Women With Ehlers-Danlos Syndrome Experience Low Oral Health-Related Quality of Life.
Women with ehlers-danlos syndrome experience low oral health-related quality of life.
Filed under: Eating Disorders
J Orofac Pain. 2012; 26(4): 307-14
Berglund B, Björck E
Aims: To investigate the perceived impact of oral health-related quality of life problems in individuals with Ehlers-Danlos syndrome. Methods:: Members of the Swedish Ehlers-Danlos Syndrome Association completed the Oral Health Impact Profile (OHIP-14). Of the 250 participating individuals, 223 were women, and they were the main focus of the analyses. The results were compared with a previous study of the oral health impact on quality of life in the Swedish population. Statistical methods used for comparison were the Student t and chi-square tests. Results: The mean OHIP-14 value for the entire Ehlers-Danlos syndrome group was 11.1. The mean for women was 11.8, which was significantly higher than 6.8 of the comparison group. The OHIP-14 score varied among age groups, and the highest mean value was found in the age group between 56 and 65 years of age. The most statistically significant differences between the subjects with Ehlers-Danlos syndrome and the comparison group were found for OHIP items 3, 4, and 8: “I have had pain in the mouth,” “I have had discomfort when eating,” and “I have been forced to interrupt meals.” Conclusion: It is well-known that Ehlers-Danlos syndrome has a considerable impact on healthrelated quality of life, and this study is the first to reveal that women with Ehlers-Danlos syndrome report a low oral health-related quality of life as measured with the OHIP-14. Dimensions that were particularly relevant were physical pain, psychologic discomfort, and handicap.
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Neuropsychiatric Inventory data in a Belgian sample of elderly persons with and without dementia.
Filed under: Eating Disorders
Clin Interv Aging. 2012; 7: 423-30
Squelard GP, Missotten PA, Paquay L, De Lepeleire J, Buntinx FJ, Fontaine O, Adam SR, Ylieff MJ
This study assesses and compares prevalence of psychological and behavioral symptoms in a Belgian sample of people with and without dementia.A total of 228 persons older than 65 years with dementia and a group of 64 non-demented persons were assessed using the Neuropsychiatric Inventory (NPI) in 2004.Within the group without dementia, the most frequent symptoms were depression, agitation, and irritability. Within the group with dementia, the most common symptoms were depression, irritability, apathy, and agitation. Prevalence of delusions (P < 0.05), hallucinations (P < 0.05), anxiety (P < 0.05), agitation (P < 0.05), apathy (P < 0.01), aberrant motor behavior (P < 0.01), and eating disorders (P < 0.05) were significantly higher in the group with dementia.Depression, elation, irritability, disinhibition, and sleeping disorders are not specific to dementia. Agitation, apathy, anxiety, and delusions are more frequent in dementia but were not specific to the dementia group because their prevalence rates were close to 10% in the group without dementia. Hallucinations, aberrant motor behavior, and eating disorders are specific to dementia. The distinction between specific and nonspecific symptoms may be useful for etiological research on biological, psychological, and environmental factors. HubMed – eating
Train-the-Trainer: Implementation of Cognitive Behavioural Guided Self-Help for Recurrent Binge Eating in a Naturalistic Setting.
Filed under: Eating Disorders
Eur Eat Disord Rev. 2012 Oct 29;
Zandberg LJ, Wilson GT
OBJECTIVE: The present study evaluated the feasibility and acceptability of cognitive behavioural guided self-help (CBTgsh) for recurrent binge eating using the train-the-trainer implementation strategy. METHOD: After receiving expert-led training in CBTgsh, a master’s-level graduate student in clinical psychology subsequently trained and supervised less experienced graduate students to implement the treatment in an open clinical trial. Participants were 38 treatment-seeking students at a university counselling centre with recurrent binge eating, featuring cases of bulimia nervosa, binge eating disorder, or eating disorder not otherwise specified. RESULTS: Intent-to-treat (ITT) analyses revealed 42.1% abstinence from binge eating at post-treatment and 47.4% at one-month follow-up. Participants reported significant pretreatment to post-treatment reductions on measures of specific eating disorder psychopathology, general psychopathology, and functional impairment and high levels of treatment acceptability. CONCLUSIONS: These results provide ‘proof-of-concept’ for the train-the-trainer implementation strategy and add to the evidence supporting the feasibility and effectiveness of CBTgsh in routine clinical care. Copyright © 2012 John Wiley & Sons, Ltd and Eating Disorders Association.
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Subjective and objective binge eating in relation to eating disorder symptomatology, negative affect, and personality dimensions.
Filed under: Eating Disorders
Int J Eat Disord. 2012 Oct 26;
Brownstone LM, Bardone-Cone AM, Fitzsimmons-Craft EE, Printz KS, Le Grange D, Mitchell JE, Crow SJ, Peterson CB, Crosby RD, Klein MH, Wonderlich SA, Joiner TE
OBJECTIVE: The current study explored the clinical meaningfulness of distinguishing subjective (SBE) from objective binge eating (OBE) among individuals with threshold/subthreshold bulimia nervosa (BN). We examined relations between OBEs and SBEs and eating disorder symptoms, negative affect, and personality dimensions using both a group comparison and a continuous approach. METHOD: Participants were 204 adult females meeting criteria for threshold/subthreshold BN who completed questionnaires related to disordered eating, affect, and personality. RESULTS: Group comparisons indicated that SBE and OBE groups did not significantly differ on eating disorder pathology or negative affect, but did differ on two personality dimensions (cognitive distortion and attentional impulsivity). Using the continuous approach, we found that frequencies of SBEs (not OBEs) accounted for unique variance in weight/shape concern, diuretic use frequency, depressive symptoms, anxiety, social avoidance, insecure attachment, and cognitive distortion. DISCUSSION: SBEs in the context of BN may indicate broader areas of psychopathology. © 2012 by Wiley Periodicals, Inc. (Int J Eat Disord 2012;).
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