A5059527886- Eating Disorders and Behaviors
- Obsessive-Compulsive Spectrum Disorders
- Child Nutrition and Feeding Issues
- Obesity, Physical Activity, Diet
- Obesity and Health Practices
- Impact of Technology on Adolescents
- Child and Adolescent Psychosocial and Emotional Development
- Eosinophilic Esophagitis
- Mental Health Treatment and Access
- Digital Mental Health Interventions
- Child and Adolescent Health
- Pediatric Pain Management Techniques
- Health Policy Implementation Science
- Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Child Development and Digital Technology
- Physical Activity and Health
- Health and Lifestyle Studies
- Diet and metabolism studies
- Systemic Sclerosis and Related Diseases
- Child Therapy and Development
- Vitamin C and Antioxidants Research
- Mobile Health and mHealth Applications
- Health disparities and outcomes
- Attachment and Relationship Dynamics
- Hypothalamic control of reproductive hormones
Mayo Clinic
2016-2025
Mayo Clinic in Florida
2012-2025
WinnMed
2012-2025
Mayo Clinic in Arizona
2019-2025
University of Miami
2014-2020
Cincinnati Children's Hospital Medical Center
2019
Institute of Behavioral Sciences
2016
Illinois Institute of Technology
2010-2011
University of Illinois Chicago
2009
Few studies have examined whether familiarity of partner affects social responses in children with autism. This study investigated heart rate regulation (respiratory sinus arrhythmia [RSA]: The myelinated vagus nerve's rate) and temporal-parietal electroencephalogram (EEG) activity while nineteen 8- to 12-year-old autism 14 controls viewed videos a familiar an unfamiliar person reading story. Children had lower overall RSA levels exhibited decreased the person, versus control children. Both...
Abstract Objective: The diagnostic concordance of the interview (EDE) and questionnaire (EDE‐Q) versions Eating Disorder Examination was examined. Method: Two‐hundred seventeen patients seeking eating disorder treatment completed EDE EDE‐Q before beginning treatment. Diagnostic algorithms were generated for Statistical Manual Mental Disorders, fourth edition, text revision (DSM‐IV‐TR) proposed Disorders (DSM‐5) criteria using data first from then EDE‐Q; thus, each participant received four...
<h3>PURPOSE</h3> Stigma related to mental health is well documented and a major barrier using physical care. Integrated behavioral (IBH) in primary care, which behavioral/mental care services are located within setting, may reduce the experience of stigma. The purpose this study was assess opinions patients professionals about illness stigma as engagement with IBH gain insight into strategies stigma, encourage discussion health, increase uptake <h3>METHODS</h3> We conducted semistructured...
The current study examined expressed emotion (EE) among families of adolescents with anorexia nervosa (AN) participating in a treatment study. EE ratings were made from 110 toward their parents and children using videotaped family interviews. Participants 92% female 75% Caucasian mean age 14.41 years. Four profiles created (low patient EE/low parent EE, high EE/high low EE). Family profile was not related to full remission at end treatment. Groups then combined according level parent. group...
Epidemiologic research has identified numerous interpersonal and individual risk factors for warning signs of emerging eating disorders in adolescents. These findings have informed public health prevention treatment strategies, including translation to clinical recommendations primary care providers (PCPs). A next step this translational work could include a comprehensive approach where PCPs are seen as partners efforts improve population outcomes. great potential implement high-yield...
In order to identify factors that may impede youth access evidence-based treatment, the current study examined child and adolescent mental health therapists' use of Family-Based Treatment (FBT) other psychotherapeutic approaches treat adolescents with restrictive eating disorders. A sample 91 therapists from a variety backgrounds (e.g. social workers, doctoral-level psychologists, masters-level counselors, marriage family therapists) completed 74-item survey regarding their attitudes beliefs...
ABSTRACT Objective To examine the outcomes of a clinical sample young patients with restrictive eating disorders who received Family‐Based Treatment for Primary Care (FBT‐PC). Methods Participants were 134 youth (mean age = 15.7 years) and their caregiver(s). caregivers completed measures disorder symptomatology, quality life, caregiver self‐efficacy. Results Of at least one session FBT‐PC, 55.9% treatment, 20.1% followed until they began higher level care, 23.8% non‐completers. Weekly full...
Given the numerous barriers to accessing child and adolescent eating disorder treatment, there is a need for innovation in how this care delivered. Primary care-based treatment has established proof-of-concept, yet it unclear whether model can bridge treatment-access gap. This retrospective chart review study compared demographic illness characteristics of 106 adolescents (M age = 15.1 years) SD 1.8 consecutively evaluated primary clinic with 103 patients 15.2 2.2 seen specialty at same...
Successful outcome for adolescent anorexia nervosa includes achieving weight restoration. Despite the importance of this measurement, there are significant discrepancies in field on how to quantify expected body (EBW). A survey was sent 113 child and eating disorder treatment providers inquiring about methods used determine restoration their clinical practice. Although 40.7% growth curve data, remaining employed a diverse range approaches. Providers who specialize Family-Based Treatment were...
Abstract Objective This study used mixed methods to evaluate caregiver perspectives on recovery from an eating disorder. Method Caregivers ( N = 387) completed online survey about their child's weight history, treatment illness trajectory, and recovery. Results Children were predominantly females with adolescent onset anorexia nervosa currently 18.4 years old average. Qualitative analysis of caregivers' open‐ended definitions revealed seven distinct domains, including (a) (45%); (b) body...
ABSTRACT: Background: When adolescents present with symptoms of unexplained weight loss, underweight, or poor appetite, eating disorders (EDs) are commonly on the list differential diagnoses. However, relationship these to other psychiatric is often less clear. Methods: Using Rochester Epidemiology Project database, a retrospective cohort study (13–18 years) billing diagnoses loss appetite was conducted between January 2005 and December 2017. Patients who presented conditions associated...
Abstract Background The primary care setting offers an attractive opportunity for, not only the identification of pediatric eating disorders, but also delivery evidence-based treatment. However, constraints this pose barriers for implementing For interventions to be successful, they need take into consideration perspectives stakeholders. As such, purpose study was examine in-depth providers’ perspective challenges identifying and managing disorders in setting. Methods This mixed methods...
Abstract Background Few measures have been validated to screen for eating disorders (ED) in youth with chronic pain. We conducted confirmatory (CFA) of two established factor structures the Eating Attitudes Test-26 (EAT-26) a sample pain attending an intensive interdisciplinary treatment (IIPT) program and examined validity best-fitting model predicting ED diagnoses this sample. Methods Participants were 880 adolescents ( M age = 16.1, SD 2.1) consecutively admitted into IIPT who completed...
The Food and Drug Administration recently approved topiramate for migraine prevention in adolescents. Given the well-established appetite-suppressant side effects of topiramate, as well data suggesting a potential comorbidity between eating disorders, susceptible young patients may be at greater risk development or worsening disorder symptoms with therapy. This case series comprises 7 adolescent whom serious disorders developed were exacerbated after initiation Clinical characteristics these...
Weight suppression (WS), which is the difference between a patient's highest and current weight, has been associated with bulimic symptom severity in adults bulimia nervosa (BN). However, impact of WS on eating disorder psychopathology youth BN unknown.Participants included 85 DSM-5 who presented for outpatient treatment. Current was calculated as body mass index z-score (BMIz), while greatest lowest BMIz, both assessed at participants' height. Separate multivariable linear regressions were...