An update on the underlying risk factors of eating disorders onset during adolescence: a systematic review.

Introduction: Eating disorders (EDs) are serious psychological problems that affect not only the individual, but also their entire environment. The prevalence rates of EDs are higher among the adolescent population. A better understanding of ED risk factors is essential to design effective prevention and intervention programs that focus beyond the areas of weight and appearance. Methods: The main objective of this systematic review was to identify the risk factors of EDs and provide a comprehensive approach, analyzing the interplay between individuals, their inner circle, and the society characteristics. The Web of Science, Scopus, CENTRAL and PsycInfo databases were searched. Results: The initial search produced 8,178 references. After removing duplicates and performing the selection process by three independent reviewers, 42 articles were included in the systematic review according to the pre-specified inclusion criteria. The results suggest the relevance of society and the inner circle on the development of EDs. Discussion: The internalization of the thin ideal, promoted by the current society, and living in an unsupportive, unaffectionate, non-cohesive environment were associated with the onset of EDs symptomatology. Other associated variables with this ED indicator were poor-quality relationships and feeling judged about appearance. These aspects seem to be essential for the development of individual characteristics like self-esteem or adaptative coping during adolescence. This systematic review has shown the complex etiology of EDs and the relevance of the interplay between the different areas involved. Furthermore, this information could be relevant to improve the design of innovative and more effective prevention and intervention programs. Systematic review registration: PROSPERO, identifier CRD42022320881.

Dificultades y barreras del terapeuta en el aprendizaje de la Terapia de Aceptación y Compromiso (ACT) / Difficulties and Therapist’s Barriers while Learning ACT

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Contextual therapies are at its peak nowadays, as plenty of workshops, expertise courses, conferences on this matter are given every year around the world. Acceptance and Committment Therapy (ACT) is a contextual therapy that gathers a vast empirical evidence, and its application is currently widespread to multiple contexts. Nevertheless, when learning ACT some difficulties can arise, especially when theory and practice, as the two sides of the same coin, are set apart. Learning ACT involves the theotherical-applied dimension about the laws concerning human behavior, especially about human language. Moreover, about the conditions under which these laws applied to the processes and methods to generate psychological flexibility. While learning ACT, one of the main problems is related to learn ACT methods or tools without a basic, systematic, precise and contextualized training. An additional problem is related to the difficulties that emerge in the therapists themselves when interacting upon their clients behavior. Their actions might not to be frequently adjusted to the function of their clients’ behaviors -and, consequently, there should not be the appropriate context for helping the client to interact with his/her own private events without losing the direction of a valued-life. These latter difficulties have been named "the therapist's barriers". The present article addresses part of this problem. The experience gathered in researching and training professionals in ACT is briefly described, and some effective interventions are presented. This study advances over the need in isolating, experimentally, these ways of proceeding (AU)

Disruption of hypnotic behavior

Hypnosis has often been considered a mysterious phenomenon. In recent decades, procedures have been developed that have allowed us to explain this behavior in terms of variables of social or cognitive theories. However, previous approaches have not permitted formulating or delimiting the conditions that are responsible for following suggestions or their explanation in terms of involuntariness. For this purpose, two experiments were performed. In the first one, two hypnotic protocols were compared, the differences of which were aimed at influencing the voluntary and involuntary explanation of following suggestions and the effect of multiple exposure to both protocols. In the second experiment, four procedures to facilitate the voluntary interpretation of behavior were incorporated. The results of the first experiment yielded no statistically significant differences. However, in the second experiment, it was noted that changing the assessment questionnaire of the hypnotic experiences decreased following suggestions by 26%, and together with this, the use of explicit instructions did so by 67%. These results are discussed with regard to changes in rule-governed or instructional behavior in the so-called hypnotic phenomenon (AU)

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Intervención breve de terapia de aceptación y compromiso (ACT) en ancianos institucionalizados con sintomatología depresiva / Brief ACT protocol for nursing home residents with depressive symptomatology

Depression is widely prevalent in nursing home residents. However, this population remain unobserved and undertreated. This pilot study explored the applicability and efficacy of a brief ACT-based protocol to three elderly residents, aged 65 to 83 years, diagnosed with dysthymic disorder and recurrent depressive disorder. Measures of psychological flexibility, value-consistent behaviour and depressive symptomatology were assessed. The results suggest that this brief ACT protocol produced significant increases on value-consistent behaviour in all subjects at 5 and 12 months follow-up. Clinical significant changes were also obtained in improvements in psychological flexibility, value-consistent behaviour and depressive symptomatology scores. This preliminary brief ACT protocol shows an important impact as a therapeutic tool in nursing home residents who present recurrent depressive symptoms. Further research is discussed (AU)