Dissertations / Theses on the topic 'Eating disorders – Adolescent'
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Thurfjell, Barbro. "Adolescent Eating Disorders in a Sociocultural Context." Doctoral thesis, Uppsala : Acta Universitatis Upsaliensis, 2005. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-6142.
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Galloway, Leanne Lyndsey. "Exploration of friendship experiences in adolescent eating disorders." Thesis, University of Edinburgh, 2014. http://hdl.handle.net/1842/9723.
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Aims: Friendship plays an important and central role in adolescent life. This thesis was conducted in two parts to address two broad aims relating to friendship in adolescence. The first aim was to establish what is currently known about the impact of perfectionism on adolescent interpersonal relationships. Specifically, it was of interest to determine whether perfectionism exerts a negative influence on adolescent friendships. The second aim was to explore the friendship experiences of adolescents diagnosed with an eating disorder (ED) in order to address a significant gap in the current literature. Method: A systematic review of the literature relating to perfectionism and interpersonal functioning in adolescence was carried out with a view to addressing the first aim. With regards to the second aim a grounded theory study was conducted with adolescents currently in treatment for an eating disorder. The young people were asked about their experiences of friendship and emerging concepts were followed up in a concurrent process of data collection and analysis. Results: The systematic review highlighted an absence of research on interpersonal functioning and perfectionism in adolescence, with only seven studies identified that met inclusion criteria. The results were further complicated by inconsistencies in the conceptualisation of perfectionism in the identified studies. The empirical study uncovered the efforts that adolescents go to to achieve acceptance in their friendships. It also revealed that the development of an ED is experienced as creating distance in adolescent friendships. This affects both the actual amount of time that young people spend with their friends as well as the emotional connection that they are able to feel in their friendships. Conclusions: There is a need to reconsider the conceptualisation of perfectionism in future research with a consistent acknowledgement of the interpersonal dimensions of the concept. It is important to acknowledge the significant impact that ED development can have on adolescent relationships. Young people may require support to address these difficulties and preserve their friendships to avoid long term negative consequences.
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Siddell, Laurette. "Reflective functioning and attachment in adolescent eating disorders." Thesis, University of Edinburgh, 2017. http://hdl.handle.net/1842/25679.
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Introduction: A systematic review was undertaken to identify any psychological predictors of treatment dropout for individuals diagnosed with an eating disorder, to help inform psychological therapy and reduce attrition. An empirical study was conducted to understand developmental psychological mechanisms at play in the aetiology and maintenance of eating disordered symptomology by assessing reflective functioning and attachment from a trans-diagnostic perspective. Methods: Twenty-one papers were identified through a systematic search of databases using predefined extraction criteria, identifying psychological predictors of treatment dropout in eating disorders. Fourteen female adolescents with a diagnosis of an eating disorder were recruited to the empirical study from CAMHS inpatient and outpatient departments in NHS Scotland, as well as eighteen same age controls from local secondary schools. Participants completed questionnaires regarding eating behaviour, difficulties in emotion regulation, reflective functioning and were interviewed using the Adult Attachment Projective. Results: The systematic review revealed varied psychological predictors of dropout falling onto a continuum ranging from maturity fears to interpersonal difficulties. Results did not significantly differ for inpatient or outpatient treatment or diagnosis. The empirical study found adolescents with an eating disorder to have significantly more difficulties with their emotion regulation and reflective functioning as well as a more insecure attachment style when compared to controls, none of which were weight dependent. Conclusion: Further research is required to operationalise a definition of dropout. Although eating disorders can be seen as a defence mechanism to control and avoid emotional distress, this actually exacerbates them and causes disengagement from treatment. Clinical interventions need to focus on therapeutic rapport from the outset of treatment in order to reduce interpersonal difficulties leading to attrition. The results of the empirical study support the use of early intervention and person centred therapies for adolescents with an eating disorder, even when acutely starved. Specifically therapies that target reflective functioning and take insecure attachment styles into account may improve psychological efficacy and engagement.
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Haugen, Emily Catherine. "Adolescent Sibling Relationships and Disordered Eating." Thesis, North Dakota State University, 2012. https://hdl.handle.net/10365/26693.
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Researchers have begun to explore the role that family members play in maintaining or recovering from an eating disorder. However, little research has addressed the sibling relationship, including nurturance, quarreling, and favoritism. Self-report questionnaires were collected from 120 girls and 87 boys in middle school (N=161) or high school (N=46). Linear regressions, ANOVAs and mediation analyses were conducted to determine the effects of siblings on adolescents? disordered eating. Sibling favoritism and modeling of bulimic behavior were the only variables significantly related to relationship quality. Our results indicate that family dynamics and structure may play a larger role in adolescent maladaptive behavior than sibling relationship quality. Additionally, sibling relationship quality, bulimic modeling and sibling favoritism may be part of a very complex process leading to disordered eating behavior. Future research should continue to utilize the sibling subsystem as a means of understanding the development of disordered eating behavior among adolescents.
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Telmanik, Jacqueline Ann. "Weight Pressures and Eating Behaviors of Adolescent Female Gymnasts." Kent State University / OhioLINK, 2015. http://rave.ohiolink.edu/etdc/view?acc_num=kent1447967754.
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Dockendorff, Sally A. "Intuitive Eating in Adolescents: Testing a Psychosocial Model." Thesis, University of North Texas, 2015. https://digital.library.unt.edu/ark:/67531/metadc804867/.
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Intuitive eating is defined as an adaptive eating process that involves focusing on internal hunger and satiety to guide eating behavior, using those physiological cues rather than emotions to determine when to eat, and choosing what to eat based upon preference and not external rules and expectations. The purpose of this study was to examine intuitive eating within the context of contemporary sociocultural models of eating in 701 early adolescent boys and 769 early adolescent girls. Support was found for the model and suggested that pressures to lose weight or gain muscle, restrictive messages about food from caregivers, and internalization of the thin ideal were related to the early adolescents’ intuitive eating behaviors, suggesting that many of the sociocultural variables that have been found to impact disordered eating are salient for understanding healthy eating behaviors. However, the relations among many of the variables, as well as the model’s ability to explain intuitive eating overall, were stronger in girls than in boys. These findings can be used to help parents and schools begin to teach early adolescents about intuitive eating and how they can resist external pressures that may negatively influence their eating behaviors.
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Chiu, Ying-yin. "School-based eating disorders screening program and preventive education for adolescent female students in Hong Kong." Click to view the E-thesis via HKUTO, 2008. http://sunzi.lib.hku.hk/hkuto/record/B40720639.
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Helmcamp, Annette Marguerite. "Sociocultural and Psychological Correlates of Eating Disorder Behavior in Nonclinical Adolescent Females." Thesis, University of North Texas, 1997. https://digital.library.unt.edu/ark:/67531/metadc277584/.
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Eracleous, Eleni. "Body image, disordered eating and emotional processing in adolescent females." Thesis, University of Hertfordshire, 2008. http://hdl.handle.net/2299/2448.
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Eating disorders can be viewed on a continuum, with disordered eating not reaching clinical diagnostic criteria but having potentially negative effects including increasing the risk of an eating disorder or obesity. This study investigated disordered eating in relation to emotional processing from an Acceptance and Commitment (ACT) perspective. Body image dissatisfaction is recognised as a risk factor in eating disorders and was therefore included in this study to investigate whether the ACT concept of inflexibility was associated with ‘less acceptance’ of body image and an increased eating disorder risk as well as general mood disturbance (i.e. depression and anxiety). A non-clinical sample of 96, 12-15 year old females at secondary schools in London was used. Eating disorder risk, inflexibility as well as depression and anxiety were measured. When comparing high, low and moderate eating disorder risk groups it was found that the low and moderate eating disorder risk groups had lower levels of inflexibility and the low eating disorder risk group had a higher body image acceptance than the moderate and the high risk groups as predicted. Inflexibility was also associated with higher rates of anxiety and depression and a negative association was found between depression and anxiety in relation to acceptance of body image. Thus providing supporting evidence for the transdiagnostic significance of ‘inflexibility’. Clinical implications of these findings in relation to prevention and treatment are discussed.
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趙瑛賢 and Ying-yin Chiu. "School-based eating disorders screening program and preventive education for adolescent female students in Hong Kong." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2008. http://hub.hku.hk/bib/B40720639.
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Rosling, Agneta. "Eating Disorders - Aspects of Treatment and Outcome." Doctoral thesis, Uppsala universitet, Barn- och ungdomspsykiatri, 2013. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-204209.
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Eating disorders (ED) usually develop during adolescence, and intervention to stop further weight loss is believed to improve outcome and long-term prognosis. Adolescents with ED who do not receive effective treatment risk poor outcome and even untimely death as adults. The first aim of this thesis was to investigate long-term mortality and causes of death in a series of female adults with chronic ED. The second aim was to study the one-year outcome of an unselected series of adolescent girls with anorexia nervosa (AN) and “other restrictive eating disorders” who had been treated within a specialist ED out-patient service focused on nutritional rehabilitation based on family therapy and without planned hospitalization. The third aim was to investigate the possible metabolic and hormonal side effects of olanzapine when used as an adjunct to facilitate nutritional rehabilitation. The fourth aim was to investigate the relationship between polyunsaturated fatty acid (PUFA) status and depression. In adult women with chronic ED, a very low body mass index and psychiatric co-morbidity confer a substantially increased risk of premature death. A treatment programme for adolescent ED with rapid access to assessment and prompt start of treatment with initial emphasis on nutritional rehabilitation proved efficient. The outcome was encouraging, as 43% of all patients with ED and 19% of those with AN did not have an ED at one-year follow-up. Of the remaining patients the vast majority had gained weight and regained menstruation, and were back in school on a full-time basis. Olanzapine was used to reduce anxiety, excessive exercise and rumination over weight and shape. Side effects were similar to those observed in normal-weight individuals, and do not preclude its use in underweight adolescents with ED. Low ω3 PUFA were associated with depression. The ω3 PUFA status improved during nutritional rehabilitation with ordinary foods and without supplementation. The investigations indicate that adolescent ED can be successfully treated in an out-/day-patient setting. An essential feature of the service is rapid handling and weight gain. Further weight loss can be avoided, and chronic disease hopefully prevented.
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Frye, Christina M. "Eating patterns and control issues among adolescent females." Menomonie, WI : University of Wisconsin--Stout, 2004. http://www.uwstout.edu/lib/thesis/2004/2004fryec.pdf.
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FREITAS, Dayzene Da Silva. "Associação entre cefaleia e transtornos alimentares em adolescentes." Universidade Federal de Pernambuco, 2015. https://repositorio.ufpe.br/handle/123456789/15614.
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Introdução: Os transtornos alimentares e as cefaleias primárias, migrânea e cefaleia do tipo tensional, acometem frequentemente a população infantil e adolescente. Essas condições clínicas parecem compartilhar mecanismos fisiopatológicos semelhantes, relacionados à alteração no metabolismo de neurotransmissores. A associação entre cefaleia e transtorno alimentar foi observada em estudos conduzidos com populações específicas de mulheres adultas. No entanto, não existem pesquisas que evidenciem essa relação na adolescência. Objetivo: Investigar a associação entre as cefaleias primárias (migrânea e cefaleia do tipo tensional) e os sintomas de transtornos alimentares nos adolescentes. Métodos: Tratou-se de um estudo transversal e analítico realizado com 607 adolescentes, sendo 388 meninas (63,9%), com idade variando entre 11 e 18 anos, média de idade de 13,9 anos (IC 95%: 13,7; 14,0), estudantes de escolas públicas estaduais de Recife. Para o rastreamento dos transtornos alimentares foram utilizados dois questionários autoaplicáveis: o Teste de Atitudes Alimentares-26 (EAT-26) e o Teste de Investigação Bulímica de Edimburgo (BITE). A presença e a caracterização da cefaleia foram verificadas por meio de um questionário, baseado nos critérios diagnóstico da Sociedade Internacional de Cefaleia (ICHD-III, versão beta). Resultados: A migrânea esteve presente em 454/607 (74,8%) adolescentes, mostrando associação estatisticamente significativa com o gênero [309/388 (79,6%) meninas vs. 145/219 (66,2%) meninos, p<0,001; 2]. De acordo com o EAT-26, 157/607 (25,9%) adolescentes apresentaram sintomas indicativos de transtornos alimentares, sendo observada diferença estatisticamente significativa entre os gêneros [111/388 (28,6%) meninas e 46/219 (21,0%) meninos, p=0,04; 2]. De acordo com a escala BITE, 221/607 (36,4%) adolescentes apresentaram sintomas indicativos de bulimia nervosa, havendo diferença entre os gêneros [162/388 (41,8%) meninas vs. 59/219 (26,9%) meninos, p<0,001; X2]. Quanto à faixa etária, foi observada uma maior frequência das queixas de migrânea e dos sintomas de bulimia nervosa rastreados pela escala BITE nos adolescentes de 14 a 18 anos, enquanto que os sintomas de transtornos alimentares rastreados pelo Teste de Atitudes Alimentares foram mais evidentes entre os adolescentes de 11 a 13 anos. Houve associação estatisticamente significativa entre a migrânea e os sintomas de transtornos alimentares rastreados pelo EAT-26 [127/454 (28,0%) dos estudantes com migrânea apresentavam EAT positivo, em comparação a 30/153 (19,6%) dos estudantes sem migrânea, p=0,041; 2] e pelo BITE [178/454 (39,2%) estudantes migranosos apresentaram bulimia nervosa, em comparação a 43/153 (28,1%) estudantes sem migrânea, p=0,014; 2]. Na análise multivariada dos possíveis fatores explicativos da bulimia nervosa, meninas migranosas apresentaram 43,7% de chance para desenvolver bulimia nervosa [gênero feminino (ORajustada=1,85; IC 95%: 1,28; 2,66, p<0,001) e migrânea (ORajustada=1,51; IC 95%: 1,0; 2,26, p=0,048]. Conclusão: Migrânea está associada aos sintomas de transtornos alimentares em adolescentes do gênero feminino.
Background: Eating disorders and primary headaches, migraine and tension-type headache, often affect the infant and adolescent population. Those clinical conditions seem to share similar pathophysiological mechanisms, related to changes in neurotransmitter metabolism. The association between headache and eating disorder was observed in studies conducted with specific populations of adult women. However, there are no studies that demonstrate this relation in adolescence. Aims: The aim of this study was to investigate the association between primary headaches (migraine and tension-type headache) and symptoms of eating disorders in adolescents. Methods: We carried out a cross-sectional and analytical study with 607 adolescents (388 girls, 63.9% sample), aged between 11 and 18 years, mean age of 13.9 years (95% CI: 13.7; 14.0), students from state public schools in Recife. For tracing of eating disorders were used two self-reported questionnaires: the Eating Attitudes Test-26 (EAT-26) and the Bulimic Investigatory Test of Edinburgh (BITE). The presence and characterization of headache were verified using a questionnaire based on the diagnostic criteria of the International Headache Society (ICHD-III). Results: Migraine was present on 454/607 (74.8%) adolescents, showing a statistically significant association with gender [309/388 (79.6%) girls vs. 145/219 (66.2%) boys, p<0.001; 2]. According to EAT-26, 157/607 (25.9%) adolescents had symptoms indicative of eating disorders, with significant difference between genders [111/388 (28.6%) girls and 46/219 (21.0%) boys, p=0.04; 2]. According to BITE, 221/607 (36.4%) adolescents had symptoms indicative of bulimia nervosa, with significant difference between genders [162/388 (41.8%) girls vs. 59/219 (26.9%) boys, p<0.001; 2]. In relation to age, a higher frequency of complaints of migraine and of symptoms of bulimia nervosa traced by the Bulimic Test scale in adolescents aged 14 to 18 years was observed, while the symptoms of eating disorders traced by the Eating Attitudes Test were more evident among adolescents aged 11 to 13 years. There was statistically association between migraine and symptoms of eating disorders traced by the EAT-26 [127/454 (28.0%) students with migraine had positive EAT, compared to 30/153 (19.6%) students without migraine, p=0.041] and by the Bulimic Test [178/454 (39.2%) students migraineurs had symptoms of bulimia nervosa, compared to 43/153 (28.1%) students without migraine, p=0.014]. In the multivariate analysis, migraine girls has 43.7% chance of developing bulimia nervosa [gender female (ORadjusted=1.85; 95% CI: 1.28 to 2.66, p<0.001) and migraine (ORadjusted=1.51; 95% CI: 1.0 to 2.26, p=0.048)]. Conclusion: Migraine is associated to symptoms of eating disorders in female adolescents.
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Mokbel, Carine. "An exploratory study of predisposing factors for eating disorders in adolescent girls." Thesis, Virginia Tech, 1988. http://hdl.handle.net/10919/43594.
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Research efforts in the area of eating disorders have been numerous and varied. However, few studies have investigated the existence of specific predisposing factors that could render a young female adolescent more susceptible to developing an eating disorder. The present study was attempted in an effort to fill this knowledge gap. One hundred and fifty nine, 12 to 14 year old female students not known as having an eating disorder, were surveyed at a public school in Roanoke County, Virginia. The participants were asked to complete four different instruments which were: The Piers-Harris Children's Self-Concept Scale, the Children's Assertiveness Inventory, the Nutrition Questionnaire designed by the researchers and the Eating Disorder Inventory or EDl. Correlational statistics were used to identify any significant relationships between the first three instruments and the ED!. Significant relationships were identified, suggesting the existence of specific factors related to tendencies toward eating disorders as assessed by the EDI.
Among these factors were: poor self-concept and body image, obesity and weight problems, active interest or involvement in dieting as well as certain familial behaviors. The results of this research effort will hopefully be used in designing educational programs for the prevention of eating disorders, as well as for enhancing the detection of these disorders. Further research needs will also be suggested.Master of Science
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Lodefalk, Maria. "Adolescent type 1 diabetes : Eating and gastrointestinal function." Doctoral thesis, Karolinska institutet, Stockholm, Sweden, 2009. http://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-46180.
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Adolescents with type 1 diabetes (T1DM) are given nutritional education, but the knowledge about their adherence to the food recommendations and associations between dietary intake and metabolic control is poor. Gastrointestinal symptoms are more prevalent in adults with T1DM than in healthy controls, which may be due to disturbed gastrointestinal motility. The meal content affects the gastric emptying rate and the postprandial glycaemia in healthy adults and adults with type 2 diabetes. Meal ingestion also elicits several postprandial hormonal changes of importance for gastrointestinal motility and glycaemia. Eating disorders are more prevalent in young females with T1DM than in healthy females, and are associated with poor metabolic control. The prevalence of eating disorders in adolescent boys with T1DM is not known. This thesis focuses on eating and gastrointestinal function in adolescents with T1DM. Three population-based, cross-sectional studies demonstrated that adolescents with T1DM consume healthy foods more often and have a more regular meal pattern than age- and sex-matched controls. Yet both boys and girls are heavier than controls. The intake of saturated fat is higher and the intake of fibre is lower than recommended in adolescents with T1DM. Patients with poor metabolic control consume more fat and less carbohydrates than patients with better metabolic control. Gastrointestinal symptoms are common in adolescents with T1DM, but the prevalence is not increased compared with controls. Gastrointestinal symptoms in patients are associated with female gender, daily cigarette smoking, long duration of diabetes, poor metabolic control during the past year, and an irregular meal pattern. Adolescent boys with T1DM are heavier and have higher drive for thinness than healthy boys, but do not differ from them in scales measuring psychopathology associated with eating disorders. In a randomized, cross-over study, we found that a meal with a high fat and energy content reduces the initial (0–2 hours) postprandial glycaemic response and delays gastric emptying in adolescents with T1DM given a fixed prandial insulin dose compared with a low-fat meal. The glycaemic response is significantly associated with the gastric emptying rate. Both a high- and a low-fat meal increase the postprandial concentrations of glucose-dependent insulinotropic polypeptide (GIP) and glucagon-like peptide 1 (GLP-1) and suppress the postprandial ghrelin levels in adolescents with T1DM. The postprandial changes of these hormones are more pronounced after the high-fat meal. Insulin-like growth factor binding-protein (IGFBP) –1 concentrations decrease after insulin administration irrespective of meal ingestion. The GLP-1 response is negatively associated with the gastric emptying rate. The fasting ghrelin levels are negatively associated with the postprandial glycaemic response, and the fasting IGFBP-1 levels are positively associated with the fasting glucose levels. We conclude that nutritional education to adolescents with T1DM should focus more on energy intake and expenditure to prevent and treat weight gain. It should also focus on fat quality and fibre intake to reduce the risk of macrovascular complications and improve glycaemia. Gastrointestinal symptoms in adolescents with T1DM should be investigated and treated as in other people irrespective of having diabetes. However, adolescents with long duration of diabetes, poor metabolic control, and symptoms from the upper gut should have their gastric emptying rate examined during euglycaemia. There may be an increased risk for development of eating disorders in adolescent males with T1DM since they are heavier than healthy boys and have higher drive for thinness. This should be investigated in future, larger studies. For the first time, we showed that a fat-rich meal delays gastric emptying and reduces the initial glycaemic response in patients with T1DM. The action profile of the prandial insulin dose to a fat-rich meal may need to be postponed and prolonged compared with the profile to a low-fat meal to reach postprandial normoglycaemia. Circulating insulin levels affect postprandial GIP, GLP-1, and ghrelin, but not IGFBP-1, responses less than the meal content. The pronounced GIP-response to a fat- and energy-rich meal may promote adiposity, since GIP stimulates lipogenesis. Such an effect would be disadvantageous for adolescents with T1DM since they already have increased body fat mass and higher weights compared with healthy adolescents. Adolescents with T1DM may have subnormal postprandial ghrelin suppression, which may be due to their increased insulin resistance or elevated growth hormone levels. This needs to be investigated in future, controlled studies.
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Thomas, Rachel C. "Perceptions of attachment in adolescent girls with eating disorders, clinical depression or both." Thesis, Open University, 2000. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.370043.
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Hicks, Ashley A. Hicks. "Understanding correlates and comorbidities in the treatment and recovery of adolescent eating disorders." The Ohio State University, 2016. http://rave.ohiolink.edu/etdc/view?acc_num=osu1471864039.
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Loar, Sage Teresa. "Parental Beliefs About Maladaptive Eating Behaviors in Adolescents." ScholarWorks, 2016. https://scholarworks.waldenu.edu/dissertations/2190.
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Over 25 million people in the United States are affected by eating disorders, and understanding children's eating style can help determine maladaptive eating behaviors. This study was an investigation of parents' beliefs about their children's eating behaviors in relation to parental work status. Two theoretical frameworks were used to guide the study. Symbolic interactionism focused on communication between parents and children. Social learning theory focused on adolescents possibly learning their eating behaviors from observing their parents' eating habits. The research questions and hypotheses examined if there was a relationship between the work status of parents and their beliefs about maladaptive eating behaviors in their adolescents. This study used the parent-report measure, Children's Eating Behaviour Questionnaire (CEBQ). A nonexperimental causal-comparative quantitative research method was used. The participants included parents who have children between the ages of 6 and 12, and the sample size for this study was 126. A link between parental beliefs and early precursors of disordered eating in adolescents was not established. If patterns of a relationship between parents' work status and beliefs about children's maladaptive eating behaviors had been found, the patterns may have provided the possibility of serving as a factor of early intervention programs. The social change aspect obtained from this study may be that parents can work outside the home or not, and there may be other variables (such as family time, closeness, communication, stress) that may provide more information on how parents perceive children's eating behaviors.
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Lewis, Rebekah. "Nutrition, health and lifestyle of ballet dancers." Thesis, London South Bank University, 1998. https://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.265357.
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Ballet dancing is a rigorous activity, the requisite skill acquisition for which begins at an early age. For girls, the activity requires a clearly defined body shape and composition, the attainment of which may result in low body weight and BNH, the development of eating disorders, menstrual dysfunction, and poor nutrient intake. The combination of the high levels of exercise for both sexes and the sylph-like figure required by females may have an effect upon growth and development, injury and repair, and long-term health. No evidence could be found in the literature of investigations on retired ballet dancers and the potential effects of their career upon their long-term health. Therefore, a retrospective study was carried out on sixty-three male and female dancers by means of a 'health' questionnaire. Although the results from the retrospective study showed that no serious health effects had occurred in the sample investigated, there was nevertheless a high incidence of injury amongst both sexes. During their career, the retired females were found to have had: low body weights, with many of them having been on slimming diets; a lack of knowledge concerning food and fluid intake; and poor menstrual status, including delays in menarche. It was concluded that many of the injuries sustained by the males could be attributed to their role of partnering and therefore constantly physically supporting and lifting the female dancers. No definitive work could be found on nutrient intakes of ballet dancers and no prospective studies appeared to have been carried out on the overall injury status of currently active female ballet dancers. None of the studies had concurrently assessed nutrient intake and injury status and factors which may affect this, as well as assessing their general wellbeing. Thus, thirty-eight pre-professional female ballet dancers were recruited to the prospective study. All types of injury from minor to major were recorded over a period of ten weeks, concurrent with life events and menstrual patterns. During this period, nutrient intake was also estimated over seven consecutive days using the weighed inventory method. The dancers completed a general background questionnaire; EAT-26 and BIT'E - two screening questionnaires clinically used to assess for the symptoms of anorexia and bulimia nervosa; and, a nutritional quiz compiled by the author and largely based on what the students had been taught. The dancers had significantly lower dietary intakes of energy, carbohydrate, fat, iron, and NSP than their relative DRV's. Low intakes of energy and particularly carbohydrate could reduce muscle glycogen concentrations, and thus promote fatigue. The dancers had busy schedulesw hich restrictedt heir ability to eat well and the majority of them had poor nutritional knowledge. The injury rates of the majority of the dancers were found to be high and a statistically significant correlation was found between these injury rates and fatigue. These findings suggest that the dancers needed to receive a more fruitful method of nutrition education and have less hectic schedules, a combination of which could well result in the dancers having greater opportunity to eat well and rest sufficiently to reduce their overall levels of fatigue, enhance their overall feeling of wellbeing, and thus, possibly, reduce the risk of injury.
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Palmberg, Allison. "Adolescent Girls' Experience of Binge and Loss of Control Eating." VCU Scholars Compass, 2012. http://scholarscompass.vcu.edu/etd/2700.
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The current investigation used qualitative methodology to examine adolescent girls’ perceptions of control over their eating, as well as triggers, and consequences of binge and related eating behaviors. Focus groups were completed with 19 adolescent girls (aged 13-17, 58% African American, 41% White) who endorsed the behaviors. Responses to focus group questions were qualitatively analyzed using a grounded theory approach and constant comparison coding. Results reflected a fundamental lack of awareness of the loss of control (LOC) eating behaviors. Yet, the data did reflect a central theme of the need to affirm independence and autonomy through eating behaviors via three distinct pathways; asserting physical, emotional, and relational control with food. Each strategy produces different positive and negative consequences regarding emotions and physical sensations. This study suggests that adolescent need for autonomy interacts with a sense of feeling out of control of one’s external environment and insufficient coping mechanisms may increase susceptibility to maladaptive eating behaviors.
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Smedley, Jill L. "A Qualitative Exploration of Adolescent Girls' Experience in an Eating Disorder Prevention Curriculum." BYU ScholarsArchive, 2011. https://scholarsarchive.byu.edu/etd/3042.
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Eating disorders are a widespread problem that affects millions of people each year in the United States. Research-based prevention programs are becoming more and more important as this number rises. This study qualitatively examined the effectiveness of a prevention program called Eating Disorders: Physical, Social, and Emotional Consequences, A High School Curriculum about Anorexia, Bulimia, and Compulsive Eating (EDPSEC). Study participants included 10 female students in a ninth grade health class in a junior high school in Utah. The integrity of curriculum administration was analyzed and interviews were conducted. The aim of the interviews was to determine what students who received the curriculum felt about the program and eating disorders in general. Results indicate that while treatment integrity was considered low (45%), students still found value in the curriculum and enjoyed participating in it. While a wider sample size and concurrent quantitative data are needed to further support these findings, this student indicates that the EDPSEC program is a viable option for implementing an eating disorder prevention curriculum in the secondary school setting.
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Jones, Jennifer Michelle. "Eating disorders in adolescent females with type 1 diabetes mellitus, a controlled three-site study." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 2000. http://www.collectionscanada.ca/obj/s4/f2/dsk1/tape4/PQDD_0023/NQ49954.pdf.
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Wichman, Ronald E. "The Relationship between Family Structure, Parent-Child Separation-Individuation, and Eating Disorders in Adolescent Females." The Ohio State University, 1997. http://rave.ohiolink.edu/etdc/view?acc_num=osu1392024888.
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Wormald, Charlotte L. "Inflated responsibility and perfectionism in child and adolescent anorexia nervosa." Thesis, Canterbury Christ Church University, 2013. http://create.canterbury.ac.uk/12339/.
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Theory suggests that cognitive biases in obsessive compulsive disorder (OCD) may occur in individuals with anorexia nervosa (AN) and anorexia nervosa /eating disorder not otherwise specified (AN/EDNOS), which may partly explain the large co-morbidity between the two disorders. The aim of the current study was to investigate the cognitive biases of inflated responsibility (IR) and perfectionism in children and adolescents who had been diagnosed with AN and AN/EDNOS. An additional aim was to investigate the relationship between IR and perfectionism and to test an interaction effect on AN severity. The relationship between young people and their parents’ levels of inflated responsibility was also investigated. A cross-sectional multi-site pilot study using standardised questionnaires was conducted. Full ethical approval was gained and 30 young people diagnosed with AN and AN/EDNOS and 32 of their parents participated. This included 22 matched pairs of children and parents. Children and adolescents with AN and AN/EDNOS reported significantly higher levels of IR and perfectionism, compared to the published data for non-clinical norms. Self-orientated perfectionism was associated with frequency of IR thoughts. There was also a significant interaction effect: young people who had a higher frequency of IR thoughts and self-orientated perfectionism had lower BMIs. Parents reported higher levels of IR compared to the published non-clinical norms, but there was no relationship between child and parent IR. Further independent replication of these results is needed. IR and perfectionism should be considered in the assessment and treatment of child and adolescent AN and AN/EDNOS, both in individual and systemic interventions. This research also adds to the growing body of literature examining cognitive biases of OCD in an AN population, which may offer some insight into the overlap between the two disorders.
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Adlard, Leesa. "The relationship between body dissatisfaction of mothers and body dissatisfaction of their adolescent daughters." Diss., Pretoria : [s.n.], 2007. http://upetd.up.ac.za/thesis/available/etd-11192007-114545.
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Lazo, Montoya Yessenia, Alejandra Quenaya, and Percy Mayta-Tristan. "Influencia de los medios de comunicación y el riesgo de padecer trastornos de la conducta alimentaria en escolares mujeres en Lima, Perú." Sociedad Argentina de Pediatría, 2015. http://hdl.handle.net/10757/582620.
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Introduction. Eating disorders (EDs) are a public
health problem, and their relationship to mass
media is still controversial.
Objective. To assess whether there is an association
between models of body image shown in mass
media and the risk of developing EDs among
female adolescent students from Lima, Peru.
Methodology. Cross-sectional study conducted in
three schools located in the district of La Victoria,
Lima, Peru. The risk of developing EDs was
measured using the Eating Attitudes Test-26
(EAT-26), while mass media influence was
measured using the Sociocultural Attitudes
Towards Appearance Questionnaire-3
(SATAQ-3), which was categorized into tertiles
both in the overall score and its subscales
(information, pressure, general internalization,
and athletic internalization). Adjusted prevalence
ratios (aPR) for EDs were estimated.
Results. Four hundred and eighty-three students
were included, their median age was 14 ± 3 years
old. A risk of developing an ED was observed
in 13.9% of them. Students who are more
influenced by mass media (upper tertile of the
SATAQ-3) have a higher probability of having a
risk of developingan ED (aPR: 4.24; 95% confidence
interval [CI]: 2.10-8.56), as well as those who have
a greater access to information (PR: 1.89; 95% CI:
1.09-3.25), suffer more pressure (PR: 4.97; 95% CI:
2.31-10.69), show a greater general internalization
(PR: 5.00; 95% CI: 2.39-10.43), and show a greater
level of athletic internalization (PR: 4.35; 95%
CI: 2.19-8-66).
Conclusion.The greater the influence of mass
media, the greater the probability of having a
risk of developing an ED among female students
from Lima, Peru.Introducción. Los trastornos de conducta alimentaria (TCA) son un problema de salud pública y su relación con los medios de comunicación es aún controversial. Objetivo. Evaluar si existe asociación entre los modelos de imagen corporal mostrados por los medios de comunicación y el riesgo de TCA en adolescentes escolares mujeres de Lima, Perú. Metodología. Estudio transversal realizado en tres centros educativos del distrito de La Victoria, Lima, Perú. Se midió el riesgo de TCA con la prueba de actitud alimentaria (Eating Attitudes Test-26; EAT-26, por sus siglas en inglés) y la influencia de los medios de comunicación con el cuestionario sobre actitudes socioculturales con respecto a la apariencia (Sociocultural Attitudes Towards Appearance Questionnaire-3; SATAQ-3, por sus siglas en inglés), categorizada en terciles tanto en el puntaje global como en sus subescalas (acceso a la información, presión, internalización general y atlética). Se calcularon las razones de prevalencia ajustadas (RPa) para TCA. Resultados. Se incluyeron483 escolares con edad mediana de 14 ? 3 años. El 13,9% presentó riesgo de padecer TCA. Las escolares que presentan mayor influencia de los medios de comunicación (tercil superior del SATAQ-3) tienen mayor probabilidad de tener un riesgo de TCA (RPa: 4,24; IC 95%: 2,10-8,56), así como quienes tienen mayor acceso a la información (RP: 1,89; IC 95%: 1,09-3,25), mayor presión (RP: 4,97; IC 95%: 2,3110,69), las que presentaron mayor internalización general (RP: 5,00; IC 95%: 2,39-10,43) y las que mostraron mayor grado de internalización atlética (RP: 4,35; IC 95%: 2,19-8,66). Conclusión. A mayor influencia de los medios de comunicación, existe una mayor probabilidad de riesgo de padecer TCA en escolares mujeres en Lima, Perú.
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Mills, Pamela Ann. "Childhood emotional maltreatment and disordered eating in a general adolescent population : does emotion regulation play a mediating role?" Thesis, University of Edinburgh, 2011. http://hdl.handle.net/1842/6313.
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Objectives: To determine if emotion regulation mediates the link between emotional maltreatment and disordered eating behaviour in a community sample of adolescents. Design and method: Participants were 222 secondary school pupils (aged 14-18 years) from a state high school in a rural area in Scotland. Standardised questionnaire measures were used to gather data on history of emotional abuse and neglect using the Childhood Trauma Questionnaire (CTQ), emotion regulation strategies using the Regulation of Emotions Questionnaire (REQ) and subclinical disordered eating behaviour using the Eating Attitudes Test (EAT-26) and the Dutch Eating Behaviour Questionnaire (DEBQ). Pearson correlation and multiple mediation analyses were conducted to determine significant relationships and to identify whether dysfunctional emotion regulation was a mediator of the relationship between emotional maltreatment and disordered eating behaviour. Results: Multiple mediation analyses found both emotional abuse and emotional neglect to have a significant direct relationship with EAT-26 total score and DEBQ restraint scores - mediated by internal dysfunctional emotion regulation (with external dysfunctional emotion regulation also being a significant mediator in the analysis with emotional neglect and EAT-26 total). The direct relationship between emotional abuse/neglect and DEBQ emotional eating scores was non-significant, although a specific indirect effect through internal dysfunctional emotion regulation was observed. Conclusions: To the best of the author‟s knowledge, this is the first study which has looked at history of emotional maltreatment and disordered eating behaviour focussing on the influence of emotion regulation in particular. Results were indicative of significant indirect effects between emotional abuse and neglect and all measures of disordered eating through internal dysfunctional emotion regulation. Findings suggest the role of emotion regulation warrants further study in the research on childhood maltreatment and disordered eating behaviour.
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VERAS, Juliana Lourenço de Araújo. "Prevalência de risco de suicídio em adolescentes com sintomas de transtornos alimentares associados a sintomas depressivos." Universidade Federal de Pernambuco, 2015. https://repositorio.ufpe.br/handle/123456789/15570.
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O suicídio representa um grande problema de saúde pública, sendo a segunda ou terceira causa de morte entre os adolescentes em muitos países. Considerando que os transtornos alimentares podem levar a um maior risco de suicídio do que qualquer outro transtorno psiquiátrico, este trabalho propôs investigar a prevalência do risco de suicídio em adolescentes com sintomas de transtornos alimentares e sintomas depressivos. Trata-se de um estudo seccional, de base populacional, quantitativo, analítico, realizado na cidade do Recife com 1.379 adolescentes, de 10 a 17 anos de idade, de ambos os sexos, estudantes de escolas públicas estaduais do Recife, Brasil. Para a coleta de dados foram utilizados os instrumentos: Questionário Sociobiodemográfico; Teste de Atitudes Alimentares, Teste de Avaliação Bulímica de Edinburgh, Inventário de Depressão Infantil e o Mini International Neuropsychiatric Interview – Módulo C (M.I.N.I. - versão brasileira 5.0.0). Para análise dos dados, foram construídas tabelas uni e bidimensionais com frequências absolutas e relativas, bem como calculados os valores das Odds-Ratios (OR) e seus respectivos intervalos com 95% de confiança, associados aos níveis descritivos do teste Qui-quadrado de independência de Pearson. Na análise multivariada, foi ajustado um modelo de regressão logística binária, incluindo como possíveis variáveis explicativas todas aquelas que na análise bidimensional apresentaram associação significativa ao nível inferior a 0,05. O gênero feminino predominou na amostra (65,5%), com idade média de 13,80 anos. A prevalência do risco de suicídio na população estudada foi de 29,7%, onde 6,7% já tinham história de tentativa de suicídio anterior. A prevalência de adolescentes com sintomas de transtornos alimentares (TAs) foi de 25,5%, segundo a escala EAT-26 e 3,2% (escore elevado) e 29,6% (escore médio), na subescala de sintomas BITE. A prevalência de risco de suicídio em adolescentes com sintomas de TAs, segundo as escalas EAT-26 e subescala de sintomas BITE, respectivamente, foi de: 42,7% e 56,8% (escore elevado), apresentando associação significativa. A prevalência de sintomas depressivos na população geral foi de 15,4%. Dos valores de Odds Ratio, as chances de um adolescente da população pesquisada apresentar risco de suicídio são mais elevadas se o adolescente tem idade acima de 11 anos, é do sexo feminino, tem sintomas depressivos, tem padrões alimentares anormais e sintomas de bulimia nervosa. Quanto às probabilidades do risco de suicídio estimada a partir do modelo de regressão revelou-se que a superposição de fatores agrava as chances para o suicídio, mostrando que, na presença dos dois fatores simultaneamente (sintomas de transtornos alimentares e sintomas depressivos), a chance seria de 61,9% para adolescentes com padrões alimentares anormais e 63,4% para adolescentes com sintomas de bulimia nervosa. Após a análise dos dados pode-se concluir que o risco de suicídio não se limita apenas a amostras clínicas de adolescentes com transtornos alimentares, mas pode ser detectado até mesmo em amostras comunitárias de adolescentes; e que o risco de suicídio está associado aos sintomas de transtornos alimentares, o que pode ser agravado pelos sintomas depressivos. Portanto, comportamentos alimentares inadequados devem ser investigados em adolescentes para direcionar estratégias futuras de prevenção ao suicídio nesta fase de desenvolvimento humano.
Suicide is a huge public health problem and considered to be the second or third major cause of death among adolescents in many countries. As eating disorders can lead to a greater risk of suicide than any other psychiatric disorder, the aim of the present study was to investigate the prevalence of the risk of suicide among adolescents with symptoms of both eating disorders and depression. A quantitative, analytical, population-based, cross-sectional study was conducted involving 1379 male and female students between 10 and 17 years of age enrolled at public schools in the city of Recife (Brazil). Data collection involved a socio-demographic questionnaire, the Eating Attitudes Test (EAT-26), the Bulimic Investigatory Test of Edinburgh (BITE), the Children's Depression Inventory (CDI) and the Brazilian version of the Mini International Neuropsychiatric Interview (M.I.N.I. 5.0.0). Data analysis involved one-dimensional and two-dimensional tables with absolute and relative frequencies. Odd ratios (OR) and respective 95% confidence intervals were calculated based on the results of Pearson’s chi-square test for independence. In the multivariate analysis, a binary logistic regression model was adjusted, incorporating all explanatory variables that had a p-value < 0.20 in the two-dimensional analysis. The female gender predominated in the sample (65.5%). Age ranged from 10 to 17 years (mean: 13.80 ± 1.76 years; median: 14 years). The prevalence of the risk of suicide was 29.7% and 6.7% had a history of attempted suicide. The prevalence of symptoms of eating disorders was 25.5% based on the EAT-26 scale and 3.2% (high score) and 29.6% (medium score) using the BITE subscales. The prevalence of the risk of suicide among adolescents with eating disorders was 42.7% using the EAT-26 scale and 56.8% (high score) using the BITE symptoms subscale, demonstrating a significant association. The prevalence of depressive symptoms in the overall sample was 15.4%. From the ORs, the estimated probability of an adolescent being at greater risk of suicide was higher when the individual was older than 11 years of age, female, had symptoms of eating disorders and had depressive symptoms. The regression model demonstrated that the combination of symptoms of eating disorders and depressive symptoms led to a 61.9% chance of a suicide attempt using the EAT-26 and 63.4% chance using the BITE symptoms subscale. The present findings demonstrate that the risk of suicide is not restricted to clinical samples of adolescents with eating disorders, but can also be detected in community samples of adolescents. Moreover, the risk of suicide is associated with eating disorders and is aggravated by depressive symptoms. Therefore, inadequate eating behavior should be investigated in adolescents to guide future strategies aimed at preventing suicide in this phase of human development.
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Peterson, Vanessa Margaret, and res cand@acu edu au. "Body Image and Dieting Behaviours: a Study of athletes and non-athletes." Australian Catholic University. School of Exercise Science, 2003. http://dlibrary.acu.edu.au/digitaltheses/public/adt-acuvp38.29082005.
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Research has shown that elite female athletes competing in competitive sports may experience weight consciousness and face demands to conform to unrealistic standards of body weight. The purpose of this research was to investigate body image and dieting behaviours in adolescent female athletes and non-athletes. A self-reporting questionnaire was administered to 60 athletes aged between 13-16 years derived from eight different sporting populations, and a control group consisting of 60 non-athletes or inactive individuals aged between 13-16 years. Two major areas relating to weight and eating behaviours were examined: disordered eating and distorted body image. Other variables under investigation included current attempts at weight loss, level of acceptance of thin female stereotypes promoted by the media, reasons for dieting, and perception of one’s own body image. Results indicated that the majority of the athletes displayed a positive body image and were generally happy with their overall body shape. This group was less likely to employ weight loss behaviours. However, the non-athletes were more likely to display distorted body image and distorted eating behaviours. Consistent with the cultural expectations of thinness, large proportions of the non-athletes wished to lose weight, even though their actual weight (i.e. Body Mass Index) was normal or underweight. Weight concerns in the non-athlete group related more to attaining a media driven “ideal” of femininity. The weight concerns recorded amongst a small number of athletes were related more to improving sporting performance. Although no clinically diagnosed cases of eating disorders were recorded, eating behaviours, weight reduction practices and body image beliefs indicated that the adolescent female non-athletes may be at risk of developing disordered eating and body image problems.
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Neu, Ashley. "The influence of a media literacy intervention on adolescent girls at low and high-risk for eating disorders." Xavier University / OhioLINK, 2008. http://rave.ohiolink.edu/etdc/view?acc_num=xavier1386597873.
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Ekeroth, Kerstin. "Psychological problems in adolescents and young women with eating disturbances." Göteborg : Department of Psychology, Göteborg University [Psykologiska Institutionen, Göteborgs universitet], 2005. http://hdl.handle.net/2077/178.
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Tevendale, Heather D. "Physical appearance-related risk and protective factors for diordered eating among young adolescent white and African-American girls /." free to MU campus, to others for purchase, 2003. http://wwwlib.umi.com/cr/mo/fullcit?p3099643.
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Wolfgramm, Mallory Rebecca. "Implicit Family Process Rules Specific to Eating-Disordered Families." BYU ScholarsArchive, 2017. https://scholarsarchive.byu.edu/etd/6266.
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Family environment is a significant factor in the development of eating disorders in young-adult females. Clinical experience, research and theories about eating disorders indicate that constrictive implicit process rules within a family are correlated with eating-disordered families. This study identified implicit family process rules that are unique to eating-disordered families and how well these rules predict membership in eating-disordered and non-eating-disordered families. One hundred and two families (51 eating-disordered and 51 comparison families) participated in the study. Mothers, fathers, young-adult female children, and siblings in each family completed the Family Implicit Rules Profile (FIRP). The design included cluster analysis of all 85 rules to determine which implicit rules clustered in eating-disordered families, and discriminant analysis to determine how well the rules from the cluster analysis predicted membership in the groups of eating-disordered vs. control families. Results indicated that two clusters emerged related to eating-disordered families. The first included rules regarding inappropriate protection of parents (ex. "Protect your parent even if they do not deserve it"), not upsetting or inconveniencing parents, the triangulation of a child (eg.. "Listen to a parent when they complain about the other parent"), avoiding pain at any cost, and blaming self for others' anger. Cluster 2 included rules about appearances (eg,. "Do whatever you have to do to look good to others") and rules about keeping family matters private. Discriminant analysis showed that these 15 implicit family rules predicted membership in either the eating-disordered or the non-eating-disordered family groups with 93% accuracy. Implications for family therapy are discussed.
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Svensson, Miriam. "Orthorexia nervosa – a comparison of prevalence among adolescent girls in a sports secondary school and general secondary schools." Thesis, Högskolan i Halmstad, Akademin för ekonomi, teknik och naturvetenskap, 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:hh:diva-34064.
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Background: A topic more frequently discussed nowadays is orthorexia nervosa (ON), which is an atypical eating disorder where the person is obsessed with healthy eating to avoid illness and disease. Signs of ON often begin with a wish for getting rid of bad habits, such as eating meals containing a lot of sugar and fat. Eventually the person’s behaviour changes and eating healthy becomes an unhealthy obsession that takes over the everyday life. Recently, it has also been related to excessive training, especially in Swedish media. Furthermore, it has been shown that athletes are at higher risk for developing ON. However, there is insufficient research in this area, as well as the ON prevalence among adolescent girls and correlation between ON and body mass index adjusted for children and adolescents. To investigate this, as well as the correlation between ON and hand strength, which is used as an indicator of general muscle strength, is therefore of great importance. Aim: The aim of this study was to compare ON prevalence among adolescent girls in seventh grade in a sports secondary school and adolescent girls in seventh grade in general secondary schools and investigate the correlation between ON and BMI and ON and hand strength. Method: A total of 48 girls in seventh grade participated in the study: 28 girls from the sports secondary school and 20 girls from the general secondary schools. To investigate the ON prevalence the questionnaire ORTO-15 was used. To calculate BMI standing length and body weight was measured and thereafter adjusted to the cut-off points constructed by the International Obesity Task Force. Hand strength was registered with a hand grip dynamometer. Results: There was no significant difference in ON prevalence between the girls in the sports secondary school and the general secondary schools. However, a majority of all girls had an indication of ON. Furthermore, a higher indication of ON had a small correlation with both a higher BMI and a higher muscle strength. Conclusion: More studies and better instruments are needed to further investigate ON prevalence among adolescent girls, as well as relationships between ON and BMI and ON and hand strength. Interesting to consider in further research is also how these variables evolve over time in persons with ON.Malmö Youth Sport Study
Halmstad Youth Sport Study
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Tissot, Abbigail M. "CHARACTERISTICS OF APPEARANCE-RELATED SOCIAL COMPARISONS TO THIN IDEAL AND SAME-SEX PEER MEDIA BY ADOLESCENT FEMALES WITH AND WITHOUT EATING DISORDERS." Kent State University / OhioLINK, 2009. http://rave.ohiolink.edu/etdc/view?acc_num=kent1247326590.
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Thompson, Rebecca. "Understanding Bulimia Nervosa from a neuropsychological perspective: Impulsivity and binge-purge behavior in adolescent and young adult women." Diss., Temple University Libraries, 2010. http://cdm16002.contentdm.oclc.org/cdm/ref/collection/p245801coll10/id/49098.
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School PsychologyPh.D.
According to the biopsychosocial model of bulimia, neurobiological mechanisms called endophenotypes cause eating disordered behavior. Impulsivity has been identified as a possible endophenotype for bulimia nervosa, and individuals with bulimia who present with multiple forms of impulsive behavior are known to have worse prognoses. Executive dysfunction in impulse control purportedly manifests as behavioral under-regulation in binge-purge episodes. Neuropsychological assessments were used to analyze the relationship between impulsivity and symptoms of bulimia. Twenty-eight inpatient adolescent and young adult women with bulimia completed the D-KEFS Color Word Task, which is a version of the Stroop that contains four trials including the classic Stroop and a switching Stroop, as well as the age appropriate versions of the BRIEF rating scale and a Type-T Survey of thrill-seeking. Performance on these measures was correlated with measures of bulimia symptoms, including the EDI-3, EDE-Q, and variables of illness severity. Delay of gratification was assessed by offering subjects a choice of compensation that was either immediate and smaller or delayed and larger. Mixed results were found. The sample did not differ from the D-KEFS normative sample on total number of errors or on speed of task completion for the switching Stroop, and the sample demonstrated faster performance than the normative sample on the classic Stroop. However, a tendency to favor speed over accuracy of performance was identified. On the BRIEF rating scales, the sample self-reported significantly higher rates of executive dysfunction compared to the normative data. Additionally, some variables of impulsivity, including greater frequency of errors on cognitive tasks and self-reported deficits of executive functioning, were significantly correlated with variables of bulimia symptom severity, including self-reported bulimia symptomatology on the EDI-3 and frequency of bingeing and purgeing. Risk-taking was also found to be correlated with symptoms of bulimia. Differences were found between subjects who chose the immediate prize versus those who chose the delayed prize, including differences in cognitive task performance and symptom severity. Differences were also found for subjects with a comorbid disorder of impulse control, including bipolar disorders and substance abuse. In conclusion, a unilateral deficit of impulse control was not found to be characteristic of this sample; however, a multi-impulsive cohort was identified as having deficits of cognitive impulse control.
Temple University--Theses
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Bagchi, Suparna L. "Non-shared familial environment as a determinant of discordant patterns of disordered eating behaviors among sibling pairs in a family." Thesis, Birmingham, Ala. : University of Alabama at Birmingham, 2009. https://www.mhsl.uab.edu/dt/2009p/bagchi.pdf.
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Cambuí, Heloisa Aguetoni. "A relação de cuidado e seus significados para adolescente com transtorno alimentar e seus pais : um estudo de caso à luz da psicanálise winnicottiana /." Bauru, 2020. http://hdl.handle.net/11449/192857.
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Orientador: Carmen Maria Bueno NemeResumo: Os transtornos alimentares em adolescentes constituem parcela significativa da demanda clínica da atualidade. Tratam-se de modalidades de sofrimento e de adoecimento humano que se constituem com base em um modelo etiológico multifatorial composto pela inter-relação de fatores familiares, individuais, sociais e biológicos, cuja complexidade se configura como problema de saúde pública e, ainda, um desafio para a compreensão teórica e o manejo clínico psicológico. A questão central deste estudo é a associação entre as relações de cuidados parentais e a manifestação dos transtornos alimentares em adolescentes. Pressupõe-se que as relações de cuidado entre os pais e o filho(a) perpassam, inevitavelmente, as relações alimentares e contribuem para a constituição da saúde mental ou, ainda, para distorções e fraturas no processo de desenvolvimento emocional que podem predispor o indivíduo à vulnerabilidade psicopatológica própria dos transtornos alimentares. Deste modo, este estudo buscou compreender os significados e as experiências afetivo-emocionais associados às relações de cuidado na perspectiva de uma adolescente acometida por bulimia nervosa e seus pais. Trata-se de um estudo de caso descritivo com enfoque qualitativo, orientado pelo método psicanalítico. Os instrumentos utilizados para a coleta de dados foram a entrevista clínica semiestruturada aplicada individualmente a cada membro da tríade e o Procedimento de Desenhos-Estórias com Tema, usado como recurso mediador dialógic... (Resumo completo, clicar acesso eletrônico abaixo)
Abstract: Eating disorders in adolescents constitute a significant portion of the current clinical demand. These are modalities of suffering and human illness that are based on a multifactorial etiological model composed by the interrelation of family, individual, social and biological factors, which complexity is configured as a public health problem and still a challenge for theoretical understanding and clinical psychological management. The central issue of this study is the association between parental care relationships and the manifestation of eating disorders in adolescents. It is assumed that the care relationships between the parents and the child inevitably permeate dietary relationships and contribute to the constitution of mental health or, still, to distortions and fractures in the emotional development process that may predispose the individual to the psychopathological vulnerability inherent in eating disorders. Thus, this study aimed to understand the meanings and affective-emotional experiences associated with care relationships from the perspective of a teenager with bulimia nervosa and her parents. This is a descriptive case study with a qualitative approach, guided by the psychoanalytic method. The instruments used for data collection were the semi-structured clinical interview applied individually to each member of the triad and the Procedure of Drawings-Stories with Theme, used as a dialogical mediating resource, focusing on the depth of the experiences associate... (Complete abstract click electronic access below)
Doutor
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Botha, Tershia. "The relationship between exercise, amenorrhoea, percentage body fat and disordered eating among adolescent female runners / T. Botha." Thesis, North-West University, 2008. http://hdl.handle.net/10394/2095.
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O'Loughlin, Sinead. "The transition from child and adolescent to adult services in eating disorders : a qualitative study of service user and carer perspectives." Thesis, University of Glasgow, 2012. http://theses.gla.ac.uk/3624/.
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Objective: The transition from child and adolescent mental health services (CAMHS) to adult mental health services (AMHS) can be a challenging time for young people with eating disorders and their families. The current study explored the transition between CAMHS and AMHS from the perspectives of service users and carers. Method: Participants were recruited from NHS Services in the West of Scotland region. A sample of six service users and five carers participated in the study. Interpretative phenomenological analysis was used to explore participants’ experiences of transition. Results: Three superordinate themes emerged from the data: ‘Transition Experience’, ‘Shift in Treatment Ethos’ and ‘Outcome of Transition’. There was a high degree of agreement between the accounts of services users and carers. Discussion: The prospect of transition was associated with feelings anxiety for most participants. Transitions that were planned and co-ordinated provided the best continuity of care, while an absence of transition planning was associated with disruptions of care and negative outcomes. The importance of determining decisions about transition on an individual basis was highlighted. Differences in treatment approach between CAMHS and AMHS were explored. Service users experienced increased autonomy in AMHS, while carers were more often excluded from treatment. There was divergence in how participants viewed these changes. These findings offer insights into how services may support the transition from CAMHS to AMHS, elaborating upon and adding to, clinical guidelines for transitional care.
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Francisco, Fernanda Da Pãz. "The association between identity style, psychological well-being and factors associated with eating disorders in adolescent females / Fernanda Da Pãz Francisco." Thesis, North-West University, 2006. http://hdl.handle.net/10394/114.
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Worldwide. adolescents are at risk of dcvdoping eating disorders since they tire in a
process of negot ia( ing important developmental tasks and are thus vulnerable to the
internalisation of the thin ideal (Polivy 8: Herman, 2002). Body dissatisfaction,
bulimia nnd drive for thinness haw been identified as the primary risk factors related
to developing eating disorders (Garner, 2004). Despite the heightened vulnerability
during adolescence and societal pressures to be thin. some adolescents are happy with
their bodies and arc not body dismtisfied nor have a drive for thinness. Since
adolesccnce is associated with negotiating an identity. Berzonsky's (1999) socialcognitive
model of identity formation is instrumental in exploring the relationship
betn~ccn identity style and factors associated with eating disorders. Furthermore.
Berzonsky's (1999) informational identity style (11s) as well as the normative identity
style (N IS) are positively correlated LO psychological well-being (PWB) whcreas the
diffuse-avoidant identity style (DAIS) is negatively correlated to PWB. Consensus has
not been reached with regard to this (Adams et al.. 2001), thus this investigation may
provide impomn~ information with regard to the application of identity styles and
iii
Ryffs (1995) six dimensions of PWB in Suture preventive programmes. This study
aimed to investigate thc relalionship between idcnrity styles. the primary eating
disorder risk factors, psychological traits associated with eating disorders and the six
dimensions of psychological well-being (PWB). Furthermore. it aimed to investigate
wllcther the three groups of identity styles diflered significantly in terms of the
primary eating disorder risk Faclors, psychological traits associaied with eating
disorders and the six dimensions of PWB. Lastly. it aimed to investigate whether
different age and race groups of adolescent girls differed significantly in identity style.
primary eating disorder risk factors, psychological traits associated \vith eating
disorders and PWB. A one-shot cross-sectional survey design was used in which an
availability and multicultural sample of adolescent females(n=290) ranging from 13-
to 17-year old in grades 9 to 11 attending an English high school in the Gauteng
Province was used. They completed the Eating Disorder Inventory3 (EDI-3) (Gamer,
2004). Identity Style Inventory ( E l ) (Berzonsky, 1992). Scales of Psychological Well-
Being (SPWB) (Ryff, 1989a). a self-designed biographical qucstiomaire and their
b d y Mass Indcx (BMI) was recorded. Significant negative cor~lationsw erc fbund
between the dimensions of PWB, eating disorder risk factors and associated
psychological traits. Self-acceptance. enviro~unental mastery and positive relations
appeared to be key dimensions negatively associated with the prinlary eating disorder
risk factors and associated psychological traits. Identity styles did not direr
significantly with regard to the primary eating disorder risk factors. however
relationships were found between identity styles and some psycl~ologicat traits
associated with eating disorders. These included the positive correlalion betwecn the
IIS and perfectionism. the negative correlation betwecn the NIS versus personal
alienation and interpersonal alienation and the positive correlation between [he DAIS
and introceptive delicits. Comparisons between the rhret. identity styles and each of
the six dimensions of PWB validarcd that femalc adolescents using an [IS and NIS
experience greater levels of P%JB than compared lo their DAIS counterparts.
Although age did not impact on the in~plementaliono f identity styles nor the primary
eating disorder risk factors and associated psychcllogical traits. the 17-year-old age
group experienced greater levels of PWB with regard to autonomy, environmental
mastery and personal growth. Furt hcrmore, no significant di fferenccs were found with
regard to race, identity styles. the primary eating disorder risk factors and PWB. Black
female adolcscents experienced more interpersonal insecurity and maturity fears than
the White female adolescents in this study. These findings encourage the development
of a regression model identifying protective factors in future research as wcll as
constructing an effective preventive programme against eating disorders in female
adolescents.Thesis (M.A. (Clinical Psychology))--North-West University, Potchefstroom Campus, 2007.
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Dowling, Tawes Jamie Leigh. "The Role of School Nurses in Early Detection of Eating Disorders: An Application of PAPM and the 5 A's Approach." University of Toledo / OhioLINK, 2016. http://rave.ohiolink.edu/etdc/view?acc_num=toledo1481816516534758.
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Kells, Meredith Rose. "Factors Associated with Refeeding Hypophosphatemia in Adolescents and Young Adults Hospitalized with Anorexia Nervosa:." Thesis, Boston College, 2019. http://hdl.handle.net/2345/bc-ir:108355.
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Thesis advisor: Susan Kelly-WeederRefeeding Hypophosphatemia (RH) is the most common complication of nutritional restoration during medical hospitalization for individuals with anorexia nervosa (AN). Characterized by a drop in serum phosphorus levels, consequences of RH can be seen throughout the body and are potentially life threatening. Despite the seriousness of this outcome, little is known about which individuals with AN are at greatest risk of developing RH and best practices for prevention. The purpose of this retrospective cohort study was to examine demographic, feeding, and biochemical factors found in hospitalized adolescent and young adults (AYA) diagnosed with AN that may contribute to the development of RH. Individuals diagnosed with AN who were admitted to Boston Children’s Hospital between the years of 2010-2016 were considered for inclusion. Three hundred charts were analyzed using logistic regression to determine factors associated with RH and multivariate regression to determine factors associated with serum phosphorus nadir. In the final logistic regression model, receiving nasogastric tube feeding (p=0.54), age at admission (p=.022), weight gain during hospitalization (p=.003), serum potassium level (p=.001), and serum magnesium level (p=.024) significantly contributed to the model. Odds of RH were 3 times higher in those who received NG feeding, 1.2 times higher for each year of increasing age, 1.5 times higher for each kilogram of weight gain, 9.2 times higher for each unit reduction in potassium, and 13.7 times higher for each unit reduction in magnesium. With regards to phosphorus nadir, 1-unit increase in magnesium resulted in 1.2 increase in phosphorus, and each unit of admit BMI increased phosphorus by .060. The results indicate that NG feeding, age, weight gain, electrolyte abnormalities, and admit BMI are potential indicators of development of RH in AYA hospitalized with AN. This study will inform clinicians of risk factors associated with RH, and may guide further investigation into the clinical management of AYA diagnosed with AN
Thesis (PhD) — Boston College, 2019
Submitted to: Boston College. Connell School of Nursing
Discipline: Nursing
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Rosewall, Juliet Mary. "Prevalence, Correlates and Moderators of Eating Pathology in New Zealand Women, Adolescent and Preadolescent Girls." Thesis, University of Canterbury. Psychology, 2009. http://hdl.handle.net/10092/2223.
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Despite the fact that eating disorders (EDs) and their subclinical variants are important health concerns, very little research has examined eating pathology and body image, including the factors that may contribute to their development, in New Zealand. Based on the Sociocultural Model of Eating Pathology, this thesis comprises four studies that aimed to identify the factors that may interact with different parts of this model to predict eating pathology. As part of each study, the cross-cultural validity of the assessment measures used was also examined. Across all four studies, the prevalence rates of eating pathology and associated pathology were comparable to overseas estimates. Participants for Study One were 243 adolescent girls recruited from secondary school in Christchurch, New Zealand. Participants completed questionnaires assessing eating pathology, body dissatisfaction, negative affect, perfectionism, self-esteem, teasing and perceived sociocultural pressure. Regression analyses demonstrated that body dissatisfaction, socially prescribed (SP) perfectionism and negative affect uniquely predicted eating pathology in the adolescent sample. Moderator analyses indicated that high levels of SP and self-oriented (SO) perfectionism, negative affect, perceived pressure from others and the media, and low levels of self-esteem all increased the effect of body dissatisfaction on eating pathology among adolescents. Study Two examined the same risk factors among 170 preadolescent girls from primary schools in Christchurch, New Zealand, and found that body dissatisfaction, SP perfectionism and teasing independently predicted eating pathology. High levels of SO and SP perfectionism, perceived media pressure and low levels of self-esteem strengthened the body dissatisfaction-eating pathology relation. The goal of Study Three was to test the factors that serve to amplify the risk of internalising societal standards of thinness among 202 university women recruited from the University of Canterbury, New Zealand. The participants completed questionnaires measuring perfectionism, sociocultural pressure to be thin, anorectic cognitions and anti-fat attitudes. Results indicated that social pressure and information about appearance standards independently predicted thin ideal internalization but no statistically significant moderators were found. Finally, taking another approach to studying women at high or low risk for eating problems, Study Four sought to examine and describe the characteristics of women with a high body mass index (BMI; kg/m2) who were not dissatisfied with their bodies and also women who were dissatisfied with their bodies but were not engaging in pathological eating behaviour. Participants were 166 university women recruited from the University of Canterbury who completed the Personality Assessment Inventory (1991) and questionnaires relating to body dissatisfaction and eating pathology. Both of the above-mentioned groups were characterised by lower overall distress, such as lower levels of anxiety, depression and borderline features. Overall, this research suggests that disordered eating and body image concerns occur among New Zealand women, adolescent and preadolescent girls at rates similar to Europe and North America. There was reasonable support for the validity of many of the assessment measures used. The research also highlights some factors that may influence the development of eating pathology among these populations and provides possible leads for future longitudinal research and, ultimately, prevention efforts.
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McCullough, Claire Boyette. "PARENTAL EXPERIENCE OF PHASE ONE OF A MODIFIED MAUDSLEY TREATMENT APPROACH FOR THEIR ADOLESCENT WITH AN EATING DISORDER: A QUALITATIVE STUDY." Kent State University / OhioLINK, 2012. http://rave.ohiolink.edu/etdc/view?acc_num=kent1341877343.
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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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Cobelo, Alicia Isabel Weisz de. "Insatisfação com a imagem corporal e sintomas de transtorno alimentar, em mães de adolescentes com transtornos alimentares." Universidade de São Paulo, 2008. http://www.teses.usp.br/teses/disponiveis/5/5160/tde-19112008-160335/.
Full textAbstract:
Nas últimas décadas, a investigação sobre o corpo e a imagem corporal tem adquirido uma importância crescente. Contudo, ainda são poucas as pesquisas internacionais e não se encontram nas investigações nacionais, trabalhos específicos sobre imagem corporal (IC) e estudos sobre a inter-relação da IC com sintomas alimentares nas mães de pacientes adolescentes com transtornos alimentares (TAs). Objetivo: Avaliar a presença de insatisfação corporal e sintomas de transtorno alimentar nas mães de pacientes adolescentes com TA e comparar a insatisfação corporal, e sintomas de TA entre as mães de adolescentes com TA e mães de adolescentes sem esses transtornos (grupo-controle). Método: Foram estudadas 35 mães de pacientes adolescentes do sexo feminino (entre 10 e 17 anos) com TAs, no inicio do tratamento no Projeto Interdisciplinar de Atendimento, Ensino, e Pesquisa em Transtornos Alimentares na Infância e Adolescência (PROTAD) do Instituto de Psiquiatria do Hospital das Clinicas da Faculdade de Medicina da USP. Para coleta de dados utilizou-se um Questionário Sociodemográfico padronizado; para definir a classe econômica foi utilizado o Questionário Socioeconômico (ANEP); para rastreamento de atitudes alimentares foi empregado o Teste de Atitudes Alimentares (EAT-26); e para avaliação de insatisfação corporal foram utilizados o Questionário de Imagem Corporal (BSQ) e Escala de Silhuetas de Stunkard. Os resultados foram comparados com um grupo controle, constituído de 35 mães de adolescentes do sexo feminino (entre 10 e 17 anos) estudantes de um colégio particular da cidade de São Paulo. Resultados: Nos 2 grupos não foram encontradas diferenças estatisticamente significantes na insatisfação da IC nem na sintomatologia alimentar. Apresentaram significância as correlações entre o Índice de Massa Corporal (IMC) e insatisfação corporal e entre o IMC e sintomatologia alimentar. Conclusões: Mães com filhas com TAs não apresentaram níveis de insatisfação corporal diferente das encontradas em mães de filhas adolescentes sem TAs. Sugere-se a complementação de escalas que permitam integrar os aspectos perceptivos e subjetivos que fazem parte da estruturação da imagem corporal. Fazer entrevistas individuais com as mães dos pacientes para incluir as mães no tratamento das filhas de forma mais eficazResearch on body and body image has gained wider relevance in recent decades. There are few studies in the literature and no Brazilian study on body image targeting the interrelationship between body image and eating symptoms in mothers of eating disorder (ED) adolescent patients. Objective: To assess body image dissatisfaction and eating symptoms in mothers of ED female adolescents (case group) and to compare this data with a group of mothers of non-ED adolescents (control group). Methods: There were studied 35 mothers of female adolescents (aged 10 to 17 years) diagnosed with eating disorders who attended the Interdisciplinary Project for Care, Teaching and Research on Eating Disorders in Childhood and Adolescence (PROTAD) at Clínicas Hospital Institute of Psychiatry of Universidade de São Paulo Medical School. Socio-demographic data was collected using a PROTAD standard questionnaire. Socioeconomic condition was assessed following the Brazilian Criteria for Economic Classification (ANEP); eating symptoms were assessed using the Eating Attitudes Test (EAT-26); and body image dissatisfaction was assessed through Body Shape Questionnaire (BSQ) and Stunkard Figure Rating Scale (FRS). The results were compared against a control group comprising 35 mothers of female adolescents (aged 10 to 17 years) who attended a private school in the city of São Paulo. Results: There were no statistically significant differences of body dissatisfaction and eating symptoms in both groups. Significant correlations were found between body mass index (BMI) and body dissatisfaction, and BMI and eating symptoms. Conclusions: Mothers of ED adolescents had the same intensity of body dissatisfaction compared to mother of non-ED adolescents. It is suggested the addition of complementary scales that would enable to integrate perceptive and subjective aspects and components that are involved in body image construction. It is crucial to conduct individual interviews with mothers of patients to more effectively involve them in their daughters treatment
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Leal, Greisse Viero da Silva. "Fatores associados ao comportamento de risco para transtornos alimentares em adolescentes na cidade de São Paulo." Universidade de São Paulo, 2013. http://www.teses.usp.br/teses/disponiveis/6/6138/tde-08042013-094507/.
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Introdução: Transtornos alimentares (TA), comportamentos de risco para TA e práticas não saudáveis para controle do peso (PNSCP) são problemas de saúde pública em adolescentes pela sua alta prevalência e consequências adversas à saúde. A identificação dos fatores associados aos comportamentos de risco para TA e PNSCP pode ajudar no planejamento de ações educativas e de prevenção para adolescentes. Objetivo: Identificar a prevalência de comportamentos de risco para transtornos alimentares, práticas não saudáveis para controle do peso e fatores associados em adolescentes. Metodologia: A amostra foi composta de 1167 adolescentes de 12 escolas técnicas da cidade de São Paulo. Foi realizada avaliação do estado nutricional calculando-se o Índice de Massa Corporal (IMC) e os adolescentes responderam questões sobre comportamentos de risco para TA, práticas não saudáveis para controle do peso, atitudes e comportamentos dos pais e amigos, influência da mídia, satisfação e percepção corporal e prática de dieta. Avaliou-se a associação destas variáveis com comportamento de risco para TA e PNSCP utilizandose o teste Qui-Quadrado, com nível de significância de 5 por cento. Foi realizada análise de regressão logística para identificar os fatores que influenciam conjuntamente o comportamento de risco para TA e as PNSCP. Resultados: O comportamento de risco para TA foi identificado em 12,2 por cento dos adolescentes, sendo a maioria do sexo feminino (72,5 por cento, p<0,001) e o uso de PNSCP foi prevalente em 31,9 por cento, maioria do sexo feminino (66,8 por cento, p<0,001). A prática de dieta associou-se a ambos os comportamentos nos dois sexos. Para os adolescentes do sexo masculino, a influência da mídia e mães que estimulam a fazer dieta para perda de peso foram fatores preditivos para a adoção de práticas não saudáveis para controle do peso. Entre as adolescentes do sexo feminino, a satisfação corporal foi fator protetor para a adoção de ambos os comportamentos e a leitura de revistas foi preditiva para práticas não saudáveis para controle do peso. Conclusões: Foi encontrada prevalência elevada de práticas não saudáveis para controle do peso e moderada de comportamentos de risco para TA. As práticas não saudáveis para controle do peso foram quase três vezes mais prevalentes e evidenciou-se que estas práticas aumentam o risco de desenvolver comportamentos mais gravesIntroduction: Eating disorders (ED), ED risk behaviors and unhealthy weight-control behaviors (UWCB) are public health problems among adolescents because of their high prevalence and serious consequences to health. The understanding of the eating disorder risk behaviors and UWCB associated factors can help planning preventive and educational actions. Purpose: To identify the prevalence of ED risk behavior and unhealthy weight-control behaviors among Brazilian adolescents. Methods: A crosssectional study was conducted with 1167 adolescents, both genders, aged 1319 years from 12 public schools in the city of São Paulo, Brazil. ED risk behavior was assessed using a simplified self-report questionnaire, UWCB by a yes/not question about specific behaviors that were not typically recommended for weight management and nutritional status by Body Mass Index (BMI). Peers, parents and media influence, body perception, body image and dieting were assessed by specific questions from the QAAA questionnaire (Questionário sobre Attitudes Alimentares de Adolescentes). The X² test was used to evaluate the univariate associations and a multivariate logistic regression model was used to examine the factors influencing ED risk behavior and UWCB. Results: ED risk behavior was identified among 12.2 per cent of adolescents, mainly among females (72,5 per cent, p<0,001), and UWCB was prevalent in 31.9 per cent, being 66,8 per cent females (p<0,001). Dieting was predictive to ED risk behavior and UWCB for both genders. Media influence and mothers that encourage dieting were predictive to UWCB among boys. Body satisfaction was a protective factor for ED risk behavior and UWCB and magazine reading was predictive to UWCB among girls. Conclusions: It was found an elevated prevalence of UWCB and a moderate prevalence of ED risk behavior. The UWCB were almost three times more prevalent and was found that these practices increase the chance to develop severe behaviors
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Brander, Lund Alexandra. "Hur upplever tonåringar och unga vuxna med ätsörningar att livskvaliteten påverkas? : En litteraturstudie." Thesis, Högskolan i Gävle, Avdelningen för hälso- och vårdvetenskap, 2015. http://urn.kb.se/resolve?urn=urn:nbn:se:hig:diva-19364.
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Sjuksköterskans arbete innebär att kunna ge en bra vård till människor med olika typer av etnisk bakgrund, tro och värderingar. Ätstörning är ett tillstånd av psykisk ohälsa där den drabbade har utvecklat vad som kan likna en fobi för normal kroppsvikt. Den fysiska hälsan blir också påverkad på grund av de olika metoder som den drabbade använder för viktnedgång samt på grund av näringsnedsättning. Livskvailtet är hur en människa upplever sin tillvaro och om personen känner någon mening i sitt liv. Syftet med studien var att beskriva hur ungdomar och unga vuxna med ätstörningar upplever sin livskvalitet. Författaren har använt sig av 10 olika vetenskapliga artiklar som med syftet att beskriva hur tonåringar och vuxna med ätstörningar upplever sin livskvalitet. I resultatet fann forskarna att de drabbade hade en låg livskvalitet. Vid jämförelser med människor utan ätstörningar, visade värdena att de med ätstörningar hade sämre resultat både fysiskt med framför allt psykiskt vid mätning av livskvalitet. Män och pojkar hade riskfaktorer som fysisk träning och kroppsmissnöje, medan flickor och kvinnors riskfaktorer var en önskan om smalhet, kroppsmissnöje och kroppsobjektifiering. Det visade sig även att drabbade med mycket socialt stöd hade en bättre livskvalitet än de utan socialt stöd. Oberoende av ålder och kön, så har patienter med ätstörningar sämre livskvalitet. Det är viktigt för sjuksköterskor att hjälpa denna patientgrupp genom att våga se deras lidande på andra plan när de söker sig till vården.The nurse's work means being able to give good care to people with different ethnic backgrounds, beliefs and values. When working with young people, the nurse was lacking the expertise to provide the right kind of support to help with mental illness, substance abuse, self-harm behavior and eating disorders. Eating disorders are a condition of mental illness in which the patient has developed what may resemble a phobia of normal body weight. Physical health is also affected because of the different methods that the victim uses for weight loss and because of loss of nutrient. Quality of life is how people perceive their existence and if the person feels they have a meaning in life. The aim of this study was to describe how adolescents and young adults with eating disorders perceive their quality of life. The author has used 10 different scientific articles which described how teenagers and adults with eating disorders perceive their quality of life. In the result, the researchers found that those affected by eating disorders had a low quality of life, age and gender didn’t matter. When compared to people without eating disorders, values show that those with eating disorders had worse results both physically but primarily psychological, in tests of quality of life. Men and boys had risk factors such as physical activity and body dissatisfaction, while girls and womens risk factors were a desire for thinness, body dissatisfaction and body objectification. It was also found that sufferers with social support had a better quality of life than those without social support. The conclusion could be made that regardless of age and sex, patients with eating disorders have a poorer quality of life. It is important for nurses to help this population by daring to see their suffering on other levels when they seek out health care.
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Forserud, Monica, and Gabriella Åström. "Sjuksköterskans upplevelser av ätstörningar hos barn och ungdomar : En intervjustudie." Thesis, Mid Sweden University, Department of Health Sciences, 2010. http://urn.kb.se/resolve?urn=urn:nbn:se:miun:diva-11705.
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För att hjälpa barn och ungdomar som lider av ätstörningar krävs specialistkompetens inom området. Specialistsjukvården måste kunna möta såväl nyinsjuknade som långvarigt sjuka barn och ungdomar. Syftet med denna studie var att belysa sjuksköterskors upplevelser av att vårda barn och ungdomar med ätstörningar. En intervjustudie har genomförts med sju sjuksköterskor som arbetar på två olika specialistenheter där barn och ungdomar vårdas för ätstörningar. Intervjuerna har analyserats med kvalitativ innehållsanalys. Utifrån analysen skapades tre kategorier: ”att finnas till för patient och anhöriga”, ”sjuksköterskans behov av stöd” och ”utmaningar i yrket” samt sex subkategorier: ”att möta och stödja patienten på ett professionellt sätt”, ”sjuksköterskans relation till anhöriga”, ”balans mellan arbete och fritid”, ”kollegial anda och ledarskap”, ”sjuksköterskans upplevelse av svårigheter” och ”känslor”. Huvudfynden visade att sjusköterskor som arbetar på specialistenheter för ätstörningar där barn och ungdomar vårdas kände stor meningsfullhet med arbetet. Med professionalism och lugn kände sjuksköterskorna att de kunde hjälpa sina patienter trots att arbetet stundom kunde upplevas både utmanande och svårt. En balans mellan arbete och fritid, god kollegial anda, ett gott samarbete med anhöriga, ett gott ledarskap samt en tro på sig själv och sin förmåga som sjuksköterska upplevdes som väsentligt för god omvårdnad av dessa barn och ungdomar.
To help children and adolescents who suffer from eating disorders specialist skills are needed. Specialist Health Services need not only respond to children and adolescents with recent onset but also those who have been long-term ill. The purpose of this study was to illustrate nurses’ experiences of caring for children and adolescents with eating disorders. An interview study was carried out with seven nurses working at two specialist units treating children and adolescents with eating disorders. The interviews were analyzed with qualitative content analysis. Based on the analysis three categories were created: “to be there for the patient and their relatives”, “the nurse’s need of support” and “challenges of the profession”. Six sub-categories were created out of these three main categories: “to meet and support patients in a professional manner”, “the nurse’s relationship with the patient’s relatives”, “balance between work and leisure”, “collegial spirit and leadership”, “the nurse’s experience of difficulties” and “feelings”. Major findings showed that nurses working in specialized units for eating disorders felt great meaningfulness with their work. With professionalism and tranquility nurses felt they could help their patients even though the work sometimes was both challenging and difficult. A balance between work and leisure, good collegial spirit, a good way to interact with the patients relatives, good leadership and a belief in herself and her nursing ability were perceived essential for good care of children and adolescents suffering from eating disorders.