The newer test underlines the importance of patients’ feelings of self-loathing, feeling abandoned or isolated.
Our core beliefs are those things that we strongly believe within ourselves, and that affect the way we view every situation and experience in life. 카지노사이트 In contrast to rational core beliefs, harmful core beliefs can lead to negative thoughts, feelings and behaviors.
For patients with EDs, core beliefs play a key role in maintaining negative cognitive, affective, and behavioral symptom. As a team of Australian authors recently pointed out, Christopher Fairburn et al. hypothesized the transdiagnostic theory of eating disorders, where low self-esteem is one key factor that maintains overvaluation of eating, shape, weight, and perfectionism (Behav Res Ther. 2003. 41:509)
The 40-question Core Beliefs Questionnaire (CBQ) assesses five dimensions important in EDs: self-loathing, unassertive/inhibited behavior, demanding or needing help and support, feeling abandoned/deprived, and having high standards for oneself. Recently, three psychologists from the University of Sydney, Australia, evaluated and revised the CBQ, in an effort to improve the original version (J Eat Disord. 2022. 10:18).
Drs. Amaani H. Hatoum, Amy L. Burton, and Maree J. Abbott designed a psychometric evaluation of 763 undergraduate psychology students (71% female; mean age 19 years), who completed a battery of questions online. The authors identified a subgroup of 384 students (82% female) who appeared to have RD symptoms based on responses from the Eating Disorder Examination Questionnaire (EDE-Q); 139 students with few reported symptoms served as a control group.바카라사이트
How does the revised questionnaire differ?
The authors found that participants in the ED-symptomatic subgroup scored significantly higher on the original 40-item ED-CBQ total scale than did those in the non-ED subgroup. Participants in the ED symptomatic subgroup also scored significantly higher than the non-ED subgroup on the self-loathing, unassertive, abandoned, and demanding subscales. However, there was no significant difference between the ED-symptomatic and non-ED subgroups on the high standards for self-scales.
The authors report that their results have validated the importance of patients’ feelings of self-loathing, feeling abandoned or isolated, believing oneself to be demanding, needing help or being unassertive or emotionally inhibited for individuals reporting clinical or subclinical ED symptoms. The results also provided evidence supporting these ED core beliefs and the presence of eating, weight, and shape concerns and restrictive eating and binge eating.
They noted that their research indicates that although such patients have high or unrelenting standards, they may also be more self-critical than others, and ultimately believe they are failing to meet these standards.
Dr. Hatoum and colleagues note that while the ED-CBQ is “a valid, reliable, and efficient way to measure core beliefs,” the revised version, ED-CBQ-R, may also prove useful in future theoretical and empirical research.”
Researchers at the Maudsley Hospital in London have reported follow-up outcomes for a group of children and teens first seen, treated, and discharged between 2009 and 2014. Their findings provide a rare and valuable look at the long-term effect of evidence-based treatment among these young patients (J Eat Disord. 2022. 22:10:14).온라인카지
Dr. Catherine S. Stewart and colleagues first identified 357 people who had been treated at their specialist ED service (Maudsley Centre for Child and Adolescent Eating Disorders). (The center treats children and adolescents with EDs for an area of Southeast London, servng a population of approximately 2.2 million persons. )
Comorbidities arose
The researchers used several questionnaires at admission and follow-up 7 years later, including the Eating Disorder Examination Questionnaire (EDE-Q), The Work and Social Adjustment Scale (WSAS), the Morgan Russell Global Criteria, the Moods and Feelings Questionnaire, and the Screen for Child Anxiety Related Disorders (SCARED). More than half (63.8%) of the young patients reported having minimal symptoms or none (26.8%).
Overall, the outcome from ED treatment was good. Only 10 (6.7%) of the final group of 149 (143 females and 6 males, 85% white and 23% black or Middle Eastern) patients reported having a current diagnosis of an eating disorder at the final follow-up.
Interestingly, at follow-up, comorbidities came into view. More than half (53%) did report having other mental health diagnoses. Interference from these diagnoses affected approximately one-third of the study participants, while slightly more than half of the participants reported minimal interference in daily life. During the follow-up period, approximately 70% had sought help for other mental health problems, mainly for anxiety or depression, and 35% had required substantial treatment. More than half reported functioning as well as their peers at work and school, and two-thirds were generally satisfied with their social well-being and quality of life.
The findings highlight the good news that young patients seen in community-based specialist eating disorders services do relatively well after discharge, as reported at long-term follow-up. Symptom and quality of life outcomes were very encouraging, but two-thirds of the young patients were seen for other comorbidities. These findings should provide encouragement, but also highlight the need to facilitate further treatment for comorbid problems.