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1
Mrowicki, Anna. "Disordered eating in gastrointestinal disorders." Thesis, University of Warwick, 2016. http://wrap.warwick.ac.uk/88064/.
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This thesis consists of three chapters, a literature review, an empirical paper, and a reflective paper. Chapter one is a critical review of case study research on Disordered Eating (DE) in Gastrointestinal disorders (GId). Following both database and manual searches, twelve case study reports, describing 29 cases, were included and reviewed. The case study data shows there be a relationship between DE and GId, though the nature and direction of this relationship remains unclear. Possible risk factors for the onset of DE behaviours in the GId population are identified and discussed, as are suggestions for future research. Chapter two is a quantitative research study looking at DE in people with Crohn’s Disease (CD), compared to the general population. Participants in both groups (CD and control) completed self-reported, standardised measures of eating attitudes/behaviours and mood. The prevalence of DE was shown to be higher for people with CD compared to the general population, with females with CD shown to be most at risk of developing DE behaviours. In addition, anxiety and depression in children is highlighted as a possible risk factor for the development of DE in CD, in children. Clinical implications and directions for future research are discussed. Chapter three is a reflective account exploring the researcher’s research journey, from beginning to end. In this paper the choice of thesis topic is discussed, as are the researcher’s associated thoughts and feelings. The researcher’s epistemological position in relation to the methodology and natural style is also explored.
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Fox, Andrew Paul. "Eating disorders." Thesis, University of Birmingham, 2009. http://etheses.bham.ac.uk//id/eprint/423/.
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Overview This thesis is submitted in partial fulfilment of the requirement for the degree of Doctor of Clinical Psychology at the School of Psychology, University of Birmingham. The thesis consists of two volumes. Volume I This volume comprises two parts. The first part is a review of the literature regarding the role of attachment processes in the eating disorders. The second part is a qualitative study that investigates the personal meaning of eating disorder symptoms. The literature review suggests that although attachment processes appear to play a role in the development and maintenance of eating disorders, the precise relationship is unclear. This paper has been prepared for submission to the British Journal of Clinical Psychology. The empirical study uses interpretative phenomenological analysis in an effort to understand the sense people make of their eating disorder experiences. This paper has been prepared for submission to the Journal of Health Psychology. The Executive Summary is also submitted in this volume. Volume II Five Clinical Practice Reports (CPR) are presented in this volume. The first report details the case of a young man experiencing panic attacks and anxiety, formulated from a cognitive-behavioural and psychodynamic perspective. The second report is an evaluation of a new assessment process within a Child and Adolescent Mental Health Service. The third report is a single-case experimental study of an older woman who was experiencing panic-attacks and separation anxiety. The fourth report is a case study of psychotic experiences in a middle-aged man with learning disabilities, formulated from a person-based cognitive therapy perspective. The fifth report is the abstract of an oral presentation of attachment-related considerations within work with a substance-misuse service. All names and identifying features have been changed to ensure confidentiality.
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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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Schweitzer, Jana. "Eating disorders : the correlation of family relationships with an eating disorder continuum." PDXScholar, 1988. https://pdxscholar.library.pdx.edu/open_access_etds/3844.
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For the purposes of this study, eating disturbances were placed on a continuum ranging from disordered to normal, and family factors were examined via this framework. Research on anorectics and bulimics indicates that a variety of family variables contribute to the etiology of eating disorders. Research suggests the presence of a subgroup of persons who experience some disturbance in their relationships with food but not to the severity observed among eating disordered individuals. This study examined the relationship between family factors and eating disturbances.
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Hill, Becky Carolynn. "Eating disorders during pregnancy." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1997. http://www.collectionscanada.ca/obj/s4/f2/dsk2/ftp04/mq22744.pdf.
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Wilshere, Veronica. "Mentalization and eating disorders." Thesis, University of Surrey, 2011. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.543931.
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Nicholson, Josie. "Relationships and Eating Disorders." Thesis, City University London, 2010. http://openaccess.city.ac.uk/1150/.
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Kalinowski, Katherine. "Eating disorders : between people." Thesis, City University London, 2015. http://openaccess.city.ac.uk/14512/.
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The National Institute of Health and Clinical Excellence (NICE) has suggested that 1.6 million people in the UK are affected by eating disorders (NICE, 2004). Generally speaking, eating disorders have major physical, psychological and social consequences (Hjern et al., 2006), often characterized by a poor quality of life (De la Rie et al., 2007) and a high health burden (Mond et al., 2009). Furthermore, anorexia nervosa has the highest rate of mortality of any psychiatric disorder, due to both medical complications associated with the disorder and suicide (BEAT, 2014). This statistic alone is indicative of the vitality of eating disorder research particularly that focused on treatment and prevention. Though the ‘poor quality of life’ and ‘high health burden’ are attributed to the individual sufferer, these adverse complications often seep into the immediate family, including children (Stitt & Rupert, 2014). The majority of studies in this field have explored the impact of parental eating disorders on their children; with a focus on the quantitative relationship between the maternal eating disorder and child development, birth weight and feeding logistics (Stitt & Rupert, 2014). The mother’s subjective experience has been widely neglected. Linville et al. have explored the sociocultural influences on the development of eating disorders. Their evidence suggested that the parents, as the primary socialization agents to their children, significantly influence the development of body image disturbances and disordered eating (Linville et al., 2011). Familial eating disorder pathology has long been a source of ongoing investigation, as studies have consistently indicated that the immediate relatives of individuals with anorexia nervosa show an increased risk of developing an eating disorder themselves (Watkins, Cooper & Lask, 2012). Though the degree of correlation pertaining to genetic and environmental influence is unclear, the link itself is consistent and compelling (Lilenfeld & Kaye, 1998). This chapter will consider the literature surrounding mothers’ experiences of feeding her children while having a disordered relationship with food. First I will consider the impact that parental psychiatric disorders have on their children, specifically, the relationship between maternal eating disorders and child development. I will then review the evidence that characterizes the children of mothers with eating disorders as a ‘at risk’ population. Previous research has identified a number of difficulties that mothers with eating disorders encounter within their parenting role; these will be explored, with a particular focus on the mothers’ subjective experience of feeding their children. And finally, the literature on the transgenerational transmission of eating disorders from mother to child will be reviewed. Treatment options will be contemplated, with a view to creating interventions specifically tailored to mothers with eating disorders and their families. A look forward in the direction of future research will be explored, specifically the effectiveness of family therapy for adults with eating disorders. There is an uneven distribution in the literature of research focused on the quantitative impact of maternal eating disorders on children and the risk of transmission. This bias manifests in an unsaturated body of evidence exploring the mothers’ experience. The current chapter will reflect this disproportionate emphasis and attend to both the majority and minority perspectives. This literature review will illuminate the need for more qualitative research, exploring the mothers’ experience of being a parent while having an eating disorder, specifically, her subjective account of engaging in the function of feeding her children.
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Crino, Natalie. "Metacognition and eating disorders." Thesis, The University of Sydney, 2014. http://hdl.handle.net/2123/12643.
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Cognitive theories of emotional disorder maintain that psychological dysfunction is associated with a disturbance in thoughts and beliefs. In contrast, the self-regulatory executive function theory of emotional disorder (Wells & Matthews, 1994), posits that psychological disturbance is associated with metacognitive beliefs that promote the use of dysfunctional metacognitive control strategies. The aim of the thesis was to investigate whether metacognitive beliefs and metacognitive control strategies are associated with symptoms and features of eating disorders. In pursuit of this aim, two studies were undertaken examining: features of cognition between diagnostic groups, and compared to a non-clinical group; the inter-relatedness of cognitive and metacognitive constructs and their associations with symptoms; strategy-use during body exposure and cognitive predictors of state- and physical appearance anxiety; cognitive and metacognitive predictors of early treatment response in patients undergoing cognitive behaviour therapy (CBT) for an eating disorder. In Study 1, 90 clinical- and 108 non-clinical participants engaged in a guided 3-minute body exposure task, and then completed questionnaires measuring affective state, and engagement in- and efficacy of thought control strategies. In Study 2, 103 clinical participants engaged in either day-hospital or outpatient CBT. After 12-weeks of treatment, symptom measures were re-administered. The overall results indicated that, firstly, eating disorder subgroups have a similar cognitive profile, but differ substantially from a non-clinical group. Secondly, the pattern of inter-relationships between cognitive and metacognitive variables was found to be multidimensional. Thirdly, the clinical group displayed a greater tendency to use maladaptive thinking strategies in general, but not under body exposure conditions. Fourthly, metacognitive variables were only found to be associated with features of the disorder that are not specific to eating disorders. However, they were found to predict degree of treatment change in dietary restraint, bulimia, body dissatisfaction and stress, which suggests that targeting metacognitive processes may be important for facilitating change in these symptoms.
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Schulz, Constanze Anja. "Early eating patterns of women with eating disorders." Thesis, University of Edinburgh, 2002. http://hdl.handle.net/1842/25166.
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AIM: Anorexia, bulimia and obesity have become a problem for increasing numbers of females of all ages. Like eating itself, pathological eating patterns can be regarded as products of historical, societal, family and individual factors. The aim of the present study was to explore whether early experiences with food and eating influenced women's eating patterns in later life and furthermore if there are specific aspects of socialisation in regards to food which are associated with the development of a specific form of eating disorder. METHOD: The retrospective accounts of women with anorexia nervosa (n=18), bulimia nervosa (n=21) or severe obesity (n=18) were compared with those of women without an eating pathology (n=20). A semi-structured interview was conducted in addition to self-rating questionnaires about current eating behaviour (EDI, EAT, BITE) and relationships with parents and peers during childhood (PBI, PARTS). The data was analysed using quantitative and qualitative methods. RESULTS: The families of the four sub-groups differed surprisingly little concerning food and eating. However, significant differences in the informants' relationship with their mothers were found, with the eating disordered women describing their mothers as less caring and more overprotective. In addition there was a positive correlation between this parenting style of 'affectionless control' and severity of eating pathology. Qualitative analysis underlined that the sub-groups differed not only in their experience of parental control but also in how they responded to it. Body shape as a child emerged as an important factor in interview and questionnaires. Heavier weight in childhood was' associated with earlier onset of dieting and persistent negative body image. All three eating disordered sub-groups described themselves as being heavier as children and reported more size related teasing by peers and (in particular male) family members. CONCLUSION: The literature reviewed and the present study add further weight to the evidence of a link between early eating related experiences and the later manifestation of eating problems. However the link between socialisation in regards to food and eating and the development of a specific form of eating disorder is more tentative.
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Allen, Karina. "The development and maintenance of cognitive and behavioural eating disorder symptoms." University of Western Australia. School of Psychology, 2009. http://theses.library.uwa.edu.au/adt-WU2010.0011.
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[Truncated abstract] Eating disorders affect a significant proportion of adolescent and young adult women and a smaller proportion of children, men, and older individuals. They are associated with a range of physical, psychological, and social consequences that can have a profound and lasting impact on affected individuals. Eating disorder symptoms (e.g., marked weight and shape concern, strict dieting, binge eating, purging) are also associated with physiological and psychosocial morbidity, and are reported by up to half of adolescent girls and one-third of adolescent boys. If eating disorders are to be effectively prevented or treated, it is imperative that risk and maintaining factors for the conditions are identified. ... This thesis aimed to identify the variables and models that may best account for the development and maintenance of eating disorder symptoms, through two broad studies and six sub-studies. Study 1 focused on identifying predictors of cognitive (i.e., elevated weight and shape concern) and behavioural (i.e., binge eating) eating disorder symptoms in pre- to early-adolescent children followed over time. Prospective tests of the dual-pathway (Stice, 2001) and cognitive-behavioural (Fairburn, 2002; Fairburn, Cooper, & Shafran, 2003) models of eating pathology were also conducted, and a distinction was made between weight and shape concern and weight and shape over-evaluation. Low selfesteem, perceived media pressure to be thin, weight and shape over-evaluation, and maternal concern about child weight prospectively predicted increases in child weight and shape concern over time (Studies 1b and 1c), and weight and shape concern was the most robust predictor of increases in dietary restraint (Studies 1b and 1d). Dietary restraint and affect-related eating prospectively predicted binge eating onset (Studies 1a and 1d), and the dual-pathway and cognitive-behavioural models were both able to account for the development of binge eating over a two year period (Study 1d). Evidence was also provided for the relative superiority of the most recent, enhanced cognitivebehavioural model (Fairburn et al., 2003) over other available theoretical accounts. Study 2 focused more specifically on the role of mood intolerance in predicting and maintaining eating pathology in adults. In Study 2a, a new measure of mood intolerance was developed, revised, and evaluated. In Study 2b, the role of mood intolerance in cross-sectionally predicting binge eating and purging was examined within the framework of the enhanced cognitive-behavioural model. The importance of mood intolerance in accounting for eating disorder symptoms was confirmed, and additional support for the cognitive-behavioural model was provided. Collectively, the six empirical studies have provided new data regarding the relative importance of different variables in the development and maintenance of different eating disorder symptoms. They also provide initial insight into the relative validity of alternate theoretical models in this area. The results suggest that the most recent, enhanced cognitive-behavioural model may provide the best account of how eating disorder symptoms develop and are maintained, providing that the mood intolerance component of the model is specified.
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Swinbourne, Jessica M. "The comorbidity between eating disorders and anxiety disorders." Thesis, The University of Sydney, 2008. http://hdl.handle.net/2123/4026.
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Research indicates that eating disorders and anxiety disorders frequently co-occur. The prevalence of anxiety disorders amongst anorexia nervosa and bulimia nervosa samples has been reported in a number of investigations. Despite the significant number of research papers investigating the comorbidity between eating disorders and anxiety disorders, many are plagued by methodological problems, limiting the usefulness of findings. Furthermore, there is a significant lack of research examining the prevalence of eating disorders among anxiety patients, and as a result, the frequency of eating disorder pathology among patients presenting to specialty anxiety clinics is unclear. The current research investigated the prevalence of comorbid eating and anxiety disorders amongst 152 women presenting for either eating disorder treatment or anxiety disorder treatment. The prevalence of anxiety disorders was determined from a sample of 100 women presenting for inpatient and outpatient eating disorder treatment. The prevalence of eating disorders was determined from a sample of 52 women presenting for outpatient treatment of an anxiety disorder. The current study found that 65% of women with eating disorders also met criteria for at least one comorbid anxiety disorder. Furthermore, 69% reported the onset of the anxiety disorder to precede the onset of the eating disorder. Of the anxiety disorders diagnosed, Social Phobia was most frequently diagnosed (42%) followed by PTSD (26%), GAD (23%), OCD (5%), Panic/Ag (3%) and Specific Phobia (2%). We also found that 13.5% of women presenting for anxiety treatment also met criteria for a comorbid eating disorder. The results of this study suggest that the prevalence of eating and anxiety disorder comorbidity is high. It is hoped that the present research will have significant etiological and therapeutic implications and further the understanding of the development and maintenance of eating disorder pathology.
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Swinbourne, Jessica M. "The comorbidity between eating disorders and anxiety disorders." University of Sydney, 2008. http://hdl.handle.net/2123/4026.
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Doctor of Philosophy(PhD)Research indicates that eating disorders and anxiety disorders frequently co-occur. The prevalence of anxiety disorders amongst anorexia nervosa and bulimia nervosa samples has been reported in a number of investigations. Despite the significant number of research papers investigating the comorbidity between eating disorders and anxiety disorders, many are plagued by methodological problems, limiting the usefulness of findings. Furthermore, there is a significant lack of research examining the prevalence of eating disorders among anxiety patients, and as a result, the frequency of eating disorder pathology among patients presenting to specialty anxiety clinics is unclear. The current research investigated the prevalence of comorbid eating and anxiety disorders amongst 152 women presenting for either eating disorder treatment or anxiety disorder treatment. The prevalence of anxiety disorders was determined from a sample of 100 women presenting for inpatient and outpatient eating disorder treatment. The prevalence of eating disorders was determined from a sample of 52 women presenting for outpatient treatment of an anxiety disorder. The current study found that 65% of women with eating disorders also met criteria for at least one comorbid anxiety disorder. Furthermore, 69% reported the onset of the anxiety disorder to precede the onset of the eating disorder. Of the anxiety disorders diagnosed, Social Phobia was most frequently diagnosed (42%) followed by PTSD (26%), GAD (23%), OCD (5%), Panic/Ag (3%) and Specific Phobia (2%). We also found that 13.5% of women presenting for anxiety treatment also met criteria for a comorbid eating disorder. The results of this study suggest that the prevalence of eating and anxiety disorder comorbidity is high. It is hoped that the present research will have significant etiological and therapeutic implications and further the understanding of the development and maintenance of eating disorder pathology.
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Milos, Gabriella. "Eating disorders : a dynamic phenomenon /." Zürich, 2005. http://opac.nebis.ch/cgi-bin/showAbstract.pl?sys=000253494.
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Björck, Caroline. "Self-image and eating disorders /." Stockholm, 2006. http://diss.kib.ki.se/2006/91-7140-670-0/.
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Ioannou, Korina. "Emotional Expression in Eating Disorders." Thesis, University of Manchester, 2008. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.492753.
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Over the recent years, research has documented links between eating disorder (ED) symptomatology and deficits in emotional functioning, with respect to the identification, differentiation and expression of affective states. Theoretical models of eating disorders have become increasingly sophisticated, alluding to the functional role of disordered eating in alleviating negative affect, through physiological and cognitive pathways. The aims of the study were a) to ascertain the specificity of emotional expression problems in women with ED, relative to women with depression and normal controls, b) to compare perceptions of threat posed by emotions among the three groups, c) to determine the relationship between emotional expression and perceptions of threat from emotion in the ED sample, and d) to extend a previous study (Hayaki et al., 2002a) to an ED sample, by exploring the relationship between emotional expression and body dissatisfaction, using a multiple hierarchical regression model.
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Thomas, Michael. "Existential interventions in eating disorders." Thesis, University of Nottingham, 2001. http://eprints.nottingham.ac.uk/11482/.
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This study provides the result of a doctorate research into the impact of existential psychotherapeutic interventions with people experiencing chronic eating disorders. The results indicate that positive outcomes are correlated to therapeutic interventions which concentrate on the clients own perception of control and choice over their own eating habits. The research aim was to explore both the effects and the effectiveness of existential therapy in altering the individuals subjective interpretation of their Self when they are deeply immersed in the experience of disordered eating. Interventions went beyond the cognitive-behavioural approaches into the implementation of existential psychotherapy which helped individuals to explore the existential concerns of life, choice, hope, social inclusion and love within the context of their own sense of Being. This focus led to an improvement in all study subjects and a reduction in the use of mental health resources. All individuals entered the study following assessment criteria which included chronicity, lengthy use of mental health services and past therapeutic interventions. Three diagnostic criteria were included, Anorexia Nervosa, Bulimia Nervosa and Morbid Obesity. Data presented in the study supported the original premise that all three eating disorders share underlying similarities and justify the inclusion of the diagnostic criteria of morbid obesity within the study. Therapy was either in closed groups or individual and consisted of a fixed number of one-hour sessions. Therapeutic techniques included cognitive-behavioural therapy and person-centred counselling focusing on self-esteem and self-assertion, as well as an existential focus on dualistic perception of the mind/body, the conscious sense of the present and the affective bond with food itself. A series of therapeutic phases were structured to demonstrate the progress from interventions in self-esteem and self-assertion to existential concerns and principles. Taking therapy beyond cognitive-behavioural techniques involved the application of Yaloms' (1980) and Strasser and Strassers' (1997) Existential Therapy and an exploration of Duker and Slades' (1988) concepts of the fragmentation of the sense of Self in individuals experiencing eating disorders. The research demonstrated important differences between the professional perception of appropriate eating and alteration in weight as successful clinical outcomes, and the clients’ dependency on disordered eating as a source of release from interacting with others. Mental health interventions were perceived by clients as attempts to stop such a release without providing a substitute. A clear sense of loss was presented by all study subjects when eating was controlled by others. In most cases disordered eating was habitual and the emotional effects of raised or lowered glucose levels gave a sense of numbness and nothingness which was actively pursued. This was also attained when disordered eating was combined with other self-harm behaviours. Mental health practitioners inadvertently prevented the attainment of a sense of numbness by their focus on eating and body weight. The encouragement of food regimes causes increased anxiety for all clients leading to poor compliance levels. The research results have the potential to impact on mental health education and clinical services as the data indicates that individuals with disordered eating gain more benefit when the therapeutic focus is less on restoring appropriate eating habits and more on the individuals sense of Self; the importance of food intake as a source of escape from others and escape from the internal awareness of Self.
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Bamber, Diane. "Exercise dependence and eating disorders." Thesis, University of Birmingham, 2000. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.364463.
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Luck, Amy Jane. "Schema process in eating disorders." Thesis, St George's, University of London, 2004. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.407942.
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van, Dyck Zoé, and Anja Hilbert. "Eating Disorders in Youth-Questionnaire." Universitätsbibliothek Leipzig, 2016. http://nbn-resolving.de/urn:nbn:de:bsz:15-qucosa-197236.
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Der Essstörungen im Kindesalter-Fragebogen (Eating Disorders in Youth-Questionnaire; EDY-Q) ist ein aus 14 Items bestehendes Instrument zur Erfassung von restriktiven Essproblemen bei 8-13-jährigen Kindern im Selbstbericht. Die Items basieren auf den Kriterien der Störung mit Vermeidung oder Einschränkung der Nahrungseinschränkung (Avoidant/Restrictive Food Intake Disorder; ARFID), definiert im Diagnostischen und Statistischen Manual Psychischer Störungen, 5. Auflage (DSM-5; American Psychiatric Association, 2013), auf den „Great Ormond Street“-Kriterien (Bryant-Waugh & Lask, 1995) und auf der Literatur zu restriktiven Essproblemen mit Beginn im frühen Lebensalter. Zwölf der 14 Items des EDY-Q erfassen Symptome von ARFID, inklusive der drei vorgeschlagenen Varianten (Bryant-Waugh, Markham, Kreipe & Walsh, 2010) Nahrungsvermeidung mit emotionaler Störung (food avoidance emotional disorder; FAED), selektives Essen (selective eating; SE) und funktionelle Dysphagie (functional dysphagia; FD). Zwei zusätzliche Items erfassen Pica und die Ruminationsstörung, zwei weitere Fütter- und Essstörungen mit Beginn im frühen Lebensalter, die im DSM-5 beschrieben sind (American Psychiatric Association, 2013).
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Hilbert, Anja, and Dyck Zoé van. "Eating Disorders in Youth-Questionnaire." Universitätsbibliothek Leipzig, 2016. http://nbn-resolving.de/urn:nbn:de:bsz:15-qucosa-197246.
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The Eating Disorders in Youth-Questionnaire (EDY-Q) is a 14-item instrument for assessing early-onset restrictive eating disturbances in 8-13 year old children via self-report. The items are based on: the criteria for Avoidant/Restrictive Food Intake Disorder (ARFID) in the Diagnostic and Statistical Manual of Mental Disorders Fifth Edition (DSM-5; American Psychiatric Association APA, 2013); the Great Ormond Street criteria (Bryant-Waugh & Lask, 1995); and literature on early-onset restrictive eating disturbances. The EDY-Q consists of fourteen items, twelve of which cover ARFID symptomatology, including its three proposed variants (Bryant-Waugh, Markham, Kreipe & Walsh, 2010), food avoidance emotional disorder (FAED), selective eating (SE), and functional dysphagia (FD). Two additional items briefly address Pica and Rumination Disorder, two other early-onset feeding or eating disorders described in the DSM-5 (APA, 2013). The English version of the EDY-Q was translated from the German version (van Dyck & Hilbert, 2016) by AH. This translation was controlled by a retranslation procedure through a licensed translator.
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Fox, John R. E. "Emotional processing in eating disorders." Thesis, University of Edinburgh, 2010. http://hdl.handle.net/1842/29107.
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Research into emotional processing in eating disorders (ED) is still very much in its infancy. Milligan and Waller (2000), Waller et al (2003) and others have shown that there is difficulty with the emotion of anger, especially in its expression. Whilst others (e.g. Troop et al, 2000) have demonstrated an increased sensitivity for disgust with an ED population. In recent years, there has been significant development in CBT models of eating disorders; in particular, bulimia nervosa and these models have started to suggest that eating disorder symptomatology acts as an emotional regulator (e.g. Cooper et al, 2004; Waller et al, 2007). Although these models are a useful start in understanding emotions in eating, there is a lack of a theoretical understanding of why people with eating disorders have particular difficulties with certain emotions. This thesis presented a detailed consideration of the literature that has attempted to understand the relationship between emotions and eating disorder symptomatology by proposing a new model of eating disorders that is based upon the recent theoretical developments in emotional processing (i.e. SPAARS model, Power and Dalgleish, 1997, 1999). This SPAARS-ED model was used as the theoretical backdrop for the thesis, and the data from the four studies were designed to test some of the key hypotheses stemming from the model. The first study was a grounded theory study that investigated perceptions of the basic emotions and the developmental histories of emotions within a group of 11 people with severe anorexia nervosa. The results highlighted themes of anger and sadness being suppressed, and were often regarded as being 'toxic'. Furthermore, themes were also explored that focused on metaemotional skills and participants recollections of how their parents, peers and caregivers used to respond to their emotions. The second study directly tested the theoretical idea of 'coupled emotions', and this study found data that demonstrated increased levels of disgust following an anger induction for people with bulimic symptoms, in comparison to control participants. The third study was a survey based study that quantitatively looked at both the predictive power of each of the basic emotions for disordered eating patterns, and also how certain emotion response styles from carers (e.g. punitive, dismissive, etc towards an emotion) were related to disorder eating. The results showed that anger and sadness predicted eating disorder symptoms, and the effect was large. However, there were no significant associations between emotion response styles and disordered eating. The final study was a hybrid study that was based on the two quantitative studies in this thesis. In a cross sectional study, a group of participants with anorexia nervosa were compared to control participants. This study had two parts, with the first part focusing on emotion regulation styles and core beliefs, whilst the second part repeated and developed the experimental methodology from study 2. The results showed that people with anorexia nervosa had significantly more internal dysfunctional emotion regulation style, and significantly more negative beliefs about the self and others when compared to controls. Interestingly these core beliefs patterns were significantly correlated with state emotions, with negative other beliefs being correlated to state anger, whilst negative internal beliefs were significantly correlated to state emotions of disgust and sadness. The second part of this study showed that, following an induced anger emotion, people with anorexia nervosa showed significantly higher levels of disgust, and estimation of body size. This was taken as further evidence of a potential coupled emotion effect, between anger and disgust within eating disorders. These findings were then discussed, in relation to both the SPAARS-ED model, and the general literature.
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Leponis, Annette Frances. "Emotional abuse and eating disorders." Thesis, Swansea University, 2004. https://cronfa.swan.ac.uk/Record/cronfa42883.
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Events of eating disordered peoples' lives, prior to the development of their eating disorder were examined to see if pre-existing factors contributed to their disorder. Six women who currently had or had recovered from an eating disorder were interviewed and the transcripts analysed using Interpretative Phenomenological Analysis. Five superordinate themes were identified: negative parental behaviour, child's emotional response to her parents' behaviour, child's behavioural response to her parents, trigger and eating disorder as a coping strategy. These themes formed a theoretical model: emotional abuse beginning a process leading to an eating disorder. The need for a multi-dimensional measure of emotional abuse was highlighted. Questions regarding parental emotional abuse were factor analysed. A mother and father version of the questionnaire was produced, each with three factors: Emotional coldness, control and psychological punishment. An upset scale was included that measured emotional affect. Emotional abuse was found to correlate with physical abuse and neglect, and eating disordered people had higher emotional abuse scores than their matched controls. The final study examined the relationships between different types of abuse, perfectionism (a sub-theme of the 'child's behavioural response to her parents') and eating disorder symptoms. The results indicated that emotional abuse rarely existed independently of other types of abuse. Multiple regression analysis indicated that a mediated relationship existed (through negative perfectionism) between mother psychological punishment and body dissatisfaction in the non-eating disorder group that supported Kent, Waller and Dagnan's (1999) findings that emotional abuse may be central to all types of abuse associated with unhealthy eating attitudes. Eating disordered people were more likely to have been emotionally abused. In the noneating disorder group psychological punishment by the mother was related to body dissatisfaction through negative perfectionism. It was concluded that emotional abuse creates a vulnerability, although a further trigger is necessary to induce an eating disorder.
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Murray, Sara. "Sociocultural factors in eating disorders." Phd thesis, Faculty of Medicine, 1991. http://hdl.handle.net/2123/8119.
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Price, Carly S. "Nurses' Knowledge of Eating Disorders." Digital Commons @ East Tennessee State University, 2016. https://dc.etsu.edu/honors/319.
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Eating Disorders are a range of disorders marked by abnormal eating habits. These habits can often have a detrimental effect on the body and have the potential to complicate acute medical problems if they are a pre-existing condition. Due to this, it is important that members of the healthcare team be aware of the nature of these disorders from both a physical and mental health perspective in order to provide the best, most holistic care. In this study, individuals with nursing experience in acute medical and acute psychiatric care were asked 11 questions concerning the assessment and knowledge of eating disorders along with demographic information such as age, area of practice and years of experience. The results of this study showed the average score of the questions involving treatment (7-11) were higher than that of the assessment questions (1-6) and that years of practice experience had no correlation, positive or negative, to overall score. These findings are consistent with the literature that suggests that nurses could potentially benefit from additional education regarding their disorders and their unique presentation, as it can be inferred that years of practice alone does not determine competency in the area especially, according to this study, in terms of assessment and identification.
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Boggs, Teresa. "Eating Disorders in Young Children." Digital Commons @ East Tennessee State University, 2015. https://dc.etsu.edu/etsu-works/1507.
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Cooper, Barbara Ellen. "From East to West An exploratory cross cultural comparison of night eating syndrome and related eating pathology in Mainland China and the USA /." Thesis, Montana State University, 2008. http://etd.lib.montana.edu/etd/2008/cooper/CooperB0508.pdf.
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The current study investigates the prevalence rate of Night Eating Syndrome (NES) in mainland China. Although some research has investigated the prevalence and characteristics of anorexia nervosa and bulimia nervosa in China, virtually no research has been carried out on NES in the indigenous Chinese population. Thus, the primary goal of the current study was to examine NES prevalence and characteristics in China and to compare these prevalence rates and characteristics to published prevalence rates for the USA and also to a sample of college students in the USA. NES has also been linked to various other characteristics of eating pathology so the current study examined these facets as they have received inadequate attention in mainland China. Participants completed survey packets that contained the following measures: Night Eating Questionnaire (NEQ), Night Eating History and Inventory (NEHI), Eating and Attitudes Test-26 (EAT-26), Eating Disorder Inventory-2 (EDI-2), and the Food Frequency Questionnaire (FFQ). NES prevalence in the Chinese sample was found to be greater than rates for the US and for other countries. However, the NEQ may not be a valid measure for NES screening in the Chinese population. Seven of the 21 participants scoring above the NEQ cut-off, indicating likely cases of clinically diagnosable NES, also met the criteria for anorexia nervosa and one met the criteria for bulimia nervosa. Prevalence of other eating pathological symptomatology in the Chinese sample, such as anorexia nervosa, was also higher than reported rates for American Caucasians. With adjusted body mass index (BMI) norms for China, prevalence of obesity in the Chinese sample was much lower than the rates reported for Americans even though the Chinese participants overall reported consuming foods at a much greater frequency per week.
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Linardon, Jake. "The cognitive-behavioural theory and treatment for eating disorders and disordered eating: A direct evaluation." Thesis, Australian Catholic University, 2017. https://acuresearchbank.acu.edu.au/download/01759182954e012eb696b66f1c5db409074ad956e0c96f8efd8ade7ec4826add/6897367/Linardon_2017_The_cognitive_behavioural_theory_and_treatment__for.pdf.
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In a series of four studies, the aim of the current research project was to evaluate the cognitive-behavioral theory and treatment (CBT) of eating disorders. The first study (Chapter 5) was a meta-analysis (Linardon, Wade, De la Piedad Garcia, & Brennan, in press) of randomized controlled trials (RCT) testing the efficacy of CBT for eating disorders. Pooling data from 79 RCTs, results showed that therapist-led and guided self-help CBT were efficacious for individuals with bulimia nervosa (BN) and binge eating disorder (BED). There was no evidence to suggest that CBT was more efficacious than other psychological interventions in anorexia nervosa (AN).
Having found evidence supporting the efficacy of CBT for certain eating disorder presentations, the second study (Chapter 6), which was a systematic review, focused on identifying the reliable factors that mediate, moderate, or predict outcome during CBT (Linardon, de la Piedad Garcia, & Brennan, 2016b). This review found that mediators and moderators of change have been largely unexplored, and that no reliable predictors of outcome emerged. Therefore, based on existing evidence, it was concluded that it remains unclear how, for whom, and under what conditions, CBT for eating disorders works.
To understand the mechanisms through which CBT for eating disorders may work, a cross-sectional evaluation of the cognitive-behavioral model in a large non-clinical sample was employed for the third study (Chapter 8; under review). This study validated the conceptual pathways hypothesized by the cognitive model; it also identified two additional variables that might be important mechanisms of change during CBT, body checking and dichotomous thinking. The inclusion of body checking and dichotomous thinking within the cognitive-behavioral model explained nearly three times the amount of variance in disordered eating symptoms than the model without these variables. The third study offered the necessary statistical support for the cognitive-behavioral model and its hypotheses.
The final study (Chapter 10) utilized a single case experimental design (n=8) to test the hypothesized cognitive-behavioral mechanisms of change during a CBT guided self-help program. The potential mechanisms of change examined were shape and weight concerns, dietary restraint, and adherence to regular eating strategies. Preliminary evidence showed that an adherence to regular eating in the second week of CBT was associated with a concurrent decrease in dietary restraint and binge eating. From this study, there was no evidence that other potential mechanisms were operating to reduce binge eating behavior.
Based on these four independent research studies, this thesis gathered converging evidence in support for the underling cognitive-behavioral model of eating disorders. Further, these findings suggest that CBT for eating disorders is likely to contain several theory-specific mechanisms that are responsible for this treatments effectiveness. More broadly, the current thesis offers support for the contention that CBT for eating disorders “works” because of the reason outlined by its underlying model and because of its specific therapeutic mechanisms.
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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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Butler, Emma. "The clinical relevance of personality disorder cognitions in the eating disorders." Thesis, University of East London, 2009. http://roar.uel.ac.uk/3729/.
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Although cognitive behavioural therapy (CBT) is recommended by the National Institute for Clinical Excellence (2004) as the treatment of choice for bulimia nervosa, it has only been found to be effective for 50-60% of individuals. In addition, the evidence base for the efficacy of CBT in the treatment of anorexia nervosa is weak. It is commonly recognised that there is a high comorbidity between personality disorders (and their associated traits) and eating disorders. The purpose of this study was therefore to examine the cognitions underpinning personality disorders in individuals with eating disorders, and to investigate whether those cognitions reduce the impact of CBT for eating disorders. Participants were 59 individuals with a diagnosed eating disorder presenting for CBT at a specialist eating disorder service. Each participant completed measures of personality disorder cognitions, eating disorder attitudes/dysfunctional assumptions and other psychological symptoms at session one of CBT. Participants were then asked to repeat the measures of eating disorder attitudes/dysfunctional assumptions at session six of CBT. Drop-out rates were recorded. Findings provided evidence of the rapid onset of action of CBT for eating disorders. There was a significant reduction in eating disorder attitudes over the first six sessions. Six personality disorder cognitions were significantly associated with eating disorder attitudes/dysfunctional assumptions and other psychological symptoms. These were avoidant, obsessive-compulsive, dependent, borderline, histrionic and paranoid personality disorder cognitions. Higher levels of dependent and narcissistic personality disorder cognitions were associated with dropping out of treatment before session seven of CBT, and higher levels of histrionic, avoidant and borderline personality disorder cognitions were associated with an improvement in eating disorder attitudes in the first six sessions of CBT. The limitations of the study and recommendations for future research are discussed. In addition, the clinical implications of the findings are considered.
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Marchand, Stephanie Milbradt. "Disordered eating behaviors among collegiate athletes /." View online ; access limited to URI, 2007. http://0-digitalcommons.uri.edu.helin.uri.edu/dissertations/AAI3284826.
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Welch, Elisabeth. "Eating Disorders : Steps Towards an Increased Understanding." Doctoral thesis, Uppsala universitet, Institutionen för psykologi, 2014. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-220951.
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Eating disorders and disordered eating attitudes and behaviors are characterized by an over-evaluation of weight and shape, under or over-controlled eating, as well as engagement in compensatory behaviors. The disorders are associated with psychological suffering, acute and long-term health impairments, a high rate of suicide attempts as well as an increased risk of mortality. Knowledge regarding the etiology of eating disorders is limited and based on current models it is not possible to adequately predict either who will get an eating disorder or who will recover. This lack of understanding has hindered the development of effective prevention and treatment interventions. The aim of the present thesis was to contribute towards an increased understanding of eating disorders and disordered eating attitudes and behavior through the collection of norms and psychometric data, investigation of risk factors and their roles, and focusing on the understudied group of males with eating disorders. Five studies were included. Specifically, Study I focused on collecting general population and clinical norms on the well-established Eating Disorder Examination Questionnaire (EDE-Q) and the Clinical Impairment Assessment Questionnaire (CIA). Study II both collected general population norms on, and investigated psychometric properties of, the Body Shape Questionnaire (BSQ-8C), an instrument intended to assess body dissatisfaction. Study III focused on the role of perfectionism (an established risk factor for eating disorders) as a possible mediator or moderator between body dissatisfaction and disordered eating behavior and attitudes. Finally, in Study IV and V attention was placed on males. In Study IV the specific aim was to compare the clinical characteristics between young males and females with eating disorders while in study V the specific aim was to explore variables associated with disordered eating among young males based on a compilation of factors known to play a role among females as well as factors thought to be uniquely associated with males, such as sexual orientation and drive for muscularity. A greater understanding of eating disorders will help reduce the stigma that is associated with eating disorders, easing the way for affected individuals to seek help and ultimately improve the development of effective prevention and intervention.
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Janzen, Mikyla. "Heart rhythm changes in eating disorders." Thesis, University of British Columbia, 2017. http://hdl.handle.net/2429/62532.
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The full abstract for this thesis is available in the body of the thesis, and will be available when the embargo expires.Medicine, Faculty of
Experimental Medicine, Division of
Medicine, Department of
Graduate
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Selway, Susan Lynne. "Alexithymia and attachment in eating disorders." Thesis, University of Canterbury. Department of Psychology, 2002. http://hdl.handle.net/10092/2472.
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A multi-dimensional construct, alexithymia represents a cluster of characteristics: difficulty distinguishing between feelings and the bodily sensations of emotional arousal, difficulty describing feelings, an externally-oriented cognitive style, constricted imaginal processes and paucity of fantasy. Originally developed to describe features observed in psychosomatic patients, it is now thought that alexithymia makes individuals vulnerable to physical and mental illness, including coronary heart disease, inflammatory bowel disease, anxiety disorders, substance abuse disorders, somatoform disorders, and eating disorders. Alexithymia is thought to reflect dissociation or dysfunction in the emotion regulation system resulting from an arrest in emotion development at the preoperational stage. This study investigated the hypothesis that the origins of alexithymia (i.e. disrupted emotion development) lie in problematic attachment relations. A group of women diagnosed with eating disorders (N = 30) and a comparison group of women of similar age (N = 83) were administered a set of self-report instruments that included the Toronto Alexithymia Scale (TAS-20), Parental Bonding Instrument (PBI), Close Relationships Questionnaire (CRQ), Beck Depression Inventory (BDI-II), State-Trait Anxiety Inventory (STAI), and the Eating Disorders Inventory (EDI-2). With the exception of the externally oriented thinking subscale of the TAS-20, eating disorders group means were significantly higher than comparison group means for subscales of all measures (p < .05). The eating disorders group was more alexithymic, more severely depressed and anxious, and showed patterns of less secure attachment than the comparison group. Alexithymia was shown to to vary with education. Anxiety, trait anxiety in particular, and depression could account for elevated alexithymia scores in the eating disorders group. In the whole sample, correlations were revealed between the PBI and CRQ suggesting continuity of attachment, and both attachment measures could predict TAS-20 subscales providing support for the hypothesis implicating attachment in the etiology of alexithymia. All measures predicted EDI-2 subscales, with the most diverse relationships revealed for BDI-2 and TAS-20. An unexpected positive relationship was revealed between PBI paternal care and two of the TAS-20 subscales, difficulty describing feelings and externally oriented thinking. A number of possible explanations are discussed.
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Beglin, Sarah Jane. "Eating disorders in young adult women." Thesis, University of Oxford, 1990. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.291074.
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Franks, Matthew. "Similarities between eating disorders and obesity." Thesis, University of Leicester, 2011. http://hdl.handle.net/2381/9888.
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This thesis examines the evidence base for psychological interventions for the treatment and prevention of eating disorders and obesity. The research process has three strands. Self-Contained Literature Review This paper considers the literature base for the treatment and prevention of eating disorders through critical appraisal of studies which employed a randomised controlled trial design. The results suggest that the psychopathology of eating disorders is complex and that presentations across diagnoses are variable. The review argues that treatment decisions should not be based on diagnosis alone but on the underlying psychological features of clients who present for treatment through initial screening. Research Report The second strand examines the hypothesis that some of the theories underlying eating disorders may also apply to individuals seeking treatment for obesity by comparing a sample of treatment-seeking obese adults to a sample with eating disorders, and to other group norms. Treatment seeking obese adults in this study were similar to eating disordered populations on measures of external shame, weight concern and shape concern, factors which are believed to be associated with an increased risk of developing an eating disorder. It is suggested that obese clients presenting for weight loss intervention should be screened for levels of shame and eating disordered thoughts and behaviours prior to embarking upon treatment. It is further suggested that for those individuals displaying high levels of shame and eating disordered beliefs/ behaviours, interventions targeting reduction of these constructs by increasing levels of self-compassion may enable some obese clients to lose weight whilst improving psychological wellbeing. It is hypothesised that in contrast to dieting, this may lead to more sustained weight loss and avenues for further investigation of these ideas are considered. Critical Appraisal The research process is considered and learning points discussed in this reflective piece.
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Traviss, Gemma. "Guided self-help for eating disorders." Thesis, University of Leeds, 2009. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.515793.
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Pemberton, Kathryn. "Self-conscious emotions and eating disorders." Thesis, Lancaster University, 2011. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.618334.
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The first section of this thesis is a systematic literature review of selected quantitative studies which investigate the relationship between self-conscious emotions and eating disordered behaviour. The review had two main aims: firstly to explore how self-conscious emotions are related to eating disordered behaviour, and secondly whether different types of eating disorders are linked to specific self-conscious emotions. Although 19 studies fulfilled the review criteria only two self-conscious emotions, shame and guilt, were represented. Results suggested that both were related to eating disorders, but in different ways. Shame featured in different forms throughout the course of an eating disorder, whereas there was evidence that guilt was linked to more severe levels of eating disordered behaviour. Furthermore, there was some evidence that specific types of eating disorders are associated with different subtypes of shame. Clinical and therapeutic implications are highlighted and recommendations for future research discussed. Following the literature review, a quantitative research study investigating the role of self-disgust in the relationship between depression and eating disorders was conducted. The study had two main aims: a) to explore whether self-disgust could explain the relationship between dysfunctional beliefs and depression, and b) to find out whether self-disgust could explain the relationship between dysfunctional beliefs and eating disordered behaviour. Seventy-one females with clinical levels of eating disordered behaviour completed five questionnaires measuring levels of self-disgust, depression, non-content specific dysfunctional beliefs and content specific beliefs (related to food and eating). Mediator analyses demonstrated that self-disgust partially mediated both the relationship between non-content specific beliefs and depression. and content specific beliefs and eating disordered behaviour. Self-disgust was found to be a complete mediator for the relationship between content specific beliefs and depression. Findings are discussed in the context of current theory, together with clinical and therapeutic implications.
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Stanbury, Alexandra. "Predictors and outcomes of eating disorders." Thesis, University of Birmingham, 2015. http://etheses.bham.ac.uk//id/eprint/6401/.
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Part I - Systematic Review: Examines whether women with active or remissive eating disorders are more vulnerable to pregnancy and delivery complications than women without, according to the current literature. Drawing from four electronic databases, 15 papers were evaluated for their quality and findings. Generally, there was no substantial evidence to support previous claims that women with eating disorders are more at risk, though outcome measures were variable and conclusions were therefore difficult. Implications for medical practice are discussed. Part II - Empirical Paper: Investigates the mediating role in the relationship between early parental rearing styles and the development of eating disorders. Online recruitment drawing from clinical and non-clinical samples yielded 130 and 114 respondents respectively. Upon completion of three tools measuring early parental styles, emotion regulation and eating difficulties, data was entered into a mediator model using bootstrapped parameter estimates and confidence intervals. Results revealed that specific emotion regulation deficits were important mediators though they played distinctly different roles in the clinical and non-clinical samples. Tentative explanations are hypothesized and implications for the treatment focus of women with eating disorders are offered.
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Jobe, Robert. "Perspectives on gender in eating disorders." Thesis, University of Warwick, 2012. http://wrap.warwick.ac.uk/54863/.
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This thesis examines perspectives on gender in eating disorders. Chapter one critically reviews research into psychosocial influences on adolescent boys' concerns about eating and body shape. [...] Chapter two is an empirical study of therapists' experiences of working with men with eating disorders. [...] Chapter three provides a reflective account of the author's experiences of being a Trainee Clinical Psychologist working with female patients in an eating disorder service.
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Eli, Karin. "Eating disorders : an ethnography of selves." Thesis, University of Oxford, 2009. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.670029.
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Hilbert, Anja, Kathleen Pike, Andrea Goldschmidt, Denise Wilfley, Christopher Fairburn, Faith-Anne Dohm, Timothy Walsh, and Weissman Ruth Striegel. "Risk factors across the eating disorders." Universitätsbibliothek Leipzig, 2017. http://nbn-resolving.de/urn:nbn:de:bsz:15-qucosa-223556.
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This study sought to examine risk and onset patterns in anorexia nervosa (AN), bulimia nervosa (BN), and binge eating disorder (BED). Women with AN (n=71), BN (n=66), BED (n=160) and non-psychiatric controls (n=323) were compared retrospectively on risk factors, symptom onset, and diagnostic migration. Eating disorder groups reported greater risk exposure than non-psychiatric controls. AN and BED differed on premorbid personality/behavioral problems, childhood obesity, and family overeating. Risk factors for BN were shared with AN and BED. Dieting was the most common onset symptom in AN, whereas binge eating was most common in BN and BED. Migration between AN and BED was rare, but more frequent between AN and BN and between BN and BED. AN and BED have distinct risk factors and onset patterns, while BN shares similar risk factors and onset patterns with both AN and BED. Results should inform future classification schemes and prevention programs.
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Dinicola, Jennifer Ann, and Tamara Ann Pine. "Eating disorders and early attachment difficulties." CSUSB ScholarWorks, 1999. https://scholarworks.lib.csusb.edu/etd-project/1937.
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Ji, Kai. "Cultural Influence of Eating Disorders: A Study of College Students in China." Ohio : Ohio University, 2008. http://www.ohiolink.edu/etd/view.cgi?ohiou1219175777.
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Hwang, Anthony D. "Classifying Symptom Change in Eating Disorders: Clinical Significance Metrics for the Change in Eating Disorder Symptoms Scale." BYU ScholarsArchive, 2010. https://scholarsarchive.byu.edu/etd/2563.
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Despite well-established diagnostic measures and measures of specific dimensions of eating disorder symptomatology, little work has been done to develop a brief, comprehensive, and valid measure for assessing change in eating disorder symptoms. Further, empirically-supported change indices to assess treatment progression and outcome have not yet been developed. The Change in Eating Disorder Symptoms Scale (CHEDS) is a new comprehensive measure designed to assess progress and change during treatment in persons with diagnoses on the eating disorder spectrum. Previous studies have demonstrated the subscale structure, reliability, and validity of the CHEDS. This study determined clinically significant change criteria for the CHEDS to complement the studies that have supported the CHEDS as a reliable and valid measure of eating disorder symptomatology. The CHEDS was also compared to a life functioning scale, the Clinical Impairment Assessment. A reliable change index (RCI) was developed, which generated an inferential statistic that estimates the magnitude of change in a score necessary for a change score to be considered statistically reliable. A cutscore was also developed, which differentiates between functional and dysfunctional populations, between eating disordered clinical subjects and non-clinical subjects. Trajectories were identified using hierarchical linear modeling methods for use in conjunction with clinical significance criteria to aid in the tracking of symptoms during treatment, treatment decision-making, and tailoring treatment according to expected and observed progress. The clinical significance change criteria were then applied to the clinical sample to determine change patterns descriptive of recovered, reliable improvement, deterioration, and no change. Finally, a scoring program with clinical significance change criteria and trajectory analyses for total and subscale scores was developed.
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Brinkman, Robyn. "Managing disequilibrium a grounded theory study of therapists working in groups with people with eating disorders : a thesis in partial fulfillment for the degree of Master of Health Science at the Auckland University of Technology, February 2003." Full thesis. Abstract, 2003.
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Thesis (MHSc--Health Science) -- Auckland University of Technology, 2003.Appendices not included in e-thesis. Also held in print (viii, 195 leaves, 30 cm.) in Akoranga Theses Collection (T 616.8526 BRI)
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O'Connell, Cara Frances. "The impact of caloric preloading on attempts at food- and eating-related thought suppression in restrained and unrestrained eaters." Morgantown, W. Va. : [West Virginia University Libraries], 2003. http://etd.wvu.edu/templates/showETD.cfm?recnum=3031.
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Reynolds, Holly. "Sex appeal? gender differences in undergraduates' attitudes of eating disorders compared along a continuum of eating disordered behavior /." Menomonie, WI : University of Wisconsin--Stout, 2005. http://www.uwstout.edu/lib/thesis/2005/2005reynoldsh.pdf.
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Ran, Romi. "Eating disorders : the role of factors beyond eating, weight and shape." Thesis, University of Oxford, 2012. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.589525.
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Eating disorders (EDs) are associated with one of the highest rates of mortality amongst mental health disorders. Nonetheless, our knowledge of what causes them is limited. Typically, research has investigated the impact of eating, weight and shape. However, recent evidence suggests additional factors may be involved. Perfectionism, for example, has been shown to be associated with ED symptoms. Nonetheless, despite evidence that one in four individuals with an ED is male, research has primarily investigated female populations. Consequently, the first paper is a systematic review of the literature pertaining to perfectionism and ED symptoms in men. Consideration is given to the various definitions of perfectionism, the subgroups of males that have been investigated and the type of associations that have been found. Limitations of the existing literature are considered and areas for future research are highlighted. Research has further suggested that specific themes in core beliefs are associated with EDs. However, the exact nature of this relationship is currently unknown. The second paper therefore aims to determine whether there is a causal relationship between these core beliefs and ED symptoms. Specific ED core beliefs were activated in one group of healthy volunteers (experimental group) and positive self-beliefs were activated in another (control group). Results showed that the experimental group reported more negative mood after belief activation whilst the control group reported more positive mood. Participants also completed three ED-related behavioural tasks, to determine if this had any further impact on ED symptoms. Results showed a trend for participants in the experimental group to eat more chocolates than those in the control group after participating in these tasks. Various explanations for the results are considered. As the study was the first of its kind to explore a causal relationship between core beliefs and EDs, directions for future research are suggested.
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Flicker, Michelle Marie. "Perfectionism and disordered eating an exploratory analysis of recent literature /." Online version, 2009. http://www.uwstout.edu/lib/thesis/2009/2009flickerm.pdf.
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