Eating Disorders

Archives of General Psychiatry, a monthly professional medical journal published by the American Medical Association, publishes original, peer-reviewed articles about psychiatry and related fields

What is the evidence of the uncertainty?We searched PubMed, the Cochrane Library, and PsychInfo to identify clinical trials or systematic reviews using the search terms: weight loss maintenance, maintain* weight loss and overweight, obes*. We excluded trials targeting pregnant women and patients with an eating disorder. We included trials with a distinct focus on maintenance of weight already lost, as well as those which include long term weight loss with at least a year of follow-

Tweets, Apps, and Pods: Results of the 6-Month Mobile Pounds Off Digitally (Mobile POD) Randomized Weight-Loss Intervention Among Adults|Background: Previous interventions have shown promising results using theory-based podcasts to deliver a behavioral weight-loss intervention. Objective: The objective of our study was to examine whether a combination of podcasting, mobile support communication, and mobile diet monitoring can assist people in weight loss. Methods: In this 6-month, minimal contact intervent

When diagnoses are infrequent, they mark the diagnosed person for special treatment. If they become so prevalent that having one is the norm rather than the exception, they will no longer be relevant as markers of difference. Virtual Mentor is a monthly bioethics journal published by the American Medical Association.|When diagnoses are infrequent, they mark the diagnosed person for special treatment. If they become so prevalent that having one is the norm rather than the exception, they will no longer be r

The aims of the study was to assess the prevalence of diagnosed insomnia and the agreement between patient- and clinician-reported sleep disturbance and use of prescribed hypnotic medication in patients in treatment for mental disorders.|The aims of the study was to assess the prevalence of diagnosed insomnia and the agreement between patient- and clinician-reported sleep disturbance and use of prescribed hypnotic medication in patients in treatment for mental disorders.

Introduction. Aim of this study was to compare the resting energy expenditure (REE) measured by the Douglas bag method with the REE estimated with the FitMate method, the Harris-Benedict equation, and the Mller et al. equation for individuals with BMI < 18.5kg/m(2) in a severe group of underweight patients with anorexia nervosa (AN). Methods. 15 subjects with AN participated in the study. The Douglas bag method and the FitMate method were used to measure REE and the dual energy X-ray absorptiometry to assess body composition after one day of refeeding. Results. FitMate method and the Mller et al. equation gave an accurate REE estimation, while the Harris-Benedict equation overestimated the REE when compared with the Douglas bag method. Conclusion. The data support the use of the FitMate method and the Mller et al. equation, but not the Harris-Benedict equation, to estimate REE in AN patients after short-term refeeding.

This study aimed to explore the manifestation of body dysmorphic disorder symptoms in a sample of people with eating disorders and to investigate possible associations between body dysmorphia and alexithymia. Forty patients currently seeking treatment for an eating disorder completed a battery of six measures assessing alexithymia, mood, eating behaviours, weight-related body image, body dysmorphia and non-weight related body image. Significant moderate positive correlations (Pearson's r) between selected variables were found, suggesting that participants with high levels of dysmorphic concern (imagined ugliness) have more difficulty with the affective elements of alexithymia, that is, identifying and describing feelings. When depression, eating attitudes, and weight-related body image concerns were controlled for, significant moderate positive correlations between this alexithymia factor and dysmorphic concerns remained present. An independent-samples t-test between eating-disordered

Males and females engage in comparable rates of binge eating, but gender differences in what constitutes a "binge" may contribute to the disproportionate likelihood of females meeting diagnostic criteria for binge eating disorder (BED). Using data from one university enrolled in the 2010 Healthy Minds Study, we investigated the differences in "eating binge" definitions as a function of gender, BED status, and their interaction. This sample of 969 undergraduate college students was 64.0% female, and 9.3% (10.7% of women; 6.9% of males) met the screening criteria for BED. Open-ended responses defining a "binge" were coded into psychological/behavioral and food themes. Females with BED were most likely to mention loss of control when defining an eating binge, and relative to males with BED, they were significantly more likely to mention sweet foods; males with BED were significantly more likely to mention pizza. Findings suggest that among those without BED, females mentioned mood, type

The present study compared the Eating Disorder Examination (EDE; 16.0) and the Eating Disorder Examination-Questionnaire (EDE-Q; 6.0) and investigated the psychometric properties of the Norwegian translation of the EDE. Fifty-eight university women aged 19-41 years (mean BMI=23) were assessed with the EDE and EDE-Q. Satisfactory internal consistency and inter-rater reliability were demonstrated for the Norwegian translation of the EDE. Generally high convergent validity between the EDE and EDE-Q was found, with correlations ranging from 0.60 (Eating Concern) to 0.86 (Weight Concern). Agreement for OBEs and vomiting were excellent, while driven exercising generated lower levels of convergence. Consistent with prior studies, the EDE-Q generated significantly higher levels of psychopathology, although effect sizes were small. Owing to the significantly higher EDE-Q scores, it is ill advised to administer these two instruments interchangeably, as this may fail to produce meaningful

Intolerance of uncertainty (IU) is an important concept in eating disorders (ED). Cognitive, emotional, and behavioral features of IU amongst individuals with and without ED were investigated.|Participants completed the intolerance of uncertainty scale (IUS) and four versions of a data-gathering task varying in difficulty/uncertainty, and rated their Beads task experience.|ED groups had significantly higher IUS scores than healthy controls (HC). Bulimia Nervosa (BN) participants requested more cues than HC and Anorexia Nervosa (AN) participants before making decisions. ED groups found the task more distressing than HC participants, with those with BN feeling more uncertain and less confident in their decisions, and those with AN attributing greater importance in making the correct decision.|While both ED groups reported raised IUS scores only BN participants engaged in an elevated evidence requirement data gathering style. Future research might benefit from further exploration of the

Eating disorders among children and adolescents.

Eating disorders during pregnancy and postpartum.

Best evidence statement (BESt). Best care environment for adolescent patients with eating disorders.

The Guide to Clinical Preventive Services 2010 - 2011 Recommendations of the U.S. Preventive Services Task Force. The Guide to Clinical Preventive Services 2010 - 2011 Recommendations of the U.S. Preventive Services Task Force. The recommendation

Clinical practice guideline for eating disorders.