Bipolar Clinic & Research Program (BCRP) The Bipolar Clinic & Research Program (BCRP) has three missions: we are dedicated to providing quality clinical care, conducting clinically informative research, and educating our. Mood disorder is a group of diagnoses in the Diagnostic and Statistical Manual of Mental Disorders (DSM) classification system where a disturbance in the person's mood is hypothesized to be the main underlying feature. 1,790 Eating Disorder Jobs available on Indeed.com. Mary O’Rear, the Executive Director of Mainely Girls, noticed in her work related to promoting girls’ success that she often heard stories of girls who struggled with eating disorders. She recognized that this.
Psychologists are developing promising new treatments and conducting novel research to combat eating disorders. Print version: page 46. CDC’s Division of Nutrition, Physical Activity, and Obesity works to maintain health and prevent chronic disease by promoting healthy eating and active living for Americans of all ages. We work with state and local partners. Neuropsychologist Butler Hospital Assistant Professor (Research) Department of Psychiatry and Human Behavior Brown Medical School Dr. McLaughlin received her PhD in 2006 from Suffolk University, and.
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Eating disorders: New solutions. At any given time, more than 1. Americans report symptoms of an eating disorder, such as anorexia nervosa or bulimia nervosa, according to the National Association of Eating Disorders.
Millions more struggle with binge- eating disorder. Psychologists know well the havoc these serious mental illnesses wreak on the body, including osteoporosis, gastrointestinal complications and dental problems, among other significant health problems. But fewer psychologists may know that eating disorders have become one of the nation's deadliest psychological conditions. One out of every five people with anorexia eventually die of causes related to the disorder, and it boasts one the highest suicide rates of any psychiatric condition: A 2. Archives of General Psychiatry (Vol. Although for years experts believed anorexia and bulimia were caused solely by such environmental influences as peer pressure and societal expectations, recent work has shown that many genetic and biological risk factors are at play as well. She found that the heritability of eating disorder symptoms increases during puberty, from zero risk before puberty to 5.
Psychological Medicine, Vol. Along with Florida State University psychology professor Pamela Keel, Ph. D, Klump is now using those findings to examine how natural changes in ovarian hormone levels may contribute to bulimic behaviors in twins. Preliminary analyses suggest that heritability influences disordered eating most when estrogen levels are at their highest. Klump is also involved with a study of the genetic underpinnings of anorexia conducted by University of North Carolina at Chapel Hill psychologist Cynthia Bulik, Ph. D, and other researchers from around the world.
As part of a 1. 3- country Genetic Consortium for Anorexia Nervosa, they plan to conduct the largest ever genomewide association study for the disorder, pulling together resources and DNA samples of more than 4,0. Stice examined brain activation among 3. Over a one- year follow- up period, he found that those who showed greater activation of key reward regions in the brain. Researchers compared f. MRI images from 2.
They found that the women with bulimia tended to be more impulsive during the task, responding faster and making more mistakes than healthy women. They also found that the women with bulimia did not show as much activity in brain areas involved in self- regulation and impulse control. Marsh is now studying adolescents with bulimia to determine whether these functional brain abnormalities arise early in the course of the illness, possibly predicting its development and persistence. Innovative treatments. Psychologists are also at the forefront of several innovative treatments for eating disorders that target hard- to- reach populations, such as adult women and those in rural areas. UNC's Bulik, in collaboration with researchers at the University of Pittsburgh Medical Center, is conducting a novel clinical trial to compare the efficacy and cost- effectiveness of an online cognitive behavioral therapy augmented with therapist- moderated, weekly online chat sessions with that of traditional face- to- face group therapy. The trial and follow- up will not be complete until next year, but Bulik hopes the online program proves effective so it could help those in rural areas who suffer from the disorder.
Bulik is also partnering with fellow UNC clinical psychologist Donald H. Baucom, Ph. D, to test a couples- based anorexia treatment. Building on similar cognitive- behavioral couples' interventions for depression, anxiety disorders, smoking cessation and cancer, the program guides the healthy partner in how best to assist in recovery. If the treatment is successful, the psychologists plan to conduct a multi- site trial of the intervention and develop similar programs for bulimia and binge- eating disorder among older adults. Clinical psychologist Margo Maine, Ph. D, co- founder of Maine and Weinstein Specialty Group, based in Hartford, Conn., is also working with older adult women with eating disorders.
Most of these women feel shame about their disorder, she says, thinking that they should have outgrown such . Through individual therapy, Maine helps validate their experiences as women by discussing the many cultural and societal pressures women face in terms of perfectionism and weight and shape, and she encourages her clients to learn how to take time for themselves. In 2. 00. 5, Maine co- wrote the book .
She's now working on a chapter on adult women and eating disorders for an edited anthology that explores the disparities between research and treatment of the conditions. A 2. 00. 8 Journal of Consulting and Clinical Psychology (Vol. Researchers are now testing the program's effectiveness when it's delivered by high school guidance counselors and physical education teachers.
A study led by Becker also published in JCCP (Vol. This year, the sorority Tri Delta and others will implement the program on 2. Another prevention effort is using the power of the Web.
A team of mental health professionals led by Gail Mc. Vey, Ph. D, a health systems scientist at Toronto's Hospital for Sick Children, has created a Web- based program of learning modules that promote health and help prevent eating disorders among children. A study with 7. 8 Toronto elementary school teachers and 8.
Eating Disorders, Vol. Mc. Vey is also working with obesity- prevention researchers to ensure that their programs don't unintentionally lead to eating- disorder development. They found that seven in 1. Based on these data, Kearney- Cooke has created a daylong workshop to help girls develop skills to cope with their emotions, healthy relationships with others and a positive body image to reduce their risk for developing an eating disorder.
Her approach goes against older notions that the way to boost self- esteem is pointing out each person's uniqueness, Kearney- Cooke says. Instead, she teaches girls how to take more control over their lives. Only a minority of people with an eating disorder receive treatment specifically for it. Yet, as she found in a 2. Psychological Medicine (Vol. In a series of articles in the November 2.
International Journal of Eating Disorders (Vol. S3), researchers reported that Latinos who spent more than 7.
United States had significantly higher rates of eating disorders than those who had spent more of their lives in their native countries. They also found that blacks who reported higher levels of acculturated stress were at greater risk for body image dissatisfaction and bulimia. Overall, the study authors say, minorities often do not seek treatment for eating disorders, and they warn that the standard criteria for eating- disorder diagnoses may need to be revised for these populations. Latinos, for example, often exhibit binge- eating behavior rather than restricting their food intake and often will not appear skinny despite their irregular eating patterns, says Margarita Alegria, Ph.
D, director of the Center for Multicultural Mental Health Research at Cambridge Health Alliance. One is purging disorder, in which individuals feel a sense of loss of control after eating only a small amount of food and purge, or people who purge but don't binge. Research by Florida State's Keel has found that people with the condition showed a significantly greater release of cholecystokinin, a hormone that controls feelings of fullness, than people who have bulimia (Archives of General Psychiatry, Vol.
Study participants also reported greater levels of gastrointestinal distress compared to those with bulimia and the control participants. These findings suggest the disorder may be worthy of specific delineation in the Diagnostic and Statistical Manual of Mental Disorders as a provisional category for further study, Keel notes, which . Kevin Thompson, Ph. D, who co- edited the book with graduate student Guy Cafri, reports a 7.
In a 2. 00. 8 Comprehensive Psychiatry article (Vol. Thompson and Cafri investigated the symptoms and psychiatric conditions associated with muscle dysmorphia, in which individuals. He found that those who meet the criteria for the disorder exhibited rigid adherence to dietary regimens, such as carbohydrate restriction and protein overload, in efforts to enhance their appearance of muscularity. Thompson also found that these people reported increased dissatisfaction with their appearances, as well as higher rates of mood and anxiety disorders.
However, these disorders are underdiagnosed, mainly because the men's weights may be normal and they may look healthy, unlike many women with clinically diagnosable eating disorders, Thompson says. An article in press in the International Journal of Eating Disorders suggests the questionnaire may be a reliable tool indicating eating- disorder psychopathology in males, and if widely adapted, may help in the development of male- specific treatments for eating disorders. All of these efforts may help save lives and lead to a healthier nation, says Kenyon College psychologist Michael Levine, Ph. D, an expert in eating- disorders prevention..