scholarly journals The relationship between working alliance with peer mentors and eating psychopathology in a digital 6‐week guided self‐help intervention for anorexia nervosa

2021 ◽  
Author(s):  
Gaia Albano ◽  
Valentina Cardi ◽  
Dennis M. Kivlighan ◽  
Suman Ambwani ◽  
Janet Treasure ◽  
...  
Keyword(s):  
Anorexia Nervosa ◽  
Working Alliance ◽  
Peer Mentors ◽  
Eating Psychopathology ◽  
Self Help ◽  
The Relationship

scholarly journals Relationship of patient shame to working alliance and satisfaction: a preliminary investigation

2019 ◽  
Vol 14 (4) ◽  
pp. 251-263
Author(s):  
Daniel J. Carabellese ◽  
Michael J. Proeve ◽  
Rachel M. Roberts
Keyword(s):  
Patient Satisfaction ◽  
Working Alliance ◽  
Preliminary Investigation ◽  
Community Members ◽  
Content Type ◽  
Mediation Analyses ◽  
External Shame ◽  
Relationship Of ◽  
The Relationship

Purpose The purpose of this paper is to explore the relationship of two distinct variants of dispositional shame (internal and external shame) with collaborative, purpose-driven aspects of the patient–provider relationship (working alliance) and patient satisfaction. The aim of this research was to conduct a preliminary investigation into the relevance of dispositional shame in a general healthcare population. Design/methodology/approach In total, 127 community members (mean age 25.9 years) who reported that they had regularly seen a GP over the past year were recruited at an Australian university. Participants were asked to reflect on their relationship with their GP, and completed instruments assessing various domains of shame, as well as working alliance and patient satisfaction. Findings Non-parametric correlations were examined to determine the direction and strength of relationships, as well as conducting mediation analyses where applicable. Small, negative correlations were evident between external shame and working alliance. Both external and internal shame measures were also negatively correlated with patient satisfaction. Finally, the relationship of external shame to patient satisfaction was partially mediated by working alliance. Practical implications Both the reported quality of patient–provider working alliance, and level of patient satisfaction are related to levels of dispositional shame in patients, and working alliance may act as a mediator for this relationship. Originality/value The findings from this preliminary study suggest that internal and external shame are important factors to consider in the provision of medical care to maximise the quality of patient experience and working alliance.

Examining the Relationship Between Working Alliance and Therapeutic Goal Attainment With Adolescents in Crisis

2017 ◽  
Vol 4 (1) ◽  
pp. 20-33 ◽  
Author(s):  
Erika L. Schmit ◽  
Richard S. Balkin ◽  
K. Michelle Hunnicutt Hollenbaugh ◽  
Marvarene Oliver
Keyword(s):  
Working Alliance ◽  
Goal Attainment ◽  
Therapeutic Goal ◽  
The Relationship

Are depression and denutrition good predictors of dexamethasone suppression test (DST) in anorexia nervosa?

1998 ◽  
Vol 13 (8) ◽  
pp. 411-418 ◽  
Author(s):  
C Massoubre ◽  
F Lang ◽  
L Millot ◽  
M Pichon ◽  
B Estour ◽  
...  
Keyword(s):  
Anorexia Nervosa ◽  
Stepwise Regression ◽  
Serum Cortisol ◽  
Dexamethasone Suppression Test ◽  
Stepwise Logistic Regression ◽  
Independent Variables ◽  
Suppression Test ◽  
Depression Scales ◽  
The Relationship ◽  
Dexamethasone Suppression

SummaryThis study was conducted to investigate the corticotropic axis in anorexia nervosa. In 93 female inpatients who met DSM-III-R criteria for anorexia nervosa, subsample (n = 64) with DSM-III criteria was also considered. Using stepwise regression analysis, this study examined the relationship between independent variables ie, age, body mass index, scores on depression scales and postdexamethasone serum cortisol, considered as a dependent variable. In patients who met DSM-III criteria, 16.7% of the variance of serum cortisol can be explained. The main predictors are depressive retardation, emaciation and age. Using stepwise logistic regression the main categorical predictors of the test suppression vs non suppression are of the same nature. The condition of realisation of DST are discussed.

scholarly journals Increased hypothalamic–pituitary–adrenal drive is associated with decreased appetite and hypoactivation of food-motivation neurocircuitry in anorexia nervosa

2013 ◽  
Vol 169 (5) ◽  
pp. 639-647 ◽  
Author(s):  
Elizabeth A Lawson ◽  
Laura M Holsen ◽  
Rebecca DeSanti ◽  
McKale Santin ◽  
Erinne Meenaghan ◽  
...  
Keyword(s):  
Anorexia Nervosa ◽  
Visual Processing ◽  
Serum Cortisol ◽  
Brain Regions ◽  
Cross Sectional Study ◽  
Food Motivation ◽  
Cross Sectional ◽  
Hypothalamic Pituitary Adrenal ◽  
Cortisol Levels ◽  
The Relationship

ObjectiveCorticotrophin-releasing hormone (CRH)-mediated hypercortisolemia has been demonstrated in anorexia nervosa (AN), a psychiatric disorder characterized by food restriction despite low body weight. While CRH is anorexigenic, downstream cortisol stimulates hunger. Using a food-related functional magnetic resonance imaging (fMRI) paradigm, we have demonstrated hypoactivation of brain regions involved in food motivation in women with AN, even after weight recovery. The relationship between hypothalamic–pituitary–adrenal (HPA) axis dysregulation and appetite and the association with food-motivation neurocircuitry hypoactivation are unknown in AN. We investigated the relationship between HPA activity, appetite, and food-motivation neurocircuitry hypoactivation in AN.DesignCross-sectional study of 36 women (13 AN, ten weight-recovered AN (ANWR), and 13 healthy controls (HC)).MethodsPeripheral cortisol and ACTH levels were measured in a fasting state and 30, 60, and 120 min after a standardized mixed meal. The visual analog scale was used to assess homeostatic and hedonic appetite. fMRI was performed during visual processing of food and non-food stimuli to measure the brain activation pre- and post-meal.ResultsIn each group, serum cortisol levels decreased following the meal. Mean fasting, 120 min post-meal, and nadir cortisol levels were high in AN vs HC. Mean postprandial ACTH levels were high in ANWR compared with HC and AN subjects. Cortisol levels were associated with lower fasting homeostatic and hedonic appetite, independent of BMI and depressive symptoms. Cortisol levels were also associated with between-group variance in activation in the food-motivation brain regions (e.g. hypothalamus, amygdala, hippocampus, orbitofrontal cortex, and insula).ConclusionsHPA activation may contribute to the maintenance of AN by the suppression of appetitive drive.

scholarly journals The Correlation Internal and Eksternal Characteristics with Communication Networks Self-help Rubber Farmer in Batu Bersurat Village XIII Koto Kampar District

2020 ◽  
Vol 3 (1) ◽  
pp. 27-36
Author(s):  
Muhammad Ikhsan Ikhsan ◽  
Roza Yulida ◽  
Fajar Restuhadi
Keyword(s):  
Communication Network ◽  
Communication Networks ◽  
Land Tenure ◽  
Information Needs ◽  
Test Results ◽  
Sources Of Information ◽  
Correlation Test ◽  
Self Help ◽  
Adequate Information ◽  
The Relationship

In order to encourage rubber agribusiness activities, farmers need adequate information and reliable sources of information to achieve their goals. To meet information needs, farmers develop communication networks between farmers and their actors. This research aims to describe the sociogram of the communication network of rubber farmers in self-help patterns,and analyze the relationship between farmer characteristics and communication networks.This research conducted in Batu Bersurat Village XIII Koto Kampar District. The method used in this research is the census method and the study respondents were taken as many as 42 farmers.  The results of this research indicate that the structure of the communication network formed in rubber farmers approached the radial personal networkstructure .Based on the correlation test results indicate that the characteristics of rubber farmers related to locall centrality are, extent of land tenure, cosmopolity, intensity of counseling, and number of sources of information. Correlation test results indicate that the characteristics of rubber farmers related to globall centrality are level of education, extent of land tenure, cosmopolity, intensity of counseling, and number of sources of information.Correlation test results indicate that the characteristics of rubber farmers related to betwenness are extent of land tenure, cosmopolity, intensity of counseling, and number of sources of information.

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