Matching Items (4)
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- All Subjects: Eating Disorders
- Creators: Perez, Marisol
Description
In this study, potential differences in the manifestation and rates of eating disorders and symptoms (body dissatisfaction, weight and shape concerns, food restriction, and compensatory behaviors) in college women across sexual orientations were examined. The sociocultural model of eating disorders was also examined for these women across sexual orientations. The participants were organized into three different sexual orientation groups for analysis: heterosexual (group 1), bisexual, pansexual, and polysexual (group 2), and lesbian, gay, queer, transsexual, asexual, and other (group 3). Using cross-sectional data, it was revealed that there were significant group differences when comparing the three sexual orientation groups on loss of control over eating, but no significant group differences on body dissatisfaction, thin ideal internalization, and weight-related eating pathology, and total eating disorder symptoms scores. The sociocultural model was not predictive of eating disorder symptoms among non-heterosexual groups. Longitudinal analyses revealed that the sociocultural model of eating disorders prospectively predicts eating disorder symptoms among heterosexual women, but not non-heterosexual women. Both cross-sectional and longitudinal analyses indicate that non-heterosexual women may be protected from societal pressure to subscribe to the thin ideal and its subsequent internalization. However, the comparison group of heterosexual women in our study may not have been completely representative of undergraduate women in terms of total eating disorder symptoms or eating pathology. Additionally, regardless of sexual orientation, our sample reported more total eating disorder symptoms and emotional eating than previous studies. These findings have both clinical and research implications. Future research is needed to determine what risk factors and treatment target variables are relevant for non-heterosexual women.
ContributorsNorman, Elizabeth Blair (Author) / Perez, Marisol (Thesis director) / Presson, Clark (Committee member) / Cavanaugh Toft, Carolyn (Committee member) / Department of Psychology (Contributor) / Barrett, The Honors College (Contributor)
Created2016-05
Description
This study assessed the effects of running an eating prevention program on body image satisfaction/behavior and the leadership skills of collegiate women. The sample included a group of 43 undergraduate women who voluntarily chose to become peer-educators in the eating prevention program called the Body Project. Self-report questionnaires evaluating both the preoccupation with personal body image and general leadership skills were distributed and collected electronically. The results were analyzed to determine that being a peer leader in the Body project did not increase eating disorder symptoms but actually decreased the symptoms. It was also determined that being a peer educator had no effect on leadership skills. Therefore, being a peer leader is beneficial for reducing eating disorder symptoms, but not for advancing leadership skills.
ContributorsCamiliere, Taylor Marie (Author) / Perez, Marisol (Thesis director) / Cavanaugh Toft, Carolyn (Committee member) / Barrett, The Honors College (Contributor) / Department of Chemistry and Biochemistry (Contributor) / Department of Psychology (Contributor)
Created2015-05
Description
College-aged women are at an increased risk for the development of subclinical levels of eating disordered symptoms, which have been correlated to lasting deleterious cognitive, physical, and academic effects. The Body Project (TBP) is a universal group-based eating disorder prevention program that targets undergraduate women and challenges thin ideal messages through cognitive dissonance. Burlingame, Strauss, and Joyce (2013) in a meta-analysis of group treatments proposed five factors that independently and congruently work to promote individual change in group treatments: formal change theory, patient characteristics, leader characteristics, structural factors, and small group processes. A host of literature within TBP exists surrounding four of these factors, however, little research has been conducted on the small group processes that moderate individual change within this eating disorder prevention program.
The current study was designed to replicate and extend previous findings on the prevalence of the lemming effect within TBP, as well as examine how the lemming effect is related to outcome of treatment at a 3-month follow-up. Thirty-two participants aged 18-24 were examined. Groups ranged from 3 to 21 participants, including peer leaders. Twenty-nine audio recordings of session one of TBP were coded for lemming effects by the main research, and ten were coded by blind raters for inter-rater reliability measures. Three scales, the Ideal Body Stereotype Scale-Revised (IBSS-R), the Body Parts Satisfaction Scale-Revised (BPSS-R), and the Eating Disorder Examination Questionnaire (EDE-Q), were used to measure levels of thin-ideal internalization, body satisfaction, and frequencies of eating disordered (ED) behaviors, respectively.
Partial correlations revealed nonsignificant relationships between the number of lemming effects and the change in thin-ideal internalization and body satisfaction from baseline to follow-up. Additionally, a reliable change index revealed that the majority of change from baseline to follow-up was reliable for the IBSS-R, and the majority of change for the BPSS-R was unreliable. Lastly, chi-square tests of independence revealed nonsignificant relations between the number of lemming effects and change in ED behaviors.
Due to the small sample and lack of findings, future research would benefit from including a larger sample. This would enable larger power to detect effects and allow for more thorough statistical analyses to be performed to compare the relation of lemming effects to changes in outcome. However, this was the first study to look at the lemming effect variable as a small group process within TBP and added to the growing literature on how small group processes result in efficacious outcomes of treatment within group treatments.
The current study was designed to replicate and extend previous findings on the prevalence of the lemming effect within TBP, as well as examine how the lemming effect is related to outcome of treatment at a 3-month follow-up. Thirty-two participants aged 18-24 were examined. Groups ranged from 3 to 21 participants, including peer leaders. Twenty-nine audio recordings of session one of TBP were coded for lemming effects by the main research, and ten were coded by blind raters for inter-rater reliability measures. Three scales, the Ideal Body Stereotype Scale-Revised (IBSS-R), the Body Parts Satisfaction Scale-Revised (BPSS-R), and the Eating Disorder Examination Questionnaire (EDE-Q), were used to measure levels of thin-ideal internalization, body satisfaction, and frequencies of eating disordered (ED) behaviors, respectively.
Partial correlations revealed nonsignificant relationships between the number of lemming effects and the change in thin-ideal internalization and body satisfaction from baseline to follow-up. Additionally, a reliable change index revealed that the majority of change from baseline to follow-up was reliable for the IBSS-R, and the majority of change for the BPSS-R was unreliable. Lastly, chi-square tests of independence revealed nonsignificant relations between the number of lemming effects and change in ED behaviors.
Due to the small sample and lack of findings, future research would benefit from including a larger sample. This would enable larger power to detect effects and allow for more thorough statistical analyses to be performed to compare the relation of lemming effects to changes in outcome. However, this was the first study to look at the lemming effect variable as a small group process within TBP and added to the growing literature on how small group processes result in efficacious outcomes of treatment within group treatments.
ContributorsStadheim, Jenna Lynn (Author) / Perez, Marisol (Thesis director) / Doane, Leah (Committee member) / Sanford School of Social and Family Dynamics (Contributor) / Department of Psychology (Contributor) / Barrett, The Honors College (Contributor)
Created2019-05
Description
Prior research has identified that clinicians in the treatment of eating disorders often do not adhere closely to empirically-supported treatments (EST), and are particularly likely to modify Cognitive-Behavioral therapy (CBT). Several reasons for this phenomenon, dubbed "clinician drift", have been identified, including level of clinician training, education, and type of patient care. In addition to the phenomenon of clinician drift, there has been a growing controversy within the field of clinical psychology about the compatibility of ESTs and multiculturalism. Some argue that the standardization inherent to EST resists the concept of cultural adaptability; while others have countered that cultural adaptability is essential in order for empirically supported treatments to remain relevant, ethical, and effective. In order to shed more light on this issue, this study examined how clinicians tend to drift from CBT in the treatment of Latinos suffering from eating disorders, in order to accommodate Latino culture and elements of eating behavior specific to Latino populations. We both attempted to replicate prior findings regarding predictors of clinician drift, as well as build upon the little existing research into the "culturally-motivated clinician drift." It was discovered that no therapist characteristics or client characteristics were predictive of drift. However, the majority of the sample still adapted or abandoned at least part of the CBT treatment. Their responses regarding the weaknesses of CBT for their Spanish-speaking clients can provide insight into how the treatment can be modified for more diverse clients.
ContributorsJosephs, Jamie Elise (Author) / Perez, Marisol (Thesis director) / Luecken, Linda (Committee member) / Davis, Mary (Committee member) / Department of English (Contributor) / Department of Psychology (Contributor) / Barrett, The Honors College (Contributor)
Created2017-12