Binge-eating disorder in the Arabic world and the Netherlands, assessment, etiology, efficacy, effectiveness and economic evaluation of psychological interventions

De eetbuistoornis is de meest voorkomende eetstoornis en komt in vergelijking met anorexia en boulima veel meer onder alle lagen van de bevolking voor. Wereldwijd is er een gebrek aan kennis over de eetbuistoornis. Door gebrekkige (h)erkenning krijgen individuen met een eetbuistoornis vaak verkeerde zorg, waardoor de eetbuien juist toenemen. Daarnaast zijn er lange wachttijden voor specialistische behandeling en heeft niet iedereen toegang tot behandeling. Deze these is tweeledig: er wordt onderzoek gedaan naar risicofactoren van de eetbuistoornis in Arabische landen en twee diagnostische vragenlijsten worden gevalideerd. In Nederland wordt de werkzaamheid van een traditionele en een digitale begeleide zelfhulp behandeling onderzocht. In Arabische landen bleken een hoog BMI en lichaamsontevredenheid geassocieerd te zijn met eetstoornispathologie. De eating disorder examination questionnaire meet accuraat eetstoornisklachten en de body shape questionnaire lichaamsontevredenheid. In Nederland blijkt cognitive behavioral therapy een werkzame behandeling voor de eetbuistoornis, zowel op de traditionale manier, als digitaal aangeboden. De digitale variant vergroot de toegang tot specialistische zorg en kan mogelijk de lange wachttijden voor behandeling verkorten.Stress and Psychopatholog

Effectiveness of web-based guided self-help cognitive behavioral therapy-enhanced for binge-eating disorder:An implementation study

Introduction: Web-based guided self-help cognitive behavioral therapy-enhanced (CBT-E) is a 12-weeks, 12-sessions, digitalized version of part II of the self-help book Overcoming Binge Eating. This intervention is effective when offered under controlled circumstances in a randomized-controlled-trial. It is unknown how patients with binge-eating disorder (BED) respond to this intervention when offered in real-world clinical-settings. The aim of this study is to examine post-intervention effectiveness of guided self-help CBT-E for BED in real-world settings.Method: The present study used a cohort-design examining the effectiveness of web-based guided self-help CBT-E according to an intention-to-treat (ITT) analysis. BED patients (n = 278) were assessed pre- and post-intervention. The primary outcome was reduction in binge-eating episodes. Other outcomes were full-recovery (EDE-Q score <2.77 and abstinence from binge-eating episodes), impaired psychosocial functioning, defined as secondary impairment, and general psychopathology post-intervention.Results: The number of binge-eating episodes reduced by an average of 16 binge-eating episodes per 4 weeks pre-intervention to five binge-eating episodes during the last 4 weeks of treatment. Abstinence from binge eating was reported by 30%, and 28% reported full recovery. Effect sizes (Cohen's d) were large (d >= 1.0) for all outcome measures. There were no differences in outcomes between the ITT and the completers sample.Discussion: Guided self-help CBT-E is associated with significant improvements. The effects of guided self-help CBT-E offered in a real-world-setting are comparable to self-help CBT-E offered in a randomized-controlled-trial. However, it should be noted that comparisons with randomized-controlled-trials requires caution. Longer-term follow-up data are necessary to measure persistence of treatment benefits.Public Significance: Offering CBT-E as a web-based guided self-help intervention has several benefits for patients with BED. Guided self-help CBT-E is associated with significant improvements on the short term when offered in real-world clinical settings

DDO 88: A Galaxy-Sized Hole in the Interstellar Medium

We present an HI and optical study of the gas-rich dwarf irregular galaxy DDO 88. Although DDO 88's global optical and HI parameters are normal for its morphological type, it hosts a large (3 kpc diameter) and unusually complete ring of enhanced HI emission. The gas ring is located at approximately one-third of the total HI radius and one-half the optically-defined Holmberg radius, and contains 30% of the total HI of the galaxy. The ring surrounds a central depression in the HI distribution, so it may be a shell formed by a starburst episode. However, the UBV colors in the HI hole are not bluer than the rest of the galaxy as would be expected if an unusual star-forming event had taken place there recently, but there is an old (~1-3 Gyr), red cluster near the center of the hole that is massive enough to have produced the hole in the HI. An age estimate for the ring, however, is uncertain because it is not observed to be expanding. An expansion model produces a lower estimate of 0.5 Gyr, but the presence of faint star formation regions associated with the ring indicate a much younger age. We also estimate that the ring could have dispersed by now if it is older than 0.5 Gyr. This implies that the ring is younger than 0.5 Gyr. A younger age would indicate that the red cluster did not produce the hole and ring. If this ring and the depression in the gas which it surrounds were not formed by stellar winds and supernovae, this would indicate that some other, currently unidentified, mechanism is operating.Comment: 44 pages; 16 figures. To appear in AJ, January 2005. Available from ftp.lowell.edu, cd pub/dah/papers/d88 and http://www.fiu.edu/~simpsonc/d8

The Saudi-Arabic adaptation of the Body Shape Questionnaire (BSQ34): psychometrics and norms of the full version and the short version (BSQ8C).

INTRODUCTION\nMETHODS\nRESULTS\nDISCUSSION\nSaudi Arabia experiences elevated levels of body-shape dissatisfaction which might be related to the increased thin ideal. Studies on body-shape dissatisfaction are scarce, mainly because adapted assessment tools are unavailable. This study describes the Saudi-Arabic adaptation of the Body Shape Questionnaire (BSQ34), preliminary examines the psychometric properties and provides normative data.\nThe BSQ34 was administered in a convenience community sample (N = 867) between April 2017 and May 2018. Receiver-operating-characteristic curve analysis was used to establish discriminant validity, in a subsample (N = 602) in which the Eating Disorder Examination-Shape concern, was administered, the factor structure investigated with confirmatory-factor analyses and T-scores and percentile scores were determined.\nThe BSQ34 discriminated well between low and high levels of body-shape dissatisfaction (area-under-the-curve value = 0.93), had high internal consistency and a unidimensional factor structure, and 23.9% appeared at risk for body-shape dissatisfaction. Analyses were repeated for the shortened BSQ8C, which yielded similar results.\nThe results indicated that the BSQ34 and BSQ8C appeared suitable measurement tools to screen for body-shape dissatisfaction in a Saudi convenience community sample, mainly comprised young, unmarried, and highly educated women. The BSQ34 supplies more information on the type of concerns respondents have, which is worthwhile when the measure is used in a clinical setting; the BSQ8C is recommended as a short screener. As body-shape dissatisfaction is viewed as a risk factor for the development of eating disorder symptoms, screening for body-shape dissatisfaction with reliable tools is important to detect individuals at risk for eating disorder symptoms and may suggest subsequent preventive steps.Stress and Psychopatholog

The eating disorder examination questionnaire: validity and norms for Saudi nationals

Stress and Psychopatholog

Eating disorder examination questionnaire (EDE-Q): validity and norms for Saudi nationals.

PURPOSE\nMETHOD\nRESULTS\nDISCUSSION\nLEVEL OF EVIDENCE\nThe aim of this study was to develop an Arabic version of the EDE-Q and to assess its psychometric properties and utility as a screener in the Saudi population. An additional aim was to establish EDE-Q norms for Saudis.\nEDE-Q data were collected in a convenience sample of the Saudi community (N = 2690), of which a subset was also subjected to the EDE interview (N = 98). Various models for the factor structure were evaluated on their fit by CFA. With ROC analysis, the AUC was calculated to test how well the EDE-Q discriminated between Saudis at high and low risk for eating disorders.\nThe original four factor model of the EDE-Q was not supported. Best fit was found for a three factor model, including the weight/shape concern scale, dietary restraint scale and eating concern scale. The ROC analysis showed that the EDE-Q could accurately discriminate between individuals at high and low risk for an eating disorder according to the EDE interview. Optimal cut off of 2.93 on the global score yielded a sensitivity of 82% and specificity of 80%. EDE-Q scores were fairly associated with BMI.\nPsychometric characteristics of the Saudi version of the EDE-Q were satisfactory and results support the discriminant and convergent validity. Severity level of eating disorder pathology can be determined by the EDE-Q global score. Global scores were high compared to what is found in Western community samples, leading to high prevalence estimates for Saudis at high risk for eating disorders.\nNot applicable, empirical psychometric study.Stress and Psychopatholog

Eating disorders in the Arab world: a literature review

Background The prevalence of eating disorders has been assumed to be low in the Arab world, due to the alleged absence of the thin ideal. However, the Arab world is undergoing rapid sociocultural changes, and there are reports of an increase of the desire to be thin. This literature review therefore provides point-prevalence of Arabs at high risk for eating disorders, and a comprehensive synthesis of correlates of eating disorder symptoms, eating disorder-related variables and of a high risk for eating disorders. Method Several electronic databases were searched for published, peer-reviewed studies between 1986 and 2019 involving several key terms. From 317 screened studies, 81, mainly cross-sectional, were included. Preferred Reporting Items for Systematic reviews and meta-analyses was used as guidance and the quality of studies were assessed using the Newcastle-Ottawa scale. Results Estimates of individuals at high risk for eating disorders ranged from 2 to 54.8%. The eating disorder-related variables identified were desire to be thin, body dissatisfaction, disturbed-, and dieting- eating behavior. Identified correlates were increased affluence, media use, western influences, and obesity. An additional finding was that in some cases eating disorders were expressed somatically rather than psychiatrically. Discussion In the Arab world, females were most at risk for eating disorders and eating disorder symptoms. Sociocultural changes gave rise to the thin ideal and the prevalence of obesity, increasing the risk for the development of eating disorder-related variables and eating disorders. The literature on eating disorders in the Arab world suffers from potential limitations due to the use of non-validated assessment tools. Further research is necessary, particularly on the development and validation of a culturally sensitive assessment tool. Improved knowledge is likely to increase the number of people seeking treatment and decrease the stigma of psychotherapy.Stress-related psychiatric disorders across the life spa

Correlates of eating disorder pathology in Saudi Arabia: BMI and body dissatisfaction.

BACKGROUND\nMETHOD\nRESULTS\nDISCUSSION\nSaudi Arabia is undergoing rapid sociocultural changes, which may have led to an increase of body mass index and eating disorder pathology. The aim of this study is to investigate whether body dissatisfaction, self-esteem, having lived abroad, cultural orientation, perceived stress, media use, and socioeconomic status are correlates of eating disorder pathology with body mass index as a covariate. Additional aims are to investigate if cultural orientation is associated with symptomatology and if stress is a covariate in the association between eating disorder pathology and Western orientation.\nSelf-report measures were administered in a convenience Saudi community sample (N = 1225) between April 2017 and May 2018. Hierarchical multiple linear regression analyses with eating disorder pathology as dependent variable were performed to establish the associations among the variables.\nAfter adjusting for the effect of BMI, only body dissatisfaction and eating disorder pathology were moderately associated. Eating disorder pathology and body dissatisfaction were more severe among Saudi citizens with a higher BMI.\nSeveral explanations for the lack of associations of westernization, self-esteem, and stress with eating disorder pathology are reviewed and discussed. The majority of this convenience sample existed of young unmarried Saudi females of high socioeconomic status. Of the total sample, 35% displayed eating disorder pathology which may be a reflection of the high rates of excess weight.Stress and Psychopatholog

Molecular Gas in the Low Metallicity, Star Forming Dwarf IC 10

We present a complete survey of CO 1->0 emission in the Local Group dwarf irregular IC 10. The survey, conducted with the BIMA interferometer, covers the stellar disk and a large fraction of the extended HI envelope with the sensitivity and resolution necessary to detect individual giant molecular clouds (GMCs) at the distance of IC 10 (950 kpc). We find 16 clouds with a total CO luminosity of 1 x 10^6 K km s^-1 pc^2, equivalent to 4 x 10^6 Msun of molecular gas using the Galactic CO-to-H2 conversion factor. Observations with the ARO 12m find that BIMA may resolve out as much as 50% of the CO emission, and we estimate the total CO luminosity as 2.2 x 10^6 K km s^-1 pc^2. We measure the properties of 14 GMCs from high resolution OVRO data. These clouds are very similar to Galactic GMCs in their sizes, line widths, luminosities, and CO-to-H2 conversion factors despite the low metallicity of IC 10 (Z ~ 1/5 Zsun). Comparing the BIMA survey to the atomic gas and stellar content of IC 10 we find that most of the CO emission is coincident with high surface density HI. IC 10 displays a much higher star formation rate per unit molecular (H2) or total (HI+H2) gas than most galaxies. This could be a real difference or may be an evolutionary effect - the star formation rate may have been higher in the recent past.Comment: 21 pages, 14 figures, Accepted to Ap

Prospectus, September 30, 1981

SENATORS ELECTED; News In Brief; PC enrollment sets records; Join new Com Club; Parkland extends to area; Choirs sing; Computer linked to aid Chanute growth; Women, meet your auto; Ski Club picks new officers; New art exhibit is reviewed; Best news is no news; ISO elects new officers; Use coupons and \u27garbage\u27 to save on shopping; Mark gives us his various thoughts and views; Be aware and be safe; Go Grape at Grape Expectations; Newhart does better on sit-com; Classifieds; Shelter reaches capacity; Neil Simon has another hit; Butts sets record; Cross country team improving more each meet; DuPage Invitational Summary; Belushi stars in new movie; Volleyball team evens up their record; Sign up for offered seminars; Clinton steps back in timehttps://spark.parkland.edu/prospectus_1981/1011/thumbnail.jp