Binge eating behavior among a cohort of normal weight college women.

BACKGROUND AND PURPOSE: Binge eating (BE) has been linked to the development of eating disorders and obesity, and it has been reported in college women. Few studies investigate BE by weight category. The purpose of this study was to examine BE in "normal" weight college women. METHODS: Secondary analysis of Web-based survey at a private university in the northeastern United States. RESULTS: Sample was 317 female subjects, 75.4% were White. Binge eating was reported by 99 women (31.2%); 7.6% of binge eaters were underweight, 73.5% normal weight, 15.3% overweight, and 4.1% obese. Normal weight binge eaters were more likely to purge (x = 6.830; p = .033) and overexercise (x = 15.179, p = .019). All binge eaters reported feeling sad, guilty, or distressed after eating and weight dissatisfaction. Normal weight binge eaters reported negative affect before (x = 33.187; p < .001) and after eating (x = 36.329; p < .001) more frequently than normal weight non-binge eaters. Normal weight binge eaters more often described themselves as overweight when compared with normal weight non-binge eaters (x = 9.267; p = .026). IMPLICATIONS FOR PRACTICE: Nearly one third of college women report BE, the majority are of normal weight. These women are more likely to engage in compensatory mechanisms and have distorted body image and a negative affective state with eating. Findings highlight the importance of screening for BE in college women regardless of weight.

[All the bodies of anorexia]. / Tous les corps de l'anorexie.

Anorexia is an active struggle against hunger. In this fight, the body is a real battlefield where the therapies used aim to re-establish peace. Hence the importance of an integrative 'body to body' approach between patient and caregiver.

[Anorexia and borderline personality disorder : bonds pathology]. / Anorexie mentale et trouble borderline : une pathologie du lien.

Comorbidity with a borderline personality disorder is far from rare in patients suffering from eating disorders. Clinically, this presents as chronic instability in many areas: interpersonal relationships, self-image, emotions, mood and acting out. Treatment is mainly based on a containing and reassuring therapeutic framework. A care plan may be put in place that incorporates reducing impulsive harmful, eating and self-harming behaviours. Dialectical behaviour therapy is intended in particular to prevent suicide risk in borderline personality disorder patients.

[My stomach, the monster under my bed]. / Mon ventre, ce monstre caché sous mon lit.

Care for patients with eating disorders is complex and plurimodal. Care plans need to be adapted in order to take into account the body in crisis. A series of hospital admissions combined with specific psychomotor approaches, can contribute to the patient being reappropriated with their own body.

[Treating the somatic complications of anorexia]. / Traiter les complications somatiques de l'anorexie.

Anorexia can cause serious somatic complications, linked to undernutrition or associated pathological behaviours. The care pathway drawn up by a multi-discipline team is a real therapeutic challenge. Oral nutritional supplements, enteral nutrition and parenteral nutrition are three possible forms of nutritional assistance.

Nursing Care Considerations for the Hospitalized Patient with an Eating Disorder.

Eating disorders are chronic psychiatric illnesses with significant medical complications, psychological distress, and psychiatric comorbidity. Although many patients are treated on an outpatient basis, inpatient care for the more severely ill hospitalized patient can be challenging given the severity of illness and concurrent issues requiring intervention. This article provides an overview of the clinical characteristics of eating disorders typically seen for inpatient care, focusing primarily on anorexia nervosa and bulimia nervosa, and the associated key areas for nursing assessment, diagnoses, and plan of care during hospitalization.

Anorexia y bulimia. Impacto en la sociedad red / Anorexia and bulimia: impact on network society

Las Tecnologías de la Información y de la Comunicación (TIC) tienen una influencia creciente en el modo de relacionarnos y en la configuración de la identidad personal. El fenómeno de las redes sociales en Internet emerge con fuerza y contribuye al desarrollo de nuevos espacios de comunicación que, en ocasiones, rompen con el discurso oficial que marca la evidencia científica en materia de salud. Este trabajo analiza el impacto de las TIC sobre la identidad de los nativos digitales y sobre los Trastornos en la Conducta Alimentaria (TAC). Se dedica especial atención a cómo la sociedad red condiciona la respuesta de las personas jóvenes ante enfermedades como la anorexia y la bulimia, y cómo los cuidados enfermeros deben tener en cuenta estos condicionantes para mejorar la eficacia y la calidad en la atención asistencial y en los cuidados del paciente (AU)

The Information and Communication Technologies (ICT) have an increasing influence on the way we relate and in shaping personal identity. The phenomenon of online social networking emerges strongly and contributes to the development of new spaces breaking with the official discourse that marks the scientific evidence on health. This paper analyzes the impact of ICT in relation to the identity of the digital natives and eating disorders (ED). Particular attention to how the network society determines the response of young people in situations of social tension is dedicated. To do this, provides a perspective on the concept of interaction from the analysis of the discourse on anorexia and bulimia in the network, and how to care nurses should consider these factors to improve efficiency and quality in clinical care and patient care (AU)

[Nurses and clientele with anorexia and bulimia: a case study]. / Enfermeiros e clientela com bulimia e anorexia: estudo de caso.

The research aimed to identify the interaction of nurses and clients suffering from bulimia and anorexia. We use the case study as a resource in which we collect clinical data and did interviews with eight of fourteen nurses, who have been our subject-object. According to the nurses, clients are isolated from the world living in a world without hunger and mirrors reflecting a body always above the "ideal weight", they were lonely people, personnel who have lost their shine, sending signals that could extinguish their lives at any time. In the study, was possible to identify the manner in which nurses interacted and perceived customers and, as a result, we elucidate a peculiar practice in nursing.

Enfermeiros e clientela com bulimia e anorexia: estudo de caso / Nurses and clientele with anorexia and bulimia: a case study / Enfermeros y clientela con anorexia y bulimia: estudio de caso

Investigação que objetivou identificar a interação de enfermeiros e clientes portadores de bulimia e anorexia. Utilizamos o estudo de caso como recurso, para o qual coletamos dados de prontuários e fizemos entrevistas com oito de quatorze enfermeiros, que foram nossos sujeitos-objeto. De acordo com os enfermeiros, os clientes se isolavam do mundo, vivendo num mundo sem fome e de espelhos que refletiam um corpo sempre acima do "peso ideal"; eram pessoas solitárias, que perderam o brilho pessoal, emitindo sinais de que podiam extinguir a vida deles a qualquer momento. Com o estudo, foi possível identificar a maneira pela qual os enfermeiros interagiam e percebiam os clientes e, em decorrência disso, explicitamos uma prática de cuidar peculiar na enfermagem.

The research aimed to identify the interaction of nurses and clients suffering from bulimia and anorexia. We use the case study as a resource in which we collect clinical data and did interviews with eight of fourteen nurses, who have been our subject-object. According to the nurses, clients are isolated from the world living in a world without hunger and mirrors reflecting a body always above the "ideal weight", they were lonely people, personnel who have lost their shine, sending signals that could extinguish their lives at any time. In the study, was possible to identify the manner in which nurses interacted and perceived customers and, as a result, we elucidate a peculiar practice in nursing.

Investigación, cuyo objetivo es identificar la interacción de las enfermeras y los pacientes con bulimia y anorexia. Nosotros usamos el estudio de caso como un recurso en el que se recogen datos de los registros médicos e hizo ocho entrevistas, que han sido nuestros sujetos-objeto. Según las enfermeras, los clientes están aislados del mundo que viven en un mundo sin hambre y espejos que reflejan un cuerpo siempre por encima del peso "ideal", eran gente solitaria, gente que ha perdido su brillo, el envío de señales de que podrían extinguir el sus vidas en cualquier momento. Con el estudio, fue posible identificar la manera en que las enfermeras y los clientes interactúan percibido, y como resultado, una práctica peculiar de enfermería.

Diabulimia: what it is and how to recognize it in critical care.

Critical care nurses must be able to recognize the signs of symptoms of diabulimia-a potentially life-threatening disorder. Skipping insulin is used as a means of weight control in some persons with diabetes, particularly in young women. This article focuses on the assessment, pathophysiology, critical care nursing interventions, and psychosocial initiatives of interest to critical care nurses in the care of patients with diabulimia.

Bulimia nerviosa a través de la percepción del profesional / Bulimia nervosa across the perception of the professional

Se presenta un caso de Bulimia nerviosa a través de la experiencia del enfermero referente del caso. La paciente escribe un diario con lo que come, las conductas purgativas y los pensamientos que tiene en esos momentos. En las sesiones se comentarán estos escritos. A continuación se presentan las reflexiones y comentarios del profesional de enfermería sobre el proceso, la paciente y los cambios que ésta sufre a través de los diálogos y reflexiones. En la conclusión se expone el rol de la enfermera referente en salud mental en el proceso de recuperación de esta enfermedad. Su herramienta es la palabra y el motor de la intervención el equipo multidisciplinar

In this paper, a case report of bulimia nervosa across view of nurse professional is presented. The patient keeps a diary of how often she eats and how often she purges. The patient might also write down his thoughts about food in the diary. In the sessions the patient begins talking about what she eats, her feelings and what she had written in the diary. Nurse’s reflexion about the process is comments and the patient’s changes across narrative. In the conclusion is expounded the importance of professional team and the narrative as work tool

Caring for patients who have eating disorders.

This article gives an overview of the nurse's role when caring for patients with eating disorders. While mental health nurses are more likely than general nurses to be dealing with patients with eating disorders, such disorders can influence an individual's ability to recover from other illnesses so knowledge of this area is relevant in all settings.

Os transtornos da alimentação sob a ótica dos profissionais de enfermagem / Eating disorders under the optics of nursing staff

Objetivos: identificar as representações sociais da equipe de enfermagem acerca dos transtornos da alimentação. Métodos: pesquisa qualitativa, descritiva, exploratória, na qual foram entrevistados 12 profissionais, cujos relatos foram analisados sob a ótica da representação social. Resultados: os dados foram submetidos à análise de conteúdo, da qual emergiram duas cateorias - "A construção do conhecimento" e "Campo das ações/sentimentos" que compreende temas como controle/limite, em que o sofrimento psíquico do trabalhador é mais evidente, principalmente na iminência do suicídio. Discussão: as representações sociais dos profissionais mostram-se ancoradas num discurso médico-científico, numa interface com o conhecimento prático da vivência cotidiana. Conclusão: precisamos atentar para o conteúdo afetivo-simbólico que os indivíduos imprimem nas relações e cuidar de todos os envolvidos nesse processo.

El sexo, factor relevante en los trastornos de la conducta alimentaria / Gender, a relevant factor in eating beharions disorders

Introducción. A medida que cambian las sociedades también lo hacen los hábitos alimentarios y las enfermedades relacionadas con ellos. Igualmente, la imagen del cuerpo ha presentado determinadas características en cada momento histórico. Objetivo. Desvelar a través de la revisión bibliográfica si las adolescentes, por su sexo, son más vulnerables a sufrir trastornos de comportamiento alimentario asociados a un trastorno de la imagen corporal. Material. Recopilación bibliográfica desde 1992 a 2002 en bases de datos MEDLINE, BDIE, Cuiden, Cuidatge y psquiatria.com. Resultados. La prevalencia de estos trastornos en mujeres está directamente relacionada con componentes socioculturales. Discusión. Casi todos los estudios epidemiológicos constatan que el 90-95 por ciento de los sujetos afectados de algún tipo de trastorno de la conducta alimentaria (TCA) son mujeres adolescentes. (AU)

Caring for the hospitalized patient with an eating disorder.

Effective nursing care for hospitalized patients with anorexia nervosa or bulimia nervosa is based on a comprehensive assessment, including medical and treatment history, mental status, and core eating disorder symptoms. Although most patients with an eating disorder are treated in an outpatient setting, hospitalization is appropriate for patients experiencing severe malnutrition or comorbidity or who are at increased risk for medical instability. Inpatient nursing care is directed at optimizing health status, including focused interventions directed at improving nutrition, cognition, coping, and medical stability.

An introduction to anorexia nervosa and bulimia nervosa.

Nurses may come into contact with patients who have anorexia nervosa and bulimia nervosa. The authors discuss the signs and symptoms of these illnesses and outline treatment options for patients with eating disorders.

Effective management of adolescents with anorexia and bulimia.

1. Anorexia and bulimia are common among adolescents, and both are complex, chronic disorders with high comorbidity and significant complications and mortality. 2. Eating disorders cultivate shame, denial, and lack of insight, making treatment difficult and necessitating careful development of a therapeutic alliance. 3. Treatment goals are to correct the biological and psychological sequelae, prevent or correct complications, restore normal eating patterns, reduce binging and purging, promote understanding and change in dysfunctional behaviors and attitudes, improve intrapersonal and interpersonal functioning, restore normal exercise patterns, and address comorbid psychopathology and psychological conflicts.