Diagnosis-specific self-image predicts longitudinal suicidal ideation in adult eating disorders

2017 ◽  
Vol 50 (8) ◽  
pp. 970-978 ◽  
Author(s):  
Mikael Andersén ◽  
Andreas Birgegård
Keyword(s):  
Eating Disorders ◽  
Suicidal Ideation ◽  
Self Image

Association Between School Bullying, Suicidal Ideation, and Eating Disorders Among School-Aged Children from Antioquia, Colombia

2021 ◽  
Author(s):  
Jessica Quintero-Jurado ◽  
Nadia Moratto-Vásquez ◽  
Beatriz Caicedo-Velasquez ◽  
Natalia Cárdenas-Zuluaga ◽  
Dorothy L. Espelage
Keyword(s):  
Eating Disorders ◽  
Suicidal Ideation ◽  
School Bullying ◽  
School Aged Children

Unsound sleep, wound-up mind: a longitudinal examination of acute suicidal affective disturbance features among an eating disorder sample

2021 ◽  
pp. 1-9
Author(s):  
Shruti S. Kinkel-Ram ◽  
William Grunewald ◽  
Lindsay P. Bodell ◽  
April R. Smith
Keyword(s):  
Eating Disorders ◽  
Eating Disorder ◽  
Suicidal Ideation ◽  
Sleep Quality ◽  
Treatment Center ◽  
Poor Sleep ◽  
Suicidal Thoughts ◽  
And Behaviors ◽  
Ongoing Assessment ◽  
Suicidal Thoughts And Behaviors

Abstract Background Suicide is one of the most commonly reported causes of death in individuals with eating disorders. However, the mechanisms underlying the suicide and disordered eating link are largely unknown, and current assessments are still unable to accurately predict future suicidal thoughts and behaviors. The purpose of this study is to test the utility of two promising proximal risk factors, sleep quality and agitation, in predicting suicidal ideation in a sample of individuals with elevated suicidal thoughts and behaviors, namely those with eating disorders. Methods Women (N = 97) receiving treatment at an eating disorder treatment center completed weekly questionnaires assessing suicidal ideation, agitation, and sleep. General linear mixed models examined whether agitation and/or sleep quality were concurrently or prospectively associated with suicidal ideation across 12 weeks of treatment. Results There was a significant interaction between within-person agitation and sleep quality on suicidal ideation [B(s.e.) = −0.02(0.01), p < 0.05], such that on weeks when an individual experienced both higher than their average agitation and lower than their average sleep quality, they also experienced their highest levels of suicidal ideation. However, neither agitation nor sleep quality prospectively predicted suicidal ideation. Conclusions This study was the first to examine dynamic associations between interpersonal constructs and suicidal ideation in individuals with eating disorders. Results suggest that ongoing assessment for overarousal symptoms, such as agitation and poor sleep quality, in individuals with eating disorders may be warranted in order to manage suicidal ideation among this vulnerable population.

Negative self-image and outcome in eating disorders: Results at 3-year follow-up

2007 ◽  
Vol 8 (3) ◽  
pp. 398-406 ◽  
Author(s):  
Caroline Björck ◽  
David Clinton ◽  
Staffan Sohlberg ◽  
Claes Norring
Keyword(s):  
Eating Disorders ◽  
Self Image

Suicidality, Self-Injurious Behavior, and Eating Disorders

2017 ◽  
pp. 79-94
Author(s):  
Leslie K. Anderson ◽  
April Smith ◽  
Scott Crow
Keyword(s):  
Eating Disorders ◽  
Suicidal Ideation ◽  
Dialectical Behavior Therapy ◽  
Contingency Management ◽  
Evidence Based ◽  
Self Monitoring ◽  
Specific Diagnosis ◽  
Chain Analysis ◽  
Self Harm ◽  
Telephone Coaching

Regardless of specific diagnosis, individuals with eating disorders have strikingly high rates of self-injurious behavior and suicidal ideation. It is essential that clinicians working with individuals who have eating disorders conduct regular and thorough assessments of suicidality and self-harm in their patients and understand a variety of strategies for intervention with these problems. This chapter outlines evidence-based approaches to assessment and intervention with suicidality and self-harm. It discusses the literature on lethality assessment, no-suicide contracts, involving family, hospitalization, and means restriction. It also focuses on strategies from dialectical behavior therapy for managing both self-harm and suicide risk, such as contingency management, diary card self-monitoring, telephone coaching, and behavioral chain analysis.

Eating disorders: prevention and recovery reflections on two research projects

1996 ◽  
Vol 6 (1) ◽  
pp. 115-124
Author(s):  
Catherine J. Garrett
Keyword(s):  
Eating Disorders ◽  
Social Aspects ◽  
Sources Of Information ◽  
Doctoral Research ◽  
Self Image ◽  
Starting Point ◽  
The Social ◽  
Scientific Terms ◽  
Teachers And Parents ◽  
Prevention In Schools

This article discusses two recent projects concerned with the problem of eating disorders and their prevention: One, an initiative of the NSW Department of School Education, examined the possibilities for prevention in schools. The other, the author's doctoral research on recovery from anorexia nervosa, explored the ways in which recovery takes place. Both took as their starting point the social aspects of eating disorders. The article discusses existing models of prevention. It outlines the aims, methods and findings of the NSW project, including what was discovered about students' self-image and attitudes to their bodies, the sources of information available to them concerning the problem, its relation to competitive sport, and the anxieties about it which were expressed by teachers and parents. It is argued that a study of recovery can make a strong contribution to preventive strategies. Participants in the second project, spoke of their own recovery as a rediscovery of meaning in their lives through access to ‘myths’ and ‘rituals’. This finding is explained in both sociological and recent scientific terms. The author concludes that an understanding of the factors present in recovery from an eating disorder can provide a blueprint for prevention.

scholarly journals Psychological and Sleep Effects of Tryptophan and Magnesium-Enriched Mediterranean Diet in Women with Fibromyalgia

2020 ◽  
Vol 17 (7) ◽  
pp. 2227 ◽  
Author(s):  
Alejandro Martínez-Rodríguez ◽  
Jacobo Á. Rubio-Arias ◽  
Domingo J. Ramos-Campo ◽  
Cristina Reche-García ◽  
Belén Leyva-Vela ◽  
...  
Keyword(s):  
Eating Disorders ◽  
Body Image ◽  
Sleep Quality ◽  
Mediterranean Diet ◽  
Trait Anxiety ◽  
Eating Attitudes ◽  
Mood Disturbance ◽  
Control Group ◽  
Image Perception ◽  
Self Image

Anxiety, mood disturbance, eating and sleep disorders, and dissatisfaction with body image are prevalent disorders in women with fibromyalgia. The authors of this study aimed to determine the effects of tryptophan (TRY) and magnesium-enriched (MG) Mediterranean diet on psychological variables (trait anxiety, mood state, eating disorders, self-image perception) and sleep quality in women with fibromyalgia (n = 22; 49 ± 5 years old). In this randomized, controlled trial, the participants were randomly assigned to the experimental group and the placebo group. The intervention group received a Mediterranean diet enriched with high doses of TRY and MG (60 mg of TRY and 60 mg of MG), whereas the control group received the standard Mediterranean diet. Pittsburgh Sleep Quality Questionnaire, Body Shape Questionnaire, State–Trait Anxiety Inventory (STAI), Profile of Mood States (POMS-29) Questionnaire, Eating Attitudes Test-26, and Trait Anxiety Inventory were completed before and 16 weeks after the intervention. Significant differences were observed between groups after the intervention for the mean scores of trait anxiety (p = 0.001), self-image perception (p = 0.029), mood disturbance (p = 0.001), and eating disorders (p = 0.006). This study concludes that tryptophan and magnesium-enriched Mediterranean diet reduced anxiety symptoms, mood disturbance, eating disorders, and dissatisfaction with body image but did not improve sleep quality in women with fibromyalgia.

scholarly journals Restrictive eating, but not binge eating or purging, predicts suicidal ideation in adolescents and young adults with low‐weight eating disorders

2019 ◽  
Vol 53 (3) ◽  
pp. 472-477 ◽  
Author(s):  
Shirley B. Wang ◽  
Christopher J. Mancuso ◽  
Jenny Jo ◽  
Ani C. Keshishian ◽  
Kendra R. Becker ◽  
...  
Keyword(s):  
Eating Disorders ◽  
Young Adults ◽  
Suicidal Ideation ◽  
Binge Eating ◽  
Adolescents And Young Adults ◽  
Restrictive Eating ◽  
Low Weight

Insidious: The relationship between patients and their eating disorders and its impact on ED symptoms, illness duration and self-image

2017 ◽  
Vol 41 (S1) ◽  
pp. S552-S552
Author(s):  
E. Forsén Mantilla ◽  
A. Birgegård
Keyword(s):  
Eating Disorders ◽  
Interpersonal Relationships ◽  
Real Life ◽  
True Self ◽  
Illness Duration ◽  
Self Image ◽  
Not Otherwise Specified ◽  
Higher Ed ◽  
Competing Interest ◽  
The Relationship

Patients with eating disorders (EDs) often spontaneously talk about their disorder in terms of a symbolic other (a demon, a voice, a guardian). Further, externalizing exercises where patients are encouraged to separate their true self from their ED self are common in some treatment approaches. Yet, no previous quantitative study has investigated this phenomenon. We examined the patient-ED relationship (using the interpersonal structural analysis of social behavior methodology) and its implications for ED symptoms, illness duration and self-image. Participants were 16–25 year old female patients (N = 150) diagnosed with anorexia nervosa (N = 55), bulimia nervosa (N = 33) or eating disorder not otherwise specified (N = 62). Results suggested that patients had comprehensible and organized relationships with their EDs. EDs were primarily experienced as acting critical and controlling towards patients. Higher ED control was associated with more ED symptoms and longer illness duration, especially when coupled with patient submission. Patients reacting more negatively towards their EDs than their EDs were acting towards them had lower symptom levels and more positive self-images. Externalizing one's ED, relating to it like a symbolic other, seemed to make sense to patients and depending on its quality seemed to influence ED symptoms, illness duration and self-image. We put forward both clinical and theoretical implications based on the assumption that the patient-ED relationship may function in similar ways as real-life interpersonal relationships do.Disclosure of interestThe authors have not supplied their declaration of competing interest.

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