Psychometric Evaluation of the Eating Disorder Examination Adapted for Children.

Psychometric Evaluation of the Eating Disorder Examination Adapted for Children.

Eur Eat Disord Rev. 2013 Mar 4;
Hilbert A, Buerger A, Hartmann AS, Spenner K, Czaja J, Warschburger P

The Eating Disorder Examination adapted for children (ChEDE) is the child version of the semi-structured gold standard eating disorder interview for adults. This study was a comprehensive test statistic evaluation of the German ChEDE in a large sample of children and adolescents with anorexia nervosa, binge eating disorder, loss of control eating, overweight and obesity, as well as non-eating-disordered and chronically ill control probands (n?=?352). Excellent inter-rater reliability, adequate internal consistency and satisfactory stability of ChEDE indicators were demonstrated. ChEDE indicators discriminated between diverse forms of eating and weight disturbances and normative eating and were significantly correlated with conceptually related measures. Factorial validity was not convincing; a brief eight-item scale showed the best fit. Item statistics were mostly acceptable. Overall, the ChEDE’s German translation reliably and validly assesses psychopathology across the eating and weight disorder spectrum and facilitates international comparison of eating disorder research. Copyright © 2013 John Wiley & Sons, Ltd and Eating Disorders Association. HubMed – eating


Phantosmia as a meteorological forecaster.

Int J Biometeorol. 2013 Mar 1;
Aiello SR, Hirsch AR

In normosmics, olfactory ability has been found to vary with ambient humidity, barometric pressure, and season. While hallucinated sensations of phantom pain associated with changes in weather have been described, a linkage to chemosensory hallucinations has heretofore not been reported. A 64-year-old white male with Parkinson’s disease presents with 5 years of phantosmia of a smoky burnt wood which changed to onion-gas and then to a noxious skunk-onion excrement odor. Absent upon waking it increases over the day and persists for hours. When severe, there appears a phantom taste with the same qualities as the odor. It is exacerbated by factors that manipulate intranasal pressure, such as coughing. When eating or sniffing, the actual flavors replace the phantosmia. Since onset, he noted the intensity and frequency of the phantosmia forecasted the weather. Two to 3 h before a storm, the phantosmia intensifies from a level 0 to a 7-10, which persists through the entire thunderstorm. Twenty years prior, he reported the ability to forecast the weather, based on pain in a torn meniscus, which vanished after surgical repair. Extensive olfactory testing demonstrates underlying hyposmia. Possible mechanisms for such chemosensory-meteorological linkage includes: air pressure induced synesthesia, disinhibition of spontaneous olfactory discharge, exacerbation of ectopic discharge, affect mediated somatic sensory amplification, and misattribution error with expectation and recall bias. This is the first reported case of weather-induced exacerbation of phantosmia. Further investigation of the connection between chemosensory complaints and ambient weather is warranted. HubMed – eating


An Assessment of Radiologically Inserted Transoral and Transgastric Gastroduodenal Stents to Treat Malignant Gastric Outlet Obstruction.

Cardiovasc Intervent Radiol. 2013 Mar 2;
Miller BH, Griffiths EA, Pursnani KG, Ward JB, Stockwell RC

INTRODUCTION: Self-expanding metallic stents (SEMS) are used to palliate malignant gastric outlet obstruction (GOO) and are useful in patients with limited life expectancy or severe medical comorbidity, which would preclude surgery. Stenting can be performed transorally or by a percutaneous transgastric technique. Our goal was to review the outcome of patients who underwent radiological SEMS insertion performed by a single consultant interventional radiologist. METHODS: Patients were identified from a prospectively collected database held by one consultant radiologist. Data were retrieved from radiological reports, multidisciplinary team meetings, and the patients’ case notes. Univariate survival analysis was performed. RESULTS: Between December 2000 and January 2011, 100 patients (63 males, 37 females) had 110 gastroduodenal stenting procedures. Median age was 73 (range 39-89) years. SEMS were inserted transorally (n = 66) or transgastrically (n = 44). Site of obstruction was the stomach (n = 37), duodenum (n = 50), gastric pull-up (n = 10), or gastroenterostomy (n = 13). Seven patients required biliary stents. Technical success was 86.4 %: 83.3 % for transoral insertion, 90.9 % for transgastric insertion. Eleven patients developed complications. Median GOO severity score: 1 pre-stenting, 2 post-stenting (p = 0.0001). Median survival was 54 (range 1-624) days. Post-stenting GOO severity score was predictive of survival (p = 0.0001). CONCLUSIONS: The technical success rate for insertion of palliative SEMS is high. Insertional technique can be tailored to the individual depending on the location of the tumor and whether it is possible to access the stomach percutaneously. Patients who have successful stenting and return to eating a soft/normal diet have a statistically significant increase in survival. HubMed – eating



True Life: I Have an Eating Disorder 3/4 – True Life: I Have an Eating Disorder part 3 of 4