Tesi: "Anorexia nervosa"

1

Serpell, Lucy Emma. "'Anorexic thinking' : cognitive processes in anorexia nervosa". Thesis, King's College London (University of London), 2000. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.326169.

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2

Burke, Eliza 1973. "Celebrity anorexia : a semiotics of anorexia nervosa". Monash University, School of Literary, Visual and Performance Studies, 2003. http://arrow.monash.edu.au/hdl/1959.1/7602.

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3

Mabiala, Madalena, e Hawsar Shamer. "Anorexia Nervosa : Kvinnors upplevelser av att leva med Anorexi". Thesis, Högskolan i Skövde, Institutionen för hälsa och lärande, 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:his:diva-13536.

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Bakgrund: Anorexia Nervosa är en psykiatrisk sjukdom som främst drabbar unga kvinnor mellan 15 och 23 år med hög mortalitet. Sjukdomen orsakar ätstörning vilket medför kraftig viktnedgång. Syftet: Syftet är att beskriva kvinnors upplevelser av att leva med Anorexia Nervosa. Metod: Denna studie är genomförd av kvalitativ metod med analys av narratives. Datainsamlingen är baserad på fyra självbiografier skrivna av kvinnor som drabbats av Anorexia Nervosa. Resultat: Resultatet visade att samtliga kvinnor har haft olika upplevelser av Anorexia Nervosa. Kvinnornas upplevelser delas in i tre olika teman vilket förtydligades med citat. Teman som beskrivs avspelar kvinnors olika upplevelser. De teman som uppkom var Det svåruppnåeliga kvinnoidealet, Den ångestfyllda tillvaron, Betydelsen av att ha kontroll. Slutsats: Anorexia är en komplex psykiatrisk sjukdom som kräver en optimal omvårdnad med beredskap och förståelse från vårdpersonal. Sjuksköterskor strävar efter att förhindra ett lidande och främja hälsa i vårdandet av patienter. Studiens resultat bidrog med en bredare kunskap och förståelse kring sjukdomen Anorexia Nervosa för en optimal återhämtning hos patient.
Background: Anorexia nervosa is a psychiatric disorder that primarily affects young women between 15 and 23 years with high mortality. The disease causes eating disorder resulting in significant weight loss. Purpose: Purpose of the study was to describe women's experiences of living with anorexia nervosa. Method: This study was conducted by qualitative method of analysis of narratives. Data collection was based on four autobiographies written by women who have lived with Anorexia Nervosa. Results: The results showed that all women have had different experiences of Anorexia Nervosa. This experiences were divided into three different themes which are clarified with quote. Themes described reflects women's different experiences with anorexia nervosa, which is the elusive ideal of women, the anguished existence and the importance of being in control. Conclusion: Anorexia is a complex psychiatric illness that requires an optimum care of preparedness and understanding of health professionals. Nurses strive to prevent suffering and promote health in the care of patients. The study's results contributed to a wider knowledge and understanding of the disease anorexia nervosa for optimal recovery of the patient.

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4

Norberg, Grace Marie. "Suicide in anorexia nervosa". Tallahassee, Fla. : Florida State University, 2010. http://purl.fcla.edu/fsu/lib/digcoll/undergraduate/honors-theses/2181940.

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5

Sandell, Camilla, e Sofie Zakariasson. "Omvårdnad vid Anorexia Nervosa". Thesis, Mittuniversitetet, Institutionen för hälsovetenskap, 2010. http://urn.kb.se/resolve?urn=urn:nbn:se:miun:diva-12947.

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6

Berglund, Alexandra, e Alexandra Lindevall. "Anorexia Nervosa - ett familjeperspektiv". Thesis, Mittuniversitetet, Avdelningen för omvårdnad, 2014. http://urn.kb.se/resolve?urn=urn:nbn:se:miun:diva-21853.

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7

Spinord, Elin, e Ida Svensson. "Personer med Anorexia Nervosa". Thesis, Mittuniversitetet, Avdelningen för omvårdnad, 2016. http://urn.kb.se/resolve?urn=urn:nbn:se:miun:diva-27361.

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8

Rodrigues, Sara Filipa Ferro de Nascimento. ""Anorexia Nervosa: percepções familiares"". Master's thesis, Faculdade de Medicina da Universidade do Porto, 2009. http://hdl.handle.net/10216/55415.

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9

Godier, Lauren Rose. "Compulsivity in anorexia nervosa". Thesis, University of Oxford, 2015. https://ora.ox.ac.uk/objects/uuid:16be8dd3-fef8-4d97-be77-0d729c966c93.

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Anorexia Nervosa (AN) is a psychiatric disorder characterised by persistent self-starvation, which has high mortality rates, and low rates of recovery. In conjunction with a lack of effective treatments, the serious nature of the disorder emphasises the need for research investigating the underlying processes contributing the persistence of the disorder, and the identification of novel avenues for treatment development. In individuals with AN, dietary restriction often takes on a driven and compulsive quality, with increasing suggestion of parallels with other disorders featuring compulsive behaviour, such as Obsessive-Compulsive Disorder (OCD) and substance dependence. The commonalities and comorbidities in compulsive behaviours across a range of disorders have been highlighted by Robbins et al (2012), who propose a transdiagnostic approach to compulsivity, arguing that this behavioural construct has cross-diagnostic significance. Conceptualising compulsivity in this way may aid in the development of novel research avenues investigating the learning processes and neurobiological mechanisms underpinning this behaviour. In light of this, the aim of this thesis was to investigate the compulsive nature of behaviour in AN, and the behavioural and neural underpinnings of this behaviour guided by research carried out in other compulsive disorders. Chapter 1 reviews models of the neural and behavioural underpinnings of compulsive behaviour, and discusses these in relation to compulsive behaviour in AN. Chapter 2 presents qualitative data supporting parallels between the subjective experience of compulsive behaviour in AN and substance use disorders (SUDs). These parallels are further examined in Chapter 3, in which two novel measures of compulsive weight-loss behaviour were developed and validated by adapting a questionnaire assessing addictive behaviour. Chapter 4 presents data suggesting that these parallels in behaviour do not reflect a common tendency to develop habits in learning, as found in substance dependence and OCD. The electrophysiological data presented in Chapter 5 was unable to provide evidence that AN may be underpinned by dysfunction of the neurocircuitry seen in other compulsive disorders. Whilst these studies support suggestion of parallels with substance dependence, at least at the level of self-report, the hypothesised parallels in the underlying behavioural and neural mechanisms were not found.

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10

Rodrigues, Sara Filipa Ferro de Nascimento. ""Anorexia Nervosa: percepções familiares"". Dissertação, Faculdade de Medicina da Universidade do Porto, 2009. http://hdl.handle.net/10216/55415.

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11

Castillo, Valeska, e Emelie Björk. "ATT LEVA MED ANOREXIA NERVOSA : En autobiografistudie om kvinnors upplevelse av anorexia nervosa". Thesis, Linnaeus University, School of Health and Caring Sciences, 2010. http://urn.kb.se/resolve?urn=urn:nbn:se:lnu:diva-5462.

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Bakgrund: Eftersom det blivit allt vanligare med ätstörningar som anorexia nervosa finns det en stor möjlighet att vårdpersonal träffar på dessa patienter inom vården oavsett vårdområde. För att som sjuksköterska kunna bemötta dem på bästa sätt och erbjuda en god vård, krävs det kunskap kring upplevelser av att leva med denna sjukdom.

Syfte: Syftet med litteratur studien var att undersöka upplevelsen av anorexia nervosa.

Metod: Metoden som användes var en litteraturstudie med en kvalitativ analys. Fem självbiografier utgjorde studiens datamaterial och de analyserades med en kvalitativ innehållsanalys.

Resultat: I analysen framkom två huvudkategorier som ligger till grund för resultatet. Dessa var upplevelsen av lidande och upplevelsen av trygghet. Resultatet visade att individen med anorexia nervosa går igenom ett lidande som genomtränger hela deras liv. Lidande kunde yttra sig på olika sätt och i samband med olika upplevelser. Framförallt upplevdes lidandet ihop med maktlöshet över sin situation och tvångsåtgärder som de utsattes för. Och ett kontrollbehov som skapade en negativ trygghet och ett lidande då individen upplevde sig fängslad i rutiner och regler. Det fanns även ljus i mörkret där människan kunde uppleva en trygghet i sin livsvärld med hjälp utav familj och vänner.

Slutsats: Människor med anorexi går ständigt igenom ett lidande i kampen emot sjukdomen och en inre röst som begränsar dem i deras livsvärld. Individer med anorexisjukdom har ett stort kontrollbehov och lever i en maktlöshet som genomsyrar deras livsvärld. Relationen till familj och vänner var mycket betydelsefullt för kvinnornas livsvilja. Det var familjens och vännernas kärlek som fick kvinnorna börja känna tro och hoppas att någon dag bli frisk.

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12

Cooper, Myra. "Cognitive processes in anorexia nervosa and bulimia nervosa". Thesis, University of Oxford, 1991. http://ora.ox.ac.uk/objects/uuid:317050bf-48c7-4213-af41-939eb5576181.

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The series of studies reported in this thesis aimed to improve our knowledge of the cognitive disturbance in anorexia nervosa and bulimia nervosa. Techniques from experimental cognitive psychology were used to test predictions made by cognitive theories of eating disorders. In the first study, subjects performed three tasks related to eating, weight and shape and self-statements were measured using concurrent verbalisation and a selfreport questionnaire. Compared to dieters and non-dieting controls, patients with bulimia nervosa showed greater concern with weight and appearance while patients with anorexia nervosa showed greater concern with eating. In the second study, using an adaptation of the Stroop colour-naming task, patients with eating disorders showed greater selective processing of information related to eating, weight and shape than normal, non-dieting controls and normal dieters. In the third study it was found that this disturbance was more closely related to measures of the specific psychopathology of eating disorders rather than to measures of general psychopathology. In the fourth study information processing before and after treatment was compared. As predicted by cognitive theories, selective processing appeared to be related to the emotional salience of the clour-named words rather than to patients' familiarity with the issues represented by these words. In the fifth study information processing before and after three different psychological treatments for bulimia nervosa was measured. No support was found for the hypothesis that cognitive behaviour therapy operates through mechanisms specific to this treatment. Contrary to predictions, in the sixth study, when colour-naming was measured at the end of treatment and at 12 month follow-up, selective information processing did not predict relapse in symptoms of bulimia nervosa. Finally, a seventh study, which manipulated attitudes to eating, weight and shape experimentally, found evidence for a causal relationship between these attitudes and disturbed eating behaviour. Methodological issues, and the clinical and theoretical relevance of the research findings, are discussed.

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13

Quakenbush, Benita J. "Anorexia Nervosa and Bulimia Nervosa: The Patients' Perspective". DigitalCommons@USU, 1996. https://digitalcommons.usu.edu/etd/6094.

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Eating-disorder clients show low motivation, poor follow-through, and inordinate premature dropout rates in treatment. To date, little research has been conducted that might provide clinicians with an understanding of the critical factors that may aid clients' recovery. Such factors may be used by clinicians to better motivate clients to collaborate in treatment. The purpose of this study was to identify some of the critical factors that women with eating disorders believed were crucial in prompting or facilitating their recovery. Identification of these factors was accomplished through a systematic content analysis of semistructured interviews with recovered or recovering bulimics and anorexics. This study may contribute significantly to future research into the development of motivational supplements to eating disorder therapy ( e.g., psychoeducational materials or therapy orientation programs). Of interest were what personal, interpersonal, or environmental factors anorexic and bulimic clients reported increased their motivation to recover, and prompted them to begin the recovery process, maintain recovery, and cope with the threat of relapse. Also, factors that subjects reported hindered their progress in recovery were examined. The anorexic and bulimic subjects reported social support as a critical factor across three stages of recovery, including beginning recovery, maintaining recovery, and coping with relapse. Being "tired" of the disorder and therapy were indicated to be relevant to beginning recovery. Improved self-esteem was deemed significant in helping subjects both maintain recovery and cope with the threat of relapse. Establishing healthy eating habits and attitudes was a necessary factor required to maintain recovery. Subjects shared that developing healthy ways to deal with emotions enabled them to deal successfully with the threat of relapse. Anorexic subjects reported that people and societal expectations, fear of becoming fat, incentive to numb emotions, and poor eating habits and attitudes impeded their recovery. Bulimic subjects indicated that people and societal expectations, incentive to numb emotions, lack of understanding, and poor eating habits and attitudes hindered their recovery.

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14

Quackenbush, Benita J. "Anorexia Nervosa and Bulimia Nervosa: The Patients' Perspective". DigitalCommons@USU, 1996. https://digitalcommons.usu.edu/etd/5033.

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Abstract (sommario):

Eating-disorder clients show low motivation, poor follow-through, and inordinate premature dropout rates in treatment. To date, little research has been conducted that might provide clinicians with an understanding of the critical factors that may aid clients' recovery. Such factors may be used by clinicians to better motivate clients to collaborate in treatment. The purpose of this study was to identify some of the critical factors that women with eating disorders believed were crucial in prompting or facilitating their recovery. Identification of these factors was accomplished through a systematic content analysis of semistructured interviews with recovered or recovering bulimics and anorexics. This study may contribute significantly to future research into the development of motivational supplements to eating disorder therapy (e.g., psychoeducational materials or therapy orientation programs). Of interest were what personal, interpersonal, or environmental factors anorexic and bulimic clients reported increased their motivation to recover, and prompted them to begin the recovery process, maintain recovery, and cope with the threat ofrelapse. Also, factors that subjects reported hindered their progress in recovery were examined. The anorexic and bulimic subjects reported social support as a critical factor across three stages of recovery, including beginning recovery, maintaining recovery, and coping with relapse. Being "tired" of the disorder and therapy were indicated to be relevant to beginning recovery. Improved self-esteem was deemed significant in helping subjects both maintain recovery and cope with the threat of relapse. Establishing healthy eating habits and attitudes was a necessary factor required to maintain recovery. Subjects shared that developing healthy ways to deal with emotions enabled them to deal successfully with the threat of relapse. Anorexic subjects reported that people and societal expectations, fear of becoming fat, incentive to numb emotions, and poor eating habits and attitudes impeded their recovery. Bulimic subjects indicated that people and societal expectations, incentive to numb emotions, lack of understanding, and poor eating habits and attitudes hindered their recovery.

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15

Alveheim, Anja, e Cecilia Lander. "Att tillfriskna från Anorexia Nervosa". Thesis, Högskolan i Halmstad, Akademin för hälsa och välfärd, 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:hh:diva-35914.

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I dagens samhälle pågår en "hälsohets" för många kvinnor. Att leva upp till samhällets normer och vad som anses vara det normala idealet kan i vissa fall skapa enormt mycket stress och strävan efter det perfekta utseendet blir för stor. Denna strävan bidrar till att tillfrisknandeprocessen från Anorexia Nervosa (AN) blir mer komplex hos kvinnor. Syftet med studien var att undersöka tillfrisknande hos kvinnor med AN. Studien är utförd som en allmän litteraturstudie med vetenskapliga artiklar som grund. Resultat påvisar att stöd är en betydelsefull omvårdnadsåtgärd sjuksköterskan kan ge i denna process. För kvinnornas del är det av största vikt att beslutet om tillfrisknande är självvalt och inte för att tillfredsställa någon annan. Det finns ett samband mellan kropp och själ, vilket är en utmaning för sjuksköterskan i omvårdnaden kring kvinnor med AN och att viktuppgång inte är korrelerat till ett fullt tillfrisknande belyses tydligt. För sjuksköterskan krävs fördjupade kunskaper om kvinnornas upplevelser kring tillfrisknandet för att få en helhet om sjukdomen. Det krävs ytterligare forskning om kvinnornas upplevelser efter avslutad behandling och efter tillfrisknande från sjukdomen. Även ytterligare komplimenterande forskning behövs kring kvinnornas syn på huruvida ett tillfrisknande är möjligt.
In today’s society many women have to endure health hazard. To live up to society's norms and what is seen as the ideal appearance can put a lot of pressure as well as force the women to strive for this ideal. This constant endeavor can make the recovery from Anorexia Nervosa more complex. The purpose of the literature study was to examine women's recovery from AN. The study is performed as a general literature study with scientific articles as a base. Results have proven that support is the most important caretaking method the nurse can provide throughout this process. For the women’s part, it’s of highest importance that the decision of recovery is self-decided. That consideration is taken to both body and soul is a challenge in the caretaking for women with AN and the fact that gaining weight is not related with full recovery is distinctly highlighted. It’s required for the nurse to possess in depth knowledge of women’s experiences surrounding the recovery to gain an entirety. Additional research of the experiences after finished treatment and after recovery from the disease is required. Even further complementary research surrounding women’s view on a recovery may be required.

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16

Buch, Wes. "Anorexia nervosa and social network". Thesis, University of British Columbia, 1988. http://hdl.handle.net/2429/28588.

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Aspects of the social networks of anorexic (N=34) and non-anorexic (N=35) women were examined according to hypotheses derived from social network theory and research and from the literature pertaining to anorexia nervosa. The nature of the social network was discussed from the perspective of Pattison's (1977a) psychodynamic psychosocial systems theory. Subjects were compared on selected social network variables using the Pattison Psychosocial Inventory (PPI). The California Psychological Inventory (CPI) and the Family Environment Scale (FES) were used to investigate the contribution of certain personality and environmental variables to social network variation. Statistical analyses of the difference between means were tested using the Hotelling's T² procedure followed by univariate t-tests. Analyses of proportions were performed using z-tests. The Bonferroni inequality was employed in order to reduce the probability of Type I error when determining the statistical significance of the univariate t-tests and z-tests. The null hypothesis was accepted for the majority of the results. Only one social network variable, total network size, significantly differentiated anorexic and control subjects, although several other variables were approaching statistical significance. Various contrasting explanations of the results were discussed. For example, it is possible that anorexia nervosa is not a homogeneous or singular nosological entity and does not inevitably result in predictable and largely invariant social impairment. It was proposed that recent typologies of anorexia nervosa may yield significant between-group variation in social network variables. Furthermore, social networks may vary with the degree of severity and/or chronicity of the anorexic condition. The correlational analyses produced several statistically significant results. Regarding environmental (FES) variables, both cohesion and independence were positively correlated with support from family network members. Contrary to hypotheses, however, interpersonal effectiveness (CPI) achieved only weak and non-significant correlations with social network size and support.
Education, Faculty of
Educational and Counselling Psychology, and Special Education (ECPS), Department of
Graduate

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17

Stewart-Archer, Lois A. "Anorexia nervosa : the teenagers' perspectives". Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1996. http://www.collectionscanada.ca/obj/s4/f2/dsk2/ftp04/MQ32253.pdf.

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18

Bezance, Jessica. "Treatment of adolescent anorexia nervosa". Thesis, University of Oxford, 2012. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.589463.

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Adolescence is the most common period for the onset of anorexia nervosa. A growing body of quantitative evidence exists for treatment efficacy for adolescents. However, it is important, given the large dropout rates and high relapse rates that qualitative research attempts to understand how treatment and recovery is experienced by adolescents. Similarly, an appreciation for mothers' experience of treatment is vital given the evidence for high carer burden in this population and that families' involvement in treatment for anorexia nervosa is crucial. The first paper provides a review of the qualitative evidence looking at adolescents' experience of treatment and recovery for anorexia nervosa. The review made tentative yet important conclusions regarding crucial aspects of treatment and recovery for adolescents including the role of peers, families and professionals, physical and psychological nature of treatment and the adolescents' own concept of recovery. Methodological limitations of the studies and subsequent recommendations for future research were discussed in addition to clinical implications for future service delivery. The second paper adopts an Interpretative Phenomenological Analysis (IPA) methodology in exploring mothers' experiences of home treatment for their adolescent daughters with anorexia nervosa. Nine mothers who had experience of home treatment for at least two weeks participated in the study. IPA revealed two key themes which provided an important context to home treatment: 'becoming enmeshed' and 'reaching rock bottom.' These themes described the mother-daughter relationships and maternal stress and distress prior to home treatment. The third theme 'experience of help' described participants' experience of when help is needed, the need for containment, gaining strength and skills and finally how home treatment fitted into the families own philosophy and values. The results provide important rich accounts on how home treatment is experienced and outline both the helpful and unhelpful aspects. Further research is required to assess its effectiveness.

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19

Bergsten, Elisabeth, e Angelica Segelström. "Att leva med Anorexia nervosa". Thesis, Örebro universitet, Institutionen för hälsovetenskaper, 2018. http://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-72230.

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20

GOULART, MARCELA TORRES ALDIGUERI. "ANOREXIA NERVOSA: A PSYCHOANALYTIC APPROACH". PONTIFÍCIA UNIVERSIDADE CATÓLICA DO RIO DE JANEIRO, 2003. http://www.maxwell.vrac.puc-rio.br/Busca_etds.php?strSecao=resultado&nrSeq=4063@1.

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COORDENAÇÃO DE APERFEIÇOAMENTO DO PESSOAL DE ENSINO SUPERIOR
Este trabalho consiste em um estudo sobre a anorexia nervosa sob a ótica psicanalítica. Apresentaremos primeiramente um histórico do conceito, enfocando a trajetória desta patologia, que foi inicialmente rara e atualmente é encontrada na clínica com freqüência. Discutimos as contribuições trazidas pela psicanálise ao estudo e à clínica da anorexia nervosa através das diversas tentativas de explicá-la nessa perspectiva, embora este não seja um conceito psicanalítico. Abordamos ainda a relação entre a anorexia nervosa e a magreza como ideal de beleza contemporâneo sobretudo a ênfase que é atribuída ao corpo magro pela sociedade contemporânea e suas conseqüências psíquicas.
This work consists of a study about anorexia nervosa from a psychoanalytical perspective. Firstly, we will present a historical view of the concept, focusing the trajectory of such pathology, which was originally rare and has become frequent in current clinical practice. We discuss the contributions brought by psychoanalysis to the study and clinical management of anorexia nervosa throughout its various attempts to explain it, even though anorexia nervosa is not a psychoanalytical concept. We also approach the relationship between anorexia nervosa and thinness as a contemporary beauty ideal, especially the emphasis assigned to the thin body in actual society and its consequences.

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Hartmann, Peta B., e n/a. "Family Functioning and Anorexia Nervosa: The Issue of Control". Griffith University. School of Applied Psychology, 2003. http://www4.gu.edu.au:8080/adt-root/public/adt-QGU20030528.124015.

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This thesis aimed to examine the functioning of families with a sufferer of Anorexia Nervosa (AN), using self-report measures and a direct observation family discussion task. Researchers and clinicians have long been interested in the interactional patterns of these sufferers within the family unit, although few have furthered our understanding of the interplay between family functioning, cohesion and emotional expression and issues such as control, by directly examining these interactions. The construct of control has been another area of interest in recent research, although how it is constructed and operates within this disorder remains unclear and ambiguous. Thus the purpose of this research was to expand the study of adolescents suffering Anorexia Nervosa who still resided within the family unit, from merely studying self-report measures and retrospective surveys of recovery, to include a direct examination of sufferers and their families at the time of the disorder. Participants included 16 female sufferers of Anorexia Nervosa and their parents, 17 drug and alcohol sufferers, and 18 non-clinic families. Both parents and their daughters completed self-report inventories assessing their clinical status as well as family functioning and marital happiness. In addition, family members participated in a series of family discussion tasks which were coded for the dimensions of autonomy, cohesiveness, avoidance and control. In Study 1 (Chapter 7), the self-report measures of the anorexic families were examined specifically in relation to the construct of control acting as a mediating variable between level of dysfunction and severity of the disorder. Consistent with previous research, levels of marital happiness and family cohesion influenced the severity level of the daughter's Anorexia Nervosa. This study also explored the construct of control within the family system and found that the more moral-religious emphasis in the family, the more concerned the daughter was with her weight. At the same time daughters were reporting higher levels of moral-religious emphasis, they were reporting higher levels of self-control. The daughters in this study appeared to be inconsistent in their behavioural responses. The daughters' weight concern increased with their own reported levels of moral-religious emphasis in the family. However, as this emphasis increased, so too did their control scores. It was supposed that conflict may be created in a family when strong religious and/or strong moral values are emphasized, particularly when one of the family members suffers AN. This issue is discussed in depth. Study 2 sought to examine these variables further by using a direct observation family discussion task to compare an independent observer's ratings to the family's ratings of the discussion, across the three groups. The study examined the daughters' and mothers' perceptions and compared significant results to the observer's ratings. This study highlighted that the mothers of sufferers appeared not to be concerned about their own bodies and weight, and not distressed when discussing with their daughters the issues of control in the areas of family, body, school and friends. Furthermore, the anorexic daughters presented as more sad and anxious than the two other groups and indicated that their parents had more control over their bodies than they did themselves. Finally, for the majority of participating families, the fathers were absent and this issue is explored.

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22

Hartmann, Peta B. "Family Functioning and Anorexia Nervosa: The Issue of Control". Thesis, Griffith University, 2003. http://hdl.handle.net/10072/366355.

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This thesis aimed to examine the functioning of families with a sufferer of Anorexia Nervosa (AN), using self-report measures and a direct observation family discussion task. Researchers and clinicians have long been interested in the interactional patterns of these sufferers within the family unit, although few have furthered our understanding of the interplay between family functioning, cohesion and emotional expression and issues such as control, by directly examining these interactions. The construct of control has been another area of interest in recent research, although how it is constructed and operates within this disorder remains unclear and ambiguous. Thus the purpose of this research was to expand the study of adolescents suffering Anorexia Nervosa who still resided within the family unit, from merely studying self-report measures and retrospective surveys of recovery, to include a direct examination of sufferers and their families at the time of the disorder. Participants included 16 female sufferers of Anorexia Nervosa and their parents, 17 drug and alcohol sufferers, and 18 non-clinic families. Both parents and their daughters completed self-report inventories assessing their clinical status as well as family functioning and marital happiness. In addition, family members participated in a series of family discussion tasks which were coded for the dimensions of autonomy, cohesiveness, avoidance and control. In Study 1 (Chapter 7), the self-report measures of the anorexic families were examined specifically in relation to the construct of control acting as a mediating variable between level of dysfunction and severity of the disorder. Consistent with previous research, levels of marital happiness and family cohesion influenced the severity level of the daughter's Anorexia Nervosa. This study also explored the construct of control within the family system and found that the more moral-religious emphasis in the family, the more concerned the daughter was with her weight. At the same time daughters were reporting higher levels of moral-religious emphasis, they were reporting higher levels of self-control. The daughters in this study appeared to be inconsistent in their behavioural responses. The daughters' weight concern increased with their own reported levels of moral-religious emphasis in the family. However, as this emphasis increased, so too did their control scores. It was supposed that conflict may be created in a family when strong religious and/or strong moral values are emphasized, particularly when one of the family members suffers AN. This issue is discussed in depth. Study 2 sought to examine these variables further by using a direct observation family discussion task to compare an independent observer's ratings to the family's ratings of the discussion, across the three groups. The study examined the daughters' and mothers' perceptions and compared significant results to the observer's ratings. This study highlighted that the mothers of sufferers appeared not to be concerned about their own bodies and weight, and not distressed when discussing with their daughters the issues of control in the areas of family, body, school and friends. Furthermore, the anorexic daughters presented as more sad and anxious than the two other groups and indicated that their parents had more control over their bodies than they did themselves. Finally, for the majority of participating families, the fathers were absent and this issue is explored.
Thesis (PhD Doctorate)
Doctor of Philosophy (PhD)
School of Applied Psychology
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23

Nordstrand, Emma, e Louise Leijonhufvud. "Omvårdnadsåtgärder vid anorexia nervosa och bulimia nervosa : en litteraturöversikt". Thesis, Sophiahemmet Högskola, 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:shh:diva-3875.

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Bakgrund Anorexia Nervosa och Bulimia Nervosa är två ätstörningar som kan leda till allvarliga fysiska och psykiska konsekvenser. Individer med dessa sjukdomar döljer för det mesta symtomen i den mån som går, vilket skapar stora mörkertal i samhället och försvårar sjuksköterskans förmåga att identifiera tidiga tecken. Prevalensen av ätstörningar ses öka i dagens samhälle, och sjuksköterskan kan därmed möta dessa patientgrupper i olika former av vårdkontexter. För detta krävs kunskap hos sjuksköterskan kring det omvårdnadsarbete som bedrivs vid dessa sjukdomar. Syfte Syftet med denna litteraturöversikt var att belysa omvårdnadsåtgärder vid Anorexia Nervosa och Bulimia Nervosa. Metod I denna litteraturöversikt har datainsamling skett genom databaserna CINAHL och PubMed. Efter noggrann kvalitetsgranskning valdes 15 artiklar av både kvalitativ och kvantitativ karaktär ut för en integrerad dataanalys. Resultat Fyra huvudkategorier som i sin tur bestod av egna underkategorier identifierades. Kategorin samtalet med tillhörande underkategorier första mötet och samtalets viktiga komponenter, kategorin socialt stöd med den terapeutiska alliansen, en svårbehandlad patientgrupp och familjen, kategorin främja hälsosamma vanor med matvanor, fysisk aktivitet och sociala aktiviteter samt kategorin kunskap och utbildning utan tillhörande underkategori. Slutsats Krav ställdes på samtalets innehåll och bemötandet önskades vara öppet, empatiskt och kunnigt. Dåliga upplevelser kunde resultera i negativa konsekvenser på tillfrisknandeprocessen. Att skapa en terapeutisk allians med såväl patient som familj lyftes vara av vikt för vårdförloppet, men karaktären av dessa sjukdomar försvårade den terapeutiska alliansen till följd av ambivalens inför viktuppgång och bristande sjukdomsinsikt. Erfarenhet och utbildning identifierades som viktiga faktorer för att kunna upprätthålla auktoritet och samtidigt balansera detta med ett empatiskt bemötande. Sjuksköterskorna ansvarade för att utbilda patienterna i hälsosamma vanor och guida patienten ur dess sociala och emotionella isolering. Ett flertal problematiska områden identifierades, varav bristande kunskap och utbildning hos vårdpersonalen var ett. I syfte att komma åt identifierade problemområden ställs krav på vidare forskning.

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MacSween, Morag. "The anorexic body : a feminist and sociological perspective on anorexia nervosa". Thesis, University of Glasgow, 1989. http://theses.gla.ac.uk/3244/.

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This thesis attempts a sociological and feminist analysis of anorexia nervosa. Anorexia is an illness which affects predominantly women, and its incidence is greatest among middle-class young women in Western countries. Its strong bias along class and gender lines suggests that such an approach to the illness could prove fruitful. The thesis argues that analysis of anorexia demands a clear understanding of the sociology of the body. The sociology of the body sees the body as constructed in social life: understandings of the body vary temporally and culturally, and reflect the categories of their culture. It is suggested that anorexia nervosa represents an attempted transformation of the concept of the feminine body in contemporary culture. Anorexic women aim to transcend appetite, and to allow no intrusions into the body, constructing an anorexic body which is closed, separate and inviolable. Since this transformation is individuated and privatised, however, it cannot ultimately succeed in overturning a system of social meanings. The thesis concludes that individual solutions to anorexia will not lead to the end of the illness as a social phenomenon in the lives of women. Only collective feminist action can reconstruct the degraded contemporary concept of woman. The argument is pursued firstly through a discussion of the initial use of the term `anorexia nervosa' in the late nineteenth century by Gull and Lasegue. The treatment of anorexia as a modern disease is discussed, and the claim that anorexia has always existed but has not been recognised is refuted. Psychiatric and feminist accounts of anorexia are then considered. The former see anorexia as a purely individual phenomenon, and the limitations of this position are discussed. Feminist analyses of anorexia, in seeing it as deeply intertwined with women's social position in a patriarchal culture, are argued to advance understanding of the illness, while still retaining individualist elements. The next section analyses the ways in which anorexic women themselves explain their illness. This leads on to a discussion of the notion of the body as concept. After a theoretical outline, several body-concepts are analysed and placed in their social and historical contexts. Contemporary understandings of the body as an individuated possession are then discussed, with particular focus on the concept of the feminine body as passive object. Objectification, discipline and chaos are argued to be the central meanings of the feminine body in contemporary culture. Analysis of the issues of abortion and rape seek to make this theoretical point clearer. A detailed analysis of anorexic practices looks at how these meanings are transformed in anorexia. It is suggested that anorexic women try to construct an inviolate anorexic body which is completely under their control through a complexly ritualised eating pattern. The precarious nature of this control points to the limitations of individual `solutions' to social problems.

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Kubota, Katie. "Terror Management and Anorexia Nervosa: Does Mortality Salience Increase Negative Perceptions of Women With Anorexia Nervosa?" Marietta College Honors Theses / OhioLINK, 2010. http://rave.ohiolink.edu/etdc/view?acc_num=marhonors1272301201.

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Wittek, Nina. "Untersuchungen zur Körperschemastörung bei Anorexia nervosa". [S.l.] : [s.n.], 2004. http://deposit.ddb.de/cgi-bin/dokserv?idn=970618557.

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Ekström, Paula, e Anna Wendelin. "Unga kvinnors tillfrisknande från anorexia nervosa". Thesis, Kristianstad University College, School of Health and Society, 2010. http://urn.kb.se/resolve?urn=urn:nbn:se:hkr:diva-6273.

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Bakgrund: Anorexia nervosa blir allt vanligare bland unga kvinnor. Med rätt behandling och stöd tillfrisknar ändå de flesta från sin ätstörning. Syfte: Syftet med litteraturstudien var att ur en ung kvinnas perspektiv som har haft anorexianervosa, beskriva faktorer som har betydelse för tillfrisknandet från ätstörningen, för att sjuksköterskan ska få en ökad förståelse för unga kvinnor med anorexia nervosa och därmed kunna hjälpa dem. Metod: Litteraturstudien baseras på tio vetenskapliga artiklar, både kvalitativa och kvantitativa, som analyserades och utformades till studiens resultat. Resultat: De faktorer som hade betydelse för tillfrisknandet var att den unga kvinnan själv kom till insikt om sin sjukdom och lärde sig begripa och hantera sina känslor, sin självbild och självkänsla. Tillfrisknandet påverkades även av den unga kvinnans egen motivation till att vilja tillfriskna och ändra sitt matbeteende. Resultatet visade att sjuksköterskan hade en viktig roll i att vägleda den unga kvinnan med anorexia nervosa genom tillfrisknandeprocessen. Andra personer som familj, vänner, partner, terapeuter och sjukvårdspersonal hade också en betydelsefull roll, men även aktiviteter för att sysselsätta sig var viktigt. Slutsats: För att en ung kvinna med anorexia nervosa ska kunna tillfriskna krävs rätt stöd från familj och vänner men även sjuksköterskor med rätt utbildning har en betydelsefull roll i att stödja kvinnan till ett liv utan anorexia nervosa.

Background: Anorexia nervosa is increasing more and more among young women, although with accurate treatment and support most of them recover from their eating disorder. Aim: The aim of the literature study is to describe factors of importance concerning recovery from an eating disorder from a young woman’s perspective, in order for nurses to receive an increased understanding of young women with anorexia nervosa. Method: The literature study is based on ten scientific articles, qualitative as well as quantitative, which were analysed to obtain the result of the study. Result: Factors of importance for recovery were that the young woman herself obtains an awareness of her disease and learns to understand and handle her feelings, her selfimage, self-esteem and the young woman’s motivation and will to get well and to change her eating habits. In addition the result also shows that nurses have an important role in guiding the young woman in her process of recovery, as well as family, friends, partners, therapists and remaining medical staff. Finally occupational activitites are also vital for the recovery process. Conclusion: In order for a young woman suffering from anorexia nervosa to recover she needs support from family and friends but especially from nurses with suitable training and education. They have an important role in supporting the young woman on her way to recovery to a life without anorexia nervosa.

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Anner, Emelie, e Viktoria Wulff. "Anorexia nervosa – Beskrivna erfarenheter av sjukdomen". Thesis, Mid Sweden University, Department of Social Work, 2006. http://urn.kb.se/resolve?urn=urn:nbn:se:miun:diva-5.

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Man har genom forskning inte kunnat dra någon generell slutsats angående orsaksfaktorer bakom anorexia nervosa. Alla drabbade har egna erfarenheter och tankar om varför just hon eller han blivit sjuk. Vårt syfte var att i möjligaste mån återspegla de i studien utvalda kvinnornas beskrivningar av tankar och erfarenheter kring sitt sjukdomsförlopp, utifrån familjeförhållanden och individuella faktorer. Vi ville veta vad de ansåg vara orsaken till just deras insjuknande, men också vad som var anledningen till att de slutligen bestämde sig för att bli friska. Detta syfte ledde oss till frågeställningar som: Hur kan familjen påverka ett insjuknande i anorexia nervosa? Vilka individuella faktorer kan influera? Vad ansåg de vara vändpunkten för sitt tillfrisknande? För att få en så tydlig bild som möjligt av kvinnornas tankar och erfarenheter behövde vi se en helhet, varför vi valde att göra en kvalitativ studie med djupintervjuer. I arbetet framförs tidigare forskning om familjeförhållanden och individuella faktorer som kan ha en inverkan på insjuknandet, samt om vändpunktsprocesser. Vår granskning gick ut på att tolka kvinnornas berättelser i jämförelser med den forskning vi använt oss av. I vårt resultat framkommer att berättelserna till viss del liknar varandra, och att vissa jämförelser kan ses med forskningen, men att erfarenheterna trots allt är unika och därmed skiljer sig för de fyra kvinnorna.

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Parling, Thomas. "Anorexia Nervosa : Emotion, Cognition, and Treatment". Doctoral thesis, Uppsala universitet, Institutionen för psykologi, 2011. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-156641.

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Anorexia nervosa (AN) is a serious disorder with long-term consequences for those afflicted. No evidence-based care is available for adults with full or subthreshold AN. The thesis research investigated aspects of emotion and cognition relevant to the maintenance of AN that might inform psychological treatment. In addition, the effectiveness of a recent psychotherapy model of AN was investigated. Study I investigated alexithymia and emotional awareness and their associations with depression, anxiety, and perfectionism among patients with AN compared with a control group. The AN group exhibited the same level of emotional awareness as did the control group and the same level of alexithymia when controlling for depression and anxiety. Alexithymia and emotional awareness were not associated, despite representing an overlapping construct. The results of the present study indicate that those with AN can trust their emotional awareness. Study II explored implicit pro-thin and anti-fat attitudes (towards the self and others), striving for thinness (loosely corresponding to positive reinforcement), and avoidance of fatness (loosely corresponding to negative reinforcement). The AN and the control groups were found to have equally strong implicit pro-thin and striving for thinness attitudes. The AN group exhibited stronger implicit anti-fat and avoidance of fatness attitudes (loosely corresponding to negative reinforcement) than did the control group. There was no association between implicit and explicit measures. The results are in line with the over-evaluation of weight and shape as a core feature of eating disorders. Study III compared the effectiveness of Acceptance and Commitment Therapy (ACT) and treatment as usual (TAU) for adults with AN after day-care. Follow-up measures indicated no difference in improvement or deterioration between the two groups. The level of perfectionism was reduced in the ACT group relative to the TAU group. The study was compromised by a lower inflow of patients than anticipated and by a high drop-out rate, and thus fails to provide evidence of a difference between the two groups. The present thesis demonstrates that emotional awareness is intact in those with AN and that implicit attitudes concerning weight and shape reflect the explicit attitudes, although without association. The treatment study indicates that, when designing treatment, it is important to consider the ambivalence to treatment among those suffering from AN, which is reflected in the high drop-out rate in the present study.

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Aitcheson, Sam. "Sense of coherence in anorexia nervosa". Thesis, University of Edinburgh, 2002. http://hdl.handle.net/1842/28454.

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Anorexia Nervosa (AN) is a well-documented but poorly understood psychological disorder. There is controversy over the conceptual clarity and efficacy of therapies for the condition and it continues to have one of the highest mortality rates of all psychiatric disorders. Recent psychological conceptualisations of AN have viewed anorexic behaviour as a coping strategy to deal with underlying general psychopathology. The search for predictors of AN has been a frequent topic in eating disorders research and anorexics have often been identified as perfectionistic and valuing achievement as a means to self-worth. The eating disturbance associated with AN has also been viewed as a means to enhancing self-perception. Research into coping has also achieved much attention. Antonovsky (1979; 1987) has posited the construct of Sense of Coherence which allows individuals to cope successfully with stress and avoid psychological ill-health. Part of this construct posits educational and vocational achievement as indicators of a strong Sense of Coherence. This study hypothesised that anorexics, with their high achievement orientation, would exhibit different patterns of scores on the Sense of Coherence questionnaire when compared to a group of controls and a group of depressed individuals. Results indicated that anorexics' SOC scores were significantly lower than controls' but significantly higher than depressed individuals'. Concern was expressed regarding the validity of the clinically orientated SOC research literature given the tendency to use this salutogenic measure in pathogenic research designs.

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au, rachael dunn@student qut edu, e Rachael Bellair (nee Dunn). "Therapeutic interaction in anorexia nervosa treatment". Murdoch University, 2009. http://wwwlib.murdoch.edu.au/adt/browse/view/adt-MU20090714.94110.

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Anorexia nervosa (AN) is a chronic and complex psychosomatic condition, characterised by a primary drive to be thin and a refusal to maintain normal body weight. Only a minority of people diagnosed with AN ever become asymptomatic and more research has been called for to address high drop-out rates and lack of engagement in AN treatment services, in particular psychotherapeutic treatment. Prior studies have generally examined this problem in terms of patient mediated variables, such as attitudes and behaviours, with little focus on contextual factors. Research that has studied therapeutic engagement in the area of AN has yet to examine psychotherapeutic treatments-in-practice. Guided by this gap in the literature this thesis examines ways in which therapists engage with adolescents diagnosed with AN in naturally occurring psychotherapeutic interactions. A secondary and concurrent focus is to look at how the therapists underlying theoretical models are reflected in in situ practice. The data corpus comprises twenty-four therapy sessions recorded in an eating disorders programme based in a childrens hospital. In contrast to eating disorders treatment statistics reported in the literature, the programme has a low drop-out rate, zero mortality rate and good long-term patient outcomes, making it an especially suitable setting to examine engagement. Drawing on methods from discursive psychology (DP) and conversation analysis (CA), a number of interactional practices are found which show how the key principles of engagement and neutrality are brought off, or achieved as such in turn-by-turn interaction. Central to the analysis, is the recurrent production of patients bodily states and conduct as delicate items. As these topics are also the primary focus of the institutional setting, the analysis shows how practices such as perspective display series and dispositional management allow delicately marked institutional tasks to be carried out. The analysis also examines how patients bodies and conduct are embedded in, and constituted as problematic in the interactions. Regularities, such as agentic repositioning in accounts, demonstrate the co-production of patients as psychologically compliant with treatment while physically non-compliant. This thesis contributes to work in applied CA concerning links between theoretical models and interactional practices by demonstrating naturally occurring regularities that describe key guiding principles of the eating disorders programme. It also builds on work in DP concerning examinations of the body and embodiment, by showing how patients physical bodies are an integrated feature of the interactions. Finally, this thesis has implications for a clinical audience in terms of extending therapists awareness of how engagement with patients is constituted interactionally, which also contributes to wider AN literature on resistance to therapy.

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Snyder, Gillian. "Anorexia nervosa : community knowledge and attitudes /". Title page contents and abstract only, 1993. http://web4.library.adelaide.edu.au/theses/09ARPS/09arpss675.pdf.

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Ehrlich, Stefan [Verfasser]. "Neurobiologie der Anorexia Nervosa / Stefan Ehrlich". Berlin : Medizinische Fakultät Charité - Universitätsmedizin Berlin, 2011. http://d-nb.info/1025355466/34.

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Hu, Xun. "Molecular genetic analysis of Anorexia nervosa". Thesis, King's College London (University of London), 2006. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.440502.

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Pinto, Diana Raquel Meireles. "Cuidar do adolescente com anorexia nervosa". Bachelor's thesis, [s.n.], 2016. http://hdl.handle.net/10284/5498.

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Projeto de Graduação apresentado à Universidade Fernando Pessoa como parte dos requisitos para obtenção do grau de licenciada em Enfermagem
Com a elaboração deste projeto de graduação pretendeu-se cumprir um dos requisitos para a obtenção do grau de licenciada em Enfermagem e escolhemos estudar “ Cuidar de Adolescentes com anorexia nervosa”. Para o efeito ouvimos os Enfermeiros que trabalham num Serviço de Pedopsiquiatria e que cuidam diariamente destas crianças. Quisemos saber o que pensam e como as ajudam na sua adaptação ao internamento, qual a sua opinião sobre a influência que a moda do corpo perfeito veiculada pelos média tem, sobre o aparente aumento do número desta doença nos adolescentes o que preconiza que a sociedade faça para a combater e como interagem com as famílias. Esta preocupação surgiu durante as aulas de Enfermagem de Saúde mental e Psiquiátrica e no Ensino Clínico de Psiquiatria onde vivenciamos histórias de adolescentes de quem nos sentimos muito próximas o que nos motivou para a realização do projeto. O estudo teve um carácter exploratório descritivo com base numa abordagem qualitativa. A amostra foi constituída por 8 enfermeiros que trabalham em Pedopsiquitria a quem de acordo com um guião previamente elaborado foram realizadas entrevistas semiestruturadas para a obtenção dos dados que foram posteriormente interpretados. Os resultados obtidos permite-nos concluir que os Enfermeiros procuram integrar as crianças no internamento de modo a que se adaptem às regras estabelecidas que designam como contrato terapêutico o qual inclui o afastamento forçado da família mas que na sua opinião favorece a mudança de atitude em relação à ingestão de alimentos. Concluímos também que as razões que levam as adolescentes à anorexia não são totalmente compreendidas por todos os enfermeiros e que existe um aparente distanciamento entre os Enfermeiros e os adolescentes, necessário para facilitar a adaptação e a consciencialização daquilo a que chamam o problema das anoréticas. Também foi possível concluir que a sociedade tem uma grande influência nestes jovens ao veicular de forma intensiva a construção do modelo de “corpo ideal”.
With the development of this graduation project we wanted to meet one of the requirements for obtaining a degree in nursing and chose to study "take care of teens with nervous anorexia”. For this purpose we heard the nurses who work in child psychiatry service and daily take care of these childrens. We wanted to know what they think and how they help the chidren in her adaptation to internament, what is their opinion about the perfect body ideal settled down by the media, and about of the apparent increase in the number of this disease in teens which advocates that society do to combat it and how they interact with families. This concern arose during of Health Nursing and Psychiatric classes and Clinical Teaching of Psychiatry where we saw experience stories of teenagers that we feel very close and they motivated us to do this project. The study was a descriptive exploratory character based on a qualitative approach. The sample has been consisted of eight nurses working in Pedopsiquitria who according to a previously prepared script i realized semistructured interviews and after i analyzed the all the information answered. The results allow us to conclude that nurses try integrate the children in the internament and that they follow the rules established by a therapeutic contract but in the nurses opinion helps change her attitude in relation to their feeding process. We conclude also that anorexia pathology is not fully understood by all nurses and that there is an apparent gap between the nurses and adolescents, necessary to facilitate the adaptation and aware of what they call the problem of anorexic. It was also possible to conclude that society has a great influence on these young people intensively conveys the construction of the model of "ideal body ".

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Zusman, Lillyana. "Anorexia nervosa: un estudio de casos". Pontificia Universidad Católica del Perú, 2013. http://repositorio.pucp.edu.pe/index/handle/123456789/99857.

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Anorexia Nervosa is an Eating Disorder defined (etimoligacally) as a "nervouse loss of apetite". It is characterized by a conscious, voluntary and categoric attitude of the sick patient to refrain from eating. He/she has a firm conviction of having excess weight which they try to modify by starvation.Through a case study, a distinction between two types of Anorexia Nervosa is proposed: a Structural Anorexia Nervosa -in which an intrapsyhic, primary, arcaic conflic prevails, leading to an isolated, withdrawal conduct- and a Reactive Anorexia Nervosa, in which a later intrafamilial conflict prevails leading, therefore, to a more open personality, compatible with the enviroment.
La Anorexia Nervosa es un trastorno de alimentación que se define (etimológicamente) como una "pérdida nerviosa del apetito". Se caracteriza por la actitud consciente, voluntaria y rotunda de los sujetos de tener un exceso de peso que intentan modificar por vía de la inanición. A partir del estudio de casos, se propone la distinción entre una Anorexia Nervosa Estructural -aquella en la que predomina el conflicto intrapsíquico primario y arcaico, y que manifiesta una conducta aislada y retraída- y una Anorexia Nervosa Reactiva, aquella en la que predomina un conflicto intrafamiliar algo más posterior y, por lo tanto, una personalidad más abierta y compatible con el medio.

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Wrangskog, Meriläinen Linnea. "Kroppsuppfattning hos kvinnor med Anorexia nervosa". Thesis, Sophiahemmet Högskola, 2012. http://urn.kb.se/resolve?urn=urn:nbn:se:shh:diva-1175.

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Bakgrund Anorexia nervosa drabbar framför allt unga kvinnor i västerländska länder. Personer med AN har ett liv som kretsar kring mat, motion och viktnedgång. AN delas in i två sjukdomsbilder, AN med självrensning och AN utan självrensning. Sjukdomen kan leda till fysiska, psykiska och sociala konsekvenser. En störd kroppsuppfattning är ett av huvudsymptomen för sjukdomen och påverkar personens livskvalitet och självkänsla. Personen kan ha ögonblick med en realistisk kroppsuppfattning men den störda kroppsuppfattningen tar ofta över. Störd kroppsuppfattning förekommer även bland andra psykiatriska sjukdomar såsom dysmorfofobi. Syfte Att beskriva komplexiteten kring kroppsuppfattning vid Anorexia nervosa Metod En forskningsöversikt valdes som metod. Forskningsöversikten innefattade 17 vetenskapliga artiklar som granskades och sammanställdes. Artiklar togs fram genom sökningar i PubMed och PsycINFO samt manuella sökningar. Resultat Kroppsuppfattningen kunde vara störd taktilt, visuellt, subjektivt och objektivt. Kvinnor med AN överskattade sin kroppsstorlek, var missnöjda med sin kropp och önskade att de kunde vara smalare. Vissa kvinnor kunde erkänna sin undervikt medan andra förnekade undervikten. Kroppsuppfattningen varierade och en förändring kunde utlösas av exempelvis känslomässiga händelser. Cirka 39 procent av personerna med AN diagnostiserades även med dysmorfofobi, dessa personer visade sig ha en mer störd kroppsuppfattning. Kvinnor med AN-R hade en sämre insikt i kroppsuppfattningen och visade fler tecken på vanföreställningar. Det fanns ett signifikant samband mellan mödrars och döttrars kroppsuppfattning. Sexuella och fysiska övergrepp var överrepresenterat hos kvinnor med AN. De som blivit utsatta för fysiska övergrepp hade i större utsträckning störd kroppsuppfattning. Slutsats Resultatet av studien visade att kvinnor med AN överskattar sin kroppsstorlek, är missnöjda med sin kropp och önskar de kunde vara smalare. Kroppsuppfattningen kan variera under dagen och en förändring kan utlösas av måltider och känslomässiga händelser. En betydande del av kvinnor med AN uppfyller även de diagnostiska kriterierna för dysmorfofobi, vilket tyder på en samsjuklighet men är även en risk för eventuell feldiagnostisering. Det finns ett signifikant samband mellan kroppsuppfattning hos mödrar, deras döttrar och familjesituationen. Vidare forskning kan ha en klinisk betydelse för sjuksköterskans roll kring förebyggande arbete, upptäckt, stöd och behandling

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Crosscope-Happel, Cindy. "Male Anorexia Nervosa: an Exploratory Study". Diss., Virginia Tech, 1999. http://hdl.handle.net/10919/29608.

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Anorexia nervosa is a serious problem that affects over one million males yearly. It is often misdiagnosed and overlooked completely in clinical, medical and school settings because of the misperception that it is a disorder exclusively present in females. The DSM-IV largely contributes to this misnomer due to the gender-biased criteria.

The purpose of this exploratory study was to identify the etiology and clinical characteristics of male anorexia and devise a more comprehensive definition of anorexia nervosa that encompasses both males and females. An additional purpose was to develop an instrument that identifies risk factors associated with anorexia nervosa in males and aid mental health and medical practitioners in making this diagnosis.

A review of literature illuminated unique features of the male anorexic as well as characteristics shared with females. The Assessment of Anorexia Nervosa in Males Questionnaire (AANMQ) was developed for this study to assess an expert panel's clinical observations regarding potential misdiagnosis and treatment gaps among males with anorexia nervosa. This panel included one male anorexic, one parent of an anorexic male, and eight mental health and medical practitioners who were selected based on personal and clinical experiences working with male anorexics. Data were collected via face-to-face and telephone interviews. A compilation of literature and the expert panel's responses to the AANMQ resulted in the content suggested for the Assessment of Male Anorexia Nervosa (AMAN), a diagnostic inventory that provides a comprehensive profile specific to male anorexics. This instrument is to be used by mental health and medical practitioners for the diagnosis of this disorder. Even when anorexia nervosa is correctly diagnosed, services for males are selective and inadequate due to treatment models being geared toward a female population. The AMAN compensates for the missing elements and gender-biased nature of DSM-IV and permits accurate assessment and diagnosis of male anorexia.
Ph. D.

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Bellair, Rachael. "Therapeutic interaction in anorexia nervosa treatment /". Murdoch University Digital Theses Program, 2009. http://wwwlib.murdoch.edu.au/adt/browse/view/adt-MU20090714.94110.

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40

Bellair, (nee Dunn) Rachael. "Therapeutic interaction in anorexia nervosa treatment". Thesis, Bellair (nee Dunn), Rachael (2009) Therapeutic interaction in anorexia nervosa treatment. PhD thesis, Murdoch University, 2009. https://researchrepository.murdoch.edu.au/id/eprint/717/.

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Anorexia nervosa (AN) is a chronic and complex psychosomatic condition, characterised by a primary drive to be thin and a refusal to maintain normal body weight. Only a minority of people diagnosed with AN ever become asymptomatic and more research has been called for to address high drop-out rates and lack of engagement in AN treatment services, in particular psychotherapeutic treatment. Prior studies have generally examined this problem in terms of patient mediated variables, such as attitudes and behaviours, with little focus on contextual factors. Research that has studied therapeutic engagement in the area of AN has yet to examine psychotherapeutic treatments-in-practice. Guided by this gap in the literature this thesis examines ways in which therapists engage with adolescents diagnosed with AN in naturally occurring psychotherapeutic interactions. A secondary and concurrent focus is to look at how the therapists’ underlying theoretical models are reflected in in situ practice. The data corpus comprises twenty-four therapy sessions recorded in an eating disorders programme based in a children’s hospital. In contrast to eating disorders treatment statistics reported in the literature, the programme has a low drop-out rate, zero mortality rate and good long-term patient outcomes, making it an especially suitable setting to examine engagement. Drawing on methods from discursive psychology (DP) and conversation analysis (CA), a number of interactional practices are found which show how the key principles of engagement and neutrality are brought off, or achieved as such in turn-by-turn interaction. Central to the analysis, is the recurrent production of patients’ bodily states and conduct as delicate items. As these topics are also the primary focus of the institutional setting, the analysis shows how practices such as perspective display series and dispositional management allow delicately marked institutional tasks to be carried out. The analysis also examines how patients’ bodies and conduct are embedded in, and constituted as problematic in the interactions. Regularities, such as agentic repositioning in accounts, demonstrate the co-production of patients as psychologically compliant with treatment while physically non-compliant. This thesis contributes to work in applied CA concerning links between theoretical models and interactional practices by demonstrating naturally occurring regularities that describe key guiding principles of the eating disorders programme. It also builds on work in DP concerning examinations of the body and embodiment, by showing how patients’ physical bodies are an integrated feature of the interactions. Finally, this thesis has implications for a clinical audience in terms of extending therapists’ awareness of how engagement with patients is constituted interactionally, which also contributes to wider AN literature on ‘resistance’ to therapy.

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41

Bellair, (nee Dunn) Rachael. "Therapeutic interaction in anorexia nervosa treatment". Bellair (nee Dunn), Rachael (2009) Therapeutic interaction in anorexia nervosa treatment. PhD thesis, Murdoch University, 2009. http://researchrepository.murdoch.edu.au/717/.

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Abstract (sommario):

Anorexia nervosa (AN) is a chronic and complex psychosomatic condition, characterised by a primary drive to be thin and a refusal to maintain normal body weight. Only a minority of people diagnosed with AN ever become asymptomatic and more research has been called for to address high drop-out rates and lack of engagement in AN treatment services, in particular psychotherapeutic treatment. Prior studies have generally examined this problem in terms of patient mediated variables, such as attitudes and behaviours, with little focus on contextual factors. Research that has studied therapeutic engagement in the area of AN has yet to examine psychotherapeutic treatments-in-practice. Guided by this gap in the literature this thesis examines ways in which therapists engage with adolescents diagnosed with AN in naturally occurring psychotherapeutic interactions. A secondary and concurrent focus is to look at how the therapists’ underlying theoretical models are reflected in in situ practice. The data corpus comprises twenty-four therapy sessions recorded in an eating disorders programme based in a children’s hospital. In contrast to eating disorders treatment statistics reported in the literature, the programme has a low drop-out rate, zero mortality rate and good long-term patient outcomes, making it an especially suitable setting to examine engagement. Drawing on methods from discursive psychology (DP) and conversation analysis (CA), a number of interactional practices are found which show how the key principles of engagement and neutrality are brought off, or achieved as such in turn-by-turn interaction. Central to the analysis, is the recurrent production of patients’ bodily states and conduct as delicate items. As these topics are also the primary focus of the institutional setting, the analysis shows how practices such as perspective display series and dispositional management allow delicately marked institutional tasks to be carried out. The analysis also examines how patients’ bodies and conduct are embedded in, and constituted as problematic in the interactions. Regularities, such as agentic repositioning in accounts, demonstrate the co-production of patients as psychologically compliant with treatment while physically non-compliant. This thesis contributes to work in applied CA concerning links between theoretical models and interactional practices by demonstrating naturally occurring regularities that describe key guiding principles of the eating disorders programme. It also builds on work in DP concerning examinations of the body and embodiment, by showing how patients’ physical bodies are an integrated feature of the interactions. Finally, this thesis has implications for a clinical audience in terms of extending therapists’ awareness of how engagement with patients is constituted interactionally, which also contributes to wider AN literature on ‘resistance’ to therapy.

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42

Karlsson, Sofie, e Lindgren Emma. "Anorexia nervosa : Subjektiva upplevelser av tillfrisknande". Thesis, Umeå universitet, Institutionen för socialt arbete, 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-167047.

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Abstract Bakgrund: År 2018 levde cirka 190 000 personer i Sverige med en ätstörning varav majoriteten som insjuknade var unga kvinnor. Går en tillbaka 30-40 år i tiden var ätstörningar ett sällsynt problem i samhället, idag däremot är det ett välkänt begrepp inom sjukvården. En av de vanligaste ätstörningarna är anorexia nervosa och studier har visat att det första året efter en har blivit friskförklarad är det störst risk för återfall och att det finns begränsad forskning gällande tillfriskningsprocessen utifrån ett patientperspektiv. Syftet: Syftet med denna studie är att få en djupare förståelse för hur tillfrisknandet från anorexia nervosa kan upplevas av någon som diagnostiserats med anorexia nervosa. Metod: För att besvara syftet har en kvalitativ metod använts. Fyra intervjuer har genomförts med personer som har diagnostiserats med sjukdomen anorexia nervosa. Transkriberingarna av intervjuerna har sedan analyserats med inspiration utifrån en tematisk analys. Resultat: Resultatet visade att det kunde finnas faktorer som både underlättade och försvårade tillfrisknandet. Motivationsfaktorer såsom sociala relationer kunde vara en bidragande faktor för att gå mot ett tillfrisknande och underlätta processen. Faktorer som kunde försvåra tillfriskningsprocessen var bland annat brist på den psykologiska återhämtningen i behandlingen som kunde bestå av negativ självkänsla och behov av kontroll. I tillfriskningsprocessen framkom det av informanterna att det var stort fokus på den fysiska delen i behandlingen. Slutsatser: Informanterna uttryckte att det finns ett behov av att arbeta mer subjektivt i behandlingen för att underlätta den psykologiska delen av tillfrisknandet. Vägen till att bli diagnostiserad med anorexia nervosa enligt DSM-5 är tydlig medan vägen ur sjukdomen och vad frisk innebär är desto otydligare. Nyckelord: anorexia nervosa, tillfrisknande, försvårande/underlättande, motivation, relationer, frisk/sjuk, kvalitativa intervjuer, tematisk analys, KASAM, disease, illness.

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Holmgren, Amanda, e Mimmi Bylander. "Behandling av anorexia nervosa : En kvalitativ studie av professionellas arbete med ungdomar som har ätstörningen anorexia nervosa". Thesis, Linnéuniversitetet, Institutionen för pedagogik och lärande (PEL), 2021. http://urn.kb.se/resolve?urn=urn:nbn:se:lnu:diva-101931.

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Ätstörningen anorexia nervosa är ett samhällsproblem som har sin historia långt bak i tiden. Trots det finns det inte särskilt mycket forskning om de som har sjukdomen eller om de som arbetar med det. Syftet med denna kandidatuppsats var därmed att belysa de professionellas kunskaper och erfarenheter i arbetet med ungdomar (13–16 år) som har diagnostiserats med anorexia nervosa. Vilka behandlingar erbjuds det för dessa ungdomar och vilka är de betydelsefulla faktorerna för ett tillfrisknande? Med hjälp av undersökningens resultat insåg vi vilken betydelsefull roll den professionella kan ha i en sådan komplex situation som patienten befinner sig. Det gav oss även en inblick i hur det socialpedagogiska förhållningssättet kan tillämpas i ett sådant arbete. Resultatet visar att familjebaserad terapi (FBT) är den behandling som används mest för ungdomar med anorexia nervosa, vilket stämmer överens med tidigare forskning. Det visar även att arbetet bygger på relationer, där den professionella behöver ta hänsyn till många olika faktorer som berör patienten samt att det kan vara svårt att räcka till för dem som behöver mer omfattande vård. Undersökningen utgår ifrån en kvalitativ metod, med semistrukturerade intervjuer, samt utifrån Aaron Antonovskys teori om Känsla av sammanhang (KASAM).
The eating disorder anorexia nervosa is a societal problem that has a long history. Despite this, there is not much research on those who have the disease or on those who work with it. The aim of this bachelor’s thesis was thus to illustrate the professionals’ knowledge and experience in the work with adolescences (13-16 years old) who have been diagnosed with anorexia nervosa. What treatment is offered to young people and what are the important factors for recovery? The results of the survey made us realize what significant role the professional can play in such complex situation as a patient. It also gave us an insight into how the social pedagogical approach can be applied in such work. The results show that family-based therapy (FBT) is the most commonly treatment, used for adolescents with anorexia nervosa, which is consistent with previous research. It also shows that the work is based on relationships, where the professional needs to make allowances for many different factors that affect the patient and that it can be difficult to suffice for those who need more comprehensive care. The survey is based on a qualitative method, with semi-structured interviews, and based on Aaron Antonovsky’s theory Sence of coherence (SOC).

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Rydeberg, Emma, e Sheana Johansson. "Anorexia nervosa - min vän och fiende : En litteraturstudie om kvinnors upplevelser av att leva med anorexia nervosa". Thesis, Linnéuniversitetet, Institutionen för hälso- och vårdvetenskap (HV), 2014. http://urn.kb.se/resolve?urn=urn:nbn:se:lnu:diva-32728.

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Bakgrund: Anorexia nervosa är en ätstörning som blivit allt vanligare. Den drabbar ca 1 % av alla kvinnor innan de fyllt 18 år. Beteendet för de drabbade karakteriseras av en störd kroppsuppfattning och en vilja att uppnå en idealvikt som är långt under normalvikt. Sjukdomen medför såväl fysiskt som psykiskt lidande. De kvinnor som lider av anorexia nervosa anser idag att sjukvården saknar den kunskap som krävs för att behandla sjukdomen. Syfte: Syftet var att belysa kvinnors upplevelser av att leva med anorexia nervosa. Metod: Litteraturstudien utfördes utifrån en kvalitativ ansats. De vetenskapliga artiklarna analyserade genom en kvalitativ innehållsanalys. Resultat: Kvinnorna såg främst de positiva aspekterna av sjukdomen då den gav dem kontroll och användes som ett verktyg för att kunna hantera vardagen. Sjukdomen fick samtidigt kvinnorna att känna sig maktlösa och ensamma. Slutsats: Resultatet gav en ökad kunskap samt förståelse om den komplexa relation som kvinnorna har till anorexia nervosa, vilket kan underlätta för vårdpersonal att stärka dessa individers hälsa.

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Fritz, Julia. "Im Spiegel der Erinnerung : Magersucht und Genesung im biographischen Kontext /". Marburg : Tectum-Verl, 2009. http://d-nb.info/995244545/04.

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46

Wilson, Andrew J. "A measurement of Eating Pathology in Anorexia Nervosa". Thesis, The University of Sydney, 1986. https://hdl.handle.net/2123/26287.

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The aims of the study were to develop an Eating Behaviour Rating Scale (EBRS) for anorexia nervosa patients, to quantify their eating behaviour and to determine any change in eating behaviour as a result of inpatient treatment. Fifteen inpatients and ten university students participated in the study. The EBRS was shown to have high inter-rater and test-retest reliability and was shown to be reliable using a direct visual rating method. The eating behaviour of the anorexia nervosa patients (as measured by the EBRS), was significantly worse than the university students. Although there was a statistically significant improvement in their eating behaviour during hospitalization, it remained significantly worse than the students. The mean EBRS score of the anorexia nervosa patients at maintenance was also shown to be an important variable in determining average daily weight gain. The significance of these results and the relationships between the EBRS, other scales and body image indices are discussed in Chapters Five and Six.

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47

Friman, Janina. "Insulära loben - spindeln i nätet vid anorexia nervosa : En litteraturstudie med fokus på individer tillfrisknade från anorexia nervosa". Thesis, Linnéuniversitetet, Institutionen för kemi och biomedicin (KOB), 2018. http://urn.kb.se/resolve?urn=urn:nbn:se:lnu:diva-72041.

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Bakgrund: Flera faktorer samverkar vid utvecklingen av anorexia nervosa och bidrar till sjukdomens komplexitet. Anorexia nervosa karakteriseras av bristande sjukdomsinsikt och låg kroppsvikt på grund av den starka strävan efter en smal kropp. Tillfrisknandet är en lång och svår process. Många som tillfrisknat från anorexia nervosa rapporterar att de fortfarande har en besatthet kring kroppen samt problematiska tankar. Det ökar intresset för om det går att tillfriskna helt och inte enbart enligt kriterier fastställda för anorexia nervosa. Intresset drivs av att insjuknade individer uppvisar förändringar i aktiveringsmönster i hjärnan. Insulära loben (insula) är ett område i hjärnan som integrerar flera olika processer och bidrar med upplevelsen av den egna kroppen. Hos individer med anorexia nervosa ses förändrat aktiveringsmönster i insula. Syfte: Denna studie syftar till att undersöka aktiveringsmönster i insula vid olika typer av stimuli hos individer som tillfrisknat från anorexia nervosa. Studien syftar till att närma sig sanningen i frågan om det finns premorbida drag i insula som predisponerar för utvecklingen av anorexia nervosa. Metod: Litteraturstudie. Utvalda tvärsnittstudier har granskats närmare där en tillfrisknad grupp jämförs med en grupp individer som aldrig diagnostiserats med anorexia nervosa. Resultat: Högre aktivering i anterior insula ses i en förväntnings fas inför presenterandet av bilder på mat (p<0.001). Under en förväntnings fas på smärtsam stimuli uppvisas även högre aktivering i anterior insula hos de tillfrisknade individerna (t-värdet 3.64). De tillfrisknade individernas subjektiva värdering av hur förväntnings fasen upplevdes korrelerade inte med uppmätt aktivitetsmönster. Lägre aktivering i posterior insula sågs hos RECAN gruppen då smärta upplevdes (t-värdet 5.10). Stimulering med sackaroslösning resulterade i lägre aktivering i anterior insula hos de tillfrisknade individerna (p=0.01). Stimulering med artificiellt sötningsmedel uppvisade ingen statistisk signifikant skillnad. Vid en felaktig förutsägelse sågs en högre aktivering i posterior insula hos den tillfrisknade gruppen (p<0.05). Antalet kopplingar av vita fibrer mellan insula och orbitofrontala cortex samt striatum är fler hos den tillfrisknade gruppen. Den microstrukturella integriteten av fibrer (fraktionerad anisotropi), mellan områdena är lägre än hos kontrollgruppen (p<0.007). Diskussion: Studien fann skillnader i insulas aktiveringsmönster hos individer som tillfrisknat från anorexia nervosa. För tillfrisknade individer skapar förväntnings fasen mer ångest än hos kontrollgruppen vilket aktiverar anterior insula. Missmatchen som konstaterades mellan individernas subjektiva värdering samt uppmätt aktiveringsmönster tyder på en dysfunktion i insulas uppgift att integrera interoceptiva processer som kan vara premorbida drag. BMI korrelationer mellan antalet kopplingar och de vita fibrernas microstrukturella integritet avsaknas vilket inte utesluter premorbida drag i insula. Slutsats: Studien kan inte svara på frågan om premorbida drag finns i insula. Studiens resultat föreslår att ett annorlunda aktiveringsmönster i insula kan vara en bidragande orsak till utvecklingen av anorexia nervosa. För ett säkrare svar behöver fMRI skanningar göras innan individen insjuknar. Resultatet från studien bidrar med förståelse för anorexia nervosas komplexitet samt varför risken för återfall är stor.
Background: Different factors co-operate in the development of anorexia nervosa and contribute to the complexity of the disease. Anorexia nervosa is characterized by a lack of insight about being ill and a low weight that is maintained with a desire to be thin. Recovery from anorexia nervosa is a difficult process. Many recovered individuals report that they still have problematic thoughts about food and problems with their body image. With that in mind there is an interest for the question if full recovery is possible. That means a recovery when the person feels recovered not just don´t meet the requirement for anorexia nervosa any longer. The question is supported by the fact that individuals currently ill in anorexia nervosa shows different activation patterns in the brain. The insula is a part of the brain that integrates different processes and contributes to the body image. Individuals currently ill in anorexia nervosa shows different activation patterns in the insula Aim of the study: This study aim to study activation patterns in the insula when different stimulus is presented for recovered individuals. The study aim to get closer to an answer if there is premorbid traits in the insula that predispose for the development of anorexia nervosa. Methods: Literature review. Selected cross-sectional studies are reviewed further where a group of recovered individuals is compared to a group of people that never been diagnosed with anorexia nervosa. Results: Greater activation of the anterior insula is notable during an anticipation phase when the individual anticipate pictures of food (p<0.001). Anticipation of painful stimuli also shows greater activation of the anterior insula in recovered individuals (t-value 3.46). The subjective ratings of how enjoyable the anticipation phase was didn´t correlate with the measurements of the activation pattern i the insula. The posterior insula showed lower activation during pain stimulation in the recovered group (t-value 5.10). The anterior insula showed lower response to the taste of sucrose in the recovered group. No statistic significant group differences were found when artificial sweeteners were present. Prediction error resulted in a greater activation in anterior insula in the recovered group (p<0.05). Higher structural white matter connectivity between insula, orbitofrontal cortex and striatum but less fiber integrity in the recovered group (p<0.007). Discussion: This study found different activation patterns in individuals recovered from anorexia nervosa. The anticipation phase creates more anxiety in the recovered group and the anterior insula shows greater activation. The mismatch between the subjective experience and the activation pattern in the insula suggest altered integration that might be a premorbid trait. The lack of BMI correlations between fiber structural connectivity and integrity supports the hypothesis about premorbid traits in insula. Conclusion: This study is unable to determine an answer to the question if there are premorbid traits in the insula. The results of this study propose that different activation patterns in the insula may predispose for the development of anorexia nervosa. The results contribute with a better understanding of the complexity of anorexia nervosa and why there is a huge relapse rate. fMRI before the individual develop anorexia nervosa could clarify the results.

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48

Larsson, Hanna. "Träningens roll vid anorexia nervosa : om upplevelsen av hur träning påverkar insjuknandet i och tillfrisknandet från anorexia nervosa". Thesis, Gymnastik- och idrottshögskolan, GIH, Institutionen för idrotts- och hälsovetenskap, 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:gih:diva-5670.

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Sammanfattning Syfte & frågeställningar Syftet med föreliggande uppsats är att med hjälp av intervjuer kartlägga hur friska personer som tidigare har haft diagnosen anorexia nervosa samt bedrivit någon form av idrott upplever att träning har påverkat deras insjuknande i och tillfrisknande från sjukdomen. Hur upplever personer som tidigare har haft diagnosen anorexia nervosa att träning har påverkat insjuknandet i och tillfrisknandet från sjukdomen? Vad har personer som tidigare har haft diagnosen anorexia nervosa för personliga erfarenheter och upplevelser av träning som en del av behandlingen? Metod En kvalitativ studie genomfördes med semi-strukturerade telefonintervjuer. Med en semistrukturerad intervjuform får deltagarna möjligheten att berätta om sina egna erfarenheter och upplevelser. Deltagarna i studien var fyra kvinnor mellan 23–34 år. Alla individer hade sin ätstörningsdebut i tonåren men har nu varit friskförklarade sedan en tid tillbaka. Intervjuerna spelades in digitalt för att sedan transkriberas och analyseras med ett induktivt förhållningsätt. Resultat Resultatet presenteras i två huvudteman som kom fram under analysarbetet: Faktorer i insjuknandet och Faktorer i tillfrisknandet. Resultatet visar att träningen förmodligen har en betydande roll både i själva insjuknandet och i tillfrisknandet, men fler studier om upplevelsen av träningens roll behövs. Flera olika faktorer samspelar både vid insjuknandet och tillfrisknandet, men exakt vad som beror på vad är svårt att avgöra. Oavsett träningens roll i sjukdomen ansågs träningen mycket viktig för samtliga deltagare. Att träna under behandling var inget deltagarna hade några erfarenheter av då samtliga fick träningsförbud. Slutsats Trots att träningen har påverkat deltagarnas insjuknande i ätstörningen framstår ändå träningen främst som något positivt och glädjefyllt. I och med den här uppsatsen har vi fått ta del av flera personliga berättelser och erfarenheter om träningens roll vid anorexia nervosa, vilket kan hjälpa andra att få en insikt i hur detta komplexa samspel av faktorer fungerar.

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Sheppy, Margarette Isabell. "An ecological-systems analysis of anorexia nervosa". Thesis, University of British Columbia, 1985. http://hdl.handle.net/2429/26044.

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Aspects of the ecological systemic approach were used to provide a framework for the understanding of the dynamics of anorexia nervosa and were empirically tested by comparing 30 anorexics and their parents to 34 matched control subjects and their parents. The theoretical model employed was an adaptation of Conger's Ecological-Systems approach which was based on the principles of Bronfenbrennei's theory of human development. The subjects were compared on selected variables arising from the individual, parent, family, and community systems using: 1) the California Psychological Inventory (CPI), 2) the Structural Analysis of Social Behavior (SASB), 3) the Family Environment Scale (FES), and 4) the Pattison Psychosocial Inventory (PPI). Statistical analysis of the difference between means was tested using Hotelling's (T²) procedure followed by a discriminant analysis. The final analysis occured using a Stepwise Discriminant procedure. The results of the stepwise analysis revealed that the Affiliation score (SASB) for the anorexics and the control subjects and the Psychopathic Deviancy score (CPI-Clinical) of the mothers of the anorexics and the controls were the variables which contributed to the discriminant analysis. With the Affiliation and the Psychopathic Deviancy scores alone, it was possible to correctly classify 87.5% of the research subjects. Analyses also showed statistically significant results at the individual, parent, and family levels. Specifically, the anorexic daughters were found to have a negative self-worth as measured by the SASB. They were also more anxious and at odds with themselves and others (CPI). The anorexics were more depressed than the controls, had a greater tendency toward rebelliousness and hostility toward authority, and expressed their feelings in a more indirect manner. The anorexics may use ritualistic thoughts and actions in an attempt to structure their lives to overcome their feelings of losing control. They lack a sense of who they are emotionally and generally feel alienated and lonely as if on the outside looking in. The CPI-Psychopathic Deviancy scale was significantly higher for the mothers of the anorexics than for the controls. No differences were found between the two groups of fathers. Interactions within the family, as perceived by the anorexics, were characterized by overprotection and control by the mothers while the anorexics responded with significantly less affiliation to both their mothers and their fathers. The mothers of the anorexics also viewed their daughters as being less friendly in the relationship. There were no significant findings regarding the perceptions of the fathers of the anorexics and the controls. The families of the anorexics were less supportive, helpful and committed to each other than were the families of the control subjects as measured by the FES.
Education, Faculty of
Educational and Counselling Psychology, and Special Education (ECPS), Department of
Graduate

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50

McGee, Brandy Jennifer. "Perfectionism, social exclusion, and anorexia nervosa symptoms". Thesis, University of British Columbia, 2007. http://hdl.handle.net/2429/30952.

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Abstract (sommario):

Anorexia nervosa affects between 0.5% and 1% of the population and kills young women at a rate 10 times higher than the normal population (DSM-IV-TR; American Psychiatric Association, 2003; Hoek, 2006). Perfectionism has long been recognized as a risk factor for the disorder, but that relationship is not well understood. We conducted a longitudinal experimental study to examine the effect of multidimensional perfectionism on state symptoms of anorexia nervosa under conditions of social acceptance, social exclusion, and a control condition. In addition to testing a diathesis-stress model of anorectic symptoms, we also explored whether rejected affect mediated that relationship. The concurrent results indicated that both trait perfectionism and perfectionistic self-presentation were predictive of affective, cognitive, and self-evaluative symptoms of anorexia. However, only perfectionistic self-promotion and nondisplay of imperfection predicted concurrent symptoms beyond the variance accounted for by the Big Five personality traits. The longitudinal findings suggested that perfectionistic self-presentation predicted a worsening of cognitive and self-evaluative anorectic symptoms over time. By itself, neither trait perfectionism, nor perfectionistic self-presentation was predictive of concurrent eating behavior or change in eating behavior over time. Tests of the diathesis-stress model indicated that both trait perfectionism and perfectionistic self-presentation interacted with level of belongingness to predict change in state symptoms of anorexia nervosa. However, the different dimensions of perfectionism were predictive o f different aspects of the anorectic experience. For example, socially prescribed perfectionism interacted with social feedback condition to predict increasing dietary restriction, whereas self-oriented perfectionism interacted with social feedback condition to predict change in state self-esteem, and perfectionistic self-promotion interacted with level of belongingness to predict a worsening of anorectic thoughts. Moreover, with one exception, social acceptance had a negative effect for highly perfectionistic individuals. Tests of the mediated moderation model revealed that rejected affect mediates the relationship between perfectionistic self-promotion and anorectic thoughts about rigid weight regulation in the context of social exclusion. The results are discussed with respect to existing models of anorectic symptom development and implications for treatment and future research.
Arts, Faculty of
Psychology, Department of
Graduate

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