A Nutrition and Behaviour Change Group For Patients with Anorexia Nervosa

2002 ◽  
Vol 63 (4) ◽  
pp. 202-205 ◽  
Author(s):  
Jodie L. Waisberg ◽  
Marie T. Woods

A pilot outpatient group for patients with anorexia nervosa was developed and co-led by a dietitian and a psychologist on a general hospital eating disorders team. The main goal of the short-term nutrition and behaviour change group was weight gain through normalization of eating. The first three groups conducted in the clinic were evaluated by monitoring group members’ weights, collecting pre-treatment and post-treatment scores on the Eating Attitudes Test-26, and comparing earlier and later food records. The mean (+/− standard deviation) patient weight gain per eight-week group cycle was 1.6 (+/− 1.9) kg (p<0.05) and the Eating Attitudes Test-26 score change was −17.1 (+/− 11.5) points (p<0.01). Statistically significant changes were found in consumption of calories (p<0.01), fat (p<0.005), and protein (p<0.02). This treatment approach warrants further refinement and investigation.

1989 ◽  
Vol 155 (4) ◽  
pp. 515-521 ◽  
Author(s):  
J. M. Steel ◽  
R. J. Young ◽  
G. G. Lloyd ◽  
C. C. A. Macintyre

All insulin-dependent diabetics between the ages of 16 and 25 years attending the diabetic clinic at the Royal Infirmary, Edinburgh, (152 women and 139 men) were asked to complete the EAT, the EDI, and the GHQ, and to provide a control subject (sibling or close friend) of similar age who would do likewise. Marked differences were found between diabetic women (but not men) and their controls in eating attitudes, in many of the psychological characteristics associated with eating disorders, and in GHQ scores. Although some of the women had classic anorexia nervosa or bulimia, others with abnormal eating attitudes did not fulfil the formal criteria. Overall, diabetics were significantly heavier than controls but the differences in eating attitudes were not eliminated by correcting for overweight. Abnormal scores were associated with high HbA, levels and independently with retinopathy. The weight gain and psychological effects of diabetes are identified as probably of aetiological importance in the abnormal eating attitudes of young diabetic women.


1988 ◽  
Vol 16 (1) ◽  
pp. 19-23 ◽  
Author(s):  
Gary Groth-Marnat ◽  
Jack F. Scumaker

This study investigated the relationship between locus of control and attitude to food intake. One hundred and one females (mean age = 21.3) were administered the I-E Scale, and Eating Attitudes Test, and Goldfarb Fear of Fat Scale. Results indicated that locus of control was unable to predict attitudes towards eating and fear of becoming overweight. The thesis that locus of control would be related to attitude towards food intake was not supported. Possible explanations, areas of future research, and implications in the etiology of anorexia nervosa are discussed.


2003 ◽  
Vol 9 (6) ◽  
pp. 348-356 ◽  
Author(s):  
Fátima Palha de Oliveira ◽  
Maria Lúcia Magalhães Bosi ◽  
Patrícia dos Santos Vigário ◽  
Renata da Silva Vieira

O ambiente esportivo pode ser um meio ampliador de pressões socioculturais motivadas pelo ideal de corpo magro. A presente investigação teve o objetivo de verificar a presença de comportamentos sugestivos de transtornos do comportamento alimentar (TCAs), de alterações na imagem corporal e de disfunções menstruais em atletas da EEFD-UFRJ. Foram avaliadas 12 atletas do sexo feminino (20 ± 2,0 anos) com 4,6 ± 2,3 anos de treinamento (13,8 ± 2,9h/semana) e seus resultados foram comparados com os de 32 jovens não-atletas (15,0 ± 1,4 ano). A avaliação de atitudes e comportamentos relacionados com a alimentação e o controle de peso foi realizada pelo Eating Attitudes Test (EAT-26), a existência de comportamentos sugestivos de bulimia nervosa pelo Bulimic Investigatory Test Edimburgh (BITE) e o grau de insatisfação com a imagem corporal pelo Body Shape Questionnaire (BSQ). Esses são instrumentos de auto-aplicação e foram usados na versão em português. As atletas apresentavam massa corporal total de 59 ± 7,3kg, estatura de 1,65 ± 0,03m, percentual de gordura corporal (%G) 23,1 ± 4,1% e índice de massa corporal (IMC) de 21,6 ± 2,3kg/m². O BSQ apontou que 33% das atletas apresentam leve distorção da imagem corporal mesmo estando com valores para gordura corporal dentro de padrões esperados para a idade e sexo. O BITE apontou 16,6% das atletas com padrão alimentar não-usual na escala de sintomas, sem que estas apresentassem expressão na escala de gravidade. As atletas com padrão alimentar não-usual estão incluídas no total sugestivo de distorção de imagem corporal. O EAT-26 exibiu resultado negativo para todas as atletas. Os resultados encontrados na análise sugerem a presença de sintomas que não caracterizam, precisamente, a bulimia nervosa ou a anorexia nervosa, mas ressaltam a necessidade de avaliação e vigilância mais criteriosas da existência de TCA e seus precursores no ambiente esportivo, como forma de prevenção.


1989 ◽  
Vol 19 (1) ◽  
pp. 143-163 ◽  
Author(s):  
Agnes Whitaker ◽  
Mark Davies ◽  
David Shaffer ◽  
Jim Johnson ◽  
Sari Abrams ◽  
...  

SynopsisNinety-one per cent of a county-wide high school population (N= 5596) completed the Eating Symptoms Inventory (ESI) and the Eating Attitudes Test (EAT). Being female, older and heavier are far more strongly associated with anorexic and bulimic symptoms than is social class. ESI approximations of the DSM-III criteria for anorexia nervosa or bulimia suggest that while both conditions are rare (less than 1%), bulimia is the more prevalent disorder.


1982 ◽  
Vol 12 (4) ◽  
pp. 871-878 ◽  
Author(s):  
David M. Garner ◽  
Marion P. Olmsted ◽  
Yvonne Bohr ◽  
Paul E. Garfinkel

SynopsisPsychometric and clinical correlates of the Eating Attitudes Test (EAT) are described for a large sample of female anorexia nervosa (N = 160) and female comparison (N = 140) subjects. An abbreviated 26-item version of the EAT (EAT-26) is proposed, based on a factor analysis of the original scale (EAT-40). The EAT-26 is highly correlated with the EAT-40 (r = 0·98) and three factors form subscales which are meaningfully related to bulimia, weight, body-image variables and psychological symptoms. Whereas there are no differces between bulimic and restricter anorexia nervosa patients on the total EAT-26 and EAT-40 scores, these groups do indicate significant differences on EAT-26 fractors. Norms for the anorexia nervosa and female comparison subjects are presented for the EAT-26, EAT-40 and the EAT-26 factors. It is concluded that the EAT-26 is a reliable, valid and economical instrument which may be useful as an objective measure of the symptoms of anorexia nervosa.


1992 ◽  
Vol 37 (7) ◽  
pp. 516-518 ◽  
Author(s):  
Janet M. Degroot ◽  
Sidney Kennedy ◽  
Gary Rodin ◽  
Gail Mcvey

Of 184 female outpatients meeting the DSM-III-R criteria, for anorexia nervosa, bulimia nervosa, or anorexia nervosa with bulimia, approximately 25% reported previous sexual abuse. Furthermore, previous sexual abuse was associated with greater psychological disturbance, measured by the Eating Disorder Inventory and Eating Attitudes Test. Sexual functioning did not differ among women who did or did not report sexual abuse. This finding suggests that sexual abuse or its correlates may affect severity rather than type of eating disorder.


2021 ◽  
Vol 9 (1) ◽  
Author(s):  
Tiana Borgers ◽  
Nathalie Krüger ◽  
Silja Vocks ◽  
Jennifer J. Thomas ◽  
Franziska Plessow ◽  
...  

Abstract Background Fear of weight gain is a characteristic feature of anorexia nervosa (AN), and reducing this fear is often a main target of treatment. However, research shows that 20% of individuals with AN do not report fear of weight gain. Studies are needed that evaluate the centrality of fear of weight gain for AN with a method less susceptible to deception than self-report. Methods We approximated implicit fear of weight gain by measuring implicit drive for thinness using implicit association tests (IATs). We asked 64 participants (35 AN, 29 healthy controls [HCs]) to categorize statements as pro-dieting vs. non-dieting and true vs. false in a questionnaire-based IAT, and pictures of underweight vs. normal-weight models and positive vs. negative words in a picture-based IAT using two response keys. We tested for associations between implicit drive for thinness and explicitly reported psychopathology within AN as well as group differences between AN and HC groups. Results Correlation analyses within the AN group showed that higher implicit drive for thinness was associated with more pronounced eating disorder-specific psychopathology. Furthermore, the AN group showed a stronger implicit drive for thinness than HCs in both IATs. Conclusion The results highlight the relevance of considering fear of weight gain as a continuous construct. Our implicit assessment captures various degrees of fear of weight gain in AN, which might allow for more individually tailored interventions in the future.


1987 ◽  
Vol 65 (1) ◽  
pp. 335-336 ◽  
Author(s):  
Nicholas A. Vacc ◽  
Martha Rhyne

The purpose of this study was to determine the comparability of scores generated by two forms of the Eating Attitudes Test, the original form for adults and an adapted language form for children. Analysis of data indicated that the adapted language from of the test can be used effectively.


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