Eating Disorders: Pain and Pain Behavior in Burning Mouth Syndrome: A Pain Diary Study.

Pain and pain behavior in burning mouth syndrome: a pain diary study.

Filed under: Eating Disorders

J Orofac Pain. 2012; 26(2): 117-25
Forssell H, Teerijoki-Oksa T, Kotiranta U, Kantola R, Back M, Vuorjoki-Ranta TR, Siponen M, Leino A, Puukka P, Estlander AM

Aims: To characterize pain related to primary burning mouth syndrome (BMS) in terms of intensity, interference, and distress caused by the pain, as well as factors influencing the pain across a period of 2 weeks, and to study the use of coping and management strategies on a daily basis. Methods: Fifty-two female patients with primary BMS completed a 2-week pain diary. Pain intensity, interference, distress, and mood on a 0 to 10 numeric rating scale (NRS), as well as pain amplifying and alleviating factors, were recorded three times a day. The use of treatments (medication or other means) and coping strategies were recorded at the end of each day. Coefficient of variation, repeated measures analysis of variance, and correlative methods were used to assess the between- and within-subject variation, pain patterns, and associations between various pain scores. Results: The overall mean pain intensity score of the 14 diary days was 3.1 (SD: 1.7); there was considerable variation in pain intensity between patients. Most patients experienced intermittent pain. On average, pain intensity increased from the morning to the evening. Intercorrelations between pain intensity, interference, distress, and mood were high, varying between rs = .75 and rs = .93 (P < .001). Pungent or hot food or beverages, stress, and tiredness were the most frequently mentioned pain-amplifying factors. The corresponding pain-alleviating factors were eating, sucking pastilles, drinking cold beverages, and relaxation. Thirty (58%) patients used pain medication and 35% reported using other means to alleviate their BMS pain. There was large variation in the use of coping strategies -between subjects. Conclusion: There were considerable differences in pain, in factors influencing the pain, and in pain behavior across BMS patients. This indicates that patient information and education as well as treatment of BMS pain should be individualized. J OROFAC PAIN 2012;26:117?125. HubMed – eating

 

The Potent Respiratory System of Osedax mucofloris (Siboglinidae, Annelida) – A Prerequisite for the Origin of Bone-Eating Osedax?

Filed under: Eating Disorders

PLoS One. 2012; 7(4): e35975
Huusgaard RS, Vismann B, Kühl M, Macnaugton M, Colmander V, Rouse GW, Glover AG, Dahlgren T, Worsaae K

Members of the conspicuous bone-eating genus, Osedax, are widely distributed on whale falls in the Pacific and Atlantic Oceans. These gutless annelids contain endosymbiotic heterotrophic bacteria in a branching root system embedded in the bones of vertebrates, whereas a trunk and anterior palps extend into the surrounding water. The unique life style within a bone environment is challenged by the high bacterial activity on, and within, the bone matrix possibly causing O(2) depletion, and build-up of potentially toxic sulphide. We measured the O(2) distribution around embedded Osedax and showed that the bone microenvironment is anoxic. Morphological studies showed that ventilation mechanisms in Osedax are restricted to the anterior palps, which are optimized for high O(2) uptake by possessing a large surface area, large surface to volume ratio, and short diffusion distances. The blood vascular system comprises large vessels in the trunk, which facilitate an ample supply of oxygenated blood from the anterior crown to a highly vascularised root structure. Respirometry studies of O. mucofloris showed a high O(2) consumption that exceeded the average O(2) consumption of a broad line of resting annelids without endosymbionts. We regard this combination of features of the respiratory system of O. mucofloris as an adaptation to their unique nutrition strategy with roots embedded in anoxic bones and elevated O(2) demand due to aerobic heterotrophic endosymbionts.
HubMed – eating

 

‘I Know I Can Help You’: Parental Self-efficacy Predicts Adolescent Outcomes in Family-based Therapy for Eating Disorders.

Filed under: Eating Disorders

Eur Eat Disord Rev. 2012 May 3;
Robinson AL, Strahan E, Girz L, Wilson A, Boachie A

Family-based therapy is regarded as best practice for the treatment of eating disorders in adolescents. In family-based therapy, parents play a vital role in bringing their child or adolescent to health; however, little is known about the parent-related mechanisms of change throughout treatment. The present study examines parent and adolescent outcomes of family-based therapy as well as the role of parental self-efficacy in relation to adolescent eating disorder, depressed mood and anxiety symptoms. Forty-nine adolescents and their parents completed a series of measures at assessment, at 3-month post-assessment and at 6-month follow-up. Results indicate that, throughout treatment, parents experienced an increase in self-efficacy and adolescents experienced a reduction in symptoms. Maternal and paternal self-efficacy scores also predicted adolescent outcomes throughout treatment. These results are consistent with the philosophy of the family-based therapy model and add to the literature on possible mechanisms of change in the context of family-based therapy. Copyright © 2012 John Wiley & Sons, Ltd and Eating Disorders Association.
HubMed – eating

 

Are Maladaptive Schema Domains and Perfectionism Related to Body Image Concerns in Eating Disorder Patients?

Filed under: Eating Disorders

Eur Eat Disord Rev. 2012 May 3;
Boone L, Braet C, Vandereycken W, Claes L

Both maladaptive schemas (MS) and perfectionism have been associated with eating pathology. However, previous research has not examined these variables simultaneously and has not studied possible mediating relationships between MS and multidimensional perfectionism for body image concerns in eating disorder (ED) patients. Eighty-eight female ED patients completed the Young Schema Questionnaire, the Frost Multidimensional Perfectionism Scale, and the Body Attitude Test. Body image concerns were found to be positively related to Personal Standards (PS) and Evaluative Concerns (EC) perfectionism and all five schema domains. PS Perfectionism was positively associated with Disconnection, Other-directedness, and Overvigilance. EC Perfectionism was positively related to Disconnection, Impaired Autonomy, Other-directedness, and Overvigilance. Moreover, EC perfectionism was found to be a significant mediator in the relationship between the schema domains Impaired Autonomy and Overvigilance and body image concerns. These findings denote the importance to address both core beliefs and perfectionism in ED treatment. Copyright © 2012 John Wiley & Sons, Ltd and Eating Disorders Association.
HubMed – eating

 

Summit Eating Disorders and Outreach Program Expands Programming, Adding

Filed under: Eating Disorders

SACRAMENTO, Calif., May 1, 2012 /PRNewswire via COMTEX/ — Of the estimated 11 million women, men and children suffering from eating disorders including anorexia and bulimia, it is believed that only 10 percent actually receive treatment for their …
Read more on MarketWatch (press release)

 

Experts see hopeful signs on eating disorders

Filed under: Eating Disorders

DNA samples from the lab to do the first genetic study of anorexia, an eating disorder. (Matt Bulvony / For the Times / April 17, 2012) By Shari Roan, Los Angeles Times April Dunlap was 17 and weighed 165 pounds when she began a diet and exercise …
Read more on Los Angeles Times

 

#popsingersdonteat: Lady Gaga Tweets About Not Eating, Offends Followers

Filed under: Eating Disorders

Yesterday, a controversial tweet joking about eating disorders from Lady Gaga — the most popular celebrity on Twitter, with over 22 million followers — gave rise to a slew of angry responses. Gaga wrote: Just killed back to back spin classes.
Read more on Huffington Post

 

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