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Exploring the prevalence and symptom presentation of food addiction among Norwegian bariatric surgery patients: associations with depression, dysregulated eating, and postoperative weight loss. 探讨挪威减肥手术患者中食物成瘾的患病率和症状表现:与抑郁、饮食失调和术后体重减轻的关系
IF 3.5 3区 医学 Q2 NUTRITION & DIETETICS Pub Date : 2024-12-18 DOI: 10.1186/s40337-024-01170-1
Gro Walø-Syversen, Jon Kristinsson, Inger L Eribe, Øyvind Rø, Camilla Lindvall Dahlgren

Background: Pathological eating and addictive processes are linked to obesity. Food addiction (FA) involves hedonic eating of highly palatable foods, accompanied by addictive symptoms like craving, loss-of-control (LOC) eating, and withdrawal. The main objectives of this study were to assess FA prevalence and symptoms in bariatric surgery candidates, and its relationship with depression, dysregulated eating, and 1- year postoperative weight loss (WL).

Methods: Data from 69 bariatric surgery patients (74% female, 26% male, ) were analysed. Self-report measures including Yale Food Addiction Scale (YFAS) 2.0, Eating Disorder Examination-Questionnaire (EDE-Q), Repetitive Eating Questionnaire [Rep(eat)-Q] and Hospital Anxiety and Depression Scale (HADS) were administered pre-surgery and at 1-year follow-up.

Results: The mean preoperative YFAS symptom score was 2.2. (SD = 2.59). 16% of the sample met YFAS diagnostic criteria for FA. Top reported FA criteria were "substance taken in larger amount than intended" (33%), "persisted desire or repeated unsuccessful attempts to quit" (29%), and "use in physically hazardous situations" (23%). The YFAS symptom scores correlated significantly with the frequency of LOC binge eating, depression and repetitive eating scores, but showed no correlation with age or BMI. Preoperative YFAS symptom scores did not significantly predict % WL at 1-year follow-up.

Conclusions: Our findings align with previous research, indicating that preoperative FA symptoms is unrelated to preoperative BMI and total %WL, but linked to eating pathology, such as LOC binge eating and grazing, as well as depression in bariatric surgery candidates.

背景:病态饮食和成瘾性过程与肥胖有关。食物成瘾(FA)包括对美味食物的享乐性食用,伴随着上瘾症状,如渴望、进食失控(LOC)和戒断。本研究的主要目的是评估减肥手术患者的FA患病率和症状,以及其与抑郁、饮食失调和术后1年体重减轻(WL)的关系。方法:对69例减肥手术患者(女性74%,男性26%)的资料进行分析。自我报告测量包括耶鲁食物成瘾量表(YFAS) 2.0、饮食失调检查问卷(ed -Q)、重复性饮食问卷[Rep(eat)-Q]和医院焦虑和抑郁量表(HADS)。结果:术前YFAS症状评分平均为2.2分。(sd = 2.59)。16%的样本符合YFAS对FA的诊断标准。报告中最重要的FA标准是“物质摄入量超过预期”(33%),“持续渴望或多次尝试戒烟失败”(29%),以及“在身体危险的情况下使用”(23%)。YFAS症状得分与LOC暴食频率、抑郁和重复进食得分显著相关,但与年龄和BMI无关。术前YFAS症状评分并不能显著预测1年随访时的% WL。结论:我们的发现与先前的研究一致,表明术前FA症状与术前BMI和总WL %无关,但与饮食病理有关,如LOC暴饮暴食和放牧,以及减肥手术患者的抑郁。
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引用次数: 0
Can people with longstanding bulimia nervosa suffer from severe and enduring eating disorder? A qualitative study. 患有长期神经性贪食症的人会遭受严重和持久的饮食失调吗?定性研究。
IF 3.5 3区 医学 Q2 NUTRITION & DIETETICS Pub Date : 2024-12-18 DOI: 10.1186/s40337-024-01161-2
Paul H Robinson, Giulia Guidetti, Jessica Kasriel, Jomana Khawandanah, Maxine Hughes, Zeinab Hachem

Objectives: To interview a series of individuals with bulimia nervosa of longstanding to establish their symptoms and examine the suggestion, using qualitative analysis, that the term "Severe and Enduring Bulimia Nervosa (SEED-BN)" might be appropriate and helpful.

Methods: 12 participants with Bulimia Nervosa, one male, were interviewed with the help of an interview guide. Interviews were recorded and transcribed. Transcripts were analysed using Thematic Analysis.

Results: Participants with Bulimia Nervosa described serious problems in many realms, especially social, psychological, family and relationships.

Conclusions: Bulimia nervosa of long duration is associated with many serious symptoms. It seems likely that recognition of long-standing bulimia nervosa as a severe and enduring eating disorder could encourage clinicians and families to pay attention to the wide variety of problems suffered by this group. Further research is required to examine this proposal.

目的:对一系列长期神经性贪食症患者进行访谈,以确定其症状,并采用定性分析的方法检验“重度和持续性神经性贪食症(SEED-BN)”一词是否恰当和有帮助的建议。方法:采用访谈指南对12例神经性贪食症患者进行访谈,其中1例为男性。采访被记录下来并记录下来。转录本采用专题分析进行分析。结果:神经性贪食症患者描述了许多领域的严重问题,特别是社会、心理、家庭和人际关系。结论:长时间神经性贪食伴发多种严重症状。认识到长期的神经性贪食症是一种严重而持久的饮食失调,似乎可以鼓励临床医生和家庭关注这一群体所遭受的各种各样的问题。这一建议需要进一步的研究来检验。
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引用次数: 0
Ngā Māuiui Kai: creating Indigenous Māori terms for eating disorders in Aotearoa New Zealand. Ngā Māuiui Kai:在新西兰奥特罗阿创造土著Māori饮食失调术语。
IF 3.5 3区 医学 Q2 NUTRITION & DIETETICS Pub Date : 2024-12-18 DOI: 10.1186/s40337-024-01179-6
Gloria Fraser, Mau Te Rangimarie Clark, Bailey Mary Rose, Kacey Martin, Brittani Beavis, Michaela Pettie, Jennifer Jordan, Keri Opai

Background: Māori (the Indigenous people of Aotearoa New Zealand) report higher rates of eating disorders than non-Māori, but access treatment at lower rates. Diagnostic terms lacking in cultural relevance likely contribute to Māori exclusion in eating disorder spaces. Developing terms in te reo Māori (the Māori language) presents an opportunity to challenge eating disorder stereotypes and increase cultural safety in the eating disorder workforce.

Methodology: Guided by a Māori worldview and the practice of wānanga (to meet, discuss, and think deeply about a topic), we present a Māori language glossary for eating disorders. The glossary is informed by expertise in te reo Māori, mātauranga Māori (the body of Māori knowledge), and eating disorders, and combines terms already in use with newly developed terms.

Results: We propose an umbrella term for eating disorders (ngā māuiui kai), as well as terms for anorexia nervosa (māuiui whakatiki), bulimia nervosa (pukuruaki), binge eating disorder (māuiui kaihoro), and avoidant restrictive food intake disorder (karo kai, with three subtypes of low interest [arokore kai], sensory-based avoidance [āmaimai rongo kai], and concern about the consequences of eating [wehi-ā-kai]). We also propose terms for related concepts of body image difficulties (māuiui whakawā ata), perfectionism (māuiui kōtihitihi) and emotion dysregulation (kare-a-roto kōtitititi).

Conclusion: This glossary is available for use by anyone looking for terms that come from a mana-enhancing (empowering, respectful, and strengths-based) Māori worldview. The kupu (words, terms) in this glossary are offered as possibilities for use, rather than as definitive or correct, in the hopes they will promote discussion about stigma, indigeneity, and language in the eating disorders field.

背景:Māori(新西兰Aotearoa土著人)报告的饮食失调率高于non-Māori,但获得治疗的比率较低。缺乏文化相关性的诊断术语可能导致Māori被排除在饮食失调空间之外。在reo Māori (Māori语言)中开发术语提供了一个机会,可以挑战饮食失调的刻板印象,并增加饮食失调工作人员的文化安全。方法:在Māori世界观和wānanga实践(会面、讨论和深入思考一个话题)的指导下,我们提出了Māori饮食失调语言词汇表。该术语表由网站Māori、mātauranga Māori (Māori知识体系)和饮食失调方面的专家提供信息,并将已经使用的术语与新开发的术语结合起来。结果:我们提出了一个饮食失调的总称(ngā māuiui kai),以及神经性厌食症(māuiui whakatiki)、神经性贪食症(pukuruaki)、暴食症(māuiui kaihoro)和回避性限制性食物摄入障碍(karo kai,包括低兴趣[arokore kai]、基于感觉的回避[āmaimai rongo kai]和对饮食后果的担忧[wehi-ā-kai])。我们还提出了身体形象困难(māuiui whakawa ā ata)、完美主义(māuiui kōtihitihi)和情绪失调(kare-a-roto kōtitititi)等相关概念的术语。结论:任何人都可以使用这个词汇表来寻找来自增强能力(授权、尊重和基于优势)Māori世界观的术语。本术语表中的kupu(单词,术语)是作为一种使用的可能性,而不是作为确定的或正确的,希望它们能促进关于饮食失调领域的耻辱,土著和语言的讨论。
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引用次数: 0
Enhancing the outcomes of bariatric surgery with inhibitory control training, electrical brain stimulation and psychosocial aftercare: a pilot study protocol. 通过抑制控制训练、脑电刺激和心理社会护理来提高减肥手术的效果:一项试点研究方案。
IF 3.5 3区 医学 Q2 NUTRITION & DIETETICS Pub Date : 2024-12-09 DOI: 10.1186/s40337-024-01160-3
Sarah A Rösch, Lennart Wünsche, Carsten Thiele, Therese Reinstaller, Tino Zähle, Kathrin Schag, Katrin E Giel, Christian Plewnia, Johann Steiner, Florian Junne

Background: Notwithstanding the documented short- and long-term weight loss and remission of physical and mental diseases following bariatric surgery, a significant proportion of patients fail to respond (fully) to treatment in terms of physical and mental health improvement. Mounting evidence links food-specific impulsivity, prefrontal cortex (PFC) hypoactivity and disrupted hormone secretion in bariatric surgery candidates to poorer post-surgical health outcomes. Neuromodulatory treatments like transcranial direct current stimulation (tDCS) uniquely target these neurobehavioral impairments. We present a pilot study protocol offering tDCS combined with an inhibitory control training and a structured psychosocial intervention to patients after bariatric surgery.

Methods: A total of N = 20 patients are randomized to 6 sessions of verum or sham tDCS over the PFC, combined with an individualized food-specific inhibitory control training and a structured psychosocial intervention within 18 months after bariatric surgery (t0). Beyond acceptability, feasibility and satisfaction of the intervention, effects of verum versus sham tDCS on food-specific impulsivity and on secondary outcomes quality of life, general impulsivity and psychopathology, food-related cravings, eating disorder psychopathology, weight trajectory and endocrine markers are assessed 4 weeks (t1) and 3 months after the intervention (t2).

Discussion: Results will provide information on the potential of combining tDCS with an inhibitory control training and a structured psychosocial intervention to enhance physical and mental outcomes after bariatric surgery. The present study may guide the development of future research with regard to tDCS as a brain-based intervention and of future post-surgical clinical programs, paving the way for randomized-controlled trials in larger samples.

Trial registration: The trial was prospectively registered on July 8, 2024, under the registration number DRKS00034620 in the German Clinical Trials Register ( https://drks.de/search/de/trial/DRKS00034620 ).

背景:尽管记录了减肥手术后短期和长期的体重减轻和身体和精神疾病的缓解,但很大一部分患者在身体和精神健康改善方面对治疗没有(完全)反应。越来越多的证据表明,减肥手术患者的食物特异性冲动、前额皮质(PFC)活性低下和激素分泌紊乱与术后健康状况较差有关。神经调节治疗,如经颅直流电刺激(tDCS)独特地针对这些神经行为障碍。我们提出了一项试点研究方案,为减肥手术后的患者提供tDCS结合抑制控制训练和结构化的社会心理干预。方法:在减肥手术后18个月内,共有N = 20名患者被随机分为6期的verum或假tDCS,并结合个体化食物特异性抑制控制训练和结构化心理社会干预。除了干预的可接受性、可行性和满意度外,在干预后4周(t1)和3个月(t2)评估verum和sham tDCS对食物特异性冲动性和次要结果的影响,包括生活质量、一般冲动性和精神病理学、食物相关的渴望、饮食失调精神病理学、体重轨迹和内分泌指标。讨论:结果将提供tDCS与抑制控制训练和结构化心理社会干预相结合的潜力信息,以提高减肥手术后的身体和心理结果。目前的研究可能会指导关于tDCS作为一种基于大脑的干预和未来的术后临床计划的未来研究的发展,为更大样本的随机对照试验铺平道路。试验注册:该试验已于2024年7月8日在德国临床试验注册中心(https://drks.de/search/de/trial/DRKS00034620)注册,注册号为DRKS00034620。
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引用次数: 0
Invisible walls? Stigma-related perceptions are associated with reduced help-seeking intentions for disordered eating in men. 无形的墙吗?与耻辱感相关的认知与男性饮食失调寻求帮助的意愿降低有关。
IF 3.5 3区 医学 Q2 NUTRITION & DIETETICS Pub Date : 2024-12-05 DOI: 10.1186/s40337-024-01152-3
Martin S Lehe, Georg Halbeisen, Sabine Steins-Loeber, Georgios Paslakis

Background: Eating disorders (EDs) are increasingly prevalent in men, but men remain underrepresented across many ED-specific treatment settings. Based on the idea that persistent stereotypes, prejudice and discrimination, i.e., stigma against men with EDs, could impede help-seeking behaviors, the present study investigated whether stigma-related perceptions in men are associated with reduced help-seeking intentions for a broad range of disordered eating symptoms.

Methods: N = 132 adult men participated in a cross-sectional online survey and completed questionnaires on ED psychopathology, muscle dysmorphia, orthorexic eating, stigma-related perceptions of EDs in men, and help-seeking intentions.

Results: Moderator analyses showed that higher stigma-related perceptions were associated with reduced help-seeking intentions in response to increased ED symptom severity. However, this was only the case for traditionally "feminized" ED symptoms (related to thin-body ideals), but not for help-seeking with regard to muscularity-oriented, orthorexic, or avoidant/restrictive disordered eating.

Conclusions: Stigma may reduce help-seeking intentions with regard to "feminized" ED symptoms. The present findings suggest that perceptions of EDs as "women's diseases" were associated with reduced help-seeking in men. Stigma towards men with EDs could thus be a possible barrier to help-seeking in men, highlighting the relevance of stigma-reducing interventions in clinical and community settings.

背景:饮食失调(ed)在男性中越来越普遍,但在许多ed特异性治疗环境中,男性的代表性仍然不足。基于持续的刻板印象、偏见和歧视,即对ed患者的耻辱感,可能阻碍寻求帮助的行为这一观点,本研究调查了男性中与耻辱感相关的认知是否与对广泛的饮食失调症状寻求帮助的意愿减少有关。方法:对132名成年男性进行横断面在线调查,填写ED精神病理、肌肉畸形、正常饮食、男性ED耻辱感认知、求助意向等问卷。结果:调节分析显示,在ED症状严重程度增加的情况下,较高的耻辱感与寻求帮助的意愿降低有关。然而,这只是传统的“女性化”ED症状(与瘦身材有关)的情况,而不是针对肌肉导向型、正统性或回避/限制性饮食失调的求助。结论:对于“女性化”ED症状,耻辱感可能降低寻求帮助的意愿。目前的研究结果表明,认为ed是“女性疾病”与男性寻求帮助的减少有关。因此,对男性ed患者的耻辱感可能成为男性寻求帮助的一个障碍,这突出了在临床和社区环境中减少耻辱感的干预措施的相关性。
{"title":"Invisible walls? Stigma-related perceptions are associated with reduced help-seeking intentions for disordered eating in men.","authors":"Martin S Lehe, Georg Halbeisen, Sabine Steins-Loeber, Georgios Paslakis","doi":"10.1186/s40337-024-01152-3","DOIUrl":"10.1186/s40337-024-01152-3","url":null,"abstract":"<p><strong>Background: </strong>Eating disorders (EDs) are increasingly prevalent in men, but men remain underrepresented across many ED-specific treatment settings. Based on the idea that persistent stereotypes, prejudice and discrimination, i.e., stigma against men with EDs, could impede help-seeking behaviors, the present study investigated whether stigma-related perceptions in men are associated with reduced help-seeking intentions for a broad range of disordered eating symptoms.</p><p><strong>Methods: </strong>N = 132 adult men participated in a cross-sectional online survey and completed questionnaires on ED psychopathology, muscle dysmorphia, orthorexic eating, stigma-related perceptions of EDs in men, and help-seeking intentions.</p><p><strong>Results: </strong>Moderator analyses showed that higher stigma-related perceptions were associated with reduced help-seeking intentions in response to increased ED symptom severity. However, this was only the case for traditionally \"feminized\" ED symptoms (related to thin-body ideals), but not for help-seeking with regard to muscularity-oriented, orthorexic, or avoidant/restrictive disordered eating.</p><p><strong>Conclusions: </strong>Stigma may reduce help-seeking intentions with regard to \"feminized\" ED symptoms. The present findings suggest that perceptions of EDs as \"women's diseases\" were associated with reduced help-seeking in men. Stigma towards men with EDs could thus be a possible barrier to help-seeking in men, highlighting the relevance of stigma-reducing interventions in clinical and community settings.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":"12 1","pages":"200"},"PeriodicalIF":3.5,"publicationDate":"2024-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11619332/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142781530","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Exploring the self-perceived causes of eating disorders among Chinese social media users with self-reported eating disorders. 探索中国社交媒体用户自我报告饮食失调的自我认知原因。
IF 3.5 3区 医学 Q2 NUTRITION & DIETETICS Pub Date : 2024-12-05 DOI: 10.1186/s40337-024-01159-w
Jinbo He, Yuchen Zhang, Zhiyuan Liu, Wesley R Barnhart, Shuqi Cui, Shi'ting Chen, Yuru Fu, Feng Ji, Jason M Nagata, Shaojing Sun

Background: Even though robust evidence suggests the high prevalence of eating disorders (EDs) in China, EDs in China are characterized by low diagnosis rates, delayed treatment-seeking, and ineffective treatments. Given that listening to patients' perspectives and lived experiences is crucial to improving our understanding of EDs in the Chinese context, an investigation of the perceived causes of EDs in Chinese individuals with EDs represents a key step in improving the prevention and treatment of EDs in China.

Aims: To explore the perceived causes of EDs based on data from a sample of Chinese social media users with self-reported EDs, with a particular focus on the Zhihu platform.

Methods: We extracted and analyzed data through content analysis. Eight specific causes that could be classified into two groups were coded, including individual factors (e.g., "body image and eating") and sociocultural factors (e.g., "media and cultural ideals").

Results: A total of 2079 entries regarding self-reported EDs were retained for content analysis (14.7% were anorexia nervosa, 37.6% were bulimia nervosa, and 47.7% were binge-eating disorder). More than 90% of users with self-reported EDs claimed causes belonging to individual factors, while 35-51% of users claimed sociocultural factors. "Body image and eating" (68-87%) and "psychological and emotional problems" (65-67%) were the most commonly claimed specific causes, while "traumatic life events" (13-14%), "genetics and biology" (7-13%), and "sports and health" (9-12%) were the least claimed. Chi-square independent tests showed that users with different self-reported EDs disproportionately claimed certain causes.

Conclusions: Using large-scale social media data, findings provide a deeper understanding of the perceived causes of EDs in the Chinese context from individuals with self-reported EDs and highlight the variations in perceived causes across different self-reported ED types.

背景:尽管强有力的证据表明饮食失调(EDs)在中国的患病率很高,但中国的EDs具有诊断率低、求诊延迟和治疗无效的特点。考虑到倾听患者的观点和生活经历对于提高我们对中国背景下的ed的理解至关重要,调查中国ed患者的ed原因是改善中国ed预防和治疗的关键一步。目的:以知乎平台为研究对象,基于中国社交媒体用户自报告ed的样本数据,探讨ed的感知原因。方法:采用内容分析法对资料进行提取和分析。8个具体原因可以分为两类,包括个人因素(如“身体形象和饮食”)和社会文化因素(如“媒体和文化理想”)。结果:共有2079条自我报告的EDs条目被保留用于内容分析,其中14.7%为神经性厌食症,37.6%为神经性贪食症,47.7%为暴食症。超过90%的自我报告ed的用户认为原因属于个人因素,而35-51%的用户认为是社会文化因素。“身体形象和饮食”(68-87%)和“心理和情绪问题”(65-67%)是最常见的具体原因,而“创伤性生活事件”(13-14%)、“遗传和生物学”(7-13%)和“运动和健康”(9-12%)是最不常见的原因。卡方独立检验显示,自我报告的ed不同的用户不成比例地声称某些原因。结论:利用大规模的社交媒体数据,研究结果提供了对中国背景下自报告ED个体的ED感知原因的更深入了解,并突出了不同自报告ED类型的感知原因的差异。
{"title":"Exploring the self-perceived causes of eating disorders among Chinese social media users with self-reported eating disorders.","authors":"Jinbo He, Yuchen Zhang, Zhiyuan Liu, Wesley R Barnhart, Shuqi Cui, Shi'ting Chen, Yuru Fu, Feng Ji, Jason M Nagata, Shaojing Sun","doi":"10.1186/s40337-024-01159-w","DOIUrl":"10.1186/s40337-024-01159-w","url":null,"abstract":"<p><strong>Background: </strong>Even though robust evidence suggests the high prevalence of eating disorders (EDs) in China, EDs in China are characterized by low diagnosis rates, delayed treatment-seeking, and ineffective treatments. Given that listening to patients' perspectives and lived experiences is crucial to improving our understanding of EDs in the Chinese context, an investigation of the perceived causes of EDs in Chinese individuals with EDs represents a key step in improving the prevention and treatment of EDs in China.</p><p><strong>Aims: </strong>To explore the perceived causes of EDs based on data from a sample of Chinese social media users with self-reported EDs, with a particular focus on the Zhihu platform.</p><p><strong>Methods: </strong>We extracted and analyzed data through content analysis. Eight specific causes that could be classified into two groups were coded, including individual factors (e.g., \"body image and eating\") and sociocultural factors (e.g., \"media and cultural ideals\").</p><p><strong>Results: </strong>A total of 2079 entries regarding self-reported EDs were retained for content analysis (14.7% were anorexia nervosa, 37.6% were bulimia nervosa, and 47.7% were binge-eating disorder). More than 90% of users with self-reported EDs claimed causes belonging to individual factors, while 35-51% of users claimed sociocultural factors. \"Body image and eating\" (68-87%) and \"psychological and emotional problems\" (65-67%) were the most commonly claimed specific causes, while \"traumatic life events\" (13-14%), \"genetics and biology\" (7-13%), and \"sports and health\" (9-12%) were the least claimed. Chi-square independent tests showed that users with different self-reported EDs disproportionately claimed certain causes.</p><p><strong>Conclusions: </strong>Using large-scale social media data, findings provide a deeper understanding of the perceived causes of EDs in the Chinese context from individuals with self-reported EDs and highlight the variations in perceived causes across different self-reported ED types.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":"12 1","pages":"201"},"PeriodicalIF":3.5,"publicationDate":"2024-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11619210/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142787405","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Let's talk about body neutrality: content analysis of #bodyneutrality on TikTok. 我们来谈谈身体中立:TikTok上#身体中立#的内容分析。
IF 3.5 3区 医学 Q2 NUTRITION & DIETETICS Pub Date : 2024-12-04 DOI: 10.1186/s40337-024-01163-0
Paolo Mancin, Helena Vall-Roqué, Wesley Grey, Scott Griffiths, Sarah Bonell

Background: To date, over 1.3 billion videos with the hashtag #bodyneutrality have been viewed on TikTok. Despite this, little existing literature has unpacked how body neutrality is conceptualised on TikTok. We examined how TikTok creators construct meaning and generate discourse surrounding #bodyneutrality.

Methods: Extending on previous works in the body neutrality space, we conducted a hybrid content/thematic analysis of TikTok videos in three different languages (English, Spanish, and Italian). Initially, 300 videos displaying "#bodyneutrality" were identified on TikTok. The first 178 TikTok videos were analysed, following the principles of data saturation and feasibility.

Results: We developed three themes: (1) The normalisation of diverse bodies, (2) The rejection of appearance as fundamentally important, and (3) Body neutrality is (better than) body positivity.

Conclusions: In line with conceptualisations of body neutrality in existing literature, some content emphasised the importance of devaluing physical appearance. Building on existing definitions, most creators also framed body neutrality as speaking to the fundamental humanness of owning a body and attempted to normalise various body shapes/sizes. Conversely, some content employed #bodyneutrality to promote or examine body positivity principles or to condemn appearance-based stigmatisation. Our study is one of the first to examine how body neutrality is understood and employed by people in the real world.

背景:迄今为止,TikTok上以“身体中立”为标签的视频浏览量已超过13亿次。尽管如此,几乎没有现有的文献揭示了TikTok上身体中立是如何被概念化的。我们研究了抖音创作者如何围绕#身体中立#构建意义和生成话语。方法:在之前身体中性空间研究的基础上,我们对三种不同语言(英语、西班牙语和意大利语)的TikTok视频进行了混合内容/主题分析。最初,TikTok上发现了300个显示“#身体中立”的视频。根据数据饱和和可行性原则,对前178个TikTok视频进行了分析。结果:我们发展了三个主题:(1)多样化身体的正常化,(2)拒绝外表是根本重要的,(3)身体中性(优于)身体积极。结论:与现有文献中身体中立的概念一致,一些内容强调了贬低身体外表的重要性。在现有定义的基础上,大多数创作者还将身体中性定义为拥有身体的基本人性,并试图使各种身体形状/大小正常化。相反,一些内容使用#身体中立#来促进或检查身体积极原则,或谴责基于外表的污名化。我们的研究是第一个研究现实世界中人们如何理解和使用身体中立的研究之一。
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引用次数: 0
"Holding the line"-relationship building and challenges when nursing adults with a severe eating disorder. “守住底线”——护理患有严重饮食失调的成年人时的关系建立和挑战。
IF 3.5 3区 医学 Q2 NUTRITION & DIETETICS Pub Date : 2024-12-02 DOI: 10.1186/s40337-024-01155-0
Berit Støre Brinchmann, Kathrine Rasch Moyo, Kristin Anne Stavnes

Background: Eating disorders (EDs) are serious psychiatric disorders that may cause great suffering and reduced quality of life. Severe EDs often lead to somatic complications and have a high mortality rate. The most seriously ill patients need hospitalisation, with a need for highly trained nurses.

Methods: The aim of the study was to investigate challenges when nursing adults with a severe ED, and how to succeed in establishing a therapeutic relationship. A qualitative design was chosen, and individual qualitative interviews conducted with twelve nurses. The analytic method was Braun and Clarke's thematic analysis.

Results: Six main themes were developed: entering the patient's world of experience (with the subthemes: understanding the patient's anxiety, understanding the patient's rigidity and need for control and understanding the patient's ambivalence), providing somatic nursing, building relationships, 'holding the line' (with the subtheme: demanding and rewarding), manoeuvring between rules and frameworks and providing good nursing care during coercive treatment.

Conclusion: Nursing patients with a severe ED is demanding, requiring somatic as well as psychiatric expertise. The nurse must understand the patient's anxiety, rigidity and need for control, and ambivalence. Nursing patients with a severe ED requires clarity, and steadiness and the nurses must cope with resistance. To succeed, teamwork and support from colleagues are needed.

背景:进食障碍(EDs)是一种严重的精神疾病,可能会造成巨大的痛苦和降低生活质量。严重的急症常导致躯体并发症,死亡率高。病情最严重的病人需要住院治疗,需要训练有素的护士。方法:本研究的目的是探讨护理成人重症ED时所面临的挑战,以及如何成功地建立治疗关系。本研究采用定性设计,并对12名护士进行了个别定性访谈。分析方法是Braun和Clarke的主题分析法。结果:开发了六个主要主题:进入患者的体验世界(副主题:理解患者的焦虑,理解患者的刚性和控制需求,理解患者的矛盾心理),提供躯体护理,建立关系,“保持底线”(副主题:要求和奖励),在规则和框架之间进行操作,并在强制治疗期间提供良好的护理。结论:重症ED患者的护理要求很高,既需要躯体方面的专业知识,也需要精神方面的专业知识。护士必须了解病人的焦虑、僵硬和控制的需要,以及矛盾心理。重症急症患者的护理要求清晰、稳健,护士必须应对阻力。要取得成功,需要团队合作和同事的支持。
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引用次数: 0
Psychological interventions for internalized weight stigma: a systematic scoping review of feasibility, acceptability, and preliminary efficacy. 内化体重耻辱感的心理干预:可行性,可接受性和初步疗效的系统范围审查。
IF 3.5 3区 医学 Q2 NUTRITION & DIETETICS Pub Date : 2024-11-29 DOI: 10.1186/s40337-024-01132-7
Laura D'Adamo, Abigail T Shonrock, Lawrence Monocello, Jake Goldberg, Lauren H Yaeger, Rebecca L Pearl, Denise E Wilfley

Background: Internalized weight stigma (IWS) is highly prevalent and associated with deleterious mental and physical health outcomes. Initiatives are needed to address IWS and promote effective coping and resilience among individuals who are exposed to weight stigma. We conducted a systematic scoping review of the literature on psychological interventions for IWS and explored their intervention components, feasibility, acceptability, and preliminary efficacy at reducing IWS and related negative physiological and psychological health outcomes.

Methods: Eight databases were searched. Inclusion criteria included: (1) Psychological intervention; (2) Published in English; and (3) Included IWS as an outcome. Exclusion criteria included: (1) Commentary or review; and (2) Not a psychological intervention. A narrative review framework was used to synthesize results.

Results: Of 161 articles screened, 20 were included. Included interventions demonstrated high feasibility, acceptability, and engagement overall. Sixteen of 20 included studies observed significant reductions in IWS that were maintained over follow-up periods, yet data on whether interventions produced greater reductions than control conditions were mixed. Studies observed significant improvements in numerous physical and mental health outcomes.

Conclusions: Findings suggest that existing interventions are feasible, acceptable, and may provide meaningful improvements in IWS and associated health outcomes, highlighting the potential for psychological interventions to promote improved health and wellbeing in individuals with IWS. High-quality studies using rigorous study designs (e.g., randomized controlled trials) are needed to further evaluate the efficacy of interventions for IWS.

背景:内化体重耻辱感(IWS)非常普遍,并与有害的心理和身体健康结果相关。需要采取措施解决IWS问题,并促进遭受体重污名的个人有效应对和恢复力。我们对IWS的心理干预文献进行了系统的范围综述,并探讨了其干预成分、可行性、可接受性以及在减少IWS和相关的负面生理和心理健康结果方面的初步疗效。方法:检索8个数据库。纳入标准包括:(1)心理干预;(二)以英文出版;(3)纳入IWS作为结果。排除标准包括:(1)评论或评论;(2)不是心理干预。采用叙述性综述框架对结果进行综合分析。结果:在筛选的161篇文献中,纳入20篇。纳入的干预措施总体上显示出较高的可行性、可接受性和参与度。20项纳入的研究中有16项观察到IWS在随访期间保持显著减少,但干预措施是否比对照条件产生更大的减少的数据喜忧参半。研究发现,许多身体和心理健康结果有了显著改善。结论:研究结果表明,现有的干预措施是可行的、可接受的,并且可能对IWS和相关的健康结果提供有意义的改善,强调了心理干预在促进IWS患者健康和福祉方面的潜力。需要采用严格研究设计的高质量研究(例如,随机对照试验)来进一步评估IWS干预措施的有效性。
{"title":"Psychological interventions for internalized weight stigma: a systematic scoping review of feasibility, acceptability, and preliminary efficacy.","authors":"Laura D'Adamo, Abigail T Shonrock, Lawrence Monocello, Jake Goldberg, Lauren H Yaeger, Rebecca L Pearl, Denise E Wilfley","doi":"10.1186/s40337-024-01132-7","DOIUrl":"10.1186/s40337-024-01132-7","url":null,"abstract":"<p><strong>Background: </strong>Internalized weight stigma (IWS) is highly prevalent and associated with deleterious mental and physical health outcomes. Initiatives are needed to address IWS and promote effective coping and resilience among individuals who are exposed to weight stigma. We conducted a systematic scoping review of the literature on psychological interventions for IWS and explored their intervention components, feasibility, acceptability, and preliminary efficacy at reducing IWS and related negative physiological and psychological health outcomes.</p><p><strong>Methods: </strong>Eight databases were searched. Inclusion criteria included: (1) Psychological intervention; (2) Published in English; and (3) Included IWS as an outcome. Exclusion criteria included: (1) Commentary or review; and (2) Not a psychological intervention. A narrative review framework was used to synthesize results.</p><p><strong>Results: </strong>Of 161 articles screened, 20 were included. Included interventions demonstrated high feasibility, acceptability, and engagement overall. Sixteen of 20 included studies observed significant reductions in IWS that were maintained over follow-up periods, yet data on whether interventions produced greater reductions than control conditions were mixed. Studies observed significant improvements in numerous physical and mental health outcomes.</p><p><strong>Conclusions: </strong>Findings suggest that existing interventions are feasible, acceptable, and may provide meaningful improvements in IWS and associated health outcomes, highlighting the potential for psychological interventions to promote improved health and wellbeing in individuals with IWS. High-quality studies using rigorous study designs (e.g., randomized controlled trials) are needed to further evaluate the efficacy of interventions for IWS.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":"12 1","pages":"197"},"PeriodicalIF":3.5,"publicationDate":"2024-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11607863/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142755524","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Sexual orientation discrimination and eating disorder symptoms in early adolescence: a prospective cohort study. 青春期早期的性取向歧视与饮食失调症状:一项前瞻性队列研究。
IF 3.5 3区 医学 Q2 NUTRITION & DIETETICS Pub Date : 2024-11-29 DOI: 10.1186/s40337-024-01157-y
Jason M Nagata, Thang Diep, Christiane K Helmer, Sydnie K Domingue, Abubakr A Al-Shoaibi, Julia H Raney, Kyle T Ganson, Alexander Testa, Jinbo He, Claire D Brindis, Fiona C Baker

Background: Sexual orientation discrimination increases the risks of negative health outcomes for sexual minorities. Previous studies have found increased rates of eating disorder symptoms in sexual minority individuals, which is attributable to minority stress and discrimination that they experience. Emerging research suggests relationships between sexual orientation discrimination and eating disorder symptoms. However, there is a lack of studies focusing on early adolescents. The objective of this study was to determine prospective associations between discrimination based on sexual orientation and eating disorder symptoms in a national sample of 10-13-year-old early adolescents in the U.S.

Methods: We examined prospective data from Year 2 (2018-2020) and Year 3 (2019-2021) of the Adolescent Brain Cognitive Development (ABCD) Study (N = 8976). Multiple logistic regression analyses were used to estimate associations between self-reported experiences of sexual orientation discrimination in Year 2 and eating disorder symptoms in Year 3, adjusting for potential confounders, including eating disorder symptoms in Year 2. Sexual orientation discrimination was assessed based on the Perceived Discrimination Scale, which measures adolescents' perception of being treated unfairly based on various sociodemographic characteristics. Eating disorder symptoms were based on the parent-reported Kiddie Schedule for Affective Disorders and Schizophrenia (KSADS-5).

Results: In this demographically diverse sample of early adolescents (N = 8976, age range 10-13 years at Year 2), 5.5% of adolescents reported sexual orientation discrimination in Year 2. The prevalence of parent-reported eating disorder symptoms in Year 3 varied from 1.0 to 8.3%. In the adjusted models, sexual orientation discrimination was prospectively associated with worry about weight gain (adjusted odds ratio [aOR] 2.33, 95% confidence interval [CI] 1.15-4.69) and self-worth tied to weight (aOR 1.60, 95% CI 1.01-2.53) one year later.

Conclusions: Early adolescents who have experienced sexual orientation discrimination have higher odds of experiencing eating disorder symptoms, particularly worrying about weight gain and tying self-worth to weight. Clinicians may consider screening for sexual orientation discrimination and providing affirmative, trauma-informed care when evaluating and treating even younger sexual minority adolescents for eating disorder symptoms.

背景:性取向歧视增加了性少数群体出现负面健康结果的风险。先前的研究发现,性少数群体中饮食失调症状的发生率增加,这可归因于他们所经历的少数群体压力和歧视。最新研究表明,性取向歧视与饮食失调症状之间存在关系。然而,缺乏对早期青少年的研究。本研究的目的是在美国10-13岁早期青少年的全国样本中确定基于性取向的歧视与饮食失调症状之间的前瞻性关联。方法:我们检查了青少年大脑认知发展(ABCD)研究(N = 8976)第2年(2018-2020)和第3年(2019-2021)的前瞻性数据。多元逻辑回归分析用于估计二年级自我报告的性取向歧视经历与三年级饮食失调症状之间的关联,调整潜在的混杂因素,包括二年级的饮食失调症状。性取向歧视的评估基于感知歧视量表,该量表衡量青少年基于各种社会人口特征对不公平待遇的感知。饮食失调症状是基于父母报告的儿童情感障碍和精神分裂症时间表(KSADS-5)。结果:在这个人口统计学多样化的早期青少年样本中(N = 8976,年龄范围为10-13岁),5.5%的青少年在二年级报告了性取向歧视。家长报告的饮食失调症状在三年级的患病率从1.0到8.3%不等。在调整后的模型中,性取向歧视与一年后对体重增加的担忧(调整优势比[aOR] 2.33, 95%可信区间[CI] 1.15-4.69)和自我价值感与体重(aOR 1.60, 95% CI 1.01-2.53)相关。结论:经历过性取向歧视的青少年早期出现饮食失调症状的几率更高,尤其是担心体重增加和将自我价值与体重联系在一起。临床医生可能会考虑筛查性取向歧视,并在评估和治疗更年轻的性少数青少年饮食失调症状时提供积极的、创伤知情的护理。
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引用次数: 0
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Journal of Eating Disorders
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