Psychology Commons^™

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 …

Working Together? A Situational Analysis Of Combining Prevention Efforts Targeting Obesity And Eating Disorders In Schools, Alana Ireland, Shelly Russell-Mayhew

The Qualitative Report

The serious consequences and difficulties with treatment of obesity and eating disorders have prompted many to suggest focusing on prevention. Although most often considered distinct conditions with competing needs, some have advocated for an integrated approach to the prevention of a spectrum of weight-related issues including obesity and eating disorders. Despite a strong rationale for focusing prevention on the spectrum of weight-related issues, tensions exist with regard to whether this is feasible or best practice. The current study used situational analysis to explore the tensions associated with the broader situation of preventing weight-related issues in schools. Semi-structed interviews and document …

Does Social Media Promote Disordered Eating?, Carly Feldstein

Dissertations and Theses

Hispanic people are the largest and fastest-growing minority group in the U.S. with a total of 18.5% of the U.S population being of Hispanic descent (United States Census Bureau, 2020). Although eating disorders (ED), particularly those involving binge eating, comprise a significant health concern, EDs are often overlooked in the Hispanic culture (Higgins et al., 2016; Opara & Santos, 2019). Hispanic individuals have comparable rates of anorexia nervosa, bulimia nervosa, and an even higher rate of binge eating disorders compared to non- Hispanic (NH) White individuals (Higgins et al., 2016). Within Hispanic adults, the lifetime prevalence of EDs is higher …

[Introduction To] Treating Black Women With Eating Disorders : A Clinician’S Guide, Charlynn Small, Mazella Fuller

Bookshelf

The first of its kind, this edited volume provides in-depth, culturally sensitive material intended for addressing the unique concerns of Black women with eating disorders in addition to comprehensive discussions and treatment guidelines for this population.

The contributing authors—all of whom are Black professionals providing direct care to Black women—offer a range of perspectives to help readers understand the whole experience of their Black female clients. This includes not only discussion of their clients’ physical health but also of their emotional lives and the ways in which the stresses of racism, discrimination, trauma, and adverse childhood experiences can contribute to …

Healing Through Creativity And Creation: Drama Therapy As Treatment For Individuals With Eating Disorders, Hayley Werner

Student Scholar Symposium Abstracts and Posters

For those living with eating disorders, intervention and effective treatment can mean the difference between life and death. Conventional treatments, such as Cognitive Behavioral Therapy and Dialectical Behavioral Therapy, forms of talk therapy, and Nutritional Counseling, focus solely on the psychological patterns or nutritional science of eating disorders. Though these treatments are effective for some individuals, there is a gap in treatment options that address both the mind and body as one and appeal to the humanity of patients outside of their disorder(s). Herein lies the power and potential of integrating drama therapy as a widely available treatment. Drama therapy …

Embracing Relapse: For College Students, Consider It A Gift, Charlynn Small

University Staff Publications

The transition from high school to college can be an awesome experience. In addition to establishing independence from parents, students need to learn how to negotiate the norms of new social groups, set healthy boundaries, and make decisions about finances, academics and career planning. Other more personal decisions include whether to engage in sex or substance use. Faced with these kinds of decisions, many of which have serious consequences, students can easily become overwhelmed.

Dance/Movement Therapy As Influence On Sense Of Self: A Community Engagement Project, Jasmine Yahid

Expressive Therapies Capstone Theses

This community engagement project seeks to explore the influence of dance/movement therapy and authentic movement techniques on one’s sense of self. This project focused on these techniques as an approach toward self-actualization and finding one’s essence. This study considered the potential implications of these practices on populations whose bodily experience can be perceived as a barrier toward self-actualization, such as in eating disorders and trauma. Six expressive therapy students from Lesley University participated in two sessions of dance/movement therapy. This included: a movement-exploration warm up, authentic movement, and a visual artistic representation of their perceived essence based on the experiential. …

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 …

Exploring The Role Of Relapse For Women In Recovery From An Eating Disorder, Britney Tibbits

Electronic Theses and Dissertations

Eating disorders are serious mental health problems with high relapse rates (Arcelus, Mitchell, Wales, & Nielsen, 2011; Herzog et al., 1999). Research has demonstrated that eating disorder populations show interpersonal deficits at baseline compared to comparison groups (Arcelus, Haslam, Farrow, & Meyer, 2013; Grissett & Norvell, 1992; Ivanova et al. 2015; Tiller at al., 1997), specifically in assertiveness (Behar, Manzo, & Casanova, 2006; Constantino & Smith-Hansen, 2008; Duchesne et al., 2012; Hartman et al., 2010). The goal of this research was to explore the variables related to relapse and make the social and interpersonal growth that occurs in recovery visible …

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 …

An Examination Of The Impact Traumatic Events Has On Psychosocial Impairment In Eating Disorder Patients, Jennifer Parker Hackett

Electronic Theses, Projects, and Dissertations

Research suggests that trauma has an impact on eating disorders. While prior research has demonstrated that the trauma from abuse has a significant impact on eating disorders, research has failed to explore other types of trauma. In addition, previous studies have stopped short of examining the impact trauma has on functioning among individuals with an eating disorder. This study aimed to address that gap in the literature. The purpose of this study is to examine whether traumatic life events impact psychosocial functioning among individuals living with an eating disorder. Furthermore, this study aimed to identify which traumas are shown to …

Examining Binge Eating Rates Between Caucasian-American And African-American Men, Elizabeth Anne Raky

Walden Dissertations and Doctoral Studies

Eating disorders (ED) are maladaptive eating patterns that can have social, biological, health, and occupational consequences. The purpose of this study was to explore and compare binge eating episodes, locus of control, and body dissatisfaction between African-American men (n = 66; 53.70%) and Caucasian-American men (n = 57; 46.30%). There is a current gap in the existing literature regarding the study of men who BE and a sampling bias with regard to ethnic minorities. Based on Bandura's social learning theory model and Rotter's locus of control, the purpose of this research was to determine and compare the relationship between BE, …

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 …

African-American Women On Predominantly White College Campuses: In The Shadows Of Eating Disorders, Charlynn Small

University Staff Publications

Existing literature on Black women and body image often addresses the misconception that these groups are well-protected from eating disorders (EDs). The misconception can be attributed to sociocultural models of eating pathology, clinical approaches to classification, conflicting research results, and the extant measures for assessing ED symptoms and risk factors.

Treatment For Anorexia Nervosa: Are We Missing The Mark?, Peta Stapleton, Amy Bannatyne

Peta B. Stapleton

Extract: Eating Disorders (EDs) are serious psychological conditions where attitudes toward food, weight and body size or shape become distorted and severe disturbances in eating or exercise behaviours often occur (Fairburn and Harrison, 2003). In a categorical sense, EDs can be divided into four broad groups: Anorexia Nervosa (AN), Bulimia Nervosa (BN), Binge Eating Disorder (BED) and Other Specified Feeding and Eating Disorders (OSFED, previously EDNOS) (Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, 2013). However, these categories are not discrete and it is not uncommon for sufferers to experience a spectrum of symptoms or crossover between diagnostic criteria. …

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 …

Weighing In: Therapeutic Benefits Of Online Communities For Individuals With Eating Disorders, Cheri L. Greenfield

Educational Specialist, 2009-2019

The treatment of eating disorders involves a complex approach. In recent years, a number of websites have developed in an attempt to meet the needs of individuals struggling with this set of disorders. Some of these websites are nationally recognized organizations dedicated to improve treatment and provide educational resources, while other websites have been authored by individuals with eating disorders in an attempt to create a safe community of support. This project explores various components found in online communities, examines characteristics of eating disorders, and evaluates the worth of such resources, even when in perceived contrast with traditional treatment. Rather …

Promoting Healthy Body Image In College Men: An Evaluation Of A Psychoeducation Program, Justin Henderson

College of Education and Human Sciences: Dissertations, Theses, and Student Research

Current psychological research indicates that men are increasingly dissatisfied with their bodies (e.g., McCabe & Ricciardelli 2004; Olivardia, Pope, Borowiecki, & Cohane, 2004). The consequences of body image concerns range from mild discontent (e.g., body dissatisfaction) to the more pathological (e.g., muscle dysmorphic disorder, steroid use, and eating disorders). College-age men are at particular risk of body image disturbances. Drawing from body image research and theory, a one session prevention intervention was designed for college men to address this growing concern. The prevention intervention was intended to serve as a preliminary step into men’s body image prevention programming. The intervention …

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

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

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 …

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

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

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

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 …

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

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

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

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 …