scholarly journals Disordered eating concerns, behaviors, and severity in young adults clustered by anxiety and depression

2021 ◽  
Author(s):  
Kaitlyn M. Eck ◽  
Carol Byrd‐Bredbenner
2021 ◽  
Vol 9 (1) ◽  
Author(s):  
Jessica A. Lin ◽  
Grace Jhe ◽  
Julia A. Vitagliano ◽  
Carly E. Milliren ◽  
Rebecca Spigel ◽  
...  

Abstract Background Restrictive eating disorders (EDs) are often comorbid with anxiety and depression symptoms, placing patients at risk for more severe disease, worse treatment outcomes, and higher rates of mortality. To identify risks for developing such co-morbidities, we assessed the association of malnutrition, ED illness duration, and pre-morbid weight status with symptoms of anxiety and depression in adolescents/young adults (AYAs) with EDs. Methods 145 participants with restrictive EDs (anorexia nervosa [AN], other specified feeding and eating disorders [OSFED], avoidant restrictive food intake disorder [ARFID]) were included from the RECOVERY study, a longitudinal web-based registry of AYAs with EDs. We measured malnutrition as percent of expected body mass index (%eBMI), based on participants’ pre-morbid growth trajectory. Outcomes were anxiety and depression scores from the Generalized Anxiety Disorder 7-item (GAD-7) and Center for Epidemiologic Studies Depression (CES-D) scales. We used multiple linear regression to examine the association of malnutrition, ED duration, and pre-morbid weight status with symptoms of anxiety and depression. Results Mean (SD) age was 16.4(3.0) years; 87% were female; 89% white; 85% had AN, 6% OSFED, 10% ARFID. Of these, 2/3 had ED symptoms ≥1 year, 1/3 had previous higher level of ED care (HLOC), and half were taking psychiatric medications. Mean %eBMI was 90% (range 57–112%). Mean GAD-7 was 9.4(5.9) and CES-D was 24(13.8), indicating most participants had clinically significant anxiety and/or depression. Degree of malnutrition was not significantly associated with anxiety or depression adjusting for age, sex, sexual orientation, ED diagnosis, and use of psychiatric medication. Those with longer duration of ED symptoms had higher depression scores after adjusting for malnutrition, HLOC, length of ED symptoms, and time in our care (p = 0.038). Patients with pre-morbid BMIs ≥75th percentile had lower depression scores than those with pre-morbid BMIs <75th percentile (p = 0.014). Conclusions We find high degree of clinically relevant anxiety and depression symptoms in a population of AYAs with EDs. Our findings suggest that factors beyond malnutrition play a role in the co-morbid mood and anxiety disorders in this population. Overall, rapid ED diagnosis and comprehensive treatment for patients with EDs across the weight spectrum—and especially those with psychiatric co-morbidities—will likely aid in recovery.


2021 ◽  
Author(s):  
Wesley R. Barnhart ◽  
Lauren A. Dial ◽  
Amy K. Jordan ◽  
Emma I. Studer-Perez ◽  
Maria A. Kalantzis ◽  
...  

Abstract Purpose: Picky eating (PE) can occur in adulthood and is associated with mental health concerns. PE is often conceptualized as distinct from disordered eating (DE), but recent research maps positive relationships between these maladaptive eating phenotypes. Precisely what PE facets relate to DE remain unknown, as do factors such as negative psychological correlates that might explain relationships between PE facets and DE.Methods: A large, undergraduate sample (N=509) completed an online survey assessing PE facets (Adult Picky Eating Questionnaire; meal presentation, food variety, meal disengagement, and taste aversion), disordered eating (Eating Disorder Examination Questionnaire), specifically eating concerns, and negative psychological correlates such as mental health concerns (Depression, Anxiety and Stress Scale - 21 Items) and inflexible eating (Inflexible Eating Questionnaire).Results: Positive relationships emerged between PE facets, eating concerns, and negative psychological correlates. Negative psychological correlates moderated relationships between PE facets and eating concerns. Meal presentation, meal disengagement, and taste aversion were more strongly associated with eating concerns when mental health concerns and inflexible eating were higher. Food variety did not significantly explain variance in eating concerns.Conclusions: Considering PE multidimensionally may yield important insights beyond the broader construct. Mental health concerns and inflexible eating may be treatment and research targets in addressing the overlap between PE facets such as meal presentation, meal disengagement, and taste aversion and eating concerns. Level of Evidence: Level V, cross-sectional descriptive study.


2021 ◽  
pp. 101581
Author(s):  
Erica A. Hart ◽  
Alex Rubin ◽  
Kiki M. Kline ◽  
Kathryn R. Fox

Author(s):  
Aghnia Lovita ◽  
Andi Surya Kurnia

Millenials are this generation’s young adults who are very vulnerable to an anxiety and depression, which if this disorder no immediately treated, it would impact to psychiatric disorders (schizophrenia and even suicide). However, many mild – depressed people doesn’t want to seek treatment immediately because lack of knowledge about depression so there’s negative stigma. There are many assumptions where depression is considered “crazy” so which then that patients don’t seek any help, close themselves, and deny. In fact, a few mental hospital in Indonesia doesn’t even meet the proper standards to be called a recovery center. But, seeing from the side of psychology, environment factor has a huge role in recovery process. Therefore, there is a need for a vessel of support for those people who need help on mental health and realizing a comfortable environment for those who are recovering. And improving the perspective of people on the negative stigma about mental disorder and supporting the realization of a strong, comfortable social relation between people and depression sufferers. By using healing environment method, Sanctuary for Depression aims to respond toward all problems which patients acquire a various of health facilities which are needed accordingly and a broader knowledge about  depression, so that the negative stigma which has been planted for a long time could be corrected. Abstrak Milenial merupakan generasi yang sangat rentan terkena gangguan kecemasan dan depresi dimana bila tidak segera ditangani akan berdampak serius (skizofrenia hingga bunuh diri). Tetapi, banyak penderita depresi ringan atau sedang yang tidak mau langsung berobat dikarenakan kurangnya pemahaman terhadap depresi sehingga munculnya stigma negatif. Banyaknya asumsi dimana depresi dianggap “gila” sehingga penderita tidak mencari pertolongan, menutup diri, dan menyangkal. Bersamaan dengan itu juga, kurangnya fasilitas dan perhatian serius terhadap masalah  kesehatan mental (depresi) yang ada di Indonesia. Beberapa rumah sakit jiwa di Indonesia bahkan tidak layak untuk digunakan sebagai tempat pemulihan. Sedangkan dilihat dari sisi psikologis, faktor lingkungan memiliki peran besar dalam proses penyembuhan. Maka dari itu, dibutuhkannya wadah yang memberikan support kepada masyarakat akan kesehatan mentalnya dan mewujudkan lingkungan yang nyaman untuk penderita gangguan mental dalam berobat. Serta meningkatkan kesadaran masyarakat dan memperbaiki stigma terhadap gangguan mental sehingga mendukung terjadinya ikatan sosial yang kuat dan nyaman antara masyarakat dan penderita depresi. Dengan menggunakan metode healing environment, maka Pusat Rehabilitasi Kaum Depresi bertujuan untuk menyikapi semua masalah tersebut dimana pasien mendapatkan berbagai fasilitas kesehatan yang sesuai dibutuhkan dan pengenalan lebih luas mengenai depresi kepada masyarakat sehingga memperbaiki stigma yang sudah tertanam sejak lama.


2018 ◽  
Vol 33 (8) ◽  
pp. 1337-1343 ◽  
Author(s):  
Jason M. Nagata ◽  
Andrea K. Garber ◽  
Jennifer L. Tabler ◽  
Stuart B. Murray ◽  
Kirsten Bibbins-Domingo

2021 ◽  
Vol 27 (Supplement_1) ◽  
pp. S55-S55
Author(s):  
Nicole Neiman ◽  
Ann Ming Yeh ◽  
Rachel Bensen ◽  
Elvi Sanjines ◽  
Anava Wren

Abstract Background Adolescents and young adults (AYA) with Inflammatory Bowel Disease (IBD) are at increased risk for poor psychological and physical well-being. Self-compassion (i.e., understanding and acceptance towards oneself) has been associated with better psychological and physical outcomes in AYA with chronic health conditions. There is limited research exploring self-compassion in AYA with IBD. Aims To examine: 1) the reliability of a Self-Compassion Scale (SCS-SF), and 2) how self-compassion relates to physical (i.e., pain interference, fatigue) and psychological (i.e., stress, anxiety, depression) outcomes in a sample of AYA with IBD. Methods This study was a collaboration with ImproveCareNow, and all procedures were approved by Stanford’s Institutional Review Board. Study participants included 85 AYA (mean=18 yrs) with IBD (52% Crohn’s; 55% female; 61% White). Participants completed a one-time online survey. The internal reliability of SCS-SF was a = 0.88, indicating high internal consistency. Hierarchical linear regression (HLR) analyses examined the unique contribution of self-compassion to pain interference, fatigue, physical stress, psychological stress, anxiety, and depression after controlling for significant demographic and medical variables (sex, IBD diagnosis, mental health diagnosis). Results The overall HLR models were significant for all dependent variables. For physical outcomes, the overall model examining pain interference was significant (F(3, 72) = 4.517; P = 0.003), with sex, IBD diagnosis, and mental health diagnosis accounting for 13% of the variance in pain interference. Self-compassion accounted for an additional 20% of the variance in pain interference over and above demographic/medical variables. For psychological outcomes, the overall model examining anxiety was significant (F(3, 73) = 15.54; P &lt; 0.001), with sex, IBD diagnosis, and mental health diagnosis accounting for 33% of the variance in anxiety. Self-compassion accounted for an additional 46% of the variance in anxiety over and above demographic/medical variables. HLR also demonstrated that self-compassion was a significant independent predictor of pain interference (b = -0.30, P = 0.015), fatigue (b = -0.38, P = 0.001), psychological stress (b = -0.51, P = &lt; 0.001), anxiety (b = -0.41, P = &lt; 0.001), and depression (b = -0.59, P = &lt; 0.001). Participants reporting higher levels of self-compassion had less pain interference, fatigue, stress, anxiety, and depression. Conclusion Preliminary results suggest self-compassion may be an important factor in explaining the variability of key physical and psychological outcomes among AYA with IBD. Research should investigate self-compassion in diverse IBD populations, and explore if feelings of kindness and acceptance towards oneself can be a protective factor for AYA by supporting positive coping and adjustment to IBD.


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