Women's experiences of bulimia nervosa

Broussard, Brenda

doi:10.1111/j.1365-2648.2004.03262.x

Cited by 47 publications

(55 citation statements)

References 27 publications

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“…70 A qualitative study of 13 women with BN analyzed interviews about their experiences and found the most prominent theme to be isolating the self, which included such behaviors as concealing eating and sneaking food. 71 A limitation of these studies is that they did not measure embarrassment and eating alone …”

Section: Additional Criteriamentioning

confidence: 99%

The diagnostic validity of the criteria for binge eating disorder

Latner

Clyne

2007

Intl J Eating Disorders

113

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Objective: This paper considers whether the criteria currently used to classify the diagnosis of binge eating disorder (BED) are valid and appropriate.Method: We review evidence that reflects on the validity of the current criteria for binge eating episodes and BED, using literature retrieved through major psychology and psychiatry search engines (e.g., PsycInfo, PubMed).Results: Evidence from experimental research points to the relative importance of episode frequency, the amount of food consumed at episodes, the subjective sense of loss of control over eating, and several additional criteria associated with binge episodes in BED. Evidence on the differences in psychopathology between BED and bulimia nervosa and between BED and obesity without binge eating, as related to diagnostic criteria, is reviewed. Binge eating disorder (BED) is highly prevalent among individuals seeking treatment for obesity, with prevalence estimates ranging between 15 and 50%. In the general population, the lifetime prevalence of BED is between 0.7% and 4%. Conclusion1 BED is defined in the fourth edition (text revision) of the Diagnostic and Statistical Manual (DSM-IV-TR) as frequent binge eating episodes, characterized by the consumption of a large quantity of food in a discrete period of time, accompanied by a subjective sense of loss of control over eating. Individuals with BED must also experience distress about their binge eating, and binge episodes are associated with at least three of the following: eating more rapidly than normal, eating until uncomfortably full, eating large amounts when not hungry, eating alone because of embarrassment, and feeling disgusted, depressed, or guilty about overeating. 1 BED, as it is currently defined, is associated not only with eating disorder psychopathology, but also with comorbid psychiatric disorders, health problems, and obesity.2 Health-related quality of life is significantly impaired in obese women with BED relative to obese women without BED.3,4 For these reasons, it has been argued that BED is a distinct and significant disorder of clinical severity that requires specific treatment.5 However, it has also been proposed that the frequent psychiatric comorbidity, good response to many forms of treatment, and the lack of agreement on what constitutes a large amount of food make the BED diagnosis more useful as a marker for other psychopathology in obese individuals than as a clinical disorder in its own right. 6 Another potential problem with the diagnostic definition of BED lies in the question of whether the criteria for the disorder are valid. Kendell and Jablensky 7 have suggested that validity in psychiatric disorders is present if the defining characteristics of a syndrome can be demonstrated to be an entity, separated clearly from neighboring syndromes and from normality. This article examines the evidence regarding the DSM-IV criteria for BED. The diagnostic criteria have two major components: the definition of a binge episode, and BED-specific criteria. This review first...

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Section: Additional Criteriamentioning

confidence: 99%

The diagnostic validity of the criteria for binge eating disorder

Latner

Clyne

2007

Intl J Eating Disorders

113

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“…Desde esta perspectiva se interpretó y analizó la experiencia de la enfermedad en familiares de enfermos terminales de cáncer. Es una mirada desde la cual se han realizado diversos estudios en el área de la salud -en enfermería, medicina, trabajo social, entre otras-, que se han enfocado en identificar la vivencia o experiencia de las personas respecto del dolor, la enfermedad, los cuidados en los servicios de salud, la relación de profesionales de la salud con pacientes y familiares, entre otros (10,11,8,(12)(13)(14)(15).…”

Section: Tipo De Investigaciónunclassified

La beneficencia del médico en el tratamiento del enfermo con cáncer terminal desde la experiencia del familiar

2018

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Resumen: El objetivo de este artículo es conocer, a partir de la experiencia de familiares de enfermos con cáncer terminal, la beneficencia del médico hacia el enfermo. Este propósito es parte de un trabajo más amplio titulado "Los cuidados, la atención y la decisión de los enfermos con cáncer terminal al final de la vida: una visión desde la experiencia del familiar". La experiencia de los familiares proporciona información acerca del actuar del médico sobre los riesgos y beneficios de tratamientos o procedimientos. Se llevó a cabo un estudio cualitativo que parte del paradigma hermenéutico fenomenológico, elegido porque permite conocer la percepción que tienen las personas del mundo en el cual viven y el significado que le dan. Se entrevistó a 11 familiares y cuidadores primarios y se utilizó el análisis temático y el método de van Manen. La experiencia de los familiares muestra que algunos médicos, en ocasiones, no actuaron a partir del principio de beneficencia, porque no proporcionaron información detallada, la omitieron o no hubo comunicación, no respetaron las decisiones y no controlaron o eliminaron el malestar o dolor del enfermo. Los médicos deben reconocer y subsanar situaciones en las que no logran cumplir con este principio.Palabras clave: beneficencia, cáncer, fenomenología hermenéutica, análisis temático, método de van Manen, experiencia de familiares Beneficence of the doctor in the treatment of patients with terminal cancer from the experience of family Abstract: The aim of this paper is to learn from the experience of relatives of patients with terminal cancer about the medical beneficence during a terminal illness. This paper is part of a broader study entitled "The care, attention and decision of patients with terminal cancer at the end of life: a vision from the experience of family". The experience of the family provides information about the act from the doctor about the risks and benefits of treatments or procedures. A qualitative study was carried out that part of the phenomenological hermeneutical paradigm. It is approached from the phenomenological stance because it lets you know the perception that people have of the world in which they live and the meaning they give you. 11 family members and primary caregivers, were interviewed. Thematic analysis and the method of van Manen were used. The experience of family shows that some doctors sometimes did not act from principle of beneficence because they did not provide detailed information, omitted or no communication, they did not respect their decisions and not controlled or eliminated the discomfort or pain of the patient. Physicians must recognize and address situations that fail to comply with this principle.Key words: beneficence, cancer, phenomenology hermeneutics, thematic analysis, method of van Manen, experience of family A beneficência do médico no tratamento do paciente com câncer terminal, a partir da experiência familiar Resumo: O objetivo deste artigo é conhecer, a partir da experiência de familiares de pacientes com câncer ...

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“…I've got to accept that I've done it and then block it out as if I haven't done it or else I will dwell on it Kelly does not understand her recovery as a reduction of eating disorder symptoms but rather in terms of management and acceptance. Instead of suffering the debilitating guilt commonly associated with a binge-purge episode (Broussard, 2005), Kelly is able to "block it out". Rather than punishing herself and slipping "further down" in her mood she is able to move on.…”

Section: Third Set Of Interviewsmentioning

confidence: 99%

Family experiences of living with an eating disorder: A narrative analysis

2015

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Families are considered important in the management and treatment of eating disorders. Yet, rarely has research focused on family experiences of living with an eating disorder. Addressing this gap, this study explores the experiences of an elite 21-year-old triathlete with an eating disorder in conjunction with the experiences of her parents. Family members attended interviews individually on three separate occasions over the course of a year. In line with the narrative approach adopted, whereby stories are considered the primary means to construct experience, interviews encouraged storytelling through an open-ended, participant-led structure. Narrative analysis involved repeated readings of the transcripts, sensitising towards issues of narrative content (key themes) and structure (overarching plot). Family difficulties arose when personal experiences strayed from culturally dominant narrative forms and when family members held contrasting narrative preferences. Suggestions are forwarded as to how an appreciation of eating disorder illness narratives might inform treatment and support

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Women's experiences of bulimia nervosa

Cited by 47 publications

References 27 publications

The diagnostic validity of the criteria for binge eating disorder

The diagnostic validity of the criteria for binge eating disorder

La beneficencia del médico en el tratamiento del enfermo con cáncer terminal desde la experiencia del familiar

Family experiences of living with an eating disorder: A narrative analysis

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