Interdisciplinary Treatment of Functional Neurological Symptom Disorder in an Inpatient Rehabilitation Setting: A Case Report.

Inpatient rehabilitation (IR) units represent a unique opportunity to provide comprehensive, wraparound care for typically treatment resistant Functional Neurologic Symptom Disorder (FNSD) or conversion disorder. The case report presents one example of an IR program for a patient with FNSD-based cataplexia and paralysis symptoms. Orienting an FNSD-naïve staff and an operant behavioral-based treatment approach are discussed. Included are recommendations for use in an IR setting.

An integrative affect regulation process model of internalized weight bias and intuitive eating in college women.

The present study extended the weight stigma and well-being process model (Tylka et al., 2014) by examining three affect regulation pathways that may help simultaneously explain the predicted inverse association between internalized weight bias and intuitive eating. A weight-diverse sample of 333 college women completed an online survey assessing internalized weight stigma, intuitive eating, body shame, body image flexibility, and self-compassion. Self-reported height and weight were used to calculate body mass index (BMI). Non-parametric bootstrap resampling procedures were computed to ascertain the presence of the indirect effects of internalized weight bias on intuitive eating via the three hypothesized mediators controlling for BMI in a combined model. Results demonstrated that body image flexibility significantly and self-compassion marginally contributed unique variance in accounting for this relationship. Our preliminary cross-sectional findings contribute to a nascent body of scholarship seeking to provide a theoretically-driven understanding of how negative and positive forms of experiencing and relating to the body may co-occur within individuals. Results also point to potential target variables to consider incorporating in later-stage efforts to promote more adaptive ways of eating amidst internalized weight stigma.

A preliminary evaluation of BMI status in moderating changes in body composition and eating behavior in ethnically-diverse first-year college women.

The present pilot investigation explored whether BMI status at college entry moderated changes in body composition and eating behavior in a sample of 134 first-time, first-year undergraduate females (40% Black/African American). Participants had their body measurements [i.e. weight, BMI, hip and waist circumference (WC), percent body fat (PBF)] assessed and completed self-report measures of binge eating, night eating, and intuitive eating at both the beginning of the fall and the beginning of the spring semesters of their first year. Results for the 83 completers revealed that overweight/obese students (N=28) experienced greater gains in weight (p<0.05), BMI (p<0.05), and a trend towards increased WCs (p<0.06) across the first college semester relative to their underweight/normal weight peers (N=55). Night eating increased (p<0.05) and intuitive eating declined (p<0.05) over time in the full sample. Overweight/obese participants indexed greater binge eating scores (p<0.001) and lower intuitive eating scores (p<0.01) irrespective of time. Most anthropometric findings were diminished while all eating behavior estimates were retained in subsequent models adjusted for parental income. Preliminary results call attention to the need for continued elucidation of the roles of socioeconomic and regional diversity in affecting both the prevalence of overweight/obesity and the relationship between higher weight and body composition changes among first-year college women. Findings also provide tentative behavioral targets for college wellness programming that may prove useful in promoting healthy weight management while acclimating to the college environment.