Parent–daughter emotional dyssynchrony correlates with personality and psychopathology in adolescents with anorexia nervosa
Eating and Weight Disorders - Studies on Anorexia Bulimia and Obesity,
Год журнала:
2025,
Номер
30(1)
Опубликована: Фев. 28, 2025
Abstract
Purpose
Anorexia
nervosa
(AN)
is
a
major
concern
in
adolescents.
Attachment
problems
contribute
to
its
pathogenesis
and
maintenance.
This
research
explores
the
relationship
between
parent–daughter
emotional
dyssynchrony
psychopathology
of
AN
daughters.
Methods
One
hundred
fourteen
female
adolescents
with
their
parents
participated
this
study.
The
daughters
completed
youth
self-report
(YSR)
other
measures
personality,
eating,
general
psychopathology.
Child
Behavior
Checklist
(CBCL).
YSR
CBCL
ratings
were
compared
difference
was
considered
measure
dyssynchrony.
Dyssynchrony
scores
correlated
daughters’
personality
Results
Mothers
scored
lower
on
15/21
(71%),
fathers
11/21
(52%).
higher
than
did
thought
problems.
Mothers'
positively
related
daughters'
harm
avoidance
negatively
self-directedness.
Both
parents'
eating
habits
each
psychopathological
specific
traits.
Conclusions
Parents'
perceptions
underestimate
suffering
AN.
Mothers’
perception
worse
that
fathers,
possibly
because
greater
overinvolvement.
Parent–daughter
largely
cross-sectional
study
could
not
confirm
whether
contributed
onset
or
follows
it.
Interventions
promote
synchronization
may
aid
treatment
Level
evidence
III.
Язык: Английский
Lost in between–the transition process from a child and adolescent eating disorder service to adult mental health services in the German health care system
European Eating Disorders Review,
Год журнала:
2024,
Номер
32(3), С. 547 - 556
Опубликована: Фев. 1, 2024
Abstract
Introduction
In
young
adults
with
anorexia
nervosa
(AN),
the
process
of
transition
from
a
child
and
adolescent
mental
health
service
(CAMHS)
to
an
adult
(AMHS)
has
been
recognized
as
critical,
many
patients
fear
falling
through
gap
between
two
types
service.
As
reports
about
in
emerging
AN
are
scarce,
present
study
aimed
explore
problems
experiences
this
age
group.
Method
We
screened
our
registry
for
who
had
treated
inpatients
during
childhood
and/or
adolescence
come
last
3
years.
Thirty‐two
female
[mean
20.3
(1.2)
y.]
agreed
participate
semistructured
personal
or
telephone
interview
assessing
their
demographic
clinical
data,
whether
they
finalised
transition,
wishes
regarding
process.
Results
Only
approximately
one‐third
participants
already
undergone
transition.
Nearly
60%
former
were
still
cared
by
CAMHS,
only
12.5%
stopped
treatment
AN.
Approximately
exclusively
additionally
general
practitioner.
More
than
50%
lived
parents.
90%
remained
CAMHS
expressed
concerns
transitioning,
mostly
losing
trusted
therapist
assumption
responsibility.
Conclusion
Patients
often
delay
AMHS,
which
experience
intimidating
overwhelming.
Thus,
should
be
better
prepared
linked
“developmental
readiness”
not
chronological
age.
Because
live
family
origin,
parents
physician
closely
involved
Язык: Английский
Attention Biases for Eating Disorder-Related Stimuli Versus Social Stimuli in Adolescents with Anorexia Nervosa – An Eye-Tracking Study
Research on Child and Adolescent Psychopathology,
Год журнала:
2022,
Номер
51(4), С. 541 - 555
Опубликована: Ноя. 23, 2022
Abstract
Anorexia
nervosa
(AN)
is
characterized
by
attention
biases
for
eating
disorder-related
information
as
well
altered
attentional
processing
of
social
information.
However,
little
known
about
the
interplay
between
these
two
types
The
present
study
investigates
(pictures
bodies)
versus
faces),
in
adolescents
with
AN.
Attention
were
assessed
via
eye-tracking
during
a
passive-viewing
task
which
female
bodies
and
faces
presented
simultaneously
thus
competed
directly
attention.
Female
(13–18
years)
AN
(
n
=
28)
compared
to
clinical
comparison
group
(adolescents
major
depression;
20)
no
mental
illness
24).
All
groups
looked
longer
at
than
faces,
i.e.,
showed
maintenance
These
more
pronounced
both
groups,
particularly
underweight
bodies,
expense
looking
less
stimuli.
results
indicate
“dual”
(i.e.,
towards
away
from
emotional
faces)
could
have
twofold
negative
impact
on
disorder
psychopathology:
increased
might
influence
symptoms
while
an
indirect
through
amplification
interpersonal
difficulties.
Язык: Английский
The importance of improving cognitive flexibility in adolescents with anorexia nervosa: The case for cognitive remediation therapy
International Journal of Eating Disorders,
Год журнала:
2024,
Номер
57(5), С. 1109 - 1118
Опубликована: Фев. 9, 2024
Abstract
Objective
Inefficiencies
in
executive
functioning
(EF),
more
specifically
cognitive
flexibility
and
an
overly
detailed
processing
style,
are
frequently
observed
individuals
with
Anorexia
Nervosa
(AN)
have
been
identified
as
potential
targets
treatment.
Cognitive
Remediation
Therapy
(CRT)
is
adjunctive
treatment
approach
designed
to
a
positive
impact
on
EF.
Mainly
evaluated
adults,
CRT
has
criticized
for
its
perceived
ineffectiveness
promoting
weight
restoration
or
directly
reducing
eating
disorder
symptoms.
Method
We
argue
that
we
need
refocus
our
conceptual
framework
using
explore
benefit
adolescents.
Results
Adolescence
critical
window
EF
development
during
which
the
most
impact.
While
it
may
not
ameliorate
symptoms
improve
gain,
mitigate
of
malnutrition
adolescent
brain
development,
reduce
attrition
rates
treatment,
(indirectly)
other
maintaining
factors,
thereby
improving
global
functioning.
Discussion
More
research
needs
be
done
understand
adolescents
AN
how
best
employ
support
target
factors.
The
current
article
broadly
reviews
findings
inefficiencies
discusses
purpose
role
treating
AN.
Finally,
highlight
key
critiques
pose
questions
future
research.
Public
Significance
Treatments
targeting
limited.
better
can
Increasing
options,
including
treatments,
necessary
long‐term
Язык: Английский
Early intervention for adolescents with anorexia nervosa: Pilot evaluation of an outpatient group therapy prior to inpatient treatment
European Eating Disorders Review,
Год журнала:
2024,
Номер
33(1), С. 95 - 105
Опубликована: Авг. 13, 2024
Abstract
Objective
An
increasing
demand
for
inpatient
treatment
adolescents
with
anorexia
nervosa
(AN)
during
and
after
the
Covid‐19
pandemic
contrasts
limited
capacity
long
waiting
times.
The
current
pilot
study
evaluated
an
outpatient
group
therapy
(GT)
as
early
intervention
AN
prior
to
treatment.
Methods
Seventeen
female
who
participated
at
GT
(intervention
group,
INT)
were
compared
16
without
(treatment‐as‐usual,
TAU).
BMI,
eating
disorder
psychopathology
motivation
of
change
(MoC)
assessed
three
timepoints.
Results
Comparing
pre‐
versus
post‐
participation,
we
identified
a
significant
increase
MoC
trend
towards
decreased
AN‐specific
psychopathology.
INT
TAU
adolescents,
found
lower
admission
different
BMI
courses:
While
time,
did
not
show
decrease
resulting
in
higher
admission.
Conclusions
suggest
positive
effects
setting
Further
research
larger
sample
sizes
is
necessary
validate
results.
Язык: Английский
Global, regional, and national secular trends in the burden of anorexia nervosa, 1990–2019: a joinpoint and age-period-cohort analysis for the global burden of disease 2019
Eating Disorders,
Год журнала:
2024,
Номер
unknown, С. 1 - 23
Опубликована: Дек. 27, 2024
Anorexia
nervosa
(AN)
is
an
eating
disorder
that
significantly
associated
with
severely
impaired
physiological
functions,
multiple
organ
failure,
and
suicidal
ideation.
This
study
aims
to
estimate
the
global,
regional,
national
secular
trends
of
AN
burden
based
on
Global
Burden
Diseases
(GBD)
2019
data.
The
pertinent
data
for
were
collected
from
GBD
Study
2019.
long-term
analyzed
in
different
Social
Demographic
Index
(SDI)
regions
by
Joinpoint
regression,
Age-Period-Cohort
analysis,
Estimated
Annual
Percentage
Changes.
found
global
gradually
increased
over
past
30
years,
highest
remaining
high-income
countries,
but
biggest
increasing
trend
was
observed
Asian
region.
more
common
adolescents
young
women,
it
growing
rapidly
men.
Disability-adjusted
life
years
(DALYs)
caused
age
group
15–24
among
all
SDI
levels.
risk
since
beginning
twenty-first
century
apart
high
regions,
higher
later-born
cohorts
than
earlier
ones
various
areas.
Future
studies
could
verify
our
findings
using
individual-level
Our
help
policy
makers
around
world
understand
their
countries
develop
appropriate
health
policies
prevention
early
intervention
high-risk
populations.
Язык: Английский
Adaptation of mental health first aid guidelines for eating disorders for Iran
BMC Psychiatry,
Год журнала:
2024,
Номер
24(1)
Опубликована: Сен. 16, 2024
This
study
aimed
to
adapt
mental
health
first
aid
guidelines
support
individuals
with
or
at
risk
of
developing
eating
disorders
in
Iran.
adaptation
seeks
enhance
the
available
for
Iranian
population
dealing
these
disorders.
Язык: Английский
Körperpsychotherapeutische Gruppentherapie für jugendliche Patientinnen mit Anorexia nervosa
Deleted Journal,
Год журнала:
2023,
Номер
68(3), С. 179 - 186
Опубликована: Апрель 4, 2023
Zusammenfassung
Hintergrund
Ansätze
zur
Behandlung
der
Körperbildstörung,
Kernsymptom
Anorexia
nervosa
(AN),
fokussieren
unterschiedliche
Komponenten
(perzeptiv,
kognitiv-affektiv).
Auf
Basis
Beobachtung
massiver
Störungen
ganzheitlichen
Körperwahrnehmung
bei
jugendlichen
AN-Patientinnen
wurde
eine
störungsspezifische
körperpsychotherapeutische
Gruppentherapie
entwickelt,
die
gezielt
Aspekte
des
Körpererlebens
integriert.
Ziel
Arbeit
Evaluation
und
Untersuchung
von
Zusammenhängen
mit
Veränderungen
perzeptiven
Körperbildes.
Material
Methoden
Am
Ende
Gruppenteilnahme
füllten
52
AN-Patentinnen
(Alter:
Mittelwert
=
15,35
Jahre)
den
Therapiebeurteilungsfragebogen
Konzentrativen
Bewegungstherapie
im
Gruppen-Setting
(TBF-KBT-G)
aus.
Körpermaßschätzungen
mithilfe
Test
for
Body
Image
Distortion
in
Children
and
Adolescents
(BID)
zu
Beginn
wurden
verglichen.
Korrelationen
genutzt,
um
Zusammenhänge
zwischen
Therapiebeurteilung
Veränderung
Körpermaßschätzung
untersuchen.
Ergebnisse
Patientinnen
berichteten
einer
positiven
Beziehung
Therapeutin,
Gruppenatmosphäre
sowie
teils
körperbezogenen
Erfahrungen
vertieftem
Selbstzugang
anhand
KBT-Methode.
Die
überschätzten
ihre
Körpermaße,
dies
bestand
am
fort.
zeigten
eher
bessere
Körpermaßschätzung.
Diskussion
Trotz
Fokus
auf
aversiv
erlebten
Körper
beschrieben
ein
positives
Beziehungserleben
Gruppe
können
KBT-Methode
teilweise
gut
für
sich
nutzen.
Körperbildes
erscheinen
relativ
persistent;
Verbesserung
assoziiert
waren
positive
körperbezogene
Erfahrungen.
Insgesamt
sind
diese
als
ermutigend
interpretieren.
Examining friendships among women with and without autism and eating disorders
Опубликована: Июнь 23, 2023
A
connection
between
autism
and
eating
disorders
(EDs)
has
been
suggested
for
decades
in
research.
Various
cognitive
similarities
individuals
with
either
or
AN
have
identified,
but
little
work
examined
social
experiences.
We
used
large-scale
self-report
data
to
examine
differences
the
best-
wider-friendships
of
autistic
non-autistic
women
without
EDs.
found
significant
wider
peer
relationships
women,
not
those
ED.
There
was
anecdotal
evidence
suggesting
that
may
experience
best
friendships
differently,
this
finding
associated
a
great
deal
uncertainty.
Our
findings
suggest
being
both
having
an
ED
compound
additionally
exacerbate
friendship.
Future
should
further
role
quality
close
among
people
EDs
how
these
change
during
recovery
from
Язык: Английский
Penser, représenter, la problématique de la féminité et du maternel dans l’anorexie mentale
Perspectives Psy,
Год журнала:
2023,
Номер
62(3), С. 224 - 236
Опубликована: Июль 1, 2023
L’épidémiologie
des
Troubles
conduites
alimentaires
(TCA)
permet
d’envisager
que
la
problématique
dans
ces
affections
soit
liée
en
grande
partie
à
plus
générale
de
féminité
et
celle
constitution
l’identité
genre
psychique
corporelle
l’adolescence.
Nous
allons
particulièrement
aborder
ici
affects,
l’attachement
insécure,
le
rôle
conflits
émotionnels,
psychopathologie
parentale,
dynamique
familiale
cette
population
patient(e)s.
Notre
regard
psychopathologique
se
focalisera
également
sur
les
aspects
transgénérationnels
l’identification
avec
quête
imaginaire
d’une
identité,
filiation
du
corps
corps,
particulier
l’éprouvé
corporel
construction
conscience
sa
maternel.
conclurons
prison,
sujet
entretient
jusqu’à
être
-avec
son
corps-le
co-geôlier,
n’est
pas
qu’une
simple
prison
mentale.