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In And Through The Body: A Quantitative Exploration Of Embodiment In Eating Disorders, Lauren Zaniboni

PsyD Program in Clinical Psychology Doctoral Dissertations (New England)

The field of clinical psychology has long privileged cognitive and affective experience and information over that which is stored in, and communicated by, the body (Caldwell, 2018; Young, 2006). Despite the profound and complex web of interactions between mind and body in EDs, this subspecialty has been no exception. The need for improvements in eating disorder (ED) treatment outcomes is well documented and transtheoretically accepted. Current practice guidelines for the treatment of adult EDs recommend the utilization of cognitive, behavioral, and interpersonal strategies to target problematic thinking and deficits in emotion regulation that are thought to fuel ED behaviors (American …

The Relation Between Disordered Eating And Perceived Stress, Tori E. Byars

Electronic Theses and Dissertations

Disordered eating behavior encompasses a spectrum of maladaptive eating patterns, including emotional eating, binging, restricting, and other similar behaviors. Perceived stress is the extent that an individual perceives their demands exceed their ability to cope. Existing research has demonstrated a positive relation between high ratings of perceived stress and disordered eating behaviors (King et al., 2009; Skead et al., 2018). The current study aimed to expand this research by examining the relation between disordered eating and stress in students, workers, and those who partake in both commitments. Utilizing a single survey, participants completed assessments including the Perceived Stress Scale, the …

Eating Disorders And Adolescents: A Plea For Early Childhood Intervention, Abby Smiley

Student Works

According to Gerbasi et al. (2014), eating disorders are considered a global health crisis, if not a worldwide epidemic. Early intervention in adolescence may be effective in slowing the prevalence of disordered eating behaviors in this at-risk demographic. Bills et al. (2023) concluded that physical complications may come from participating in disordered eating and may eventually attribute to the development of an eating disorder; these complications may include diminished brain function and health, as well as diminished heart function and health. It was also concluded that eating disorders may be linked to suicidal ideation and other mental health issues (Bills …

Differences In Internalized Weight Stigma And The Treatment Of Clients In Larger Bodies Among Mental Health And Medical Professionals, Alexis Dosal

Dissertations

Weight is a complex interaction of several factors, including genetics, environment, adverse childhood experiences, culture, physiology, and emotional circumstances (Hale, 2019). By solely considering the categories of food consumption and individual activity, the belief of personal responsibility and controllability is perpetuated, which may lead to intentional or unintentional harm within interpersonal interactions and throughout medical services (Nutter et al., 2020). Weight bias refers to “stereotypes, negative attitudes, and discriminatory behavior toward individuals with larger bodies” (Nutter et al., 2020). Weight bias can be displayed as discomfort around those in larger bodies, holding beliefs that fat people are lazy or unattractive, …

Functions Of Disordered Eating Behaviors: A Qualitative Analysis Of The Lived Experience And Clinician Perspectives, Abbigail Kinnear, Jaclyn A. Siegel, Philip C. Masson, Lindsay P. Bodell

Psychology Publications

Background

One method to improve treatment outcomes for individuals with eating disorders (EDs) may be understanding and targeting individuals’ motives for engaging in DE behaviors—or the functions of DE behaviors. The goal of this study was to investigate and categorize the various functions of DE behaviors from the perspectives of adults who engage in DE behaviors and clinicians who treat EDs.

Methods

Individuals who engage in DE behaviors (n = 16) and clinicians who treat EDs (n = 14) were interviewed, and a thematic analysis was conducted to determine key functions of DE behaviors.

Results

Four main functions …

Affect, Mind-Body Factors, And Disordered And Intuitive Eating Behaviors: Examining Naturalistic Associations Among Young Women With Elevated Eating Disorder Symptoms, Kelly A. Romano

Psychology Theses & Dissertations

Objective: The present study examined whether three mind-body factors—emotion dysregulation, interoceptive sensibility, and mindfulness—that are theorized to be implicated in the onset and maintenance of eating disorder (ED) pathology mediated (Aim 1) and moderated (Aim 2) within-person associations between affect and women with elevated ED symptoms’ disordered and intuitive eating behavior use. Method: Participants included 150 young women with elevated ED symptoms who completed a 10-day ecological momentary assessment protocol. To address Aim 1, multilevel structural equation models examined whether the mindbody factors (separately) mediated momentary associations between negative and positive affect, and women’s disordered (dietary restriction, loss of control …

Exploring The Impact Of Mood States On Motivation To Consume Food And Non-Food Rewards In Individuals With Loss Of Control Eating, Kendall M. Schmidt

Electronic Thesis and Dissertation Repository

Introduction. Loss of control (LOC) eating episodes are eating episodes in which an individual feels they cannot control what or how much they are eating, regardless of the amount of food consumed. These episodes are associated with significant psychological distress, psychiatric comorbidity, and reduced quality of living. Both negative affect and heightened reward processing of food have been posited as mechanisms that contribute to LOC eating. However, few studies have investigated whether negative affect influences reward processing of food and/or non-food rewards in individuals with LOC eating. Understanding how purported mechanisms of LOC work in conjunction may help to …

Mind Over Matter: The Role Of Resilience, Crime Victimization, And Age At The Time Of Victimization On Psychological Health, Alana Compton

Undergraduate Theses and Capstone Projects

The purpose of this study was to examine the relationship between crime victimization, age at the time of victimization, psychological health, and resilience. Past research has shown that crime victimization has been linked to higher levels of depression and suicidal ideation, anxiety, posttraumatic stress disorder (PTSD), and eating disorders, and that those who experience a traumatic event as a child are influenced more negatively than those who experience trauma as an adult. Additionally, resilience has been shown to mediate the influence that trauma has on an individual. Undergraduate students, graduate students, and faculty and staff were surveyed to determine their …

Mind Over Matter: The Role Of Resilience, Crime Victimization, And Age At The Time Of Victimization On Psychological Health, Alana Compton

Graduate Dissertations and Theses

The purpose of this study was to examine the relationship between crime victimization, age at the time of victimization, psychological health, and resilience. Past research has shown that crime victimization has been linked to higher levels of depression and suicidal ideation, anxiety, posttraumatic stress disorder (PTSD), and eating disorders, and that those who experience a traumatic event as a child are influenced more negatively than those who experience trauma as an adult. Additionally, resilience has been shown to mediate the influence that trauma has on an individual. Undergraduate students, graduate students, and faculty and staff were surveyed to determine their …

Mind Over Matter: The Role Of Resilience, Crime Victimization, And Age At The Time Of Victimization On Psychological Health, Alana Compton

Graduate Dissertations and Theses

The purpose of this study was to examine the relationship between crime victimization, age at the time of victimization, psychological health, and resilience. Past research has shown that crime victimization has been linked to higher levels of depression and suicidal ideation, anxiety, posttraumatic stress disorder (PTSD), and eating disorders, and that those who experience a traumatic event as a child are influenced more negatively than those who experience trauma as an adult. Additionally, resilience has been shown to mediate the influence that trauma has on an individual. Undergraduate students, graduate students, and faculty and staff were surveyed to determine their …

Contributing Factors To Bulimic Symptoms In A Food-Insecure Population: An Expansion Of The Dual Pathway Model Of Bulimic Pathology, Olivia Rose Seligman

Selected Full-Text Dissertations 2020-

The present study assessed a proposed model developed to explain the relationship between food insecurity and bulimic symptoms (Hazzard et al., 2020). Within this model, body dissatisfaction and food insecurity severity are parallel independent variables. Dietary restraint and shame mediate the relationships between both independent variables and bulimic symptoms (Hazzard et al., 2020). The present sample included 198 adults who were experiencing food insecurity. The majority of participants identified as women (n = 170) and Latina/o (n = 178). Participants completed self-report measures for all variables. On an exploratory basis, body dissatisfaction was measured implicitly. A path analysis was used …

The Connection Between Cptsd And Eating Disorders, Penelope Triantafyllou

Selected Full-Text Master Theses 2021-

Eating Disorders (EDs) are serious mental health conditions proposed to be multifactorial in nature. Post-traumatic stress disorder (PTSD), trauma history, and childhood maltreatment have been noted as possible predictive factors for their development. Research on complex posttraumatic stress disorder (CPTSD) in relation to EDs, however, is limited. The present study aimed to assess the relationship between childhood maltreatment and ED psychopathology, in relation to CPTSD symptomatology as defined by the ICD-11. Relationships between ED symptomatology and the trauma responses associated with the stress or “fight-or-flight” response were analyzed. 167 female participants, aged 18-25, who reported having experienced at least one …

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 …

Relationships Harm, Relationships Heal: Exploring Larger Bodied People's Experiences Of Weight Stigma And Eating Disorders In The Context Of Family Relationships, Rebecca Erin Belinsky

Antioch University Full-Text Dissertations & Theses

Eating Disorders are the second deadliest mental illness, after opioid addiction, and affect a significant amount of the population, with some studies estimating that almost one in ten people will struggle with an eating disorder in their lifetime and that many more will suffer from subclinical eating disorder symptoms like disordered eating (Deloitte Access Economics, 2020). The majority of people struggling with an eating disorder are not medically underweight, and traditionally eating disorder research and treatment has failed to address eating disorders in people in larger bodies (Galmiche et al., 2019). To better understand the needs and experiences related to …

Associations Between Childhood Sexual Abuse And Binge Eating, Kristen Krogh

Psychology Capstone Projects

Childhood sexual abuse is the subject of many studies and analyses. Eating disorders, specifically bulimia nervosa, are also frequently studied to help clinicians gain an understanding of how they develop and the risk factors that make a person more susceptible than their peers. However, binge-eating disorder and its relationship to childhood sexual abuse is not as commonly researched. This paper seeks to investigate the literature available on the overlap between the two topics, childhood sexual abuse and binge-eating disorder. Then articles examining the relationship between the two will be identified and reviewed to determine the state of the literature. Finally, …

An In-Depth Examination Of The Literature On Early Pubertal Timing And Disordered Eating In Women And Girls: A Systematic Review And Meta-Analysis, Megan Marie Shope

UNLV Theses, Dissertations, Professional Papers, and Capstones

Objective: Extant data indicate that earlier onset of puberty increases risk for disordered eating symptoms in girls and women. However, whether earlier pubertal timing is predictive of all disordered eating symptoms, or whether it exerts differential effects across distinct symptoms (e.g., body dissatisfaction versus binge eating), remains unclear given inconsistencies in the literature and the lack of a systematic analysis. A meta-analytic approach can overcome these limitations by providing pooled estimates of early pubertal timing on disordered eating symptoms and testing for methodological moderators (i.e., disordered eating outcome/symptom type, measurement of pubertal timing, age of sample, type of sample, study …

Factors Associated With Eating Disorders In Men: A Systematic Review, Zoe Alsup

Psychology Capstone Projects

This systematic review sought to identify factors that are associated with men who experience anorexia or bulimia nervosa or symptoms of these disorders. Articles were included in this review if they were peer reviewed, published in or translated to English, published from 2010 to 2021, had full text accessible, included male participants, and included male participants diagnosed with anorexia and/or bulimia nervosa or who displayed symptoms of anorexia and/or bulimia nervosa. Articles were excluded if they did not meet the inclusion criteria, were a case study, interview, or literature review, or focused on a topic outside of the outcomes of …

Investigating The Shared And Unique Mechanisms Of The Development Of Comorbid Eating Disorder-Anxiety Symptoms During Adolescence., Leigh Cara Brosof

Electronic Theses and Dissertations

Introduction: Eating disorders are associated with significant morbidity, psychiatric comorbidity, and impairment. Despite the detrimental outcomes associated with eating disorders, effective treatments for eating disorders are lacking. One factor that has impeded the identification of targets for intervention in eating disorders is the high comorbidity rate with other psychiatric disorders. Comorbidity models can inform treatments by showing which mechanisms are shared in comorbidity and which mechanisms are unique to specific disorders. Anxiety disorders are the most frequently co-occurring disorders with eating disorders, as 85% of individuals with eating disorders have a comorbid anxiety disorder. One mechanistic process in both anxiety …

Video Chatting And Eating Disorder Psychopathology, Taylor Rae Perry

Legacy Theses & Dissertations (2009 - 2024)

Objective: Due to the COVID-19 pandemic video chatting has been widely used in work, education, and social gatherings. When individuals are video chatting, they can see themselves and see how their looks compare to others. Furthermore, video chatting platforms have features that may enhance an individual’s appearance. Thus, this study sought to investigate if (1) where one’s attention was focused during video chatting was uniquely associated with elevated eating disorder psychopathology and (2) if certain video chatting features were uniquely associated with elevated eating disorder psychopathology. Method: Participants were undergraduates (N=391, Mage=19.19, 58.2% female, and 48.8% White) who completed the …

The Role Of Gender Affirmation In Eating Disorder Symptoms In Transgender Individuals, Jacob M. Strahl

University Honors Theses

Research in the field of eating disorders has grown rapidly since the introduction of eating disorders in the DSM. In particular, research suggests that transgender individuals could be more likely to develop an eating disorder than cisgender individuals. It has previously been believed that the disorder "gender dysphoria" plays a role in the development of eating disorders in transgender individuals. This literature review draws from prior studies of groups and individuals in order to better understand how gender affirming interventions impact eating disorders within the transgender population. The interventions examined include both interventions based in hormones and interventions based in …

Evaluating The Impact Of A Safe Exercise Training Workshop On Knowledge And Self-Efficacy To Manage Dysfunctional Exercise Among Eating Disorders Clinicians At Alsana Eating Disorders Center, Danika A. Quesnel

Electronic Thesis and Dissertation Repository

Engaging in dysfunctional exercise (DEX) is detrimental to eating disorders (EDs) prognosis, although common amongst clients. Though nutritionally supported exercise can improve ED treatment outcomes, without negatively impacting weight restoration, clinicians remain hesitant to address DEX, perhaps due to a lack of information and training. The current study examined the effects of a Safe Exercise at Every Stage (SEES) training on clinician knowledge and self-efficacy in managing DEX in ED treatment. Eating disorders clinicians completed measures before (n = 96) and after (n = 44) SEES training to assess their knowledge and self-efficacy around treating DEX, with a …

Examining Body Trust And Body Listening In Sexual And Gender Minorities., Emma G. Roberts

College of Arts & Sciences Senior Honors Theses

Introduction: Minority stress theory posits that sexual and gender minority individuals (SGM) may be at higher risk for poor mental health outcomes due to unique social experiences of stigma and discrimination. Interoception (i.e., awareness of one’s body and bodily sensations; Mehling et al., 2012) is a factor that has been linked to mental health broadly, however, SGM individuals may experience interoceptive awareness differently than cisgender and heterosexual individuals given experiences of stigma. In this paper, we aim to examine how two specific facets of interoceptive awareness (body listening and body trusting) relate to differences in mental health outcomes among SGM …

Think About It: Using Mindfulness As A Means To Treat Eating Disorders, Gabriella C. Breen

Intuition: The BYU Undergraduate Journal of Psychology

Eating disorders are complicated and prevalent issues among the general population; it is estimated that 30 million people are affected in the United States alone (Foundation for Research and Education in Eating Disorders, 2018). Because of the complex psychological nature of eating disorders, it is difficult to find a treatment that is broadly effective. Traditional therapies include cognitive behavioral therapy, dialectical behavioral therapy, and acceptance and commitment therapy. In recent years, mindfulness has emerged as a potentially effective way to treat eating disorders due to its ability to reduce maladaptive coping strategies, improve emotional regulation, and treat anorexia nervosa (Cowdrey …

Embodied And Empowered: Evidence For Ashtanga Yoga As A Novel Intervention For Women With Disordered Eating, Nicole A. Dignard

Electronic Theses and Dissertations

Eating disorders are a set of polysymptomatic disorders defined by characteristic disturbances in weight/shape, eating, and their control (Cooper, 2017). Drawing on existing models of objectification, embodiment, and positive body image, Ashtanga yoga was expected to be a beneficial intervention for those with eating disorders. These theoretical frameworks suggest that Ashtanga yoga may promote well-being by supporting improvements in embodiment and disrupt pathways postulated to promote pathology, such as self-objectification and body dissatisfaction. Participants were invited to participate in an 8-week Ashtanga yoga intervention of twice weekly 75-minute classes at a local community centre. Participants in two studies completed specialized …

Examining The Effects Of Instagram On Body Image And Eating Disorders Among Adolescent Girls, Ellie Cuoco

Education Theses

Throughout the past decade, as social media begins to grow in popularity, individuals' mental health is being sacrificed. Therefore, providing others with the knowledge of the effects will tend to decrease these numbers. The purpose of this paper is to delve into the link between Instagram and body image and eating disorders in young adolescents. Women are more likely to suffer body dissatisfaction and develop an eating disorder when encountering Instagram body ideals. Implementing lesson plans, including parents, and engaging school personnel is an excellent way to start the conversation and address adolescent body dissatisfaction to counter the known negative …

Evaluating The Relationship Between Orthorexia Nervosa, Eating Disorder Symptomatology, And Related Psychological Constructs In An Undergraduate Mixed-Gender Sample, Kimberly Marie Martinez

Legacy Theses & Dissertations (2009 - 2024)

The pursuit of a healthy lifestyle has become a central focus of Western societies over the past few decades. As rates of chronic conditions, such as obesity and type II diabetes, continue to rise, so too has the desire to maintain one’s optimal state of health. For some, the pursuit of a healthy diet becomes an obsession that interferes with one’s physical and psychological wellbeing. Orthorexia Nervosa (ON) is a proposed eating disorder characterized by a pathological fixation on healthy eating. Unlike other established eating disorders (EDs), ON is focused on the quality of one’s diet, rather than the quantity …

“It’S Right Below The Surface”: Clinicians’ Experiences Of Shame In Therapy Work With Adult Clients With Body Shame, Body Image Concerns, Or Eating Disorder(S), Tess Carroll Keeley

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Shame–understood as a feeling in which one believes that they are inadequate, or wrong to their core–is a painful emotional experience that seems to be at the crux of many mental health concerns. Despite the pervasiveness of shame as an emotional experience, little research has demonstrated if shame is a clinical theme in therapy, and if so, how it is identified and treated. The purpose of this qualitative study was to explore if, and how, shame manifests during therapy sessions with clients who are experiencing eating disorders and/or body image concerns. A secondary purpose was to discover how clinicians’ training …

A Need Of Further Training For Marriage And Family Therapy Students’ On Food Addiction And Related Eating Disorders, Darren D. Moore, Chichun Lin, Clinton Cooper

The Qualitative Report

The purpose of this study was to explore Marriage and Family Therapy students’ perspectives regarding food addiction and associated eating disorders, as a clinical treatment issue. In a standard addictions course housed in a Marriage and Family Therapy program approved by the Commission on Accreditation for Marriage and Family Therapy Education (COAMFTE), 20 students completed a qualitative survey where they reflected on the topic of food addiction, Binge Eating Disorder, and Bulimia Nervosa, within the context of individual, couple, and family relationships. In the study four major themes emerged, which included (1) Defining Food Addiction, (2) Perceptions of Eating …

Interactional Effects Of Multidimensional Perfectionism And Cognitive Emotion Regulation Strategies On Eating Disorder Symptoms In Female College Students, Germaine Y. Q. Tng, Hwajin Yang

Research Collection School of Social Sciences

Given the inconclusive findings regarding the relation between perfectionism and eating disorder symptoms, it is important that we determine whether this relation is modulated by emotion dysregulation, which is a prominent risk factor for eating disorders. We sought to identify specific cognitive emotion regulatory strategies—rumination, self-blame, and catastrophizing—that interact with multidimensional perfectionism to shape eating disorder symptoms (i.e., shape, weight, eating concerns, and dietary restraint). Using latent moderated structural equation modeling, we analyzed data from 167 healthy young female adults. We found that only rumination significantly moderated the relation between socially prescribed perfectionism and eating disorder symptoms. However, this was …

Social Cognition Across Eating Disorders: A Systematic Review, Jina C. Kim

Undergraduate Student Research Internships Conference

Social cognition refers to the cognitive processes involved in social interactions. Deficits in social cognition may play a role in the onset and maintenance of eating disorders (ED). The goal of this review was to examine the current literature on social cognition across EDs, specifically, anorexia nervosa (AN), bulimia nervosa (BN), and binge eating disorder (BED).

The search revealed 79 studies which were organized according to six domains of social cognition: alexithymia, theory of mind, empathy, social processing, emotion recognition, and emotion processing. Most studies examined AN, finding evidence for deficits in some domains of social cognition. Literature on BN …