Clinical Intervention Strategies and Family Dynamics in Adolescent Eating Disorders: A Scoping Review for Enhancing Early Detection and Outcomes

Journal of Clinical Medicine, Journal Year: 2024, Volume and Issue: 13(14), P. 4084 - 4084

Published: July 12, 2024

Background: This systematic review investigated the impact of familial factors on individuals aged 10-17 who have clinical signs or symptoms eating disorders. Simultaneously, it scrutinized involvement family in therapy, as well other forms intervention. Methods: The PsycINFO, PubMed, and Scopus databases were used to search for research material comprehensively. After applying specific criteria, 46 articles deemed suitable included review. study comprised a cohort 4794 adolescents received diagnosis either Anorexia Nervosa (AN), Bulimia (BN), Binge-Eating Disorder (BED). In addition, controls utilized 1187 adolescents, 1563 parents, 1809 siblings, 11 relatives. Results: connection between disorders is primarily determined by families' level functioning, satisfaction with dynamic, parents' attitudes toward their children, role food within system. Family Therapy was most psychotherapeutic approach treatment AN. incidence reports BN closely paralleled that Cognitive-Behavioral (CBT) models. Articles about (Enhanced) CBT exclusively associated BED. Conclusions: Family-based approaches are crucial comprehending, preventing, addressing adolescents. Incorporating dynamics actively engaging families process can significantly enhance recovery rates decrease occurrence relapses.

Language: Английский

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Retrospectively reported changes in disordered eating during the COVID-19 pandemic: a multi-country exploration of the role of media exposure and higher levels of disordered eating

International Journal of Mental Health, Journal Year: 2025, Volume and Issue: unknown, P. 1 - 22

Published: Feb. 11, 2025

Language: Английский

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From Reward to Anhedonia-Dopamine Function in the Global Mental Health Context

Biomedicines, Journal Year: 2023, Volume and Issue: 11(9), P. 2469 - 2469

Published: Sept. 6, 2023

When “hijacked” by compulsive behaviors that affect the reward and stress centers of brain, functional changes in dopamine circuitry occur as consequence pathological brain adaptation. As a correlate mental health, has central role behavioral regulation from healthy reward-seeking to adaptation response adversity. This narrative review offers spotlight view transition function, under control dopamine, progressive deregulation this function interactions with other circuits, producing what may be called an anti-reward state. How such is linked specific health-relevant then explained pandemic-related adversities stresses they engendered. The long lockdown periods where people social isolation had rely on drink, food, digital rewards via internet seen major triggers motivation behavior worldwide. dopamine-mediated discussed. It argued that, when pushed fate circumstance into physiological state anti-reward, human health affected, depending individual vulnerabilities. A unified conceptual account places at centre current global context proposed.

Language: Английский

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Effects of the COVID-19 pandemic on youth mental health: a cross-sectional study on eating disorder patients and their unaffected siblings

Child and Adolescent Psychiatry and Mental Health, Journal Year: 2024, Volume and Issue: 18(1)

Published: Jan. 6, 2024

Abstract Background Adolescence has emerged as a particularly vulnerable phase during the COVID-19 pandemic, with eating disorders (EDs) representing prominent psychopathological challenge linked to restrictions imposed by pandemic. Emerging evidence suggests that not only individuals EDs but also their healthy siblings (HS) may experience unique psychological effects in this context. However, existing literature on topic remains limited. This study seeks examine and compare of pandemic adolescents adults, specific focus impact containment measures, disruptions daily routines, alterations life trajectories, for both HS. Methods We enrolled 273 individuals, including those diagnosed Among participants, 120 were under age 19. Multiple self-report questionnaires administered assess 1 year These assessments covered range constructs, posttraumatic symptoms, general psychopathology, eating-related concerns. Results Notably, adolescent patients demonstrated highest scores within our sample. They sole subgroup surpass clinical cutoffs, exhibiting more pronounced issues concerning concerns well-being. Our findings shed light experiences HS Conclusion highlight burden endured throughout emphasizing vulnerability demographic. Moreover, HS, often overlooked literature, warrant increased attention future health programs interventions.

Language: Английский

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Virtual Rejection and Overinclusion in Eating Disorders: An Experimental Investigation of the Impact on Emotions, Stress Perception, and Food Attitudes

Nutrients, Journal Year: 2023, Volume and Issue: 15(4), P. 1021 - 1021

Published: Feb. 17, 2023

(1) Background: the investigation of how interpersonal functioning affects eating psychopathology has been receiving increasing attention in last decade. This study evaluates impact virtual social inclusion or ostracism on emotions, perceived stress, psychopathology, and drive to binge restrict patients across disorder spectrum. (2) Methods: a group 122 adolescent adult females with different diagnoses were compared 50 healthy peers regards their performance on, responses Cyberball task, ball-tossing game. Each participant was randomly assigned playing exclusion block task completed self-report assessments stress urge restrict/binge before after task. (3) Results: anorexia nervosa showed more negative psychological well-being evaluated need threat scale excluding block, while bulimia reported effects overincluding condition. Patients reduction specific emotions unlike all other participants. (4) Conclusions: findings show significant correlations between restraint thoughts being exposed Different reactions cognitive emotional states disorders scenarios confirm inclusive exclusive relationships spectrum, that have discussed, linked behavioral cognition.

Language: Английский

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Preparing for the next pandemic by understanding the impact of COVID-19 mitigation measures on patients with eating Disorders: observations from an inpatient setting

International Journal of Psychiatry in Clinical Practice, Journal Year: 2023, Volume and Issue: 27(4), P. 323 - 329

Published: June 9, 2023

The COVID-19 pandemic overwhelmed eating disorder (ED) services worldwide. Data suggests a worsening of psychopathology and an increased request for specialised treatments. Still, the studies are mostly based on experimental protocols with underpowered short-term opportunistic designs. Thus, this study aims to assess clinical psychological differences between patients admitted ED Unit before after breakout.Consecutive from June 2014 February 2022 in EDs were enrolled. A total sample 498 individuals was enrolled retrospective study, collecting demographic psychopathological data at admission.An increase admission anorexia nervosa has been reported, lower age higher levels specific general psychopathology, especially linked body uneasiness.Results put into context preparation next that may require similar mitigation measures as ensure impact existing new patients. Covering extended period validated tools, our results might help psychiatric reassess their treatment pathways pandemic, helping clinicians delineate future interventions.KEYPOINTSAfter breakdown, there services.More severe not accompanied by mass index.Specialised disorders should face sudden changes patients' requests treatment.Understanding Covid-19 resulting taken can lead better preparations pandemic.

Language: Английский

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The Psychological and Medical Landscape of Anorexia Nervosa over a Decade: A Retrospective Study of Possible Physical and Psychological Shifts

Journal of Clinical Medicine, Journal Year: 2023, Volume and Issue: 12(23), P. 7294 - 7294

Published: Nov. 24, 2023

In recent years, the definition, clinical characteristics, and psychological aspects of anorexia nervosa (AN) have undergone notable changes, influenced by various factors such as biology, psychology, environment. The COVID-19 pandemic is one external factor that has been preliminarily identified affecting presentation AN. This study specifically aims to assess alterations in medical features observed individuals with AN during pandemic. a retrospective case review 252 people diagnosed from two different cohorts: 2010-2012 2021. A comparison data was conducted identify specific differences initial evaluation. Additionally, effects on age cohorts were assessed, focus distinctions between adolescents adults. Results revealed cohort had higher number new cases, patients being younger experiencing more severe symptoms. Hospitalization rates upon first access also elevated, but no significant values observed. Adolescents showed increased episodes binge eating, decreased obsessive-compulsive symptoms, greater difficulty interoceptive awareness. reveals distinct symptomatology among patients, particular characteristics impulsive behaviors These behavioral changes could potential considerations treatment pathway. Further investigations are warranted gain deeper understanding evolving after

Language: Английский

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A Multicenter Network Analysis Examining the Psychological Effects of the COVID-19 Pandemic on Patients with Eating Disorders versus Their Healthy Siblings

Journal of Clinical Medicine, Journal Year: 2022, Volume and Issue: 11(23), P. 7187 - 7187

Published: Dec. 2, 2022

(1) Background: The impact of the COVID-19 pandemic on individuals with eating disorders (EDs) has been recorded all over world; traumatic effects have exacerbated specific and general psychopathologies in those EDs. Comparing patients’ their healthy siblings’ responses might help one evaluate whether there are significant differences between struggling EDs regard to posttraumatic psychological symptoms. (2) Methods: A sample 141 ED patients 99 siblings were enrolled this study two different centers specializing treatment. All participants completed stress disorder (PTSD) checklist an psychopathological self-report questionnaire. Network analysis was then applied populations. (3) Results: No emerged network structures despite symptoms, eating, psychopathology. (4) Conclusion: complex nature interaction environmental personal factors should be evaluated further due how they respond events, which exacerbate

Language: Английский

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Distress, burden, and wellbeing in siblings of people with mental illness: a mixed studies systematic review and meta-analysis

Psychological Medicine, Journal Year: 2023, Volume and Issue: 53(15), P. 6945 - 6964

Published: July 25, 2023

Abstract Background Family members of people with mental illness (MI) may experience a host psychological adversities such as increased stress, burden, and reduced wellbeing. However, relatively little is known about siblings. This study aimed to characterise the distress (viz. depressive anxiety symptoms), wellbeing in siblings MI. Methods Studies reporting on quantitative measures depression, anxiety, or siblings; and/or qualitative findings siblings’ were eligible. The literature search was conducted up until 20th October 2022. Results Sixty-two studies comprising data from 3744 included. pooled mean percentage symptoms fell mild range at 15.71 ( k = 28, N 2187, 95% CI 12.99–18.43) minimal 22.45 16, 1122, 17.09–27.80). Moderator analyses indicate that schizophrenia spectrum disorder greater than other types MI β −16.38, p < 0.001). Qualitative suggest individuals be particularly vulnerable during their onset times relapse. Limited communication, confusion MI, need compensate contribute burden. Siblings’ caregiving closely related. Conclusion review highlights complex for research clinical support this important yet often overlooked cohort.

Language: Английский

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When time worsens framing: a longitudinal analysis of the psychological effects of the COVID-19 pandemic in women with an eating disorder and their healthy sisters

Archives of Women s Mental Health, Journal Year: 2023, Volume and Issue: 27(2), P. 191 - 199

Published: Nov. 15, 2023

Abstract The COVID-19 pandemic has profoundly affected individuals with eating disorders (ED), leading to an exacerbation of symptoms worldwide in 2020. However, there is a lack longitudinal analyses the psychological burdens experienced by this population. This study aims longitudinally assess effects people ED and their healthy sisters (HS) 1 2 years after onset crisis. A sample 148 individuals, consisting 73 45 HS, was evaluated spring 2021 2022 regarding current behavioral states. Participants were also asked reflect on feelings behaviors during 2020 lockdown. General psychopathology, disorders, trauma-related using validated questionnaires. Both groups showed overall improvement psychopathological time. Individuals exhibited greater compared which may be attributed initially higher burden. reported negative reframe, characterized internalizing emotions related evaluation revealed two distinct contrasting effects. patients HS demonstrated over reframe that memory specific life events, subsequently affecting well-being. These findings shed light clinical severity observed these years.

Language: Английский

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