Anorexic Patients (anorexic + patient)

Distribution by Scientific Domains

Selected Abstracts

Appraisal of caregiving burden, expressed emotion and psychological distress in families of people with eating disorders: A systematic review

Maria Jose Zabala
Abstract The purpose of this review is to appraise the literature regarding psychological distress, burden and expressed emotion (EE) in caregivers of people with eating disorders (EDs). Electronic databases were searched up until October 2008. Selected studies contained carers of people with ED and employed one measure of burden, EE or psychological distress. Twenty studies were identified measuring psychological distress burden and EE. Most of the studies examined these features in families of anorexic patients. The majority of the studies found high levels of psychological distress, burden and EE in this population. Only few studies included a control group. Carers of people with ED presented high levels of psychological distress and burden. ED carers tend to have levels of EE resembling that found in families of depressed patients, rather than schizophrenic patients. There is some evidence (particularly for EE) that these factors can impact the outcome of ED. Copyright 2009 John Wiley & Sons, Ltd and Eating Disorders Association. [source]

Assessing motivation to change in bulimia nervosa: the bulimia nervosa stages of change questionnaire

Esteve Martinez
Abstract Objective To assess motivation to change in adolescent patients with bulimia nervosa through the Bulimia Nervosa Stages of Change Questionnaire (BNSOCQ), an instrument adapted from the Anorexia Nervosa Stages of Change Questionnaire (ANSOCQ) already validated in anorexic patients. Method Subjects were 30 bulimia nervosa patients (mean age,=,16.3 years) who were receiving treatment at an eating disorders unit. The evaluation instruments were: the BNSOCQ, the Eating Disorders Inventory (EDI-2) and the Beck Depression Inventory (BDI). The BNSOCQ was re-administered 1 week later to evaluate test-retest reliability. Results The BNSOCQ demonstrated good internal consistency (Cronbach's alpha,=,0.94) and one week test-retest reliability (Pearson's r,=,0.93). Negative significant correlations were found between the BNSOCQ and several EDI-2 scales (Pearson's r between ,0.51 and ,0.84) and the BDI (r,=,,0.74). Conclusion The study provides initial support for the reliability and validity of the BNSOCQ as a self-report instrument for assessing motivation to change in adolescents with bulimia nervosa. Copyright 2006 John Wiley & Sons, Ltd and Eating Disorders Association. [source]

Relating therapeutic process to outcome: are there predictors for the short-term course in anorexic patients?

Almut Zeeck
Abstract Objective The aim of the study was to explore if process aspects of the first 12 individual psychotherapy sessions of anorexic patients (6 weeks of treatment) are associated with a good or bad outcome at discharge. Method N,=,38 patients with anorexia nervosa (DSM-IV) were treated in a multimodal setting. Process measures were available from the perspectives of both patients and therapists for N,=,344 sessions. Results 79% of the successful patients (discharge BMI,>,17.5) and 68% of the failures could be correctly identified by process variables measured in the initial treatment phase. Patients' experience of negative emotions re therapy between sessions was associated with a bad outcome, whereas a frequent and intense process of ,recreating the therapeutic dialogue' was found to be associated with a good outcome. Early therapeutic interventions with a focus on symptoms and interpersonal relationships were related to a positive outcome, whereas a focus on self-concept was related to a bad outcome. Copyright 2005 John Wiley & Sons, Ltd and Eating Disorders Association. [source]

The changing profile of eating disorders at a tertiary psychiatric clinic in Hong Kong (1987,2007)

Sing Lee MBBS
Abstract Objective: To examine the clinical profile of Chinese eating disorder patients at a tertiary psychiatric clinic in Hong Kong from 1987 to 2007. Method: Data on 195 consecutive patients were retrieved from a standardized intake interview by an eating disorder specialist. Patients seen between 1987,1997 (n = 67) and 1998,2007 (n = 128) and fat-phobic (n = 76) and nonfat-phobic (n = 39) anorexic patients were compared. Results: Patients were predominantly single (91.8%), female (99.0%), in their early-20s and suffered from anorexia (n = 115; 59.0%) or bulimia (n = 78; 40.0%) nervosa. The number of patients increased twofold across the two periods. Bulimia nervosa became more common while anorexia nervosa exhibited an increasingly fat-phobic pattern. Nonfat-phobic anorexic patients exhibited significantly lower premorbid body weight, less body dissatisfaction, less weight control behavior, and lower EAT-26 scores than fat-phobic anorexic patients. Discussion: The clinical profile of eating disorders in Hong Kong has increasingly conformed to that of Western countries. 2009 by Wiley Periodicals, Inc. Int J Eat Disord 2010 [source]