A Preliminary Investigation of Sex Differences and the Mediational Role of Food Thought Suppression in the Relationship Between Stress and Weight Cycling.

A preliminary investigation of sex differences and the mediational role of food thought suppression in the relationship between stress and weight cycling.

Eat Weight Disord. 2010 Dec; 15(4): 265-9
Barnes RD, Tantleff-Dunn S

Despite improvements in weight loss treatment efficacy, research demonstrates that most people are unable to maintain weight loss over time. Individuals who utilize avoidant coping methods are less successful at maintaining weight loss than those who directly cope with stressors. Thought suppression, or trying to avoid certain thoughts, could be considered cognitive avoidance. Therefore, the current study evaluated the unexplored relationship among stress, food thought suppression, and weight cycling. Overweight and obese community individuals (N=347) completed self-report measures of thought suppression, weight history, and stress. Food thought suppression fully mediated the relationship between stress and weight cycling in women and approached significance for men. Results have implications for improving weight loss maintenance and support further exploration of third wave interventions, such as Acceptance and Commitment Therapy and Mindfulness, in the treatment of obesity. HubMed – eating

Prevalence of all relevant eating disorders in patients waiting for bariatric surgery: A comparison between patients with and without eating disorders.

Eat Weight Disord. 2010 Dec; 15(4): 247-55
Dahl JK, Eriksen L, Vedul-Kjelsås E, Strømmen M, Kulseng B, Mårvik R, Holen A

To study the prevalence of all relevant eating disorders in 157 obese patients waiting for bariatric surgery. Another aim was to explore for possible differences between gender, and those with and without ED. The dependent variables were: socio-demographic characteristics, BMI, obesity onset, and obesity-related somatic diseases.ED was assessed using the self-report questionnaire, “Eating Disorders in Obesity” (EDO). The patients answered a questionnaire that targeted socio-demographic and health information.Subgroups were based on the patients responses to items on the EDO: 1 patient (0.6%) with Bulimia Nervosa (BN), 6 (3.8%) with Eating Disorder Not Otherwise Specified (EDNOS), 21 (13.4%) with Binge Eating Disorder (BED), and 23 (14.6%) with Binge Eating (BE). The patients in the EDNOS group were those who lacked one criterion of the BN diagnosis. The patients in the BE group lacked one criterion of the BED diagnosis. Twenty-eight (17.8%) fulfilled the DSM-IV-TR criteria for ED. When patients with BE were added, 51 patients (32.5%) were identified with ED or sub-threshold ED. In the explorative part of the study, no gender differences in socio-demographic variables, BMI, obesity onset, and obesity-related somatic diseases emerged. With the exception of age, no differences were found in these variables between those with and without ED.Employing all relevant eating disorders and binge eating symptoms (BE) for this population identified patients with pathological eating behaviors, which are not detected in previous studies measuring only BED and BE. HubMed – eating

Couple dissatisfaction and eating profile: A mediation effect of coping style.

Eat Weight Disord. 2010 Dec; 15(4): 240-6
Gagnon-Girouard MP, Gagnon C, Bégin C, Provencher V, Tremblay A, Boivin S, Lemieux S

Individuals’ ways of coping with psychological stress have often been associated with body weight regulation through their impact on eating behaviours. In particular, emotion-oriented and distraction-oriented coping styles have been steadily related to disordered eating. Couple dissatisfaction may be experienced as an important psychological stressor and could therefore affect eating behaviours through the use of inadequate coping strategies. The study proposes 1) to compare women reporting a low vs a high level of couple satisfaction, and 2) to test mediational models including couple satisfaction, coping styles, and eating variables. Analyses were performed among 65 overweight/obese premenopausal women who reported being weight-preoccupied. Women exhibiting couple dissatisfaction (34.8%) showed a higher level of EDE-Q restraint, more intense concerns about eating and shape, a higher level of disinhibition and susceptibility to hunger and endorsed more often a distraction-oriented coping style, independently of their body weight. Furthermore, distraction-oriented coping style seemed to be a valid mediator of the relation between couple dissatisfaction and eating behaviours. Since non-normative eating behaviours, namely disinhibition and susceptibility to hunger, have been particularly linked to a higher body weight status, it is relevant to extend the scope of interest to more distal contributing factors, such as couple dissatisfaction. HubMed – eating

Cognitive Remediation Therapy (CRT) for anorexia in group format: A pilot study.

Eat Weight Disord. 2010 Dec; 15(4): 234-9
Genders R, Tchanturia K

Cognitive Remediation Therapy (CRT) was designed to address the inflexible and detail focused thinking styles frequently reported in individuals with Anorexia Nervosa (AN). This paper reports the development and acceptability of a pilot of CRT for AN in group format. Four group sessions were designed and piloted with 30 patients in an eating disorder service. The voluntary drop out rate was 20%. Outcome measures targeting patients’ selfreported cognitive flexibility, self esteem and motivation to change were completed in the first and last sessions. Statistically significant gains were found in self reported ability to change (p=0.03). Both patients and group facilitators found the group acceptable, useful and a positive experience. HubMed – eating

Body image dissatisfaction and eating symptoms in mothers of adolescents with eating disorders.

Eat Weight Disord. 2010 Dec; 15(4): 219-25
Cobelo AW, de Chermont Prochnik Estima C, Nakano EY, Conti MA, Athanássios Cordás T

The purpose of the present study was to assess body dissatisfaction and eating symptoms in mothers of eating disorder (ED) female patients and to compare results with those of a control group. The case group consisted of 35 mothers of female adolescents (aged between 10 and 17 yrs) diagnosed with ED who attended the Interdisciplinary Project for Care, Teaching and Research on Eating Disorders in Childhood and Adolescence (PROTAD) at Clínicas Hospital Institute of Psychiatry of the Universidade de São Paulo Medical School. Demographic and socioeconomic data were collected. Eating symptoms were assessed using the Eating Attitudes Test (EAT-26) and body image was assessed by the Body Image Questionnaire (BSQ) and Stunkard Figure Rating Scale (FRS). The case group was compared to a control group consisting of 35 mothers of female adolescents (between 10 and 17 years) who attended a private school in the city of São Paulo, southeastern Brazil. With regard to EAT, BSQ and FRS scores, we found no statistically significant differences between the two groups. However, we found a positive correlation between BMI and BSQ scores in the control group (but not in the case group) and a positive correlation between EAT and FRS scores in the case group (but not in the control group). It appears to be advantageous to assess body image by combining more than one scale to evaluate additional components of the construct. HubMed – eating