Treatment issues and outcomes for males with eating disorders.
ABSTRACT The aim of this article is to discuss critical issues in treating males with eating disorders, and to present assessment and treatment outcome data for 111 males who received residential treatment for moderate to severe eating disorders. Males with eating disorders are often not included in eating disorder research as the population of individuals with eating disorders has historically been predominantly female. Whether this is due to actual lower prevalence of this disorder among males or to fewer males seeking treatment is not clear. In any case, there is limited empirical research on the particular treatment issues of males, and in treatment environments males are frequently in the minority. We have found that an all-male treatment environment is helpful in allowing males to benefit from treatment with less stigma. Data are presented which characterize psychiatric co-morbidity, excessive exercise, body image, sexuality, and spirituality in males. Treatment outcomes for males in this environment are positive.
SourceAvailable from: Anna Keski-Rahkonen[Show abstract] [Hide abstract]
ABSTRACT: Purpose of review Research in eating disorders in males has been active lately compared to the past. This review aims to provide an overview of the recently published studies of eating disorders in males. Recent findings Publication of the Diagnostic and Statistical Manual of Mental Disorders, 5th edition has outlined more sex-neutral diagnostic criteria for eating disorders. Data of socioeconomic factors, prenatal influences, clinical characteristics, assessment, and mortality for eating disorders have been reported independently for males. Unlike in females, higher parental education showed no association with eating disorders in males, but twin or triplet status and lower gestational age at birth had an independent association with anorexia nervosa in males. Contrary to earlier suggestions, no differences in eating disorder symptoms such as binging, vomiting, or laxative abuse were observed between the sexes. Yet, males tended to score lower on eating disorder symptom measures than females. High rates of premorbid overweight and higher BMIs at various stages of eating disorders have been confirmed repeatedly. Higher age and lower BMI at admission, and restrictive anorexia nervosa subtype predicted fatal outcome for anorexia nervosa in males. Summary Contemporary research provides grounds for improved recognition, diagnosis, and treatment for males suffering from eating disorders.Current Opinion in Psychiatry 09/2014; 27(6). DOI:10.1097/YCO.0000000000000113 · 3.55 Impact Factor
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ABSTRACT: Using narrative analysis, the experiences of 7 Canadian counselor trainees with eating issues were explored for meanings of shame and resilience. Shame was experienced as layers of discounting and disconnection from self and others, which served as barriers to help seeking and recovery. Trainees' attempts to overcome shame were characterized by a dialectic conflict of protecting shame vs. prioritizing recovery. Finding a culture of safety and belonging, invalidating perfection, and redefining ideals emerged as elements that fostered resilience from the layers of shame. Recommendations for future research include exploring the important features of social support and examining how safe disclosure contributes to overcoming shame. Potential implications for counselor education programs include introducing self-care initiatives, discussions about counselor wellness and ethical practice, and education on eating issues.Qualitative Health Research 09/2014; 25(2). DOI:10.1177/1049732314551988 · 2.19 Impact Factor
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ABSTRACT: The aim of this study was to investigate the factor structure and psychometric properties of a new brief self-report form of the Yale-Brown-Cornell Eating Disorder Scale (YBC-EDS-BSR) in a transdiagnsotic eating disorder population, and to determine the predictive ability of motivation for change and ego syntonic subscales on treatment outcome. Self-report measures of the YBC-EDS-BSR, eating pathology, depression, anxiety and obsessive compulsive symptoms were collected from 164 individuals entering residential treatment. Of these, 107 individuals completed identical measures at discharge. The admission items on the YBC-EDS-BSR were examined for factor structure, and subscales were examined for internal, convergent and discriminant validity. Multiple regression analysis was used to investigate predictive value of the motivation and ego syntonic subscales on two measures of treatment outcome. Results indicate that the YBC-EDS-BSR demonstrated a robust factor structure and good psychometric properties in this population. The predicted ego-syntonic subscale did not emerge as an independent factor. The motivation for change subscale significantly predicted treatment outcome on the EDE-Q and the EDI-3 Global Maladjustment Scale. The ego-syntonic items and other psychopathology measures had no predictive value on treatment outcome. Results suggest that motivation for change is a significant predictor of treatment outcome over and above baseline psychopathology.Eating Behaviors 08/2014; 15(3). DOI:10.1016/j.eatbeh.2014.04.007 · 1.58 Impact Factor