Page 56 - EDRS 2012 Program & Abstracts

Basic HTML Version

EDRS 2012
54
F51
COMPARISON OF TWO EATING DISORDERS AND
WEIGHT-RELATED  PREVENTIVE PROGRAMS.
Rosa M. Raich
1
, Paola Espinoza
1
, Teresa Gutiérrez
1
, Marisol
Mora
1
, Eva Penelo
2
, Marcela González
1
, Rocio Rosás
1
1
Dep. de Psicologia Clínica i de la Salut. Universitat Autòno-
ma de Barcelona. , Bellaterra/Barcelona, Spain,
2
Dep.de
Psicobiologia i Metodologia de les Ciències de la Salut. UAB.,
Bellaterra/Barcelona, Spain
Introduction
: This study presents the application of two
different programs for the prevention of Eating Disorders and
Weight-related problems: A Multimedia Program (
Nutrition.
Criticism of Female and Male Aesthetic Models. Media Litera-
cy
, NFMAML) and another one based in a new methodology,
not studied in our country, that is: “
Theatre Alive
” (TA). The
objectives of the study are: To develop the two programs and
to compare their effectiveness.
Method
: Participants were
277 students, 13th years old, recruited from from 7 state
or state subsided schools of the city of Manresa (Spain);
2 schools were in one experimental group, 2 in the other
experimental group and 3 were in the control group. The
assessment and intervention took place during September,
October, November and December of 2011. Assessment was
done pre and post interventions with The Spanish adaptation
of SCOFF (
Sick, Control, One, Fat, Food Questionnaire
: Mor-
gan, 1999 and EAT (
Eating Attitudes Test
: Garner & Garfin-
kel, 1979), CDRS (Contour Drawing Rating Scale, Thompson
& Gray,1995) and SATAQ (
The Sociocultural Attitudes Toward
Appearance Questionnaire-3
, Cusumano & Thompson,
1997).
Results
: Results indicate that the effectiveness of the
two interventions were similar and and higher than the control
group.
Conclusions
: Current data suggest an interesting
protective effect of the intervention programs (NFMAML) and
(TA) reducing self-reported disordered eating attitudes.
F52
PRELIMINARY DATA FROM A PILOT STUDY ASSESSING
LOSS OF CONTROL EATING USING ECOLOGICAL MO-
MENTARY ASSESSMENT IN ADOLESCENT GIRLS
Lisa M Ranzenhofer
1
, Scott Engel
2
, Ross Crosby
2
, Micheline
Anderson
1
, Omni L Cassidy
1
, Marian Tanofsky-Kraff
1
1
Uniformed Services University of the Health Sciences,
Bethesda, MD, USA,
2
Neuropsychiatric Research Institute ,
Fargo, ND, USA
The purpose of the study was to elucidate momentary predic-
tors of loss of control (LOC) eating in the natural environment
among overweight (body mass index, BMI, kg/m2, ≥ 85th per-
centile) adolescent girls. Eight participants (age 14.76±1.80,
50% African American; BMI 38.47±8.24) were administered
the Eating Disorder Examination to assess LOC and com-
pleted approximately two weeks of ecological momentary
assessment using electronic digital devices. Momentary mea-
sures of interpersonal problems, mood, and LOC eating were
assessed via random prompts and before and after eating
episodes. Level of control over eating was rated on a 5-point
Likert scale. Compliance was 72.82±9.27%. At random
assessments and before meals, girls reported some LOC
over eating on 41.6% and 42.9% of occasions, respectively.
At random assessments and before meals, LOC over eating
was associated with higher reported interpersonal problems
(p’s≤0.05) but was unassociated with positive or negative
affect (p’s>0.1). After meals, girls reported some LOC over
eating on 49.1% of occasions. Report of LOC after eating
was predicted by higher before-meal interpersonal problems
(Wald χ2=4.40, p=0.04) but not by before-meal negative
(p=0.14) or positive (p=0.84) affect. The role of interpersonal
factors in precipitating LOC eating warrants further explora-
tion. Additional subjects’ data will be collected and presented.
F53
READABILITY OF COGNITIVE BEHAVIORAL SELF-HELP
MANUALS
Lauren Richards
1
, Kate Peruzzini
1
, Debra L Franko
2
, Heather
Thompson-Brenner
1
1
Boston University, Boston, MA, USA,
2
Northeastern Universi-
ty, Boston, MA, USA
Introduction:
Guided self-help cognitive-behavioral therapy
(CBT) has demonstrated efficacy for binge eating disorder
(BED) (Wilson & Zandburg, 2012). Most participants in BED
clinical trials have some college education (Franko et al.,
2012). This study aimed to assess whether the education
level required to comprehend published CBT self-help and
treatment manuals was appropriate to a broader population.
Method:
N=4 published self-help manuals were analyzed
for readability (Apple & Agras, 1999; Cooper, 2010; Fairburn,
1995; McCabe, McFarlane, & Olmstead, 2004). Chapter
content represented in each manual was categorized as: 1)
Psychoeducation; 2) Self-Monitoring; 3) Preventing Binge
Eating; and 4) Emotion Regulation. Twelve randomly selected
paragraphs from each manual (three per content area) were
analyzed for comprehension grade level using Micro Power
& Light, 7.4. Statistics were calculated using the Flesch-Kin-
caid Grade Level, SMOG, and FORCAST formulas (McHugh
& Behar, 2009).
Results
: Averages across samples and
formulas suggested the grade level required to comprehend
manual text was consistently in the upper high-school level,
with more than 85% averaging over the 10
th
grade level. More
than 10% were estimated to require some college education
to comprehend.
Conclusions:
CBT manuals are comprehen-
sible to individuals with some college education, like those
represented in clinical trials. Manuals accessible to individu-
als with lower levels of education are needed.
F54
GENDER DIFFERENCES IN THE PURSUIT OF MUSCU-
LARITY AND THINNESS AMONG ADOLESCENTS
Rachel F Rodgers
1,2
, Camille Ganchou
2
, Debra L Franko
1
,
Henri Chabrol
2
1
Department of Counseling and Applied Educational Psychol-
ogy, Northeastern University, Boston, MA, USA,
2
CERPP,
Université Toulouse-2 Le Mirail, Toulouse, France
Introduction
: Recent research has highlighted the impor-
tance of both drive for muscularity and drive for thinness in
relation to body image and disordered eating among adoles-
cent boys. To date however, little is known regarding gender
differences in the pursuit of muscularity and thinness and
their correlates. The aim of this study was to explore gender
differences in levels of drive for thinness and muscularity and
their relative contributions to body esteem and disordered
eating.
Methods:
A sample of 232 adolescents [63% boys,
mean age (SD) = 16.52 (1.23)], completed measures of drive
for thinness, drive for muscularity, body esteem and disor-
dered eating.
Results:
Boys reported higher levels of drive
for muscularity,
p
<.001, while girls reported higher levels of
drive for thinness,
p
<.001. Among both boys and girls, drive
for muscularity was correlated both with body esteem (
r
=
-.20 and
r
= -.28, respectively,
p
s <.05) and with disordered
eating (
r
= .57,
p
<.001;
r
= .28,
p
<.05). For both genders,
drive for both thinness and muscularity significantly contribut-
ed to disordered eating. However, while both these predictors
contributed to body esteem in boys, among girls, drive for
thinness was the only main contributor.
Conclusions:
Drive
for muscularity may contribute to low body esteem and disor-
dered eating among both genders. A greater understanding
of muscularity concerns may help inform prevention interven-
tions.
F55
HABITUATION OF BODY IMAGE DISCOMFORT DURING
PURE AND GUIDED MIRROR EXPOSURE IN BULIMIA
NERVOSA
Sonia Rodríguez-Ruiz
1
, Sandra Díaz-Ferrer
1
, Blanca Orte-
ga-Roldán
1
, Silvia Moreno-Domíguez
2
, M. Carmen Fernán-
dez-Santaella
1
, Cortney S. Warren
3
1
University of Granada, Granada, Spain,
2
University of Jaen,
Jaen, Spain,
3
University of Nevada, Las Vegas, NV, USA
Introduction
. Body mirror exposure causes an intense emo-
tional response that habituates over therapy in women with
eating disorders. However, it remains unclear the psycholog-
ical processes underlying this effect. The aim of the present
study was to evaluate the effectiveness of two body exposure
techniques to reduce negative emotions associated with body
image in bulimia nervosa.
Method
. Twenty-three university
POSTER SESSION 2 ABSTRACTS