Developing a protocol to address co-occurring mental health conditions in the treatment of eating disorders

OBJECTIVE: While co-occurring mental health conditions are the norm in eating disorders, no testable protocol addresses management of these in psychotherapy. METHOD: The literature on managing mental health conditions that co-occur with eating disorders is outlined and reviewed. RESULTS: In the absence of clear evidence to inform managing co-occurring mental health conditions, we advocate for use of an iterative, session-by-session measurement to guide practice and research. We identify three data-driven treatment approaches (focus solely on the eating disorder; multiple sequential interventions either before or after the eating disorder is addressed; integrated interventions), and the indications for their use. Where a co-occurring mental health condition/s impede effective treatment of the eating disorder, and an integrated intervention is required, we outline a four-step protocol for three broad intervention approaches (alternate, modular, transdiagnostic). A research program is suggested to test the usefulness of the protocol. DISCUSSION: Guidelines that provide a starting point to improving outcomes for people with eating disorders that can be evaluated/researched are offered in the current paper. These guidelines require further elaboration with reference to: (1) whether any difference in approach is required where the co-occurring mental health condition is a comorbid symptom or condition; (2) the place of biological treatments within these guidelines; (3) precise guidelines for selecting among the three broad intervention approaches when adapting care for co-occurring conditions; (4) optimal approaches to involving consumer input into identifying the most relevant co-occurring conditions; (5) detailed specification on how to determine which adjuncts to add. PUBLIC SIGNIFICANCE: Most people with an eating disorder also have another diagnosis or an underlying trait (e.g., perfectionism). Currently no clear guidelines exist to guide treatment in this situation, which often results in a drift away from evidence-based techniques. This paper outlines data-driven strategies for treating eating disorders and the accompanying comorbid conditions and a research program that can test the usefulness of the different approaches suggested

Ternary cluster decay within the liquid drop model

Longitudinal ternary and binary fission barriers of $^{36}$Ar, $^{56}$Ni and $^{252}$Cf nuclei have been determined within a rotational liquid drop model taking into account the nuclear proximity energy. For the light nuclei the heights of the ternary fission barriers become competitive with the binary ones at high angular momenta since the maximum lies at an outer position and has a much higher moment of inertia.Comment: Talk presented at the 9th International Conference on Clustering Aspects of Nuclear Structure and Dynamics (CLUSTERS'07

Binary reaction decays from 24Mg+12C

Charged particle and gamma decays in 24Mg* are investigated for excitation energies where quasimolecular resonances appear in 12C+12C collisions. Various theoretical predictions for the occurence of superdeformed and hyperdeformed bands associated with resonance structures with low spin are discussed within the measured 24Mg* excitation energy region. The inverse kinematics reaction 24Mg+12C is studied at E_lab(24Mg) = 130 MeV, an energy which enables the population of 24Mg states decaying into 12C+12C resonant break-up states. Exclusive data were collected with the Binary Reaction Spectrometer in coincidence with EUROBALL IV installed at the VIVITRON Tandem facility at Strasbourg. Specific structures with large deformation were selectively populated in binary reactions and their associated gamma decays studied. Coincident events associated with inelastic and alpha-transfer channels have been selected by choosing the excitation energy or the entry point via the two-body Q-values. The analysis of the binary reaction channels is presented with a particular emphasis on 24Mg-gamma, 20Ne-gamma and 16O-gamma coincidences. New information (spin and branching ratios) is deduced on high-energy states in 24Mg and 16O, respectively.Comment: 27 pages, 8 figures, 1 tabl

Analysis Of Energy Production With Different Photovoltaic Technologies In The Colombian Geography

This research has analyzed the photovoltaic technologies, Polycrystalline silicon, Monocrystalline Silicon, GIS, Cadmium Tellurium and Amorphous Silicon; in eight cities of the Colombian territory, in order to obtain a clear idea of what is the most appropriate for each city or region studied. PVsyst simulation software has been used to study in detail each photovoltaic technology, for an installed capacity of 100kW knowing the specific data of losses by temperature, mismatch, efficiency, wiring, angle inclination of the arrangement, among other

Estudio immunohistoquímico de tumores de folículos pilosos caninos

El objetivo de este trabajo ha sido analizar los patrones de expresión de varias citoqueratinas e involucrina en tumores del folículo piloso canino con especial interés en los que exhiben menor diferenciación tricofítica. En el estudio se han utilizado 71 tumores foliculares diagnosticados en el Servicio de Diagnóstico de Histología y Anatomía Patológica Comparadas de la UCO. Las muestras, fijadas en formol al 10%, se procesaron de la forma habitual para diagnóstico histopatológico y se utilizó la técnica ABC para el estudio inmunohistoquímico. Los tumores foliculares se clasificaron histopatológicamente según Golsmidht y cols, (1998) como tricoepiteliomas (22), epiteliomas intracutáneos cornificantes (23) y tricoblastomas (5)y pilomatricomas (21)

Can existing assessment tools be used to track equity in protected area management under Aichi Target 11?

Aichi Target 11 (AT11) includes the commitment of 194 governments to equitably manage protected areas (PAs) by 2020. Here we evaluate whether existing PA Management Effectiveness (PAME) and social and governance assessment tools can be used to determine if AT11 meets equity goals. We find that PAME assessment conditions are insufficiently inclusive of relevant actors and do not satisfactorily allow for a diversity of perspectives to be expressed and accounted for, both of which are essential for equitable PA management. Furthermore, none of the analysed PAME tools fully cover multidimensional equity and thus they are inadequate for assessing progress towards equitable management in PAs. The available social and governance PA assessment tools stipulate more inclusive and participatory conditions within their guidelines, and the IUCN Governance Guidelines comprehensively capture equity dimensions in PA management, but results are not comparable across sites. We conclude that available assessment tools do not provide a reliable way to track equity in PAs at global scale. The IUCN Governance Guidelines could be adjusted to achieve this goal, providing that the information collected is made globally comparable, while ensuring transparency, accountability and room for contestation, including by communities whose livelihoods are directly implicated. Ultimately, developing and deploying globally comparable measures to evaluate equity is problematic, as the process of gathering comparable data inevitably obscures information that is highly relevant to resolving equity issues at local scales. This challenge must be met, however, if nations are to achieve and report on their success at meeting AT11 by 2020. © 2018 Elsevier LtdWe thank Jens Friis Lund from the University of Copenhagen for his great support in the writing of this publication. We also thank the following for their assistance in the data collection and analysis: April Eassom, Lauren Coad, Kathryn Knights, Jonas Geldmann, Murielle Misrachi and Naomi Kingston from UNEP-WCMC, PA Solutions, University of Oxford and University of Copenhagen, Phil Franks, Kate Schreckenberg and Dilys Roe from IIED, Marc Hockings, Fiona Leverington from IUCN WCPA/University of Queensland. N.Z-C. and N.B. acknowledge the funding provided by the European Union's Horizon 2020 research and innovation programme under the Marie Sklodowska-Curie grant agreement No 659881 to N.Z-C. and the Danish National Research Foundation for funding for the Centre for Macroecology, Evolution and Climate; grant number DNRF96 . We thank Jens Friis Lund from the University of Copenhagen for his great support in the writing of this publication. We also thank the following for their assistance in the data collection and analysis: April Eassom, Lauren Coad, Kathryn Knights, Jonas Geldmann, Murielle Misrachi and Naomi Kingston from UNEP-WCMC, PA Solutions, University of Oxford and University of Copenhagen, Phil Franks, Kate Schreckenberg and Dilys Roe from IIED, Marc Hockings, Fiona Leverington from IUCN WCPA/University of Queensland. N.Z-C. and N.B. acknowledge the funding provided by the European Union's Horizon 2020 research and innovation programme under the Marie Sklodowska-Curie grant agreement No 659881 to N.Z-C. and the Danish National Research Foundation for funding for the Centre for Macroecology, Evolution and Climate; grant number DNRF96

Systematic Review On Bullying Situations And Intervention Programs In Early Childhood Education

Background: Bullying is a traumatic event that is observed from the early stages of the educational system. Ensuring an adequate socioemotional development through the implementation of activities or intervention programs based on the work of Emotional Intelligence in the Early Childhood Education stage where empathy, assertiveness, emotional intelligence, social skills, values... are worked on, with the aim of preventing/eradicating situations of violence in educational environments, is essential to put an end to this problem. Goal: To find out whether there is evidence of bullying at the early childhood education (ECE) stage and to investigate whether bullying prevention work is carried out at this educational stage. Method: A systematic review, following the PRISMA 2020 Declaration, was carried out in the Web of Science (WoS) and Scopus (SJR) databases from January to March 2023. The search terms used were: "Children", "Health Education" and "Bullying". Only articles in Spanish and English published from 2013 to 2023 were selected, in which bullying in the ECE stage is analyzed. The last filter applied was related with research areas of Psychology and Education. The sample is composed of a total of 4 articles, most of them published abroad. Findings: According to the studies reviewed, there is little concern about bullying at the ECE stage, and there is little concern about the implementation of prevention programs for this proble

Mechanistic influence of sub-micrometer porosity on the hydrogen environment-assisted cracking behavior of additively manufactured 17-4PH steel

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Formación en psicología para entrenadores de fútbol : una propuesta metodológica

En este trabajo se presenta una metodología específica para la formación en psicología de entrenadores de fútbol. Se propone la utilización de técnicas de la dinámica de grupos, agrupando a los entrenadores por grupos homogéneos, utilizando como criterio fundamental la pertenencia de éstos a un mismo club deportivo. Se presentan algunas de las técnicas utilizadas (torbellino de ideas, trabajo individual, trabajos en pequenos grupos, exposiciones y debates, etc.), sí como los contenidos de las sesiones formativas: variables psicológicas implicadas en el rendimiento deportivo de los futbolistas (en entrenamiento y competición) y variables psicológicas del entrenador para optimizar su competencia profesional. Finalmente, se presenta la valoración realizada por los entrenadores respecto a la sesiones formativas.This work presents a specific methodology to form football coaches in psychology. It's proposed the use of techniques of group dynamics, gathering the coaches into «homogeneous groups», considering as an essential criterion they belong to the same sport club. Some of the used techniques are presented (brainstorming, individual work, small groups work, expositions and discussions, etc.), as well as the contents of the formative sessions: psychological variables of football players influencing in sport performance (in training and competition) and psychological variables of the coach to improve his professional competence. Finally, it's presented the valuation done by the coaches respected to the formative sessions