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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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Haley, Melissa A. "The prevelence of secrecy in eating disorders." Menomonie, WI : University of Wisconsin--Stout, 2005. http://www.uwstout.edu/lib/thesis/2005/2005haleym.pdf.
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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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Duncan, David Scott. "The Eating Survey: Disordered Eating and Clinical Cutoff for Adolescents Ages 14-17." Diss., CLICK HERE for online access, 2005. http://contentdm.lib.byu.edu/ETD/image/etd1100.pdf.
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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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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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Fjelland, Lindsay. "Addressing eating disorders in schools prevention and identification efforts /." Online version, 2009. http://www.uwstout.edu/lib/thesis/2009/2009fjellandl.pdf.
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Peterson, Kathleen A. "A multicontextual study of environmental influences on the development of eating disordered symptomology in adolescents." Virtual Press, 2003. http://liblink.bsu.edu/uhtbin/catkey/1272427.
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Eating disorder symptoms are serious and prevalent problems in industrialized societies. Although many studies have individually investigated the influence of environmental factors on the development of eating disorder symptoms, few have considered the relative and cumulative impact of various contexts within the same study. The current study was conducted to examine the influence of the mass media, mothers, and peers on the development of eating disorder symptomology in male and female adolescents using an ecological model proposed by Bronfenbrenner (1977, 1979, 1986, 1988, 1995). Specifically investigated were students' perceptions of pressures exerted by the media and significant others to lose weight and be physically attractive. Tenth, eleventh, and twelfth grade adolescents in a suburban community were surveyed through self-report questionnaires; the Eating Attitudes Test (EAT), select subscales of the Eating Disorder Inventory-2 (EDI-2), and a modified version of the Multidimensional Media Influence Scale (MMIS). Multivariate analyses of variance indicated that female students acknowledged higher levels of eating disorder symptomology and higher perceived pressures from mothers and the media than did males. Significant grade level differences were found only in levels of body dissatisfaction between sophomores and juniors. Canonical correlations showed that those students who perceived greater pressures across environmental contexts also reported more eating disorder symptomology. Further analyses of these findings are described. Implications for future research and prevention programs are discussed.Department of Educational Psychology
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Owens, Ann M. "Culture, age, gender factors in the early onset of eating disorders /." Instructions for remote access. Click here to access this electronic resource. Access available to Kutztown University faculty, staff, and students only, 1994. http://www.kutztown.edu/library/services/remote_access.asp.
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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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Fjelland, Lindsay N. "Addressing eating disorders in schools prevention and identification efforts /." Menomonie, WI : University of Wisconsin--Stout, 2007. http://www.uwstout.edu/lib/thesis/2007/2007fjellandl.pdf.
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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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Maganto, Mateo Carmen, and Saez Soledad Cruz. "Body dissatisfaction as an explanatory variable of eating disorders." Pontificia Universidad Católica del Perú, 2002. http://repositorio.pucp.edu.pe/index/handle/123456789/100872.
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Eating disorders ha ve increased over the last few years, as well as the age range of their initialonset which includes younger people. Food-related anxiety, fear of gaining weight, and obsession with thinness are associated with variables of age, sex, social leve!, body mass index, distortion and dissatisfaction with body image are considered risk factors for eating disorders. This research examined the relationship among these factors and analyzed their predictive value. The participants were 200 adolescents (104 boys and 96 girls), aged between 14 and 17 years. The testsused werc the STAI, EDI-2, EAT and two experimental tests. The results indicated that underlying these disorders were distorted body-image perception and dissatisfaction. The risk for girlsincreased between 15 and 16 years. Dissatisfaction with global physical aspect, distortion of body size, age, and trait anxiety were revealed as predictive factors.La ansiedad con relación a la comida, el temor a aumentar de peso y la obsesión por la delgadez van asociadas a variables de edad, sexo, nivel social, índice de masa corporal, distorsión einsatisfacción con la imagen corporal y se consideran factores de riesgo de los trastornos alimenticios.Se investigan y analizan las relaciones entre dichos factores así como su valor predictivo. Los participantes fueron 200 adolescentes de 14 a 18 años (104 chicos y 96 chicas). Se administraron el Cuestionario de Ansiedad Estado/Rasgo (STA!), el Inventario de Trastornos dela conducta Alimentaria (EDI-2) el Eating Altitudes Test (EAT) y dos instrumentos en construcción.Los resultados revelaron que la percepción distorsionada de la imagen del propio cuerpo,vinculada a la insatisfacción, se halla a la base de estos trastornos. La edad más sensible paralas chicas está entre los 15 y 16 años y los factores predictivos encontrados son: insatisfacción con el aspecto físico global, distorsión del tamaño del cuerpo, edad y ansiedad rasgo.
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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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Parker, Jami. "Teachers' knowledge of bulimia in high school students." Online version, 2004. http://www.uwstout.edu/lib/thesis/2004/2004parkerj.pdf.
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Reed, Courtney. "Family Stressors and How They Relate to the Onset of Eating Disorders and Disordered Eating." Digital Commons @ East Tennessee State University, 2020. https://dc.etsu.edu/secfr-conf/2020/schedule/10.
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This paper aims to study the factors relating to eating disorders and disordered eating onset. Adolescents are the focus on this review and through the evaluation of these factors. Individual factors being addressed are as follows: active social media use, experience of child abuse or maltreatment, and chronic illnesses. Evaluating family factors such as family history, experience of intimate partner violence, and parenting dynamics allow us to understand the environment and its effect on eating disorder onset. Finally, protective factors addressed include parental resilience, concrete support, and emotional competence. Understanding the associations between these factors and disordered eating will aid in better treating and preventing eating disorders in adolescents.
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Benas, Jessica Sara. "Weight-related teasing, dysfuctional cognitions, and symptoms of depression and eating disturbances." Diss., Online access via UMI:, 2006.
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James, Melanie Carol. "Motivation to change in adolescents with eating disorders." Thesis, City University London, 2007. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.446264.
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DE, CARO ELIDE FRANCESCA. "Vulnerability factors and developmental trajectories of Eating disorders-relevant attitudes and behaviours in non-clinical adolescents." Doctoral thesis, Università degli Studi di Trieste, 2020. http://hdl.handle.net/11368/2973762.
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Eating disorders (EDs) are regarded as a function of pubertal growth, personality, and body image (BI) development, as well as socio-cultural influences, during adolescence. Sex-specificities are getting more attention. However, empirical studies from this broad area of research do not systematically investigate EDs taking into account female and male specificities. The present PhD research project aims to explore vulnerability factors for increases in ED-related behaviours among boys and girls during adolescence, by conducting a 2-year longitudinal study. In literature, the onset and course of ED has been mostly connected with (1) body-related concerns and (dis)satisfaction, and (2) personality variables. However, vulnerability models have mainly been tested on females. Additionally, empirical findings reported mostly on inter-individual differences rather than intra-individual dynamics, with no study systematically investigating them. Body image (BI), and Body Dissatisfaction (BD), moreover, have been often used as interchangeable constructs and operationalized in many different ways, thus contributing to not fully coherent empirical findings. In the current project, we aimed to explore EDs development from an integrative perspective on the role of body-related constructs and personality among adolescent boys and girls, by using 1) a sex-sensitive approach in assessing EDs and 2) between-people and within-person approach simultaneously. In detail, the objectives of the present PhD project were as follows: 1) Defining trends of ED-related behaviours and attitudes, namely Muscle Dysmorphia (MD) and Binge Eating (BE) in males, and Drive for Thinness (DT) and Bulimia (Bu) in females, and their co-variations with BI-related constructs throughout adolescence, 2) Prospectively exploring the unique contribution of BI-related factors and BD in predicting ED outcome, further investigating their reciprocal influences; 3) Exploring multivariate models of ED by testing interaction models among BI-related and personality variables. The PhD thesis presents an introductory chapter providing a framework of prevalence and incidence of EDs in adolescents and vulnerability factors by evidencing the open issues related to sex-specificity. Chapter 2 presents an overview of the longitudinal study, and constructs and measures assessed in the study. Chapter 3 presents an empirical study on how body self-perceptions contribute to predict within-person changes in adolescent sex-specific ED behaviours and attitudes across 1-yr. With the aim of investigating more in deep the multi-facet and somehow ubiquitous construct of BI, Chapter 4 explored BI-factor structure by conducting a confirmatory factor analysis on all the body-related measures herein involved, across 5 waves, further testing for factorial invariance across gender and longitudinal invariance, across time. Chapter 5 represents an empirical contribution to prospectively inspect the unique impact of BI-related factors and BD on sex-specific ED outcomes. Chapter 6 aimed at further investigating the BI-ED association by including personality variables, as potential unique predictors as well as moderators. Results provided some original contributions, extending BI and ED research, as follows: 1) ED outcomes were moderately stable across 1 year with a general intra-individual attenuating trajectory across a 2-year time span, 2) Individual changes in BE and MD in boys co-varied with their actual body-related self-perceptions across one-year, and actual body shape and weight perception predicted DT in girls, along with their desired thin ideal body at intra- and inter-individual levels, 3) The support for the Cash’s 2-factor model of BI among non-clinical adolescents, 4) Meaningful differences in the predictive validity of BI-related domains and BD for sex-specific ED symptoms, lastly 5) Individual differences in personality and emotion regulation aspects were unique predictors of EDs.
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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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Waxman, Dina F. "A Strenuous Game: The Portrayal of Eating Disorders in Young Adult Novels." Thesis, School of Information and Library Science, 2007. http://hdl.handle.net/1901/407.
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This study uses content analysis to examine the portrayal of eating disorders in young adult novels published from 1981-2005. Fifteen books were evaluated to determine if the portrayal of eating disorders was accurate according to documented psychological profiles of the causes and risk factors for eating disorders. Additionally, the books were evaluated to see if the portrayal of eating disorders over time had changed to correspond with evolving information on eating disorders. This study concludes that while eating disorders are being portrayed accurately and realistically in young adult literature, there is no change in the portrayals over time to complement evolving research on the risk factors and causes of eating disorders.
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Mack, Jennifer E. "Nutrition knowledge, disordered eating, and body dissatisfaction among middle school females." Virtual Press, 2001. http://liblink.bsu.edu/uhtbin/catkey/1221314.
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The purpose of the study was to better understand nutrition knowledge, disordered eating and body dissatisfaction among middle school females, in hopes of disseminating this information to parents, teachers, and others with an interest in the well-being of young women. The design of the study determined prevalence of disordered eating and body dissatisfaction, and the level of nutrition knowledge among middle school females. 134 subjects completed a 66-item questionnaire. Descriptive statistics along with an independent t-test, chi square, and Pearson product moment correlation coefficient were used to analyze the data. Prevalence of disordered eating among 7th graders was 18.8%, and 15% for 8" graders. High levels of body dissatisfaction were observed in 35% of 7"' graders and 26% of 8t' graders. A significant relationship was found between nutrition knowledge and disordered eating (r=-.309). There was no statistically significant difference between 70' and 8th graders for either disordered eating or body dissatisfaction.Department of Physiology and Health Science
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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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Šidlauskaitė, Greta. "12-15 metų paauglių, turinčių valgymo problemų, internalių ir eksternalių problemų lygis ir įvairovė." Master's thesis, Lithuanian Academic Libraries Network (LABT), 2006. http://vddb.library.lt/obj/LT-eLABa-0001:E.02~2006~D_20060622_101915-53679.
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The aim of the work is to ascertain level and variety of teenagers having eating behaviour problems and emotional problems. In order to achieve this aim we have raised these main objectives: to select teenagers, having eating problems, to evaluate the level of and variety of teenagers, having eating behaviour problems and emotional problems, to evaluate the anxiety level and variety of teenagers having eating problems. In the beginning of the research hypotheses were raised that teenagers’ emotional problems are characteristic to the teenagers having eating problems, also we assumed stronger feelings of anxiety are characteristic to teenagers having eating problems. It is supposed that behaviour problems are characteristic to teenagers having eating behaviour problems. The research was carried out applying these research methods: B. questionnaire, compiled by Ziolkowska, standardised questionnaire by Achenbach – Your Self – Report; 2001 version (YRS) and standardised MASC scale for children. 206 pupils participated in the research. The results were analyzed with reference to record data of 173 pupils. Having carried out the research we found out that teenagers having eating problems experience more behaviour and emotional difficulties than teenagers who do not have such problems. The teenagers having eating problems consider their behaviour and emotions as more difficult to control: they experience bigger feeling of anxiety, have more fears, are inclined to opt out the social... [to full text]
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Martínez, Patricia. "Epidemiologic study of eating disorders and related factors in Lima." Pontificia Universidad Católica del Perú, 2013. http://repositorio.pucp.edu.pe/index/handle/123456789/101706.
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The present study had the objectives of analyzing the prevalence of eating disorders in adolescent women attending school in Metropolitan Lima, identifying the factors related to those disorders and defining the population at risk of developing any of those disorders. A total of 2141 adolescents between 13 and 19 years old in their last three years of high school made up the probabilistic sample. This sample was chosen by clusters in two moments and stratified according to either prívate or public school. The Eating Behavior Inventory (ICA) was administered. Results showed that 16.4% of the cases had one or more eating disorders and 15.1% of the sample was at risk of developing one.El presente estudio consistió en analizar la prevalencia de los trastornos alimentarios en la población de mujeres adolescentes escolares de Lima Metropolitana y los factores asociados a dichos trastornos. Asimismo, se buscó determinar la población en riesgo de desarrollar alguno de estos trastornos. Se evaluó un total de 2141 adolescentes entre los 13 y los 19 años, de 3° a 5° de secundaria, seleccionadas mediante un muestreo probabilístico bietápico por conglomerados y estratificado según régimen de gestión del colegio (público o privado), y se les aplicó el Inventario de Conductas Alimentarias (ICA) de Zusman (2000). Los resultados mostraron un 16.4% de casos con uno o más trastornos alimentarios y un 15.1% de la población en situación de riesgo.
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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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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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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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Hardie, Alison. "Eating disorders, body image and weight control life orientation teachers' knowledge, attitudes and behaviours." Thesis, Nelson Mandela Metropolitan University, 2006. http://hdl.handle.net/10948/394.
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The apparent increase in the incidence of both anorexia nervosa and bulimia nervosa worldwide has resulted in a surge of interest in effective treatment, prevention programmes and health promotion. Health promotion and the primary prevention of eating and body image problems among young people, and in particular adolescents, is emerging as one of the most desirable achievements in contemporary health and nutrition education. Eating disorders usually have their origin during the teenage years, and as such, high schools provide useful sites for the implementation of prevention programmes. Educators can play an important role in the prevention of eating disorders and act as socialization agents who either reinforce or buffer the dominant societal discourses that shape young women’s views of themselves. There are calls, however, for caution in the design and implementation of school-based eating disorder curricula as school educators may inadvertently do more harm than good. It has also been suggested that female educators, as other women, are likely to possess a degree of normative discontent with their body shape and size, and that this dissatisfaction and negative beliefs about food may be unknowingly transferred to the learners within their care. The current study used an exploratory, descriptive research design to investigate the knowledge, attitudes and behaviours related to eating disorders, body image and weight control of a group of Life Orientation educators. A biographical questionnaire, a questionnaire designed for the purposes of the current research and two standardised paper-and-pencil questionnaires, namely the Body Shape Questionnaire (BSQ) and the Eating Attitudes Test (EAT), were administered to 50 female Life Orientation educators in the Nelson Mandela Metropole. A non-probability purposive sampling technique was used in the selection of participants and descriptive statistics were used to explore and describe the data. The results of the current research study indicated a lack of knowledge in those Life Orientation educators assessed regarding eating disorders and healthy diet. The results also indicated inaccurate knowledge amongst those educators assessed regarding effective and safe teaching practices of eating disorder pathology. The results of the two standardised questionnaires reflected an internalisation of the dominant societal ideals regarding weight and body shape, with 18% of the sample xi demonstrating attitudes and behaviours that could be indicative of eating disorder pathology of either clinical or subclinical proportions. Suggestions were made regarding future research and the need for further training of Life Orientation educators. Finally, the limitations as well as the value of the research were outlined.
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Maharaj, Sherry I. "The interpersonal context of Diabetes Mellitus examining the links between eating disturbances, metabolic control, and the quality of family functioning among girls with Type 1 diabetes /." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1999. http://www.collectionscanada.ca/obj/s4/f2/dsk1/tape10/PQDD_0025/NQ39286.pdf.
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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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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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Shepard, Rachel Elizabeth. "The Body and Soul Program : evaluation of a peer educator-led eating disorders education and prevention program /." view abstract or download file of text, 2000. http://wwwlib.umi.com/cr/uoregon/fullcit?p9978600//.
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Thesis (Ph. D.)--University of Oregon, 2000.Typescript. Includes vita and abstract. Includes bibliographical references (leaves 202-215). Also available for download via the World Wide Web; free to University of Oregon users.
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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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White, Jamie. "The development of negative body image and disordered eating in adolescence." Thesis, University of the West of England, Bristol, 2008. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.490452.
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This thesis focuses on the development of negative body image and disordered eating in adolescence. More specifically, on the role of sociocultural influences in individual vulnerability to experiencing negative body image and using disordered eating behaviours.
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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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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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Duffy, Alan Wadsworth Danielle D. "Perfectionism, perfectionistic self-presentation, body comparisons, and disordered eating in Women's Artistic Gymnastics." Auburn, Ala, 2008. http://repo.lib.auburn.edu/EtdRoot/2008/SUMMER/Health_and_Human_Performance/Thesis/Duffy_Alan_30.pdf.
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Naku, Bulelwa. "Body perceptions of black female high school learners." Thesis, Cape Technikon, 2004. http://hdl.handle.net/20.500.11838/1914.
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Thesis (MTech (Education))--Cape Technikon, Cape Town, 2004The majority of studies that have examined the prevalence of eating disorders have sampled women from western societies. Theoretical models have emphasised Western socio-cultural factors as central in the development of eating disorders. Consequently, eating disorders have been conceptualised as disorders from Western industrialised countries where white women experience social pressures toward thinness. Within these societies, white women are believed to be at risk of developing eating disorders, while black women are not exposed to the same social pressure regarding weight. In the literature, it has been argued that African women are 'protected" from developing eating disorders because traditionally a fuller figure has been more acceptable. However, findings from recent studies are beginning to reveal a considerable degree of body perception dissatisfaction among black women, indicating that this debate is far from settled. In the African-American culture, in terms of body perceptions, people are not expected to be all built to look alike. A full, yet healthy body has represented strength, power and prosperity in the African culture throughout history. However, the thin ideal for women seems to be spreading across all ethnic groups. Incorrect body perceptions, dissatisfaction with one's body's appearance and a drive to be thin can lead to erratic eating patterns such as self-starvation and purging, which in turn can result in eating disorders such as Anorexia and Bulimia Nervosa. In view of the above, this study investigated body perceptions among black female high school learners in the Cape Metropole. The participants were 702 girls between 13 and 19 years old in ex DET high schools in grades 8 to 11. The study attempted to determine participants' body weight dissatisfaction; whether they perceived themselves as overweight, underweight or of normal weight; and whether they expressed influence by the media, as well as family and peers, on their body perceptions. The sample was divided into two age groups, namely a younger group of 13 - 15 years and an older group of 16 - 19 years. The chi-square test was used to test the statistical significance of the data. The results revealed a statistically significant difference between the younger age group (13-15 years) and the older age group (16-19 years) regarding body weight dissatisfaction and body weight perceptions. Furthermore, the expressed influence by the media and family/peers also show statistically significant results.
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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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Perkins, Natalie Marie. "Identifying Clinical Distinctions Between Nonsuicidal Self-Injury and Eating Disorders in Adolescents." TopSCHOLAR®, 2018. https://digitalcommons.wku.edu/theses/3045.
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Eating disorders and non-suicidal self-injury (NSSI) are pervasive behaviors that typically begin in early to mid-adolescence. They commonly co-occur, resulting in increasingly negative psychological and physical outcomes than either behavior alone. Emotion reactivity and family functioning have been studied in relation to both eating disorders and NSSI. Both constructs have demonstrated strong relationships to these behaviors, but emotion reactivity appears to be more strongly associated with NSSI, while family functioning appears to be more strongly related to eating disorders. The current study sought to determine whether emotion reactivity and family functioning could differentiate between adolescents with only an eating disorder, only NSSI, or both behaviors. Data were collected from 229 adolescents in both inpatient and outpatient treatment programs who reported either a diagnosed eating disorder, past week NSSI, or both. Results indicated that increased emotion reactivity increased the likelihood that an individual was categorized in the NSSI only group compared to the eating disorder group and the comorbid group. There was no main effect for family functioning across all analyses. Based on these results, emotion reactivity may be an important variable to consider in distinguishing between adolescents with eating disorders who may or may not engage in NSSI, and may provide further insight when examined longitudinally
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Scott, Lesli. "Predicting variables associated with disordered eating in Mexican American female adolescents." Online version, 2008. http://www.uwstout.edu/lib/thesis/2008/2008scottl.pdf.
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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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Galbraith, Michael. "A study of attitudes and beliefs associated with anorexia nervosa in adolescents and their parents." Thesis, Open University, 1997. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.287021.
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Solstrand, Dahlberg Linda. "Assessment of Function, Structure and Working Memory in Adolescents with a Recent Diagnosis of an Eating Disorder." Doctoral thesis, Uppsala universitet, Funktionell farmakologi, 2015. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-259050.
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Body, weight and shape related obsessions and ruminations are characteristic traits of individuals with eating disorders (ED) that are found to predate the onset of the disorder. Individuals with chronic ED display altered neural activation in response to food stimuli, and are reported to have volumetric differences compared to healthy individuals, which is likely an effect of prolonged starvation. ED individuals are also seen to dispose an attentional bias to food stimuli, even when perceived sub-consciously, which are reported to interfere with cognitive tasks, including working memory (WM). However, whether the differences in neural activation and structure are present in adolescents with a recent ED diagnosis is not known. In paper I we describe how images of high- and low-calorie foods resulted in greater responses in the prefrontal circuitry in ED adolescents compared to healthy controls (HC). Obsessive-compulsive symptoms in ED individuals were associated with prefrontal circuitry and cerebellar activation, whereas faster reaction times to the WM were associated with greater superior frontal gyrus activity. The findings indicate that ED cognitions may be linked to WM abilities, both of which are associated with frontal cortex functioning. WM performance is examined further in paper II, where we found that the presence of subliminal food images were seen to disrupt WM performance in terms of slower reaction times and less correct responses in ED but not HC. The WM interference was associated with increased activity in the parietal and superior temporal cortex. WM interference caused by subliminal food stimuli may reflect a pre-attentive bias to food in adolescents with ED, which could be a risk factor for further development of an ED. The structural differences in brain volume between adolescents with ED and HC were examined in paper III. ED symptoms were found to be associated with volume differences in insular cortex and superior temporal gyrus, whereas obsessive-compulsive symptoms were associated with reduced volumes in the putamen and cerebellum. These volumetric differences in regions implicated in restraint, obsessions and WM are likely to precede structural variations caused by starvation as seen in chronic ED’s. Connectivity from these regions, in addition to other regions believed to be implicated in ED, was studied in paper IV. Fronto-parietal regions as well as the insula showed increased connectivity in ED, whereas connectivity from the mesolimbic reward regions did not differ from HC. Regions with increased connectivity in ED are involved with self-awareness, body image and ED related ruminations, connections that could influence how one’s body is perceived. In conclusion, the studies included in this thesis describes changes in functional activity, connectivity and brain volume in regions involved with ED cognitions, eating behaviour, and body image in adolescents recently diagnosed with an ED.
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Moss, Hannah Joy. "Body Dissatisfaction in Adolescents with Eating Disorders: Associations with Maladaptive Perfectionism and Anxiety." Thesis, University of Canterbury. Psychology, 2011. http://hdl.handle.net/10092/6674.
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Eating disorders are chronic, disabling illnesses associated with significant mortality rates (Crow et al., 2009). Body dissatisfaction has been demonstrated as a prominent risk factor for adolescent eating disorders. However few studies have examined psychological factors that predict body dissatisfaction. The present study examined maladaptive perfectionism and anxiety as possible risk factors for body dissatisfaction in adolescents with eating disorders and controls. Participants completed measures of body dissatisfaction, maladaptive perfectionism, and anxiety. Results demonstrated that maladaptive perfectionism and anxiety were significantly and positively associated with body dissatisfaction. However, these factors did not interact to predict elevated body dissatisfaction in eating disordered adolescents. These findings suggest that current body image treatments for adolescents with eating disorders and from nonclinical populations may be improved by including a focus on maladaptive perfectionism or anxiety. Future research should endeavour to conduct prospective, longitudinal studies that assess whether risk factors for body dissatisfaction are also causal factors. Finally, it is also important that researchers investigate whether body image treatments that target maladaptive perfectionism or anxiety effectively reduce body dissatisfaction in adolescents with and without eating disorders.
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Wilson, Christina Ann. "Implementation and evaluation of dialectical behaviour therapy for adolescents and for eating disorders." Thesis, University of Birmingham, 2018. http://etheses.bham.ac.uk//id/eprint/8540/.
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This thesis contains two volumes. Volume one contains three chapters. The first chapter presents a systematic literature review of Dialectic Behaviour Therapy for young people diagnosed with an Eating Disorder. The second chapter presents an empirical study exploring Dialectic Behaviour Therapy implementation in services supporting young people. The third chapter presents a public dissemination document summarising the literature review and empirical study. Volume two contains five clinical practice reports (CPRs). The first CPR presents a cognitive behavioural formulation and a systemic formulation of a 15-year-old female presenting with low mood. The second CPR presents a service evaluation exploring both clinical leads and managers views of clinical supervision across one NHS Trust. The third CPR used a single-case experimental design to consider the effectiveness of a cognitive behavioural intervention for a 73-year-old female presenting with symptoms of depression and anxiety. The fourth CPR presents a case study of a 20-year-old female with a learning disability and autism, presenting with symptoms of anxiety. The final CPR is a case study abstract from an oral presentation of Cognitive Analytic Therapy, with a 35-year-old female diagnosed with Borderline Personality Disorder.
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Roberts, Bethan. "An exploration of the way in which services support adolescents with eating disorders." Thesis, Lancaster University, 2015. http://eprints.lancs.ac.uk/76922/.
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This thesis explores the way in which Eating Disorder (ED) services provide and deliver interventions aimed at supporting adolescents with an ED diagnosis. Within the systematic review, a meta-synthesis was conducted exploring eight papers presenting the experiences of parents and carers of family based therapies (FBTs) for people with an ED. Three themes were identified: i) we’re different as a family now; ii) finding strength in interactions with others; and iii) we aren’t all better yet. These results were discussed within the context of existing research, and the implications for services were discussed. The main research paper uses thematic analysis to explore the experiences of 8 adolescents with anorexia nervosa (AN) or eating disorder not otherwise specified – restrictive subtype (EDNOS-R). Semi-structured interviews were held with participants in order to think about their experiences of services alongside their social identity. Three main themes were identified: i) battling with the identity of being having an eating disorder; ii) the ups and downs of deciding to recover; and iii) I want to be treated like a normal person. These results were discussed within the context of existing literature into social identity and of service provision for EDs. Clinical implications are discussed. Within the critical appraisal, reflections of the research process are considered. The appraisal provides a space to reflect upon the process of conducting a thesis, and draws upon reflections documented throughout the research journey. The process of developing a research idea is discussed, as are methodological and ethical issues and other issues which were salient to the project. Overall, the thesis presents an exploration of the services currently available to young people with EDs and their families and considers the importance of taking a holistic approach to service design and provision.
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Seah, Elizabeth Jane Izett. "Patterns of attachment and reflective functioning in families of adolescents with eating disorders." Thesis, Curtin University, 2015. http://hdl.handle.net/20.500.11937/629.
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This study investigated attachment patterns and mentalising capacity of adolescent girls with eating disorders, their mother’s reflective capacity, and family functioning. Girls with eating disorders scored higher rates of insecure attachment, lower attachment coherence and higher hypermentalising than non-clinical girls. Although mothers’ reflective functioning did not differ between groups, a proportion of clinical mothers scored very low reflective functioning compared to controls. Clinical families presented with higher depression, anxiety, communication difficulties and conflict.