Science topic

Eating Disorders - Science topic

A group of disorders characterized by physiological and psychological disturbances in appetite or food intake.
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Any comments on the L-thyroxine treatment of a college age female with anorexia nervosa who has recently been weight restored but continues to have low T4, low leptin, slowly rising but low estrogen levels and still amenorrheic? TSH is mid-normal range and has been from the beginning of the treatment (intensive counseling and dietary therapy initiated 3 months ago). Is there evidence that thyroxine supplementaton is beneficial or is it contra-indicated due to possible feedback suppression of TRH - TSH and increased metabolic rate? Citations or other references would be appreciated as well.
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Many thanks Louis! This is very helpful. I will discuss with my doctor and will trial a temporary small dose as she recommended and hopefully after full weight restoration my thyroid levels will normalize. I am already seeing an eating disorder specialist dietician.
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Not emotional eating, but anxiety related to anticipation of eating. Any advice/suggestions are much appreciated!
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Hi Jaclyn,
I have been across this conversation and thought that until today maybe you could find a good scale to measure food-related anxiety. Any thought? i will need a good scale to use it in my study population. Appreciate your response. Hiba
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When we grow older, it is seems that we are more easily to have constipation. What are your suggested preventive measures in treating this condition?
Thank you!
An update:
As I have the physiological condition of anorexia nervosa/morbid obesity, I have to adopt the anorexic Luigi Cornaro diet of eat-but-little. And I think my problem of constipation is a result of my eating habit.
My solution for this problem is, don't wait for the spontaneous bowel movements, try to have two or more bowel movements within one day, one in the early morning when I just get up, the other one in the later afternoon to evening. In this way, I can effectively prevent constipation.
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TRIPHALA - An excellent ayurvedic colon cleaner manufactured in India .
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Need suggestion for High Fat Diet/Cafeteria diet of Indian food type for induction of Obesity in laboratory animals.I want to study specifically about Binge eating disorder.
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For mice models you can use plant based oils like olive oil, safflower oil, corn oil or animal based fats like lard, beef tallow in a composition providing 20-60% of total energy. There are many related studies.
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I am specifically looking on how early trauma is related with eating disorders, as part of Abnormal Psychology
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We are currently investigating an integrated treatment module for patients with PTSD and a comorbid eating disorder. Due to the novelty of the treatment, we wish to asses treatment acceptability (TA).
Sekhon et al., (2017) describe TA as ‘a multifaceted construct that reflects the extent to which people delivering or receiving a healthcare intervention consider it to be appropriate, based on anticipated or experienced cognitive and emotional responses to the intervention’. TA appears to change over time, as various authors state that prospective TA, concurrent TA and restrospective TA may differ. Furthermore, clinicians and patients may differ in their perspectives on TA.
Serveral instruments have been developed, such as Treatment Acceptability/Adherence Scale (TAAS) by Milosevic et al., (2015), which measures prospective TA, or the Distress/Endorsement Validation Scale (DEVS, Devilly, 2004). Previous research has also utilized visual analogue scales or costumer satisfaction reports.
For patient TA, i'm thinking about administering the TAAS or DEVS at different time points (before, during or after therapy) to see how TA changes during the course of treatment. An alternitive idea would be to use a randomisation strategy, where each participant would either receive the questionnaire before, during or after treatment. It would be interesting to also assess therapist TA and to see whether or not these match.
Does this seem like a logical set up? Are there any methodological considerations to take into account? All feedback/suggestions are welcome, thanks in advance.
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In my study there is a positive correlation
Between self compassion and eating disorders which in previous western literature is negative
I am doing research in Asian culture Pakistan
Please guide what to do
Or share any relevant research
Regards
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I am looking for researchers who have studied the impact of remote, eHealth, mobile or internet treatments for binge eating disorder (BED). If you have conducted such studies (or know a team that has), have the results been published and/or is there anywhere this data can be accessed?
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Hi Elnaz
Here are some recent references on BED and Internet or smartphone treatment:
  • Hildebrandt, T., Michaeledes, A., Mayhew, M., Greif, R., Sysko, R., Toro-Ramos, T., & DeBar, L. (2020). Randomized controlled trial comparing health coach-delivered smartphone-guided self-help with standard care for adults with binge eating. American Journal of Psychiatry, 177(2), 134-142.
  • Jensen, E. S., Linnet, J., Holmberg, T. T., Tarp, K., Nielsen, J. H., & Lichtenstein, M. B. (2020). Effectiveness of internet‐based guided self‐help for binge‐eating disorder and characteristics of completers versus noncompleters. International Journal of Eating Disorders, 53(12), 2026-2031.
  • Yim, S. H., Bailey, E., Gordon, G., Grant, N., Musiat, P., & Schmidt, U. (2020). Exploring Participants’ Experiences of a Web-Based Program for Bulimia and Binge Eating Disorder: Qualitative Study. Journal of medical Internet research, 22(9), e17880.
Keith
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Same construct?
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BODY SHAME is something NORMAL that can range from SHOCK to being seen naked, to a certain uncomfortable feeling that others (or even ourselves) witness possible deformations, even without being naked, scars, baldness, ravages of the passage of the years, etc.
On the contrary, BODY UNSATIFACTION IS ALREADY SOMETHING PATHOLOGICAL, the result of a deficit of Self-concept and / or Self-esteem or the framework, even, of a DYSMORPHOPHOBIA, with obsessive fixations and delusional ideas about normal parts of the body or with "defects" but the subject magnifies them in an abnormal way and not according to reality; A classic example would be that of Nevious Anorexia and Bulimia, in which patients, normally women, SEE FAT, VERY FAT even being extremely thin (and the well-known Silhouette Test is very eloquent: The patient attributes to herself a silhouette and / or a SIZE VERY HIGHER THAN THE ONE YOU REALLY HAVE ... but, DO NOT LIE, IT IS THAT YOU ARE PERCEIVED AND CONVINCED THAT IT IS SO; but as is known "being convinced of something does not mean being right")
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I have seen references to this type of service but can find very little literature or research on it. Can anyone help?
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If such "interruption" is due or is the result or result of a "forced" feeding (even nasogastric), sometimes by court order, it is not enough nor is it the "therapeutic objective", although obviously this is often necessary and even , essential (eg if there is a CAQUEXIA status); but even if menstruation even reappears, the "lanugo" disappears and weight is gained, and so on. WHILE DYSMORPHOPHOBIA IS NOT ADDRESSED AND THE ALMOST DELIROID PERCEPTION OF YOUR OWN BODY SCHEME IS CONTROLLED OR DISAPPEARED, there is NOTHING TO DO, as this is THE CORE OF SUCH PATHOLOGY AND ITS PATHOGNOMONIC ELEMENT
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Hello _ I am doing an administrative (not clinical) service review of the London based Adult Eating Disorder service in London, Ontario. I have found good evidence based literature coming from the UK and Ireland but not from Canada at this point. I am very interested in your thoughts regarding the above question. I am also working on a tight time line so would appreciate your response by March 26th if possible _ thank you in advance for your kind attention to this request.
Deborah J. Corring, PhD
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The essentials are:
-Congnitive Behavioral Treatment to combat altered / delirious perception of one's own body scheme and self-image
-Intervention "ad hoc", including with Systematic Desensitization and Reciprocal Inhibition for Dysmorphophobia.
-Implementation of Self-esteem and Self-concept.
-If necessary, a system -in an institutionalized intervention- of absolute elimination of positive reinforcements and of any "reward" or, even, attention to be achieved through programmed weight gain.
-Absolute prohibition of mirrors.
-Premack techniques to acquire desirable behaviors.
Training in Social Skills and Assertiveness.
-Individualized psychotherapy
-Control and advice from expert Nutritionists ... In any case, without any desire for prominence, you can see contributions in this regard here in "RG" of my Research Team and mine.
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As the land availability for conventional farming is decreasing, what percentage of worldwide farming is being done through soilless route (including hydroponics, aeroponics, aquaponics)?
Any literature highlighting the same will be helpful please.
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Thank you for sharing this question
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There's a finding that most people with binge eating disorder seek treatment for their weight initially, not for their eating behaviors or underlying issues. I now cannot remember who published this finding. Does anyone know?
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I'm sorry; it hasn't come out completely ... so he continues:
-even in a "critical state" due to cachexia-; This being the case, many times we have to go to a Judge to order that such patients be fed (generally nasogátrically); BUT IF THIS IS NOT ACCOMPANIED BY AN INTERVENTION THAT INFLUENCES THEIR DYSMORPHOPHOBIA AND THEIR DELUSIONAL AUP-PERCEPTIONS, WHEN THEY ARE DISCHARGED, BECAUSE OF ALREADY HAVING AN "ACCEPTABLE" WEIGHT, THEY RETURN TO THE SAME.
On this subject, I allow myself to suggest -without any conceit or vanity, but as a Scientist and Clinician- that you read various contributions from me and from my Research Team, here in "RG", on this problem (various contributions to Congresses, Articles , Chapters in Books, Conferences, etc.). Thanks.
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Dear Researchers,
My research team is conducting a eating disorder related research in Malaysia and we would like to use the Malay translated version of EAT26/40. I have tried to email the related authors who translated the scale, however, there was no reply from them.
To anyone who has the Malay translated EAT-26/40, if you do not mind, can you please send a copy to me? or Can you please tell me who I should contact?
Thank you very much.
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Hello Kah Yan, there are quite a few studies that have used the Malay version of the EAT-26, apart from the authors of the original study. I've attached some relevant papers that may help by suggesting further researchers you could contact, and you can do further searches in Google Scholar and other databases. Good luck! Rachel
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I have seen some studies where BMI is mentioned to characterise the sample, yet I have also seen other studies where BMI is included as a covariate in the analyses.
So, my question is: When is it correct to include BMI as a covariate? Is there a "golden standard" in the field of body image research?
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Hello everyone, I am late to this discussion but wanted to add a few thoughts:
1) Using BMI in work with body image will likely almost always depend on the research question and if researchers want to control for body fat, but.....
2) As another researcher indicated BMI is limited. It is really just a proxy for body fat since the formula is simply based on height and weight. It should not be the first choice if other more precise measures can be used such as percent body fat (under water weighing, calipers, and possibly some electrical impedance measures if the produce scores considered valid and reliable) or assessments of muscularity through instruments like the Bod Pod which gives muscularity and BF%.
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I would like to run a factor analysis with SPSS but I have doubts about the structure that my database has to have.
We have collected information about the two favorite food of different groups of people with eating disorders. The objective is to know if using the nutritional profile we are able to relate some type of specific food (for example high in fat, sugar and low in protein) with some group of eating disorders.
We have done a nutritional profile about micro and macronutrients on each of the two foods separately. On the database, we have one row per participant and different columns where, for example, we have food hydrates 1, food hydrates 2, food proteins 1, food proteins 2... Would it be the correct form of the database for factor analysis? Or because it is the same item - for example, hydrates - would it be more appropriate to do the sum or the average of the two hydrates and thus have only a single column about hydrates?
Thank you!
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I know the assumptions but I need to know if I can use the same variable (i.e protein1 and protein2) related to two different food or If I had to sum or to calculate the medium of the protein to avoid the repetition of the variable.
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I am looking for researchers who have studied the differnces in plasma levels in amino acids, nucleotide in binge eating disorder (BED)/obesity?. If you have conducted such studies (or know a team that has), have the results been published and/or is there anywhere this data can be accessed?
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I'm looking for the arabic version of the SCOFF questionnaire or any questionnaire for diet analysis and eating disorders that has an arabic validated version please
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Béatrice Marianne Ewalds-Kvist Thank you so much, I contacted the author for the questionnaire but I got no reply so I was trying to see if someone has the questionnaire available
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I am looking for the Eating Disorder Assessment for Men Questionnaire (EDAM) as stated in this publication:
Does anyone know where to get the questionnaire from and the mode of analysis? I tried contacting the author multiple times but there was no response.
Thank you
Arvinder
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Have you looked for a version for women? There may already exist one for ladies - and could possibly be adapted. Keep contacting the author, it's a busy time of year as the new academic year starts - try again in at the end of October.
Hope this helps :)
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Dear All,
I would be happy if someone can share with me the following questionnaires (validated)
1. The EDI-3 (Eating Disorder Inventory 3)
2. ATHLETE Questionnaire
3. The EDAM (Eating Disorder Assessment for men) questionnaire
Preferably versions validated among sportsmen/sportswomen
Thank you
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There are quite a lot of different questionnaires measuring different aspects of eating disorder symptoms. Some are free to use, and some do you have to pay for.
The Eating Disorder Examination Questionnaire (EDE-Q) and the Eating Disorder Inventory (EDI-2, EDI-3) are in regular use in our specialist eating disorder unit in Norway, and also in most of the other specialist units in Norway too. These questionnaires are measuring core ED symptoms (EDE-Q) and both ED symptoms and psychological symptoms (EDI)
As a measure for depression we use the Beck Depression Inventory (BDI).
As a measure for general psychopathology in the patients we use the Symptom Checklist (SCL-90R).
As a measure for interpersonal problems we use the the Inventory of Interpersonal problems (IIP64).
As a measure of body image problems we use the Body Attitude Test (BAT).
As a measure of Compulsive exercise we use the Exercise and Eating Disorders (EED).
All of these questionnaires are validated. The EED has been developed in our unit and was a part of my PhD. This questionnaire is attached to this message.
Kind regards
Dr. Marit Danielsen
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Osteoporosis, eating disorders and amenorhea are major problems encountered by professional athletes. proper training regimen can prevent these problems. little literature is available for effects of core strength training in management of female athletic triade.
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تدريبات القوة عامل اساسي في الحياة اليومية
وانجازات الرياضين وخاصة العاب القوة فعاليات الرمي والوثب تحتاج تدريبات القوة
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Is Type 2 Diabetes Mellitus an eating disorder?
Does the craving for food have an organic basis or a psychological basis?
Do patients with Diabetes have a particular personality that leads them into their Eating lifestyle?
Should the management of the psychological aspect be as important as the drug therapy?
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Hi Fazleh,
Type 2 Diabetes is not an eating disorder but has high comorbidity with it, see attached articles. People with Diabetes type 2 and risk factors for eating disorders (including those related to personality such as perfectionism, obsessiveness) are particularly at risk but those risk factors are no doubt different from risk factors for diabetes. Needing to be regimented,and self disciplined with food and to plan ahead is difficult for many since they cannot eat spontaneously and freely. When self esteem is low and/or the illness is not accepted there can be some 'rebelling' or experimenting with the limits of self-care. An extreme example is the manipulation of the use of insulin for weight loss purposes, which can be very dangerous and even fatal. So I believe that management of psychological aspects of dealing with the disorder is essential.
Rachel.
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I'm working on a master thesis research on the role of rumination in eating disorders, specifically on the relationship between ruminatio, alexithymia and emotional regulation strategies in ED.
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I think Felicity A. Cowdrey is on RG.
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We are partnering with a ballet school to develop a strategy for eating disorder prevention. Currently, the school has a policy of excluding students from pointe classes based on both fitness/strenght and BMI. Is there any evidence that pointe work becomes unsafe over a certain weight/BMI? What would be other useful indicators?
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Dear Ina,
Ballet dancers with eating disorders seem to have higher levels of anxiety as well (Diogo et al. 2016, Liu et al. 2016), so maybe monitoring with the State-Trait Anxiety Inventory-T-6 might be useful.
Diogo MA, Ribas GG, Skare TL. Frequency of pain and eating disorders among professional and amateur dancers. Sao Paulo Med J. 2016 Sep 26:0. doi: 10.1590/1516-3180.2016.0077310516. [Epub ahead of print]. http://www.scielo.br/pdf/spmj/v134n6/1806-9460-spmj-1516_3180_2016_0077310516.pdf
Liu CY, Tseng MC, Chang CH, Fang D, Lee MB. Comorbid psychiatric diagnosis and psychological correlates of eating disorders in dance students. J Formos Med Assoc 2016;115(2):113-20. https://www.sciencedirect.com/science/article/pii/S0929664615000704?via%3Dihub
Best wishes from Munich,
Martin
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Integrating Fundamental Concepts of Obesity and Eating Disorders:
Implications for the Obesity Epidemic.
About the Author (as stated in the publication):
Ann E. Macpherson-Sánchez is with the Department of
Agricultural Education, University of Puerto Rico, Mayagüez.
Correspondence should be sent to Ann E. Macpherson-
Sánchez, 1307 Seagrape Circle, Weston, FL 33326-2726
(e-mail: macphersonann@hotmail.com). Reprints can be
ordered at http://www.ajph.org by clicking the “Reprints”
link.
This article was accepted December 1, 2014.
Acknowledgments
This publication was made possible by a grant from the
National Heart, Lung, and Blood Institute (1R01HL091826-01).
I would like to thank the additional multiple principal
investigators of the National Institutes of Health
proposal—Luisa Seijo-Maldonado, MSW, Robinson
Rodríguez-Pérez, PhD, and Gladys Malavé-Martínez,
MS—for their years of collaboration and support. In
addition I would like to thank the interdisciplinary group
of professors who worked with us: Dolores Miranda-
Gierbolini, PhD, Karen Soto, PhD, Gloria Fidalgo, PhD, RD,
Sara Benítez, MA, and Raúl Macchiavelli, PhD. Their
support, doubts, comments, and questions were indispensable
in developing this article. I would also like to give
special thanks to Nancy M. Buss whose editorial insight
was invaluable and to the anonymous peer reviewers
whose comments and constructive criticism gave greater
focus to this final version of the article.
Note. The article’s contents are solely the responsibility
of the author and do not necessarily represent the
official views of the National Heart, Lung, and Blood
Institute or the National Institutes of Health.
The people mentioned in these acknowledgements are all Professors at the University of Puerto Rico, Mayaguez Campus, or Rio Piedras Campus with the exception of Nancy Buss who is my sister and lives in Atlanta.
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I am currently working on research related to this paper, but it takes awhile to connect the ideas that are pertinent given the extensive nature of the publications regarding obesity. I have been invited to offer a presentation at the ICOCD meeting in San Francisco June 30 to July 3 2019.I am adding the abstract of this presentation. I also plan to submit an abstract to the annual meeting of the American Society for Nutrition that will be held in Baltimore in June.
The article that you are not mentioning is being increasingly cited as people look for new interpretations of why obesity is increasing around the world.
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Interdisciplinary treatment has been demonstrated to be the best approach to feeding disorders.
Premaure babies have a high risk of feeding disorders and complication may be severe.
Programmes for stimulation should start in neonatal intensive care units and should include early stimulation programme for children at risk or with neuro-developmental alterations.
We work with feeding disorders since 2002 and we are trying to standardize how to work with this population.
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Hi there!
Look at Lessen, B (2011) Premature Infant Oral Motor Intervention (PIOMI) protocol. We have implemented this protocol with our infants in our level III unit.
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I can't find any papers talking about clinical cut off points for either the sub scales or the global score of the Eating Disorder Examination Questionnaire - Can anyone help me??
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With regards to the global score, the original Fairburn and Beglin recommendation was 4.0 I believe, but that has been shown to be extremely limiting.
Check out this paper! It does a good job highlighting some of the previous studies that have looked at this and also provides their ow recommendations.
Rø, Ø., Reas, D. L., & Stedal, K. (2015). Eating Disorder Examination Questionnaire (EDE‐Q) in Norwegian Adults: Discrimination between Female Controls and Eating Disorder Patients. European Eating Disorders Review, 23(5), 408-412.
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The operational definition for eating attitudes is : " Eating attitudes are one's beliefs,thoughts,feelings,behavior and relationship with food".
Either positive or negative aspects of eating attitudes other than eating disorders to get a global idea of what make up eating attitudes.
If you have anything(articles,magazines etc) related to young adults women, that would help also.
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May I refer you to this online open access Journal Special Issue on psycho-social dynamics of offering food and receiving food? Some of the articles and pieces are specifically about eating distress but editorially our interest has been in food practices
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Asking for a friend in the final stages of writing her doctorate:
Dear colleagues, looking for a research paper that found that in Eating Disorders, negative beliefs change before positive ones and that this change happens before seeing a shift in disordered eating behaviour or binge eating frequency. If by chance you are aware of this research I would be very grateful to know of the authors. Many thanks in advance!
p.s. There is a slight chance this reference is actually in the anxiety literature and not ED (ie negative beliefs regarding anxiety change before positive ones and that this change happens before seeing a change in anxiety symptomology).
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Thank you all kindly!
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I am beginning at an PHP and IOP eating disorder clinic and I am new to this field.  I am interested in following latest research on effective treatment methods as well as assessments.  I am unfamiliar with who is also working in this field. 
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Hi Jenifer, and welcome to the field of eating disorders. It's great that you are wanting to familiarize yourself with research and I endorse Claire and Stephen's answers. Organizations such as the Academy for Eating Disorders and the Eating Disorders Research Society (who are holding their annual meeting next week in Leipzig, Germany) are great ways of keeping up with the latest research developments and clinical options and recommendations. Sign up for the AED conference in Chigago in April, 2018, I'm sure you'll benefit a lot from that. Also, take a look at what is published in professional journals on eating disorders - the International j of EDs; the European ED Review; Eating Disorders, Treatment and Prevention; the Journal of ED, Appetite, Eating and Weight Behaviors and more... You can look up the authors of articles that interest you and find more of their research. And meet a lot of them at the AED conference! Good luck, Rachel.
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I have a psychotherapy dissertation two write and I am currently work part time in an eating disorder service. The "voice" experienced by many ED sufferers is, I think one of the main barriers to recovery. I'm wanting to review, seek out any treatment models that are used, as well as talk to therapists about how and what methods they use. A literature search so far has not proved very successful on models of treatment, just on the experience of it in sufferers. 
thankyou
Lesley
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Hi Lesley, I am a clinician and researcher in the field of eating disorders and meet this a lot. I'm attaching one of those articles that you mention, showing that the 'voice' is really a problem.
I have found that teaching the person to talk back and argue against the 'voices' can be helpful, as is often done with automatic thoughts in CBT. For example a 14 year old boy with severe anorexia nervosa told me that every time he ate, 'voices' would tell him that he is fat, didn't need to eat etc. We sat together and made notes about how his healthy voice could answer the ED voice (e.g. you are trying to keep me in this horrible illness, everybody tells me I'm thin so you must be lying, I need to eat to be healthy, go back to school, eat with my friends, etc). Then he practiced saying these things out loud but he sounded unconvinced and spoke really softly so I helped him to say them convincingly and even shout out his statements, which was very difficult for him. It empowered him and helped a lot and he recovered.
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I am currently designing my research project and I would need to detect the exact items forming the restrait scale in the Eating Disorders Examination Questionnaire. I have been looking into several papers but I could not find the precise structure of the subscale
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The items are specified on page 5 of the article at the following link:
You can download the entire article, which is a manual for the scale.
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Evolutionary or phylogenetic/ultimate hypotheses are now  used to supplement developmental and immediate  proximate reasons for vulnerability to psychiatric disorders and have been since the last century (Tinebergen,  Nesse,  Brune,  Abed etc)  . Whereas current  cultural components and developmental issues have an acknowledged  large part to play in discussions, why are evolutionary propensities  and their distribution and dysregulation in modern environments not seriously considered yet?
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Maybe considering two types of sexual selection is relevant: Intrasexual competition might cause same-sex competition on traits in such a manner that one moves away from the preferences of the opposite sex; and this might manifest in male and female models in magazines for either men or women being either slimmer/curvier or fit/very muscular. NB: sexually selected traits will be selected by increasing reproductive success, not the opposite.
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As a part of a project on factors associated with overweight in a french adolescents population, we need to evaluate body image (dis)satisfaction on this population. A lot of scale exist in the litterature : body image questionnaire, body satisfaction scale (BSS), body shape questionaire, body image dissatisfaction subscale, Body image scale, body appreciation scale (version 1 and 2). We used for another study the stunkard figure rating score but this old method seems not to be used anymore...
May be somebody had good advice or a good reference to make the better choice for this kind of scale ? if possible a french version ?
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Hola Stephane, 
para evaluar  la Escala de insatisfacción corporal en adolescentes PUEDES Como utilizar el Cuestionario EDI - 3. Además evalúa 8 escalas muy útiles para evaluar  Comportamientos Clínico de TCA.
Un saludo.
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I'm currently writing my thesis about quality of life and Anorexia Nervosa. 
I would like to use a specific instrument to measure quality of life in eating disorders. I have found that HeRQoLED (the health-related quality of life in eating disorders) would be a good option. 
I'm having difficulties finding out of the instrument is translated in Dutch and where/how I can acces the questionnaire. Is there someone who can give me some more information? 
Thank you in advance. 
Shana
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Thank you for the information!
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My sample will consist of a 100 young women adults.
I would like to get some advice on how to organise my literature review in my research
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Hello Douglas Wassenar,
Thank you for the link but i cannot have access to it. What is it about?
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I'm going to focus my next research project on healing binge eating disorder. What modalities and research have you found helpful in this process?
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In my research I've decided to use questions 13, 14, & 15 (+ instructions) on the EDE-Q to screen for BED, per the article: Goldfein, Juli A., Michael J. Devlin, and Claudia Kamenetz. "Eating Disorder Examination‐Questionnaire with and without instruction to assess binge eating in patients with binge eating disorder." International Journal of Eating Disorders 37.2 (2005): 107-111. Would anyone know how I go about scoring this?
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Thank you!
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I am studying food addiction in obese adults and am trying to decide on which questionnaires I should use to assess the different variants of food addiction. 
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Great question. The only published scale I'm aware of that explicitly taps addictive eating/food addiction is the YFAS, but I concur that the other two scales mentioned (the DEBQ and TFEQ) are also definitely worth considering. The difficulty lies in the fact that there is no clear, consensus definition of what "addictive eating" is, or even "addiction." Here is a link to an early paper we published examining this issue among women with binge-eating disorder. 
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Hi all,
We extracted a random selection of 400 women between the ages of 18 and 40 from the Norwegian Population Register. We then sent out a series of questionnaires to all these women, printed in a single brochure on high-quality glossy paper. There were about 5 (relatively short) questionnaires in total, which should take about 20-30 minutes to complete. There was nothing to special about these questionnaires, pretty much standard questionnaires measuring anxiety, depression, and symptoms of some mental disorders (OCD and eating disorders). Participants were required to complete the questionnaires and send them back to us by post, using an envelope (which was stamped) included in the questionnaire-package. There was no compensation (i.e. gift-cards) for participation.
Although we are still receiving responses, the response-rate so far is very poor. It looks like we will end up with a response-rate of about 15%.
Do any of you have any experiences with similar studies? What sort of response-rates can one expect from such studies? Within Our research-Group, we did similar studies 20 years ago in which approx. 70-80% responded. Lastly, do any of you have any opinions regarding how to boost response-rates? Would one expect monetary compensations (in the form of a lottery for example) too make much of a difference. How about delivering the questionnaires electronically, through e-mails? Or are response-rates generally low nowadays?
I'm curious to hear other's experiences with similar studies!
Best,
-Lasse
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Dear Lasse,
I am not surprised by your findings. People are generally becoming busier, although I don't have any statistics on this. I think 20-30 minutes is quite a long way beyond the level of goodwill of time the average citizen would give to a stranger. My advice is therefore:
  • Try to make some sort of social contact with your sample, e.g. telephone them or meet them in public with a clipboard
  • Keep the questionnaire as short as possible - we recommend one sheet of paper (double sided) and a target time of under 10 minutes
  • Try to engage your sample more with the purpose of your research so that they feel more socially connected with your request
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I am conducting a study on the experiences of having a family member with an eating disorder. Three of my participants are my Mother, Father and Brother and I also have a sibling with an eating disorder. I wondered if there were any biases which may occur because of this.
Thankyou in advance 
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Hi Abigail,
I  think your research would greatly benefit from reviewing research ethics in the context of "insider researcher"status. Some call it The merit of an "Outsider-Within Perspective" Traditional research has often marginalized perspectives of those closely associated with certain subject matter by clinging to the "guardrail of neutrality" yet in reality there is no such thing as objectivity. "Objectivity "is  often viewed as a social construction to privilege certain perspectives on knowledge production than others. What you should be concerned about is how you can demonstrate and achieve validity and reliability. Pertinent literature on insider researcher will reveal that there will always be potential subjectivity when it comes to  such research, so there is need to acknowledge that, and perhaps what steps you intend to take to minimize potential  subjectivity(biases). It is accepted that the perspectives accessible to an insider are largely unobtainable to outsiders, and are thus valuable to filling gaps in scholarship lacking standpoint of those closer to what is being investigated. I hope this helps somehow.
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The perspectives of clinicians/health professionals on this means of early intervention, their thoughts on the limitations and benefits.
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Hello Gemma, I'm attaching an article that may be of interest, and hopefully of some use.
Rachel.
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Stress is one of the major cause of Eating disorders. During stressed condition Vitamin C and B vitamins deficiency occurs. I want to know if there is any direct relation to vitamin deficiency and Eating disorders?
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A client/patient comes into your office and they are suffering from binge eating disorder and due to it they are extremely overweight and want to start therapy to help cope with the contributions that lead up to their behavior of over eating. If this client/patient brings with them a family member or significant other and they were to ask you that they do not understand the difference between "helping" their loved one or "enabling" them; how would you respond to someone who is telling you that they feel as if they're helping that significant other with their eating habits, but they're actually killing them. How would you clarify the difference between enabling and helping to where they can understand when they're helping and when they're enabling that person?
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Running a Syst Rev, finished databases and contact with main authors, just looking for any new datasets not published/thesis?
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Dear Bruno,
I am writing a manuscript about ADHD and eating disorder in primary students. Is that interest you? If yes, you can contact me by email. ltong@fudan.edu.cn
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Hello fellow researchers! I was wondering if anyone has conducted this research before, or something similar. I am currently trying to research the effects of cartoons versus reality tv correlating to eating disorder development. I would like to especially research immediate and long term affects of cartoons on children's perceptions of their bodies. Any previous bits of research would be very helpful! 
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 I am wanting to know which vitamins and minerals should routinely be prescribed in anorexia nervosa, if any.  Would it depend on the diet,  BMI or other factors.  What dosage would be used.
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I am writing my PHD thesis "Eating disorders in China : a transcultural approach" and I am looking for references concerning history of anorexia (or bulimia) in China before Sing Lee's studies, eventually linked to taoism ? ...
Thanks
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 Bonjour Thomas, 
Je reviens vers vous concernant l'article sur les TCA en Chine  Lo AL, Hsu GLK. Extreme fasting among Daoist priestesses of the Tang Dynasty:an old Chinese variant of anorexia nervosa? History of Psychiatry. 2012; 23(3):342–8. Si vous ne trouvez pas l'article je vous l'enverrais
Dans ma thèse sur les TCA en Chine je parle de plusieurs cas dans l'histoire de la Chine. Sincères salutations,
Marion
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Support groups may be led by professionals or leaderless.  Groups may be divided by eating disorders or everyone together.  Support groups may be coed. Any information would be helpful.
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Hi Joann,
These resources may be of interest to you:
  • Comparative efficacy of spirituality, cognitive, and emotional support groups for treating eating disorder inpatients by P. S. Richards, M. E. Berrett, R. K. Hardman, & D. L. Eggett
  • Group Therapy for Adolescents Living With an Eating Disorder: A Scoping Review by Jessica Downey
  • Brief Group Psychotherapy for Eating Disorders: Inpatient Protocols edited by Kate Tchanturia
  • Group Therapies for the Treatment of Bulimia Nervosa by Lindsay T. Murn
Best wishes,
Stephen
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I see many different versions of the marshmallow test. For example a procedure where the child sees two piles of food (and gets the larger one if he/she is able to wait), or just one pretzl or marshmallow (and the child gets two of them if he/she is able to wait).
We are planning to do one, but a bit lost what type of marshmallow test is the best to use (the classical one or an adapted one). The children are between 3 and 5 years old and at high-risk of overweight. We have only about 15-30 minutes, so we can't do a task where the child gets his 'reward' a day/week later. 
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Dear Malou,
I agree that the Marshmallow Test is not suitable for a home visit. Having done many home assessments myself, there are so many things that can distract the experiment conditions... I would personally advise against it. Keeping a child in a room for 15 minutes without distractors is virtually impossible at home. The kid could just get bored and grab a toy. 
For the waiting time, you would typically use 15 minutes for your age group. The original task used 15 minutes with 3.5 to almost 6 years old.
Best regards,
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I would like to hear perspectives from both preclinical and clinical scientists in all related fields.
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Hi Jim, thanks for the tips. I agree, a good drug would impact food motivation only, rather than bringing about any counter-obesity effect through some other effect such as on affective state in general. I think the binge eating model is very interesting and useful in many ways, though I wonder how closely it reflects human binge eating, where I suspect periods between binges are driven partially by guilt in addition to satiety. 
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Does anyone out there know about research on this question?
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Hi Pat,
You may want to check these out:
The Use of Cognitive-Behavioral Music Therapy in the Treatment of Women with Eating Disorders by Russell E. Hilliard.
Music Therapy and Eating Disorders: A Single Case Study about the Sound of Human Needs by Susanne Bauer.
Music Therapy Interventions for People with Eating Disorders in an Inpatient Setting by Roberta Wigle Justice.
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I am particularly interested if there is any research on this theme led by experts-by-experience. Examples of adaptive or 'positive' traits I have in mind (just a few, to make clear my meaning) might include resilience or loyalty or generosity.
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Dear John, 
Eating disordered persons are more open in their values. This means that they have a greater  willingness to re-evaluate norms and values compared to controls. 
J Eat Disord. 2015 Mar 11;3:3. 
Who do you think you are? - Personality in eating disordered patients.
Levallius J, Clinton D, Bäckström M, Norring C.
Author information
 
Abstract
BACKGROUND:
The Five-Factor Model of personality is strongly linked to common mental disorders. Yet the relationship between the lower orderpersonality traits (facets) of the model and eating disorder (ED) features remains unclear. The aim of the study was to explore how patients with non-anorexic ED differ from controls in personality and to examine the ability of personality facets to explain psychopathology.
METHODS:
Female patients with non-anorexic ED (N = 208) were assessed on general psychopathology, ED symptoms and personality as measured by the NEO PI-R; and were compared on personality to age-matched female controls (N = 94).
RESULTS:
Compared to controls, patients were characterised by experiencing pervasive negative affectivity and vulnerability, with little in the way ofpositive emotions such as joy, warmth and love. Patients were also significantly less warm and sociable, and exhibited less trust, competence, and self-discipline. Finally, they were less open to feelings, ideas and new experiences, yet more open in their values. Among patients, personality facets explained up to 25% of the variance in ED and general psychopathology.
CONCLUSIONS:
ED patients have distinct patterns of personality. Identifying and focusing on personality traits may aid in understanding ED, help therapists enhance the treatment alliance, address underlying problems, and improve outcome.
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Hi, we are conducting a review of the studies on body perception. Our aim is to integrate different levels of analysis of the topic, from the sensorial aspects (visual and proprioceptive) to the  cognitive elaboration. Thanks in advance
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thank you very much, Beatrice, you are very helpful
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I am particularly interested in the possible applications of such an approach in inpatient settings. Heather Castillo (here on Researchgate) has recently deployed this method within a service for people living with personality disorders. I am working with sufferers who have severe eating disorders as well as 'co-morbid' personality disorder diagnoses - but whose voice is often absent from research in these interlinked fields, except as alienated 'objects of study'? Any ideas, hints, tips, references, objections would be most welcome!
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Hi John, I don't know of any participatory studies carried out on wards, however, my first though was Professor Phil Barker who developed the Tidal Model.  He now lives in Scotland and I don't have a current contact address but he's very approachable if you can speak to him.  His work was wider than Eating Disorder and PD but he was a past-master at engaging service users and really involving them in their recovery.  His work inspired me in that he seemed to have a knack of connecting on a very basic and real level with those he worked with.  It would seem to me that any research work, or participatory enquiry, on wards would need to establish those fundamentals to be truly successful. All best, Heather
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Dentistry 
Eating disorders
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Effects of eating disorders on oral fungal diversity.
Back-Brito GN, da Mota AJ, de Souza Bernardes LÂ, Takamune SS, Prado Ede F, Cordás TA, Balducci I, da Nobrega FG, Koga-Ito CY.
Oral Surg Oral Med Oral Pathol Oral Radiol. 2012
Eating disorders. Part I: Psychiatric diagnosis and dental implications.
Aranha AC, Eduardo Cde P, Cordás TA 
J Contemp Dent Pract. 2008 Sep 1;9(6):73-81.
Eating disorders part II: clinical strategies for dental treatment
Aranha AC, Eduardo Cde P, Cordás TA
J Contemp Dent Pract. 2008 Nov 1;9(7):89-96.
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In anorexia nervosa (AN) treatment would bring the patient to stop controlling his food intake; but in Diabetes Mellitus food intake often have to be strictly controlled in order to maintain glycemia. Moreover, glycemia control could be used by AN patients to control their weight gains. How could we reconcilliate these two lines of treatment ?
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I treated two cases who suffered of anorexic symptoms and diabetes, one adult and one child. Both were females. I found it very difficult to cope with that symptomatologic co-presence, that obliged patients to focuse on body functioning. In the case of child diabetes offered a way to establish a better relationship with the mother, in the adult diabetes was a way to be in touch with the dead father.In both cases, the main difficulty was in joining the psychic reality, were the body was so preminent. Would you like to discuss about that? L
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There are tons of apps and web-based questionnaires, but I am looking for one that helps a family doc determine if the patient drinks sugary drinks, eats processed foods, or needs to be nudged toward better cooking.
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Donna, these are terrific! Better than what I have been able to get so far from AHS contacts. I assume you educate people about serving size to be able to use the STC tool. Actually, the Big Life tool also.....
Thank you!
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I am doing a research project on eating disorders. 
My proposal questions is : Is there an increase in smaller and thinner body sizes on magazine covers and does it correlate with the increase in the cases of eating disorders among American women between the ages of 19-24? (5 year study)
I need to be able to measure whether is will be an increasing in the rate of eating disorders in American women in the next 5 years. I would not actually need the data, but a confirmation that a hospital has this information. If not a hospital then who would I go to get a statistical representation of eating disorder cases so that I could track an increase.
Could I possibly do a national survey and track it like that? Should I do a more narrow survey in a certain university?
Any and all help is appreciated! 
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This does sound like a very ambitious project. In general though if a hospital has electronic records like epic you should be able to easily populate data like you think of.
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I am currently exploring the capacity in setting up a support network in regional victoria, Australia for people with eating disorders, issues with body image and body dysmorphia. There are very few support groups which stand alone in the rural/remote setting and those which are available are based in metropolitan settings with outreach services in the country. Therefore, is anybody aware of any services available in the rural/remote setting (it does not need to be Australian specific). Regards
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Great thank you Stephen
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I am currently researching on adolescents with eating disorders (early adolescence 11-13). Using an assessment questionnaire on traumatic experiences my data show that parents of these adolescents have frequently experienced traumatic events (phisical, sexual, etc.).
Is anyone familiar with literature addressing this phenomenon? I know papers dealing with mothers' traumatic experiences and eating disorders in children and toddlers but not in adolescents.
In particular I cannot find references on fathers' traumatic experiences and eating disorders in early adolescents.
Thank you
Luca
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Thank you!
Very interesting!
Béatrice
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Does anyone have copies of the Children's Interview for Psychiatric Syndromes (ChIPS) child or parent versions? The manual, interview questions or scoring sheets for either would be a great help to me! I thought I would ask around first to see if anyone had access and felt happy to share materials.
Thanks :)
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Hello,
  I thought I had posted a response earlier, so I apologize if this is doubling down on it.
The ChIPS is a copyrighted for-profit interview sold by APPI. Here is the link to the information: http://www.appi.org/searchcenter/pages/SearchDetail.aspx?ItemId=8847
I haven't seen anything from the ChIPS group suggesting an update to match DSM-5. If others have more information, it would be great to share.
You might consider other interviews that might work that are free such as the KSADS (http://www.psychiatry.pitt.edu/node/8233).
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Seeking a reference where to can find a compartmental disorders in Adult check-list.
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To assess psychopathological symptoms and mental health, there are (respectively) two widely used measures: the BSI (Brief Symptom Inventory) and the MHI (Mental Health Inventory). I've worked with both, and they're both relevant and reliable.
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In fact, I am interested in differences on body image disturbances.
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you are welcome!
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I wold like to know the different animal models for the study of binge eating disorder.
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may you can use chicken 
Mouse and rat models could be used for  study of binge eating disorder
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One of my friend wants some help with a study titled "A study of the effects of yogic intervention on eating disorder cognition among adolescents".
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Thank you Lasse Bang, Thank you so much for your clear answer. I am also thankful to Mariana Sierra, for the submission...!!!
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I'm looking for any research on groups for people with eating disorders led by individuals who have recovered from an eating disorder and have specialized training. There is evidence related to peer support groups for depression and anxiety, and for prevention and early intervention peer support groups but I can't track down anything for groups for those with eating disorders, led by trained peers in a face to face manner. Help!
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Self-Help & Recovery
Women, the Jewish Community and Eating Disorders – Food is a prevalent part of the Jewish community. The Jewish culture celebrates many holidays that involve food preparation and others involve fasting. Even the weekly planning for Shabbat focuses on three festive meals. So much focus on food can begin to affect a young impressionable Jewish woman.
The 12 Step Program of Recovery and Eating Disorders – Originally developed over 65 years ago by a small group of recovering alcoholics, the twelve-step program has become an important part of the recovery process and the foundation for many recovery programs. Though the twelve-step program was proposed by Alcoholics Anonymous as an approach to recovery from Alcoholism, the methods have been adapted to a process that addresses a wide-range of substance-abuse and dependency issues.
Health As a Recovery Tool – Eating disorders result in devastating health and medical consequences. Read these articles to learn more about this important topic.
Eating Disorders and Mindfulness – The practice of mindfulness is especially important to those struggling with eating disorders. Read these articles to learn more about this.
Eating Disorder Relapse – In eating disorder recovery, relapse prevention is critical. Read this valuable article to learn more about how to establish relapse prevention in your own journey.
The Object of Comfort – Often times, eating disorders develop as a means of coping through a traumatic or distressing period in a man or woman’s life. As eating disorders offer a false sense of control and security, it can be all the more difficult to let go of these damaging behaviors. Read this inspiring article to learn more about the healing process through recovery.
Walking in Recovery – Recovery is a long journey with many twists and turns, up and downs. Learn about the process of eating disorder recovery and the importance of humility.
Reviewed By: Jacquelyn Ekern, MS, LPC on March 10, 2014
Published on EatingDisorderHope.com, Resources for Eating Disorder Information and Treatment
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The promotion of self-abusive behaviours is obviously hazardous. Although I am not actively researching this area, i am interested what research has been undertaken and other peoples opinions of these websites. Is there any evidence of non eating disordered individuals ie 'trolls' targeting these sites?
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Content analysis of male participation in pro-eating disorder web sites.
Wooldridge, Tom; Mok, Caroline; Chiu, Sabrina. Eating Disorders: The Journal of Treatment & Prevention 22.2 (Mar 2014): 97-110.
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In the Journal of Garner, I only found a definition of dieting, food preoccupation, and oral control.
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Dear Eka,
have a look to the official webpage:
Best regards,
Alejandro
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My department believe that a special undergrad seminar on Eating Disorder or ADHD will be well received by our students. I've not seen a recent edition of R. Barkley's ADHD book nor am I familiar of researchers in the eating disorder literature.
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Terry, my answer would be too late for your textbook considerations. In my experience in teaching eating disorders as a doctoral elective, I've found Christopher Fairburn's Overcoming binge eating very readable, informative, and engaging. Among Russell Barkley's books on ADHD and defiant children, I like his Taking charge of ADHD the most because he wrote with compassion and authority. If you want to discuss these topics further, please email me at scheung@apu.edu. Best,
Stephen
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Would you recommend measuring it on two different VAS or is it one dimension?
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I disagree with Judith- in so far as hunger and appetite are different constructs-
I would say more as they are both the same construct (a motivation to eat) but could be driven either by the homeonstatic (need for energy nutrients etc) or hedonic (how much we like/want something)-
The measure of energy intake (when truly ad libitum) is a more useful tool for measuring satiety, especially if you are trying to explain body weight changes.
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Eating disorder treatment.
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Dear colleague,
When there is a medical problem like syncope, electrolyte disturbances, or orthostatic heart rate, we discuss the patient with our team and keep the patient on the paediatric board with psychological and psychiatric treatment als liason.when the somatic complications are solved the patient go back to the eating disordr department.
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Temperamental dominance across the lifespan versus categorical restrictions....surely a better way to envisage eating pathology, the aim being to bring people into the middle where normal, less extreme fluctuations between restraint vs. impulsivity occur?
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Hudson and Pope proposed that bulimia is part of what they called Affective Spectrum Disorder. Their concept proposed that there is a connection between many common brain disorders that seem to be increasing at a rapid rate in developed societies:
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My cat has an eating disorder. She is always hungry, and never satisfied, yet she does not otherwise appear ill. She goes anxiously from one food proposition to another, all day and all night, aware only of need but never of fulfillment. What briefly fulfilled so hungrily just moments ago, is aversive moments later. And I have some experience with children with a similar phenomenon, whose attentional deficits exhibit a very similar (yet happier) anxious-seeking of savor, from one thing to another, only briefly satisfied. My cat has an “unhappy seek anxiety”; the children with ADHD I have worked with, have a “happy seek anxiety”. Could both be driven by an unknown deficit, rather than an obvious excess of unstable seek energy? These seem greatly compensatory; when the one unknown need cannot be satisfied, urgent sublimation efforts fervently hunger for diversity and frequency to compensate.
When we consider our wakeful moments, most of them are driven, it seems, by seek. What do you all think? Could we have preexisting deficits which guarantee we will strive for novel daily solutions and thus learn to grow diversely? And could hyper-vigilance disorders, like ADHD, really be compensatory efforts for unusually urgent (but hidden) deficits?
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Dear Lonny, sorry it took me a while to respond! Your post is very interesting. The complexity of the relationship between genetic expression and behavioural ones is immense. This brings me back to the possible mediators of these relationships. I did have an idea, which is not based on any specific research, it is only a humble hypothesis based on the works of others. The construction of schemas from early life have a physiological basis, as I do not think that they are separate systems, we just do not have enough convergence of evidence to indicate definite relationships and would need far more sophisticated technology , which will still take time. Depending on the emotions associated with a schema, certain external events may trigger physiological vulnerabilities, and it is viable that discomfort/anxiety is a form of early warning system that multi-level organic and psychological damage may occur unless specific events are in some way avoided. That being said,different meta cognitive processes, direct cognitive processes,locking in certain dysfunctionalities (or functions) - see the works of Beck, and Wells and Matthews - that in turn may then trigger physiological reactions (with gene expression being altered) in an attempt to protect the emotional homeostasis of an individual and avoid allostatic load. I presume that this can be both functional and dysfunctional, so it could act as a protective factor from disease, or play a major role in it. The concept of a fear of disease/mortality could be conceptualized differently by people, and the need to maintain psychological functioning may override other factors, however once specific physiological alterations have occurred, dysfunctionality may be increased and interpreted from a content viewpoint as internal evidence of threat to homeostasis, thus the idea of different way to survive makes a great deal of sense to me.
Hope that I have explained myself well, let me know if I have.
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Anorexia nervosa; bulimia; compulsive overeating.
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In a very well controlled prospective study, critical comments from a teacher or coach was one of the most potent risk factors for developing ED in a sample with high weight and shape concerns. Jacobi C, Fittig E, Bryson SW, Wilfley D, Kraemer HC, Taylor CB. (2011) Who is really at risk? Identifying risk factors for subthreshold and full syndrome eating disorders in a high-risk sample. Psychological Medicine. 2011 Sep;41(9):1939-49.
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Combination stimulant and non-stimulant therapy for ADHD low BMI adolescents felt at risk for eating disorders
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