Using group therapy to support eating disordered mothers with their children: the relevance for primary care

Eating disorders are a crippling and disabling condition. If they become chronic, the emotional, physical and social effects are substantial. The death rate is the highest of all psychiatric illnesses so the need to find prevention strategies is urgent. This research project has three aims, primary prevention of an eating disorder for the child, helping the mother recover and developing a protocol for a group to be used in primary care. Children of mothers with an eating disorder, are a proven ‘at risk’ group, because children model and internalize their experiences. This project was carried out in a community setting, targeting mothers with an eating disorder who had children under the age of 13. It was argued that if these mothers can be encouraged to change the dysfunctional behaviour they may be passing on to their children, an attempt can be made to break the cycle. This qualitative research pilot project utilized semi-structured interviews before and after 11 weeks of group therapy, with three- and six-month follow-ups. Although the sample was small, the results showed that a group allowed these mothers a safe space for reflection, enabling them to become aware of their behaviour. As a result the mothers implemented changes in response to their children's needs, encouraging healthier development. The pilot was a precursor for a larger study to be carried out and developed within the primary care network

Reflections on a degree initiative: the UK's Birmingham Royal Ballet dancers enter the University of Birmingham

This paper provides an opportunity to share experiences and perceptions of the first 5 years of a degree programme for professional dancers. A partnership developed in the mid-1990s between the UK's Birmingham Royal Ballet and the University of Birmingham, Westhill (now School of Education), to provide a part-time, post-experience, flexible study programme for full-time Company dancers. This is the first 'company customised' higher education programme to dovetail studies around rehearsal, performance and touring schedules. Methodology is based on a narrative by the author, informed by ongoing internal and external evaluations, in-depth interviews with dancers and Company managers, documentation and secondary sources. Outcomes indicate that the programme has made a positive difference to the Company, to the dancers and to the wider education and dance/arts world

Effects of a single aerobic exercise session on body image

Background and Objectives Most research on the effects of exercise on body image has concentrated on the benefits of regular exercise. However, some research has indicated that exercise has an immediate impact on body image. The aims of this study were to investigate the immediate effects of aerobic exercise in a fitness class and the at-home environment on body image, and to examine the impact of nutritional status (i.e., normal weight vs. overweight/obesity) and exercise addiction on these changes. Method 322 Hungarian women participated in the study with two different environmental conditions, fitness class condition (N = 155) and at-home video condition (N = 167). They completed the Body Appreciation Scale and Exercise Addiction Inventory before and after a one-hour aerobic exercise session. Self-report data on weight, height and exercise frequency were also collected. Results There were no significant differences between the fitness class and video groups in terms of age, educational level, BMI, body appreciation, exercise frequency and exercise addiction. We found that 7.5% (N = 24) of the participants were at risk for exercise addiction. Aerobic exercise had a significant positive effect on body appreciation (t(321) = 7.564, p < .001) independently from environment and nutritional status. Exercise addiction moderated the relationship between exercise and body image, the at risk for exercise addiction group showed the greatest improvement (F(1) = 3.252, p = .040). Conclusion The results indicate that even a one-hour aerobic exercise session has a positive effect on body image; this has important practical implications for intervention strategies and weight-loss treatments. | Elméleti háttér és célkitűzés Bár a legtöbb kutatás a rendszeres testedzés testképre gyakorolt pozitív hatására fókuszál, néhány vizsgálat eredménye a testedzés testképre tett azonnali hatására hívja fel a figyelmet. Jelen tanulmány célja az aerobik edzés testképre gyakorolt azonnali hatásának vizsgálata fitnesztermi és otthoni edzési körülmények között, továbbá a tápláltsági állapot (normális testsúly vs. túlsúly/elhízás) és a testedzésfüggőség potenciális moderátor szerepének vizsgálata az edzés és a testkép alakulása közötti kapcsolatban. Módszer A vizsgálatba aerobikedzést folytató nőket vontunk be (n = 322). A résztvevők egyik része edzőteremben folytatta a testgyakorlást (n = 155), másik része otthon végzett aerobik testedzést, video vagy DVD segítségével (n = 167). Mérőeszközök önbeszámolóval nyert testtömeg és testmagasság, a testedzés gyakoriságára vonatkozó kérdés, Testértékelési Skála, Testedzés Addikció Kérdőív. Az adatfelvétel az egyórás testgyakorlást megelőzően és azt követően történt. Eredmények Nem találtunk szignifikáns különbséget az edzőteremben és az otthonukban aerobik edzést folytató nők között az életkor, az iskolai végzettség, a BMI, a testértékelés, a testedzés gyakorisága és a testedzésfüggőség tekintetében. A válaszadók 7,5%-a (n = 24) esetében jelenik meg a testedzésfüggőség kockázata. Az egyórás testedzés szignifikáns, kedvező hatást gyakorolt a testképre (t(321) = 7,564; p < 0,001), amely hatás a testgyakorlás helyszínétől (edzőterem vs. otthon) és a tápláltsági állapottól függetlennek bizonyult. A testedzésfüggőség azonban moderálta a testgyakorlás és a testkép változásának kapcsolatát: a testedzést követően a testedzésfüggőség szempontjából veszélyeztetett csoportban mutatkozott meg a legnagyobb mértékű, pozitív irányú változás a testkép tekintetében (F(1) = 3,252; p = 0,040). Következtetés Eredményeink arra utalnak, hogy akár egy egyórás testgyakorlásnak is pozitív hatása lehet a testképre, amelynek jelentős gyakorlati implikációi vannak a testsúlycsökkentő kezelések szempontjából

Identification of RBPMS as a mammalian smooth muscle master splicing regulator via proximity of its gene with super-enhancers.

Alternative splicing (AS) programs are primarily controlled by regulatory RNA-binding proteins (RBPs). It has been proposed that a small number of master splicing regulators might control cell-specific splicing networks and that these RBPs could be identified by proximity of their genes to transcriptional super-enhancers. Using this approach we identified RBPMS as a critical splicing regulator in differentiated vascular smooth muscle cells (SMCs). RBPMS is highly down-regulated during phenotypic switching of SMCs from a contractile to a motile and proliferative phenotype and is responsible for 20% of the AS changes during this transition. RBPMS directly regulates AS of numerous components of the actin cytoskeleton and focal adhesion machineries whose activity is critical for SMC function in both phenotypes. RBPMS also regulates splicing of other splicing, post-transcriptional and transcription regulators including the key SMC transcription factor Myocardin, thereby matching many of the criteria of a master regulator of AS in SMCs.Funder: British Heart Foundation (BHF) Funder ID: 10.13039/501100000274 Funder: British Heart Foundation (BHF) Funder ID: 10.13039/501100000274 Funder: Wellcome Funder ID: 10.13039/100010269 Funder: Wellcome Funder ID: 10.13039/10001026

Weight loss for individuals with type 2 diabetes following a very-low-calorie diet in a community-based setting with trained facilitators for 12 weeks.

Approximately 80% of people with type 2 diabetes mellitus (T2DM) are overweight or obese, and obesity compounds the cardiovascular risk of T2DM. The aim of this retrospective study was twofold: first to investigate whether a twelve-week, community-based VLCD programme can result in important weight loss; and second to investigate any potential difference in the weight loss achieved using this community based approach in individuals with and without T2DM. Three hundred and fifty five participants with T2DM were matched for age, BMI and gender to participants without T2DM. The total cohort comprised 204 males: 506 females; age (years) 54.0 ± 9.1; BMI (kg/m2) 41.6 ± 8.1; weight (kg) 116.1 ± 25.1). The programme included a daily intake of 550kcal in addition to group support and behaviour therapy provided by trained facilitators within a community-based setting. After twelve weeks, there was significant weight loss within each group when compared to baseline (T2DM: 115.0 ± 24.4 kg vs 96.7 ± 21.4 kg, p < 0.0001; non-T2DM: 117.2 ± 25.8 kg vs 97.3 ± 22.2 kg, p < 0.0001). At twelve weeks, both weight change (-18.3 ± 7.3 kg vs -19.9 ± 7.0 kg, p = 0.012) and BMI change (-6.7 ± 2.9 kg/m2 vs -7.1 ± 2.1 kg/m2, p = 0.011) were significantly less in the T2DM group when compared to the non-T2DM group. Our results suggest that the use of VLCD approaches for weight management in T2DM can achieve more than 90% of the weight loss seen in obese individuals without T2DM

Politics, the people, and extra-institutional participation in Scotland, c. 1603–1712

This article examines popular political participation in early modern Scotland. In Scotland, some of the preconditions of public politics identified by recent scholars were less obviously present than in England or France. There was no culturally dominant metropolis or royal court; the volume of printed publications, though rising across the period, remained comparatively small. Because of these characteristics, historians of popular involvement in Scottish politics should pay particular attention to the traditional means of participation inherited from the medieval and Reformation periods. The article explores three forms of extra-institutional participation, each of which evolved out of formal, institutional political practices, but were deployed by ordinary Scots seeking to express their views. Protestations––formal statements of dissent from a statute or decision––developed in the courts, but were used in extramural contexts in the seventeenth century. Crowd demonstrations in towns took the place of traditional means of consultation, as urban government became increasingly oligarchical. And after congregational involvement in the appointment of parish ministers was legally instituted in 1690, significant numbers of small landowners and the landless poor claimed to have a say in the choice of their minister

Experience of Service Provision for Adolescents with Eating Disorders

Original article can be found at: http://journals.cambridge.org/ Copyright Cambridge University Press DOI:10.1191/1463423604pc192oaPeer reviewe