We investigated a multifactorial approach to the assessment of bulimia nervosa by means of hierarchical factor analysis. Two hundred forty-five bulimia nervosa patients and 68 patients with either anorexia nervosa or eating disorders not otherwise specified were administered a self-report battery that was organized into 21 dimensions relevant to eating disorder patients. When dimensions from this battery were subjected to hierarchical factor analysis, support for bulimia nervosa as a unique diagnostic category was obtained. However, the emergence of 3 secondary factors and 6 primary factors suggests that bulimia nervosa can also be described more complexly. The emergence of a multifactorial model of bulimia nervosa that incorporates several existing undimensional models suggests the potential for both divergent and complicated clinical presentation in bulimia nervosa patients.
One hundred and eighty consecutive patients seeking treatment for eating disorders rated adjectives describing their affective states before binge eating and after purging. Patients were divided into borderline (n = 40) and nonborderline (n = 35) groups and were compared on the above dimensions. Both patient subgroups reported reductions in anxiety and fragmentation after the binge‐purge episode. The borderline subgroup, however, experienced significantly greater reductions in anxiety and a decreased level of depression, while the nonborderline subgroup reported a slight increase in their level of depression. The clinical and research implications of these findings are discussed.
Sharenting (using social media to share content about one's child) is a progressively common phenomenon enabled by society's increased connection to digital technology. Although it can encourage positive connections to others, it also creates concerns related to children's privacy and well-being. In this paper, we establish boundaries and terminology related to sharenting in an evolving digital world. We conceptualize a modern sharenting ecosystem involving key stakeholders (parents, children, community, commercial institutions, and policymakers), by applying consumer L. Lin Ong, Alexa K. Fox and Laurel Aynne Cook are equally contributed and the remaining authors are listed alphabetically.
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