Problematic eating behaviors in patients undergoing bariatric surgery: Studying their relationship with psychopathology.

This study explored the associations between individuals presenting different problematic eating behaviors (Objective/Subjective binge-eating-OBE/SBE-and Compulsive/Non-compulsive grazing-C_Grazing/NC_Grazing) and eating disorder related symptoms. About 163 pre- and 131 post-bariatric patients were assessed. Assessment included: Face-to-face clinical interview to assess binge-eating and grazing episodes, and self-report measures to assess eating disorder symptomatology, psychological distress, and negative urgency. OBE and NC_Grazing were the problematic eating behaviors most and least associated with psychopathology, respectively. OBE and C_Grazing uniquely accounted for the significant variance in the most disordered eating variables. Our findings emphasize the need for the conceptualization of grazing behavior in the spectrum of disordered eating.

COVID Isolation Eating Scale (CIES): Analysis of the impact of confinement in eating disorders and obesity-A collaborative international study.

Confinement during the COVID-19 pandemic is expected to have a serious and complex impact on the mental health of patients with an eating disorder (ED) and of patients with obesity. The present manuscript has the following aims: (1) to analyse the psychometric properties of the COVID Isolation Eating Scale (CIES), (2) to explore changes that occurred due to confinement in eating symptomatology; and (3) to explore the general acceptation of the use of telemedicine during confinement. The sample comprised 121 participants (87 ED patients and 34 patients with obesity) recruited from six different centres. Confirmatory Factor Analyses (CFA) tested the rational-theoretical structure of the CIES. Adequate goodness-of-fit was obtained for the confirmatory factor analysis, and Cronbach alpha values ranged from good to excellent. Regarding the effects of confinement, positive and negative impacts of the confinement depends of the eating disorder subtype. Patients with anorexia nervosa (AN) and with obesity endorsed a positive response to treatment during confinement, no significant changes were found in bulimia nervosa (BN) patients, whereas Other Specified Feeding or Eating Disorder (OSFED) patients endorsed an increase in eating symptomatology and in psychopathology. Furthermore, AN patients expressed the greatest dissatisfaction and accommodation difficulty with remote therapy when compared with the previously provided face-to-face therapy. The present study provides empirical evidence on the psychometric robustness of the CIES tool and shows that a negative confinement impact was associated with ED subtype, whereas OSFED patients showed the highest impairment in eating symptomatology and in psychopathology.

Development and validation of the Portuguese version of the Eating Disorder Diagnostic Scale / Desarrollo y validación de la versión portuguesa de la Escala de Diagnóstico del Trastorno Alimentario

This article presents the psychometric properties for the Portuguese population of a brief self-report scale for diagnosing anorexia nervosa (AN), bulimia nervosa (BN), and binge-eating disorder (BED): the Eating Disorder Diagnostic Scale (Stice et al., 2000). METHOD: To study the psychometric properties of EDDS, an exploratory factor analysis was done first, followed by a confirmatory factor analysis. RESULTS: The results of the exploratory factor analysis revealed the existence of three components and the confirmatory factor analysis showed a structure with three latent variables (Body and Weight Concerns, Binge Eating Behaviour and Compensatory Behaviours), with a second order variable (Eating Disorder Symptoms) with a good adjustment fit. The internal consistency and the test-retest correlations revealed an adequate reliability and the inter-correlations of the EDDS subscales with other measures of the same and different constructs, supported the convergent and discriminant validity of this measure. CONCLUSIONS: Summing up, the EDDS seems to be a useful measure to assess eating disorders symptomatology in the Portuguese population

En este artículo se presentan las propiedades psicométricas para la población portuguesa de una escala breve de autoinforme para el diagnóstico de la anorexia nerviosa, la bulimia nerviosa y el trastorno por atracones: la Escala de Diagnóstico del Trastorno Alimentario (EDTA; Stice, Telch y Rizvi, 2000). MÉTODO: Para estudiar las propiedades psicométricas de la EDTA se efectuó un análisis factorial exploratorio, seguido por un análisis factorial confirmatorio. RESULTADOS: Los resultados del análisis factorial exploratorio muestran la existencia de 3 componentes y el análisis confirmatorio evidencia una estructura con 3 variables latentes (preocupaciones sobre el cuerpo y el peso, comportamientos de ingesta por atracones y conductas compensatorias), con un factor de segundo orden (síntomas de trastornos de alimentación) con un buen ajuste. La consistencia interna y las correlaciones test-retest muestran una confiabilidad adecuada, y las intercorrelaciones de las subescalas de la EDTA con otras medidas del mismo y de diferentes constructos fortalecen la validez convergente y discriminante de la medida. CONCLUSIONES: En resumen, la EDTA parece ser una medida útil para evaluar sintomatología de trastornos de la alimentación en la población portuguesa

Predictors of dropout in a controlled clinical trial of psychotherapy for moderate depression / Predictores de abandono en un ensayo clínico controlado de psicoterapia para depresión moderada

A significant number of psychotherapy clients remain untreated, and dropping out is one of the main reasons. Still, the literature around this subject is incoherent. The present study explores potential pre-treatment predictors of dropout in a sample of clients who took part in a clinical trial designed to test the efficacy of narrative therapy for major depressive disorder compared to cognitive-behavioral therapy. Logistic regression analysis showed that: (1) treatment assignment did not predict dropout, (2) clients taking psychiatric medication at intake were 80% less likely to drop out from therapy, compared to clients who were not taking medication, and (3) clients presenting anxious comorbidity at intake were 82% less likely to dropout compared to those clients not presenting anxious comorbidity. Results suggest that clinicians should pay attention to depressed clients who are not taking psychiatric medication or have no comorbid anxiety. More research is needed in order to understand this relationship (AU)

Un número significativo de clientes de psicoterapia no recibe tratamiento adecuado y el abandono del mismo es una de las principales razones. La literatura existente al respecto es contradictoria. Este estudio explora potenciales predictores del abandono en una muestra de clientes que participaron de un ensayo clínico diseñado para demostrar la eficacia de la terapia narrativa en el trastorno depresivo mayor en comparación con la terapia cognitivo-conductual. Los resultados muestran que (1) la asignación del tratamiento no predecía el abandono, (2) los clientes que al comenzar el tratamiento estaban medicados tuvieron un 80% menos de probabilidad de abandonar la psicoterapia, comparado con los clientes no medicados y (3) los clientes que padecían de comorbilidad ansiosa tuvieron un 82% menos de probabilidad de abandonar la psicoterapia comparado con los clientes sin comorbilidad. Los clínicos deberían prestar especial atención a los clientes sin medicación o que no padezcan de comorbilidad ansiosa. Se requiere más investigación para comprender esta relación (AU)