Anxiety and Depression Among Caregivers of Patients With Eating Disorders and Their Change Over 1 Year.
Anxiety and depression among caregivers of patients with eating disorders and their change over 1 year.
Filed under: Eating Disorders
Soc Psychiatry Psychiatr Epidemiol. 2013 Feb 15;
Orive M, Padierna A, Martin J, Aguirre U, González N, Muñoz P, Quintana JM
PURPOSE: Limited data are available on the difficulties experienced over time by caregivers of patients with eating disorders (CPED). The aim of this study was to describe changes in anxiety and depression among such caregivers over 1 year and to identify factors predicting any change in both. METHODS: At recruitment, 145 ED patients and their 246 caregivers completed sociodemographic and clinical instruments, including the Hospital Anxiety and Depression Scale (HADS), and the Short-Form 12 (SF-12). Patients also completed the Eating Attitudes Test-26 (EAT-26), and their psychiatrists assessed clinical variables. Patients and caregivers completed the same instruments 1 year later. RESULTS: At baseline, prevalence of anxiety and depression among caregivers was 56 and 32 %, respectively. Scores were essentially the same 1 year later. Factors associated with the changes in anxiety were higher anxiety level at baseline and caring for a patient with a restrictive ED. Factors associated with changes in depression included higher depression at baseline and caring for a patient with a restrictive ED. Neither health-related quality of life among patients and caregivers nor patients’ eating attitudes was related to caregiver anxiety or depression. CONCLUSIONS: These findings confirm the presence of substantial and continuing emotional distress among caregivers of patients with ED, highlighting the importance of offering them more extended follow-up and treatment.
HubMed – eating
Anti-inflammatory effects of phenolic crude extracts from five fractions of Corchorus Olitorius L.
Filed under: Eating Disorders
Food Chem. 2013 Jun 1; 138(2-3): 1008-14
Yan YY, Wang YW, Chen SL, Zhuang SR, Wang CK
Corchorus olitorius L. is grown in Taiwan during summer. Tender leaves are crushed and washed by running water before eating. Five fractions including crude phenolic extracts (using 80 per cent aqueous acetone) of whole plant, leaf, stem, washed leaf (WL) and dried water washing material (WW) were used in this study. Linoleic acid autoxidation inhibitions on all fractions were higher than that on ?-tocopherol. Except for WL and WW, other fractions also showed DPPH radical scavenging efficiency. The effect of all fractions on the regulation of inflammatory responses in lipopolysaccharide (LPS)-stimulated J774A.1 macrophage cells was investigated. All fractions diminished LPS-induced protein expression of inducible nitric oxide synthase (iNOS) and cyclooxygenase 2 (COX-2). Nitric oxide (NO) and prostaglandin E2 (PGE(2)), downstream products, were also suppressed in dose-dependent manners, except for WL and WW. Oxidative modification and loss of leaf phenolics after kneading and washing greatly affected DPPH radical scavenging and inflammatory responses.
HubMed – eating
Process Evaluation of Project WebHealth: A Nondieting Web-based Intervention for Obesity Prevention in College Students.
Filed under: Eating Disorders
J Nutr Educ Behav. 2013 Feb 11;
Dour CA, Horacek TM, Schembre SM, Lohse B, Hoerr S, Kattelmann K, White AA, Shoff S, Phillips B, Greene G
OBJECTIVE: To evaluate the motivational effect of the Project WebHealth study procedures and intervention components on weight-related health behavior changes in male and female college students. DESIGN: Process evaluation. SETTING: Eight universities in the United States. PARTICIPANTS: Project WebHealth participants (n = 653; 29% men). MAIN OUTCOME MEASURES: Participants rated motivational effects of study procedures and intervention components. Participants were grouped into outcome-based health behavior categories based on achievement of desired targets for fruit and vegetable intake, physical activity, and/or body weight. ANALYSIS: Differences in motivation from each procedure and component were analyzed by gender- and outcome-based health behavior category. RESULTS: Women were generally more motivated than men. Compared to those who did not meet any target health behaviors, men with improved health outcomes (68%) were significantly more motivated by the skills to fuel the body lesson, goal setting, and research snippets. Their female counterparts (63%) were significantly more motivated by the lessons on body size and eating enjoyment, and by the suggested weekly activities. CONCLUSIONS AND IMPLICATIONS: Specific study procedures and components of Project WebHealth motivated study participants to improve their weight-related health behaviors, and they differed by gender. Findings support the need for gender-tailored interventions in this population.
HubMed – eating
Upper-lip vermilion reconstruction with a modified cross-lip vermilion flap in hemifacial atrophy.
Filed under: Eating Disorders
J Plast Reconstr Aesthet Surg. 2013 Feb 12;
Jin X, Teng L, Lu J, Xu J, Zhang C, Xu M, Zhao J
Lip-vermilion reconstruction is part of the comprehensive treatment of progressive hemifacial atrophy. In this study, we described a two-stage reconstruction procedure to address the defect of the upper lip in patients with hemifacial atrophy, using a modified cross-lip vermilion flap with the pedicle specifically positioned at the commissure for functional and aesthetic purposes. During the first stage of surgery, a pre-determined mucosal flap from the lower lip with a vascular pedicle containing an inferior labial artery and the surrounding orbicularis oris muscle cuff were raised and transposed to reconstruct the upper-vermilion defect. Additional manoeuvres include simultaneous creation of the central tubercle of the upper lip with a segment of de-epithelised vermilion flap. At the second stage, the pedicle was divided 10-14 days later to complete the reconstruction. The patients achieved satisfactory results without compromising the shape of the commissure and the donor-site scar was inconspicuous. During the period prior to the division of the pedicle, this technique also overcomes the discomfort and pain during eating and speaking that could occur with the traditional cross-lip vermilion-flap transfer whereby the pedicle is centrally located. To the best of our knowledge, this is the first report of such a technique specifically applied to address the unilateral upper-lip vermilion defect in patients with hemifacial atrophy.
HubMed – eating
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