Is Technology Assisted Guided Self-Help Successful in Treating Female Adolescents With Bulimia Nervosa?

Is technology assisted guided self-help successful in treating female adolescents with bulimia nervosa?

Neuropsychiatr. 2013 Apr 23;
Wagner G, Wagner G, Penelo E, Nobis G, Mayerhofer A, Schau J, Spitzer M, Imgart H, Karwautz A

OBJECTIVE: This study aims to evaluate the long-term outcome of new technology assisted guided self-help in adolescents with bulimia nervosa (BN). METHOD: One hundred and twenty-six patients with BN (29 adolescents and 97 adults) were randomly allocated to a cognitive behavioural therapy-based self-help program delivered by the Internet or bibliotherapy, both accompanied by e-mail guidance. Outcomes were assessed at baseline, month 4, 7 and 18 including remission rates and eating disorder associated psychopathology. RESULTS: In all, 44?% of adolescents vs. 38.7?% of adults were in remission at month 7, and 55?% of adolescents vs. 62.5?% of adults were in remission at follow-up. Objective binge eating and compensatory behaviour improved significantly over time in both groups, with the highest decrease during the first 4 months. A significant decrease over time and no group differences have been found in almost all EDI-2 subscales. CONCLUSIONS: E-mail guided self-help (delivered via the Internet or bibliotherapy) is equally effective for adolescents as for adults with BN, and can be recommended as an initial step of treatment for this younger age group. HubMed – eating

[Health state, eating and body image disorders among beauticians].

Orv Hetil. 2013 Apr 22; 154(17): 665-70
Lukács-Márton R, Szabó P

Introduction: Beauticians are considered as risk populations for eating disorders and body image disorders, as their work is closely related to beauty and fashion. Aim: The aim of the authors was to examine whether eating and body image disorders occur more frequently among beauticians than in control subjects. Methods: Eating disorders were assessed using the Eating Attitudes Test, Eating Behaviour Severity Scale, and body image measures included the Human Figure Drawings Test, the Body Dissatisfaction Subscale of the Eating Disorders Inventory, the Body Attitudes Test, and the Body Investment Scale. The study sample included 56 beauticians from Transylvania and 59 from Hungary. These groups were compared with control groups including 57 subjects from Transylvania and 54 subjects from Hungary. Questionnaire data were analysed. Results: The occurrence of weight reducing methods such as binge eating was significantly more prevalent in the beautician groups than in controls. Subclinical eating disorders were more frequent in the Transylvanian beautician group. Conclusions: Clinical and subclinical eating disorders occur more frequently in beauticians than in control subjects. Orv. Hetil., 2013, 154, 665-670. HubMed – eating

Exploring gender differences in body image, eating pathology, and sexual harassment.

Body Image. 2013 Apr 19;
Buchanan NT, Bluestein BM, Nappa AC, Woods KC, Depatie MM

This study examines the relationship between body image (weight/shape concerns), eating pathology, and sexual harassment among men and women (N=2446). Hierarchical regressions controlling for depression revealed main effects of gender such that women reported greater weight/shape concerns, eating pathology, dietary restraint, eating concerns, and binge eating compared to men. Main effects for sexual harassment indicated that as harassment increased, participants reported increased weight/shape concerns, eating pathology, dietary restraint, eating concerns, binge eating, and compensatory behaviors. There were small but significant interactions between gender and harassment for eating pathology total score (which included each of the domains listed above), weight/shape concerns, dietary restraint, and eating concerns such that the relationship between increased harassment and increased pathology was stronger for women compared to men. The largest interaction was found for compensatory behaviors, such that while women and men’s scores both increased as harassment increased, the relationship was stronger for men. HubMed – eating