The Therapeutic Effect of Physical Activity in a Day-Hospital Patient With Anorexia Nervosa

Hughes, Kathryn; Woodgate, David; Halford, Sarah J.; Cowan, Mary; Himmerich, Hubertus

doi:10.24869/psyd.2019.201

Cited by 4 publications

(2 citation statements)

References 9 publications

(10 reference statements)

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“…Finally, our findings showed association between sport activity and lower both self-and body-image concerns, compulsive self-monitoring, fatigue/inertia states scores compared to sedentary ones. This might add some evidence to the suggested efficacy of sport activity in improving the mood and self-confidence in general and possibly among patients with anorexia nervosa [56].…”

Section: Discussionmentioning

confidence: 77%

Sport Activity as Risk or Protective Factor in Feeding and Eating Disorder

Iuso

Bellomo

Pagano

et al. 2019

Behavioral Sciences

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Emerging evidence suggests controversial results on the associations between sport activity and eating disorders (EDs). The aim of the present study was to investigate the relationship between sport activity in general, weight-dependent/independent sport activity particularly, and risk or protective factors in feeding and eating disorder (FED). The sample (n = 282, divided into two successive groups), included competitive athletes in the first analysis, non-competitive athletes, and sedentary peers; in the second analysis it has been divided into weight-dependent athletes, weight-independent athletes, non-competitive athletes, and sedentary peers. The participants were tested with Rosenberg Self-Esteem Scale, Profile of Mood State (POMS) questionnaire, Body Shape Questionnaire (BSQ), Eating Attitudes Test (EAT-26), and Body Uneasiness Test (BUT). The results show higher levels of self-esteem among athletes in general and particularly in weight-independent athletes (p = 0.0210). We found higher levels of image and body dissatisfaction among sedentary peers and weight-dependent athletes (0.0005 < p < 0.0015). Sedentary peers also reported higher levels of tension/anxiety, depression/dejection, confusion/bewilderment and fatigue/inertia (0.0001 < p < 0.0331). Dieting and oral control were found to be higher among weight-dependent athletes (0.0337 < p < 0.0400). The findings suggest that sedentary condition is associated with higher levels of body-image discomfort and higher level of psychological distress, whereas weight-dependent athletes may report dietary issues and bodily concerns. Sport activity should be promoted and specific trainings on diet and body-consciousness encouraged among athletes.

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Section: Discussionmentioning

confidence: 77%

Sport Activity as Risk or Protective Factor in Feeding and Eating Disorder

Iuso

Bellomo

Pagano

et al. 2019

Behavioral Sciences

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“…Its contribution can be beneficial regarding improvements to self-awareness, self-esteem and greater independence [110]. For some patients, additional physiotherapy including strength training does also seem to be beneficial [111].…”

Section: Combinations Of Occupational Therapy (Ot) and Psychological mentioning

confidence: 99%

Evidence-Based and Novel Psychological Therapies for People with Anorexia Nervosa

Carr¹,

Tchanturia²,

Dufour³

et al. 2020

Weight Management

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Anorexia nervosa (AN) is a serious and often highly persistent psychiatric disorder, whereby sufferers struggle to maintain a healthy weight. Its complexity creates challenges regarding treatment, however psychological therapy is recommended by the National Institute for Heath and Care Excellence (NICE). There are four major evidence-based psychotherapies recommended for treating adults-enhanced cognitive behavioural therapy (CBT-E), the Maudsley model of anorexia nervosa treatment for adults (MANTRA), specialist supportive clinical management (SSCM) and focal psychodynamic therapy (FPT)-and three main psychotherapies recommended for treating adolescents with anorexia-family therapy for anorexia nervosa (FT-AN), enhanced cognitive behavioural therapy (CBT-E) and adolescent focused therapy for anorexia nervosa (AFP-AN). Additionally, several novel adjunct treatments are under examination, two of which-cognitive remediation therapy (CRT) and cognitive remediation and emotion skills training (CREST)-are also discussed in this chapter. Other relevant areas regarding psychological treatment include: combinations of medication or occupational therapy and psychotherapy, treating individuals with comorbidities, the challenges of studying psychological treatment for anorexia and future directions of psychotherapies for anorexia, and are also discussed.

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Clinical Targets and Attitudes Toward Implementing Digital Health Tools for Remote Measurement in Treatment for Depression: Focus Groups With Patients and Clinicians

Angel¹,

Lewis²,

White³

et al. 2022

JMIR Ment Health

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Background Remote measurement technologies, such as smartphones and wearable devices, can improve treatment outcomes for depression through enhanced illness characterization and monitoring. However, little is known about digital outcomes that are clinically meaningful to patients and clinicians. Moreover, if these technologies are to be successfully implemented within treatment, stakeholders’ views on the barriers to and facilitators of their implementation in treatment must be considered. Objective This study aims to identify clinically meaningful targets for digital health research in depression and explore attitudes toward their implementation in psychological services. Methods A grounded theory approach was used on qualitative data from 3 focus groups of patients with a current diagnosis of depression and clinicians with >6 months of experience with delivering psychotherapy (N=22). Results Emerging themes on clinical targets fell into the following two main categories: promoters and markers of change. The former are behaviors that participants engage in to promote mental health, and the latter signal a change in mood. These themes were further subdivided into external changes (changes in behavior) or internal changes (changes in thoughts or feelings) and mapped with potential digital sensors. The following six implementation acceptability themes emerged: technology-related factors, information and data management, emotional support, cognitive support, increased self-awareness, and clinical utility. Conclusions The promoters versus markers of change differentiation have implications for a causal model of digital phenotyping in depression, which this paper presents. Internal versus external subdivisions are helpful in determining which factors are more susceptible to being measured by using active versus passive methods. The implications for implementation within psychotherapy are discussed with regard to treatment effectiveness, service provision, and patient and clinician experience.

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The Therapeutic Effect of Physical Activity in a Day-Hospital Patient With Anorexia Nervosa

Cited by 4 publications

References 9 publications

Sport Activity as Risk or Protective Factor in Feeding and Eating Disorder

Sport Activity as Risk or Protective Factor in Feeding and Eating Disorder

Evidence-Based and Novel Psychological Therapies for People with Anorexia Nervosa

Clinical Targets and Attitudes Toward Implementing Digital Health Tools for Remote Measurement in Treatment for Depression: Focus Groups With Patients and Clinicians

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