Browsing by Subject "eating disorder"
Now showing 1 - 4 of 4
Results Per Page
Sort Options
Item The Influence of Private Equity on Eating Disorder Treatment Centers(2024-03) Thompson, LeslieThis systematic literature review analyzes the influence of private equity (PE) firms in the landscape of residential eating disorder treatment. Given the absence of peer-reviewed research on this topic, this review broadens its scope to include an examination of research on residential treatment facilities serving other vulnerable populations, including nursing homes and substance abuse facilities, and the grey literature specifically focused on residential eating disorder treatment. The synthesis of findings aims to provide a comprehensive understanding of the impact of PE firm influence on critical aspects of eating disorder treatment. Following the synthesis, research and policy recommendations are proposed to address the identified issues in the findings. Key themes explored in this review encompass the systematic preference for patients with specific insurance benefits and lower clinical complexity, discernible shifts in service provision after PE acquisitions, and differences in the quality of care in PE firm-owned healthcare facilities, such as staff-to-patient ratios. This review contributes to advancing the understanding of how the presence of PE shapes the landscape of residential eating disorder treatment by offering valuable insights for policymakers, practitioners, and researchers.Item Perception and Practice of Inclusion of Exercise and Exercise-Related Nutrition in Eating Disorder Treatment(2022-05) Gelhaus, AshleyObjective: The purpose of this study was to gain information regarding the utilization of exercise and exercise-related nutrition in current eating disorder treatment as well as gain insight into perceived effectiveness of including it in current or future practice from the viewpoint of both providers of eating disorder treatment as well as those with active eating disorders. Additionally, we hoped to gain an overall understanding of how providers and patients define exercise and how it is practiced within their own lives.Methods: This study was a descriptive research study and mostly exploratory in nature. This study included two study groups: patients with eating disorders and providers treating people who have eating disorders. Data was collected using two separate anonymous surveys via online portals. Results: Patients reported the inclusion of exercise in eating disorder treatment, while providers had more variance on whether they support or include exercise in eating disorder treatment. There was no consensus on the inclusion of exercise in treatment. Patients reported that they did not feel confident in their ability to provide adequate nutrition for exercise as well as providers stated that they believe inclusion of exercise-related nutrition benefits treatment but that it is not adequately talked about in treatment. Conclusion: There was no overall consensus on inclusion of exercise in treatment nor for approach taken in treatment. In regard to exercise-related nutrition there was more consensus that it would in fact be beneficial for treatment, however, it is not adequately covered in eating disorder treatment currently.Item Understanding Emotion Regulation in Eating Disorder Recovery(2017-09) Durkin, NoraDeficits in emotion regulation and heightened negative affect have been observed across eating disorder diagnoses and are hypothesized to contribute to the maintenance of eating psychopathology. However, the extent to which emotion regulation deficits and elevated negative affect continue to persist after the cessation of eating psychopathology remains unclear despite the emergence of several novel treatments that have been designed to target emotion regulation deficits and negative affect in eating disorder populations. The purpose of this study was to determine whether individuals in recovery from eating disorders experience emotion regulation deficits and heightened negative affect compared to those with active eating disorders and those without current or past eating disorders. Participants included 269 individuals with active eating disorders (AED), 58 participants in recovery from eating disorders (RED), and 143 participants without past or present eating disorders (COMP) who completed several online questionnaires. Results indicated that the AED group reported significantly more emotion regulation difficulties and greater negative affect compared to the RED and COMP groups, who did not differ form one another with regard to emotion regulation difficulties and negative affect. These findings support emotion regulation models of eating psychopathology and suggest that emotion regulation deficits and negative affect may improve with recovery from eating disorder psychopathology. Future research should examine facets of emotion regulation and negative affect using longitudinal designs to determine the temporal relationship between improvements in eating disorder psychopathology, emotion regulation, and negative affect in order to inform treatment interventions.Item Weight stigma: Cross-sectional and longitudinal associations with disordered eating and weight-related health behaviors in an ethnically/racially and socioeconomically diverse sample of adolescents and young adults(2022-07) Hooper, LauraThis dissertation used a health equity lens to examine whether experiencing weight teasing is associated with disordered eating behaviors (DEBs), health behaviors, and weight status in an ethnically/racially and socioeconomically diverse sample of youth. It also investigated whether positive family/parenting factors are protective for DEBs in youth who experience weight stigma. 1,534 Project EAT 2010-2018 participants were surveyed as adolescents (Mage=14.4 years) and eight years later. Participants were asked about weight-stigmatizing experiences (e.g., weight teasing). Outcomes included DEBs (e.g., unhealthy weight control behaviors, chronic dieting, binge eating), health behaviors (e.g., physical activity, sleep duration, nutrition habits), and weight status. Regression models were adjusted for sociodemographic characteristics and weight status. Interaction terms and stratified models assessed whether family/parenting factors buffered DEB risk in adolescents who experienced weight stigma. Experiencing weight teasing was significantly associated with higher prevalence of DEBs and high weight status, cross-sectionally during both adolescence and young adulthood, and longitudinally. Effects of weight teasing were similar across ethnic/racial and socioeconomic subgroups. Black Indigenous, and People of Color (BIPOC) and youth from low socioeconomic backgrounds had higher prevalence of weight teasing, DEBs, and high weight, when compared to their respective counterparts. There was evidence that positive family/parenting factors operate as effect modifiers in cross-sectional relationships between weight stigma and DEBs, although these factors were primarily protective for adolescents who did not experience weight stigma. Findings provide evidence that weight teasing is a risk factor for DEBs and high weight status, and that BIPOC youth and youth from low socioeconomic backgrounds are disproportionately affected by weight teasing, DEBs, and high weight status, suggesting weight-stigmatizing experiences may create barriers to health, especially for youth who are already underserved. Positive family/parenting factors did not entirely offset the effects of weight stigma on DEBs, which may reflect the strength of weight stigma as a risk factor for DEBs. Published guidelines provide recommendations for how to decrease weight stigma experienced by youth. Future research should build upon these guidelines and include qualitative, solutions-oriented methods aimed at understanding how families, healthcare providers, and policymakers can decrease weight stigma and its effects on diverse populations of youth.