Eating disorders affect up to 10% of adolescent women and a smaller proportion of adolescent men. They are associated with considerable psychosocial and physiological morbidity and carry the highest mortality rate of any psychiatric disorder, equal with substance misuse. As such, eating disorders are also a substantial burden on health services. Despite this, detailed data regarding the onset and persistence of eating disorders in the community are rare. This makes it difficult to develop and effectively implement prevention and early intervention programmes for eating pathology. This presentation summarises new data in this area, with reference to two prospective cohort studies in Western Australia.
The first study, the Childhood Growth and Development Study, followed 300 participants from middle childhood to early adolescence. Eating disorder symptoms were assessed annually. The second study, the Western Australian Pregnancy Cohort (Raine) Study, followed 1600 participants from pre-birth to young adulthood. Eating disorder symptoms were assessed at 14, 17 and 20 years. Collectively, results suggest that low self-esteem, perceived pressure to be thin, being perceived as overweight by one’s parent, and difficulties with negative affect may predict eating disorder onset. In contrast, impulsive behaviours (e.g., alcohol misuse, truancy, stealing) may predict eating disorder persistence after initial symptom development.
Adolescents who experience persistence eating disorder symptoms also appear to be at risk for persistent and significant difficulties in other areas, particularly depression. These results are interpreted in the context of a framework that attends to risk and protective factors, with the view to identifying ways to minimise risk and promote resilience in childhood and adolescence.
As the benefits of positive parenting programs become more apparent, there is increasing calls for such programs to be more widely available in the community. Poor reach of existing programs, low father
The transition to the ‘third wave’ behaviour therapies will be explored mainly with respect to Acceptance and Commitment Therapy (ACT). A broad review and commentary on the current research
D-Cycloserine (DCS) is a cognitive enhancing medication believed to “consolidate” fear extinction learning into memory during exposure therapy. This paper examines whether DCS could augment extinction of a specific fear in children. We conducted a double-blind placebo-controlled Randomized Controlled Trial to investigate whether 50mg of DCS can enhance fear extinction of a dog or spider phobia. Thus far, we have recruited 17 children (M age = 9.4 years) who ingested DCS or a placebo prior to receiving a massed session of in vivo exposure. Avoidance was measured using a standardized ten-step Behaviour Approach Tests (BAT), where successive steps increased proximity to the feared stimulus. BATs were conducted at pretreatment, immediately post-treatment and on follow-up one week later to measure return of fear.
Providing psychotherapy can be extremely rewarding but can also make a range of different demands on the therapist. These demands may vary as a function of the stage of development as a therapist, the type of caseload, the context in which the therapist works, the volume of work, and the interactions with other situations or events that may be happening elsewhere in the therapist’s professional and personal life. Supervision can have a range of functions, but one important function is supporting the therapist. Effective supervision is thought to be a key contributor to ensuring not only safe and effective therapy but also to maintaining resourceful and resilient therapists. While other forms of psychotherapy have well established models and traditions of supervision, CBT is relatively lacking in these areas and there is relatively little literature to guide CBT supervision, especially in contrast to the vast literatures that exist for cognitive behaviour therapy.
The field of e-psychology is rapidly expanding, with new Internet and phone-based programs regularly becoming available for an increasing variety of mental health issues. There is a strong evidence base supporting Internet delivered psychological interventions, but less is known about particular program components or patterns of usage that are most impactful and thus associated with better outcomes.
The aim was to investigate the contributions of intrapersonal and interpersonal processes to eating disorders symptomatology in anorexia nervosa. Thematic analysis was used to investigate the interpersonal experiences of adolescent girls during inpatient treatment of anorexia nervosa. In a quantitative study, findings from the qualitative study informed hypotheses, development of items for a self-report questionnaire and selection of validated questionnaires to assess eating disorders symptomatology, perfectionism and aspects of interpersonal functioning in women with anorexia nervosa and non-clinical female comparisons.
The present study compared levels of body dissatisfaction, and disordered eating symptomatology among elite, recreational, and non-competitive female Australian athletes (N = 320) aged 17 to 30 years competing in leanness focused sports (e.g., Ballet, light weight rowing, long distance running) and non-leanness focused sports (e.g., netball, football, rugby).
This presentation, "Responding to the needs of consumers with complex trauma histories a consumer perspective" focuses on the needs of adult survivors of child abuse, highlighting the frequent