Psychology Commons^™

Disordered Or [Ab]Normal Eating In Pregnancy, Amy Bannatyne, Peta Stapleton, Roger Hughes, Bruce Watt

Peta B. Stapleton

Introduction: Pregnancy is a powerful biopsychosocial event that involves a multitude of rapid changes to a woman’s body, eating patterns, social functioning, and self identity – most of which are largely outside her control. Although it is well known that eating disorders and disordered eating disproportionally affect young women often during childbearing years, historically, scientific understanding of the intersection between pregnancy and eating disorders has been poor. Overall, it is known that pregnancy can impact an eating disorder in three main ways: 1) Pregnancy may function as a catalyst for remission 2) Pregnancy may exacerbate existing ED symptoms 3) Pregnancy …

Attitudes Towards Anorexia Nervosa: Volitional Stigma Differences In A Sample Of Pre-Clinical Medicine And Psychology Students, Amy Bannatyne, Peta Stapleton

Peta B. Stapleton

Background:

Anorexia nervosa (AN) is a highly stigmatised condition, with treatment often involving multidisciplinary care. As such, understanding and comparing the attitudes of emerging mental health and medical professionals towards AN, within the content of sex-based differences, is pertinent to facilitate the development of targeted stigma interventions.

Aims:

Examine the volitional stigmatisation of AN in emerging medical and mental health professionals.

Method:

Participants (N = 126) were medical (n = 41) and psychology students (n = 85) who completed a range of attitudinal outcome measures (e.g. Causal Attributions Scale, Eating Disorder Stigma Scale, Opinions Scale, Characteristics Scale and Affective Reaction …

The Influence Of Gender, Anxiety And Food Cravings On Alcohol Use Within A University Population, Jaques Marissa, Peta Stapleton

Peta B. Stapleton

The present study aimed to investigate the effect of gender, anxiety and food cravings on alcohol use within a university population. University students (N = 150) completed a survey containing a demographic questionnaire, the Alcohol Use Disorders Identification Test, the State Trait Anxiety Inventory and the Food Cravings Inventory. Results revealed gender was a significant predictor of alcohol use in university students, with males reporting greater levels of alcohol consumption than females. Food cravings were also observed to be a significant predictor of alcohol use in university students, independent of gender. Unexpectedly, state and trait anxiety failed to significantly predict …

Clinical Data Warehousing For Evidence Based Decision Making, Lekha Narra, Tony Sahama, Peta Stapleton

Peta B. Stapleton

Large volumes of heterogeneous health data silos pose a big challenge when exploring for information to allow for evidence based decision making and ensuring quality outcomes. In this paper, we present a proof of concept for adopting data warehousing technology to aggregate and analyse disparate health data in order to understand the impact various lifestyle factors on obesity. We present a practical model for data warehousing with detailed explanation which can be adopted similarly for studying various other health issues.

Clinical Data Warehousing: A Business Analytics Approach For Managing Health Data, Lekha Narra, Tony Sahama, Peta Stapleton

Peta B. Stapleton

Heterogeneous health data is a critical issue when managing health information for quality decision making processes. In this paper we examine the efficient aggregation of lifestyle information through a data warehousing architecture lens. We present a proof of concept for a clinical data warehouse architecture that enables evidence based decision making processes by integrating and organising disparate data silos in support of healthcare services improvement paradigms.

Feeding Feelings: Is There A Relationship Between Emotional Eating And Body Mass Index In Adults?, Peta Stapleton, Eleanor Mackay

Peta B. Stapleton

The present study aimed to investigate the relationship between emotional eating and body mass index (BMI) in an international sample of healthy weight, overweight, and obese adults (N = 226). It was hypothesised emotional eating scores would differ significantly between the BMI classification groups. Consistent with expectations, ANCOVA results revealed significant differences in emotional eating scores across weight groups, after controlling for gender. Post-hoc analyses revealed participants who were overweight or obese reported higher emotional eating levels than participants who were normal weight. An analysis of variance indicated that being over the age of 50 was the strongest predictor of …

An Investigation Of Relationship Satisfaction On Resilience And Body Image, Peta Stapleton, Olivia Gergis

Peta B. Stapleton

The aim of this study was to explore the association between relationship satisfaction and low body image. The current research also investigated whether body image dissatisfaction (BID) was affected by ethnic diversity. Past research has examined many factors which are highly related to BID; however, there is a paucity of research investigating relationship satisfaction, resilience, and body image as interrelated factors. A community sample consisting of male and female participants (N = 169) classified as “in a relationship” completed an online survey. A hierarchical multiple regression analysis demonstrated, consistent with expectations, that resilience was a predictor of relationship satisfaction and …

Anxiety, Stress, And Self-Esteem Across Genders In A University Sample: Exploring The Role Of Body Avoidance, Richelle Murphy, Peta Stapleton

Peta B. Stapleton

The present study aimed to investigate whether university students’ body avoidance behaviors could be predicted by their level of self-esteem, anxiety, and stress, as well as their BMI and gender. University students (n = 86) completed a self-report package and results indicated that anxiety was the most important predictor of body avoidance for university students. Gender was also predictive of avoidance for university students. Post Hoc analyses indicated that body avoidance, anxiety, stress, and BMI, were higher for female university students, yet no difference was found for self-esteem between genders. These results suggest preliminary evidence for the importance of elevated …

Beliefs About Causes Of Obesity: A Comparison Of Australian Doctors, Psychologists And Community Members, Peta Stapleton

Peta B. Stapleton

The current study aimed to investigate differences in beliefs about causes of obesity between Australian doctors, psychologists and a community sample. Forty-one doctors, 66 psychologists and 98 community members completed questionnaires regarding beliefs about causes to obesity, including measures of obesity stigma. The results showed a consistent pattern of beliefs across groups, with all three groups having strong beliefs about behavioural and psychological causes to obesity. Further, results showed that the three groups did not have particularly strong or weak antifat attitudes and although they did not have overly favourable attitudes towards obese people, their attitudes were not highly negative. …

What Is More Likely To Predict Prejudicial Attitudes Towards Overweight Individuals: Gender, Locus Of Control, Or Social Dominance Orientation?, Joanna Kelly, Peta Stapleton

Peta B. Stapleton

As obesity has become an important healthcare issue, more research has revealed a pervasive bias against overweight individuals. Individuals are often perceived to be in control of their own weight, and therefore, if one is overweight they are considered lazy, lacking in self-control, and non-compliant (Rukavina & Li, 2011; Stapleton, 2013). Although obesity rates are rising across countries, there has been no reduction in the negative attitudes and prejudices expressed towards the overweight (Stapleton, 2013). This study was conducted to assess the effects that Health Locus of Control (HLOC), Social Dominance Orientation (SDO) (Pratto, Sidanius, Stallworth & Malle, 1994), and …

Cross-Cultural Differences In Coping, Connectedness And Psychological Distress Among University Students, Tara Bales, Aileen Pidgeon, Barbara Lo, Peta Stapleton, Heidi Magyar

Peta B. Stapleton

Globally the high prevalence of psychological distress among university students is concerning. Two factors associated with low psychological distress among university students are adaptive coping strategies and campus connectedness. The current study examines the cross-cultural differences among university students across three countries, Australia, United States of America and Hong Kong in the utilization of academic coping strategies, levels of campus connectedness and psychological distress. Cross-cultural differences were examined using the theory of cultural orientations; individualism and collectivism. Participants consisted of 217 university students. The results indicated no significant differences between the countries on individualism or collectivism or on the reported …

Use Of Complementary Therapies By Registered Psychologists: An International Study, Peta Stapleton, Hannah Chatwin, Emma Boucher, Sue Crebbin, Sandra Scott, Dean Smith, Gail Purkis

Peta B. Stapleton

Complementary and alternative medicine (CAM) is a category of diverse medical and health care systems, practices, and products that are not generally considered part of conventional medicine. However, the use of CAM by lay people is increasing worldwide. This study investigated the utilization pattern of CAM among registered psychologists, and level of training in delivering a CAM service. Psychologists (N = 193) participated from Australia, the United States, the United Kingdom, and New Zealand. Almost all (99.6%) respondents reported using at least 1 CAM service in the past, and 64.2% indicate they were trained to deliver at least 1 area …

Dysfunctional Eating In An Australian Community Sample: The Role Of Emotion Regulation, Impulsivity, And Reward And Punishment Sensitivity, Peta Stapleton, Melissa Whitehead

Peta B. Stapleton

This study aimed to examine the role of emotion regulation and reinforcement sensitivity in dysfunctional eating behaviours. Two hundred twenty-eight adults from the Australian community completed self-report inventories assessing the variables. Dysfunctional restrained eaters differed from those who did not engage in restrained eating in terms of their emotion regulation, impulsivity, and sensitivity to reward. Difficulties in emotion regulation, low impulsivity, and sensitivity to reward predicted engagement in restrained eating. Emotional eaters significantly differed from those who did not engage in dysfunctional levels of emotional eating in terms of their emotion regulation, impulsivity, and sensitivity towards reward, and difficulties in …

Psychological Determinants Of Emotional Eating: The Role Of Attachment, Psychopathological Symptom Distress, Love Attitudes And Perceived Hunger, Peta Stapleton, Eleanor Mackay

Peta B. Stapleton

The present study aimed to investigate the psychological determinants of emotional eating in a national and international sample of healthy weight, overweight and obese adults (N = 226). Specifically, attachment styles, psychopathological symptom distress and love attitudes were explored for their ability to predict emotional eating. Findings supported the suggestion symptom distress may particularly predispose individuals to engaging in emotionally motivated overeating, with a large effect size observed. Preoccupied attachment was also a significant predictor of emotion eating, even after controlling for state-based inferences. However, there were no significant contributions of secure, fearful-avoidant, or dismissiveavoidant attachment style in the prediction …

Body Image Avoidance, Body Dissatisfaction, And Eating Pathology: Is There A Difference Between Male Gym Users And Non–Gym Users?, Peta Stapleton, Timothy Mcintyre, Amy Bannatyne

Peta B. Stapleton

With research highlighting the increasing prevalence and severity of body image and eating disturbances in males, particularly athletes and regular gymnasium users, the current study examined body image and eating disturbances in a sample of male gym users and non–gym users (N = 180). Based on previous research, it was predicted that male gym users would report greater body image disturbance (e.g., body image avoidance and body dissatisfaction) and eating pathology, compared with non–gym users. Results of the study partially supported hypotheses, revealing body dissatisfaction and eating pathology were significantly increased in male gym users. However, no significant differences were …

Psychosocial Moderators Of Perceived Stress, Anxiety And Depression In University Students: An International Study, Aileen Pidgeon, Stephanie Mcgrath, Heide Magya, Peta Stapleton, Barbara Lo

Peta B. Stapleton

Extensive research shows university students experience high levels of stress, which can lead to the development of mental health problems such as anxiety and depression. Preliminary evidence supports the role of psychosocial factors such as perceived social support (PSS) and campus connectedness (CC) as protective factors in the development of mental health problems in university students. However, research conducted on the potential ameliorating effects of social support on stress applying Cohen and Wills’ (1985) stress-buffering hypothesis produced weak, inconsistent, and even contradictory results. In addition, little attention has been given to examining the protective role of CC in the relationships …

Examining Characteristics Of Resilience Among University Students: An International Study, Aileen Pidgeon, Natasha Rowe, Peta Stapleton, Heidi Magyar, Barbara Lo

Peta B. Stapleton

Attending university is a particularly stressful time due to unique emergent stressors such as changes in environment, loss or diminishment of social support networks, academic pressures, developing peer relationships, and financial management. There is growing recognition that these common stressors may have deleterious effects on the mental health of students. Resilience, a personality characteristic that moderates the negative effects of stress and promotes adaptation, has been associated with increased psychological well-being. Despite a growing body of research on resilience and its clinical significance in preventing mental health problems, relatively little is known about contributing factors for resilience in well-adjusted university …

Educating Medical Students About Anorexia Nervosa: A Potential Method For Reducing The Volitional Stigma Associated With The Disorder, Amy Bannatyne, Peta Stapleton

Peta B. Stapleton

It is frequently reported that clinicians across a range of professional disciplines experience strong negative reactions toward patients with anorexia nervosa (AN). The present study aimed to develop, evaluate, and compare the effectiveness of two different educational programs, based on an etiological framing model. Participants were medical students (N = 41) from an Australian University, who were randomly assigned to one of three conditions (biogenetic intervention vs. multifactorial intervention vs. control). Outcome attitudinal/stigma data were collected preand post-intervention, and at 8 weeks follow-up. Results indicated intervention participations exhibited significantly lower volitional stigma scores compared to the control group, who exhibited …

Predicting Food Cravings: A Piece Of Cake Or A Hard Nut To Crack?, Karen Hodgson, Peta Stapleton

Peta B. Stapleton

The present study aimed to extend previous research investigating the relationships between predictors of food cravings in order to produce some preliminary findings in relation to the variable of sweet food cravings and its relationship to body image avoidance. The sample consisted of 139 university students (36 men and 103 women) at least 18 years old. Hierarchical multiple regression analysis was performed on body image avoidance, trait anxiety and BMI to examine predictors of food cravings. Both body image avoidance and gender separately predicted cravings for sweet foods, with women experiencing more sweet food cravings than men. However, no significant …

Body Dissatisfaction And Surveillance, Exercise Frequency, Depression And Self-Esteem In A University Population, Peta Stapleton, Natalie Dzodz

Peta B. Stapleton

The purpose of the present study was to explore the relationship between body dissatisfaction and body surveillance, exercise frequency, depression and self-esteem in 121 university students from various Australian tertiary institutions aged between 17 to 45 years old population. This study also aimed to observe gender differences in the experience of body dissatisfaction. Inconsistent with previous research and the present hypothesis, no significant relationship was found between body dissatisfaction and exercise frequency or body surveillance. However, a significant relationship was found between body dissatisfaction and depression, as well as with self-esteem. Gender was also found to significantly predict body dissatisfaction, …

A Feasibility Study: Emotional Freedom Techniques For Depression In Australian Adults, Peta Stapleton, Sharon Devine, Hannah Chatwin, Brett Porter, Terri Sheldon

Peta B. Stapleton

The purpose of this study was to investigate the feasibility of using Clinical Emotional Freedom Techniques (EFT) to treat Major Depressive Disorder in an adult population by way of a therapeutic group setting. Adults were assigned to EFT group treatment for a period of eight weeks. Diagnostic assessment was completed immediately pre and post treatment using the Mini International Neuropsychiatric Interview. In addition to this, self-report assessments measuring symptomatic evidence of depression were completed by the participants before the treatment, after the treatment and at three month follow-up. Comparisons with a community group were made at pre and post intervention …

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. …

Exploring The Links Between Culture, Locus Of Control And Self-Compassion And Their Roles In The Formation Of Weight Stigmatization, Peta Stapleton, Teeya Yamaoka

Peta B. Stapleton

The aim of this study was to examine the relationship between culture, Locus of Control and self-compassion in conceptualising weigh stigmatization. Participants included a culturally diverse sample (N= 136) who completed measures online including: the Attitude towards Obese Persons Scale (ATOP), Beliefs about Obese Persons Scale (BAOP), Anti-Fat Attitudes Scale (AFA), Multidimensional Health Locus of Control Scale (MHLC-Form B), Self-Compassion Scale (SCS), Individualism/Collectivism Scale (IND/COL) and the Marlowe Crown Social Desirability Scale (MCSD Short-Form). Self-compassion was a significant negative predictor of weight stigmatization and had a potential to reduce weight bias. Collectivism was a significant negative predictor of weight stigmatization, …

Building Skills, Knowledge And Confidence In Eating And Exercise Behaviour Change: Brief Motivational Interviewing Training For Healthcare Providers, Peta Stapleton, Elizabeth Edwards, Kelly Williams, Lauren Ball

Peta B. Stapleton

Obesity related health problems affect individuals, families, communities and the broader health care system, however few healthcare providers (e.g., doctors, nurses, social workers, psychologists, counselors) receive formal training in obesity prevention interventions. We examined the effectiveness of training healthcare providers in brief motivational interviewing (brief MI) targeting eating and exercise behavior change. METHODS: 163 healthcare providers participated. 128 participants completed a one-day experiential brief MI training workshop followed by electronic peer-support and a further 35 matched controls did not receive the training. RESULTS: Participant's knowledge of brief MI and confidence in their ability to counsel patients using brief MI significantly …

Clinical Data Warehousing For Evidence Based Decision Making, Peta Stapleton, Sahama Tony, Lekha Narra

Peta B. Stapleton

Large volumes of heterogeneous health data silos pose a big challenge when exploring for information to allow for evidence based decision making and ensuring quality outcomes. In this paper, we present a proof of concept for adopting data warehousing technology to aggregate and analyse disparate health data in order to understand the impact various lifestyle factors on obesity. We present a practical model for data warehousing with detailed explanation which can be adopted similarly for studying various other health issues.

Examining Characteristics Of Resilience Among University Students: An International Study, Peta Stapleton, Aileen Pidgeon, Natasha Rowe, Heidi Magyar, Barbara Lo

Peta B. Stapleton

Attending university is a particularly stressful time due to unique emergent stressors such as changes in environment, loss or diminishment of social support networks, academic pressures, developing peer relationships, and financial management. There is growing recognition that these common stressors may have deleterious effects on the mental health of students. Resilience, a personality characteristic that moderates the negative effects of stress and promotes adaptation, has been associated with increased psychological well-being. Despite a growing body of research on resilience and its clinical significance in preventing mental health problems, relatively little is known about contributing factors for resilience in well-adjusted university …

Body Image Avoidance, Body Dissatisfaction And Eating Pathology: Is There A Difference Between Male Gym And Non-Gym Users?, Peta Stapleton, Amy Bannatyne, Timothy Mcintyre

Peta B. Stapleton

With research highlighting the increasing prevalence and severity of body image and eating disturbances in males, particularly athletes and regular gymnasium users, the current study examined body image and eating disturbances in a sample of male gym users and non-gym users (N = 180). Based on previous research, it was predicted that male gym users would report greater body image disturbance (e.g., body image avoidance and body dissatisfaction) and eating pathology, compared with non-gym users. Results of the study partially supported hypotheses, revealing body dissatisfaction and eating pathology were significantly increased in male gym users. However, no significant differences were …

The Effectiveness Of Educational Interventions In Reducing Negative Attitudes And Stigmatisation Toward Patients With Anorexia Nervosa., Peta Stapleton, Amy Bannatyne

Peta B. Stapleton

It is frequently reported that clinicians across a range of professional disciplines experience strong negative reactions toward patients with eating disorders, particularly anorexia nervosa (AN). As research consistently demonstrates fear of stigma is the most frequently cited reason explaining why individuals with mental illness do not seek treatment, the current study aimed to develop, evaluate and compare the effectiveness of two differing educational interventions, based on an etiological framing model, against a wait-list control. Participants were fourth-year medicine students randomly assigned to one of three conditions. A three-hour educational workshop was delivered to participants at the beginning of an eight-week …

Dysfunctional Eating In An Australian Community Sample: The Role Of Emotional Regulation. Impulsivity And Reward And Punishment Sensitivity, Peta Stapleton, Melissa Whitehead

Peta B. Stapleton

This study aimed to examine the role of emotion regulation and reinforcement sensitivity in dysfunctional eating behaviours. Two hundred twenty-eight adults from the Australian community completed self-report inventories assessing the variables. Dysfunctional restrained eaters differed from those who did not engage in restrained eating in terms of their emotion regulation, impulsivity, and sensitivity to reward. Difficulties in emotion regulation, low impulsivity, and sensitivity to reward predicted engagement in restrained eating. Emotional eaters significantly differed from those who did not engage in dysfunctional levels of emotional eating in terms of their emotion regulation, impulsivity, and sensitivity towards reward, and difficulties in …

Psychological Determinants Of Emotional Eating: The Role Of Attachment, Psychopathological Symptom Distress, Love Attitudes, And Perceived Hunger., Peta Stapleton, Eleanor Mackay

Peta B. Stapleton

The present study aimed to investigate the psychological determinants of emotional eating in a national and international sample of healthy weight, overweight and obese adults (N = 226). Specifically, attachment styles, psychopathological symptom distress and love attitudes were explored for their ability to predict emotional eating. Findings supported the suggestion symptom distress may particularly predispose individuals to engaging in emotionally motivated overeating, with a large effect size observed. Preoccupied attachment was also a significant predictor of emotion eating, even after controlling for state-based inferences. However, there were no significant contributions of secure, fearful-avoidant, or dismissive-avoidant attachment style in the prediction …