Web-Based Intensive Therapeutic Contact for Eating Disorders.

Web-Based Intensive Therapeutic Contact for Eating Disorders.

Psychiatr Serv. 2013 Jul 1; 64(7): 711
Ter Huurne ED, Postel MG, De Jong CA

HubMed – eating


Eating Disorder in a Young Active Duty Male.

Mil Med. 2013 Jul; 178(7): e884-e889
Staten RA

Eating disorders can have atypical presentations, be challenging to diagnose, and often result in treatment delay, as illustrated here. Bulimia nervosa is characterized by binge eating and inappropriate compensatory behaviors, and is ten times more common in females. Studies show increased prevalence over the past decade, with similar prevalence in young military members and civilians. Risk factors include dieting, gender preference, life-altering events, and history of a psychiatric condition. Relatively little research has focused on eating disorders among military males, but factors unique to this group include rigid weight standards, mandatory semiannual personal fitness assessments, and extended deployments. Bulimia and other eating disorders can have subtle or atypical presentations and are often overlooked in males. Other diagnostic obstacles include career concerns and stigma avoidance, along with provider time constraints, inexperience, or discomfort with the issue. Serious medical complications of bulimia are uncommon, but delayed diagnosis can lead to hospitalization and significant morbidity. This case emphasizes the importance of a thorough history and wide differential when faced with an unusual presentation. Recognizing risk factors and incorporating simple screening tools can aid the timely identification and treatment of service members with disordered eating before unit and mission effectiveness are compromised. HubMed – eating


The effect of a meal on measures of impedance and percent body fat estimated using contact-electrode bioelectrical impedance technology.

Eur J Clin Nutr. 2013 Jul 3;
Dixon CB, Masteller B, Andreacci JL

Background/Objectives:To determine the effect of a meal on impedance and percent body fat (%BF) determined using contact-electrode bioelectrical impedance analysis (BIA) technology.Subjects/Methods:Forty-three adults (23 women and 20 men) volunteered to participate in this study (age=20.5±1.1 years; body mass index=24.1±3.8?kg/m(2)). Body composition was assessed using three BIA analyzers: leg-to-leg (LBIA), segmental (SBIA) and multi-frequency (MFBIA), on two separate occasions. After a baseline measurement, subjects consumed a meal or received nothing, which served as the control (CON). Subjects were reassessed 20, 40 and 60?min following (POST) the baseline measure in each condition.Results:Twenty minutes after eating (3847±900?kJ), body mass (LBIA=0.8?kg, SBIA=0.8?kg, MFBIA=0.7?kg, P<0.05), impedance (LBIA=6.0??, SBIA=17.9??, MFBIA=27.1??, P<0.05) and %BF (LBIA=0.9%, SBIA=1.7%, MFBIA=0.8%, P<0.05) increased significantly and remained elevated at 60?min POST. During the CON trial, a consistent body mass reduction (60-80?g) and impedance increase (4-9??) was observed over time resulting in a small increase in %BF (0.3-0.7%) 60?min POST (P<0.05).Conclusions:Twenty minutes after eating, %BF increased due to elevations in impedance and body mass. As such, when precision is critical, we recommend adhering to the pretest fasting guidelines to avoid meal-induced alterations in %BF estimates. In addition, use of a consistent testing schedule may minimize normal %BF variation over time.European Journal of Clinical Nutrition advance online publication, 3 July 2013; doi:10.1038/ejcn.2013.118. HubMed – eating


Predicting group cognitive-behavioral therapy outcome of binge eating disorder using empirical classification.

Behav Res Ther. 2013 May 31; 51(9): 526-532
Peterson CB, Crosby RD, Wonderlich SA, Mitchell JE, Crow SJ, Engel S

The purpose of this study was to use empirical classification based on Latent Profile Analysis to identify subgroups of binge eating disorder (BED) and to evaluate the extent to which these subgroups were predictive of treatment outcome in group cognitive-behavioral therapy (CBT). The Eating Disorder Examination (EDE), Structured Clinical Interview for DSM-IV, and Inventory of Depressive Symptomatology-Self-Report were administered to 259 participants at baseline in a 15-session CBT trial (190 of whom received active treatment). The best fitting model included three profiles: dietary restraint only (DRO; n = 96; 51%); low dietary restraint (LDR; n = 52; 27%); and dietary restraint plus psychopathology (DRP; n = 42; 22%). Regression analyses revealed that after controlling for baseline score and treatment condition, EDE Global scores were lower for the DRO compared to the LDR profile at one year follow-up (p = .047). Class assignment was not predictive of EDE binge eating frequency or abstinence at end of treatment or follow-up. These results suggest that meaningful empirical classes based on eating disorder symptoms, psychopathology, dietary restraint, and BMI can be identified in BED and that these classes may be useful in predicting long-term group CBT outcome. HubMed – eating



Cognitive Styles and Eating Disorders – Stanford University’s James Lock, MD, PhD talks about cognitive styles as a risk factor for anorexia nervosa and discusses cognitive remediation therapy as a…