Reducing eating disorders risk in Turkish female university students using cognitive behavioural theory: A randomized controlled feasibility trial

No prevention program targeting female university students at risk for eating disorders (EDs) is currently available in Turkey. Accordingly, this study investigated the feasibility, acceptability, and preliminary efficacy of a new cognitive behavioural theory based prevention program designed to reduce the risk of developing EDs. 38 female university students who were randomised to either to 6 sessions Healthy Eating Attitudes and Behaviours Group Program (experimental condition) or one of the two control conditions (single session workshop vs. wait-list) participated in the study. EDs symptoms and risk factors were measured at baseline, post-assessment, and 1-month follow-up. Feasibility and acceptability were measured with a feedback form at the post-assessment time point. The experimental condition resulted in significantly higher reductions in EDs behaviours, body dissatisfaction, emotion regulation difficulties and internalization of thin/low body fat ideal with the high level of effect size compared with control conditions. The attendance rate and satisfaction with the program were high. Preliminary data suggested that the Healthy Eating Attitudes and Behaviours Group Program is feasible and acceptable, and appears promising in reducing EDs symptoms and risk factors in Turkish female university students. Findings also provided the groundwork for future clinical trials aiming to reduce EDs risk in this population. © 2022, The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature

Psychogenic Purpura with Hematuria and Sexual Pain Disorder: A Case Report

Psychogenic purpura (Gardner-Diamond syndrome) is the Occurrence and spontaneous recurrence of painful ecchymosis following emotional stress and minor trauma. Although the exact mechanism of this syndrome remains unknown, apart from skin lesions, different types of hemorrhaging have been reported, such as epistaxis, gastrointestinal bleeding, and bleeding from the ear canals and eyes. We report a psychogenic purpura case that presented with hematuria in addition to skin lesions. Based on the psychiatric evaluation she was diagnosed with major depressive disorder generalized anxiety disorder and obsessive-compulsive disorder Additionally, sexual pain disorder accompanied these disorders. With the help of antidepressant and supportive psychotherapy, the patient's ecchymosis and bleeding disappeared. During 8 months of follow-up the symptoms did not return. Vaginismus has not been reported in patients with psychogenic purpura. The presence of vaginismus, which is seen more frequently in eastern cultures and is thought to be related to sociocultural determinants, suggests that some cultural factors may be common to both psychogenic purpura and vaginismus. The aim of this case report was to call attention to a syndrome that is rarely seen and diagnosed, and to discuss its relationship to psychosocial factors. This syndrome should be considered in the differential diagnosis of not only ecchymotic lesions, but also various types of bleeding, including hematuria. Despite the fact that its etiology and treatment are not clearly understood, it should be noted that psychological factors play a role in this disease and therefore, psychopharmacological and psychotherapeutic approaches can be effective

The Predictors And Role Of Treatment Motivation In Eating Disorders

Eating Disorders (ED) are one of the psychiatric problems that increasingly become prevalent and include serious health risks. Low treatment motivation is a common and prominent factor in the progress of ED and lately became the focus of many researches. Therefore evaluating the patients'treatment motivation and related factors before planning the treatment modality increase the efficiency of treatment. However studies including these factors are rare

Body image, depression and eating behaviour: a comparative study in eating disordered women and healthy controls

OBJECTIVE The aim of this study is to compare eating behaviours, body image, and depressive symptoms in eating disordered women with a demographically matched healthy control sample to evaluate the predictors of eating behaviour. METHODS 150 women (75 in the Eating Disorders Group-EDG and 75 in Healthy Control Group-HCG) participated in the study. All participants completed the Eating Disorder Examination Questionnaire (EDE-Q), Beck Depression Inventory (BDI), and Photographic Figure Rating Scale for Women (PFRS). Body Mass Index (BMI) was also measured. RESULTS HCG significantly differed from EDG in all study variables except body dissatisfaction. Positive correlations were found between EDE-Q and its subscales, PFRS, BDI, and BMI. Excluding body image distortion, the study variables together explained 49.1% of the variance in EDE-Q total scores, with body dissatisfaction being the most powerful after controlling for group differences. CONCLUSION Women with EDs suffer more disordered eating behaviour, stronger depression symptoms, and lower BMI more than their healthy counterparts, although these factors are quite common in healthy women too. Body dissatisfaction, which is an important predictor of eating problems, is also equally prevalent in healthy controls. Finally, healthy women tend to underestimate their body size, which can be a protective factor against EDs

Assessment of Dental Fear and Anxiety Levels in Eating Disorder Patients Undergoing Minor Oral Surgery

Purpose: The aim of the present study was to evaluate the levels of dental fear and anxiety in women with eating disorders (EDs) scheduled for oral surgery

Peripheral Blood Lymphocyte Dynamics and Viral Kinetics in Patients with Chronic Active Hepatitis B Virus Infection Treated by Tenofovir

WOS: 000304683800045PubMed: 22193343Background/Aims: We investigated serum viral kinetics and peripheral blood lymphocyte dynamics in chronic hepatitis B patients during the first year of tenofovir therapy. Methodology: Fifteen patients, naive to any kind of previous antiviral therapy, were included in this study. The patients received tenofovir daily 245mg for 48 weeks. Fifteen age and gender compatible healthy subjects were enrolled as the control group. Clinical, biochemical, immunological and virological parameters were assessed at baseline, then at the first, third, sixth and twelfth months. Results: CD4(+)CD25(+)FOXP3(+) nTregs percentages were significantly higher in the study group than that of healthy controls, CD4(+)CD28(+) and CD4(+)CD38(+) T cell percent-ages were significantly lower in the study group than those of control group (p<0.001). Twelve cases had undetectable HBV DNA levels after the one year therapy. We determined that there was an increase of the CD28(+)co-stimulator molecule on both the CD4(+) and CD8(+) T cells while a decrease of the CD8(+)CD38(+) T cells, CD4(+)CD38(+) T cells and CD4(+)CD25(+)FOXP3(+) nTregs, in patients with tenofovir treatment, but only CD4(+)CD25(+)FOXP3(+) nTregs were statistically significant. Conclusions: We found that both viral load and CD4(+)CD25(+)FOXP3(+) nTreg percentages decreased significantly in patients with chronic hepatitis B virus infection during 1 year course of tenofovir treatment

Maternal and perinatal effects of vaginal delivery after caesarean section

We aimed to determine the risk factors of vaginal delivery after caesarean section (VDAC) that may be effective on maternal and neonatal outcomes and compare the pregnancy outcomes of VDAC with the results of the previous caesarean delivery. 36 women, who had VDAC in Dr. Zekai Tahir Burak Women's Health Education and Research Hospital between 2009-2014 years, were included in this study. Mean age of patients was 32.53± 3.595, mean birth week of previous caesarean was 38.21 ± 1.84 and mean birth week of present vaginal delivery was 36,10 ± 3,99. Birth weeks of previous caesarean and present vaginal deliveries were significantly different. Neonatal birth weight was not significantly different between these groups. Gravida and parity of the patient, and the number of previous vaginal deliveries, have been identified as factors that reduce adverse pregnancy outcomes by lineer regression analysis. Increased number of previous vaginal deliveries, gravida and parity reduce the adverse pregnancy outcomes in women having VDAC. [Med-Science 2016; 5(4.000): 957-60

Psychologic correlates of eating attitudes in Turkish female college students

Objective: The purpose of this study is to determine the frequency and correlates of disordered eating attitudes in a university-sample Turkish female population and to evaluate the contribution of maternal psychopathologic symptoms and family functioning

Leptin concentration indexed to fat mass is increased in untreated anorexia nervosa (AN) patients

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