Eating Disorders: LIBER8 Design and Methods: An Integrative Intervention for Loss of Control Eating Among African American and White Adolescent Girls.

LIBER8 Design and Methods: An Integrative Intervention for Loss of Control Eating among African American and White Adolescent Girls.

Filed under: Eating Disorders

Contemp Clin Trials. 2012 Nov 8;
Mazzeo SE, Kelly NR, Stern M, Palmberg AA, Belgrave FZ, Tanofsky-Kraff M, Latzer Y, Bulik CM

Loss of control (LOC) eating affects a significant number of adolescents of all racial and ethnic backgrounds and is associated with numerous psychosocial problems, including depression, anxiety, low self-esteem, body dissatisfaction, and weight concerns. However, empirically validated, culturally sensitive treatments for adolescents with these disordered eating behaviors are not available. This pilot project involved designing a developmentally and culturally appropriate treatment for LOC eating for adolescent girls. We intend to conduct multiple focus groups with adolescent girls who engage in LOC eating, and their primary caregivers. Data from these groups will inform the subsequent creation of a manualized treatment protocol. We will then evaluate the efficacy of this intervention (LIBER8-Linking Individuals Being Emotionally Real) to reduce LOC eating. This intervention will integrate components of dialectical behavior therapy, such as mindfulness and distress tolerance skills training, and cognitive-behavioral therapy. We will also integrate text-messaging, a key adolescent communication strategy, as a means of self-monitoring. Participants meeting study criteria will be offered participation in this 12-week randomized controlled trial comparing LIBER8 to a weight management control condition (2BFit). We hypothesize that this intervention will serve to reduce LOC eating, as well as improve psychosocial functioning as evidenced by decreased depression, anxiety, eating disorder cognitions, emotional eating, impulsivity, and improved quality of life. The feasibility and acceptability of this intervention will be extensively evaluated with the explicit intent of informing a subsequent larger randomized controlled trial.
HubMed – eating

 

Healthy dining: Subtle diet reminders at the point of purchase increase low-calorie food choices among both chronic and current dieters.

Filed under: Eating Disorders

Appetite. 2012 Nov 6;
Papies EK, Veling H

There is a growing consensus that our food-rich living environment contributes to rising numbers of people with overweight and obesity. Low-cost, effective intervention tools are needed to facilitate healthy eating behavior, especially when eating away from home. Therefore, we present a field experiment in a restaurant that tested whether providing subtle environmental diet reminders increases low-calorie food choices among both chronic and current dieters. For half of the participants, the menu was supplemented with diet-related words, as reminders of healthy eating and dieting. We recorded customers’ choices of low-calorie or high-calorie items from the menu, and we assessed chronic and current dieting. Consistent with our hypotheses, we found that diet reminders increased choices for low-calorie foods, among both chronic and current dieters. After a diet reminder, around half of dieters made a healthy menu choice. This study demonstrates the efficacy of providing subtle diet reminders as a low-cost practical intervention to increase low-calorie food choices among weight-concerned individuals, who are motivated to regulate their eating behavior but have been found to often fail in food-rich environments.
HubMed – eating

 

Parental restriction and children’s diets: the chocolate coin and Easter egg experiments.

Filed under: Eating Disorders

Appetite. 2012 Nov 6;
Ogden J, Cordey P, Cutler L, Thomas H

Two naturalistic experiments are reported exploring the impact of parental restriction on children’s diets. For study 1, 53 parents gave 75g of chocolate coins to their child over a weekend. For study 2, 86 parents were recruited prior to the two week Easter break when their children would be receiving chocolate Easter eggs. For both studies, parents were randomly allocated to either the non-restriction or restriction conditions and rated their child’s preoccupation with the target food and other sweet foods (demanding and eating) at the start and end of the interventions. Perceived and actual food intake was assessed. Children in the restriction conditions consumed fewer chocolate coins and Easter eggs. All children showed decreased preoccupation with chocolate coins or Easter eggs over the course of the studies yet by the end the restriction group were more preoccupied with the target food. In contrast, all children showed an increased preoccupation with other sweet foods as the studies progressed which was greater in the non restriction group for the chocolate coins study. Overall, restriction resulted in reduced intake but relative increased preoccupation with the food being restricted. Non restriction resulted in a greater preoccupation with other sweet foods once the target foods had been consumed.
HubMed – eating

 


 

Overweight 3: London Psychotherapist – www.eatingdisorderself-cure.com Matthew Campling is a London based psychotherapist specialising in eating disorder recovery. Growing up he was first overweight, and then Anorexic. Without outside input he found the way to recover from the illness entirely by himself. Now he works with clients with Anorexia, Bulimia and people who are Overweight. He runs a workshop called ‘Understanding Eating Disorders from the Inside’. He has written two books on recovery: Eating Disorder Self-Cure and Therapeutic Weight Loss.

 

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