Information about the types of eating disorders, some reasons why the military community are at risk, warning signs and how to get help. The Missouri Eating Disorders Council (MOEDC) created this document so support service members, veterans and their families.
The data collection is an interim aggregate data collection which will run until data of sufficient quality are available from the Mental Health Services dataset (MHSDS). The dataset has been approved by the data control board to run until the MHSDS is considered to be of sufficient completeness and quality.
The Strategic Data Collection Service (SDCS) collection for Children and Young People with Eating Disorders (CYP ED) will be retired at the end of the 2022-23 reporting period. Information for activity for 2022-23 quarter 3 (October-December 2022) and quarter 4 (January – March 2023) will continue to be collected via SDCS. Following the completion of the quarter 4 collection (final submission date will be mid-April 2023) and publication the SDCS collection will be retired. The CYP ED access and waiting time standard will be monitored using the MHSDS data only from 2023-24 onwards. Services wholly or partly funded by the NHS (including the private and voluntary sector) are contractually bound to record accurate data on their services under the NHS Standard Contract.
Official statistics are produced impartially and free from political influence.
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Eating disorders (EDs) are characterized by disturbances in eating behavior and occur worldwide, with a lifetime prevalence of 2 to 5%. Their etiology is complex and multifactorial, involving a complex interplay between genetic, biological, psychological, sociocultural, and environmental factors. They are more common among females than males and may be associated with medical and psychiatric complications, impaired functioning, and decreased quality of life. This narrative review aims at providing an updated contribution to the current understanding of gender differences in eating disorders (EDs) focusing on male population to foster more targeted and effective clinical interventions. A comprehensive review of the scientific literature was conducted by analyzing several major databases, including PubMed, PsycINFO, and Google Scholar. Only in recent years, there has been increased attention on the male population, revealing multiple differences between genders in terms of prevalence, onset, phenomenology, diagnosis, comorbidities, and outcomes of EDs. Moreover, the relationship between different sexual orientations and/or gender identities and EDs is an emerging field of study. Data suggest an increase in eating disorders (EDs) also among the male population underlines the importance that healthcare personnel of all specialties acquire basic competencies for adequately tackling these disorders in a gender perspective. In particular, prevention and early intervention, especially during critical developmental periods like puberty and adolescence, are crucial to avoid permanent damage. Future research and public health initiatives involving schools and families and targeting males should be addressed to promote a healthy relationship with food and body image, reduce stigma, and encourage people to seek help when needed.
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Eating disorders (EDs) are a complex group of psychiatric conditions that involve dysfunctional eating patterns, nutritional alterations, and other comorbid psychopathologies. Some women with EDs may develop problematic internet use while they attempt to get information on dieting/weight control or get online support from people with similar problems. They may also drift toward tobacco smoking as a method to regulate their weight or to cope with their weight-related dysphoria. The occurrence of these conditions in EDs may prolong disease course and impede recovery. This study used structural equation modeling to investigate nutritional status (noted by body mass index, BMI), depression psychopathology, internet addiction (depicted by the Internet Addiction Test), Facebook addiction (depicted by the Bergen Facebook Addiction Scale), and smoking among 123 Spanish women diagnosed with EDs (mean age = 27.3 ± 10.6 years). History of hospitalization, marital status, age, and the level of education predicted BMI in certain ED groups. BMI did not predict depression, but it predicted internet addiction, Facebook addiction, and smoking in certain ED groups. Depression did not predict BMI, internet/Facebook addition, or smoking in any ED group. Some sociodemographic and clinical variables had indirect effects on depression, internet addiction, and Facebook addiction while age was the only variable expressing a direct effect on all outcome measures. Age, education, and history of prolonged treatment predicted smoking in certain ED patients. The findings signify that a considerable target for interventional strategies addressing nutritional and addictive problems in EDs would be women with high BMI, history of hospitalization, history of prolonged treatment, who are particularly young, single, and less educated. Replication studies in larger samples, which comprise various subtypes of EDs from both genders, are warranted to define the exact interaction among the addressed variables.
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Eating disorders (EDs) are a growing concern affecting millions worldwide. Early detection and treatment are crucial, but stigma can prevent people from seeking help. Primary care providers can play a critical role in early detection by coordinating care with other professionals. Understanding the research landscape on EDs, primary care, and stigma is essential for identifying knowledge gaps to direct future research and improve management. In this study, we aimed to analyze the scientific trends and patterns in research about EDs, primary care, and stigma. A bibliometric analysis was conducted using the Web of Science database to collect articles published between May 1986 and May 2023. Bibliometric indicators were utilized to examine authorship, collaboration patterns, and influential papers. Topic analysis was performed to identify stigma-related terms within the dataset. A total of 541 research articles were analyzed, and it was found that the average number of publications per year has increased linearly from nearly zero in 1986 to 41 in 2022. One of the study’s main findings is that despite this linear increase over the years, the subject of stigma did not take a prominent place in the literature. Only a few stigma concepts could be identified with the topic analysis. The authors in the field are also interested in; screening, neurotic symptoms, training, adolescent, obesity-related conditions, and family. One-third of all publications were from 15 journals. However, only two of them were primary healthcare journals. Leading authors’ collaborations were another critical finding from the network analysis. This may help to expand primary care related EDs research to end the mental health stigma. This study provides insights into the research trends and patterns regarding eating disorders, primary care, and stigma. Our findings highlight the need to address primary care’s impact and stigma on EDs. The identified research gaps can guide future studies to improve the prevention, diagnosis, and treatment of eating disorders in primary care settings.
Eating disorders significantly impact the quality of life of the persons they affect, as well as their involvement in school bullying. People with bulimia and binge-eating disorders are known to be more likely to be victims of bullying; however, studies provide mixed evidence on the connection between bullying and anorexia. Therefore, in this paper, we suggest an explanation for the bullying victimization of people with anorexia. Our theoretical framework is based on psychoanalytical research on eating disorders, and we illustrate our arguments with the results of biographical interviews with 50 girls who have been diagnosed with anorexia. We show that a hostile family environment may influence the girls’ proneness to fall victim to school bullying. Therefore, school staff hoping to address the involvement of girls with anorexia in bullying should be aware of the role that family members play in bullying victimization and tailor interventions accordingly.
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The HealthLink BC Mental Health and Substance Use (MHSU) data set includes the following: Programs that offer early intervention, transitional care or other services that supplement and facilitate primary and adjunctive therapies; which offer community mental health education programs; or which link people who are in need of treatment with appropriate providers. Programs that provide preventive, diagnostic and treatment services in a variety of community and hospital-based settings to help people achieve, maintain and enhance a state of emotional well-being, personal empowerment and the skills to cope with everyday demands without excessive stress or reliance on alcohol or other drugs. Treatment may include emotional support, introspection and problem-solving assistance using a variety of modalities and approaches, and medication, as needed, for individuals who have a substance use disorder involving alcohol and/or other drugs or for people who range from experiencing difficult life transitions or problems in coping with daily living to those with severe, chronic mental illnesses that seriously impact their lives. Multidisciplinary programs, often offered on an inpatient basis with post-discharge outpatient therapy, that provide comprehensive diagnostic and treatment services for individuals who have anorexia nervosa, binge-eating disorder, bulimia or a related eating disorder. Treatment depends on the specific type of eating disorder involved but typically involves psychotherapy, nutrition education, family counseling, medication and hospitalization, if required, to stabilize the patient's health. Alliance of Information & Referral Systems (AIRS) / 211 LA County taxonomy is the data classification used for all HealthLink BC directory data, including this MHSU data set (https://www.airs.org/i4a/pages/index.cfm?pageid=1). AIRS taxonomy and data definitions are protected by Copyright by Information and Referral Federal of Los Angeles County, Inc (https://211taxonomy.org/subscriptions/#agreement)
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IntroductionMany people with eating disorders report having experienced childhood maltreatment or a traumatic event prior to developing an eating disorder. Although many people with eating disorders eating disorders have significant traumatic exposure or symptoms of post-traumatic stress disorder, very little research has examined the effects of combined combined treatments for this group. The purpose of this systematic review was to synthesize all existing research on biological treatments for those with eating disorders and psychological trauma, evaluate their safety, and identify future areas of research research in this area to support to support patients with eating disorders and psychological trauma.MethodA multi-step literature search, according to an a priori protocol was performed on PubMed, Embase, APA PsycINFO, Web of Science, Scopus and Cochrane Central. Studies needed to include a biological intervention and report on at least one eating disorder or psychological trauma outcome. Given the limited research in this area, minimal exclusion criteria were applied. A quality assessment of all included studies was completed using the Risk of Bias in Non-Randomized Studies-or Interventions (ROBINS-I) tool.ResultsAfter removing duplicates, 2623 article titles and abstracts were screened, with 43 articles selected for a full-text review. Following the full-text review, 11 articles met the inclusion criteria. The biological treatments examined included repurposed medications (n = 3), ketamine (n = 2), repetitive transcranial magnetic stimulation (rTMS; n = 2), deep brain stimulation (n =1) electroconvulsive therapy (ECT; n = 1), 3,4-methylenedioxymethamphetamine (MDMA; n = 1), and neurofeedback (n = 1). All studies reported on some improvement in either eating disorder or trauma pathology, with the strongest effect for repetitive transcranial magnetic stimulation and MDMA. While some effects were promising, missing data and selective reporting limited the interpretability of the findings. Adverse events across interventions were common.ConclusionAlthough psychological trauma is common in those with eating disorders, very few treatments have been evaluated in this population. Future work should aim to investigate biological treatments for those with co-occurring eating disorders and psychological trauma, as these evolving treatments show potential benefits for this complex group.
The HealthLink BC Mental Health and Substance Use (MHSU) data set includes the following: Programs that offer early intervention, transitional care or other services that supplement and facilitate primary and adjunctive therapies; which offer community mental health education programs; or which link people who are in need of treatment with appropriate providers. Programs that provide preventive, diagnostic and treatment services in a variety of community and hospital-based settings to help people achieve, maintain and enhance a state of emotional well-being, personal empowerment and the skills to cope with everyday demands without excessive stress or reliance on alcohol or other drugs. Treatment may include emotional support, introspection and problem-solving assistance using a variety of modalities and approaches, and medication, as needed, for individuals who have a substance use disorder involving alcohol and/or other drugs or for people who range from experiencing difficult life transitions or problems in coping with daily living to those with severe, chronic mental illnesses that seriously impact their lives. Multidisciplinary programs, often offered on an inpatient basis with post-discharge outpatient therapy, that provide comprehensive diagnostic and treatment services for individuals who have anorexia nervosa, binge-eating disorder, bulimia or a related eating disorder. Treatment depends on the specific type of eating disorder involved but typically involves psychotherapy, nutrition education, family counseling, medication and hospitalization, if required, to stabilize the patient's health. Alliance of Information & Referral Systems (AIRS) / 211 LA County taxonomy is the data classification used for all HealthLink BC directory data, including this MHSU data set (https://www.airs.org/i4a/pages/index.cfm?pageid=1). AIRS taxonomy and data definitions are protected by Copyright by Information and Referral Federal of Los Angeles County, Inc (https://211taxonomy.org/subscriptions/#agreement)
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Recent studies have reported altered methylation levels at disorder-relevant DNA sites in people who are ill with Anorexia Nervosa (AN) compared to findings in people with no eating disorder (ED) or in whom AN has remitted. The preceding implies state-related influences upon gene expression in people with AN. This study further examined this notion. We measured genome-wide DNA methylation in 145 women with active AN, 49 showing stable one-year remission of AN, and 64 with no ED. Comparisons revealed 205 differentially methylated sites between active and no ED groups, and 162 differentially methylated sites between active and remitted groups (Q
Abstract copyright UK Data Service and data collection copyright owner.The Surveys of Psychiatric Morbidity in Great Britain aim to provide up-to-date information about the prevalence of psychiatric problems among people in Great Britain, as well as their associated social disabilities and use of services. The series began in 1993, and so far consists of the following surveys:OPCS Surveys of Psychiatric Morbidity: Private Household Survey, 1993, covering 10,000 adults aged 16-64 years living in private households;a supplementary sample of 350 people aged 16-64 with psychosis, living in private households, which was conducted in 1993-1994 and then repeated in 2000;OPCS Surveys of Psychiatric Morbidity: Institutions Sample, 1994, which covered 1,200 people aged 16-64 years living in institutions specifically catering for people with mental illness;OPCS Survey of Psychiatric Morbidity among Homeless People, 1994, which covered 1,100 homeless people aged 16-64 living in hostels for the homeless or similar institutions. The sample also included 'rough sleepers';ONS Survey of Psychiatric Morbidity among Prisoners in England and Wales, 1997;Mental Health of Children and Adolescents in Great Britain, 1999;Psychiatric Morbidity among Adults Living in Private Households, 2000, which repeated the 1993 survey;Mental Health of Young People Looked After by Local Authorities in Great Britain, 2001-2002;Mental Health of Children and Young People in Great Britain, 2004; this survey repeated the 1999 surveyAdult Psychiatric Morbidity Survey, 2007; this survey repeated the 2000 private households survey. The Information Centre for Health and Social Care took over management of the survey in 2007.Adult Psychiatric Morbidity Survey, 2014: Special Licence Access; this survey repeated the 2000 and 2007 surveys. NHS Digital are now responsible for the surveys, which are now sometimes also referred to as the 'National Survey of Mental Health and Wellbeing'. Users should note that from 2014, the APMS is subject to more restrictive Special Licence Access conditions, due to the sensitive nature of the information gathered from respondents.Mental Health of Children and Young People in England, 2017: Special Licence; this survey repeated the 1999 and 2004 surveys, but only covering England. Users should note that this study is subject to more restrictive Special Licence Access conditions, due to the sensitive nature of the information gathered from respondents.The UK Data Service holds data from all the surveys mentioned above apart from the 1993-1994/2000 supplementary samples of people with psychosis. The main aims of the Mental Health of Children and Young People in Great Britain, 2004 survey were:to examine whether there were any changes between 1999 and 2004 in the prevalence of the three main categories of mental disorder: conduct disorders, emotional disorders and hyperkinetic disordersto describe the characteristics and behaviour patterns of children in each main disorder category and subgroups within those categoriesto look in more detail at children with autistic spectrum disorderto examine the relationship between mental disorder and aspects of children’s lives not covered in the previous survey, for example, medication, absence from school, empathy and social capitalto collect baseline information to enable identification of the protective and risk factors associated with the main categories of disorder and the precursors of personality disorder through future follow-up surveys Main Topics: The data file contains:a subset of information collected in the previous 1999 survey on 10,438 children aged 5-15; these variables included those which were repeated in comparable form in 2004. The full 1999 dataset has also been deposited at UKDA (see 'Abstract' section above)the full data collected in the 2004 survey on 7,977 children aged 5-16any potentially disclosive variables have been removedInformation was provided for the survey from up to three sources: the primary care giver, the child/young person (aged 11-15/16 years) and the child/young person’s teacher (nominated by child/parent). Topics covered in the 2004 survey included: housing, general health, strengths and difficulties, friendship, development, separation anxiety, social and specific phobias, panic attacks and agoraphobia, post-traumatic stress disorder, compulsions and obsessions, generalised anxiety, depression, self-harm, attention and activity, awkward and troublesome behaviours, eating disorders, tics, personality issues, stress and life events, school exclusions. Some data were gathered by self-completion, for example drink and drug use (from child/young person) and parent's/parents' education, employment, income, strengths and difficulties (parent). Clinical raters reviewed the survey data from all sources and then assigned International Classification of Diseases (ICD_10) ratings as necessary (see the documentation for a full description of the methodology). The file also contains derived variables (specifications provided). Standard Measures:General Health Questionnaire (GHQ) (Goldberg and Williams, 1988)Development and Well-Being Assessment Strengths and Difficulties Questionnaire (DAWBA) (Goodman, 1997 and 1998)General Functioning Scale of the MacMaster Family Activity Device (FAD) Multi-stage stratified random sample The sample was selected from Child Benefit records (see documentation for further details) Face-to-face interview Postal survey Self-completion Parents/carers were interviewed face-to-face, children/young persons completed the self-completion questionnaire, and teachers were surveyed by post. 2004 ACCIDENTS ADOLESCENCE AGE AGGRESSIVENESS ALCOHOL USE ALCOHOLIC DRINKS ALCOHOLISM AMPHETAMINES ANABOLIC STEROIDS ANGER ANXIETY ANXIETY DISORDERS ASSAULT ATTITUDES AUTISM SPECTRUM DIS... BEHAVIOURAL DISORDERS BEREAVEMENT BUILDING MAINTENANCE BULLYING CANNABIS CARE IN THE COMMUNITY CARE OF DEPENDANTS CHILDREN CHRONIC ILLNESS COCAINE COGNITION DISORDERS COHABITATION CONCENTRATION COUNSELLING COUNSELLORS CRIME AND SECURITY CRIME VICTIMS Children DAY CARE DEBILITATIVE ILLNESS DECISION MAKING DEPRESSION DIGESTIVE SYSTEM DI... DISABILITIES DISABLED FACILITIES DISEASES DOMESTIC VIOLENCE DRUG ABUSE DRUG ADDICTION DRUG PSYCHOTHERAPY ... DRUG SIDE EFFECTS DRUG USE ECONOMIC ACTIVITY ECSTASY DRUG EDUCATIONAL BACKGROUND EDUCATIONAL COURSES EMOTIONAL DISTURBANCES EMOTIONAL STATES EMPLOYEES EMPLOYMENT EMPLOYMENT HISTORY EMPLOYMENT PROGRAMMES ETHNIC GROUPS EVERYDAY LIFE FAMILY ENVIRONMENT FAMILY MEMBERS FATIGUE PHYSIOLOGY FEAR FINANCE FINANCIAL RESOURCES FOOD AND NUTRITION FRIENDS FULL TIME EMPLOYMENT FURNISHED ACCOMMODA... GENDER GENERAL PRACTITIONERS Great Britain HAPPINESS HEADS OF HOUSEHOLD HEALTH HEALTH CONSULTATIONS HEALTH SERVICES HEROIN HOME OWNERSHIP HOME SHARING HOME VISITS HOMELESSNESS HOSPITAL DISCHARGES HOSPITAL OUTPATIENT... HOSPITAL SERVICES HOSPITALIZATION HOURS OF WORK HOUSEHOLD BUDGETS HOUSEHOLDS HOUSEWORK HOUSING HOUSING TENURE Health Health care service... INCOME INDUSTRIES INJURIES INTERPERSONAL CONFLICT INTERPERSONAL RELAT... JOB HUNTING LANDLORDS LEAVE LEISURE TIME ACTIVI... LONELINESS MARITAL STATUS MARRIAGE DISSOLUTION MEDICAL CARE MEDICAL DIAGNOSIS MEDICAL PRESCRIPTIONS MEDICINAL DRUGS MEMORY MEMORY DISORDERS MENTAL DISORDERS MENTAL HEALTH MORAL CONCEPTS MORBIDITY MOTOR PROCESSES MUSCULOSKELETAL SYSTEM Morbidity and morta... NERVOUS SYSTEM DISE... NEUROTIC DISORDERS NURSES OBSESSIVE COMPULSIV... OCCUPATIONAL THERAPY OCCUPATIONS PAIN PART TIME EMPLOYMENT PATIENTS PERSONAL HYGIENE PHOBIAS PHYSICIANS PREDOMINANT LANGUAGES PSYCHIATRISTS PSYCHOLOGICAL EFFECTS PSYCHOLOGISTS PSYCHOTHERAPY PSYCHOTIC DISORDERS QUALIFICATIONS READING ACTIVITY REFORMATORY SCHOOLS RENTED ACCOMMODATION RESIDENTIAL CHILD CARE RURAL AREAS SCHOOL PUNISHMENTS SCHOOLS SELF EMPLOYED SELF ESTEEM SENSORY IMPAIRMENTS SEXUAL BEHAVIOUR SHELTERED EMPLOYMENT SICK LEAVE SLEEP SLEEP DISORDERS SMOKING SMOKING CESSATION SOCIAL HOUSING SOCIAL INTEGRATION SOCIAL NETWORKS SOCIAL PARTICIPATION SOCIAL SUPPORT SOLVENT ABUSE SORROW STRESS PSYCHOLOGICAL SUICIDE SUPERVISORY STATUS SYMPTOMS Specific social ser... TAX RELIEF TIED HOUSING TOBACCO TRAINING COURSES TRANQUILLIZERS TRANSPORT UNEMPLOYED UNEMPLOYMENT UNFURNISHED ACCOMMO... UNWAGED WORKERS URBAN AREAS VISITS PERSONAL WEIGHT PHYSIOLOGY YOUTH Youth
Abstract copyright UK Data Service and data collection copyright owner.The Health Survey for England (HSE) is a series of surveys designed to monitor trends in the nation's health. It was commissioned by NHS Digital and carried out by the Joint Health Surveys Unit of the National Centre for Social Research and the Department of Epidemiology and Public Health at University College London.The aims of the HSE series are:to provide annual data about the nation’s health;to estimate the proportion of people in England with specified health conditions;to estimate the prevalence of certain risk factors associated with these conditions;to examine differences between population subgroups in their likelihood of having specific conditions or risk factors;to assess the frequency with which particular combinations of risk factors are found, and which groups these combinations most commonly occur;to monitor progress towards selected health targetssince 1995, to measure the height of children at different ages, replacing the National Study of Health and Growth;since 1995, monitor the prevalence of overweight and obesity in children.The survey includes a number of core questions every year but also focuses on different health issues at each wave. Topics are revisited at appropriate intervals in order to monitor change. Further information about the series may be found on the NHS Digital Health Survey for England; health, social care and lifestyles webpage, the NatCen Social Research NatCen Health Survey for England webpage and the University College London Health and Social Surveys Research Group UCL Health Survey for England webpage. Changes to the HSE from 2015:Users should note that from 2015 survey onwards, only the individual data file is available under standard End User Licence (EUL). The household data file is now only included in the Special Licence (SL) version, released from 2015 onwards. In addition, the SL individual file contains all the variables included in the HSE EUL dataset, plus others, including variables removed from the EUL version after the NHS Digital disclosure review. The SL HSE is subject to more restrictive access conditions than the EUL version (see Access information). Users are advised to obtain the EUL version to see if it meets their needs before considering an application for the SL version. HSE 2019 The HSE 2019 was the twenty-ninth year of the survey. It included additional topics on providing unpaid social care, dental health, eating disorders, use of GP and counselling services, and awareness of two mental health resources, Good Thinking and Every Mind Matters. The survey also provided updates on repeated core topics, including general health, long standing illness, smoking and drinking. Main Topics: Core topics General health Longstanding illness Smoking Average weekly alcohol consumption Drinking (heaviest day in last week) Consent to data linkage (NHS central register, HES) Socio-economic information: sex, age, income, education, employment etc Prescribed medications (nurse) Additional topics Social care receipt and provision Provision of unpaid care Dental health Use of GP and counselling services Eating disorders Measurements Height and weight Blood pressure (nurse) Waist and hip circumference (nurse) Blood sample for cholesterol, glycated haemoglobin (nurse) Saliva sample (nurse) Multi-stage stratified random sample Clinical measurements Face-to-face interview: Computer-assisted (CAPI/CAMI) Self-administered questionnaire: Computer-assisted (CASI)
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The aim of this publication is to provide information about the key differences in healthcare between people with a learning disability and those without. It contains aggregated data on key health issues for people who are recorded by their GP as having a learning disability, and comparative data about a control group who are not recorded by their GP as having a learning disability. Six new indicators were introduced in the 2022-23 reporting year for patients with and without a recorded learning disability. These relate to: • Patients with an eating disorder • Patients with both an eating disorder and autism diagnosis • Patients with a diagnosis of autism who are currently treated with antidepressants More information on these changes can be found in the Data Quality section of this publication. Data has been collected from participating practices using EMIS and Cegedim Healthcare Systems GP systems.
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Dietitians working with gender-diverse people may require different skills and knowledge than those caring for cisgender men and women, as indicated by a growing body of literature that highlights gender-diverse people's unique experiences with and relationships to nutrition and eating behaviors. To provide insight into how dietitians can best serve this population, this mini review identifies and summarizes qualitative studies that investigate gender-diverse people's lived experiences and perspectives regarding nutrition, eating disorders, and access to eating-related healthcare services. Fourteen studies examining nutrition or eating behaviors among gender-diverse samples were selected through a systematic search and screening process: 11 focused on disordered eating or eating disorders and the remaining three focused on nutritional needs, nutritional knowledge, and food insecurity. Extracted themes included: using dietary restriction to suppress secondary sex characteristics or conform to societal norms; the impact of gender-affirming care on disordered eating; negative experiences with, and beliefs about, nutrition and eating disorders healthcare services; and suggestions for clinicians. Recommendations discuss the need for increased trans literacy among clinicians, the creation of safe spaces for gender-diverse people with eating disorders, and the importance of dual competencies in eating disorders treatment and gender-affirming care.
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BackgroundRecently, elevated levels of autistic features and autism diagnoses have been reported among people with anorexia nervosa (AN). In clinical settings high levels of autistic features have been linked to more complex, highly comorbid illness presentation and poorer treatment outcome. This study aimed to examine whether autistic features predict AN symptom profile in long term.MethodsAltogether 118 women with lived experience of AN completed two autism assessments at time 1, the Autism Diagnostic Observation Schedule (ADOS) and the short version of the Autism Quotient (AQ10). Measures assessing AN symptom profile, including eating disorders symptoms, anxiety, depression, OCD symptoms, and Body Mass Index (BMI), were also recorded. The symptom profile measures were administered again 6 months and 2 years later. We conducted two analyses to examine the extent to which the ADOS and AQ10 scores predicted broad AN symptom profile at each three time points.ResultsOverall, high levels of autistic features were consistently associated with worse psychological symptoms, but not BMI, across all time points. Both the analysis using baseline ADOS scores and self-reported AQ10 scores showed similar pattern.ConclusionThe present findings consolidate previously reported associations between autistic features and worse psychological outcome among people with AN. The findings also suggest that self-report measures may be sufficient for assessing the impact of autistic features on illness outcome among people with AN. Importantly, the study highlights the need for development and further investigation of neurodiversity accommodations in the treatment of AN.
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Information about the types of eating disorders, some reasons why the military community are at risk, warning signs and how to get help. The Missouri Eating Disorders Council (MOEDC) created this document so support service members, veterans and their families.