Recent Advances in Developmental and Risk Factor Research on Eating Disorders

Bakalar, Jennifer L.; Shank, Lisa M.; Vannucci, Anna; Radin, Rachel M.; Tanofsky‐Kraff, Marian

doi:10.1007/s11920-015-0585-x

Cited by 72 publications

(58 citation statements)

References 103 publications

(86 reference statements)

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“…Finally, psychological and psychosocial traits are universally recognized as key components in the etiology of eating disorders. Impaired psychosocial functioning, perfectionism, thin-ideal internalization, negative urgency, and sensitivity to reward and punishment are among the key risk factors that may predispose people to the onset of these illnesses [18,19]. …”

Section: Overview Of Eating Disorders: Classic Etiology Progressimentioning

confidence: 99%

Are the Gut Bacteria Telling Us to Eat or Not to Eat? Reviewing the Role of Gut Microbiota in the Etiology, Disease Progression and Treatment of Eating Disorders

et al. 2017

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Traditionally recognized as mental illnesses, eating disorders are increasingly appreciated to be biologically-driven. There is a growing body of literature that implicates a role of the gut microbiota in the etiology and progression of these conditions. Gut bacteria may act on the gut–brain axis to alter appetite control and brain function as part of the genesis of eating disorders. As the illnesses progress, extreme feeding patterns and psychological stress potentially feed back to the gut ecosystem that can further compromise physiological, cognitive, and social functioning. Given the established causality between dysbiosis and metabolic diseases, an altered gut microbial profile is likely to play a role in the co-morbidities of eating disorders with altered immune function, short-chain fatty acid production, and the gut barrier being the key mechanistic links. Understanding the role of the gut ecosystem in the pathophysiology of eating disorders will provide critical insights into improving current treatments and developing novel microbiome-based interventions that will benefit patients with eating disorders.

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Section: Overview Of Eating Disorders: Classic Etiology Progressimentioning

confidence: 99%

Are the Gut Bacteria Telling Us to Eat or Not to Eat? Reviewing the Role of Gut Microbiota in the Etiology, Disease Progression and Treatment of Eating Disorders

et al. 2017

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“…This journal has played an important role in this development by publishing theoretical accounts of eating disorder risk (Pearson, Riley, Davis, & Smith, ) as well as this review, which identified risk factors that met clearly defined standards of empirical evidence. Other reviews (Bakalar, Shank, Vannucci, Radin, & Tanofsky‐Kraff, ) and theoretical accounts (Pearson, Wonderlich, & Smith, ) have also appeared recently in other outlets.…”

Section: Importance Of Disordered Eating In Child Mental Healthmentioning

confidence: 99%

Commentary: An exemplar of progress in understanding complex disorders – reflections on what we have learned about eating disorders (Culbert et al., 2015)

Smith

Davis

2015

Child Psychology Psychiatry

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A number of recent advances in eating disorders research have helped clarify the nature of risk for the development of such disorders. Culbert, Racine, and Klump (2015) provide an empirical and thoughtful review of these recent advances. The authors identified empirically established risk factors in each of several categories of risk for eating disorders: genetic influences, neurotransmitter activity, hormones, personality, and sociocultural influences. We highlight three implications of their review. First, the review can serve as an important asset to eating disorder researchers, both substantively, by providing a comprehensive account of empirically supported risk processes; and methodologically, by highlighting good standards of evidence for acceptance of a candidate risk factor. Second, eating disorder risk is increased by both transdiagnostic and eating disorder-specific factors; there is a need to understand how these types of factors transact with each other. Third and most important, we highlight the importance of Culbert et al.'s advocacy for the development of theoretical models, and empirical tests of those models that specify transactions among different types of risk factors, such as those based on genetic, neurobiological, personality, and social processes.

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“…Eating disorders are complex conditions in which genetics, personality, upbringing and culture can all play a role [1][2][3][4][5][6]. They are severe illnesses which can lead to significant somatic complications and death [7][8][9].…”

Section: Introductionmentioning

confidence: 99%

Establishment of a multifamily therapy (MFT) service for young adults with a severe eating disorder – experience from 11 MFT groups, and from designing and implementing the model

Skarbø

Balmbra

2020

J Eat Disord

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Background: Eating disorders are serious illnesses leading to a substantially lowered quality of life not only for the patient but also for their family. They are difficult to treat, and many patients fail to complete their treatment. At the Regional Centre for Eating Disorders (RESSP) at Nordland Hospital in Bodø, in the north of Norway, it was apparent that many young adult patients maintained an active, ongoing relationship with their family of origin, and that parents and others were often highly involved in their life and illness. It was therefore desirable to develop a treatment model involving family members; specifically a multifamily therapy (MFT) group programme. Methods: The aim was to establish an MFT service at RESSP for young adult patients suffering from severe eating disorders. This involved, (1) work preparatory to the establishment of the new service, (2) the development and implementation of a suitable MFT model, and (3) sharing the skills and knowledge gained from our experiences to other professionals in the field, and in other settings. This work of development and change can be understood as a process of innovation and is here described within the framework of implementation theory. The work took place in a clinically naturalistic context at the centre. Results: The MFT model description is based on experience during its development as well as its final form. The stages of this development process and of the changes made in order to establish the new service are described, together with its core components. To date, 68 patients and 198 family members have participated. Dropout rate has been 7.4% and the majority of patients have continued in treatment after completion of the MFT groups. BMI measurements show a significant weight-gain for those with an underweight at start. 32 other professionals have been trained in the model, and a similar service started in 3 other units. Conclusion:The new model has been welcomed by patients and families alike. The MFT group programme has had a strikingly low dropout rate and a majority of patients have continued in treatment. BMI measurements show a significant weight-gain for those being underweight at start. Other therapists have been trained in the model, and similar services set up elsewhere. In order to document and increase the usefulness of the MFT treatment, a research project has been initiated to evaluate experience and outcomes both quantitatively and qualitatively.

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Recent Advances in Developmental and Risk Factor Research on Eating Disorders

Cited by 72 publications

References 103 publications

Are the Gut Bacteria Telling Us to Eat or Not to Eat? Reviewing the Role of Gut Microbiota in the Etiology, Disease Progression and Treatment of Eating Disorders

Are the Gut Bacteria Telling Us to Eat or Not to Eat? Reviewing the Role of Gut Microbiota in the Etiology, Disease Progression and Treatment of Eating Disorders

Commentary: An exemplar of progress in understanding complex disorders – reflections on what we have learned about eating disorders (Culbert et al., 2015)

Establishment of a multifamily therapy (MFT) service for young adults with a severe eating disorder – experience from 11 MFT groups, and from designing and implementing the model

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