Eating disorders (EDs) are mental disorders characterized by altered eating habits and excessive concerns about weight and body shape. They arise mainly during adolescence and predominantly affect females. The three most common types of EDs are: •Anorexia nervosa (AN), which is characterized by restriction of food intake, significant low body weight, an intense fear of gaining weight and disturbances in body shape and weight experience; •Bulimia nervosa (BN), which is characterized by recurrent binge-eating episodes followed by behaviors that compensate for the overeating (i.e., self-induced vomiting, excessive exercise, or extreme use of laxatives, enemas or diuretics), and self-evaluation based on body shape and weight; •Binge eating disorder (BED), which is characterized by the recurrence of binge-eating episodes without the use of compensatory behaviors for weight control, and feelings of distress, embarrassment and guilt. To date, researchers and clinicians agree that a multifactorial model is the most suitable for explaining the onset and maintenance of EDs. For example, a risk factor for BED may be lower parental care, as it may trigger greater confusion and uncertainty in responding to unpleasant emotional experiences. This contributes to an impaired personality development, more severe psychopathological symptomatology, and greater difficulty in both identifying and distinguishing feelings of hunger and satiety from other emotions. Attachment styles have also been explored in patients with EDs. According to the attachment theory, attachment insecurity could disrupt the ability to identify and express emotional states and might impair affect regulation skills (i.e. emotional dysregulation). Within the two main dimensions of attachment insecurity (i.e., attachment anxiety and avoidance), higher attachment anxiety is related to greater symptom severity in patients with AN and BN. Moreover, prior studies have examined impaired emotional competences (ECs), theory of mind (ToM) and metacognition, which refer to how individuals identify, express, understand, regulate, and use their emotions or those of significant others. These skills may also explain why attachment insecurity places individuals at greater risk of EDs. Although particular personality traits (i.e. impulsivity, perfectionism, self-esteem), attachment styles, trauma, and metacognition clearly play a role in the onset and maintenance of EDs, little is known about their associations and underlying mechanisms.

Eating disorders are common psychiatric disorders, especially in adolescent and adult females. Given the significant impairment these disorders cause, patients often require intensive inpatient treatment; however the majority of outcome studies are related to outpatient treatment. The purpose of this study was to create and test a theoretical model that predict inpatient treatment outcomes for patients with eating disorders using structural equation modeling. The goal of the current study was to examine predictors of treatment outcomes in an inpatient and partial hospitalization eating disorder program. The sample consisted of a total of 140 subjects with bulimia nervosa, anorexia nervosa and eating disorders NOS. Empirically supported risk factors for the development and maintenance of eating disorders, including demographic factors, biological factors and psychological factors were included in the model. Structural equation modeling was used because it allows for the production and testing of theoretical models that can then be used in predicting and studying treatment outcomes in this population. To refine the proposed model separate linear regression analyses were conducted on both the psychological and eating disorder severity risk factors and the treatment outcome variable. Overall, psychological severity risk factors model was statistically significant. The results from this multivariate regression using eating disorder severity factors were statistically significant as well. The revised model was tested by an EFA including the variables in the model. The items converged into two factors; however they did not align according to the predicted model of Psychological Severity and Eating Disorder Severity Factors. Instead they formed the first factor termed: Mental Health Factors in ED and the second factor called Self Destructive/Impulsive Behavior. The final model showed a superior fit to the data. One important clinical implication is the effect of financial restraints and health care insurance systems on clinical treatments, as evident by the relatively large number of patients who had to leave treatment early due to financial restraints. Other findings support the need for early treatment intervention to reduce morbidity and mortality.

Body image is a subjective multidimensional construction that has an early and continuous influence on one's emotions, thoughts, and behaviors. Throughout the lifespan, the body image suffers several influences and changes, as it is a complex and contextualized construct. Body image distortion may lead to the development of an eating disorder. Eating disorders are characterized by a persistent disturbance of eating or eating-related behavior that results in altered consumptions or absorptions of food and that can significantly impair physical health or psychological functioning. This book provides an in-depth review of the prevalence of eating disorders. It also discusses several risk factors, and available treatment options for those suffering from eating disorders

**Selected for Doody's Core Titles® 2024 in Psychiatric** Gain the skills you need to provide safe and effective psychiatric nursing care! Keltner's Psychiatric Nursing, 9th Edition provides a solid foundation in the knowledge required to manage and care for patients with psychiatric disorders. It features a unique, three-pronged approach to psychotherapeutic management emphasizing the nurse's three primary tools: themselves and their relationship with patients, medications, and the therapeutic environment. New to this edition are Next Generation NCLEX® exam-style case studies to help you learn clinical judgment and prepare for success on the NCLEX. Known for its clear and friendly writing style, this text covers psychiatric nursing like no other book on the market. - UNIQUE! Practical, three-pronged approach to psychotherapeutic management includes: 1) the therapeutic nurse-patient relationship, 2) psychopharmacology, and 3) milieu management. - UNIQUE! Norm's Notes offer personal, helpful tips from Norman Keltner — an expert educator and the book's erstwhile author — in each chapter. - UNIQUE! Putting It All Together summaries are provided at the end of each psychopathology chapter. - DSM-5 information is integrated throughout the text, along with new ICNP content. - Nursing care plans highlight the nurse's role in psychiatric care, emphasizing assessment, planning, nursing diagnoses, implementation, and evaluation for specific disorders. - Case studies depict psychiatric disorders and show the development of effective nursing care strategies. - Critical thinking questions help you develop clinical reasoning skills. - Family Issues boxes highlight the issues that families must confront when a member suffers from mental illness. - Patient and Family Education boxes highlight information that the nurse should provide to patients and families. - Learning resources on the Evolve website include lecture slides, psychotropic drug monographs, and NCLEX® exam-style review questions. - NEW! Next Generation NCLEX® (NGN) examination-style case studies and NGN item types are included for five of the major mental health disorders, allowing you to apply clinical judgment skills. - NEW! Updated Clinical Examples discuss real-world situations relating to mental health. - NEW! COVID-19 resources and research includes information relevant to psychiatric nursing care. - NEW! International Classification for Nursing Practice (ICNP) nursing diagnoses, from the International Council of Nurses, include straightforward, evidence-based terminology that is easily translatable across settings and disciplines.

“Drs. Smolak and Levine are to be congratulated for this timely, comprehensive two-volume Handbook. The list of contributors is impressive, the breadth of topics covered is exhaustive, and the overall organization is superb.” James E. Mitchell, MD, Christoferson Professor and Chair of Psychiatry and Behavioral Science, University of North Dakota School of Medicine and Health Sciences, President and Scientific Director, The Neuropsychiatric Research Institute “Unquestionably, the most comprehensive overview of eating disorders in the history of the field, edited by two of its most respected scholars. Drs. Smolak and Levine have recruited distinguished clinicians and researchers to review every aspect of these illnesses from prevention to treatment. This Handbook should be required reading for any professional that wants to work in this field.” Craig Johnson, PhD, FAED, Chief Science Officer, Eating Recovery Center, Clinical Professor of Psychiatry, University of Oklahoma College of Medicine “Eating disorders are serious public health problems. This comprehensive book on eating disorders is edited by two of the pioneers in the field, Drs. Linda Smolak and Michael Levine. Their work on topics such as eating disorders prevention, media and eating disorders, and the objectification of women have greatly informed our knowledge base and current practices. In this outstanding volume, Smolak and Levine pull together many of the leaders within the field of eating disorders. I strongly recommend this book to anyone with an interest in the etiology, consequences, prevention, or treatment of eating disorders.” Dianne Neumark-Sztainer, PhD, Professor, School of Public Health, University of Minnesota Author, “I’m, Like, So Fat!” Helping Your Teen Make Healthy Choices about Eating and Exercise in a Weight-Obsessed World “Renowned scholars Smolak and Levine have assembled the best scientists and clinicians to educate us about the major advances and important questions in the field of eating disorders. This comprehensive Handbook is a must-have, rich, and accessible resource.” Thomas F. Cash, PhD, Professor Emeritus of Psychology, Old Dominion University This groundbreaking two-volume Handbook, edited by two of the leading authorities on body image and eating disorders research, provides evidence-based analysis of the causes, treatment, and prevention of eating disorders. The Wiley Handbook of Eating Disorders features the most comprehensive and up-to-date collection of eating disorders research ever assembled, including contributions from an international group of scholars from a range of disciplines, as well as coverage of DSM-5. The Handbook includes chapters on history, etiological factors, diagnosis, assessment, treatment, prevention, social policy, and advocacy. Boldly tackling controversies and previously unanswered questions in the field, and including suggestions for further research at the conclusion of every chapter, The Wiley Handbook of Eating Disorders will be an essential resource for students, scholars, and clinicians invested in improving the treatment and prevention of eating disorders.

The period of adolescence involves growth, adaptation, and dramatic reorganization in almost every aspect of social and psychological development. The Encyclopedia of Adolescence, Three Volume Set offers an exhaustive and comprehensive review of current theory and research findings pertaining to this critical decade of life. Leading scientists offer accessible and easily readable reviews of biological, social, educational, occupational, and cultural factors that shape adolescent development. Issues in normative development, individual differences, and psychopathology/maladjustment are reviewed. Over 130 chapters are included, each covering a specific aspect or issue of adolescence. The chapters trace differences in the course of adolescence in different nations and among youth with different backgrounds.The encyclopedia brings together cross-disciplinary contributors, including academic researchers, biologists, psychiatrists, sociologists, anthropologists and public policy experts, and will include authors from around the world. Each article features an in-depth analysis of current information on the topic, along with a glossary, suggested readings for further information, and cross-references to related encyclopedia articles. The volumes offer an unprecedented resource for all audiences, providing a more comprehensive understanding of general topics compared to other reference works on the subject.Available both in print and online via SciVerse Science Direct. Winner of the 2011 PROSE Award for Multivolume Reference in Humanities & Social Science from the Association of American Publishers; and named a 2012 Outstanding Academic Title by the American Library Association's Choice publication Brings together cross-disciplinary contributors, including developmental psychologists, educational psychologists, clinical psychologists, biologists, psychiatrists, sociologists, anthropologists and public policy experts Published both in print and via Elsevier's ScienceDirectTM online platform

Understanding Teen Eating Disorders introduces readers to common teen eating disorder scenarios, their warning signs, and treatment options. Each chapter examines a teen or tween and brings the factors, whether they be environmental, genetic, co-existing conditions, etc. that contribute to his or her eating disorder, to life, while seamlessly integrating the latest research in gene inheritance, brain chemistry, and eating disorders in accessible, reader-friendly language. Each chapter provides treatment options, including outpatient, group therapy, and in-patient programs, for both the young person and the family. Each also ends with a Q & A section that reflects the concerns a parent, loved one, or treatment professional may have.