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A Systematic Review Of Training Programs For Mental Health Professionals Who Are Treating Eating Disorders, Shir Zion
Theses and Dissertations
Eating disorders are among the most dangerous mental health disorders, and the prevalence rates for them are on the rise. However, the literature is lacking when it comes to quantitative training recommendations for mental health professionals who wish to learn how to screen for, prevent, and treat individuals with eating disorders. This systematic review identified, reviewed, and synthesized the findings from studies (n = 14) concerning the impact of various training modalities on professionals and students who specialize in eating disorder prevention, screening, and treatment, on their knowledge, attitudes/beliefs, and skills. The aim was to identify training recommendations, across various …
Conceptualization Of Body Image And Eating Disorders Among South Asian American Women: A Qualitative Investigation, Neha J. Goel
Conceptualization Of Body Image And Eating Disorders Among South Asian American Women: A Qualitative Investigation, Neha J. Goel
Theses and Dissertations
Though it is known that eating disorders (EDs) affect individuals of all racial/ethnic backgrounds (Cheng, Perko, Fuller-Marashi, Gau, & Stice, 2019), people of color tend to be overlooked in the ED literature. South Asian Americans, a specific subset of individuals traditionally categorized within the larger umbrella group of “Asians,” have been notoriously neglected in both the broader mental health literature, and in the ED literature (Inman, Devdas, Spektor, & Pendse, 2014; Iyer & Haslam, 2003, 2006). Currently, very little information exists on the etiology and presentation of EDs amongst South Asian communities. Even less is known about culturally-specific barriers to …
A Hermeneutic Exploration Of The Therapeutic Process Of Clinicians At An Eating Disorder Treatment Center, Sabree Anne Crowton
A Hermeneutic Exploration Of The Therapeutic Process Of Clinicians At An Eating Disorder Treatment Center, Sabree Anne Crowton
Theses and Dissertations
Eating disorders remain extremely difficult to treat and investigation has revealed that manual-based eating disorder treatment outcomes have failed to improve over the second half of the last century. Various studies have observed that clinicians use evidence-based treatments for eating disorders inconsistently and often exclude fundamental theoretical techniques. Some argue that this departure from evidence-based practice may in some cases be the efforts of clinicians to develop methods more sensitive to real world situations. It stands to reason that some of the techniques currently being used by clinicians are promising treatment approaches. The purpose of this study was to explore …
Spiritual Pathways To Healing And Recovery: An Intensive Single-N Study Of A Patient With An Eating Disorder, Troy William Lea
Spiritual Pathways To Healing And Recovery: An Intensive Single-N Study Of A Patient With An Eating Disorder, Troy William Lea
Theses and Dissertations
This study presents an in-depth case study of eight sessions of spiritually integrated psychotherapy with a 20-year-old woman recovering from an Eating Disorder. The inclusion and utility of session-to-session outcome data as well as systematic follow up data in conjunction with in-depth qualitative interviews are shown. The therapist and client's perspectives are highlighted over the course of treatment. Three clinical areas of focus (renewing identity, reducing self-contempt, and fostering hope) are extracted from the qualitative interviews and the therapeutic process of weaving them together is highlighted. The Tau-U and SMA single case study statistical analyses are used to highlight clinical …
Promoting Progress To Assist Youth With Disordered Eating In School Mental Health, Bryn Elizabeth Schiele
Promoting Progress To Assist Youth With Disordered Eating In School Mental Health, Bryn Elizabeth Schiele
Theses and Dissertations
Disordered eating has become a significant issue among children and adolescents; nearly 14% of all youth displaying disordered eating patterns. Despite the prevalence of these disorders amongst school-age students, there is a deficit of empirical literature on the integration of eating disorder support services in schools, as well as a lack of knowledge and training of school mental health (SMH) professionals regarding the appropriate interventions for this population. While eating disorders have previously been considered as outside of the school mental health domain of practice (e.g., Judge, 2001), this view has changed and there exists a significant need to provide …
Effects Of Feedback Assisted Treatment On Post-Treatment Outcome For Eating Disordered Inpatients: A Follow-Up Study, Megan Michelle Bowen
Effects Of Feedback Assisted Treatment On Post-Treatment Outcome For Eating Disordered Inpatients: A Follow-Up Study, Megan Michelle Bowen
Theses and Dissertations
Research on the effects of progress feedback and clinician problem-solving tools on patient outcome has been limited to a few clinical problems and settings (Shimowaka, Lambert & Smart, 2010). Only one randomized clinical trial has examined feedback-assisted treatment in an inpatient eating-disordered population. Results from this study suggested that those who received feedback-assisted (Fb) treatment were more likely to meet Jacobson and Truax's (1991) criteria for recovery than participants in the treatment-as-usual (TAU) condition; however, while these interventions appear to have worked well in the inpatient setting, the long-term effects of this treatment have not been investigated. This is especially …
The Role Of Spirituality In Treatment And Recovery From Eating Disorders, Carrie Caoili
The Role Of Spirituality In Treatment And Recovery From Eating Disorders, Carrie Caoili
Theses and Dissertations
This study explored the use of spiritual counseling with patients with eating disorders (ED), with the goal of better understanding the relationship between spirituality and patient recovery. The researcher wanted to gain insight into how patients' spiritual practices and experiences may influence treatment processes and outcomes in eating disorder recovery. The researcher collected interview data at the Center for Change, a patient treatment center for women with eating disorders. Open-ended survey questions from forty seven respondents from a diverse range of clients with different religious and ethnic backgrounds, living in different national regions were qualitatively analyzed. The researcher also followed …
Visual Attention Bias And Body Dissatisfaction In Eating Disorders, Janet Lydecker
Visual Attention Bias And Body Dissatisfaction In Eating Disorders, Janet Lydecker
Theses and Dissertations
Eating disorders, such as anorexia and bulimia nervosa, have profound negative effects on the quality of life of both affected individuals and their families. Behavioral approaches such as cognitive-behavioral therapy (CBT) are commonly used for the treatment of these disorders. CBT teaches skills to restructure maladaptive thought patterns as a method of altering feelings and behaviors. However, even after CBT, 50-70% of women with bulimia and 67-87% of women with anorexia report continued eating disordered thoughts, feelings and behaviors. Measuring underlying cognitive processes such as orienting, maintaining, and executive attention in individuals with eating disorder symptomatology might be an important …
Client Experiencing In Cognitive-Behavioral Treatment For Eating Disorders, James William Vandyke
Client Experiencing In Cognitive-Behavioral Treatment For Eating Disorders, James William Vandyke
Theses and Dissertations
Depth of client experiencing has been associated with positive therapeutic outcomes across theoretical orientations. Experiencing describes a particular mode of cognitive-affective processing in which clients use internal felt experience as the basis for self-examination and the resolution of personally significant issues. Given evidence that eating disorders are associated with particular disruptions of cognitive-affective processing, it is likely that experiencing plays a role in the successful treatment of eating pathology. However, no study to date has examined the relationship between experiencing and outcome in eating disorder treatment. The purposes of the current study were to examine depth of client experiencing during …
Psychotherapy Outcome For Eating Disorders: A Meta-Analysis, Julia Bryn Hubbard
Psychotherapy Outcome For Eating Disorders: A Meta-Analysis, Julia Bryn Hubbard
Theses and Dissertations
The purpose of this project was to summarize psychotherapy outcomes for eating disorders using meta-analysis. Psychotherapy was defined as any psychosocial treatment including face-to-face therapy, self-help, and Internet approaches. All primary studies, meeting inclusion/exclusion criteria from 1980 to 2010, were included. Results suggested that individuals treated with active treatments demonstrate better outcomes than those in control conditions (d= 0.33, p <.01, 95% CI [0.19-0.46]). CBT was the most often occurring treatment in the primary studies and a small effect, favoring CBT, was found when the treatment was compared to all other active treatments (d = 0.16, p = .02, 95% CI [0.03-0.28]). Internet and self-help approaches continue to show promise with Internet treatments demonstrating superior outcomes to control conditions (d = 0.54, p <.01, 95% CI [0.19-0.90]). More research is needed to determine whether these approaches can suffice as stand-alone treatments or if they are best used in addition to already well-established approaches (i.e., individual CBT). The meta-analysis also explored whether treatment type, outcome measure, diagnosis, attrition, and diagnostic severity moderate treatment effect. Finally, the meta-analysis updated and improved upon previous meta-analyses by focusing on randomized controlled trials, including all diagnoses of eating disorder, only combining effect sizes from similar conditions, including all possible studies that meet inclusion criteria, computing and comparing effect sizes for outcome measures beyond those considered primary to eating disorder treatment, and also addressing outcomes for all brands of psychotherapy including traditional talk therapy, self-help, and Internet approaches.
Adolescent Girls' Experience Of Binge And Loss Of Control Eating, Allison Palmberg
Adolescent Girls' Experience Of Binge And Loss Of Control Eating, Allison Palmberg
Theses and Dissertations
The current investigation used qualitative methodology to examine adolescent girls’ perceptions of control over their eating, as well as triggers, and consequences of binge and related eating behaviors. Focus groups were completed with 19 adolescent girls (aged 13-17, 58% African American, 41% White) who endorsed the behaviors. Responses to focus group questions were qualitatively analyzed using a grounded theory approach and constant comparison coding. Results reflected a fundamental lack of awareness of the loss of control (LOC) eating behaviors. Yet, the data did reflect a central theme of the need to affirm independence and autonomy through eating behaviors via three …
A Qualitative Analysis Of A Junior High School Eating Disorder Prevention Program, Janine Ruth Stickney
A Qualitative Analysis Of A Junior High School Eating Disorder Prevention Program, Janine Ruth Stickney
Theses and Dissertations
Past research conducted in the areas of diagnosis and treatment of eating disorders have provided information in regards to understanding the epidemiology, base rates, damages and longitudinal course of eating disorders. Few studies, however, have focused on prevention, especially in adolescents. In this particular study, students in a Utah junior high school health class received preventative curriculum called, Eating Disorders: Physical, Social, and Emotional Consequences. Ten, female participants were then interviewed to explore their thoughts and feelings about their experiences and to qualitatively ascertain the success of the prevention program.
A Qualitative Exploration Of Adolescent Girls' Experience In An Eating Disorder Prevention Curriculum, Jill L. Smedley
A Qualitative Exploration Of Adolescent Girls' Experience In An Eating Disorder Prevention Curriculum, Jill L. Smedley
Theses and Dissertations
Eating disorders are a widespread problem that affects millions of people each year in the United States. Research-based prevention programs are becoming more and more important as this number rises. This study qualitatively examined the effectiveness of a prevention program called Eating Disorders: Physical, Social, and Emotional Consequences, A High School Curriculum about Anorexia, Bulimia, and Compulsive Eating (EDPSEC). Study participants included 10 female students in a ninth grade health class in a junior high school in Utah. The integrity of curriculum administration was analyzed and interviews were conducted. The aim of the interviews was to determine what students who …
Sudden Gains In Cognitive-Behavioral Therapy For Eating Disorders, Adriane Ito De Queiroz Cavallini
Sudden Gains In Cognitive-Behavioral Therapy For Eating Disorders, Adriane Ito De Queiroz Cavallini
Theses and Dissertations
The present study examined whether or not the temporal pattern of symptom change defined as sudden gains is applicable to and has significant ramifications for understanding recovery from eating disorders. Sudden gains were defined as stable and clinically significant changes that take place between two sessions of treatment. Data for the current study were drawn from an efficacy study of CBT for eating disorders which included session-by-session measures of eating disorder symptomatology. Predictors of sudden gains were measured by an observer coded scale that included ratings of therapist use interventions, client change in behaviors and beliefs, client engagement, and homework …
Classifying Symptom Change In Eating Disorders: Clinical Significance Metrics For The Change In Eating Disorder Symptoms Scale, Anthony D. Hwang
Classifying Symptom Change In Eating Disorders: Clinical Significance Metrics For The Change In Eating Disorder Symptoms Scale, Anthony D. Hwang
Theses and Dissertations
Despite well-established diagnostic measures and measures of specific dimensions of eating disorder symptomatology, little work has been done to develop a brief, comprehensive, and valid measure for assessing change in eating disorder symptoms. Further, empirically-supported change indices to assess treatment progression and outcome have not yet been developed. The Change in Eating Disorder Symptoms Scale (CHEDS) is a new comprehensive measure designed to assess progress and change during treatment in persons with diagnoses on the eating disorder spectrum. Previous studies have demonstrated the subscale structure, reliability, and validity of the CHEDS. This study determined clinically significant change criteria for the …
Hunger For Grace: The Association Between Eating Disorders And Religiousness, Janet Lydecker
Hunger For Grace: The Association Between Eating Disorders And Religiousness, Janet Lydecker
Theses and Dissertations
Religiousness is one potential, understudied psychosocial correlate of eating disorders. To assess associations between religiousness and eating disorders, this study developed the Religious Attendance and Belief Scale (Rel-AB), and examined its psychometric properties. Women from a large population-based sample (N = 1510; M(age) = 42.5) completed subscales measuring (1) belief in a personal and loving God, and (2) attendance at religion-related activities, as well as eating disorder measures. Belief was negatively associated with eating disorder symptomatology among women meeting broadly defined criteria for bulimia nervosa. Eating disorders and religiousness were not associated in the overall sample, and associations were largely …
The Genetic Epidemiology Of Purging Disorder, Anorexia Nervosa, And Obsessive Compulsive Personality Disorder, Sara Trace
Theses and Dissertations
Although a variety of factors influence the development of eating disorders, genetic factors contribute notably to their etiology. Understanding genetic factors associated with eating disorders is important, as they can influence how these disorders are recognized, researched, and treated. This dissertation included two studies addressing important questions within the fields of eating disorders and genetics; specifically, Study 1 addressed the prevalence and heritability of purging and purging disorder in a population-based sample of female twins from the United States; and Study 2 investigated the nature of the co-morbidity between anorexia nervosa and obsessive compulsive personality disorder in a population-based sample …
Familial Predictors Of Long-Term Outcome Following Inpatient Treatment For Eating Disorders, Anna Mae Ridley
Familial Predictors Of Long-Term Outcome Following Inpatient Treatment For Eating Disorders, Anna Mae Ridley
Theses and Dissertations
The present investigation examined characteristic, symptomatic, and familial predictors of long-term symptom severity of eating disorders. The purpose of the study was to determine if, after accounting for a number of known predictors of outcome, familial variables explained a significant amount of additional variance in disordered eating and general well-being scores measured at post-treatment follow-up. The sample included 398 women, ages 13 to 56, who had completed eating disorder treatment at an inpatient facility. Hierarchal multiple regression analysis demonstrated that familial predictors at admission to treatment did significantly predict long-term outcomes, while changes from admission to treatment in symptoms and …
Body Shape Dissatisfaction: Patterns Of Concern Among Subgroups Of College Freshmen Women, Kristina S Withers Hansen
Body Shape Dissatisfaction: Patterns Of Concern Among Subgroups Of College Freshmen Women, Kristina S Withers Hansen
Theses and Dissertations
This study seeks to determine if there are patterns of differences according to college major in terms of the percentage of freshmen women who score in the clinically significant range on a measure of attitude toward body shape. Participants (N = 1,982) completed a demographic questionnaire and the Body Shape Questionnaire (BSQ) and were divided into subgroups according to their stated college major. Descriptive statistics regarding BSQ scores were calculated for the total sample and subgroups. Results indicated that a greater percentage of participants in Theater, Communications, Psychology, Dance, Business, and Dietetics majors scored within clinically significant ranges on the …
Women's Perceptions Of Parents, Peers, Romantic Partner And God As Predictive Of Symptoms Severity Among Women In Treatment For Eating Disorders At An Inpatient Facility, Samuel B. Tobler
Theses and Dissertations
The present study examined whether perceptions of parents, peers, romantic partners and God were predictive of eating disorder symptom severity among women in treatment for eating disorders. The sample included 417 women (ages 12 to 56 years) at an inpatient treatment facility for eating disorders. Participants completed a battery of assessment measures at intake and discharge. Change scores were also computed on all measures. Measures included indices of eating disorder symptomology, parental relationships, peer relationships, romantic partner relationships, and religious well-being. Multiple regression analysis showed perceptions of peers and romantic partner to be significant predictors in all analyses; however perceptions …
Self-Esteem As A Predictor Of Treatment Outcome Among Women With Eating Disorders, Suzanne F. Plowman
Self-Esteem As A Predictor Of Treatment Outcome Among Women With Eating Disorders, Suzanne F. Plowman
Theses and Dissertations
Current empirical evidence suggests that true recovery from eating disorders is not possible without a corresponding improvement in body image and self-esteem. Ten studies in current literature evaluate this relationship between self-esteem and clinical eating disorders during inpatient treatment or during follow-up studies but do not provide both pre- (baseline) and post-treatment self-esteem scores. As a result, many questions about the nature of the relationship between eating disorders and self-esteem remain unanswered. The purpose of this study was to empirically investigate whether a comprehensive measure of self-esteem, given to women at the beginning of inpatient treatment for eating disorders, reliably …
Eating And Substance Use: A Comparison Of Latter-Day Saint And Non-Latter-Day Saint College Females, Monika Sandberg
Eating And Substance Use: A Comparison Of Latter-Day Saint And Non-Latter-Day Saint College Females, Monika Sandberg
Theses and Dissertations
This study examined differences between Latter-Day Saint (LDS) and non-Latter-Day Saint (non-LDS) females across six universities in the United States regarding desire to engage in substance use and eating behaviors in response to negative emotion. Additionally, this study explored differences between LDS and non-LDS females regarding body image, as well as body image differences between LDS females residing inside Utah and outside Utah. Findings suggested that non-LDS females were more likely to experience increased urges to use substances in response to negative emotion than LDS females, consistent with LDS doctrine teaching the avoidance of substance use. LDS females also did …
The Correlation Between The Eating Attitudes Test And Body Shape Questionnaire, Maren L. Kanekoa
The Correlation Between The Eating Attitudes Test And Body Shape Questionnaire, Maren L. Kanekoa
Theses and Dissertations
This research examined the relationship between eating attitudes and body image dissatisfaction using the Eating Attitudes Test (EAT) and the Body Shape Questionnaire (BSQ). Three cohorts of almost 2,000 undergraduate females from Brigham Young University were given the EAT and BSQ twice a year for two to four years, depending upon their year of entrance to BYU. The data collected were analyzed using correlational statistics. Results indicated that a high positive correlation between the EAT and BSQ existed across semesters and cohorts.
Eating Disorder Risk In Subgroups Of College Freshman Women, Karen E. Gochnour
Eating Disorder Risk In Subgroups Of College Freshman Women, Karen E. Gochnour
Theses and Dissertations
The intent of this study was to identify subgroups within the college population having a heightened risk for eating disorders. The information for this analysis was retrieved from an existing data set. The two variables that were compared were self selection of college major at the initial collection during freshman year. The sample size of 1,924 was used to see if subgroups of college majors had a heightened risk. Twenty groups composed of similar majors were studied. The majors of Dance, Dietetics, Physical Education, and Communications had heightened risk according to analysis percentage of each group in the clinical range …
Perceptions Of Parents, Self, And God As Predictive Of Sympton Severity Among Women Beginning Inpatient Treatment For Eating Disorders, Melissa H. Smith
Perceptions Of Parents, Self, And God As Predictive Of Sympton Severity Among Women Beginning Inpatient Treatment For Eating Disorders, Melissa H. Smith
Theses and Dissertations
The present investigation examined whether perceptions of parents, self, and God among women beginning inpatient treatment for eating disorders was predictive of symptom severity. The sample included 464 women (ages 12 to 56 years) beginning inpatient treatment for eating disorders at a private treatment facility, with the majority being Caucasian. Participants completed study measures as part of an initial battery of assessment measures, and included indices of eating disorder symptomology, parental relationships, self-esteem, and religious well-being. Multiple regression analysis showed perceptions of self and parents to be significant predictors, however perceptions of God failed to predict eating disorder symptom severity. …
The Eating Survey: Disordered Eating And Clinical Cutoff For Adolescents Ages 14-17, David Scott Duncan
The Eating Survey: Disordered Eating And Clinical Cutoff For Adolescents Ages 14-17, David Scott Duncan
Theses and Dissertations
The Eating Survey is a new screening instrument for adolescent eating disturbances. The purpose of this study was to empirically examine how the Eating Survey functions as a total screening instrument and to find a clinical cutoff score for the current 17 items. The participants were 2,569 non-clinical adolescents with a comparative sample of 41 inpatient adolescents aged 14-17. More specifically, this study examined the age and gender differences of the 2,569 non-clinical adolescent males and females. It also compared the 1,662 non-clinical females to a sample of 41 inpatient females. Specificity and sensitivity analyses were conducted to find the …
Longitudinal Course Of Eating Disorder Risk Among Undergraduate Females At Brigham Young University, Erin Blue Winters
Longitudinal Course Of Eating Disorder Risk Among Undergraduate Females At Brigham Young University, Erin Blue Winters
Theses and Dissertations
This research study examined the prevalence rates and longitudinal course of eating disorder risk among undergraduate females at BYU, and compared the identified prevalence rates at BYU with identified rates at other colleges and universities. Almost 2,000 undergraduate females, in three cohort groups, filled out the Eating Attitudes Test (EAT) once a semester for four to eight semesters. Clinical cut-off scores were used to determine what percentage of participants were at high risk for eating disordered behaviors and symptomology. Overall eating disorder risk prevalence rates at BYU ranged from 9-11%. These rates were significantly lower than identified rates at other …