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Excessive Exercise in Eating Disorders
Excessive exercise (EE) is common among eating disorder patients. Indeed, in the study I'll write about today, 39% of patients engaged in EE. Previous studies have tried to find psychopathological and personality correlates of EE but the results have been inconsistent. Some studies have suggested that impulsivity and addictiveness are highly correlated with EE whereas others found that anxious and depressive traits were more closely associated.
In a retrospective case series study involving outpatients with AN and BN, Penas-Lledo et al. found higher levels of anxiety and depression... among those who were identified as exercising excessively. The authors claimed that exercise might serve to reduce anxiety and stress in individuals with AN. In a similar study with adolescent inpatients with AN, Holtkamp et al. found that anxiety significantly predicted variance in exercise levels. These investigators proposed that anxiety symptoms in combination with food restriction contributed to increased levels of physical activity and that physical activity served an anxiolytic [anxiety reducing] function.
In this multi-site study, Shroff and colleagues wanted to examine the prevalence of EE across eating disorder subtypes and the personality traits and clinical variables that were associated with EE in a large sample of women (1,857 in this study). Read More
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Jeff Rediger MD, MDiv |
The Dignity and Power of the Person as it Relates to Eating Disorders
Keynote Symposium 2013
Saturday, March 23, 2013: 9:00 AM-10:30 AM
Wounds of the heart result in both medical and psychological illness. Healing these wounds is not about healing deficits from childhood or neurochemical defects. The deep chasm that exists in our culture between mind and body, and medical and psychological problems, is devastating for their cure. Bringing mind and heart into a proper relationship creates something as different from their component parts as hydrogen and oxygen are by themselves different from water. Emphasis will be on understanding how wounds of the heart create perception, and on how to heal the physical and emotional wounds associated with eating disorders.
Medicine, psychiatry and psychology have traditionally operated with deficit models of the human person. By illustrating the power of a non-deficit-based model of the human person, and showing its connection with Heart-Centered Meditation, this presentation will show how traditional resistances associated with clinical work can disappear or diminish significantly. Read More
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Wait Times to Treat Eating Disorders
Manitoba, Canada - Elaine Stevenson holds a portrait of her daughter, Alyssa, who died at 24 in 2002 after losing a 12-year battle with anorexia. MANITOBA'S Progressive Conservatives say patients seeking treatment for eating disorders from a provincially run program are facing "unacceptable" wait times. The waits have fluctuated between six and 18 months since last spring, sources say. The current wait is at least a year.
Cameron Friesen, the Progressive Conservatives' health critic, said the Selinger government's failure to properly fund the program, operated by the Women's Health Clinic, is putting lives at risk. "It was a problem when wait times were six months (last spring); it's a tremendous concern when wait times are 18 months," the Morden-Winkler MLA said Monday.
The Canadian Mental Health Association says eating disorders such as anorexia and bulimia have the highest mortality rates of all mental illnesses, with 10 to 20 per cent of sufferers eventually dying from complications. Friesen said the government must institute "strong interim measures right now" to bring wait times down.He said he has no complaint about the Women's Health Clinic program. "These are dedicated individuals. The problem is capacity," he said. Read More
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Jennifer Guadiani MD |
The Early Nutritional, Psychological, and Medical Stabilization of Critically Ill Patients with Anorexia Nervosa
Symposium 2013, Thursday, March 21, 9:00 AM-12:00 PM
Patients with the severest forms of anorexia nervosa often receive suboptimal care from medical, nutritional, and therapeutic providers due to clinicians' lack of familiarity with the myriad comorbidities associated with profound starvation, with and without purging.
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Susan Bennett PhD |
Complicated medical problems may overshadow patients' early needs for expert nutritional and psychological engagement, and may force patients into suboptimal early treatment experiences. In this case-based workshop, we discuss our multi-disciplinary approach to even the most critically ill patients with anorexia nervosa, outlining successful strategies of tube-free early nutritional rehabilitation, psychotherapeutic approaches, and
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Debbie Andersen MS RD |
fundamentals of definitive medical stabilization.
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