Exploring Indicators of Digital Self-Harm with Eating Disorder Patients

2019 ◽  
Vol 3 (CSCW) ◽  
pp. 1-26 ◽  
Author(s):  
Jessica A. Pater ◽  
Brooke Farrington ◽  
Alycia Brown ◽  
Lauren E. Reining ◽  
Tammy Toscos ◽  
...  
Keyword(s):  
Eating Disorder ◽  
Self Harm

Association of Family Functioning With Self-Harm in Eating Disorder Patients

2014 ◽  
Author(s):  
Sandy Tadrous ◽  
Joseph P. Barsuglia ◽  
Timothy Artensen ◽  
Shaina Smith ◽  
Charlotte Sandy ◽  
...  
Keyword(s):  
Eating Disorder ◽  
Family Functioning ◽  
Self Harm

scholarly journals Purification, Punishment, and Control: Eating Disorders, Self-Harm, and Child Sexual Abuse

2021 ◽  
pp. 104973232110174
Author(s):  
Lisa Hodge ◽  
Amy Baker
Keyword(s):  
Eating Disorders ◽  
Sexual Abuse ◽  
Eating Disorder ◽  
Child Sexual Abuse ◽  
Sexually Abused ◽  
Self Harm ◽  
And Control ◽  
Depth Interviews

Eating disorders continue to be viewed as curable diseases, forcing people into predetermined narratives of pathology that shape how they are viewed and treated. Situated in a feminist application of Bakhtin’s sociological linguistics, we were concerned with how participants understood eating disorders, the nature of their experiences, and the causes of their distress. Following a dialogical method, multiple in-depth interviews were conducted with seven women who experienced an eating disorder and who had been sexually abused previously, and participants’ own drawings and poetry were obtained to gain deeper insights into meanings and emotions. We found an eating disorder offered a perception of cleanliness and renewal that was attractive to participants who experienced overwhelming shame. It is critical that researchers use a range of visual and sensory methods to move eating disorder understandings and treatment beyond illness and pathology.

Treating Eating Disorder–Posttraumatic Stress Disorder Patients

2017 ◽  
pp. 40-59
Author(s):  
Julie G. Trim ◽  
Tara E. Galovski ◽  
Amy Wagner ◽  
Timothy D. Brewerton
Keyword(s):  
Eating Disorder ◽  
Dialectical Behavior Therapy ◽  
Stress Disorder ◽  
Treatment Plan ◽  
Post Traumatic Stress ◽  
High Risk Behaviors ◽  
Concurrent Treatment ◽  
Ptsd Treatment ◽  
Self Harm ◽  
Post Traumatic

Despite elevated prevalence rates of trauma and post-traumatic stress disorder (PTSD) in eating disorder (ED) individuals, there is a surprising lack of data on how to effectively treat this population. The most significant gaps in the literature include the “what” (which PTSD treatment to use) and “when” (sequential vs. concurrent treatment) of PTSD treatment. Clinicians are often fearful in working with this ED subgroup, particularly given that these patients often report high-risk behaviors such as suicidality and self-harm. This chapter presents a new approach to treating comorbid PTSD that seems to be very promising for ED–PTSD patients. Borrowed from dialectical behavior therapy (DBT), this approach (called DBT PE) outlines readiness criteria and a protocol for altering the treatment plan if concerning behaviors emerge during the course of PTSD treatment. ED clinicians are encouraged to use DBT PE principles and to disseminate their results.

Self-harm and substance use in a community sample of Black and White women with binge eating disorder or bulimia nervosa

2002 ◽  
Vol 32 (4) ◽  
pp. 389-400 ◽  
Author(s):  
Faith-Anne Dohm ◽  
Ruth H. Striegel-Moore ◽  
Denise E. Wilfley ◽  
Kathleen M. Pike ◽  
Julie Hook ◽  
...  
Keyword(s):  
Substance Use ◽  
Eating Disorder ◽  
Bulimia Nervosa ◽  
Binge Eating ◽  
Binge Eating Disorder ◽  
White Women ◽  
Community Sample ◽  
Black And White ◽  
Self Harm

Psychopathological distress predicts suicidal ideation and self-harm in Adolescent Eating Disorder outpatients

2005 ◽  
Vol 14 (5) ◽  
pp. 276-281 ◽  
Author(s):  
Jaana Ruuska ◽  
Riittakerttu Kaltiala-Heino ◽  
Päivi Rantanen ◽  
Anna-Maija Koivisto
Keyword(s):  
Eating Disorder ◽  
Suicidal Ideation ◽  
Self Harm

scholarly journals The relation of basic self‐disturbance to self‐harm, eating disorder symptomatology and other clinical features: Exploration in an early psychosis sample

2019 ◽  
Vol 14 (3) ◽  
pp. 275-282 ◽  
Author(s):  
Andreas R. Rasmussen ◽  
Daniel Reich ◽  
Suzie Lavoie ◽  
Emily Li ◽  
Jessica A. Hartmann ◽  
...  
Keyword(s):  
Eating Disorder ◽  
Clinical Features ◽  
Early Psychosis ◽  
Self Harm ◽  
Eating Disorder Symptomatology

scholarly journals Self-harm on a specialist adult eating disorder unit: a retrospective cohort study of patient characteristics and outcomes

BJPsych Open ◽  
2021 ◽  
Vol 7 (S1) ◽  
pp. S257-S257
Author(s):  
Leah Holm-Mercer ◽  
Douglas Kohler ◽  
Agnes Ayton
Keyword(s):  
Eating Disorders ◽  
Eating Disorder ◽  
General Hospital ◽  
Patient Characteristics ◽  
Primary Diagnosis ◽  
Categorical Variables ◽  
Hospital Treatment ◽  
Continuous Variables ◽  
History Of ◽  
Self Harm

AimsDeliberate self-harm (DSH) is common but rarely studied among inpatients with eating disorders. We sought to investigate the frequency of DSH among inpatients in a specialist adult eating disorders unit, and the association of DSH with comorbidities and treatment outcomes. We also investigated changes in these parameters during the pandemic.MethodWe included the records of 70 patients consecutively admitted to Cotswold House in Oxford between April 2018 and November 2020. Data were analysed using Microsoft Excel using descriptive statistics. For comparisons, student T-tests were used for continuous variables and Chi-square tests used for categorical variables.Result99% of patients were female; their ages ranged from 17 to 67 years (mean 30.7). 81% had a primary diagnosis of anorexia nervosa, and 67% had a history of DSH prior to admission. There was a total of 100 incidences of DSH, of which 12% required transfer to a general hospital for medical treatment.Frequency of self-harm decreased with time throughout admission (17% self-harming on admission, vs 7% at discharge, p = 0.043).Compared to those with no history of DSH, patients who self-harmed during admission were more likely to be detained under the Mental Health Act (45% vs 17.4%, p = 0.003), and to have psychiatric comorbidities (85% vs 35%, p = 0.001). Patients whose self-harm required transfer for general hospital treatment had a lower mean discharge BMI (18.18kg/m2 vs 20.23kg/m2, p = 0.039), longer admission (105.9 days vs 78.1 days, p = 0.037), and gained weight at a slower rate (0.26kg/m2/week vs 0.43kg/m2/week, p = 0.048) than those who did not require transfer.During the pandemic, the frequency of DSH doubled on the ward. Overall outcomes were similar, however mean length of admission was lower during the pandemic (67.83 vs 89.94 days, p = 0.046), and patients regained weight more rapidly (0.43kg/m2/week vs 0.28kg/m2/week, p = 0.003) than prior to it.ConclusionSelf-harm during admission was seen in 29% of patients and was associated with the presence of comorbid psychiatric diagnoses. The frequency of DSH much reduced between admission and discharge, suggesting a beneficial effect of treatment. Medical transfer for DSH, considered as a proxy measure for severity, predicted poorer outcomes in weight restoration. We also noted an increase in rates of DSH during the pandemic, which may have resulted from a combination of increased psychosocial stressors and a reduction in admission capacity in eating disorder units.

scholarly journals A new integrative model for the co-occurrence of non-suicidal self-injury behaviours and eating disorder symptoms

2021 ◽  
Vol 9 (1) ◽  
Author(s):  
Isabel Krug ◽  
Mercedes Delgado Arroyo ◽  
Sarah Giles ◽  
An Binh Dang ◽  
Litza Kiropoulos ◽  
...  
Keyword(s):  
Eating Disorder ◽  
Online Survey ◽  
Community Sample ◽  
Insecure Attachment ◽  
Integrative Model ◽  
Maladaptive Schemas ◽  
Community Group ◽  
Proposed Model ◽  
Bulimic Symptoms ◽  
Self Harm

Abstract Objective The high co-occurrence of non-suicidal self-injury (NSSI) behaviours and eating disorder (ED) symptoms suggests these conditions share common aetiological processes. We assessed a new integrative model of shared factors for NSSI and ED symptoms, where affect dysregulation, impulsivity, self-esteem, and body dissatisfaction mediated the relationship between insecure attachment and maladaptive schemas and NSSI and ED symptoms. A further aim of the study was to assess whether the model behaved similarly across a clinical eating disorder (ED) and a community sample. Method 123 females with a lifetime ED diagnosis and 531 female individuals from the community completed an online survey, which included measures assessing the variables of interest. A cross-sectional single time point analysis was used. Results Invariance testing indicated that the model was structurally non-invariant (different across groups). The proposed integrative model was a good fit for the ED group, but for the community sample only a revised model reached an acceptable fit. Both attachment and maladaptive schemas, included early in the model, were implicated in the pathways leading to ED and NSSI symptoms in the ED and community groups. In the community group, impulsivity, a mediator, was a shared predictor for NSSI and bulimic symptoms. No other mediating variables were shared by NSSI and ED symptoms in the two groups. Overall, the proposed model explained slightly more variance for the ED group relative to the community group in drive for thinness (R2 = .57 vs .51) and NSSI (R2 = .29 vs .24) but less variance in bulimic symptoms (R2 = .33 vs .39). Conclusion We conclude that the current model provides only limited support for explaining the comorbidity between NSSI and ED symptoms. It is vital to consider both common (e.g., attachment and maladaptive schemas) and specific factors (e.g., impulsivity) to better understand the pathways that lead to the co-occurrence of NSSI and ED symptoms. A new integrative model assessed whether emotion dysregulation, impulsivity, self-esteem, and body dissatisfaction were mediators in the relationship between insecure attachment and maladaptive beliefs about the world and the self and subsequent eating disorder and self-harm symptoms. A further aim was to assess whether the proposed model differed between a clinical eating disorder and a community sample. All participants were female and included 123 patients with a lifetime eating disorder and 531 individuals from the community. Participating individuals completed an online survey at one timepoint, which included measures assessing the variables of interest. The findings of the current study indicated that the proposed model was a good match for the clinical eating disorder sample, but for the community sample only a revised model yielded acceptable statistical fit. Both insecure attachment and maladaptive beliefs about the world and the self, included early in the model, were indirectly related to eating disorder and self-harm symptoms for both the eating disorder and the community groups. Impulsivity, a mediator, was the only shared predictor for self-harm, and bulimic symptoms in the community group. We conclude that the current model provides only limited support for explaining the comorbidity between self-harming behaviours and disordered eating symptoms.

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