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EDRS 2012
48
CBT, the purpose of this project (PlayMancer) was to design
a serious videogame that may help to treat these factors, by
combining emotional expression and physiological reactivity.
Goals:
The purpose of the study was to analyze the effec-
tiveness of using an additional neurocognitive strategy (in
combination with usual CBT therapy), when compared with
a comparison group of patients, where no additional strate-
gy was supplied.
Method and assessment:
A prospective
longitudinal cohort study (patients and controls), was used.
Forty Bulimia Nervosa-Binge eating disorder patients, diag-
nosed according to the DSM-IV criteria, have participated
in this study. All cases have been assigned consecutively to
two conditions: CBT+ weekly videogame vs. CBT without
videogame. The CBT program was composed of 10 weekly
outpatient sessions. Besides of psychometric scales (EDI-
2, SCL90R, BIS-11 and STAXI), administered previous to
treatment and at the end of treatment, intersession secondary
outcome measures (e.g. average physiological reactivity,
emotion expressed) have also been used.
Results and
Conclusions:
In both groups, significant differences among
phases (A-B-A) were observed in all physiological measures
(p<.005). Along the videogame, ED showed higher respira-
tion rates (p<.028) and lower HR variation (p<.018). Differ-
ences among the groups were found along the videogame
on emotional expression (e.g. anger). When compared with
controls, patient using the videogame showed lower impulsiv-
ity and more adequate emotional regulation.
Acknowledge-
ment:
Supported by the FP7-ICT-215839-2007 and ISCIII
(FIS11/210; CIBERObn and FIS PI081573).
F25
9-MONTH FOLLOW-UP OF A RCT ON AN INTER-
NET-BASED CBT RELAPSE PREVENTION PROGRAM
Manfred M. Fichter
1, 2
, Norbert Quadflieg
2
, Bernhard Osen
3
1
Schön Klinik Roseneck, Prien, Germany,
2
Klinik für Psychi-
atrie und Psychotherapie der Universität München, München,
Germany,
3
Schön Klinik Bad Bramstedt, Bad Bramstedt,
Germany
Aim: AN is the severest eating disorder of all. This is the
first RCT on internet-based relapse prevention in AN com-
paring an internet-based 9-month CBT relapse prevention
program (RPP) to treatment as usual (TAU) with a 9-month
follow-up.
Method:
258 AN patients were randomized into
one of the two conditions at the end of inpatient treatment. It
was expected that RPP is more effective than TAU. Expert
interviews (SIAB-EX, PSR, SCID-I, Morgan Russell Scale)
as well as self-ratings (SIAB-S, EDI-II, BSI) were used.
Results:
Fresh new unpublished data on the intervention
effects including the 9-month follow-up will be available for
the first time at the EDRS congress 2012. Acceptance of
RPP was high. Those who completed all 9 sessions over 9
months (compared to TAU) showed much better outcome at
the end of intervention and at 9-month follow-up. Both groups
showed further improvement during the 9-month follow-up
period. Data over time until 9-month follow-up for BMI, eating
disordered attitudes and general psychopathology will be
presented.
Conclusion:
Internet-based relapse prevention
supplemented by limited professional guidance to ensure
compliance can successfully reduce the relapse rate for AN.
F26
A PILOT STUDY TO EXAMINE THE ROLE OF ACUPUNC-
TURE TO RESTORE WEIGHT, IMPROVE EATING BE-
HAVIOURS AND REDUCE ANXIETY AND DEPRESSION
Sarah L Fogarty
1
, Caroline A Smith
1
, Stephen Touyz
2
, Sloane
Madden
3
, Geoff Buckett
4
, Phillipa Hay
1
1
University of Western Sydney, Campbelltown, Australia,
2
University of Sydney, Sydney, Australia,
3
Childrens Hos-
pital Westmead , Westmead, Australia,
4
The Hills Hospital,
Baulkham Hills, Australia
Introduction
Use of complementary therapies is high among
individuals diagnosed with mental health conditions. A survey
found psychological problems were the second most common
reason for people using acupuncture. This pilot study exam-
ined if acupuncture compared to an active control in individu-
als with anorexia nervosa would increase weight restoration
and improve mental health outcomes.
Method
A randomised
controlled trial was conducted at a private hospital in Aus-
tralia. Patients aged >15 years with a diagnosis of anorexia
nervosa and were medically stable were randomized to a
six week intervention of acupuncture or massage. In-depth
interviews were conducted with participants to examine their
experience of the intervention.
Results
26 participants were
randomised to the trial. Significant improvements in the ED-
QoL, depression, anxiety, BMI, and global EDE-Q were found
at six weeks for all subjects. There was a significant change
in the EDI 3-P scores for acupuncture (1.0 SD 2.0) compared
with massage (-3.0 SD 4.2) (p=0.01). Comparisons within
group over time found significant improvement on the total
EDQoL, depression, anxiety, EDE shape, EDI 3 PA, MF and
BMI scores for acupuncture. Massage scores improved for
EDQoL cognitive, stress, EDE restraint, eating concern and
shape. A thematic analysis of 15 interviews supported both
interventions as acceptable with perceived benefits.
Conclu-
sion
Preliminary results suggest that acupuncture may be an
effective adjunct treatment.
F27
COVER IMAGES AND CONTENT IN
LATINA
MAGAZINE:
INCREASE IN CURVES AND BODY ACCEPTANCE
Debra L Franko
1
, Rachel F Rodgers
1,2
, Meghan E Lovering
1
,
Caroline Fernandes
1
, Alyssa Alfieri
1
, Emilie Coen
1
, James P
Roehrig
1
, Heather Thompson-Brenner
3
1
Northeastern University, Boston, MA, USA,
2
CERPP, Univer-
sité Toulouse-2 Le Mirail , Toulouse, France,
3
Boston Univer-
sity, Boston, MA, USA
Introduction:
Studies indicate that Latina women experience
substantial body dissatisfaction, but risk factors have not
been well studied. Magazine images represent a powerful
vehicle for disseminating messages about body image to
young women. The aim of this study was to examine the
cover-figures and tables of contents from
Latina
, a magazine
targeting the Latino/a community in the U.S., from 1996 to
2012.
Methods:
Partial and full body shots on covers were
coded using a 9-point Figure Rating Scale (1 = severely
underweight and 9 = obese). For categorical analysis, ratings
were collapsed to ≤ 2 =underweight, ratings between 3 and 4
= normal weight, and ≥ 5 as overweight. Articles in the table
of contents were coded for body modification or acceptance
content.
Results:
Of the 165 covers, n = 61 (37%) were
partial body, and n = 78 (47%) were full-body images. The
majority of cover images were rated as normal weight (68%)
or underweight (26%); however, recent years were found to
include curvier women on the covers, (1996-2001 relative to
2007-2012,
p
<.042). Analyses over time yielded a trend to-
wards full body shots on covers. An examination of the table
of contents revealed a significant time trend towards more
articles focused on body acceptance (
p
<.001) and fewer on
body modification (
p
<.017).
Conclusions:
These findings
suggest that
Latina
magazine may be encouraging greater
diversity of body shape and size both through content and
cover images in recent years
F28
Age at onset is a better predictor of outcome than age at
intake in adults diagnosed with anorexia nervosa
Maria J Frisch
1
, Scott J Crow
2
, Carol B Peterson
2
, Jillian K
Lampert
3
, Diann M Ackard
4
1
Park Nicollet Melrose Institute, St. Louis Park, MN, USA,
2
University of Minnesota Department of Psychiatry, Minne-
apolis, MN, USA,
3
The Emily Program, St. Paul, MN, USA,
4
Private Practice, Golden Valley, MN, USA
PURPOSE: A chart review of all female inpatient admis-
sions to an eating disorder treatment center from 1992-2012
(n=3,572) revealed a substantial increase of 301% in adults
(≥30) presenting for anorexia nervosa (AN) treatment, leading
us to conduct two studies examining attributes of adults with
AN by age. METHODS: In Study 1, 3 groups (adults ≥30 yrs,
n=9; young adults 19-29 yrs, n=38; and youth 11-18, n=62)
were compared based on age at intake, in a sample of 109
hospitalized patients with AN. In Study 2, 12 subjects with a
late age of AN onset (LAO, ≥ 25 yrs) were compared to 12
POSTER SESSION 2 ABSTRACTS