Delays to care in infantile epileptic spasms syndrome: Racial and ethnic inequities.

OBJECTIVE: Non-Hispanic (NH) Black children are less likely to receive a standard treatment course for infantile epileptic spasms syndrome (IESS) than White/NH children at pediatric tertiary care epilepsy centers in the United States. However, if inequities exist in time to diagnosis is unknown. Diagnostic delays as little as 1 week can be associated with worse developmental outcomes. METHODS: Diagnostic delays were evaluated in a retrospective cohort of 100 children with new onset IESS between January 2019 and May 2022. RESULTS: Children with Black, Indigenous, and People of Color (BIPOC) caregivers were more likely to experience clinically significant delays in referral from first provider to neurologist, when compared to White/NH children, even after controlling for other demographic and clinical variables (odds ratio = 4.98, confidence interval = 1.24-19.94, p = .023). SIGNIFICANCE: Disproportionate diagnostic delays place BIPOC children at risk of adverse developmental and epilepsy outcomes. Further interventional prospective and qualitative studies are needed to address inequities in care.

Is listening to fat talk the same as participating in fat talk?

Our study examined whether verbally participating in fat talk conversations had a different effect on women's body image perception than merely listening to friends engage in fat talk conversations. Participants were 321 women who completed measures of listening to and participating in fat talk conversations, drive for thinness, body dissatisfaction, and dietary restraint. Results indicated that verbally participating in fat talk was a much stronger predictor of women's drive for thinness, body dissatisfaction, and dietary restraint than merely listening to friends engage in fat talk conversations.

Appearance comparisons styles and eating disordered symptoms in women.

The purpose of this study was to examine the relationship between styles of upward and downward appearance comparisons and eating disordered symptoms in women. Data on upward and downward appearance comparisons, body dissatisfaction, drive for thinness, dietary restraint, and negative body talk were collected from 321 female college students. Results indicated that upward appearance comparisons were linked to higher levels of drive for thinness, body dissatisfaction, dietary restraint, and negative body talk, whereas downward appearance comparisons were linked to higher levels of drive for thinness and dietary restraint, but showed no relationship to body dissatisfaction and negative body talk. There was an interaction effect between upward and downward comparisons and body image variables. Taken together, this study suggests that downward appearance comparison does not buffer the negative effects of upward appearance comparison, and in some cases can increase negative body image outcomes.