scholarly journals Treatment Strategies for Eating Disorders in Collegiate Athletics

10.5772/25262 ◽  
2011 ◽  
Author(s):  
Kendra Ogletree-Cusaac ◽  
Toni M.
Keyword(s):  
Eating Disorders ◽  
Treatment Strategies ◽  
Collegiate Athletics

Eating Disorders: Implications for the 1990's*

1987 ◽  
Vol 32 (7) ◽  
pp. 624-631 ◽  
Author(s):  
Paul E. Garfinkel ◽  
David M. Garner ◽  
David S. Goldbloom
Keyword(s):  
Eating Disorders ◽  
Anorexia Nervosa ◽  
Bulimia Nervosa ◽  
Treatment Strategies ◽  
Risk Groups ◽  
Normal Weight ◽  
Stepped Care ◽  
Endogenous Opiates ◽  
Populations At Risk ◽  
The Relationship

In the past decade much has been learned about the clinical features, diagnosis and understanding of people with anorexia nervosa and bulimia nervosa. In order to provide the next level of improvement in our care for these patients, our understanding of certain problems must be addressed by empirical research. Areas which require further study include the definition of high risk groups, the refinement of diagnoses, understanding factors which result in chronicity, determining the complications of chronicity and comparative evaluations of different treatments. These five areas are outlined in this article. Populations at risk for anorexia nervosa and bulimia nervosa may be those who must be thin and achieve according to career choice, those with a particular family and personal psychiatric history; obesity and chronic medical illnesses may be further risks. Improved diagnostic understanding has occurred by the differentiation of bulimic from restricting subtypes of anorexia nervosa. Further work must determine the relationship between the bulimic subtype of anorexia nervosa and bulimia in normal weight women and to further clarify the relationship between eating disorders and affective disorders. A number of factors may result in a chronic illness. These have been described on a variety of levels. The consequences of starvation in altering an individual's thinking, feeling and behaviour do play a role. It is not clear what factors at a neurochemical level contribute to this. Elevated endogenous opiates decreased noradrenergic function and decreased serotonin may be important. Information about the chronic complications is required for clinicians to understand the broad range of difficulties that may develop over time so that clinicians may use this information in planning treatment strategies. Two examples, those of osteoporosis and the pregnant woman with an eating disorder, highlight this problem. Finally, treatment is briefly reviewed in terms of options available and the idea of developing a stepped-care approach to treatment.

scholarly journals Social anxiety in the eating disorders: a systematic review and meta-analysis

2018 ◽  
Vol 48 (15) ◽  
pp. 2477-2491 ◽  
Author(s):  
Jess Kerr-Gaffney ◽  
Amy Harrison ◽  
Kate Tchanturia
Keyword(s):  
Eating Disorders ◽  
Social Anxiety ◽  
Meta Analysis ◽  
Treatment Strategies ◽  
Self Report ◽  
Effect Sizes ◽  
Healthy Controls ◽  
Comorbid Conditions ◽  
Current Review ◽  
Meta Analyses

AbstractSocial anxiety disorder is one of the most common comorbid conditions in eating disorders (EDs). The aim of the current review and meta-analysis is to provide a qualitative summary of what is known about social anxiety (SA) in EDs, as well as to compare levels of SA in those with EDs and healthy controls. Electronic databases were systematically searched for studies using self-report measures of SA in ED populations. In total, 38 studies were identified, 12 of which were included in the meta-analyses. For both anorexia nervosa (AN) and bulimia nervosa, there were significant differences between ED groups and HCs, with medium to large effect sizes. Findings from the qualitative review indicate that levels of SA are similar across the ED diagnoses, and SA improves with treatment in AN. In addition, high levels of SA are associated with more severe ED psychopathology, but not body mass index. These findings add to the wider literature on socio-emotional functioning in EDs, and may have implications for treatment strategies.

scholarly journals Emotional regulation in eating disorders and gambling disorder: A transdiagnostic approach

2021 ◽  
Author(s):  
Lucero Munguía ◽  
Susana Jiménez-Murcia ◽  
Roser Granero ◽  
Isabel Baenas ◽  
Zaida Agüera ◽  
...  
Keyword(s):  
Eating Disorders ◽  
Emotion Regulation ◽  
Personality Traits ◽  
Linear Relationship ◽  
Emotional Regulation ◽  
Emotion Dysregulation ◽  
Gambling Disorder ◽  
Treatment Strategies ◽  
Chi Square ◽  
Difficulties In Emotion Regulation

AbstractBackground and aimsDifficulties in Emotion Regulation (ER) are related to the etiology and maintenance of several psychological disorders, including Eating Disorders (ED) and Gambling Disorder (GD). This study explored the existence of latent empirical groups between both disorders, based on ER difficulties and considering a set of indicators of personality traits, the severity of the disorder, and psychopathological distress.MethodsThe sample included 1,288 female and male participants, diagnosed with ED (n = 906) and GD (n = 382). Two-step clustering was used for the empirical classification, while analysis of variance and chi-square tests were used for the comparison between the latent groups.ResultsThree empirical groups were identified, from the most disturbed ER profile (Subgroup 1) to the most functional (Subgroup 3). The ER state showed a linear relationship with the severity of each disorder and the psychopathological state. Different personality traits were found to be related to the level of emotion dysregulation.Discussion and conclusionIn this study, three distinct empirical groups based on ER were identified across ED and GD, suggesting that ER is a transdiagnostic construct. These findings may lead to the development of common treatment strategies and more tailored approaches.

Bone Health and Eating Disorders

2018 ◽  
pp. 302-322
Author(s):  
Adi Ziv ◽  
Catherine M. Gordon
Keyword(s):  
Eating Disorders ◽  
Clinical Assessment ◽  
Bone Health ◽  
Deleterious Effect ◽  
Early Recognition ◽  
Treatment Strategies ◽  
Therapeutic Strategies ◽  
Evidence Based ◽  
Novel Treatment Strategies ◽  
Skeletal Integrity

As the incidence of eating disorders continues to rise, secondary bone disease is increasingly being diagnosed among affected children and adolescents. Wide evidence-based data support the long-lasting deleterious effect of eating disorders that arise during adolescence on bone accretion and fracture risk. Although novel treatment strategies show promising results, early recognition and management of eating disorders and their consequences on bone health are essential for preservation of skeletal integrity among adolescents. This review summarizes recent data regarding the various factors contributing to impaired bone health, the appropriate clinical assessment, and the available imaging modalities for evaluation of bone health and targeted therapeutic strategies.

scholarly journals Fear of Self in Eating Disorders

2020 ◽  
Author(s):  
Samantha Wilson
Keyword(s):  
Eating Disorders ◽  
Possible Selves ◽  
Treatment Strategies ◽  
Empirical Support ◽  
Self Concept ◽  
Future Research ◽  
Obsessive Compulsive ◽  
Compulsive Disorder ◽  
Self Discrepancy ◽  
Feared Self

Fear of self has been proposed as a transdiagnostic construct, playing a role in not only obsessive compulsive disorder (OCD), but in related disorders as well. In this article, empirical support for the association between eating disorders (EDs) and the fear of self will be reviewed. Support for the fear of self in EDs will be contextualized within the theory of possible selves, self-discrepancy theory, and motivation frameworks. Most of the research that will be presented pertains to a feared overweight self. The relevance of broadening the scope of feared self-domains attributed to EDs beyond weight to include those pertaining to character will be advocated. Furthermore, risk factors theorized to lead to the development and investment in a feared self in OCD are examined and evidence for their applicability to EDs is presented. Treatment strategies targeting self-concept and the fear of self in EDs are also described, highlighting the clinical relevance of integrating this construct into the conceptualization of EDs. Finally, recommendations for future research are proposed.

Predictors of dropout from inpatient treatment for eating disorders

2011 ◽  
Vol 26 (S2) ◽  
pp. 716-716 ◽  
Author(s):  
S. Catellani ◽  
F. Arnone ◽  
E. De Bernardis ◽  
S. Ferrari ◽  
L. Pingani ◽  
...  
Keyword(s):  
Risk Factors ◽  
Eating Disorders ◽  
Inpatient Treatment ◽  
Protective Factor ◽  
Treatment Strategies ◽  
Drop Out ◽  
Self Report ◽  
Psychometric Tests ◽  
Improve Treatment ◽  
Catholic Religion

IntroductionDrop-out from treatment for Eating Disorders is increasing (Campbell; 2007), and it is a risk factor for relapse and more chronic and severe course of the illness (Fassino et al.; 2009). Drop-out can be caused by interaction of concurrent, individual, familiar ad environmental factors (Sly; 2009).Aim of the studyTo examine possible risk factors of drop-out from inpatient treatment for eating disorders.Materials and methodsThe sample included 41 patients who voluntarily left the treatment before completion (’droppers’) and 88 patients who completed it (’completers’), in the period between 1st January 2006 and 31st December 2009 at Villa Maria Luigia Hospital (Monticelli Terme, PR, Italy). Patients were administered 2 self-report questionnaires and 3 psychometric tests: Eating Disorders Questionnaire, Predisposing, bringing on and maintaining risk factors for eating disorders, EDI-II, BUT, SCL-90.ResultsDroppers appear to be more aggressive (p = 0.022), get worse scholastic results (p = 0.016) and have less friendships and less social interaction (p = 0.021). Parental break-up (p = 0.015), moving house (p = 0.006), father's death (p = 0.005), abortition (p = 0.040), father's alcohol abuse (p = 0.011) and a mother who suffers of eating disorder (p = 0.008) are more frequent in droppers than completers. Catholic religion seems to be a protective factor from drop-out (p = 0.005).ConclusionDrop-out is a multifactor phenomenon; identification of risk factors can improve treatment strategies and outcome.

scholarly journals Alexithymia and its relation with eating disorders and obesity

2020 ◽  
Vol 66 (2) ◽  
pp. 42-48
Author(s):  
Marina A. Berkovskaya ◽  
Anna A. Tarasenko ◽  
Valentin V. Fadeev ◽  
Olesya Yu. Gurova
Keyword(s):  
Eating Disorders ◽  
Treatment Strategies ◽  
Obese People ◽  
Emotional Management ◽  
Healthy Eating Behavior ◽  
High Prevalence ◽  
Weight One ◽  
Prevalence Of Obesity ◽  
Treatment Of Obesity

This manuscript provides a review of current literature on the relationship between overweight and alexithymia as a psychological factor associated with obesity, as well as the role of alexithymia in the development of various abnormalities and eating disorders (ED). Obesity is a multifactorial disease, and lifestyle characteristics are the most important pathogenetic links on its development, as well as a complex of genetic, epigenetic, biological and psychological factors that cause accumulation of excessive fat and prevent effective reduction and retention of body weight. One possible reason for the increased prevalence of obesity in adults is poor emotional management, which can affect healthy eating behavior and lifestyle. It was found that overweight and obese people have a high prevalence of alexithymia, and also the study shows its prognostic role in the development of ED. Alexithymia is a factor that not only predisposes to weight gain, but is also a significant predictor of inefficiency and premature termination of programs for the treatment of obesity and ED. Timely diagnosis and correction of alexithymic syndrome can help in developing the effective treatment strategies for obese patients.

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