Emotion Coupling and Regulation in Anorexia Nervosa.
Emotion Coupling and Regulation in Anorexia Nervosa.
Filed under: Eating Disorders
Clin Psychol Psychother. 2012 Nov 20;
Fox JR, Smithson E, Baillie S, Ferreira N, Mayr I, Power MJ
OBJECTIVE: The present study sought to investigate emotion regulation strategies in people with anorexia nervosa (AN) and whether the theoretical concept of ’emotion coupling’ between anger and disgust could help to explain some of the specific eating disorder symptomatology in people with AN. METHOD: This ’emotion coupling’ hypothesis was tested using a mood induction procedure within laboratory conditions, where individuals with AN (n?=?22) were matched with control participants (n?=?19). Participants completed a bank of different measures prior to the study, and these included measures of eating pathology, core beliefs about the self and others, and emotion regulation strategies. Within the experimental part of this study, anger, disgust and body size estimation were measured prior to and after an anger induction procedure (i.e., a repeated measures design). RESULTS: People with AN demonstrated a significantly more internal-dysfunctional way to regulate their emotional states, when compared with matched controls. Within the ’emotional coupling’ part of the study, participants showed a significant increase in levels of disgust and body size estimation following an anger induction when compared with matched controls. DISCUSSION: The significance of these results was considered in the light of the new Schematic, Propositional, Analogical and Associative Representation Systems in eating disorders model. Copyright © 2012 John Wiley & Sons, Ltd. KEY PRACTITIONER MESSAGE: Emotions and emotion processing are problematic for people with anorexia nervosa. Overestimation in body size for people with anorexia nervosa may be due to the coupling of anger and disgust. Clinicians need to consider the importance of automatic cognitive routes of emotion elicitation that may maintain certain eating disorder symptoms, such as poor body image.
HubMed – eating
[Acute gastric dilatation in a bulimic patient: systemic efects].
Filed under: Eating Disorders
Nutr Hosp. 2012 Aug; 27(4): 1364-7
Franco-López A, Badillo S, Contreras J
Objectives: To demonstrate through a clinical case the systemic effetcss and complications that can arise after an acute gastric dilatation caused by an eating binge. Clinical case: A young woman diagnosed of bulimia nervosa presents to the emergency room after a massive food intake. She shows important abdominal distention and refers inability to self-induce vomit. A few hours later she commences to show signs of hemodynamic instability and oliguria. A CT scan is performed; it shows bilateral renal infarctions due to compression of the abdominal aorta and some of its visceral branches. Interventions: The evaluation procedures included quantification of the gastric volume by CT. A decompression gastrostomy was performed; it allowed the evacuation of a large amount of gastric content and restored blood supply to the abdomen, which improved renal perfusion. Conclusions: CT is a basic diagnostic tool that not only allows us to quantify the degree of acute gastric dilatation but can also evaluate the integrity of the adjacent organs which may be suffering compression hypoperfusion.
HubMed – eating
[From fear of obesity to the obsesion with thinness: attitudes and diet].
Filed under: Eating Disorders
Nutr Hosp. 2012 Aug; 27(4): 1148-55
Hernández N, Alves D, Arroyo M, Basabe N
Objective: Investigate the relationship between body satisfaction, attitudes toward body and obesity, diet quality and emotional health in a group of university students. The initial hypothesis was that attitudes to thinness and fear of obesity induces weight control behaviours and lower diet quality. Methods: 55 women of 19-25 years. The relationship between body mass index (BMI), diet quality (DQ), restrictive behaviours, eating attitudes (EDI-2, CIMEC) and attitudes toward obesity (AFA) was analyzed. Measures of health (SF-12) and emotional state (PNA) were also collected. Results: 10.9% of the sample had a diet classified as “poor”, 83.6% “needs improvement” and 5.5% followed a “good” diet. Most of participants were dissatisfied with their weight even when their BMI was located in the normal range. Weight-restrictive behaviors were associated with risk attitudes to eating disorders, but DQ did not discriminate among high and low BMI groups, nor was related to attitudes. The more was the anxiety (negative affect), the more were the body dissatisfaction and pressures on body image. Idealized social image of thinness was linked to the stigmatization of obesity, lower dietary diversity and more restrictive practices. Conclusion: The results of this pilot study contributes to clarify the relationship between psychological and behavioral indices related to diet in university women students.
HubMed – eating
Eating Disorders. – For class.
Related Eating Disorders Information…