the variance in anorexic severity and 16% in bulimic severity.
Thus, the findings suggest that initial scores, and especially changes in scores, on the four variables were related to severity of symptoms 4 years later. However, a large proportion of the variance in eating disorder severity remained unexplained. Examination of the role of each risk variable individually revealed that initial elevations on maladaptive cognitions and drive for thinness subscales were related to higher anorexic symptom severity at the later assessment. Of interest was the absence of significant relationships between early scores on maladaptive cognitions and drive for thinness and subsequent bulimic symptoms, suggesting that anorexia and bulimia may have somewhat different risk pathways.
The pretest scores on the depressed mood and ineffectiveness subscales were not significantly correlated with symptom severity at the later assessment, and were not identified by the regression analyses as parsimonious or efficient predictors of eating disorder symptoms. This finding suggests that perhaps early difficulties with depression and low self-esteem are less related to onset of later eating disorders than previously believed.
Finally, the overall 4-year incidence rate of .6% found in the current study suggests that as women move through their college years, they are departing the developmental period of high risk for onset of eating disorders, and thus, new cases become increasingly rare.
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Hellings, Bridie. "Process of recovery from eating disorder symptomatology." Phd thesis, Australian Catholic University, 2009. https://acuresearchbank.acu.edu.au/download/a0e36a93edbf8be785b3b9e11289bbb739410eb45b9d0f99652628f951c6b31a/2242244/64914_downloaded_stream_139.pdf.
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The purpose of this thesis was to investigate the process of change in relation to eating disorder symptomatology. Two models of the process of change, the Transtheoretical Model of Change (TTM; Prochaska & DiClemente, 1982) and the Adaptive Change Model (ACM; Bowles, 2000), provided the theoretical foundation for this investigation. The first study of this thesis provided a longitudinal investigation into the relationship between readiness to change and an improvement in eating disorder symptomatology over time in a non-clinical sample. A support factor comprising negative emotions, social support, and inner drive, theorised to influence the relationship between readiness to change and eating disorder symptomatology over time, was also investigated. A non-clinical sample of 140 female participants completed three baseline measures: the Eating Disorder Inventory-3 (EDI-3; Garner, 2004) assessing eating disorder symptomatology, the Anorexia Nervosa Stages of Change Questionnaire (Rieger et al., 2000) measuring readiness to change, and the Adaptive Change Questionnaire (Bowles,) measuring readiness to change and the support factor. The EDI-3 was administered again at three month and six months following the initial point of data collection. Contrary to expectations, neither readiness to change nor the support factor aided in the prediction of improvements over time in the participants' levels of eating disorder symptomatology. Participants' prior levels of eating disorder symptomatology and body mass index were found to predict their subsequent levels of eating disorder symptomatology. These findings indicated that the participants did not change in accordance with the principles of the TTM or the ACM, suggesting they did not know of or use the best theoretically defined means of engaging in the change process (i.e. in accordance with the TTM or the ACM). The second study of this thesis investigated this assertion via qualitative methods.;A sample of 179 participants who had experienced an eating disorder and 166 lay participants provided information regarding their views on the process of recovery from an eating disorder and the factors that could aid and hinder this recovery. Content analysis of the participants' responses regarding the process of recovery revealed three categories describing the steps involved in recovery. These categories comprised the initiation of the recovery process, seeking help and support, and dealing with thoughts, feelings, and behaviours related to the eating disorder. Two additional categories emerged describing the difficult and ongoing nature of recovery and communicating a lack of knowledge about the recovery process. Content analysis of the participants' responses regarding factors that aid recovery revealed five categories. These categories consisted of support, qualities of the environment, personal qualities of the individual experiencing an eating disorder, tasks of the individual, and professional treatment. Content analysis of the participants' responses regarding factors that hinder recovery revealed seven categories. These categories pertained to unhelpful relationships with others, daily living, treatment, difficult thoughts and emotions, compounding and maintaining factors, valued and habitual aspects of an eating disorder, and difficulties with food, weight, and shape. The participants' responses were also categorised into the factors of the TTM and the ACM to investigate whether the participants would explain the process of recovery using concepts similar to those found in these models. The largest proportion of the participants' responses corresponded with the action stage of change found in both of these models, the TTM helping relationships process factor, and the ACM social support factor. This finding indicated that the participants tended to be unaware of or undervalue the remaining factors of these models.;On the basis of the findings of this thesis it was suggested that, for individuals to engage in more effective change with respect to their eating disorder symptomatology, it may be beneficial to first gain a greater awareness of the TTM and the ACM in their totality and how these models can be used to more effectively engage in the change process. It was also suggested that individuals with an eating disorder, as well as their family and friends, may benefit from learning about the categories that naturally emerged from the participants' responses describing the process of recovery from an eating disorder and the factors that can aid or hinder recovery. It was anticipated that this information could not only be a useful point of discussion during treatment, but also during discussions about relapse prevention and discharge planning.
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Glisenti, Kevin. "Emotion focused therapy for binge-eating disorder." Thesis, Queensland University of Technology, 2021. https://eprints.qut.edu.au/213834/1/Kevin_Glisenti_Thesis.pdf.
Full textAbstract:
This thesis explored the feasibility and efficacy of individual emotion-focused therapy for binge-eating disorder, and the role of beliefs about emotions and emotional expressivity as potential mechanisms of change. The unique findings of this research will assist clinicians and patients by providing another treatment option for binge-eating disorder, which is important given mounting evidence of the comparatively high prevalence and clinical significance, and the paucity of proven effective treatment approaches for this condition compared to other eating disorders such as anorexia nervosa and bulimia nervosa.
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Baldofski, Sabrina, Wolfgang Tigges, Beate Herbig, Christian Jurowich, Stefan Kaiser, Christine Stroh, Zwaan Martina de, Arne Dietrich, Almut Rudolph, and Anja Hilbert. "Non-normative eating behavior and psychopathology in prebariatric patients with binge-eating disorder and night eating syndrome." Universitätsbibliothek Leipzig, 2016. http://nbn-resolving.de/urn:nbn:de:bsz:15-qucosa-206167.
Full textAbstract:
Background: Binge-eating disorder (BED) as a distinct eating disorder category and night eating syndrome (NES) as a form of Other Specified Feeding or Eating Disorders were recently included in the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5).
Objectives: This study sought to investigate the prevalence of BED and NES and associations with various forms of non-normative eating behavior and psychopathology in prebariatric patients.
Setting: Within a consecutive multicenter registry study, patients in six bariatric surgery centers in Germany were recruited.
Methods: Overall, 233 prebariatric patients were assessed using the Eating Disorder Examination and self-report questionnaires. Assessment was unrelated to clinical procedures.
Results: Diagnostic criteria for full-syndrome BED and NES were currently met by 4.3% and 8.2% of prebariatric patients, respectively. In addition, 8.6% and 6.9% of patients met subsyndromal BED and NES criteria, respectively. Comorbid BED and NES diagnoses were present in 3.9% of patients. In comparison to patients without any eating disorder symptoms, patients with BED and NES reported greater emotional eating, eating in the absence of hunger, and more symptoms of food addiction. Moreover, differences between patients with BED and NES emerged with more objective binge eating episodes and higher levels of eating concern, weight concern, and global eating disorder psychopathology in patients with BED.
Conclusions: BED and NES were shown to be prevalent among prebariatric patients, with some degree of overlap between diagnoses. Associations with non-normative eating behavior and psychopathology point to their clinical significance and discriminant validity.
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Donnelly, Brooke Allana. "A Neuroimaging Examination of Binge Eating in Bulimia Nervosa and Binge Eating Disorder." Thesis, The University of Sydney, 2019. https://hdl.handle.net/2123/21357.
Full textAbstract:
Eating disorders (EDs) are complex psychiatric illnesses involving genetic, environmental, cognitive and neurobiological factors. Recurrent, compulsive binge eating episodes (BEs) are a debilitating core symptom of bulimia nervosa (BN), binge eating disorder (BED), anorexia nervosa binge-purge subtype (AN-BP) and are a common feature of other specified feeding and eating disorder (OSFED). Neuroimaging techniques, particularly functional magnetic resonance imaging (fMRI), and research using fMRI in EDs, have both expanded significantly in recent decades. However, neuroimaging studies in BN and BED are significantly fewer relative to anorexia nervosa (AN). The use of disorder-relevant stimuli during neuroimaging, particularly food due to the role it plays in these illnesses, is a key area of interest, as understanding how the neural response to food differs in EDs can help to inform new, targeted treatment strategies. The aim of this thesis is to improve understanding of the differences in neural response between individuals with BN and BED compared to healthy controls (HCs) to low and high energy food stimuli. The thesis consists of a literature review and three peer-reviewed studies. The systematic review provides a comprehensive overview of the findings of 32 neuroimaging studies with BN and BED participants; the two empirical studies comprise a large fMRI study, with the first study examining neural responses of individuals with BN or BED to low energy foods compared to neutral items; the second empirical study with the same cohort investigated the profile of neural responses towards high energy food images. It is hoped that the findings of the studies increase understanding of the neural differences that may underlie compulsive binge eating in those with BN and BED and inform improvements in evidence-based treatment options.
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Williams, Meris Andrée Lineham. "The ethics experiences of eating disorder therapists who have a personal history of an eating disorder : an interpretive description." Thesis, University of British Columbia, 2011. http://hdl.handle.net/2429/39511.
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The study’s purpose was to explore and understand the professional ethics experiences of eating disorder (ED) therapists with personal ED histories, in order to generate knowledge directly applicable to maximizing such therapists’ safe and ethical practice with ED clients. Using the interpretive description qualitative approach to inquiry, data from interviews with 11 ED therapists with personal ED histories and from 2 first-person, published written accounts were analyzed inductively at manifest and latent content levels. From this emerged a description of the ethical issues and concerns reported (the ‘ethics terrain’), as well as of the interviewees’ experiences of engaging in conversation about the research topic, and their ethical self-reflections and practice changes that occurred over the course of data collection. Additional interpretation of these descriptive findings produced patterns, concepts, and ideas contributing to a more integrative understanding of participants’ ethics experiences that enhanced the clinical applicability of the study’s findings and had direct implications for practice. Among the recommendations directed towards ED-historied therapists, professionals involved in the education and training of such therapists, and the broader EDs field that emerged from this exploratory study were that ED-historied therapists receive early and ongoing training and supervision that addresses the full range of ethical issues likely to be encountered by them when delivering therapy to ED clients, including those associated with their personal ED histories. Particular attention to therapist wellness and self-disclosure practices may be warranted, as these may be associated with early career/early-in-recovery ethical vulnerabilities that could increase risk of harm to ED clients. However, there appear to be significant risks for ED-historied therapists in disclosing their ED histories in professional environments and in discussing related ethical issues. Safe climates that foster ‘positive ethics experiences’ for such therapists may facilitate their engagement with the full range of ethical issues relevant to them so that they can maximize their safe and ethical practice with ED clients.
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Price, Carly S. "Nurses' Knowledge of Eating Disorders." Digital Commons @ East Tennessee State University, 2016. https://dc.etsu.edu/honors/319.
Full textAbstract:
Eating Disorders are a range of disorders marked by abnormal eating habits. These habits can often have a detrimental effect on the body and have the potential to complicate acute medical problems if they are a pre-existing condition. Due to this, it is important that members of the healthcare team be aware of the nature of these disorders from both a physical and mental health perspective in order to provide the best, most holistic care. In this study, individuals with nursing experience in acute medical and acute psychiatric care were asked 11 questions concerning the assessment and knowledge of eating disorders along with demographic information such as age, area of practice and years of experience. The results of this study showed the average score of the questions involving treatment (7-11) were higher than that of the assessment questions (1-6) and that years of practice experience had no correlation, positive or negative, to overall score. These findings are consistent with the literature that suggests that nurses could potentially benefit from additional education regarding their disorders and their unique presentation, as it can be inferred that years of practice alone does not determine competency in the area especially, according to this study, in terms of assessment and identification.
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Ji, Kai. "Cultural Influence of Eating Disorders: A Study of College Students in China." Ohio : Ohio University, 2008. http://www.ohiolink.edu/etd/view.cgi?ohiou1219175777.
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Baldofski, Sabrina, Wolfgang Tigges, Beate Herbig, Christian Jurowich, Stefan Kaiser, Christine Stroh, Zwaan Martina de, Arne Dietrich, Almut Rudolph, and Anja Hilbert. "Non-normative eating behavior and psychopathology in prebariatric patients with binge-eating disorder and night eating syndrome." Surgery for obesity and related diseases (2015) 11, 3, S. 621-626, 2014. https://ul.qucosa.de/id/qucosa%3A14817.
Full textAbstract:
Background: Binge-eating disorder (BED) as a distinct eating disorder category and night eating syndrome (NES) as a form of Other Specified Feeding or Eating Disorders were recently included in the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5).
Objectives: This study sought to investigate the prevalence of BED and NES and associations with various forms of non-normative eating behavior and psychopathology in prebariatric patients.
Setting: Within a consecutive multicenter registry study, patients in six bariatric surgery centers in Germany were recruited.
Methods: Overall, 233 prebariatric patients were assessed using the Eating Disorder Examination and self-report questionnaires. Assessment was unrelated to clinical procedures.
Results: Diagnostic criteria for full-syndrome BED and NES were currently met by 4.3% and 8.2% of prebariatric patients, respectively. In addition, 8.6% and 6.9% of patients met subsyndromal BED and NES criteria, respectively. Comorbid BED and NES diagnoses were present in 3.9% of patients. In comparison to patients without any eating disorder symptoms, patients with BED and NES reported greater emotional eating, eating in the absence of hunger, and more symptoms of food addiction. Moreover, differences between patients with BED and NES emerged with more objective binge eating episodes and higher levels of eating concern, weight concern, and global eating disorder psychopathology in patients with BED.
Conclusions: BED and NES were shown to be prevalent among prebariatric patients, with some degree of overlap between diagnoses. Associations with non-normative eating behavior and psychopathology point to their clinical significance and discriminant validity.
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van, Dyck Zoé, and Anja Hilbert. "Eating Disorders in Youth-Questionnaire." Universitätsbibliothek Leipzig, 2016. http://nbn-resolving.de/urn:nbn:de:bsz:15-qucosa-197236.
Full textAbstract:
Der Essstörungen im Kindesalter-Fragebogen (Eating Disorders in Youth-Questionnaire; EDY-Q) ist ein aus 14 Items bestehendes Instrument zur Erfassung von restriktiven Essproblemen bei 8-13-jährigen Kindern im Selbstbericht. Die Items basieren auf den Kriterien der Störung mit Vermeidung oder Einschränkung der Nahrungseinschränkung (Avoidant/Restrictive Food Intake Disorder; ARFID), definiert im Diagnostischen und Statistischen Manual Psychischer Störungen, 5. Auflage (DSM-5; American Psychiatric Association, 2013), auf den „Great Ormond Street“-Kriterien (Bryant-Waugh & Lask, 1995) und auf der Literatur zu restriktiven Essproblemen mit Beginn im frühen Lebensalter. Zwölf der 14 Items des EDY-Q erfassen Symptome von ARFID, inklusive der drei vorgeschlagenen Varianten (Bryant-Waugh, Markham, Kreipe & Walsh, 2010) Nahrungsvermeidung mit emotionaler Störung (food avoidance emotional disorder; FAED), selektives Essen (selective eating; SE) und funktionelle Dysphagie (functional dysphagia; FD). Zwei zusätzliche Items erfassen Pica und die Ruminationsstörung, zwei weitere Fütter- und Essstörungen mit Beginn im frühen Lebensalter, die im DSM-5 beschrieben sind (American Psychiatric Association, 2013).
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Hilbert, Anja, and Dyck Zoé van. "Eating Disorders in Youth-Questionnaire." Universitätsbibliothek Leipzig, 2016. http://nbn-resolving.de/urn:nbn:de:bsz:15-qucosa-197246.
Full textAbstract:
The Eating Disorders in Youth-Questionnaire (EDY-Q) is a 14-item instrument for assessing early-onset restrictive eating disturbances in 8-13 year old children via self-report. The items are based on: the criteria for Avoidant/Restrictive Food Intake Disorder (ARFID) in the Diagnostic and Statistical Manual of Mental Disorders Fifth Edition (DSM-5; American Psychiatric Association APA, 2013); the Great Ormond Street criteria (Bryant-Waugh & Lask, 1995); and literature on early-onset restrictive eating disturbances. The EDY-Q consists of fourteen items, twelve of which cover ARFID symptomatology, including its three proposed variants (Bryant-Waugh, Markham, Kreipe & Walsh, 2010), food avoidance emotional disorder (FAED), selective eating (SE), and functional dysphagia (FD). Two additional items briefly address Pica and Rumination Disorder, two other early-onset feeding or eating disorders described in the DSM-5 (APA, 2013). The English version of the EDY-Q was translated from the German version (van Dyck & Hilbert, 2016) by AH. This translation was controlled by a retranslation procedure through a licensed translator.
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McAulay, Claire Elise. "Eating Disorder Features in Bipolar Disorder: Course, Psychological Correlates, and Relationship with Quality of Life." Thesis, The University of Sydney, 2019. https://hdl.handle.net/2123/21943.
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Despite growing interest in eating disorders (EDs) comorbid with bipolar disorder (BD), little research has considered the nature of ED features and their association with physical health and psychosocial outcomes. The current research aimed to assess ED features in people with BD and their association with BMI and psychological factors. People with BD (Aus=73, Netherlands=109) completed online questionnaires and 9 Australian participants with the comorbidity participated in a qualitative interview. In total, 31 (19%) were identified as having a probable ED, most commonly binge eating disorder (45%). Only one reported a formally-diagnosed ED. Comorbid EDs were associated with significantly poorer emotion regulation ability, reduced quality of life (QoL), and higher distress, but not impulsivity. Greater depressive symptoms and more frequent hospital admissions for depression were also reported. The most common ED features were weight/shape overvaluation (36%) and objective binge eating episodes (OBEs; 21%). OBEs and restriction uniquely contributed to poorer QoL in a regression model. Positive beliefs about the function of binge eating, but not OBEs, predicted higher body mass index (BMI). Interviews revealed that BD illness episodes often correlated with changes in eating and BMI. Most participants connected their experience of an ED and BD to traumatic experiences. None felt that concerns with their eating, weight gain and physical health had been adequately addressed. Results suggest that this double diagnosis and even subthreshold EDs in BD are associated with elevated ED cognitions and heightened difficulties with emotion regulation. Clinicians and researchers alike should consider more proactive screening for this comorbidity as a significant contributing factor to disability. Future interventions for this under-supported group could consider targeting cognitive processes, emotion regulation difficulties and comorbid traumatic stress disorders.
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Mast, Alissa. "Public Eating and Stigma Awareness in Eating Disorder Development of High- Risk College Aged Individuals." Ohio Dominican University Honors Theses / OhioLINK, 2020. http://rave.ohiolink.edu/etdc/view?acc_num=oduhonors158886480432168.
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Dofsand, Felicia. "Media, men and eating disorders. a qualitative study of the media factors influence in the sicken of a eating disorder." Thesis, Malmö högskola, Fakulteten för hälsa och samhälle (HS), 2015. http://urn.kb.se/resolve?urn=urn:nbn:se:mau:diva-25312.
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Ätstörningar är en sjukdomsgrupp som blir allt vanligare i samhället. En av orsakerna till att sjukdomen ökar är det orealistiska idealet som presenters i media. Mediatrycket blir även mer påtagligt och lättåtkomligt. Idealet medför en ökad missnöjdhet med den egna kroppen och med utseendet som bidrar till ett driv för förändring. Syftet med denna studie är att undersöka om män påverkats av media i samma utsträckning som kvinnor i insjuknandet av en ätstörning. Samt om könet spelar en central roll för vem som drabbas. Av de som drabbas av en ätstörning och söker vård utgörs enbart 10% av män. Kan idealet ha en påverkan till att färre män drabbas? Eller medför de olika föreställningarna kring könen och sjukdomen att män inte inser att se är sjuka, vågar de inte söka hjälp eftersom det anses vara en kvinnosjukdom? Resultatet tyder på att sjukdomen är komplex till sin natur, där inte enbart en mediafaktorn bidrar till att en person drabbas.Eating disorders are a disease group that is becoming more common in society. One of the reasons that the disease is increasing is the unrealistic ideal that is presented in media. The media-pressure is substantial and accessible. The beauty ideal involve a dissatisfaction of a persons own body and his or hers appearance that will contribute to the drive of change. The purpose of this study is to investigate if men, as well as women, are influenced by the media-factor in the sicken of an eating disorder. Also if the sex matters and plays a certain role for those who suffer. Only 10 percent of those who are suffering from an eating disorder and that seeks help are men. Can the ideal have an direct affect that less men suffer from this disease? Or can the different expectations of the sexes and of the disease implicate that men don´t realize that they are sick, or that they feel shameful to seek help because eating disorders are known to be a women’s disease? The results implicate that eating disorders is a complex disease and that the media-factor alone does not contribute to sicken or the cause of sickness.
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West, Jenelle T. "Hunger and Satiety in Recovering Eating Disorder Patients." DigitalCommons@USU, 2005. http://digitalcommons.usu.edu/etd/5514.
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Desire to eat, hunger, feeling of having enough to eat, and fullness were measured in 11 eating disorder patients in treatment for less than two months, 7 eating disorder patients in treatment for more than two months, and 11 controls. The experimental group was female patients with a DSM-IV diagnosis of Anorexia Nervosa, Bulimia Nervosa, or eating disorder not-otherwise-specified. The experimental and control groups ate a test meal two hours after a preload. The groups answered four questions about desire to eat, hunger, feeling of having enough to eat, and fullness, before they ate, halfway through their meal, immediately upon finishing the meal, and 15 minutes after finishing their meal. The groups were required to eat 100% of the meal provided. The difference in data between the experimental and control groups was not statistically significant. The experimental group that had been in treatment longer than two months had means closer to the control group than the other experimental group who had been in treatment less than two months. This may suggest that the experimental group who had been in treatment more than two months was starting to regain a more normal sense of hunger and satiety. However, a repeat study with a larger sample size would be needed to prove that statement.
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Kleimeyer, Katherine Jean. "Social Norms, Body Dissatisfaction, and Eating Disorder Symptoms." Miami University Honors Theses / OhioLINK, 2011. http://rave.ohiolink.edu/etdc/view?acc_num=muhonors1303224657.
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Kinkel-Ram, Shruti Shankar. "Examining Weekly Relationships Between Obsessive-Compulsive and Eating Disorder Symptoms." Miami University / OhioLINK, 2021. http://rave.ohiolink.edu/etdc/view?acc_num=miami1614863877192071.
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Eneva, Kalina. "ASSESSMENT OF EXECUTIVE FUNCTIONING IN BINGE EATING DISORDER INDEPENDENT OF WEIGHT STATUS." Diss., Temple University Libraries, 2018. http://cdm16002.contentdm.oclc.org/cdm/ref/collection/p245801coll10/id/523794.
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PsychologyPh.D.
Executive functioning (EF) problems may serve as vulnerability or maintenance factors for Binge-Eating Disorder (BED). However, it is unclear if EF problems observed in BED are related to overweight status or BED status. The current study extends this literature by examining EF in overweight-BED (n=32), normal-weight BED (n=23), overweight healthy controls (n=48), and normal-weight healthy controls (n=48). Participants were administered an EF battery which utilized tests from the National Institutes of Health (NIH) toolkit and Delis-Kaplan Executive Function System (D-KEFS). After controlling for years of education and minority status, overweight individuals with and without BED performed more poorly than normal-weight individuals with and without BED on a task of cognitive flexibility (p < 0.01) requiring generativity and speed and on psychomotor performance tasks (p < 0.01). Normal-weight and overweight BED performed worse on working memory tasks compared to normal-weight healthy controls (p = 0.04). Unexpectedly, normal-weight BED individuals out-performed all other groups on an inhibitory control task (ps < 0.01). No significant differences were found between the four groups on tasks of planning. Our findings support a link between poorer working memory performance and BED status. Additionally, overweight status is associated with poorer psychomotor performance and cognitive inflexibility. Replication of the finding that normal-weight BED is associated with enhanced inhibitory control is needed.
Temple University--Theses
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Sitnikov, Lilya. "Emotion Regulation Strategies in Binge Eating Disorder: Rumination, Distress Tolerance, and Expectancies for Eating." ScholarWorks @ UVM, 2014. http://scholarworks.uvm.edu/graddis/499.
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Binge Eating Disorder (BED) is characterized by recurrent episodes of binge eating without the use of compensatory behaviors. Functional accounts of BED propose that negative affect is an antecedent to binge eating because binge eating serves to alleviate negative affect. However, previous studies investigating the association between negative affect and binge eating have yielded inconsistent findings, perhaps due to individual vulnerability factors that moderate the effects of negative affect on binge eating behavior. As one candidate, the current study investigated emotion regulation strategies that may be implicated in the maintenance of binge eating in BED, particularly under conditions of negative affect: brooding rumination, distress tolerance, and mood-related expectancies for eating. These emotion regulation strategies were: a) compared in 38 women with BED vs. 36 non-eating disordered female controls, b) examined in relation to markers of current binge eating severity among BED women, and c) used as predictors of caloric intake and urge to eat in response to a personally-relevant dysphoric mood induction upon presentation of snack foods in a "taste task." Results revealed that women with BED endorsed higher brooding rumination, more positive expectancies that eating serves to ameliorate negative affect, and lower distress tolerance than controls. Among women with BED, higher brooding rumination was associated with greater binge eating severity, and stronger expectancies that eating reduces negative affect were associated with more frequent binge eating episodes and greater urge to eat in response to depression. Surprisingly, better distress tolerance was associated with more frequent binge eating episodes. Women with BED consumed more calories and reported greater loss of control as well as a greater sense of guilt in response to the taste task relative to control participants. Contrary to hypothesis, there were no direct or indirect effects of any of the three emotion regulation strategies on change in urge to eat or calories consumed on the taste task following sad mood induction in BED women. In controls, better distress tolerance and stronger expectancies that eating alleviates negative affect were associated with decreased caloric intake on the taste task after mood induction. Overall, these findings highlight the importance of considering trans-diagnostic processes in BED as well as the need to identify other theoretically-relevant factors that contribute to the cognitive and behavioral features of BED. Limitations and directions for future studies are discussed.
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Quakenbush, Benita J. "Therapy Videotape Presentation for Eating Disorder Clients: Development and Evaluation." DigitalCommons@USU, 1998. https://digitalcommons.usu.edu/etd/5034.
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Eating disorder clients show low motivation, poor follow-through, and inordinate premature dropout rates in treatment. Earlier studies support the use of pretherapy training to help clients understand the tasks and challenges of therapy. However, a pretherapy intervention, such as showing prospective clients a video that outlines recovery issues and themes, had not yet been developed specifically for the prevalent, recalcitrant problem of eating disorders. Thus, of particular interest to clinicians who treat eating disorders may be the development of a theoretically sound, pretherapy videotape that outlines recovery issues.
One of the purposes of this study was to review prior investigations of the 111 effects of pretherapy films/videos on therapy outcomes. However, the central focus of this dissertation was to develop a pretherapy video for use with eating disorder clients, and using quantitative methods, assess the quality and likely therapeutic utility of the pretherapy video. The video was developed to be theoretically consistent with Bandura' s modeling paradigm, social learning theory.
Eating disorder clients, a comparison group of college women, and professional clinicians who are experienced at treating women with eating disorders were asked to view and evaluate the video (developed to orient prospective clients to recovery issues during treatment for eating disorders). All three groups reportedly found the recovering women portrayed in the video credible, believable, and persuasive. All groups of observers indicated that the video presented an understandable and hopeful message possessing emotional impact, and they avowed that the video created expectations for improvement.
Also, the viewers believed the pretherapy video would likely increase knowledge of eating disorder recovery, and that future eating disorder clients viewing the video would likely learn new information that would facilitate their recovery. Additionally, the three groups indicated the video seemed to be of general relevance and therapeutic utility to women with eating disorders.
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Hoffman, Ashlee R. "College Students’ Perceived Confidence and Importance in Helping Friends Involved in Disordered Eating." University of Cincinnati / OhioLINK, 2011. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1299169712.
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Wood, Nikel Ayanna Rogers. "Examining an eating disorder model with African American women." Thesis, University of North Texas, 2008. https://digital.library.unt.edu/ark:/67531/metadc9720/.
Full textAbstract:
In the current study, I examined the general sociocultural model of eating disorders that suggests that sociocultural pressures leads to internalization, which in turn leads to body dissatisfaction and ultimately disordered eating. Because I am testing this model with a sample of African American women, I also am including acculturation as a variable of interest. Specifically, I hypothesized that (a) the experience of more societal pressure to be thin will be related to greater internalization, (b) higher levels of acculturation will be related to greater internalization, (c) internalization of the thin ideal will be directly and positively related to body image concern, and (d) body image concern will be associated with higher levels of disordered eating. It was determined that there is a direct, negative relationship between Level of Identification with Culture of Origin and Internalization. Perceived Pressure was directly and positively related to both Internalization and Body Image Concerns. Body Concerns and Internalization were both directly and positively related to Disordered Eating. These findings suggest that although many of the same constructs related to disordered eating in other ethnic groups are also related to disordered eating among African American women, the relationships between the factors differs across racial/ethnic groups. This information can help clinicians and researchers to better treat and understand the nature of disordered eating behavior and correlates among African American women.
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Kriz, Kerri-Lynn Murphy. "The Efficacy of Overeaters Anonymous in Fostering Abstinence in Binge-Eating Disorder and Bulimia Nervosa." Diss., Virginia Tech, 2002. http://hdl.handle.net/10919/11044.
Full textAbstract:
The purpose of this dissertation is to identify the variables associated with abstinence from binge-eating disorder and Bulimia Nervosa in the twelve-step recovery program of Overeaters Anonymous. The data were gathered through the completion of a survey by 231 active members of Overeaters Anonymous in the Washington metropolitan area. In addition to assessing the demographic composition of the aforementioned population, the variables that were assessed comprise the 'tools' of Overeaters Anonymous. They include: attendance at OA meetings, reading/writing from the Twelve Step literature, adhering to a food plan, having a sponsor, giving service, taking time for prayer and meditation, and making phone calls to other members. The activities of binge eating and bulimic participants were also examined to determine whether or not statistically significant differences exist between these two populations. Results revealed the typical OA participant to be a college educated (80%), Caucasian (89%) female (84%), between the ages of 34 and 44 (30%), married or living with a partner (44%), and employed in a full-time capacity (71%). Eight-four percent of the respondents were binge eaters, 15% were bulimic, and 1% anorexic. Multiple regression analyses revealed longer lengths of involvement in OA, a decrease in the frequency of relapse or 'slips', performing service, greater attendance at meetings, and progress on the ninth step, to be predictors of abstinence at the .05 level of significance.
A lower frequency of relapse was predicted by longer lengths of involvement in OA, greater adherence to a food plan, increased frequency of phone calls to other members, and more time spent writing about one's thoughts and feelings at the .05 level of significance. Lastly, Independent Sample t-tests revealed bulimics to have significantly longer mean lengths of abstinence than did binge eaters. Alternately, the difference in the frequency of relapse or 'slips' between the two populations was not significant, suggesting that both bulimics and binge eaters have a comparable likelihood to relapse or slip back into eating disordered behaviors.Ph. D.