The purpose of this study was to test the effectiveness of a preventative curriculum entitled Eating Disorders: Physical, Social, and Emotional Consequences, A High School Curriculum about Anorexia, Bulimia, and Compulsive Eating (EDPSEC), a preventative curriculum for eating disorders. Participants included an experimental group of 72 students enrolled in a ninth grade health class and a control group of 39 ninth grade students enrolled in a physical education class. The research examined the administration integrity of the curriculum and participating students' change in eating attitudes and behaviors according to group membership. The Eating Attitudes Test (EAT-26) and the Eating Survey (ES) were utilized in a pre-post test design to determine the participants' change. There was a high correlation between the students' scores on the ES and the EAT-26 (r = .873). Results indicated low treatment integrity and no significant change on students' EAT-26 or ES scores according to group. However due to low treatment integrity this study was unable to determine the effectiveness of this EDPSEC curriculum. There was a high correlation between the students' scores on the ES and the EAT-26 (r = .873).

Eating disorders are public health problems that are becoming increasingly prevalent in the United States. Research has shown that the etiology of eating disorders is multifaceted, and includes physical, socioemotional, and generic risk factors. One area that predicts eating disorder behaviors is religious orientation; however, the literature on the relationship between eating disorder symptomology and religious orientation has been mixed. Religious orientation is defined as reason for engaging in religious practice. People who have an intrinsic religious orientation live their religion instead of using their religion, and people with an extrinsic religious orientation use their religion to help them achieve their goals instead of living their religion. To help fill this deficit, this study looked at the relationship between religious orientation (extrinsic vs. intrinsic), age, and eating disorder symptomology. Participants for this study included 213 adult women of the Church of Jesus Christ of Latter-day Saints attending a large western university. This study found a positive correlation between bulimic symptomology and an extrinsic religious orientation. No correlation was shown for age or intrinsic religious orientation, and age did not mediate eating disorder symptomology. No correlation was shown for oral control or dieting among participants. These findings can be used to inform therapists of the relationship between bulimic symptomology and an extrinsic religious orientation, and may inform interventions chosen in treatment for individuals with bulimia nervosa, particularly among Latter-day Saint women.

This study examined the cost effectiveness of treating Anorexia Nervosa, Bulimia Nervosa, and Eating Disorder Not Otherwise Specified (NOS), as well as the effects that modality of therapy (i.e. individual, family, and mixed therapy), license of therapist, and secondary diagnosis had on recidivism and total cost of treatment in the care of these patients. One-thousand and thirty-eight patients (56 males, 982 females) diagnosed with Anorexia Nervosa, 1,674 patients (56 males, 1,618 females) diagnosed with Bulimia Nervosa, and 1,997 patients (197 males, 1,800 females) diagnosed with Eating Disorder NOS were included in this study. Results revealed that family therapy was the least expensive form of therapy in average total cost of therapy. Individuals who had family therapy were 3.3 times less likely to recidivate than those who had individual therapy and 7.5 times less likely to recidivate than those who had mixed therapy. Having a secondary diagnosis on average increased the total cost of treatment by $437.34, irrespective of the type of secondary diagnosis (i.e. depression, anxiety, or substance-abuse). These findings suggest that modality of therapy should be considered in the treatment of Anorexia Nervosa, Bulimia Nervosa, and Eating Disorder NOS. Future research should examine the effects of treatment for individuals with a secondary diagnosis.

Bakgrund Ätstörningar är potentiellt livshotande psykiska sjukdomstillstånd som drabbar allt fler unga i samhällen. Det är inte endast vårdpersonal som behöver stödja de drabbade, då det har visat sig att föräldrar till barn med en ätstörning har en helt avgörande roll för deras tillfrisknande. Ätstörningar kan innebära ett mångårigt lidande för både barn och deras föräldrar. Det finns begränsat med forskning kring föräldrars upplevelser och psykiska välbefinnande i samband med deras barns vård. För att vårdpersonal ska kunna bemöta dessa föräldrar behövs ökad förståelse och kunskap om deras tillvaro. Syfte Syftet var att belysa föräldrars upplevelser av att leva med ett barn som diagnostiserats med en ätstörning. Metod En icke-systematisk litteraturöversikt genomfördes där 15 vetenskapliga artiklar söktes fram i databaserna PubMed och CINAHL. Artiklarna, som utgjorde resultatet, kvalitetsgranskades och analyserades sedan genom en integrerad dataanalys.  Resultat Resultatet påvisade att ätstörningarna ledde till ansträngda familjerelationer, konflikter kring måltider, samt påverkade familjer socialt, emotionellt, psykologiskt, och ekonomiskt. Föräldrarna upplevde en frustration över att inte kunna göra tillräckligt, känslor av skuld, skam, oro, och ensamhet. Det påvisades även en kunskapslucka hos vårdpersonal gällande ätstörningar och närståendebemötande. Föräldrar upplevde en ökad ansvarsbörda i att behöva samordna vård på egen hand. Att få möta andra föräldrar i liknande situation samt vara delaktig i vården av det sjuka barnet visade sig lindra känslor av skuld och ökade förståelsen för ätstörningar.     Slutsats Föräldrar till barn med ätstörningar genomgår en stor emotionell påfrestning. För att vårdpersonal ska kunna bemöta närstående på ett stöttande, vägledande och meningsfullt sätt finns det behov av fortbildning inom psykisk ohälsa och ätstörningsdiagnoser, samt samordning av vården för att underlätta för föräldrar att söka professionell hjälp för sina barn. Att delta i behandlingar visade sig ha god inverkan på föräldrars psykiska välmående samt bidrog till en ökad förståelse för deras barns sjukdom. / Background Eating disorders are potentially life-threatening mental illnesses that affect more and more young people. It is not only healthcare professionals who need to support those affected, since parents of children with an eating disorder have a crucial role to play in their recovery. Eating disorders can signify years of suffering for both children and their parents. There is limited research on parents' experiences and mental well-being in connection with their child’s care. For healthcare professionals to be able to respond to these parents, increased understanding and knowledge of their experiences is needed. Purpose The purpose was to shed light on parents' experiences of living with a child diagnosed with an eating disorder. Method A non-systematic literature review was conducted where 15 scientific articles were searched in the databases PubMed and CINAHL. The articles, which constituted the result, were quality reviewed and then analysed through an integrated data analysis. Results The results showed that eating disorders led to strained family relationships, conflicts over meals, and affected families socially, emotionally, psychologically, and financially. The parents experienced frustration over not being able to do enough, feelings of guilt, shame, anxiety, and loneliness. A knowledge gap was demonstrated among healthcare professionals regarding eating disorders and family treatment. Parents experienced an increased burden of having to coordinate care on their own. Meeting other parents in a similar situation and being involved in the care of the sick child proved to alleviate feelings of guilt and increased the understanding of eating disorders.  Conclusion Parents of children with eating disorders undergo a great deal of emotional strain. For healthcare professionals to be able to respond to relatives in a supportive and meaningful way, there is a need for further training in mental illness and eating disorders, as well as coordination of care to make it easier for parents to seek professional help. Participating in treatments proved to have a good impact on parents' mental well-being and contributed to an increased understanding of their children's illness.

No description available.

Bakgrund: Ätstörningar är en psykisk sjukdom som framförallt drabbar ungdomar men även vuxna. Anorexia nervosa och bulimia nervosa är de vanligaste typerna av ätstörning, där anorexia har den högsta risken för dödlighet. Ätstörning är en psykisk sjukdom med synliga fysiska symtom som det lätt fokuseras på. Fokuset ska ligga på hela människan och inte enbart på vikt och kropp. Syfte: Syftet med studien var att undersöka vuxna personers upplevelser av att leva med ätstörning. Metod: Metoden som användes var en litteraturöversikt där tio kvalitativa artiklar valdes ut och sammanställdes till en ny helhet enligt fem steg. Artiklarna letades fram från databaserna Cinahl och Pubmed.  Resultat: Ätstörning är en sjukdom som sätter livet ur balans. Det påverkar familj och relationer lika mycket som personen som drabbas. Sjukdomen skapar en blandning av känslor som skam, ångest och stolthet. Professionella tjänster upplevs både positivt och negativt av de drabbade. Gott bemötande och bekräftelse av deras känslor har betydelse för deras återhämtning. Konklusion: Förutfattade meningar förekommer kring i vilken ålder det är acceptabelt att drabbas av ätstörning. Vuxna döms ofta för sin sjukdom och blir bemötta annorlunda än ungdomar. Här blir det sjuksköterskans ansvar att bemöta patienten utan fördomar. / Background: Eating disorders are a mental illness that mainly affects young people but also adults. Anorexia nervosa and bulimia nervosa are the most common types of eating disorders, with anorexia having the highest risk of mortality. Eating disorder is a mental illness with visible physical symptoms that are easily focused on. The focus must be on the person and not just on weight and body. Aim: The aim was to explore adults' experience of living with an eating disorder. Method: The method used was a literature review where ten qualitative articles were selected and compiled into a new result according to five steps. The articles were retrieved from the databases Cinahl and PubMed. Findings: Eating disorder is a disease that puts life out of balance. It affects family and relationships as much as the person affected. The disease creates a mixture of emotions such as shame, anxiety and pride. Professional services are experienced both positively and negatively by those affected. A good treatment and confirmation of their feelings is important for their recovery. Conclusion: There are preconceived notions about what age it is acceptable to suffer from an eating disorder. Adults are often judged for their illness and are treated differently compared to young people. Here it becomes the nurse´s responsibility to treat the patient without prejudice.

Bakgrund: Ätstörning drabbar inte bara den enskilda individen utan påverkar familjen, omgivningen och samhället i stort. Föräldrarnas delaktighet är av betydande del för tillfrisknandet. Sjuksköterskor behöver ta ansvar för att främja även föräldrarnas hälsa. Genom fördjupad kunskap om föräldrar situationen kan sjuksköterskan ge en bättre omvårdnad och förutsättning för föräldrarnas delaktighet i vården av deras ätstörningssjuka barn. Syfte: Syftet med litteraturöversikten var att beskriva upplevelsen av attvara förälder till ett barn med ätstörning. Metod: Metoden som använts är en litteraturöversikt där resultatet har sammanställts med hjälp av tio vetenskapliga artiklar. Resultat: Resultatet presenteras i tre huvudteman: Information om sjukdomen, brist på stöd och föräldrarnas upplevelse av utanförskap. Sammanfattning: Behovet av stöd från vården och att få vara delaktig i vården är av stor vikt för att föräldrarna ska orka fortsätta stötta sitt barn. Det är ansträngande att vara förälder till ett barn med ätstörning ochdet kan inskränka på såväl fysisk och psykisk hälsa som livskvalité. / Background: Eating disorders not only affect the individual but also affect the family, the environment and society at large. Parental involvement is a significant part of recovery. Nurses need to take responsibility for promoting parents' health as well. Through in-depth knowledge of the parental situation, the nurse can provide better care and conditions for the parents' participation in the care of their children with eating disorders. Aim: The purpose of the literature review was to describe the experience of being a parent of a child with an eating disorder. Method: The method used is a literature review where the results have been compiled with the help of ten scientific articles. Results: The results are presented in three main themes: Information about the disease, lack of support and parents' experience of exclusion. Summary: The need for support from the care and to be able to participate in the care is of great importance for the parents to be able to continue to support their child. It is strenuous to be the parent of a child with an eating disorder and it can restrict both physical and mental health as well as quality of life.

Findings on executive functions (EFs) in binge-eating disorder (BED) are inconsistent and possibly biased by associated comorbidities. This study aimed to identify whether distinct levels of physical and mental comorbidity are related to EFs in BED. General and food-specific EFs in n = 77 adults with BED were compared to population-based norms and associations with weight status, depressive symptoms, and eating disorder psychopathology were analyzed. To detect within-sample patterns of EF performance, k-means clustering was applied. The results indicated that participants’ general EFs were within the average range with slight deficits in alertness. While depression and eating disorder psychopathology were unrelated to EFs, weight status was associated with food-specific attentional bias that was significantly higher in obesity class 2 than in overweight/obesity class 1 and obesity class 3. Four meaningful clusters with distinct strengths and impairments in general and food-specific EFs but without differences in clinical variables were identified. Altogether, adults with BED showed few specific deficits compared to normative data. Performance was unrelated to depression and eating disorder psychopathology, while weight status was associated with food-specific EFs only. The results highlight the need for longitudinal studies to evaluate the relevance of EFs in BED development and maintenance in neurologically healthy adults.

No description available.

No description available.