Medicine and Health Sciences Commons^™

Risky Eating Behaviors In Young Adults From Two Communes Of The Ñuble Region In Chile During Covid-19 Pandemic, Javiera Saéz-Opazo, Valeria Quiroga-Salom, Monserrat Torres-Landeros, Ismael Morales-Ojeda, Miguel Ángel López-Espinoza, Pía Rojas-Cárdenas

Revista de la Facultad de Medicina Humana

Objective: To analyze risky eating behaviors in relation to nutritional status and physical activity in young adults during the COVID-19 pandemic in the communes of Chillán and Chillán Viejo. Methods: Observational and cross-sectional design. A sample of 184 young adults of both sexes, who lived in two communes in the Ñuble region (Chile) during the period of confinement due to COVID-19 pandemic, was obtained. A personal history questionnaire and the SCOFF scale that assesses the risk of eating behavior disorders (EDs) were applied. Results: A 37.16% risk for ED was found (95% CI: 30.23 – 44.63%). The risk of eating …

A Review Of Risk Factors, Adverse Outcomes, And Counseling Strategies Among Pregnant Individuals With Eating Disorders, Alexandra Fontaine, Emily Meale

Rowan-Virtua Research Day

Background: Eating disorders (EDs) among women of childbearing age have become more prevalent on the global level. Identifying at-risk populations of women having EDs before, during, or after pregnancy is essential for clinicians to improve treatment and decrease the likelihood of negative maternal and/or fetal outcomes. Purpose: The purpose is to determine risk factors for women who have EDs throughout pregnancy, to identify negative pregnancy outcomes of women suffering from EDs, and to explore treatment and counseling options through the postpartum period. Methods: This literature review mainly utilizes sources from PubMed and the National Institute of Health databases. An expansive …

Balancing The Medical, Psychiatric, And Ethical Considerations In The Inpatient Treatment Of Extreme Anorexia Nervosa: A Case Report, Carter A. Schulz, Carolyn A. Kennedy

Aesculapius Journal (Health Sciences & Medicine)

Introduction: Anorexia nervosa (AN) is a psychiatric illness characterized by restricted energy intake, intense fear of gaining weight, and a disturbance in body image. A 2011 meta-analysis estimated the mortality rate for anorexia nervosa to be over 5 times that of the general population, with one-fifth of deaths in AN patients being due to suicide. Treating this disease is notoriously difficult, and treatment is complicated by these patients’ characteristically poor insight.

Case summary: Here we present the case of a 37 year old woman who visited the ED with complaints of nausea and weakness; she was admitted due to hypoglycemia, …

Exercise Dependence, Affect, And Eating Disorder Symptoms After Treatment Discharge., Samantha M. Minrath

College of Arts & Sciences Senior Honors Theses

Eating disorders (EDs) have been proven to be life-threatening, yet these disorders are still prominent in Western society. The current study focuses on exercise dependence, negative affect, positive affect, and ED symptoms in individuals discharged from ED treatment. While ED recovery varies at the individual level, exercise dependence and affect are particularly important to analyze due to the complex and interconnected relationships with each other and ED symptoms. For example, routine exercise can be used to lessen negative affect, but exercise dependence can lead to an increase in negative affect. As patients in recovery begin to add exercise back into …

Nutrient Intake And Dietary Inflammatory Potential In Current And Recovered Anorexia Nervosa, Olivia Patsalos, Bethan Dalton, Christia Kyprianou, Joseph Firth, Nitin Shivappa Mbbs, Mph, Ph.D., James Hébert Scd, Ulrike Schmidt, Hubertus Himmerich

Faculty Publications

Anorexia nervosa (AN) is characterised by disrupted and restrictive eating patterns. Recent investigations and meta-analyses have found altered concentrations of inflammatory markers in people with current AN. We aimed to assess nutrient intake in participants with current or recovered AN, as compared to healthy individuals, and explore group differences in dietary inflammatory potential as a possible explanation for the observed alterations in inflammatory markers. We recruited participants with current AN (n = 51), those recovered from AN (n = 23), and healthy controls (n = 49). We used the Food Frequency Questionnaire (FFQ), to calculate a Dietary …

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 …

Examining Perceptions Of Anorexia Nervosa, Polly Mcgonigle

Undergraduate Honors Theses

Anorexia nervosa (AN) is an eating disorder characterized by a restriction of energy intake, an intense fear of gaining weight, and often distorted body image. AN has the second highest mortality rate of all psychiatric disorders, due to high suicide rates and medical complications associated with malnutrition. An estimated 10% of those who have AN die because of the disorder (Insel, 2012). Interacting factors—genetic, biological, environmental, and psychosocial—contribute to the etiology and maintenance of AN. However, outside of research settings, AN is misunderstood as having primarily environmental roots (Salafia, et. al). Blame is placed on societal expectations and the disorder …

A Review: Examining Narcissism In Eating Disorders: The Relationship Between Two Types Of Eating Disorders—Anorexia Nervosa And Bulimia Nervosa—And Two Forms Of Narcissism, Kayla Lashinger

The Pegasus Review: UCF Undergraduate Research Journal

This research investigates the relationship between narcissism and eating disorders (EDs). Two forms of narcissism are studied, as each are present in the individual (O’Brien, 1987). The first form, core narcissism, is major, and refers to the way the individual views themselves while the second form, narcissistic defenses, are minor, serving only to protect the sense of self (Waller et al., 2006; O’Brien, 1987). Core narcissism is exhibited as grandiose or vulnerable narcissism where grandiose includes feelings of entitlement and high self-esteem while vulnerable includes low self-esteem and self-criticality (Maples et al., 2011). The narcissistic defenses can be displayed as …

Does The Use Of Intranasal Oxytocin In The Treatment Of Women With Anorexia Nervosa Improve Recognition Of Emotional Expression Compared To Placebo?, Alyssa N. Kearney

PCOM Physician Assistant Studies Student Scholarship

OBJECTIVE: The objective of this selective EBM review is to determine whether or not “Does the use of intranasal oxytocin in the treatment of women with anorexia nervosa improve recognition of emotional expression compared to placebo?”

STUDY DESIGN: A systematic review of three studies that were published in English between 2014-2018.

DATA SOURCES: Three randomized controlled trials (RCTs), two with a crossover design, that were published in peer-reviewed journals and found via PubMed. Articles were chosen based on pertinence to the clinical question.

OUTCOMES MEASURED: Improvement in the ability to recognize facial expressions were measured through the Reading the Mind …

Screening For Disordered Eating Among High-Risk Groups, Julia B. Purks

Family Medicine Clerkship Student Projects

Many patients with disordered eating will not present with objective manifestations such as low BMI, physical exam findings, or electrolyte abnormalities. Among patients that meet DSM-V criteria for an eating disorder, the majority do not fit criteria for anorexia nervosa or bulimia nervosa, but instead fall into a category known as "Otherwise specified feeding and eating disorders." As such, it can be difficult to identify these patients. This project proposes adding 2 validated screening questions to outpatient intake forms, or incorporating them into patient visits, to identify disordered eating among high-risk groups.

Anorexia Nervosa And Reproduction: Connecting Brain To Gonads, Mihaela Poterasu, David L. Rowland, Corina Ciobanu, Simona Fica

Journal of Mind and Medical Sciences

Anorexia nervosa (AN) is a psychiatric disorder that predominantly affects young women and is characterized by low caloric intake and a major dissatisfaction with one’s body image. It is often overlooked and, while patients and family seek medical help, emaciation and nutritional misbalances may become extreme and potentially life threatening. Among the many somatic complications, an accumulation of early endocrine adaptations occurs, leading to functional amenorrhea and impaired reproduction as a result of dysfunction of the hypothalamic-pituitary-ovarian axis. Even though these conditions are reversible, long-term consequences may affect the fertility of women with AN and can lead to maternal and …

The Efficacy Of Yoga As An Adjunctive Therapy To Standard Multidisciplinary Care In The Treatment Of Female Patients Presenting With Cognitive Eating Disorder Symptoms, Cassidy Nagle

Capstone Showcase

Introduction: Current treatment of patients exhibiting cognitive eating disorder symptoms is standard multidisciplinary care (SMDC) involving behavioral therapy, medical management and dietetics. Because these symptoms often persist or relapse despite treatment, research has begun to explore adjunctive therapies like yoga for this population. This review will explore seven studies in order to analyze the effect of yoga (I) on cognitive eating disorder symptoms (O) in teenage and adult females (P) when added to SMDC compared to symptom reduction with SMDC alone (C).

Methods: A literature search was conducted in PubMed, Academic Search Ultimate and Google Scholar starting November 2018. Seven …

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 …

Reanalyzing The Activity Anorexia Protocol Using An Addiction Theory, Rolando Alfredo Botello

Theses and Dissertations

One researched and developed phenomenon is activity anorexia (AA) in rats and its resemblance to the human pathology anorexia nervosa (AN). Researchers have long relied on this comparative model for AN as AA. This study aims to reanalyze the overt physiological phenomena of AA to test an addictive theory against the prevalent AA theory. Equal numbers of subjects could eat or run during a one hour feeding period and all activity was monitored per 30 minutes. Results showed that daily running correlated with an increase in food consumption with no effect of food suppression. The only factor that regressed to …

Is Acupuncture An Effective Adjunct Therapy In Improving Quality Of Life Outcomes Of Women, 18-25 Years Old, With Clinically Diagnosed Disordered Eating?, Margaret Hornbake

PCOM Physician Assistant Studies Student Scholarship

OBJECTIVE: The objective of this EBM is to determine whether or not acupuncture can be used as an adjunct therapy in improving quality of life outcomes in women, 18-25 years old, with a clinically diagnosed eating disorder.

STUDY DESIGN: Systemic review of one randomized cross-over pilot study published in 2010, one randomized controlled trial published in 2013, and one pilot randomized controlled trial published in 2014, all published in the English language

DATA SOURCES: Data sources for this review were articles published in peer-reviewed journals using PubMed Database.

OUTCOMES MEASURED: The outcomes measured include patient response to treatment and improvements …

Young Women's Perceptions Of Factors Influencing Eating Disorders, Francisca Masawi

Walden Dissertations and Doctoral Studies

Eating disorders (EDs) cause irreversible physical damage, including organ failure and death. Although EDs receive considerable attention, the number of affected young women who seek help remains low. The purpose of this phenomenological study was to understand the sociocultural and socioenvironmental factors influencing ED development from the perspective of young women, and to explore why the rate of EDs continues to rise in this population. The sociocultural model served as a guide for the study. Ten young women 18-24 years old from Southwest Ohio participated in in-depth, semi structured, face-to-face interviews. Data coding and analysis revealed recurring themes, with findings …

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 …

Does Cognitive Remediation Therapy (Crt) Improve The Neuropsychological Function In Patients With Anorexia Nervosa?, Lindsay M. Padden

PCOM Physician Assistant Studies Student Scholarship

OBJECTIVE: The objective of this selective EBM review is to determine whether or not cognitive remediation therapy (CRT) improves the neuropsychological function in patients with anorexia nervosa.

STUDY DESIGNS: Review of two randomized controlled trials and one non-randomized case series, published in 2012, 2013 and 2014.

DATA SOURCES: The three studies used in this review were published in English and found in PubMed.

OUTCOMES MEASURED: For all studies, neuropsychological function, such as memory, attention, and cognitive flexibility, were measured using pre- and post-treatment questionnaires. One study used a computerized task-shifting paradigm to determine cognitive flexibility.

RESULTS: Brockmeyer et al. and …

Refeeding Syndrome In A Young Girl With Anorexia Nervosa., Om Parkash, Adil Ayub, Shahab Abid

Department of Medicine

We report the case of a 20-year-old anorexic girl (BMI=12.9), who was misdiagnosed the first time and developed severe electrolyte imbalances due to lack of awareness about refeeding syndrome. Few cases of RS have been reported in literature and protocols have been suggested for prevention and management of this syndrome, including the awareness of circumstances in which it is most likely to develop, refeeding slowly and building-up micronutrient content over several days. Improved awareness and understanding of refeeding syndrome along with a well-coordinated plan are vital in delivering safe and effective nutritional rehabilitation. We suggest a slow and gradual increase …

The Cultural Manifestations Of Anorexia Nervosa, Aaron Volk

Tredway Library Prize for First-Year Research

No abstract provided.

Framing Anorexia : A Play Script And Multidimensional Investigation Of Anorexia : A Play And Critical Essay, Louise Helfgott

Theses: Doctorates and Masters

This thesis explores anorexia nervosa in young people. It comprises two components: a play script, "Frames", about 16-year-old Elizabeth who is combating the disorder, her troubled friend Ben, and their families, and a critical essay that reviews qualitative and quantitative literature about anorexia and contextualises the play in relation to selected narratives, plays and films. In my field research, I interviewed a number of professionals working in the field of anorexia and the essay also discusses their views and insights.

Few plays deal with anorexia in an in-depth manner to explore the onset and development of the illness. "Frames" addresses …

Nourishing The Whole Person: A Systematic Review Of The Effect Of The Therapeutic Alliance On Therapeutic Outcomes For Patients With Anorexia Nervosa, Samantha Ordos

School of Occupational Therapy Master's Theses (2010-2015)

The purpose of this systematic review was to determine the effect of the therapeutic alliance on treatment participation and treatment outcomes for adolescents and adults with anorexia. Sixteen studies met inclusion criteria and were reviewed. Results indicated that a positive therapeutic alliance is perceived by patients to be an important component of treatment in itself and a positive motivational force. The therapeutic alliance between the clinician and the family of a patient may also be predictive of patient outcomes. Occupational therapists are well-positioned to form strong therapeutic alliances in occupation-based interventions with this treatment-resistant population.

Expressed Emotion And Attitudes Toward Body Image And Food, Toni Marie Maraldo

Undergraduate Honors Thesis Collection

In numerous studies over the years, body image and dysfunctional attitudes toward food have shown to be related to the genesis of eating disorders. Recent research has particularly focused on the influence that families have on both the development of eating disorders as well as their impact on their child's body image and eating attitudes. In general, higher levels of expressed emotion are often found in families with children who have either anorexia nervosa or bulimia nervosa. However, there is a lack of research on sub-clinical populations. Therefore, the purpose of this study is to analyze the influence that expressed …

Anorexia Nervosa: Current Research From A Biological Perspective, Udy Tropp

The Science Journal of the Lander College of Arts and Sciences

Eating disorders are viewed as serious mental illnesses, carrying significant, life-threatening medical and psychiatric implications, including morbidity and mortality. According to the Academy of Eating Disorders, anorexia nervosa has the highest mortality rate of any psychiatric disorder. The American Psychiatric Association (2004) claims that approximately three percent of the United States female population has a clinically relevant eating disorder. Risk of premature death is 6-12 times higher in women with anorexia as compared to the general population, and it has become the third most common form of chronic illness among adolescent women aged 15 to 19 years. Although the prevalence …

Eating Disorders: Behind The Scenes, Katie Potts

Honors Theses

Eating disorders have become so widespread in our society that it is estimated that seven to ten million women and one million men have an eating disorder. Eating disorders do not discriminate; they can affect people of any race, age, gender, ethnicity, religion, and economic status. Research shows that about 76 percent of eating disorders begin between 11 and 20 years of age. Of all the diagnosed eating disorders, 77 percent will have a duration of one to fifteen years of the individual's life. Six percent of serious eating disorder cases end in death. An eating disorder is defined as …

Perilaku Makan Menyimpang Pada Remaja Di Jakarta, Trulyana Tantiani, Ahmad Syafiq

Kesmas

Salah satu transisi gaya hidup yang terjadi adalah perubahan perilaku makan yang paling berdampak pada kaum perempuan untuk terlihat cantik dengan berdiet berlebihan yang menjurus pada Perilaku Makan Menyimpang (PMM). Tujuan dari penelitian ini adalah mengetahui penyebab, mekanisme, dan proses terjadinya PMM dari persepsi penderita. Desain penelitian yang digunakan adalah kualitatif dan kuantitatif. Penelitian kualitatif dilakukan pada 3 informan yang pernah mengalami PMM. Penelitian kuantitatif, dilakukan pada 397 responden yang belum mengalami PMM. Waktu pengambilan data adalah bulan Mei-Juni 2007 dengan menggunakan metode wawancara mendalam untuk penelitian kualitatif dan wawancara terstruktur menggunakan kuesioner dari Sarafino dari Stice untuk penelitian kuantitatif. …

Eating Disorders In The Oral Health Curriculum, Rita D. Debate, Deanne Shuman, Lisa A. Tedesco

Dental Hygiene Faculty Publications

Due to the oral/systemic nature of eating disorders, this serious health issue requires comprehensive patient assessment and coordinated health treatment. The purpose of this study was to assess the breadth and depth of eating disorder and comprehensive care within the dental and dental hygiene curriculum. Survey data were collected from deans of U.S. dental programs (n=24) and dental hygiene program directors (n=94). Statistically significant differences were observed between dental programs (DP) and dental hygiene programs (DHP) as more DHP reported including anorexia nervosa (p<.001), bulimia nervosa (p<.001), and oral manifestations of eating disorders (p=.003) within their curricula. Clock hours dedicated to these topics ranged from seventeen to thirty-five minutes, with no statistically significant differences observed between DP and DHP. Only 58 percent of DP and 56 percent of DHP included patient communication skills specific to eating disorders. Moreover, DHP were observed dedicating more instruction time for this skill (p=.011). As greater emphasis is placed on oral/systemic health and the provision of comprehensive care, many oral health professionals may not be adequately trained to identify, provide education, and communicate with patients regarding the oral/systemic nature of eating disorders. The findings from this study indicate that there is a need for appropriate training to better prepare oral health professionals for comprehensive patient care.

Early Attachment And Eating Disorders: A Comparative Study Between Anorexia Nervosa And Bulimia Nervosa, Francoise Ringer

Theses: Doctorates and Masters

The purpose of this research was to study the association between adult mental representations of curly attachment relationships and eating disorders, and to compare attachment classifications between anorexia nervosa and bulimia nervosa. The sample consisted of 62 women with eating disorders, divided between anorexia nervosa [restricting type (n=20) and binge-eating/purging type (n=l6)], and bulimia nervosa (n=26). The measures were (a) a structured interview based on the ''Diagnostic Survey for Eating Disorders" (Johnson and Connors, 1987) and the DSM IV criteria for the classification of eating disorders, and (b) the Adult Attachment Interview (AAI) (George, Kaplan and Main, 1985). The AAI …

Art And Body Image : A Journey Through Anorexia Nervosa And The Implications For Art Therapy Rituals, Peta Horrex

Theses: Doctorates and Masters

This thesis examines the experience of body image and self image are for a sufferer with the eating disorder anorexia nervosa. Themes and symbols are explored and interpreted in art work that was produced in six session of individual art therapy. The sessions were designed to deal with issues and problems that had been discussed previously, or that became relevant during each session. The study is conducted from an interpretive perspective. It concentrates on the transference of the internal unconscious in the artwork created by, Michelle, who suffers from anorexia nervosa. The interpretation is from a western art therapy and …

Result Of Coronary Artery Bypass Surgery Using Cold Bloodcardioplegia Technique For Myocardial Protection Atchulalongkorn Hospital, V. Benjacholamas, P. Ongcharit, J. Numchaisiri, C. Srisomboon

Chulalongkorn Medical Journal

No abstract provided.