Univerzita Karlova Pedagogická fakulta Katedra Pedagogiky DIPLOMOVÁ PRÁCE Znalost záva nosti a d sledk poruch p jmu potravy ák Z Knowledge of the severity and consequences of eating disorders of elementary school pupils Bc. S tlana Z bransk Vedoucí práce: Mgr. Jana Ko , Ph.D. Studijní program: N7504: U itelst pro st edn kol Studijní obor: N-PG-VZ 2020 ABSTRAKT Na Z kladn kole v Praze, kterou jsem vybrala pro diplomovou práci, u uji p edm t V cho a ke zdraví druhým rokem. V diplomové práci jsem se rozhodla zmapovat nalosti a nosti a d sledk poruch p jmu potravy k 2. stupn e jmeno an kol . Teoretick st pr ce obsahuje informace z odborné literatury, vztahující se k problematice poruch p jmu potra (dále jen PPP). V ojo m l tnostem adolescence, významu primární prevence a obsahu koln ho d l ac ho pl nu p edm tu V cho a ke zdraví na zkoumané kole. Praktick st pr ce popisuje pr b h dota n ko ho et en , jeho se astnilo celkem 172 k . Hodnot nalosti k , pokud se týká charakteristiky, ri iko ch faktor , a nosti a d sledk PPP. Hodnotí p nos preventivních aktivit v rámci programu primární prevence zkoumané kol , ch ej c ho Národní strategie primární pre ence ri iko ho cho n d t a ml de e. áci kouman kol maj po dom o a nosti a d sledc ch PPP. V ichni ci , e poruch p jmu potra mohou b t onemocn n smrtelná. Z et en pl...

Purpose: The purpose of this study was to assess if the topic of eating disorders is a part of post-graduate pediatric dental residency training curriculum. This study examined if there is a need for increased training of pediatric dental residents regarding the oral manifestations and treatment of patients with eating disorders.Methods: A cross-sectional online survey was used to compare data from all 66 post-graduate pediatric dental residency program directors. After thirty days a second emailing was conducted, with an additional thirty days to reply. Univariate distributions were obtained and percents for all items were based on the total number of respondents. The university-based programs and the hospital-based programs were compared and analyzed using chi-square analysis based on their percentages. Results: University-based programs were significantly less likely to offer curriculum on anorexia nervosa than hospital-based programs (13% versus 50%, pConclusion: An increase of clinically applicable eating disorder curriculum in post-graduate pediatric training is needed to enable residents to be more knowledgeable and effective practitioners.

This study investigates the impact of sociocultural mediators in relation to eating disorders among male undergraduates. Literature on eating disorders has demonstrated that a thin body shape ideal depicted in the media directly contributes to eating pathology among females, but little research has investigated the direct effects of ideal body shape images among men. The focus of the present investigation was to assess the direct effects of exposure to the ideal male body shape on men’s affect, self esteem, body satisfaction, and endorsement of U. S. societal ideals of attractiveness. In addition, the relation of these variables to bulimic symptomatology was examined. Modeling a study conducted on women (Stice & Shaw, 1994), male undergraduates between the ages of 18 to 25 participated in premeasure (N = 169) and post measure (N = 95) conditions. Participants in the post measure were randomly exposed to pictures from magazines containing either male models depicting the ideal body shape, an average body or pictures of clothing without models. Results from repeated mulitvariate analysis indicated that exposure to the ideal body shape condition did not demonstrate significant negative changes in men’s affect, self esteem, body satisfaction or endorsement of U. S. societal ideals of attractiveness. Indirect support for the sociocultural theory of eating disorders was provided by multiple regression analyses which demonstrated that increased body mass, self esteem, stress and anxiety predicted bulimic symptomatology in men. Future research should direct itself toward investigating possible sociocultural influences of eating disorders on certain male subenvironments, such as athletes or homosexual males that place a greater emphasis on maintaining lower body mass and an ideal body shape.

Submitted by Nara Lays Domingues Viana Oliveira (naradv) on 2015-07-07T14:42:08Z No. of bitstreams: 1 RositaEstevesPsico.pdf: 4589927 bytes, checksum: 1571c9cace25a7d8e1598aa32bf7c141 (MD5) / Made available in DSpace on 2015-07-07T14:42:08Z (GMT). No. of bitstreams: 1 RositaEstevesPsico.pdf: 4589927 bytes, checksum: 1571c9cace25a7d8e1598aa32bf7c141 (MD5) Previous issue date: 2010-12-21 / Nenhuma / Este estudo buscou analisar e compreender como se apresenta a imagem do corpo em jovens mulheres com bulimia em relação aos próprios ideais e aos de sua mãe. O foco do estudo centrou-se nos aspectos psíquicos referentes à constituição da imagem do corpo e suas alterações na bulimia, utilizando o referencial psicanalítico. Também foram examinadas pesquisas científicas atuais que tratam da imagem do corpo e da bulimia. A abordagem foi qualitativo-exploratória, utilizando como estratégia o procedimento de estudo de casos múltiplos. As participantes do estudo foram duas jovens do sexo feminino, com idades de 19 e 24 anos, com diagnóstico de bulimia e suas respectivas mães. O estudo de cada jovem e sua mãe foi considerado um caso. O acesso aos casos se deu através de encaminhamento por profissionais especialistas do Centro de Especialidades em Saúde (CES) - Secretária Municipal da Saúde (SMS) da Prefeitura Municipal de Caxias do Sul. Como instrumentos, foram utilizadas entrevistas não estruturadas e semiestruturadas com as jovens e com suas mães, o Desenho da Figura Humana, o EAT-26, o BITE, o BSQ e a Escala de Imagem Corporal de Stunkard. Os resultados indicaram a presença de insatisfação com a imagem do corpo tanto nas jovens bulímicas como em suas mães, gerada a partir dos próprios ideais e dos ideais maternos. Também indicaram que as jovens participantes do estudo buscaram uma imagem de corpo ideal como manifestação de falhas na constituição do narcisismo e da identidade frente à relação pouco discriminada com a figura materna. Indicaram, ainda, que as filhas, através da bulimia, estariam respondendo aos ideais conscientes e inconscientes de suas mães. / This study aimed to analyze and understand how body image is seen by young bulimic women regarding their own ideals as well as their mothers’. It focused on psychic aspects related to how body image is constituted and its alterations in bulimia, using psychoanalytical references. Recent scientific research being carried out on body image and bulimia were also examined. The approach was qualitative-exploratory, using the strategy of multiple case studies. Subjects of the study were two young women, who were 19 and 24 years old, diagnosed as bulimic, and their respective mothers. The study carried out on each young woman and her mother was considered one case. Access to the cases took place thanks to recommendations by specialized professionals from the Centro de Especialidades em Saúde (CES) - Secretaria Municipal da Saúde (SMS) (Specialized Health Center – Municipal Health Secretary) which is run by the City Hall of Caxias do Sul. Research instruments used were non-structured and semi-structured interviews with the young women and their mothers, the Human Figure Drawing Test, the EAT-26, the BITE, the BSQ, and Stunkard Body Image Scale. Results indicated that both the young bulimic women and their mothers showed dissatisfaction with their body images, from their own ideals as well as their mothers’ ideals. They also indicated that the young women taking part in the study sought for an ideal body image as manifestation of flaws in the constitution of narcissism and identity given the relationship with the mother figure not being much discriminated. In addition to that, results indicated that through bulimia, the daughters would be responding to their mothers’ conscious and unconscious ideals.

Made available in DSpace on 2015-04-14T13:22:23Z (GMT). No. of bitstreams: 1 389421.pdf: 295139 bytes, checksum: 7db76d47f8c1b5184fe7b80df83f5cbd (MD5) Previous issue date: 2007-03-19 / Nesse artigo dois fatores de risco para os transtornos alimentares s?o analisados, bem como sua inter-rela??o contribuinte no desenvolvimento e manuten??o da anorexia nervosa e da bulimia nervosa, em mulheres: a rela??o m?e-filha e a auto-estima. Entre as necessidades humanas est? a de estima, ou seja, a necessidade de auto-estima e estima por parte dos outros. As m?es tendem a vivenciar suas filhas mulheres como menos separadas delas, devido a componentes narcisistas que prevalecem nesta dupla como identifica??o e simbiose. No caso das mulheres com transtorno alimentar algo se inverteu no processo de intera??o entre m?e-filha prejudicando o v?nculo entre elas. A forma??o da adequada auto-estima depende profundamente do olhar amoroso de aprecia??o por uma pessoa significativa, a m?e, porque nunca ? com seus pr?prios olhos que a crian?a se v?, mas sempre com os olhos do outro. O ver-se numa identifica??o com esse olhar dirigido para si constitui o narcisismo, a sua pr?pria auto-estima e dependendo do tipo de apego existente entre essa dupla, a auto-estima da filha ter? nuances diferenciadas. A pesquisa teve como foco a dificuldade na rela??o prim?ria entre m?e-filha e auto-estima em mulheres com transtornos alimentares. A amostra se constituiu de 51 participantes distribu?das em tr?s grupos: anorexia nervosa (Gr1), bulimia nervosa (Gr2) e controle (Gr3). Os instrumentos utilizados foram: a T?cnica de Rorschach, para avaliar a rela??o prim?ria com a figura materna; Escala de Rosenberg, para avaliar a auto-estima e um question?rio para levantamento de dados s?cio-demogr?ficos e caracter?sticas da amostra. O EAT-26 e o MINI foram utilizados para triar o grupo controle. A an?lise estat?stica foi por meio do Teste ANOVA e do Teste Qui-quadrado, com ?ndice de signific?ncia aceito de ≤0,05. Observou-se que os grupos 1 e 2 apresentaram indicadores de maior dificuldades na rela??o prim?ria com a figura materna, nos relacionamentos interpessoais e baixa auto-estima, comparados com o Gr3

Family environment is a significant factor in the development of eating disorders in young-adult females. Clinical experience, research and theories about eating disorders indicate that constrictive implicit process rules within a family are correlated with eating-disordered families. This study identified implicit family process rules that are unique to eating-disordered families and how well these rules predict membership in eating-disordered and non-eating-disordered families. One hundred and two families (51 eating-disordered and 51 comparison families) participated in the study. Mothers, fathers, young-adult female children, and siblings in each family completed the Family Implicit Rules Profile (FIRP). The design included cluster analysis of all 85 rules to determine which implicit rules clustered in eating-disordered families, and discriminant analysis to determine how well the rules from the cluster analysis predicted membership in the groups of eating-disordered vs. control families. Results indicated that two clusters emerged related to eating-disordered families. The first included rules regarding inappropriate protection of parents (ex. "Protect your parent even if they do not deserve it"), not upsetting or inconveniencing parents, the triangulation of a child (eg.. "Listen to a parent when they complain about the other parent"), avoiding pain at any cost, and blaming self for others' anger. Cluster 2 included rules about appearances (eg,. "Do whatever you have to do to look good to others") and rules about keeping family matters private. Discriminant analysis showed that these 15 implicit family rules predicted membership in either the eating-disordered or the non-eating-disordered family groups with 93% accuracy. Implications for family therapy are discussed.

The present study aimed to examine the relationship between maladaptive schemas and treatment outcomes of adolescent and adult women with an eating disorder receiving residential treatment. Existing data were obtained from 67 females aged 11 to 47 years (m =18.61) that had entered residential treatment for anorexia nervosa (AN), bulimia nervosa (BN), or eating disorder not otherwise specified (EDNOS) at a Western United States residential eating disorder treatment facility. Pre- and posttreatment data were collected by the personnel at the facility on eating disorder symptomatology, mood, and core beliefs. Three hypotheses were tested: (a) that maladaptive schemas would be positively correlated with eating disorder symptom severity, (b) that females endorsing more maladaptive schemas at admission or those with stable maladaptive schemas across their course of treatment would have less favorable posttreatment outcomes at the time of their discharge from residential treatment than females with lower scores initially or improved scores over the course of their treatment and follow-up, and (c) that females endorsing more maladaptive schemas or with greater stability of their maladaptive schemas across treatment will spend more time in residential treatment. To address the above hypotheses a series of hierarchical linear regressions, linear mixed-effects models, and Cox proportional-hazards regressions were conducted. Results ndicated that maladaptive schemas at the start of treatment were predominantly predictive of admit rather than discharge symptomatology. Different combinations of maladaptive schemas were found to have both positive and negative relationships to one's symtomatology across time. The most common maladaptive schemas found to be significantly associated with symptomatology were impaired limits, impaired autonomy and performance, and overvigilance and inhibition. Lastly, a relationship existed between both impaired limits and overvigilance and inhibition and a participant's length of stay in treatment. The results of this study suggest that maladaptive schemas provide some predictability of treatment outcomes and are important targets for psychological interventions aimed at recovery. Furthermore, the results of the study highlight the complexity associated with maladaptive schemas in females with eating disorders and the need for longitudinal research to examine common patterns and therapeutic targets based on diagnosis and status in treatment.

Binge-eating disorders are a common problem affecting up to 5 percent of the American population in any given 6-month period. Currently, the most widely accepted treatment is some variation of Cognitive Behavior Therapy. Although there is an abundance of research showing positive effects, the abstinence rates following this type of treatment are currently around 50%. A recent study by Bosch, Miltenberger, Gross, Knudson, and Brower-Breitwieser (2008) explored the effects of extinction on binge-eating behavior that was hypothesized to be maintained by relief from negative emotional responding. The study involved four women who engaged in binge-eating behavior, one of whom met the diagnostic criteria for Bulimia Nervosa. The treatment was successful, with three of the four participants obtaining abstinence. To date, this has been the only study examining this procedure and with only four participants. The purpose of the current study was to further evaluate extinction of binge eating maintained by automatic negative reinforcement with women who met diagnostic criteria for Bulimia Nervosa. Four young women enrolled in the study, three of whom met criteria for Bulimia Nervosa. The results showed that the treatment decreased binge eating to zero for all four women, although one dropped out of the study shortly after beginning the intervention.

<p>Researchers have recently combined clinical and cognitive areas of research in order to investigate the role of cognitive factors in explaining how emotional disorders are developed and maintained. It is believed that biased cognitive processing of emotionally relevant information can greatly affect emotional responses and behaviour where insights into such cognitive processes can have invaluable clinical implications.</p><p>The present thesis investigates the role of cognitive biases for information related to food and body appearance in individuals with eating disorders (ED) and those with non-clinically eating disorder-related concerns (NED). Are ED characterised by cognitive biases toward such information related to their specific concerns? Are such cognitive biases specific to clinical ED or present also in NED samples? Are cognitive biases operating at both conscious and unconscious levels of cognitive processing?</p><p>The tasks used to pursue these questions were: the emotional Stroop task, an Internet version of the emotional Stroop, Jacoby’s white noise paradigm and a recognition task. The influence of priming on the emotional Stroop task was also investigated in order to test whether the use of this task could be extended to more complex investigations than selective attention.</p><p>Results provide support for that cognitive processing of information related to eating and body appearance is biased in individuals with ED. It is, however, unclear whether such biased processing is specific to clinical ED. Findings further suggest that cognitive biases occur primarily at unconscious levels of cognitive processing. Support was also obtained for that the emotional Stroop task is sensitive to priming where initial body perception may be one factor influencing cognitive responses toward negative self referent words following exposure to thin ideal images. Results further suggest that the emotional Stroop task successfully can be administered via the Internet where manipulating task delivery and response mode may increase the sensitivity of this task. Some of the advantages of administering the emotional Stroop task via Internet over traditional methods are access to more heterogeneous samples, more ecologically valid situations, reduced costs and minimisation of demand characteristics.</p>

Researchers have recently combined clinical and cognitive areas of research in order to investigate the role of cognitive factors in explaining how emotional disorders are developed and maintained. It is believed that biased cognitive processing of emotionally relevant information can greatly affect emotional responses and behaviour where insights into such cognitive processes can have invaluable clinical implications. The present thesis investigates the role of cognitive biases for information related to food and body appearance in individuals with eating disorders (ED) and those with non-clinically eating disorder-related concerns (NED). Are ED characterised by cognitive biases toward such information related to their specific concerns? Are such cognitive biases specific to clinical ED or present also in NED samples? Are cognitive biases operating at both conscious and unconscious levels of cognitive processing? The tasks used to pursue these questions were: the emotional Stroop task, an Internet version of the emotional Stroop, Jacoby’s white noise paradigm and a recognition task. The influence of priming on the emotional Stroop task was also investigated in order to test whether the use of this task could be extended to more complex investigations than selective attention. Results provide support for that cognitive processing of information related to eating and body appearance is biased in individuals with ED. It is, however, unclear whether such biased processing is specific to clinical ED. Findings further suggest that cognitive biases occur primarily at unconscious levels of cognitive processing. Support was also obtained for that the emotional Stroop task is sensitive to priming where initial body perception may be one factor influencing cognitive responses toward negative self referent words following exposure to thin ideal images. Results further suggest that the emotional Stroop task successfully can be administered via the Internet where manipulating task delivery and response mode may increase the sensitivity of this task. Some of the advantages of administering the emotional Stroop task via Internet over traditional methods are access to more heterogeneous samples, more ecologically valid situations, reduced costs and minimisation of demand characteristics.