Dietary Restraint, Ambivalence Toward Eating, and the Valence and Content of Spontaneous Associations With Eating.

Dietary restraint, ambivalence toward eating, and the valence and content of spontaneous associations with eating.

Filed under: Eating Disorders

Appetite. 2012 Nov 27;
Keller C, Horst KV

In a random sample of the German-speaking population of Switzerland (N=1388, 730 women), the technique of spontaneous associations was used to examine the relationship between valence (positive, negative) and content of participants’ spontaneous associations with the term “eating” and dietary restraint, ambivalence toward eating, and health consciousness. Regression analysis revealed ambivalence to be the most important and food health consciousness the second most important predictor of restrained eating. Correspondence analysis of the content of the spontaneous associations revealed high-restrained eaters to have fewer associations with eating than unrestrained eaters. High-restrained eaters most often had negative associations with diet and positive associations with health. Unrestrained eaters mentioned a variety of positive associations, such as community, comfort and well-being, preparation of food, aesthetics, and various specific foods (e.g., starchy side dishes, sweets). Results support the notion that the conflict between weight control and eating enjoyment is rather pronounced in high-restrained eaters, resulting in ambivalence toward eating, and the inhibition of associations with palatable foods. This was less pronounced, but still present, in medium-restrained eaters. In contrast, unrestrained eaters seemed to have a balanced and conflict-free relationship with eating. However, restrained eating also seemed to be driven by health considerations.
HubMed – eating

 

Symptoms and symptom clusters in adolescents receiving cancer treatment: A review of the literature.

Filed under: Eating Disorders

Int J Nurs Stud. 2012 Nov 28;
Erickson JM, Macpherson CF, Ameringer S, Baggott C, Linder L, Stegenga K

OBJECTIVES: The purpose of this literature review is to document what is known about the most common symptoms and symptom clusters in adolescents receiving cancer treatment in order to advance the science of symptom management for this unique group of patients. DESIGN: This review identified primary research reports focused on cancer-related symptoms in adolescents using methodology that included objective measurement of the symptom(s) or self-report from the adolescents. Data sources: We searched the literature using Medline, PubMed, and CINAHL from 2000 to 2011. REVIEW METHODS: The first step of the review was to synthesize evidence to identify the most common symptoms experienced by adolescents during the cancer treatment period. The second step located findings from additional research about these specific symptoms individually or as clusters. RESULTS: From 12 reports, we identified 6 common symptoms in adolescents during the treatment period: fatigue, sleep-wake disturbances, nausea/eating problems, pain, mood disturbances, and appearance changes. Findings from 51 studies provided a foundation of evidence about symptom trajectories, contributing factors, and associations between symptoms. CONCLUSIONS: This review of the literature identified a relatively small body of research related to symptoms in adolescents during the cancer treatment period. Most of the studies were of low quality evidence and described individual symptoms rather than associations or clusters. A few longitudinal studies described symptoms during a cycle of chemotherapy and across months of chemotherapy treatment. With the exception of nausea, no studies tested any interventions to relieve these common symptoms in adolescents. To ensure that adolescents complete the challenging period of cancer treatment and emerge capable of achieving the developmental milestones of young adulthood, important work remains to be done in this field of symptom management.
HubMed – eating

 

Gastric dilatation and circulatory collapse due to eating disorder.

Filed under: Eating Disorders

Am J Emerg Med. 2012 Nov 28;
Repessé X, Bodson L, Au SM, Charron C, Vieillard-Baron A

HubMed – eating

 

Patterns of dietary intake and psychological distress in older Australians: benefits not just from a Mediterranean diet.

Filed under: Eating Disorders

Int Psychogeriatr. 2012 Dec 3; 1-11
Hodge A, Almeida OP, English DR, Giles GG, Flicker L

ABSTRACT Background: Anxiety and depression contribute to morbidity in elderly adults and may be associated with diet. We investigated the association between diet and psychological distress as a marker for depression. Methods: Dietary patterns were defined by factor analysis or the Mediterranean Diet Score (MDS); depression and anxiety were assessed 12 years later. A total of 8,660 generally healthy men and women born in Australia and aged 50-69 years from the Melbourne Collaborative Cohort Study were included. At baseline (1990-1994), diet (food frequency questionnaire), education, Socio-Economic Indexes for Areas (SEIFA) – Index of Relative Socio-economic Disadvantage, medication use, social engagement, physical activity, smoking status, alcohol use, and health conditions were assessed; at follow-up (2003-2007), psychological distress was assessed using the Kessler Psychological Distress Scale (K10). Logistic regression was used to identify associations between diet and a K10 score ?20, indicative of psychological distress. Results: The MDS was inversely associated with psychological distress, with the odds ratio in the top-scoring group relative to the lowest scoring group being 0.72 (95% confidence interval = 0.54-0.95). Stronger adherence to a traditional Australian-style eating pattern was also associated with a lower K10 score at follow-up, with the odds ratio for having a K10 score indicative of psychological distress for the top 20% of adherence to this pattern relative to the lowest being 0.61 (95% confidence interval = 0.40-0.91). Conclusions: A Mediterranean-style diet was associated with less psychological distress, possibly through provision of a healthy nutrient profile. The Australian dietary pattern, which included some foods high in fat and sugar content along with whole foods, also showed a weak inverse association. Adherence to this pattern may reflect a feeling of belonging to the community associated with less psychological distress.
HubMed – eating

 

Disturbed eating behaviours and thoughts in Australian adolescents with type 1 diabetes.

Filed under: Eating Disorders

J Paediatr Child Health. 2012 Dec 2;
d’Emden H, Holden L, McDermott B, Harris M, Gibbons K, Gledhill A, Cotterill A

AIM: To describe the presence and type of disturbed eating behaviours and thoughts in a combined male/female Australian sample of adolescents with type 1 diabetes, and examine the association of eating behaviours and thoughts with glycaemic control as evidenced by high glycosylated haemoglobin levels (HbA1c). METHODS: In this cross-sectional descriptive study, 124 adolescents aged 13-18?years were invited to complete three self-administered questionnaires. The Youth Eating Disorder Examination Questionnaire (YEDE-Q) and the Eating Disorder Inventory -3 Risk Composite (EDI-3RC) assessed risk for an eating disorder. The third questionnaire, the Strengths and Difficulties Questionnaire (SDQ) assessed emotional and behavioural concerns. Clinical data were collected from the medical records, routine clinic appointments and the adolescent. RESULTS: Any disturbed eating behaviour was reported by approximately one-third of participants (32.3%) and was common in females and males (37.9% vs. 25.9%). Binge eating (17.7%), driven exercise (13.0%) and dietary restraint (8.9%) were the most common disturbed eating behaviours, although restraint was not evident in males. Insulin manipulation/omission (5.6%), vomiting (3.3%), laxative (0.8%) or diuretic use (0.8%) were less common. Regression analysis showed a significant association between HbA1c and more disturbed eating behaviours and thoughts which remained significant when adjusted for confounders. CONCLUSIONS: High rates of disturbed eating behaviours and thoughts were seen in this Australian sample of adolescents with type 1 diabetes. High scores on both eating disorder measures were associated with poorer glycaemic control. These results highlight the need to screen for disordered eating in adolescents with type 1 diabetes.
HubMed – eating

 

Find More Eating Disorders Information…