Search results for ‘Subject term:"eating disorders"’ Sort:
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Information-processing correlates of reported sexual abuse in eating-disordered and comparison women
- Authors:
- WALLER Glenn, RUDDOCK Angela
- Journal article citation:
- Child Abuse and Neglect, 19(6), June 1995, pp.745-759.
- Publisher:
- Elsevier
A history of sexual abuse during childhood or adulthood is reported by a large number of eating-disordered and nonclinical women. However, the cognitive consequences of such abuse are not fully understood. A two-stage model of cognitive reaction to sexual abuse is proposed, integrating these effects with the existing literature.
Experiences of disclosure of childhood sexual abuse and psychopathology
- Authors:
- WALLER Glenn, RUDDOCK Angela
- Journal article citation:
- Child Abuse Review, 2(3), September 1993, pp.185-195.
- Publisher:
- Wiley
Reported child sexual abuse is associated with the development of anorexia and bulimia nervosa overall, but the mediating factors that determine whether such abuse is relevant in individual cases are not adequately understood. This study considers the importance of the experience of initial disclosure as a mediator in a case series of eating-disordered women. The extent of psychopathology (particularly the frequency of vomiting and the presence of the symptoms of borderline personality disorder) was associated with the nature of the perceived response to an attempted disclosure. A perceived lack of response or a negative, hostile response was associated with specific patterns of symptomatology. Further research is suggested to extend these conclusions, and the clinical implications of these findings are discussed.
Problems across care pathways in specialist adult eating disorder services
- Authors:
- WALLER Glenn, et al
- Journal article citation:
- Psychiatric Bulletin, 33(1), January 2009, pp.26-29.
- Publisher:
- Royal College of Psychiatrists
Despite considerable knowledge of outcomes for patients who complete treatment for eating disorders, less is known about earlier stages in the treatment journey. This study aimed to map the efficiency of the anticipated patient journey along care pathways. Referrals to specialist eating disorder services (n=1887) were tracked through the process of referral, assessment, treatment and discharge. The patient mortality rate was low. However, there were serious problems of attrition throughout the care pathways. Of the original referrals where a meaningful conclusion could be reached, in approximately 35% the person was never seen, only half entered treatment and only a quarter reached the end of treatment. This study demonstrates considerable inefficiency of resource utilisation. Suggestions are made for reducing this inefficiency, to allow more patients the opportunity of evidence-based care.
Child abuse dissociation and core beliefs in bulimic disorders
- Authors:
- HARTT Joanne, WALLER Glenn
- Journal article citation:
- Child Abuse and Neglect, 26(9), September 2002, pp.923-938.
- Publisher:
- Elsevier
Examines the relationship between the severity of four forms of reported child abuse (emotional abuse, neglect, physical abuse, sexual abuse) and bulimic pathology in a group of bulimic women. No dimensional relationship was found between any form of child abuse and bulimic pathology. However, neglect and sexual abuse were correlated with dissociation. Calls for further research involving larger samples.
Cognitive correlates of reported sexual abuse in eating-disordered women
- Authors:
- WALLER Glenn, RUDDOCK Angela, CURETON Sara
- Journal article citation:
- Journal of Interpersonal Violence, 10(2), June 1995, pp.176-187.
- Publisher:
- Sage
Describes an information-processing task that assesses the degree of attention bias toward words with abusive connotations. In a group of eating-disordered women, this instrument was used to demonstrate that reported sexual abuse was associated with a greater cognitive bias-related information. This attentional bias was associated with a greater level of specific self-denigratory beliefs as a result of the abuse. Treatment implications are discussed, although this information-processing measure requires wider validation.
Childhood sexual abuse and borderline personality disorder in the eating disorders
- Author:
- WALLER Glenn
- Journal article citation:
- Child Abuse and Neglect, 18(1), January 1994, pp.97-101.
- Publisher:
- Elsevier
In a patient series of 115 eating disordered women, a secondary diagnosis of borderline personality disorder was associated with a reported history of sexual abuse. The association was specifically with childhood sexual abuse, rather than with abuse later in life or with intrafamilial experiences. A model involving background features, precipitants, and immediate and long-term psychological consequences is suggested to explain this specific link to childhood abuse. The implications of this association for the treatment of anorexic and bulimic eating disorders are considered.
Childhood trauma, dissociation, and the internal eating disorder ‘voice’
- Authors:
- PUGH Matthew, WALLER Glenn, ESPOSITO Mirko
- Journal article citation:
- Child Abuse and Neglect, 86, 2018, pp.197-205.
- Publisher:
- Elsevier
Many individuals diagnosed with eating disorders describe their disorder as being represented by an internal ‘voice’. In line with cognitive models of voice-hearing, previous research has identified associations between voice appraisals and eating psychopathology in anorexia nervosa. Whether these findings generalise to other eating disorder subtypes remains unknown. The aetiology of the internal eating disorder voice also remains unclear. Traumatic-dissociative models of voice-hearing, which link such experiences to decontexualised material arising from early traumatic events, might also be relevant to eating disorder groups. To determine whether cognitive models of trauma and voice-hearing apply across eating disorder subtypes, 85 individuals fulfilling ICD-10 criteria for an eating disorder completed self-report measures regarding eating disorder cognitions, voice-related appraisals, childhood trauma, and dissociation. The relative power of the eating disorder voice was found to be positively associated with experiences of childhood emotional abuse, and this relationship was partly mediated by dissociation. In addition, eating disorder voices appraised as powerful and benevolent predicted more negative attitudes towards eating across diagnostic groups, but were unrelated to disordered eating behaviours or weight. These findings suggest that the eating disorder voice plays a meaningful role in eating pathology across diagnoses and that this experience might be related, in part, to experiences of childhood maltreatment. Therapeutic implications are discussed. (Publisher abstract)
The relationship between parental bonding and core beliefs in anorexic and bulimic women
- Authors:
- LEUNG Newman, THOMAS Glyn, WALLER Glenn
- Journal article citation:
- British Journal of Clinical Psychology, 39(2), 2000, pp.205-213.
- Publisher:
- Wiley
This study considers whether perceived parental bonding might explain the development of such beliefs in eating disordered women. The results showed that there were significant differences in perceived parental bonding behaviour across groups. The association between parental bonding and core beliefs were much stronger in the anorexic group than that in either the bulimic or the control group.