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Porto, Portugal | September 20-22, 2012
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F64
LEVEL OF EATING DISORDER PATHOLOGY AND SELF-
HARM BEHAVIOR IN A PARTIAL HOSPITALIZATION
PROGRAM
Kevin W Thomas
1,2
, Tamara Pryor
1
1
Eating Disorder Center of Denver, Denver, CO, USA,
2
Univer-
sity of Denver, Denver, CO, USA
INTRODUCTION: The purpose of this study is to expand on
current research and examine the differences in the level of
eating pathology between patients who engage in self-harm
behaviors and those who do not. METHODS: 63 female pa-
tients, diagnosed by clinical interview (AN = 25; BN = 26; ED-
NOS = 12), are receiving treatment at a Partial Hospitalization
Program, were separated into two groups (31 = no self-harm;
32 = self-harm). Patients completed self-report measures
upon admission, which included disturbed eating attitudes and
behaviors as assessed by Eating Disorder Inventory-III (EDI-
III) and the presence and frequency of self-harm behaviors
listed on the Self-Harm Inventory. These assessments are
administered as part of a larger battery of tests. RESULTS:
A Mann-Whitney U Test revealed that those who engage in
self-harm behaviors have higher levels of eating pathology as
compared to those who do not engage in self-harm behaviors.
Specifically, significant differences between the two groups
were found on all of the EDI-III scales, with the exception of
interpersonal insecurity, perfectionism, and maturity fears. Ef-
fect sizes ranged from moderate r = .30 to large r = .57. CON-
CLUSIONS: The results indicate that patients who engage in
self-harm behaviors will have statistically significant higher
level of eating pathology than those who do not engage in
self-harm behaviors.
F65
REALITY CHECK: AN EXPERIMENTAL INVESTIGATION
OF THE ADDITION OF DISCLAIMER LABELS TO FASHION
MAGAZINE ADVERTISEMENTS ON WOMEN’S SOCIAL
COMPARISON AND BODY DISSATISFACTION
Marika Tiggemann, Amy Slater, Belinda Bury, Kimberley Haw-
kins, Bonny Firth
Flinders University, Adelaide, Australia
1.Introduction.
Recent proposals across a number of West-
ern countries have suggested that idealised media images
should carry some sort of disclaimer informing readers when
these images have been digitally enhanced. The present stud-
ies aimed to experimentally investigate the impact on wom-
en’s body dissatisfaction of the addition of such warning labels
to fashion magazine advertisements.
2.Methods.
Participants
were female undergraduate students, 120 in Experiment 1
and 114 in Experiment 2. In both experiments, participants
viewed fashion magazine advertisements with either no warn-
ing label, a generic warning label, or a specific more detailed
warning label.
3.Results.
There was no significant effect of
type of label in either experiment. Unexpectedly, however,
trait appearance comparison moderated the effect of label
on body dissatisfaction, such that for women high on trait
appearance comparison, exposure to specific warning labels
actually resulted in increased body dissatisfaction.
4.Con-
clusions.
The present results showed no benefit of warning
labels in ameliorating the known negative effect of viewing
thin-ideal media images, and even suggested that one form of
warning (specific) might be harmful for some individuals. This
result may not generalize to other forms of fashion magazine
content than advertisements. Accordingly, it was concluded
that more extensive research is required to guide the most
effective use of disclaimer labels.
F66
Acceptance-based Separated Family Treatment for Ado-
lescents with Anorexia Nervosa
C. Alix Timko
1,2
, Rhonda M. Merwin
3
, Natalia Orloff
1
, Lindsay
Martin
4
, James D. Herbert
4
, Nancy Zucker
3
1
University of the Sciences, Philadelphia, PA, USA,
2
Tow-
son University, Towson, MD, USA,
3
Duke University Medical
Center, Durham, NC, USA,
4
Drexel University, Philadelphia,
PA, USA
Introduction
: Acceptance-based Separated Family Treatment
(ASFT) is a newly developed treatment for adolescents with
anorexia nervosa that combines Acceptance and Commitment
Therapy (ACT) with a parent skills training program (Off the
CUFF). Treatment consisted of 20 sessions over a 24 week
period.
Methods:
Data are from a pilot study and ongoing
open trial. Adolescents were between 12-18 years of age, and
diagnosed with anorexia nervosa or EDNOS with the primary
symptom of restriction, and were 90% of ideal body weight or
less.
Results
. 37 families have enrolled thus far, 19 families
completed treatment, 5 are currently receiving treatment.
There were significant increases in BMI, significant reductions
in EDE Global, Eating Concern and Restraint subscales, and
significant reductions in parental observed anorectic behavior
(p<0.01). Parents had a reduction in negative experiences
of caregiving and fathers reported an increase in positive
experiences of caregiving. There was a trend for increases
in mothers’ acceptance of unpleasant thoughts and feelings
(p=0.10); and fathers reported significant increases in accep-
tance of these events (p<0.02). Adolescents trended toward
increased acceptance (p=0.08). The presence of expressed
emotion in the parents did not predict outcome in the adoles-
cents. Linear growth curve modeling will be used to examine
change from baseline to 3 month follow-up.
Conclusion
:
ASFT shows promise for the treatment of adolescents with
anorexia nervosa.
F67
COGNITIVE FUNCTIONING IN PATIENTS WITH ACUTE
EARLY-ONSET ANOREXIA NERVOSA – A PILOT STUDY
Betteke M van Noort, Ernst Pfeiffer, Ulrike Lehmkuhl, Viola
Kappel
Department of Child and Adolescent Psychiatry, Psychoso-
matics and Psychotherapy, Charite-Universitätsmedizin Berlin,
Berlin, Germany
Neuropsychological studies in older adolescents and adults
with anorexia nervosa (AN) reveal deficits in set-shifting
(Roberts et al., 2007), central coherence (Lopez et al., 2008),
and visuo-spatial performance (Lena et al., 2004). These
impairments are considered as potential traits or endopheno-
types of AN (Tchanturia et al., 2005; Steinglass et al., 2006).
However, similar studies in AN-patients below age 14, defined
as early-onset AN (EOA), are missing (Bühren et al., 2008).
Hence, the aim of the current pilot study is to get a first indica-
tion of cognitive functioning in EOA-patients between the ages
of 8 and 14. A neuropsychological assessment battery, the
‘Ravello Profile’ (Rose et al., 2011), as well as questionnaires
measuring psychopathology, were administered to EOA-pa-
tients at admission for inpatient treatment. Nine female
EOA-patients (mean ± SD age = 11.3 ± 1.8 years, BMI-for-age
percentile = 7.3 ± 4.7) were compared to nine age-matched
healthy controls (mean ± SD age = 11.1 ± 1.4 years; BMI-for-
age percentile = 42.6 ± 28.1). Preliminary analyses show low
central coherence performance. Set-shifting and visuo-spa-
tial performances do not seem to be negatively affected in
EOA-patients. These first results seem to suggest that the
cognitive difficulties found in adolescent and adult AN-patients
are not yet present in EOA-patients. Further data collection
and research is needed to better understand cognitive func-
tioning and its role as putative endophenotype of AN.
POSTER SESSION 2 ABSTRACTS