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The Impact of Trauma and Attachment on Eating Disorder Symptomology
Loma Linda University TheScholarsRepository@LLU: Digital Archive of Research, Scholarship & Creative Works Loma Linda University Electronic Theses, Dissertations & Projects 9-2014 The mpI act of Trauma and Attachment on Eating Disorder Symptomology Julie A. Hewett Follow this and additional works at: http://scholarsrepository.llu.edu/etd Part of the Clinical Psychology Commons Recommended Citation Hewett, Julie A., "The mpI act of Trauma and Attachment on Eating Disorder Symptomology" (2014). Loma Linda University Electronic Theses, Dissertations & Projects. 210. http://scholarsrepository.llu.edu/etd/210 This Dissertation is brought to you for free and open access by TheScholarsRepository@LLU: Digital Archive of Research, Scholarship & Creative Works. It has been accepted for inclusion in Loma Linda University Electronic Theses, Dissertations & Projects by an authorized administrator of TheScholarsRepository@LLU: Digital Archive of Research, Scholarship & Creative Works. For more information, please contact [email protected]. LOMA LINDA UNIVERSITY School of Behavioral Health in conjunction with the Faculty of Graduate Studies _______________________ The Impact of Trauma and Attachment on Eating Disorder Symptomology by Julie A. Hewett _______________________ A Dissertation submitted in partial satisfaction of the requirements for the degree Doctor of Philosophy in Clinical Psychology _______________________ September 2014 © 2014 Julie A. Hewett All Rights Reserved Each person whose signature appears below certifies that this dissertation in his/her opinion is adequate, in scope and quality, as a dissertation for the degree Doctor of Philosophy. , Chairperson Sylvia Herbozo, Assistant Professor of Psychology Jeffrey Mar, Assistant Clinical Professor, Psychiatry, School of Medicine Jason Owen, Associate Professor of Psychology David Vermeersch, Professor of Psychology iii ACKNOWLEDGEMENTS I would like to express my deepest gratitude to Dr. -
Posttraumatic Stress Disorder in Anorexia Nervosa
NIH Public Access Author Manuscript Psychosom Med. Author manuscript; available in PMC 2012 July 1. NIH-PA Author ManuscriptPublished NIH-PA Author Manuscript in final edited NIH-PA Author Manuscript form as: Psychosom Med. 2011 July ; 73(6): 491±497. doi:10.1097/PSY.0b013e31822232bb. Post traumatic stress disorder in anorexia nervosa Mae Lynn Reyes-Rodríguez, Ph.D.1, Ann Von Holle, M.S.1, T. Frances Ulman, Ph.D.1, Laura M. Thornton, Ph.D.1, Kelly L. Klump, Ph.D.2, Harry Brandt, M.D.3, Steve Crawford, M.D.3, Manfred M. Fichter, M.D.4, Katherine A. Halmi, M.D.5, Thomas Huber, M.D.6, Craig Johnson, Ph.D.7, Ian Jones, M.D.8, Allan S. Kaplan, M.D., F.R.C.P. (C)9,10,11, James E. Mitchell, M.D. 12, Michael Strober, Ph.D.13, Janet Treasure, M.D.14, D. Blake Woodside, M.D.9,11, Wade H. Berrettini, M.D.15, Walter H. Kaye, M.D.16, and Cynthia M. Bulik, Ph.D.1,17 1 Department of Psychiatry, University of North Carolina, Chapel Hill, NC 2 Department of Psychology, Michigan State University, East Lansing, MI 3 Department of Psychiatry, University of Maryland School of Medicine, Baltimore, MD 4 Klinik Roseneck, Hospital for Behavioral Medicine, Prien and University of Munich (LMU), Munich, Germany 5 New York Presbyterian Hospital-Westchester Division, Weill Medical College of Cornell University, White Plains, NY 6 Klinik am Korso, Bad Oeynhausen, Germany 7 Eating Recovery Center, Denver, CO 8 Department of Psychological Medicine, University of Birmingham, United Kingdom 9 Department of Psychiatry, The Toronto Hospital, Toronto, Canada 10 Center for -
Raising a Healthy Child: a Family’S Guide to Local Resources for Infants, Toddlers, and Preschoolers Table of Contents 1
Raising a Healthy Child: A Family’s Guide to Local Resources for Infants, Toddlers, and Preschoolers Table of Contents 1. Resources for Your Baby’s Development.. .. .. .. .. .. .. .. 2 2. Monitoring Your Baby’s Development.. .. .. .. .. .. .. .. .. 6 3. Children with Developmental Delays . 7 4. What You Can Do for Your Baby’s Development ........8 5. Find Support from Peers/Professionals . .. .. .. .. .. .. .. .. 10 6. Medicaid Waiver Program.. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 11 7. School-Based Preschool Programs for Children with Developmental Delays . .. .. .. .. .. .. .. .. .. .. .. .. .. 12 8. Other Helpful Resources.. .. .. .. .. .. .. .. .. .. .. .. .. .. .. .. 13 9. Developmental Milestones Checklist . .. .. .. .. .. .. .. .. .. 14 Dear Families, The Arc of Evansville, Deaconess Women’s Hospital, and St. Mary’s Hospital for Women & Children have partnered with the Welborn Baptist Foundation to develop and distribute a resource guide for families. This resource guide, “Raising a Healthy Child: A Family’s Guide to Local Resources for Infants, Toddlers, and Preschoolers,” provides information to families about a variety of resources for parents of infants and young children that are available in the local community. In addition, the resource guide includes information about state and national organizations that can be helpful to families. Also included are resources that can be accessed online at any time using the Internet, as well as general guidance on common questions and concerns parents often have after they leave the hospital. The resource guide has a great deal of information about services and supports for children with developmental disabilities or developmental delays. While many families will never need these types of services, the resource guide will be distributed to all families who deliver a baby at Deaconess Women’s Hospital and St. -
Psychopharmacology: a Comprehensive Review
Psychopharmacology: A Comprehensive Review 1) The association between a chemical compound and its biological activity, pioneered by Bovet and colleagues in the 1930s is known as a) Symbiosis b) Structure-activity relationship c) Mechanism of Action d) Half-life 2) A study by Jong H. Hoon in 2013 suggests that the circuit connecting the prefrontal cortex with the _____ is a site of communication disturbance in schizophrenics. a) Ventral horn b) Basal ganglia c) Pons d) Medulla 3) The primary function of the hypothalamus is a) Homeostasis b) Balance c) Memory d) Communication 4) The thalamus plays an important role in receiving and filtering all sensory information except a) Visual b) Gustatory c) Olfactory d) Touch 5) The primary function of the Medulla is a) Sensory analysis and movement b) Short term memory c) Receptive language d) Regulation of breathing and heart rate 6) The primary function of the Pons is a) Sensory analysis and movement b) Short term memory c) Receptive language d) Regulation of breathing and heart rate ce4less.com ce4less.com ce4less.com ce4less.com ce4less.com ce4less.com 7) Which is not a main function of glial cells? a) Nourishing neurons b) Electrical signaling and synaptic communications c) Help in the removal of waste products from the neurons d) Insulate neurons 8) Which is an example of action potential which inhibits axonal transmission by blocking the excitatory channels on the postsynaptic neuron as well as lowering the rate of action potential coming from the presynaptic neuron? a) Alcohol b) Valproic -
Eating Disorders: About More Than Food
Eating Disorders: About More Than Food Has your urge to eat less or more food spiraled out of control? Are you overly concerned about your outward appearance? If so, you may have an eating disorder. National Institute of Mental Health What are eating disorders? Eating disorders are serious medical illnesses marked by severe disturbances to a person’s eating behaviors. Obsessions with food, body weight, and shape may be signs of an eating disorder. These disorders can affect a person’s physical and mental health; in some cases, they can be life-threatening. But eating disorders can be treated. Learning more about them can help you spot the warning signs and seek treatment early. Remember: Eating disorders are not a lifestyle choice. They are biologically-influenced medical illnesses. Who is at risk for eating disorders? Eating disorders can affect people of all ages, racial/ethnic backgrounds, body weights, and genders. Although eating disorders often appear during the teen years or young adulthood, they may also develop during childhood or later in life (40 years and older). Remember: People with eating disorders may appear healthy, yet be extremely ill. The exact cause of eating disorders is not fully understood, but research suggests a combination of genetic, biological, behavioral, psychological, and social factors can raise a person’s risk. What are the common types of eating disorders? Common eating disorders include anorexia nervosa, bulimia nervosa, and binge-eating disorder. If you or someone you know experiences the symptoms listed below, it could be a sign of an eating disorder—call a health provider right away for help. -
Neural Correlates and Treatments Binge Eating Disorder
Running head: Binge Eating Disorder: Neural correlates and treatments Binge Eating Disorder: Neural correlates and treatments Bachelor Degree Project in Cognitive Neuroscience Basic level 22.5 ECTS Spring term 2019 Malin Brundin Supervisor: Paavo Pylkkänen Examiner: Stefan Berglund Running head: Binge Eating Disorder: Neural correlates and treatments Abstract Binge eating disorder (BED) is the most prevalent of all eating disorders and is characterized by recurrent episodes of eating a large amount of food in the absence of control. There have been various kinds of research of BED, but the phenomenon remains poorly understood. This thesis reviews the results of research on BED to provide a synthetic view of the current general understanding on BED, as well as the neural correlates of the disorder and treatments. Research has so far identified several risk factors that may underlie the onset and maintenance of the disorder, such as emotion regulation deficits and body shape and weight concerns. However, neuroscientific research suggests that BED may characterize as an impulsive/compulsive disorder, with altered reward sensitivity and increased attentional biases towards food cues, as well as cognitive dysfunctions due to alterations in prefrontal, insular, and orbitofrontal cortices and the striatum. The same alterations as in addictive disorders. Genetic and animal studies have found changes in dopaminergic and opioidergic systems, which may contribute to the severities of the disorder. Research investigating neuroimaging and neuromodulation approaches as neural treatment, suggests that these are innovative tools that may modulate food-related reward processes and thereby suppress the binges. In order to predict treatment outcomes of BED, future studies need to further examine emotion regulation and the genetics of BED, the altered neurocircuitry of the disorder, as well as the role of neurotransmission networks relatedness to binge eating behavior. -
Eating Disorders and Sexual Function Reviewed: a Trans-Diagnostic, Dimensional Perspective
Current Sexual Health Reports (2020) 12:1–14 https://doi.org/10.1007/s11930-020-00236-w CLINICAL THERAPEUTICS (B MCCARTHY, R SEGRAVES AND R BALON, SECTION EDITORS) Eating Disorders and Sexual Function Reviewed: A Trans-diagnostic, Dimensional Perspective Cara R. Dunkley1,2 & Yana Svatko1 & Lori A. Brotto2,3 Published online: 18 January 2020 # Springer Science+Business Media, LLC, part of Springer Nature 2020 Abstract Purpose of Review Clinical observation and a growing body of empirical research point to an association between disordered eating and sexual function difficulties. The present review identifies and connects the current knowledge on sexual dysfunction in the eating disorders, and provides a theoretical framework for conceptualizing the association between these important health conditions. Recent Findings Research on sexuality and eating pathology has focused on clinical samples of women with anorexia nervosa (AN) and bulimia nervosa (BN). All aspects of sexual response can be impacted in women with an eating disorder, with sexual function in women with AN appearing to be more compromised than in women with BN. Research of this nature is extremely limited with respect to BED, non-clinical samples, men, and individuals with non-binary gender identities. Summary Sexuality should be examined and addressed within the context of eating disorder treatment. Sexual dysfunction and eating disorders, along with commonly comorbid disorders of anxiety and mood, can be seen as separate but frequently overlapping manifestations of internalizing psychopathology. Psychological, developmental, sociocultural, etiological, and bio- physical factors likely represent risk and maintenance factors for internalizing disorders. A dimensional, trans-diagnostic ap- proach to disordered eating and sexuality has promising implications for future research and clinical interventions. -
A Case–Control Study Investigating Food Addiction in Parkinson Patients Ingrid De Chazeron1*, F
www.nature.com/scientificreports OPEN A case–control study investigating food addiction in Parkinson patients Ingrid de Chazeron1*, F. Durif2, C. Lambert3, I. Chereau‑Boudet1, M. L. Fantini4, A. Marques2, P. Derost2, B. Debilly2, G. Brousse1, Y. Boirie5,6 & P. M. Llorca1,2,3,4,5,6 Eating disorders (EDs) in patients with Parkinson’s disease (PD) are mainly described through impulse control disorders but represent one end of the spectrum of food addiction (FA). Although not formally recognized by DSM‑5, FA is well described in the literature on animal models and humans, but data on prevalence and risk factors compared with healthy controls (HCs) are lacking. We conducted a cross‑ sectional study including 200 patients with PD and 200 age‑ and gender‑matched HCs. Characteristics including clinical data (features of PD/current medication) were collected. FA was rated using DSM‑5 criteria and the Questionnaire on Eating and Weight Patterns‑Revised (QEWP‑R). Patients with PD had more EDs compared to HCs (27.0% vs. 13.0%, respectively, p < 0.001). They mainly had FA (24.5% vs. 12.0%, p = 0.001) and night eating syndrome (7.0% vs. 2.5% p = 0.03). In PD patients, FA was associated with female gender (p = 0.04) and impulsivity (higher attentional non‑planning factor) but not with the dose or class of dopaminergic therapy. Vigilance is necessary, especially for PD women and in patients with specifc impulsive personality traits. Counterintuitively, agonist dopaminergic treatment should not be used as an indication for screening FA in patients with PD. In Parkinson’s disease (PD), compulsive eating is part of the spectrum of impulse control disorders (ICDs) that also include pathologic gambling, compulsive buying and hypersexuality1. -
Social-Emotional Benefits of Drumtastic Ability Beats® Dyadic Partnership Between a College Veteran with PTSD and an Elementary Student in a Special Education Setting
Therapeutic Recreation Journal Therapeutic Recreation Journal VOL. LIII, NO. 2 • pp. 175–184 • 2019 https://doi.org/10.18666/TRJ-2019-V53-I2-9129 Case Report Social-Emotional Benefits of Drumtastic Ability Beats® Dyadic Partnership between a College Veteran with PTSD and an Elementary Student in a Special Education Setting Lyn Litchke Abstract Casey Finley This case report investigated Drumtastic Ability Beats® in an elementary Special Education program highlight- ing the relationship between a college veteran with PTSD partnered with a student with intellectual developmental disorder and ADHD. The results pre-post for the veteran showed Perceived Stress Scale improved 22.7%; Hospi- tal Anxiety and Depression Scale- Anxiety decreased 37.5%, and Depression increased by 37.5%. Less than 1% positive change on both the Physical Activity Enjoy- ment Scale and Connor Davidson Resiliency Scale. The student Social Personal Relationship Scale increased 54% in relating to others and 51% in self-responsible social behavior. Smiley-o-Meter demonstrated improved mood from a 3 nervous/unsocial to 8 excited/delighted. This study demonstrates the value of TR interventions in a special education program in a school setting with regard to social-emotional behaviors. Keywords ADHD, drumming, intellectual disorder, posttraumatic stress disorder, social-emotional, special education Lyn Litchke is an associate professor of Therapeutic Recreation in the Department of Health and Human Performance at Texas State University. Casey Finley is currently pursuing a master’s degree in Recreation and Leisure Sciences with a concentration in Therapeutic Recreation at Texas State University. Please send correspondence to Lyn Litchke, [email protected] 175 Litchke and Finley The purpose of this case report was to explore the social-emotional benefits of Drumtastic Ability Beats® dyadic drumming as a therapeutic recreation (TR) inter- vention in an elementary special education school setting. -
Ethics Questions Raised by the Neuropsychiatric
REGULAR ARTICLE Ethics Questions Raised by the Neuropsychiatric, Neuropsychological, Educational, Developmental, and Family Characteristics of 18 Juveniles Awaiting Execution in Texas Dorothy Otnow Lewis, MD, Catherine A. Yeager, MA, Pamela Blake, MD, Barbara Bard, PhD, and Maren Strenziok, MS Eighteen males condemned to death in Texas for homicides committed prior to the defendants’ 18th birthdays received systematic psychiatric, neurologic, neuropsychological, and educational assessments, and all available medical, psychological, educational, social, and family data were reviewed. Six subjects began life with potentially compromised central nervous system (CNS) function (e.g., prematurity, respiratory distress syndrome). All but one experienced serious head traumas in childhood and adolescence. All subjects evaluated neurologically and neuropsychologically had signs of prefrontal cortical dysfunction. Neuropsychological testing was more sensitive to executive dysfunction than neurologic examination. Fifteen (83%) had signs, symptoms, and histories consistent with bipolar spectrum, schizoaffective spectrum, or hypomanic disorders. Two subjects were intellectually limited, and one suffered from parasomnias and dissociation. All but one came from extremely violent and/or abusive families in which mental illness was prevalent in multiple generations. Implications regarding the ethics involved in matters of culpability and mitigation are considered. J Am Acad Psychiatry Law 32:408–29, 2004 The first well-documented case in America of execut- principle, the New Jersey Supreme Court, in the case ing a child antedates the American Revolution. In of State v. Aaron,5 overturned the death sentence of 1642, a 16-year-old boy, Thomas Graunger, was an 11-year-old slave convicted of murdering a hanged for the crime of bestiality, having sodomized younger child. -
Short-Term Treatment Outcome of Schizophrenia in a Tertiary Hospital
Bangladesh Journal Psychiatry, December, 2012;26(2) An Original Article ________________________ Short-term treatment outcome of Schizophrenia in a tertiary hospital of Bangladesh *Shahidullah M1, Mullick MSI2, Nahar JS3, Rahman W4, Ahmed HU5, Siddike MA6, Khaled MS7, Miah MZ8 Summary Schizophrenia may have a better outcome in low- and middle-income countries. It is required to see outcome of schizophrenia in Bangladesh. Specific objective of this study is to assess the outcome of short-term follow-up of patients with schizophrenia. Patients with a SCID-l/p diagnosis of schizophrenia (n=42) were assessed prospectively at baseline, at 6-week and at 6-month follow-up. Socio-demographic and relevant variables and questionnaire for family support and previous work record for the study were read in front of the patients and guardians and were filled up by the researchers. Psychopathological measurements was applied at base line by researchers and at 6-week and at 6-month by research assistant for the study population Follow-up data were available for 38 patients at 6-month and among them 86.85% achieved partial remission, 7.89% had not responded and 5.26% had relapsed. Drug treatment outcome of schizophrenia in Bangladesh is better in short-term follow-up. Increasedfamily support and early management by drugs should be a target for intervention. Bang J Psychiatry 2012; 26(2); 44-56 1. *Dr. Mohammad Shahid Ullah, Assistant Professor, Department of Psychiatry, Eastern Medical College, Comilla, Cell-01711316822, e-mail: [email protected] 2. Professor MSI Mullick, Chairman and Professor, Department of Psychiatry, Bangbandhu Sheikh Mujib Medical University (BSMMU), Dhaka. -
Why Do Autistic Women Develop Restrictive Eating Disorders?
Why do autistic women develop restrictive eating disorders? Exploring social risk factors Hannah Baker D.Clin.Psy. thesis (Volume 1), 2020 University College London 2 UCL Doctorate in Clinical Psychology Thesis declaration form I confirm that the work presented in this thesis is my own. Where information has been derived from other sources, I confirm that this has been indicated in the thesis. Signature: Name: Hannah Baker Date: 19/06/2020 3 Overview This thesis seeks to understand why women with Autism Spectrum Disorder (‘autism’) are more likely to develop restrictive eating disorders (‘REDs’). Part 1 is a conceptual introduction exploring the wider topic. To start, I introduce key terms and explore current understanding of autism among females, including the notion of ‘social camouflaging’; the masking of autistic traits and imitation of social behaviours, common among autistic women. Next, I discuss issues around prevalence and diagnosis of autism among those with REDs and the experience of eating disorder treatment for autistic individuals. Finally, a comprehensive review of the literature, outlining the multiple factors which might increase the likelihood of autistic women developing REDs, is presented. Part 2 documents an empirical study investigating the specific role of social risk factors for autistic women with REDs. It is hypothesised that difficulties gaining acceptance from others increases the likelihood of autistic women to perceive themselves as inferior. Moreover, that autistic women who attempt to ‘fit in’ through social camouflaging, are more vulnerable to such risk factors. Two groups of autistic women, with and without REDs, are compared on measures of social comparison, submissive behaviour, fear of negative evaluation and social camouflaging.