Patients with eating disorders bring unique challenges to treatment providers. The purpose of this study was to explore treatment providers' experiences working with patients with eating disorders. Specifically, we investigated 1) the frequency and management of commentary about the treatment providers' appearance from patients, 2) personal changes in affect, vigilance around appearance, and eating behaviors in treatment providers, and 3) feedback and suggestions about effectively working with these patients. Using quantitative and qualitative methods, 43 professional eating disorder treatment providers attending the Multiservice Eating Disorder Association (MEDA) annual conference completed a questionnaire created for this study. Results suggest that most treatment providers experienced direct and indirect commentary about their appearance from patients and experienced notable changes in their view of food, eating behaviors, and vigilance of their own and others' appearance while working with these patients. Recommendations and suggestions from treatment providers about effectively treating these patients and managing personal changes are explored.
Using a sociocultural framework, this crosssectional study examined eating pathology among 235 Latino adolescents from the Southwestern U.S. who differed in generational status. Participants completed self-report measures of media pressures, internalization, social comparison, and eating pathology. Overall, results revealed stronger relationships between these sociocultural variables and eating pathology for girls. Girls reported greater social comparison, thin-ideal pressure and internalization, and eating pathology than boys. Generational status was positively correlated with these sociocultural variables and eating pathology for girls only. Moderated hierarchical regression analyses indicated that athletic-ideal internalization was a key predictor of eating pathology for girls but not boys. Discussion highlights gender, more than generational status, as critical to a sociocultural framework for eating pathology among adolescent Latino Americans.
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