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Dissertations / Theses on the topic 'Bulimia'
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Guerreiro, da Costa Ana Paula. "The relationship among eating disorder symptoms, depressive symptoms, and attributional styles." Thesis, Keele University, 2008. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.491845.
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Truant, Laurie Gail. "Recovery from bulimia nervosa." Thesis, University of British Columbia, 1991. http://hdl.handle.net/2429/31151.
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Current research on formal treatment approaches to normal-weight bulimia presents inconclusive results on the efficacy of various treatments and limited empirical knowledge of the curative mechanisms involved. In the literature on therapeutic change agent studies which interviews individuals who have recovered from an eating disorder, only isolated aspects of the recovery experience are uncovered so that the meaning and process of recovery are limited. This case study applied Colaizzi's (1978) existential-phenomenological approach to elucidate thematic categories underlying the recovery experience as recounted by a former bulimic in order to provide a more complete and holistic understanding of the process and nature of recovery from bulimia. Initially, four individuals who self-reported feeling genuinely recovered from bulimia were prescreened by an independent rater in order to ensure that they had a previous diagnosis of bulimia nervosa as defined by the Diagnostic and Statistical Manual of Mental Disorders, Third Edition Revised (1987) and no previous history of anorexia nervosa, that they were free of bulimic symptoms, and that they exhibited no significant indicators of other active psychological problems since having recovered from bulimia. The four co-researchers described their recovery experience and each interview was transcribed. Categorical themes were formulated from the richest and most comprehensive transcript and information from another co-researcher's transcript served to cross-validate the categories. The remaining two transcripts were not included in the analysis
process. The co-researcher validated the thematic categories and their descriptions and also verified that the clustered categories clearly outlined the pattern or meaning of her recovery experience.
Results showed that recovery involves a synergetic interaction of curative factors both inside and outside of formal therapy. Once the individual acknowledges her eating problem, her bulimic behaviours begin to decrease as she experiences an increasing sense of efficacy and self-respect in areas of her life other than her body weight and shape. Her bingeing and purging gradually diminish to the point where she no longer engages in them. Aside from an occasional lapse, she now implements other activities to deal with uncomfortable emotional states. She feels stronger in knowing who she is, she cherishes herself as she is, and she is eager to affirm her personal growth by sharing her experience with recovering bulimics. In addition to a more comprehensive theoretical understanding of recovery, this study provided a deepened appreciation of the complexity of the recovery process. It also underscored the need for a multifaceted and individualized treatment approach which is adjusted throughout the recovery process as the adaptive functions or meanings of clients' eating behaviours change.Education, Faculty of
Educational and Counselling Psychology, and Special Education (ECPS), Department of
Graduate
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Schachtel, Bernard 1943. "Bulimia: a Phenomenological Approach." Thesis, North Texas State University, 1988. https://digital.library.unt.edu/ark:/67531/metadc331020/.
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This study used a qualitative/phenomenological research methodology to examine the perspective of five bulimic subjects about their lives in order to understand the bulimic individual's point of view and develop a clearer picture of the world of the bulimic. This approach involved three interviews for each of the five subjects totalling 22 1/2 hours. The three interviews dealt with the subjects' past and present experiences and their ideas about the future. The qualitative/phenomenological methodology created an in-depth view of each subject's relationship to the beginning of her bulimia and its subsequent development. During the period when the interviews were being transcribed, patterns and concepts emerged and were examined. Nine categories were developed from this data reflecting some of the characteristics of a bulimic's personality. Six research questions were formulated and then answered by evaluating them in the light of the nine categories as well as data and descriptions from the interviews. No one single category was found to be uniquely dominant, but rather the categories tended to appear in a cluster-like fashion depending on the individual personality of the bulimic. The data of this study revealed a distinction between the personality and the behavior of the bulimic. A form with a Likert-like response was developed by the researcher and given out to 11 raters in order to evaluate the presence or non-presence of the categories in selected passages. On the basis of the findings of this study, with its limited subject pool, certain recommendations are presented for the reader that might perhaps be of some use in understanding bulimia.
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Hartley, Amanda R. "Food Addiction and Bulimia." Bowling Green State University / OhioLINK, 2011. http://rave.ohiolink.edu/etdc/view?acc_num=bgsu1322016328.
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Maldonado, Christine R. Bardone-Cone Anna. "Exploring personality factors associated with treatment-seeking behavior among individuals with bulimia nervosa." Diss., Columbia, Mo. : University of Missouri-Columbia, 2006. http://hdl.handle.net/10355/5920.
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Thesis (M.A.)--University of Missouri-Columbia, 2006.The entire dissertation/thesis text is included in the research.pdf file; the official abstract appears in the short.pdf file (which also appears in the research.pdf); a non-technical general description, or public abstract, appears in the public.pdf file. Title from title screen of research.pdf file (viewed on August 30, 2007) Includes bibliographical references.
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Shuck, Victoria C. "Cognitive content and schema association in eating psychopathology." Thesis, University of Southampton, 2000. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.326775.
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Peters, Linda Mae. "Recovery from bulimia : the woman's view /." Thesis, Connect to this title online; UW restricted, 1990. http://hdl.handle.net/1773/15470.
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Lauer, Mary Kathryn. "An explanatory model of bulimia in young adult women /." Thesis, Connect to this title online; UW restricted, 1991. http://hdl.handle.net/1773/7331.
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PAZDA, SUSAN LYNN. "ANOREXIA NERVOSA, BULIMIA, AND OBESITY: BODY WEIGHT AND BULIMIA AS DISCRIMINATORS OF PSYCHOLOGICAL CHARACTERISTICS." Diss., The University of Arizona, 1987. http://hdl.handle.net/10150/184177.
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This study hypothesized body weight and eating patterns to be important discriminators of psychological characteristics among eating disordered groups. A total of 146 bulimic and non-bulimic women from underweight (anorexic), normal weight, and overweight (obese) categories were examined. Based upon the theoretical and research literature reviewed, this study hypothesized locus of control, personal potency, self-esteem, and psychopathology to be central psychological characteristics in anorexia nervosa, bulimia, and obesity. These variables were measured by Rotter's Internal-External Locus of Control Scale, the Semantic Differential Potency Scale, Rosenberg's Self-Esteem Scale, and the Minnesota Multiphasic Personality Inventory, respectively. The relative importance of these variables in the disorders was also addressed. Results showed women in the eating disordered groups examined to demonstrate the following psychological characteristics: (1) Non-bulimic anorexics--an external locus of control, low self-esteem, and hysteria; (2) Bulimic anorexics--the greatest external locus of control, the lowest self-esteem, psychopathic deviance, hysteria, thought disorder, depression, a preoccupation with somatic concerns, and hypofemininity; (3) Normal weight bulimics--an external locus of control, low self-esteem, psychopathic deviance, hysteria, thought disorder, and depression; (4) Non-bulimic obese--low self-esteem; and (5) Bulimic obese--low self-esteem, an external locus of control, thought disorder and depression. The primary conclusion drawn from this study is that bulimia is a better predictor of the psychological characteristics than body weight. Bulimia, across all weight categories, was associated with an external locus of control, low self-esteem, psychopathic deviance, hysteria, thought disorder, and depression. That there was little variability in personality characteristics associated with bulimia across weight categories emphasized the stability of the symptom constellation associated with this disorder. This study supported the view of the normal weight bulimic as psychologically similar to the bulimic anorexic. This study also supported the stance that simple obesity does not represent a unitary psychological disorder.
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Vincent, Norah K. "Self-treatment of bulimia nervosa." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 1998. http://www.collectionscanada.ca/obj/s4/f2/dsk2/tape15/PQDD_0004/NQ32030.pdf.
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Todd, Gillian. "Cognitive factors in bulimia nervosa." Thesis, University of Cambridge, 2006. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.613854.
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Carvalho, Paula Virgínia Lisbôa Chaves de. "ANOREXIA E BULIMIA EM ADOLESCENTES." Universidade Federal do Maranhão, 2008. http://tedebc.ufma.br:8080/jspui/handle/tede/1063.
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This is a cross-sectional study whose objectives are to investigate the occurrence of possible eating disorders, anorexia and/or bulimia in adolescents of both sexes, and to identify the epidemiologic profile of both. To identify eating disorders, 500 adolescents from a private school in São Luís, Maranhão, Brazil, completed self-report questionnaires, the BITE (Bulimic Investigatory Test Edinburgh) and the EAT-26 (Eating Attitudes Test summarized). The findings indicate that 70 (14%) adolescents possibly present with diagnoses of anorexia, 4 (0,8%) of bulimia, and 11(2,2%) with anorexia and bulimia combined. It was observed that 78 (15,6%) adolescents presented with non-usual eating habits, placing them at risk for the development of eating disorders. This investigation shows that there is a high occurrence of possible eating disorders in the sample studied and a heterogeneous epidemiologic profile, occurring in both sexes and within diverse ethnic groups and social-economic classes. The dissatisfaction with their own bodies and the wish to modify them are feelings present in adolescents who probably exhibit eating disorders (p<0.001).
Este é um estudo transversal que tem como objetivos investigar a ocorrência de possíveis transtornos alimentares, anorexia e/ou bulimia, em adolescentes de ambos os sexos e identificar o perfil epidemiológico dos mesmos. Para o rastreamento dos transtornos alimentares foram aplicados os questionários autopreenchíveis BITE (Teste de Investigação Bulímica de Edinburg) e EAT-26 (Teste de Atitudes Alimentares resumido) em 500 adolescentes de uma escola particular na cidade de São Luís, Maranhão, Brasil. Os achados mostraram que 70(14%) adolescentes possivelmente apresentam o diagnóstico de anorexia, 4(0,8%), bulimia e 11(2,2%), anorexia combinada com bulimia. Verificou-se que 78(15,6%) adolescentes apresentam uma conduta alimentar não usual, comportamento de risco para o desenvolvimento de transtornos alimentares. Este trabalho mostra uma alta ocorrência de possíveis transtornos alimentares na amostra estudada e um perfil epidemiológico heterogêneo, ocorrendo, em ambos os sexos, em diversas etnias e camadas sócio-econômicas. A insatisfação com o próprio corpo e o desejo de modificá-lo são sentimentos presentes nos adolescentes que provavelmente têm transtorno alimentar (p<0,001).
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Bezerra, Fernanda Barros. "Anorexia e bulimia em odontopediatria." Master's thesis, [s.n.], 2015. http://hdl.handle.net/10284/5277.
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Projeto de Pós-Graduação/Dissertação apresentado à Universidade Fernando Pessoa como parte dos requisitos para obtenção do grau de Mestre em Medicina DentáriaIntrodução: A procura de um ideal de beleza e a obsessão pela estética imposta pela sociedade moderna em que se vive têm promovido o aumento do número de pessoas com transtornos alimentares, como por exemplo, a anorexia nervosa e a bulimia nervosa. Esses transtornos contribuem para o aumento de pacientes com prejuízos, diretos e indiretos, na saúde oral. Objetivos: Esta tese tem como objetivo a revisão da literatura sobre “anorexia” e “bulimia” nas crianças e adolescentes, correlacionando estas patologias com complicações na cavidade oral, nomeadamente, a erosão dentária, a xerostomia, as cáries, a hipertrofia das glândulas salivares, as restaurações proeminentes, o bruxismo, entre outras. Metodologia: Foi realizada uma revisão bibliográfica com base em artigos publicados em revistas, nos últimos dez anos, disponíveis em bases de dados on line. As palavras-chaves usadas foram, assim como a conjugação entre elas: crianças e adolescentes; anorexia; bulimia, transtornos alimentares; médico dentista. Conclusão: Preconiza-se que haja uma maior atenção e conhecimento por parte do médico dentista sobre estes transtornos alimentares, bem como das complicações associadas, uma vez que é um dos primeiros profissionais de saúde a ter o contacto e a oportunidade de detetar a doença. Com o diagnóstico precoce, pode-se evitar o desenvolvimento da doença.
Introduction: The search for an ideal of beauty and obsession with aesthetics imposed by modern society in which we live have promoted the increase in the number of people with eating disorders , such as anorexia nervosa and bulimia nervosa. These disorders contribute to the increase of patients with damage, direct and indirect, in oral health. Objective: This study aims to review the literature on "anorexia" and "bulimia" in children and adolescents, correlating these conditions complications in the oral cavity, for example, tooth erosion, dry mouth, cavities, hypertrophy of the salivary glands, prominent restorations and bruxism. Methodology: This literature review from the last ten years was on the basic of articles published in journals available on line database. The keywords and conjugation used was: child and adolescents; anorexia; bulemia; eating disorders and health. Conclusion: It is envisioned to be greater attention and knowlwdge of the dentist these eating disorder, as well as the associated complications, a time that is hum of first health profissionals have the contact and opportunity detectig a disease. With early diagnosis can prevent the development of disease.
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Segal, Jan David. "A Psychometric Comparison of Bulimics With and Without a Prior History of Anorectic-Like Behavior, Normals, and Those Concerned About Weight." Thesis, North Texas State University, 1985. https://digital.library.unt.edu/ark:/67531/metadc331422/.
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Based on psychodynamic and object relations theories, 17 variables were proposed to be salient for those suffering from bulimia. In the present study four groups were compared: (a) bulimics with a prior history of anorectic-like behavior (FAB); (b) bulimics without a prior history of anorectic-like behavior (NAB); (c) a nonobese, nonbulimic group who evidenced excessive concerns about their weight (CAW); and (d) a normal control group (Control). Differences were predicted between both the bulimic and control groups as well as between both bulimic groups (FAB and NAB). Seventy-five women between the ages of 18 and 35 completed the Minnesota Multiphasic Personality Inventory, the Eating Disorders Inventory, and Levenson's Locus of Control Scale. Results of a multivariate analysis of covariance procedure revealed differences across the groups on 12 variables. Post hoc testing indicated that both bulimic groups differed from the control groups confirming the first hypothesis. Further, the bulimic groups were differentiated from each other in the predicted direction on 10 of the 12 variables, lending support for the second hypothesis. Overall, the results suggest a progression of psychopathology and clinical symptomatology. In order of decreasing psychopathology were the following groups: FAB, NAB, CAW, and Control groups. Also, a discriminant analysis procedure identified 11 variables which successfully differentiated among the FAB, NAB and nonbulimic groups. It was concluded that within the syndrome of bulimia a prior history of anorectic-like behavior was related to increased psychopathology and clinical symptomatology. A clear distinction between the syndrome of bulimia and occasional instances of bulimic behavior was also indicated. Lastly, results of this study seemed to rule out excessive concerns about weight as a factor related specifically to the bulimic syndrome. Limitations and alternative explanations for the results are discussed and suggestions for further research are put forth.
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Carter, Jacqueline Christine Carleton University Dissertation Psychology. "Phototherapy in Bulimia Nervosa; the effects on eating behavior and mood." Ottawa, 1992.
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Siegfried, Kristen M. "A research study to examine the prevalence of bulimia nervosa in adolescent females and the familial effects on the eating disordered adolescent." Muncie, Ind. : Ball State University, 2008. http://cardinalscholar.bsu.edu/369.
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Isles, James Ian. "Cognitive functioning in anorexia and bulimia." Thesis, University of Edinburgh, 2000. http://hdl.handle.net/1842/28285.
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This study compared cognitive test performance between matched controls and participants with anorexia (N=30) and bulimia (N=30). The results revealed that both of the eating disorder groups demonstrated a considerable number of neuropsychological deficits. However, between-group significance was not established and the deficits were accounted for by a small subgroup of poorer test performers. On analysing group results on a wide range of cognitive tests, both clinical groups performed more poorly than controls on attentional, learning and visuo-spatial/constructional tasks. There was however, no evidence of executive difficulties in either group. On partialling-out the effects of anxiety and depression, between-group significance was removed on a considerable proportion of the test results. However, significance remained for the anorexia group on a digit coding task, two auditory-verbal learning tests, a measure of incidental visual learning and a measure of visuo-spatial/constructional functioning. These results suggested mild difficulties in cognitive functioning across neuropsychological domains which were not fully explained by the influence of emotional and other psychological factors. In the bulimia group, significance remained on a digit coding task and an omnibus attentional measure together with two dependent measures of auditory-verbal learning. There was also a trend for poorer performance on tests of visuo-spatial/constructional functioning. However, the results were largely accountable by the effects of emotional variables on attentional processes. The results of cognitive test performance in anorexia and bulimia were discussed with reference to previous studies and with reference to clinical practice.
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Hanson, Aimee Hanson. "Taxometric Investigation of Multi-Impulsive Bulimia." Thesis, University of Canterbury. Psychology, 2007. http://hdl.handle.net/10092/1465.
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Previous researchers have proposed that Multi-impulsive Bulimia (MIB), a constellation of self-destructive impulsive behaviours including theft, self-harm, suicide attempts, sexual disinhibition, and substance use, may be a distinct sub-type of Bulimia Nervosa (BN). Prior to this study, the validity of MIB as a subtype of BN had not been empirically examined. In the current study, taxometric procedures were used to address the question of whether MIB represents a distinct subtype or occurs on one or more continua. Participants were women (N = 419) diagnosed with BN seeking treatment at a residential eating disorders facility. Taxometric procedures used were mean above below minus a cut, maximum covariance, and latent mode analyses. Indicators were bulimic behaviours (bingeing and purging), theft, suicide attempts, self-harm and alcohol use. Analyses included comparisons with simulated taxonic and dimensional data. Results were inconsistent across analyses, perhaps due to problems with indicator validity. However there was some evidence of taxonicity.
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Bradford, Karen Mayler. "The different faces of Bulimia Nervosa." Diss., Pretoria : [s. n.], 2007. http://upetd.up.ac.za/thesis/available/etd-10162007-081601.
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Robertson, Janet. "Mature women and 'bulimia' : narrative perspectives." Thesis, University of Winchester, 2002. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.394057.
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This thesis focuses on the question 'what is bulimia?' A purposive sample of thirteen mature bulimic women were accessed via local newspapers. Multiple, in depth, nondirective interviews were carried out following a narrative story-telling approach. The women all told stories of how their bulimia started with a set of behaviours that provided a logical solution to a problem; the need to maintain control over body weight and shape in keeping with perceived norms of society. Following this they soon came to experience a sense of shame generated by a social gaze that views over-eating as indicative of a lack of personal control, and purging as disgusting. Their response was to maintain secrecy and attempt to find out more about bulimia. A social constructionist approach gave insights into the complex meaning-making processes that the women engage with. Popular material found in the public domain, constructed by health 'experts', functions to make up the dominant discourses of bulimia. Poststructuralist analyses focused on the relations of power and knowledge which allow certain powerful groups access to promote versions of 'bulimia' as truths. Foucault's poststructural approach goes beyond social constructionism by suggesting that discourse constitutes the individual and actually produces the 'bulimic'. Poststructural feminist perspectives, along with Foucault's concept of disciplinary power, provides understandings into how the female body as 'slim and beautiful' is used as a means by which women are regulated within Western societies. The dominant conceptualisation of bulimia as a condition that adolescent women predominantly suffer functioned to increase the shame that mature women experienced. Consequently, the analysis located narratives of resistance which involved rejections of dominant discourses. These resistant narratives challenge the notion of irrationality and uncontrollability that constructs both 'bulimia' and 'woman/femininity'. This in tum functions to challenge the shame and secrecy that surrounds 'bulimia'. These unique insights suggest that any definition of 'bulimia' is dependent upon the angle at which the 'lens' is focused or upon which the 'gaze' is fixed. There is not one, but many definitions of 'bulimia' that contradict, compete with and constrain each other. 'Bulimia' has been shown to be a multiple, fluid, and ever-changing phenomenon.
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Barrio, Cristian, Carina Martinez, and Cristian Moreno. "Bulimia y anorexia en el adolescente." Bachelor's thesis, Universidad Nacional de Cuyo. Facultad de Ciencias Médicas. Escuela de Enfermería, 2004. http://bdigital.uncu.edu.ar/7992.
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Este estudio de investigación tiene como objetivo conocer cuáles son los factores de riesgo que aumentan la posibilidad de padecer trastornos alimentarios (bulimia y anorexia) en varones de entre 15 y 20 años que concurren al turno vespertino de la escuela de Comercio y Bachillerato 4-097 de Maipú, Mendoza en el 2003. Además de identificar el actuar de enfermería ante esta problemática. Algunas de las variables evaluadas fueron: tipo de alimentación, antecedentes de abuso sexual, entorno, estado de ánimo, necesidad de aceptación social, discriminación, entre otras. Este trabajo es de tipo cuantitativo, descriptivo y de corte transversal. Se tomó como muestra a 35 alumnos varones a los que se les realizó una encuesta estructurada, cerrada y codificada.Fil: Barrio, Cristian. Universidad Nacional de Cuyo. Facultad de Ciencias Médicas. Escuela de Enfermería..
Fil: Martinez, Carina. Universidad Nacional de Cuyo. Facultad de Ciencias Médicas. Escuela de Enfermería..
Fil: Moreno, Cristian. Universidad Nacional de Cuyo. Facultad de Ciencias Médicas. Escuela de Enfermería..
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Ida, Sheila Weremchuk. "Anorexia e bulimia : uma perspectiva social." reponame:Biblioteca Digital de Teses e Dissertações da UFRGS, 2008. http://hdl.handle.net/10183/14279.
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A partir da problematização do conceito de Transtornos Alimentares, esta dissertação busca investigar a nossa relação com o corpo, colocando em discussão as práticas normativas que constituem nossos modos de vida. Diante de um certo padrão estético que associa o corpo com a beleza e a imagem de sucesso, pretendemos problematizar o contexto social no qual os Transtornos Alimentares vêm sendo produzidos. Para isso, utilizaremos como recorte a análise da anorexia e bulimia. De difícil tratamento e de grande morbidade, os sintomas dessa psicopatologia refletem uma preocupação excessiva com o peso, a imagem corporal e o medo de engordar. Nosso interesse é contribuir para essa discussão, saindo de uma perspectiva individualizante voltada para a jovem anorética e/ou bulímica e as interações disfuncionais do seu sistema familiar, passando a considerar os transtornos alimentares como um dispositivo que denuncia o extremismo na forma de pensar, sentir e experimentar o corpo em nossa sociedade. Assim, nosso objetivo é apresentar alguns subsídios que permitam deslocar essa questão do âmbito exclusivo da experiência individual para uma análise das práticas sociais de relação com o corpo que habitam a experiência contemporânea, entendendo os transtornos alimentares, na atualidade, como a exacerbação de um sintoma social.Based on the problematization of the concept of eating disorders, this paper aims on the investigation of our relation with the body, discussing the normative practices that constitute our ways of life. From an esthetic standard that relates the body with the beauty and success, we intend to problematize the social context where the eating disorders have been produced. To achieve this objective, we base our study on the anorexia and bulimia analysis. The symptoms of this psychopathology of difficult treatment reflect an excessive worry about the weight, corporal image and of getting fatter. Our interest is to contribute to this discussion, leaving from an individual perspective focused on the anorectic and/or bulimic young and the dysfunctional interactions of his/her familiar system, shifting the focus to the eating disorders as a device that denunciates the extremism in the way of thinking, feeling and experiencing the body in our society. Therefore, our objective is to present some subsidies that allow us to dislocate this matter from the exclusive scope of individual experience to an analysis of the social practices of the relation with the body that resides the contemporary experience, considering the eating disorders in the present as the exacerbation of a social symptom.
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Ratcliff, Bonita B. "Predictors of bulimia among university women." Diss., Virginia Polytechnic Institute and State University, 1986. http://hdl.handle.net/10919/71178.
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A questionnaire was mailed to a random sample of 771 undergraduate women at Virginia Tech. The research instrument was designed to accurately estimate the frequency of bulimia among university women. Bulimia was operationalized in specific behavioral terms that extend the DSM-III definition. The response rate for the mail survey was 87%, with 669 surveys used in the descriptive data analysis. One hundred and twelve subjects, 17% of the total sample, were classified as bulimic. The bulimic subjects were matched on height, weight, and age with 112 women without an eating disorder. This subset of 224 subjects was analyzed in order to assess the degree to which the respondent's family system, use of coping strategies, and weight preoccupation are predictive of bulimia. Multiple regression analysis indicated that 28% of the variance in bulimia can be explained by these three variables. The survey findings and implications for future research are discussed.Ph. D.
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Small, Ken. "Habit Reversal Treatment of Bulimia Nervosa." DigitalCommons@USU, 1985. https://digitalcommons.usu.edu/etd/5936.
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Although several writers have emphasized the habit-like characteristics of bulimia nervosa, no study has investigated the extent to which bulimia responds to treatment specifically for habit disorders. Habit reversal is a general treatment plan which teaches individuals to regain lost awareness of all aspects of a habit. The habit is then interrupted at the earliest movement in the chain by a physically competing response. Habit reversal (Azrin & Nunn, 1973) has been effective in treating other habits (e.g., stuttering, tics, bruxism). In the present study, habit reversal was adapted for the treatment of bulimia.
In response to newspaper advertisements, ten females (aged 21-26) with a minimum of two binges/week were included in the study. Bingeing and vomiting ranged from .5/day to 3.57/day during baseline; duration of the disorder ranged from one to eight years. In a multiple-baseline, across-subjects design, subjects were randomly assigned to begin treatment following 14 days of baseline data collection. Subjects self-monitored and reported daily binge eating, vomiting, fasting and laxative use. Daily social contacts and athletic activities were self-monitored and reported as secondary dependent measures. A blood chemistry analysis to assess metabolic functioning, the Beck Depression Inventory (BDI) and the Symptom Checklist 90-Revised (SCL-90R) were administered pre- and post-treatment.
Two subjects reported cessation of bulimic episodes during baseline data collection apparently as a result of self-monitoring and frequent phone contacts. A rapid and substantial reduction in the target behaviors for the subjects who received treatment was reported following presentation of habit reversal (mean bingeing reduction=66.7%; mean vomiting reduction=52.0%). As reports of bingeing and vomiting decreased, concomitant increase in reported social contacts and athletic activities was observed in five of seven subjects without treatment for social behavior. Scores on the BDI and SCL-90 R did not change as a function of treatment. However, the self-reported frequency of binge eating during treatment correlated positively with psychopathology (r=.95, p
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Hickman, Kelly. "Adult attachment, bulimia nervosa and relationship satisfaction." Thesis, University of Canterbury. Psychology, 1988. http://hdl.handle.net/10092/6964.
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Research interest of the role that childhood anxiety plays in the predisposition of eating disorder pathology has facilitated investigation into the antecendents of this anxiety within the framework of Bowlby's (1969, 1973, 1980) attachment theory and its inherent concept of internal working models.
Parallel findings within the literature on Bulimia Nervosa and insecure attachment, in terms of difficulties with affect regulation and autonomy focused behaviour, lead to the hypothesis that anxiety within close adult relationships will be positively related to bulimia. Research to date investigating attachment processes in eating disordered samples has typically focused on attachment in relation to parent-child relationships, overlooking the impact adult love relationships has on attachment. The present study investigates the links between adult attachment styles within close relationships, bulimia, dietary restraint, and relationship satisfaction.
120 female participants aged between 18 to 45 years were recruited from the University of Canterbury campus, and administered three to four brief questionnaires pertaining to the study. Results found that women with bulimia who were currently involved in romantic relationships were significantly more anxiously attached, more likely to engage in dieting behaviour and report low levels of satisfaction within their relationships. Multiple regression analyses further supported the significant independent contributions that attachment, dieting and relationship satisfaction constructs had on bulimia. Furthermore, a mediational model was supported, whereby securely attached women were more satisfied with their relationships, which in turn was related to lower levels of bulimia. The effect that secure attachment had on bulimia was not direct, but a function of relationship satisfaction within adult love relationships.
The findings of this study extend results from previous research concerning anxious attachment and bulimia, into the realm of adult love relationships. Further research investigation of attachment styles within adult love relationships, in terms of specific cognitive processing and types of symptom expression within the eating disordered population, represents a productive avenue for future research.
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Moore, Mary L. "A group treatment program for bulimia nervosa." Diss., Virginia Tech, 1996. http://hdl.handle.net/10919/39791.
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Mathews, Abigail Laurie. "Bulimia vs. depression self and interpersonal discrepancies /." Diss., Online access via UMI:, 2006.
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Broussard, Brenda Beverly. "The experience of bulimia : a phenomenologic investigation /." Thesis, Connect to this title online; UW restricted, 2002. http://hdl.handle.net/1773/7321.
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Dobmeyer, Anne C. "Factor Structure of the Anorexia Bulimia Inventory." DigitalCommons@USU, 1997. https://digitalcommons.usu.edu/etd/6100.
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The Anorexia Bulimia Inventory, a recently developed self-report questionnaire for the assessment of eating disorders, addresses two major limitations found in existing self-report eating disorder inventories. First, it comprehensively assesses the diagnostic symptoms of both bulimia and anorexia nervosa; and second, it assesses the frequently cooccurring problem areas (e.g., depression, anergia) that may be targeted in treatment planning for eating disorders. Although initial research on the psychometrics of the instrument appears promising, no research has yet investigated its factor structure. Therefore, the goal of the present study was to investigate the factor structure of the Anorexia Bulimia Inventory.
Principal axis factor analysis with a varimax rotation was used on a combined clinical and nonclinical sample. The overall sample (N = 1,675) was randomly divided to provide a replication of the factor analysis. Using the two separate samples and the combined, total sample, one seven-factor solution and two eight-factor solutions emerged. All factors met conventional standards for internal consistency, with the exception of one factor consisting of only three items.
The results of this study suggest that the factor structure of the Anorexia Bulimia Inventory closely parallels the intuitively designed subscales. All nine subscales emerged as separate, interpretable factors in at least one sample. Four subscales were clearly corroborated by the factor analysis, suggesting that these factors represent stable constructs that are relevant to populations at-risk for the development of eating disorders. The factor analyses provided moderate corroboration of four other subscales. Although these four factors did show deviations across samples, they all emerged as interpretable factors, suggesting that the constructs likely reflect some of the prominent ideational and behavioral issues relevant to at-risk populations. Finally, one subscale emerged as an interpretable factor in only one sample. This failure to replicate across samples may reflect problems in the wording or choice of items included on the subscale, or it could indicate that these issues are less relevant for at-risk populations. The results of this study, together with the existing evidence of the measure's psychometric properties, support the use of the Anorexia Bulimia Inventory in the assessment of eating disorders.
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Cohen, Deborah. "Factors associated with bulimia nervosa and their relationships with bulimic symptoms, examining the role of the Family Environment factor." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 2000. http://www.collectionscanada.ca/obj/s4/f2/dsk2/ftp03/MQ57655.pdf.
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Cohen, Deborah (Deborah Lynne) Carleton University Dissertation Psychology. "Factor associated with bulimia nervosa and their relationships with bulimic symptoms; examining the role of the family environment factor." Ottawa, 2000.
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Karas, Michelle Anne. "Appraisal of negative and positive events in bulimia nervosa." Thesis, Canberra, ACT : The Australian National University, 1991. http://hdl.handle.net/1885/141346.
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Sävland, Emelie, and Bella Wennerholm. "Att tillfriskna från Bulimia Nervosa : vilka faktorer underlättar?" Thesis, Högskolan Väst, Avd för vårdvetenskap på grundnivå, 2013. http://urn.kb.se/resolve?urn=urn:nbn:se:hv:diva-5792.
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Welch, Sarah L. "Risk factors for the development of bulimia nervosa." Thesis, University of Oxford, 1994. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.359515.
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Cooper, Myra. "Cognitive processes in anorexia nervosa and bulimia nervosa." Thesis, University of Oxford, 1991. http://ora.ox.ac.uk/objects/uuid:317050bf-48c7-4213-af41-939eb5576181.
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The series of studies reported in this thesis aimed to improve our knowledge of the cognitive disturbance in anorexia nervosa and bulimia nervosa. Techniques from experimental cognitive psychology were used to test predictions made by cognitive theories of eating disorders. In the first study, subjects performed three tasks related to eating, weight and shape and self-statements were measured using concurrent verbalisation and a selfreport questionnaire. Compared to dieters and non-dieting controls, patients with bulimia nervosa showed greater concern with weight and appearance while patients with anorexia nervosa showed greater concern with eating. In the second study, using an adaptation of the Stroop colour-naming task, patients with eating disorders showed greater selective processing of information related to eating, weight and shape than normal, non-dieting controls and normal dieters. In the third study it was found that this disturbance was more closely related to measures of the specific psychopathology of eating disorders rather than to measures of general psychopathology. In the fourth study information processing before and after treatment was compared. As predicted by cognitive theories, selective processing appeared to be related to the emotional salience of the clour-named words rather than to patients' familiarity with the issues represented by these words. In the fifth study information processing before and after three different psychological treatments for bulimia nervosa was measured. No support was found for the hypothesis that cognitive behaviour therapy operates through mechanisms specific to this treatment. Contrary to predictions, in the sixth study, when colour-naming was measured at the end of treatment and at 12 month follow-up, selective information processing did not predict relapse in symptoms of bulimia nervosa. Finally, a seventh study, which manipulated attitudes to eating, weight and shape experimentally, found evidence for a causal relationship between these attitudes and disturbed eating behaviour. Methodological issues, and the clinical and theoretical relevance of the research findings, are discussed.
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Hannon-Engel, Sandy. "Role of Altered CCK Response in Bulimia Nervosa." Thesis, Boston College, 2012. http://hdl.handle.net/2345/2648.
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Thesis advisor: Barbara E. WolfeThe core defining features of bulimia nervosa (BN) are repeated binge eating episodes and compensatory purging behavior. The biobehavioral aspects of binge eating are complex and not fully understood. One area of recent interest is the role of the satiety-signaling peptide cholecystokinin (CCK). Previous research observed a blunted postprandial plasma CCK response in those with BN, therefore suggesting this may be a cause, consequence, or maintenance factor in binge eating. It is unknown whether this altered response is due to a state versus trait phenomenon, thus having implications in the development of clinical treatment strategies. To examine the nature of this altered response, this study assessed whether CCK normalizes following remission from BN (RBN). This biobehavioral study utilized a comparative design to prospectively evaluate the biological CCK response and the corresponding behavioral ratings of satiety and other eating-related sensations in individuals with BN (n=10), RBN (n =14), and healthy controls (CON, n=13). CCK and behavioral ratings were assessed at baseline, +15, +30, and +60 minutes following the ingestion of a standardized liquid test meal. The BN group's CCK response was blunted and approached significance (p =.052) when compared to the RBN and CON groups. As predicted the RBN and CON groups' CCK response did not significantly differ. This finding supports the premise that CCK may normalize following abstinence from binge and purge (vomit) episodes and that this is a state versus trait related phenomenon. A significant positive relationship between CCK response and ratings of satiety occurred in the RBN group only (r=.59, p<.05). A new and unanticipated finding in the BN group was a significant relationship (r=.86, p < .01, two-tailed) between their CCK response and urge to vomit. A greater urge to vomit was reported by those individuals who had increased CCK response. Therefore, it is unknown whether the normalization of CCK functioning is a protective or liability factor in the stabilization and recovery process. Replication studies utilizing a larger sample size are needed to understand the role of CCK in recovery and the subsequent development of novel treatment strategies for those suffering with BN
Thesis (PhD) — Boston College, 2012
Submitted to: Boston College. Connell School of Nursing
Discipline: Nursing
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Dolonguevich, Evelyn Ruth. "Tratamiento periodontal en pacientes con bulimia y anorexia." Trabajo final de especialización, Universidad Nacional de Cuyo. Facultad de Odontología, 2008. http://bdigital.uncu.edu.ar/9167.
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Los trastornos de la conducta alimentaria descritos como anorexia y bulimia nerviosa son serios desórdenes biopsicosociales que afectan a un gran número de personas. Comienzan en la adolescencia y a causa del aumento progresivo de su incidencia y las severas consecuencias de la enfermedad reciben hoy creciente atención por parte de los profesionales de la salud.
En la cavidad bucal, las secuelas son graves a causa de la pérdida de tejidos dentarios provocada por la acción repetida y localizada de los ácidos gástricos, erosión dental (etiología intrínseca), agravada en algunos casos por el consumo frecuente de jugos cítricos naturales, variedad de jugos diluibles y gaseosas de bajo pH (etiología extrínseca).Fil: Dolonguevich, Evelyn Ruth. Universidad Nacional de Cuyo. Facultad de Odontología.
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Nåbäck, Emma, and Zena Lind. "Patienter med bulimia nervosas upplevelser av psykologiska behandlingar." Thesis, Högskolan i Halmstad, Akademin för hälsa och välfärd, 2021. http://urn.kb.se/resolve?urn=urn:nbn:se:hh:diva-44147.
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Bakgrund: Bulimia nervosa kännetecknas av perioder med hetsätning kombinerat med kräkning, användning av laxerande medel eller överdriven träning. Många patienter väljer att inte söka hjälp på grund av skam och skuld samt en rädsla för förändring. Psykologiska behandlingar som används är oftast kognitiv beteendeterapi på olika sätt. Sjuksköterskans främsta arbetsuppgift är att möta patienterna med lyhördhet och empati. Syfte: Syftet var att belysa patienter med bulimia nervosas upplevelser av psykologiska behandlingar. Metod: Studien var en allmän litteraturstudie där tio vetenskapliga artiklar samlades in och bearbetades. Resultat: De insamlade artiklarna resulterade i tre kategorier; tillit, motivation och lärande. Tillit till den som höll i de psykologiska behandlingarna var viktigt för att kunna öppna upp sig om sin sjukdom. De upplevde både förbättrad motivation till förändring men några uppgav även en försämrad motivation till förändring. Patienterna med bulimia nervosa upplevde ett lärande då de fick redskap för att hantera sin sjukdom genom de psykologiska behandlingarna. Konklusion: För patienter med bulimia nervosa var det viktigt att känna tillit till personalen för att bli motiverade till behandlingen och kunna lära sig hantera sin sjukdom för att lyckas gå vidare i sitt tillfrisknande. Det är viktigt att sjuksköterskan finns där för patienten.Background: Bulimia nervosa is characterized by periods of binge eating combined with vomiting, using of laxatives or obsessive exercise. Patients choose not to get help because of shame and guilt and also a fear of change. Psychological treatments used for bulimia nervosa is primarily cognitive behavior therapy in different ways. As a nurse it is important to meet patients with sensitivity and empathy. Objective: The purpose was to illustrate patients with bulimia nervosas experiences of psychological treatments. Method: This study is an general literature study where ten scientific articles was collected and processed. Results: The collected articles resulted in three categories; trust, motivation and learning. Trust to those who held in those psychological treatments was important in order to open up about their illness. Patients experienced both improved motivation to make a change and some patients experienced worsen motivation to make a change. The psychological treatments gave patients the tools they needed to handle their illness. Conclusion: For the patients with bulimia nervosa it was important to feel trust to get motivated to the treatment and to be able to handle their illness and to move on with the recovery. It´s important for the nurse to be there for the patient.
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Parker, Jami. "Teachers' knowledge of bulimia in high school students." Online version, 2004. http://www.uwstout.edu/lib/thesis/2004/2004parkerj.pdf.
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Reiter, Jeffrey Thomas. "Investigating the Bulimia-Depression Relationship using Sleep Deprivation." W&M ScholarWorks, 1990. https://scholarworks.wm.edu/etd/1539625635.
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Quakenbush, Benita J. "Anorexia Nervosa and Bulimia Nervosa: The Patients' Perspective." DigitalCommons@USU, 1996. https://digitalcommons.usu.edu/etd/6094.
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Eating-disorder clients show low motivation, poor follow-through, and inordinate premature dropout rates in treatment. To date, little research has been conducted that might provide clinicians with an understanding of the critical factors that may aid clients' recovery. Such factors may be used by clinicians to better motivate clients to collaborate in treatment. The purpose of this study was to identify some of the critical factors that women with eating disorders believed were crucial in prompting or facilitating their recovery. Identification of these factors was accomplished through a systematic content analysis of semistructured interviews with recovered or recovering bulimics and anorexics. This study may contribute significantly to future research into the development of motivational supplements to eating disorder therapy ( e.g., psychoeducational materials or therapy orientation programs). Of interest were what personal, interpersonal, or environmental factors anorexic and bulimic clients reported increased their motivation to recover, and prompted them to begin the recovery process, maintain recovery, and cope with the threat of relapse. Also, factors that subjects reported hindered their progress in recovery were examined.
The anorexic and bulimic subjects reported social support as a critical factor across three stages of recovery, including beginning recovery, maintaining recovery, and coping with relapse. Being "tired" of the disorder and therapy were indicated to be relevant to beginning recovery. Improved self-esteem was deemed significant in helping subjects both maintain recovery and cope with the threat of relapse. Establishing healthy eating habits and attitudes was a necessary factor required to maintain recovery. Subjects shared that developing healthy ways to deal with emotions enabled them to deal successfully with the threat of relapse.
Anorexic subjects reported that people and societal expectations, fear of becoming fat, incentive to numb emotions, and poor eating habits and attitudes impeded their recovery. Bulimic subjects indicated that people and societal expectations, incentive to numb emotions, lack of understanding, and poor eating habits and attitudes hindered their recovery.
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Quackenbush, Benita J. "Anorexia Nervosa and Bulimia Nervosa: The Patients' Perspective." DigitalCommons@USU, 1996. https://digitalcommons.usu.edu/etd/5033.
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Eating-disorder clients show low motivation, poor follow-through, and inordinate premature dropout rates in treatment. To date, little research has been conducted that might provide clinicians with an understanding of the critical factors that may aid clients' recovery. Such factors may be used by clinicians to better motivate clients to collaborate in treatment. The purpose of this study was to identify some of the critical factors that women with eating disorders believed were crucial in prompting or facilitating their recovery. Identification of these factors was accomplished through a systematic content analysis of semistructured interviews with recovered or recovering bulimics and anorexics. This study may contribute significantly to future research into the development of motivational supplements to eating disorder therapy (e.g., psychoeducational materials or therapy orientation programs). Of interest were what personal, interpersonal, or environmental factors anorexic and bulimic clients reported increased their motivation to recover, and prompted them to begin the recovery process, maintain recovery, and cope with the threat ofrelapse. Also, factors that subjects reported hindered their progress in recovery were examined.
The anorexic and bulimic subjects reported social support as a critical factor across three stages of recovery, including beginning recovery, maintaining recovery, and coping with relapse. Being "tired" of the disorder and therapy were indicated to be relevant to beginning recovery. Improved self-esteem was deemed significant in helping subjects both maintain recovery and cope with the threat of relapse. Establishing healthy eating habits and attitudes was a necessary factor required to maintain recovery. Subjects shared that developing healthy ways to deal with emotions enabled them to deal successfully with the threat of relapse.
Anorexic subjects reported that people and societal expectations, fear of becoming fat, incentive to numb emotions, and poor eating habits and attitudes impeded their recovery. Bulimic subjects indicated that people and societal expectations, incentive to numb emotions, lack of understanding, and poor eating habits and attitudes hindered their recovery.
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Corbridge, Claire. "The role of emotional inhibition in bulimic disorders : evaluation of a schema-focused model of emotionally-driven eating in bulimia." Thesis, University of Southampton, 1999. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.299411.
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Rhodes, Theresa Lynn. "A preliminary exploration of the reliability and validity estimates of an instrument that assesses bulimia : the Bulimic Symptom Severity Scale /." The Ohio State University, 1989. http://rave.ohiolink.edu/etdc/view?acc_num=osu1487672245903718.
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Dale, Sheilagh. "The lived experience of bulimia nervosa : a phenomenological study /." St. John's, NF : [s.n.], 2001.
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Scanlon, Elizabeth Mary. "Cognitive-behavioral theory of bulimia: an empirical test of basic assumptions." Diss., Virginia Polytechnic Institute and State University, 1986. http://hdl.handle.net/10919/76499.
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Three groups were compared on a number of cognitive measures: 27 women who fulfilled operationalized DSM-III criteria for bulimia, 27 women who regularly binge-ate but did not fulfill the operationalized criteria for bulimia, and 27 control women who did not binge eat. Subjects were compared on measures of: 1) endorsement of rigid, perfectionistic beliefs; 2) confidence concerning their ability to argue effectively against such beliefs; 3) independent ratings of the effectiveness of their arguments; and 4) self-evaluations of the effectiveness of their arguments. These measures were assessed for two types of rigid, perfectionistic beliefs: those which concerned issues of eating, weight, and appearance (idiosyncratic beliefs) and those which concerned other personal issues (common beliefs).
Bulimic women were found to endorse rigid, perfectionistic beliefs to a significantly greater extent than either comparison control group, giving especially high endorsements to beliefs concerning issues of eating, weight and appearance. Contrary to hypotheses, no differences were found between groups on their confidence ratings, ability to generate rational arguments, or evaluations of the effectiveness of their arguments for either idiosyncratic or common beliefs. However, a main effect of order of belief packet presentation was found which indicated that it was harder for women across groups to generate rational/effective arguments against the idiosyncratic belief statements, if they were somewhat fatigued by having had already argued against a number of common beliefs. This finding was interpreted as suggesting that factors, such as fatigue, which may impede concentration and affect the ability to think rationally about issues such as those described by the idiosyncratic belief statements.
Overall these results lend partial support for cognitive-behavioral assumptions of bulimia and its correlates. The results support the assumption that bulimic women maintain a number of rigid, perfectionistic beliefs, especially concerning issues of eating, weight and appearance. Moreover, the results suggest that the assumption that bulimic individuals lack active cognitive coping strategies or are less able to respond to rigid, perfectionistic thoughts with strategies such as rational self-statements, needs to be refined. Implications of these findings for the assessment and treatment of bulimia were discussed.Ph. D.
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Owen-Nieberding, Amy. "Psychosocial Influences on Bulimic Symptoms: Investigation of an Emprical Model." Thesis, University of North Texas, 1996. https://digital.library.unt.edu/ark:/67531/metadc278981/.
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The emerging consensus among investigators seems to be that bulimia is a multidetermined disorder with a number of contributing factors, including biological components, sociocultural factor, personality, and family characteristics (Garfinkel & Garner, 1982). An etiological model was examined in this study integrating two important theoretical perspectives in the bulimia literature: the stress-coping perspective (Cattanach & Rodin, 1988) and the family systems perspective (Minuchin et al., 1978). Five latent variables: Family Characteristics, Coping Resources, Psychological Disturbance, Environmental Stressors, and Bulimia were represented by twelve measured variables. Structural Equation Modeling analysis allowed for the simultaneous examination of the hypothesized interrelationships between model variables. Findings confirmed a direct impact of psychological disturbances on bulimic symptoms. Hypothesized indirect relationships of family characteristics, coping resources and environmental stressors to bulimia were confirmed. Treatment implications as well as directions for future research were discussed.
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Dolan, B. M. "Demographic and family features in bulimia : A controlled study of demographic and family charcteristics in the normal body weight bulimic syndrome." Thesis, University of Bradford, 1988. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.381014.
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Wunsch, Charlotte Audrey. "Eating behaviour and polycystic ovary syndrome : the psychological profiles of a clinical sample with abnormal and normal eating, and a controlled study of psychological intervention." Thesis, St George's, University of London, 1998. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.287385.
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Romero, Saletti Silvana Melissa. "Niveles de estrés percibido y estilos de afrontamiento en pacientes con bulimia nerviosa." Bachelor's thesis, Pontificia Universidad Católica del Perú, 2009. http://tesis.pucp.edu.pe/repositorio/handle/123456789/1554.
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La presente investigación tuvo como objetivo determinar la relación entre los niveles de
estrés percibido y los estilos de afrontamiento predominantes en una muestra de
pacientes con Bulimia Nerviosa. Con dicho fin, se aplicó el Inventario de Trastornos de la
Conducta Alimentaria, el Cuestionario de Respuesta al Estrés y el Cuestionario de Estilos
de Afrontamiento a 30 pacientes con BN y 30 personas sin el trastorno. Se encontraron
diferencias significativas en los niveles de estrés, siendo este mayor en el grupo clínico. Al
interior de este se observaron diferencias de acuerdo a la edad y al tiempo de
enfermedad. En cuanto afrontamiento, se hallaron diferencias significativas en ambos
grupos en el uso de los estilos centrado en el problema y evitativo. Al interior del grupo
clínico, se encontraron diferencias de acuerdo a la comorbilidad. Finalmente se obtuvieron
correlaciones significativas medianas y grandes entre la BN, el estrés y el afrontamiento.The aim of this study was to identify the association between stress levels and coping styles in a sample of patients with Bulimia Nervosa. Two groups conformed by 30 patients and 30 non-patients were assessed using the Eating Disorders Inventory (EDI-2), the Stress Response Questionnaire and the Coping Estimation Inventory. Stress levels were significantly greater in the clinical group. Within the clinical group, differences were observed according to age and time course of illness. In terms of coping, significant differences were found in the use of problem-focused and avoidant coping between the groups. Among the clinical group, differences in coping were obtained according to comorbidity. Finally, significant correlations were found between BN symptoms, stress and coping.
Tesis