Individuals with anorexia nervosa (AN) and bulimia (BN) show emotion regulation deficits. While individuals BN use binge eating to regulate negative affect, restricting-type AN may self-starvation for this purpose. The current study examined the regulatory function of over- undereating in response different emotional states women restrictive (n = 54), 47), without disorders 68). Participants completed self-report measures assessing strategies eating. Both patient groups reported using more...

Abstract Objective Different subtypes of eating disorders (ED) show dysfunctional behaviors such as overeating and/or restriction in response to emotions. Yet, systematic comparisons all major EDs on emotional patterns are lacking. Furthermore, correlates with body mass index (BMI), which also differs between and thus confounds this comparison. Method Interview‐diagnosed female ED patients ( n = 204) restrictive (AN‐R) or binge‐purge anorexia nervosa (AN‐BP), bulimia (BN), binge‐eating...

Abstract This study evaluated the clinical significance as well predictors of outcome for adolescents with severe anorexia nervosa (AN) treated in an inpatient setting. Body mass index (BMI), eating disorder (ED) symptoms [Eating Disorder Inventory‐2 (EDI‐2)], general psychopathology and depression were assessed 238 patients at admission discharge. BMI increased from 14.8 + 1.2 to 17.3 1.4 kg/m 2 . Almost a fourth (23.6%) showed reliable changes, 44.7% clinically significant changes (EDI‐2)....

Abstract Objective To report on the long‐term mortality of eating disorders in male inpatients. Method Crude rates (CMR) and standardized ratios (SMR) were computed for a large sample males (147 anorexia nervosa [AN], 81 bulimia [BN], 110 disorder not otherwise specified [ED‐NOS]; DSM‐IV). In addition, survival analysis from onset to death or end observation was computed. Results CMR 12.9% AN, 11.1% BN, 6.4% ED‐NOS. Standardized significantly elevated with AN (SMR = 5.91; 95% confidence...

Prevention of binge eating through just-in-time mobile interventions requires the prediction respective high-risk times, for example, preceding affective states or associated contexts. However, these factors and are highly idiographic; thus, models based on averages across individuals often fail.We developed an idiographic, within-individual binge-eating approach ecological momentary assessment (EMA) data.We first derived a novel EMA-item set that covers broad potential idiographic...

Abstract Objective We report on the long‐term outcome of males compared to females treated for anorexia nervosa (AN) or bulimia (BN). Methods A total 119 with AN and 60 BN were reassessed 5.8 ± 4.6 7.5 5.9 years (respectively) after treatment matched female patients. Results At follow‐up, had a higher body weight than females. For AN, remission rates (40% vs. 41% females) did not differ at follow‐up. And more (34%) (19%) an eating disorder otherwise specified (ED‐NOS; p < .01). follow‐up...

Abstract Child maltreatment is a risk factor for mental disorders and decreased life satisfaction during adolescence. We investigated whether child would link to both directly through psychological symptoms, these relations change from admission discharge after treatment, which types of maltreatment, symptoms facets be most influential in adolescent inpatients with internalizing disorders. N = 896 receiving inpatient psychotherapeutic treatment completed questionnaires on experiences,...

Abstract Objective Inpatient treatment effectively increases body weight and decreases eating disorder symptoms in adolescents with anorexia nervosa (AN). However, there is a high risk of relapse within the first year after discharge, which calls for investigating long‐term success its moderators. Method Female adolescent inpatients AN ( N = 142) were assessed, 85% participated at 1‐year follow‐up. Dependent variables mass index percentiles, symptoms, depressive compulsive exercise life...

Zusammenfassung: Fragestellung: Welchen Einfluss hat die Konkretisierung der poststationären Lebens- und Berufsperspektive auf das Ergebnis stationären Behandlung psychosomatisch erkrankter Jugendlicher? Methode: Randomisierte Fall-Kontroll-Studie. Ergebnisse: Die „Perspektiv- bzw. Orientierungsgruppe“ wird von den Teilnehmenden gut angenommen als wichtiger Teil erlebt. Teilnehmende Patient_innen erleben sich bei Entlassung (Rest-)Symptomatik deutlich weniger belastet Kontrollgruppe....

Abstract Objective Continued mobility in the presence of severe weight loss is a well known, yet insufficiently researched characteristic anorexia nervosa (AN). This study was designed to assess prevalence drive for activity, here operationalized as an increased urge movement, physical restlessness, and mental restlessness. Method Participants were 83 female consecutively admitted adolescent patients qualifying diagnosis AN (ICD‐10), restricting subtype. Information collected included...

Abstract Objective Emotion regulation difficulties in anorexia nervosa (AN) and bulimia (BN) might underlie bingeing purging BN, extreme fasting AN, or combinations of these symptoms binge‐purge type AN. In this study, we tested for decreased food cue reactivity response to negative emotions the opposite pattern BN. Furthermore, explored subgroup differences (restrictive vs. binge‐purging AN; history AN BN). Method Patients with ( n = 41), BN 39), matched controls 70) completed an emotional...

Evidence accumulates that, with close medical monitoring and phosphate supplementation, higher-caloric re-alimentation protocols beginning at 2000 kcal/day (HCR) are not associated an increased incidence of electrolyte abnormalities in patients anorexia nervosa (AN) but rather result faster weight gain. These studies still scant have largely been performed adults or moderately malnourished adolescents. Methods: A retrospective chart review AN aged 12−20 years a body mass index (BMI) < 15...

Assessment of the longer-term outcome anorexia nervosa (AN) in female adolescent inpatients (N = 132).

Anorexia nervosa is an illness affecting primarily adolescent girls and young women. Clinical guidelines recommend early intervention, with inpatient treatment for more severe cases. We present evaluation of a multi-modal cognitive–behavioral (CBT-E) involving carers in specialized units adolescents. Routine data 962 inpatients (26 boys) (mean age 15.48 [1.26]; range 12–17 years) were analyzed. Predictors good body weight outcome (achieving discharge BMI at least 18.5 kg/m2) identified by...

Abstract The goal of this study was to develop a cognitive–behavioral self-help manual for anorexia nervosa. Patients diagnosed with nervosa (N=102), binge eating/purging type (AN-B/P), were consecutively assigned one two conditions: 6-week manualized guided or wait-list control. All patients thereafter received inpatient treatment in hospital behavioral medicine. primary outcome variable the number days treatment. Secondary variables measures psychopathology. Results showed that duration...

Abstract Objective The objective of this study is to report on the 5.5‐years outcome anorexia nervosa (AN) in male adolescent inpatients and compare it female with AN. Method Diagnostic eating disorder was assessed by Structured Inventory Anorexic Bulimic Syndromes (DSM‐IV) 20 males females matched for AN diagnosis, age at treatment, length follow‐up. For documentation, follow‐up scores Eating Disorder Brief Symptom are reported. Results did not differ between sexes. Four six participants...

Summary Objective This paper presents the results of a randomized controlled trial measuring efficacy video‐based skills training to decrease burden and psychological distress in caregivers inpatients treated for an eating disorder specialized hospital units. Method Two hundred eighty‐five were either video intervention ( N = 147) or control group 138). Caregivers' primary outcomes assessed via Eating Disorder Symptom Impact Scale, Accommodation Enabling Scale General Health Questionnaire‐12...