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1.
Lancet ; 395(10227): 899-911, 2020 03 14.
Artigo em Inglês | MEDLINE | ID: mdl-32171414

RESUMO

Eating disorders are disabling, deadly, and costly mental disorders that considerably impair physical health and disrupt psychosocial functioning. Disturbed attitudes towards weight, body shape, and eating play a key role in the origin and maintenance of eating disorders. Eating disorders have been increasing over the past 50 years and changes in the food environment have been implicated. All health-care providers should routinely enquire about eating habits as a component of overall health assessment. Six main feeding and eating disorders are now recognised in diagnostic systems: anorexia nervosa, bulimia nervosa, binge eating disorder, avoidant-restrictive food intake disorder, pica, and rumination disorder. The presentation form of eating disorders might vary for men versus women, for example. As eating disorders are under-researched, there is a great deal of uncertainty as to their pathophysiology, treatment, and management. Future challenges, emerging treatments, and outstanding research questions are addressed.


Assuntos
Transtornos da Alimentação e da Ingestão de Alimentos , Adolescente , Adulto , Diagnóstico Diferencial , Transtornos da Alimentação e da Ingestão de Alimentos/diagnóstico , Transtornos da Alimentação e da Ingestão de Alimentos/fisiopatologia , Transtornos da Alimentação e da Ingestão de Alimentos/psicologia , Transtornos da Alimentação e da Ingestão de Alimentos/terapia , Humanos , Estado Nutricional
4.
Einstein (Sao Paulo) ; 18: eAO4908, 2020.
Artigo em Inglês, Português | MEDLINE | ID: mdl-31859785

RESUMO

OBJECTIVE: To identify symptoms of eating disorders and potential associations with risk of suicide and depressive symptoms in undergraduate students of health-related courses. METHODS: A cross-sectional study involving 271 students. The following instruments were used to identify symptoms of eating disorders: Eating Attitudes Test-26 and Bulimic Investigatory Test of Edinburgh. The Hamilton Depression Rating Scale and the Mini International Neuropsychiatric Interview were used to screen for depressive symptoms and risk of suicide, respectively. Participants answered a questionnaire aimed to collect biodemographic data for economic classification of the sample. RESULTS: Symptoms of eating disorders and bulimia nervosa were detected in 7.4% and 29.1% of students, respectively. Approximately 17.3% of students had symptoms of major depression, and 13.6% were at risk of suicide to some extent; risk of suicide was thought to be low in 7.4%, moderate in 0.7% and high in 5.5% of students in this subset. The risk of eating disorder development was correlated with the risk of suicide (p<0.001). CONCLUSION: Undergraduate students at risk of developing eating disorders, or with symptoms suggestive of depression, are more prone to commit suicide.


Assuntos
Transtorno Depressivo/psicologia , Transtornos da Alimentação e da Ingestão de Alimentos/psicologia , Estudantes de Ciências da Saúde/psicologia , Ideação Suicida , Adolescente , Adulto , Bulimia Nervosa/psicologia , Estudos Transversais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Escalas de Graduação Psiquiátrica , Medição de Risco , Fatores de Risco , Índice de Gravidade de Doença , Estatísticas não Paramétricas , Inquéritos e Questionários , Adulto Jovem
5.
Nonlinear Dynamics Psychol Life Sci ; 24(1): 23-58, 2020 01.
Artigo em Inglês | MEDLINE | ID: mdl-31855550

RESUMO

The study presents further development and application of generalized multiplicative models (GMultM) for assessing outcomes in psychotherapy. GMultM is a flexible nonlinear regression method which is able to predict the impact of subjects' psychological variables (common factors) as well as theirchanges on the outcomes of cognitive-behavioral therapy and rhythmic-movement therapy. The main objectives of our present study are (a) to construct GMultM with the aim to predict the impact of pre-treatment scores of subject'psychological variables (common factors) on the outcome of cognitive-behavioral therapy (CBT) for disordered eating behaviors and obesity; (b) to employ GMultM to model the change of Body Mass Index (BMI) in each participant (non18 responders to CBT treatment) individually after sessions of rhythmic movement therapy (RMT); (c) to demonstrate that GMultM is able to predict whether intervention-related changes in several psychological variables are mechanisms underlying BMI change in each individual subject participating in RMT intervention program. The processes of model construction, identification of parameters and validation procedure using data from CBT program are described. Sensitivity analysis of the developed model was provided. Results revealed that: (a) the GMultM not only predicts the outcomes of psychotherapy satisfactorily but also allows obtaining the partial response functions of psychological predictors of weight loss directly as a result of estimation of model's parameters; (b) GMultM predicts the changes in BMI after RMT intervention in each participant satisfactorily and thus can be applied as the individualized assessment tool for psychotherapy's outcome.


Assuntos
Terapia Cognitivo-Comportamental , Transtornos da Alimentação e da Ingestão de Alimentos/psicologia , Transtornos da Alimentação e da Ingestão de Alimentos/terapia , Obesidade/psicologia , Obesidade/terapia , Índice de Massa Corporal , Humanos , Resultado do Tratamento , Perda de Peso
6.
Psychiatr Hung ; 34(4): 419-425, 2019.
Artigo em Húngaro | MEDLINE | ID: mdl-31767802

RESUMO

In the complex pathomechanism of eating disorders (especially that of bulimia nervosa and binge eating disorder) the traumatic experiences (sexual, physical, emotional abuse, neglect) often play an important role. The consequence of traumas can be the borderline personality disorder, or different disorders of the emotional regulation. These occur mainly in the multiimpulsive subtype of eating disorders with impulse control disorders. In relation to the trauma dissociative phenomena are frequent. In the diagnostics of eating disorders the history of traumatization is essential. Among the therapeutical possibilities the psychodynamic approach is important. Moreover, the newer methods based on cognitive behavioral therapy are effective, e.g., dialectic behavior therapy, integrative cognitive-analytic therapy, and other complex programs of trauma processing, such as the trauma-informed care.


Assuntos
Terapia Cognitivo-Comportamental , Transtornos da Alimentação e da Ingestão de Alimentos/psicologia , Transtornos da Alimentação e da Ingestão de Alimentos/terapia , Transtorno da Compulsão Alimentar/complicações , Transtorno da Compulsão Alimentar/psicologia , Transtorno da Compulsão Alimentar/terapia , Bulimia Nervosa/complicações , Bulimia Nervosa/psicologia , Bulimia Nervosa/terapia , Criança , Maus-Tratos Infantis/psicologia , Transtornos Dissociativos/complicações , Transtornos Dissociativos/psicologia , Transtornos Dissociativos/terapia , Transtornos da Alimentação e da Ingestão de Alimentos/complicações , Humanos
7.
Eat Behav ; 35: 101341, 2019 12.
Artigo em Inglês | MEDLINE | ID: mdl-31715452

RESUMO

OBJECTIVE: Self-reported level of sport competition was examined as a potential moderator of the association between athletic identity and disordered eating behaviors among college students. METHOD: Participants were a subset of individuals from a larger study who self-identified as athletes (N = 194; 39.7% female). Questionnaires were completed online and included measures of athletic identity and disordered eating behaviors, as well as items assessing level of sport competition, frequency of physical activity per week both in and out of sport, anthropometrics, and demographic information. Moderation was tested in a multiple linear regression. RESULTS: Controlling for physical activity levels, gender, and BMI, self-reported level of competition moderated the association between athletic identity and disordered eating behaviors (b = -0.01, p = .038; 95% CI = -0.026, -0.0008). Among individuals competing at lower levels of sport competition, higher athletic identity was associated with more disordered eating behaviors (b = -0.05, p = .013; CI = -0.193, -0.024). DISCUSSION: A mismatch between athletic identity and sport competition level was associated disordered eating behaviors. Individuals engaging in sport at a "non-competitive" level may be an under-identified and under-served population. A mis-match between athletic identity and sport competition level may be a risk factor for disordered eating. DATA AVAILABILITY STATEMENT: The data that support the findings of this study are available from the corresponding author upon reasonable request.


Assuntos
Comportamento Competitivo , Transtornos da Alimentação e da Ingestão de Alimentos/psicologia , Identificação Social , Esportes/psicologia , Adolescente , Adulto , Feminino , Humanos , Masculino , Fatores de Risco , Autorrelato , Sudeste dos Estados Unidos , Estudantes/psicologia , Estudantes/estatística & dados numéricos , Universidades , Adulto Jovem
8.
Eat Behav ; 35: 101340, 2019 12.
Artigo em Inglês | MEDLINE | ID: mdl-31731235

RESUMO

Two dimensions of perfectionism related to eating disorder (ED) symptoms are evaluative concerns and high standards. Evaluative concerns are consistently linked with ED symptoms, whereas there are conflicting results regarding high standards and ED symptoms. High standards are unrelated to ED symptoms in some studies and are linked to higher ED symptoms in others. Intolerance of uncertainty (IU) may influence the relation between high standards and ED symptoms; individuals elevated in both IU and high standards may find it distressing to be uncertain about future situations for fear of not living up to high expectations and use ED behaviors to cope with such uncertainty. In the current study (N = 216), we explored whether IU moderates the relationships between high standards and evaluative concerns and ED symptoms, both cross-sectionally and prospectively across two weeks. IU significantly moderated high standards and ED symptoms both cross-sectionally and across time while accounting for baseline ED symptoms, but did not moderate the relationship between evaluative concerns and ED symptoms. Higher standards were associated with greater ED symptoms in individuals higher, but not lower in IU. These findings suggest high standards may only contribute to ED symptoms when individuals are also high in IU.


Assuntos
Transtornos da Alimentação e da Ingestão de Alimentos/psicologia , Perfeccionismo , Incerteza , Adolescente , Estudos Transversais , Feminino , Humanos , Masculino , Estudos Prospectivos , Adulto Jovem
10.
Presse Med ; 48(10): 1065-1071, 2019 Oct.
Artigo em Francês | MEDLINE | ID: mdl-31653538

RESUMO

Othorexia Nevrosa is defined as an obsessive though regarding healthy food consumption, food properties and cooking tools. Orthorexia Nevrosa is not mentioned in the psychiatric nosography and is not considered as a disorder. While no formal diagnostic criteria currently exist, screening tools have been developed to explore characteristics of Orthorexia Nevrosa. While Orthorexia Nevrosa has specific characteristics, an overlapping exists with Eating Disorders (ED) and Obsessive Compulsive Disorder (OCD) symptoms.


Assuntos
Utensílios de Alimentação e Culinária , Comportamento Alimentar/psicologia , Transtornos da Alimentação e da Ingestão de Alimentos/psicologia , Ingredientes de Alimentos/análise , Transtorno Obsessivo-Compulsivo/psicologia , Anorexia Nervosa/psicologia , Transtornos da Alimentação e da Ingestão de Alimentos/diagnóstico , Transtornos da Alimentação e da Ingestão de Alimentos/prevenção & controle , Manipulação de Alimentos , Humanos , Transtorno Obsessivo-Compulsivo/diagnóstico , Transtorno Obsessivo-Compulsivo/prevenção & controle , Fatores de Risco
11.
Scand J Psychol ; 60(6): 569-576, 2019 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-31584205

RESUMO

Appearance-related social anxiety has been identified as a relevant risk factor in the development of eating disorders (ED) and depression in young adults. However, less is known about the role that fitness-related social anxiety may play on the emergence of these two psychopathological conditions. The present study aimed to examine whether appearance/fitness social anxiety may independently contribute to explaining the increased risk of ED and depressive symptoms in young adults. A total of 545 undergraduate students (46% women, Mage  = 21.36, SDage  = 2.93) recruited in two Spanish public universities completed a self-reported questionnaire. After controlling for self-reported BMI and appearance-related social anxiety, the results from the regression analyses revealed that fitness-related social anxiety positively and significantly (p < 0.05) contributed to explaining both the risk of ED (in women and men) and depressive symptoms (in women). The inclusion of the interaction term within the appearance/fitness-related term positively contributed to explaining additional variance for both the risk of ED and depressive symptoms in men, but not in women. The regression models explained 48% (women) and 35% (men) of the ED risk and 25% (women) and 19% (men) of depressive symptoms. These findings suggest that not only appearance, but also fitness-related social anxiety experiences may contribute to explaining the emergence of ED and depression in young adults.


Assuntos
Ansiedade/psicologia , Imagem Corporal/psicologia , Depressão/psicologia , Transtornos da Alimentação e da Ingestão de Alimentos/psicologia , Aptidão Física/psicologia , Adolescente , Adulto , Ansiedade/epidemiologia , Depressão/epidemiologia , Transtornos da Alimentação e da Ingestão de Alimentos/epidemiologia , Feminino , Humanos , Masculino , Estudantes , Universidades , Adulto Jovem
12.
J Abnorm Psychol ; 128(8): 795-805, 2019 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-31599631

RESUMO

Childhood abuse is frequent among individuals with eating disorders and is associated with complex clinical presentations. However, to date, the differences in the presentations of eating disorders between these groups are poorly understood. The present study employed a Bayesian network approach to model the interactive network structure of eating disorder psychopathology, and to investigate the differences in symptom importance and network structure between individuals with eating disorders with and without an experience of childhood abuse in a sample 327 treatment-seeking individuals. Among individuals with a history of childhood abuse, a specific 4-symptom pathway emerged, leading from overvaluation of shape and weight and ending in overeating (overvaluation of weight and shape → loss of control → depressed mood → overeating). Loss of control eating and depressed mood emerged as the more important driving symptoms. In contrast, the eating disorder symptom network among the group with no abuse was organized around a heightened investment in weight and shape, and resulting efforts to control or alter weight and shape through dieting and exercise behaviors. The symptoms with the highest importance in this nonabuse group were overeating and overvaluation of weight and shape. These results support the existence of a distinct eating disorder symptom network characteristic of individuals with a history of childhood trauma, and add to the hypotheses of a maltreated eco-phenotype in eating disorders. They may be also inform treatment target in abused people with eating disorders. (PsycINFO Database Record (c) 2019 APA, all rights reserved).


Assuntos
Maus-Tratos Infantis/psicologia , Transtornos da Alimentação e da Ingestão de Alimentos/patologia , Transtornos da Alimentação e da Ingestão de Alimentos/psicologia , Adulto , Teorema de Bayes , Criança , Feminino , França , Humanos , Masculino , Pessoa de Meia-Idade , Adulto Jovem
13.
Orthopade ; 48(12): 1030-1035, 2019 Dec.
Artigo em Alemão | MEDLINE | ID: mdl-31659423

RESUMO

Physical activity and exercise is widely connected with positive effects on human health. However, exercise may also pose as a risk factor for health under specific circumstances. Primarily, the risks connected with exercise are physical risks, but also psychological risks may appear, especially when exercise is conducted excessively. Psychological risks include eating disorders, illegal and legal substance use and exercise dependence. The aims of the present article are to focus on potential risks and side effects of exercise and physical activity and to put the risks in the context of the positive effects of exercise on health.


Assuntos
Comportamento Aditivo/psicologia , Exercício/psicologia , Transtornos da Alimentação e da Ingestão de Alimentos/psicologia , Transtornos Relacionados ao Uso de Substâncias/psicologia , Comportamento Aditivo/complicações , Exercício/fisiologia , Transtornos da Alimentação e da Ingestão de Alimentos/complicações , Humanos , Fatores de Risco , Transtornos Relacionados ao Uso de Substâncias/complicações
14.
Complement Ther Med ; 46: 73-80, 2019 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-31519291

RESUMO

BACKGROUND: The question of whether yoga practice ameliorates or even aggravates eating disorders is currently under debate. The aim of this review was to systematically assess and the effectiveness and safety of yoga in patients with eating disorders. METHODS: Medline/PubMed, PsycINFO, and the Psychological and Behavioral Science Collection were screened through July 2018 for randomized controlled trials, non-randomized controlled trials and longitudinal observational studies on yoga for patients with eating disorders and other individuals with disordered eating and/or body dissatisfaction. Risk of bias was assessed using the Cochrane risk of bias tool and the Newcastle-Ottawa Quality Assessment Scale. RESULTS: Eight randomized trials and four uncontrolled trials involving a total of 495 participants were included. Risk of bias was mixed. Comparing yoga to untreated control groups, effect sizes ranged from negligible effects of d = 0.02 to very large effects of d = 2.15. However, most effects were small to moderately sized and in most cases not significant. No safety-related data were reported. CONCLUSIONS: There is limited evidence on the effectiveness and safety of yoga in patients with eating disorders. Yoga can be preliminarily considered as an additional treatment option in multimodal psychiatric treatment programs.


Assuntos
Transtornos da Alimentação e da Ingestão de Alimentos/psicologia , Transtornos da Alimentação e da Ingestão de Alimentos/terapia , Ioga/psicologia , Humanos , Meditação/psicologia , Qualidade de Vida , Ensaios Clínicos Controlados Aleatórios como Assunto
15.
Crit Rev Oncol Hematol ; 143: 117-123, 2019 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-31563078

RESUMO

Advanced cancer patients with cachexia and their families can suffer from eating-related distress. This complex entity encompasses patients' struggle to nourish themselves, emotional and social consequences of their inability to maintain food intake, and profound disturbance in family relationships. With evidence-based nutritional care, as well as symptom management to enable food intake, cachexia can be mitigated to some degree. In addition, patients and families require psychosocial support and education to understand and cope with this condition. Only by taking an integrated approach can health care teams alleviate eating-related distress, improve quality of life (QOL), reduce interpersonal conflicts, and alter perceptions of nutritional neglect for patients and families. However, few studies have investigated eating-related distress among patients and families. The aim of this narrative review is to describe what is known about eating-related distress and the roles of integrated palliative, supportive, and nutritional care in improving QOL of patients and families.


Assuntos
Caquexia/terapia , Transtornos da Alimentação e da Ingestão de Alimentos/psicologia , Transtornos da Alimentação e da Ingestão de Alimentos/terapia , Neoplasias/terapia , Apoio Nutricional/métodos , Cuidados Paliativos/métodos , Estresse Psicológico/terapia , Caquexia/psicologia , Família/psicologia , Humanos , Neoplasias/metabolismo , Neoplasias/psicologia , Equipe de Assistência ao Paciente , Qualidade de Vida , Estresse Psicológico/psicologia
16.
J Abnorm Psychol ; 128(7): 658-670, 2019 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-31535887

RESUMO

Familial resemblance in eating pathology is typically attributed to parents providing an environment that leads to the development of eating pathology. However, offspring raised by biological parents receive both their environment and genes from their parents, raising the possibility that genetic influences, environmental influences, and/or gene-environment interplay may account for familial resemblance. Past studies have not explored the possibility of parents' genes influencing the environment they provide (i.e., passive gene-environment correlations or "passive rGE"). If present, passive rGE is most likely to "hide" in estimates of shared environmental influence in classical twin models. The current study used a nuclear twin family design to explore the possibility of passive rGE during pre- and early puberty when past studies have demonstrated the importance of shared environmental influence. Additionally, the present study explored whether sibling-specific (i.e., influences specific to the twin generation) or family-specific (i.e., "cultural" influences within the home) environmental influences account for shared environmental influences found in past studies. Participants included preearly pubertal same-sex female twins and their biological parents (N = 547 families) from the Minnesota Twin Family Study and the Michigan State University Twin Registry. Disordered eating was assessed with self-report measures in the twins and parents. Pubertal status was determined using an established cut-off on a self-report measure. Passive rGE was not indicated in this study of pre- and early pubertal twins. Instead, sibling-specific shared environmental and nonshared environmental influences were most influential. Future research should work to identify the sibling-specific environmental influences that contribute to sibling similarity in disordered eating. (PsycINFO Database Record (c) 2019 APA, all rights reserved).


Assuntos
Transtornos da Alimentação e da Ingestão de Alimentos/genética , Interação Gene-Ambiente , Pais , Puberdade/psicologia , Gêmeos/genética , Criança , Doenças em Gêmeos/genética , Doenças em Gêmeos/psicologia , Transtornos da Alimentação e da Ingestão de Alimentos/psicologia , Feminino , Humanos , Masculino , Sistema de Registros , Autorrelato , Gêmeos/psicologia
17.
Tijdschr Psychiatr ; 61(8): 572-581, 2019.
Artigo em Holandês | MEDLINE | ID: mdl-31512741

RESUMO

BACKGROUND: Individuals with eating disorders tend to internalise their anger and aggression excessively. However, an evidence-based intervention, targeted on this persistent issue, was missing until now. Therefore, a body and movement oriented intervention was developed, which supports patients to reframe and redirect anger and aggression against the destructive influence of the eating disorder.
AIM: To study the effectiveness of the aggression regulation intervention.
METHOD: The intervention was tested in a first randomised controlled trial (RCT) in an outpatient setting and in a two-center RCT in a multidisciplinary day hospital setting. Coping with anger was measured by the Self-Expression and Control Scale (SECS). Eating disorder pathology was measured by the Eating Disorder Examination Questionnaire (EDE-Q).
RESULTS: Both RCTs delivered first evidence for the brief body and movement oriented intervention to reduce excessive anger internalisation in individuals with eating disorders. Moreover, in the outpatient trial the eating disorder pathology was significantly more reduced in the intervention group compared to the control group.
CONCLUSION: There is first evidence for the effectiveness of a body and movement oriented approach of reducing excessive anger internalisation in individuals with eating disorders.


Assuntos
Adaptação Psicológica , Agressão/psicologia , Transtornos da Alimentação e da Ingestão de Alimentos/psicologia , Transtornos da Alimentação e da Ingestão de Alimentos/terapia , Ira , Humanos , Psicoterapia Breve , Autocontrole
18.
Medicina (Kaunas) ; 55(10)2019 Sep 23.
Artigo em Inglês | MEDLINE | ID: mdl-31547505

RESUMO

Background and Objectives: Eating disorder (ED) symptoms are a growing problem and modern technologies introduced a new and unexplored potential risk factor for vulnerable individuals. It is fairly common for women to use the Internet in order to find information about various weight-loss methods, but it was further questioned whether perfectionism and eating disorder symptomatology could be linked to this behavior. Materials and Methods: Participants were 228 women (Mean age = 30.5; SD = 9.43) recruited via social media, who provided responses on measures of perfectionism, eating disorder symptoms, and a short check-list measuring the frequency of online searching about five topics (food, diet, exercise, body appearance, and eating disorders). Results: Hierarchical multiple regression analysis showed that the BMI and Discrepancy subscale of APS-R significantly predicted online searching, along with eating disorder symptomatology. Moreover, mediation analyses resulted in a significant indirect effect, but not a direct effect, indicating that eating disorder symptomatology fully mediated the relationship between BMI and online searching, as well as between maladaptive perfectionism and online searching. Conclusion: These findings shed light on a high BMI and maladaptive perfectionism as potential risk factors for eating disorder-related behavior on the Internet. More attention to online-seeking behavior among women symptomatic of ED is warranted, and websites containing such topics should include information about professional help for eating disorder-symptomatic individuals.


Assuntos
Transtornos da Alimentação e da Ingestão de Alimentos/psicologia , Internet , Perfeccionismo , Adolescente , Adulto , Idoso , Índice de Massa Corporal , Feminino , Humanos , Pessoa de Meia-Idade , Análise de Regressão , Fatores de Risco , Mídias Sociais , Inquéritos e Questionários , Perda de Peso , Adulto Jovem
19.
Eat Behav ; 35: 101334, 2019 12.
Artigo em Inglês | MEDLINE | ID: mdl-31491665

RESUMO

Individuals with eating disorders (EDs) endorse fears of being self-compassionate, as assessed by the Fears of Compassion for Self scale (FCSelf; Gilbert, McEwan, Matos, & Rivis, 2011), and higher fears predict poorer treatment outcomes. Previous research using the FCSelf demonstrated a single factor solution in a non-clinical sample. OBJECTIVES: This research sought to explore the factor structure of the FCSelf in a clinical population and to examine correlations with associated constructs. The factor structure obtained was compared with its structure in a student sample. METHODS: Individuals with EDs (n = 251) completed the FCSelf, and measures of readiness to change, self-compassion, quality of life, as well as psychiatric and ED symptom severity. A female student sample (n = 314) completed the FCSelf. RESULTS: In the clinical sample a two-factor solution exhibited best fit. Factor 1, labeled "Meeting Standards," contained items expressing concern about showing flaws and losing achievements and relationships. Factor 2, labeled "Emotional Vulnerability," contained items focusing on difficult emotions such as grief, unworthiness, and vulnerability. The two subscales exhibited acceptable internal consistencies and were significantly correlated with clinical outcome variables. In the student sample, the two factor model was superior to a single factor model but given that the latent correlation was so high (r = 0.89) a single summary score is recommended. CONCLUSION: Future research is needed to determine the value of addressing barriers related to meeting standards versus emotional vulnerability in helping individuals with EDs develop self-compassion and recover from their illness.


Assuntos
Empatia , Transtornos da Alimentação e da Ingestão de Alimentos/psicologia , Autoimagem , Adulto , Canadá , Medo/psicologia , Transtornos da Alimentação e da Ingestão de Alimentos/terapia , Feminino , Humanos , Masculino , Escalas de Graduação Psiquiátrica , Estudantes/psicologia , Estudantes/estatística & dados numéricos , Resultado do Tratamento , Universidades , Adulto Jovem
20.
Eat Weight Disord ; 24(5): 845-852, 2019 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-31471886

RESUMO

PURPOSE: Men with eating disorders may experience unique issues compared to their female counterparts, and there is a growing interest in how these differences should be addressed in clinical practice. However, the views of male patients on potential treatment adaptations remain under-explored. The purpose of this study was to explore the experiences of men who have experienced treatment for eating disorders. METHODS: Men who had experienced eating disorder treatment were recruited through UK National Health Service eating disorder services and online advertising. 14 participants took part in semi-structured interviews discussing their experiences of treatment, and their views on the need for adaptations. Interviews were analysed using thematic analysis. RESULTS: Three main themes were identified from the analysis: a preference for person-centred, rather than gender-centred treatment, a feeling of being "the odd one out" as men in current treatment environments, and recommendations for treatment adaptations. CONCLUSIONS: Participants described wanting to be treated as individuals and not defined by their gender. Whilst existing treatment approaches were mostly felt to achieve this individual focus, the actual treatment setting may inadvertently reinforce a perception of atypicality due to being men in a female-dominated environment. Adaptations may therefore be required to make the treatment environment more male friendly. Clinical recommendations are outlined. LEVEL OF EVIDENCE: V. Qualitative study.


Assuntos
Transtornos da Alimentação e da Ingestão de Alimentos/terapia , Homens , Transtornos da Alimentação e da Ingestão de Alimentos/psicologia , Humanos , Masculino , Medicina de Precisão , Pesquisa Qualitativa
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