Search

Skin diseases are commonly observed day by day due to altered life style, improper hygiene, mental stress, over eating and nutrition deficiency. All the skin diseases in Ayurveda have been discussed under the broad heading of Kushtha, which are further divided into Mahakushtha and Kshudra Kushtha. Kapala kushtha is a type of Mahakushtha with symptoms like blackish red skin patches, which resembles pot sherds, dry, rough, thin, wide, of uneven edges with severe pain and less itching. It can be compared to scleroderma; the first specific clinical symptoms to suggest a diagnosis of scleroderma is skin thickening. Later the skin becomes hard, shiny, leathery and hardens like a stone. This article highlights a case study of Kapala Kushtha treated with the Ayurvedic principles in particular Shodhana Chikitsa; the therapy which expels out the morbid Doshas from the body. Kushtha is difficult to cure, so it is called ‘Dushchikitsya’ but by the application of Shodhana therapy, cure of the diseases becomes easier due to removal of the root cause. Here is a case study of 67yrs/female having signs and symptoms of Kapala kushtha. The patient was admitted and managed with Shodhana Chikitsa (purification) which included Raktashodhak Ksheer Basti (medicated enema) and Virechan (purgation) followed by Shaman Chikitsa (pacification) and the results with rationality have been depicted in this article.

Evidence suggests loss of control over eating may be the driving component of binge eating, a transdiagnostic symptom of eating disorders and highly comorbid with depressive symptoms. Prior studies have evaluated eating disorder and depressive symptoms across types of binge episodes among adolescent and young adult samples, yet no studies have focused on middle-aged women who may be particularly vulnerable to both binge eating and depressive symptoms. The goal of this study was to compare eating disorder symptoms and depressive symptoms across different types of binge eating episodes among middle-aged women. Women (N = 347), ages 40–63, completed an online survey about both objective (OBE) and subjective binge episodes (SBE), eating disorder symptoms, and depressive symptoms. Participants were categorized as OBEs only, SBEs only, both OBEs and SBEs, and no binge eating. Controlling for group differences, results showed middle-aged women who experienced SBEs only reported greater levels of anorexia nervosa attitudes and behaviors compared to all other groups, and greater dietary restraint compared to those who experienced only OBEs and those with no binge eating. Middle-aged women who experienced any type of binge eating reported greater levels of body image concerns and depressive symptoms compared to those who reported no binge eating. Findings suggest that loss of control is more clinically relevant in terms of associations with eating disorder and depressive symptoms in middle-aged women. Level V based on descriptive studies.

Purpose: Bariatric surgery is the most effective long-term treatment for sustained weight loss in obesity. Studies have shown that not all patients lose the expected amount of weight. The aim of this study was to develop a better understanding of which behavioral and psychological factors are associated with suboptimal weight loss. Methods: The present paper describes a cross-sectional study that included 140 participants. The mean follow-up period after bariatric surgery was 3.16 years. Eating disorder pathology (Eating Disorder Examination-Questionnaire), impulsivity (Barratt Impulsiveness scale-II) and depressive symptoms (Beck Depression Inventory) were compared with successful and suboptimal participants. A weight loss of more than or equal to 50% of excess weight, was considered to be successful. Results: More than 81% of the participants met the criterion for successful weight loss. The suboptimal weight loss group reported more symptoms of eating disorder pathology (p =.001), more loss of control over eating (p =.001), and more avoidant behavior due to poor body image (p

OBJECTIVE: Loss of control over eating (LOC) is common among women, particularly those with overweight and obesity (OV/OB), and predicts weight gain. Given the importance of understanding weight and eating behaviors during pregnancy, we sought to characterize LOC across pregnancy and the postpartum period among women with pre-pregnancy OV/OB. METHODS: Pregnant women (N = 257; 28.44 ± 5.48 years old) with self-reported OV/OB prior to pregnancy were interviewed using a pregnancy-adapted version of the Eating Disorder Examination (EDE-PV). Pre-pregnancy LOC was retrospectively assessed during the first trimester and then prospectively assessed monthly throughout pregnancy and postpartum over the course of seven assessments. RESULTS: Rates of LOC were significantly higher during pregnancy compared to prior to ([Formula: see text] , p < .01) and after ([Formula: see text] , p < .01) pregnancy, with 37% (n = 95) of women reporting ≥1 LOC episode during pregnancy. LOC during pregnancy was associated with higher likelihood of LOC postpartum. Higher age (OR = 1.084, p = .04) and identifying as a minority (OR = 0.344, p = .02) was associated with greater likelihood of experiencing LOC during pregnancy only. DISCUSSION: LOC during pregnancy is common among women with pre-pregnancy OV/OB, suggesting that screening and intervention for LOC during pregnancy may be warranted. Future research is necessary to examine the relationship between LOC during pregnancy and maternal and infant health outcomes.

Portion size decisions are embedded in a complex system of individual, socio-economic, and environmental factors. The objective of this study was to explore consumers’ descriptive and injunctive portion size norms and how these norms are related to reported behaviour and further to psychological eating attitudes. The study includes data from two consumer samples (n = 1020). Respondents completed four tasks where they chose the portion size they normally eat, the appropriate portion size, the portion size they would like to eat, and the portion size they believed others like them would eat from eight pictures varying in portion sizes. After this, respondents’ psychological eating attitudes were measured. Consumers chose larger portions of both sweets and crisps than they perceive as appropriate, but at the same time they reported to choose smaller portions than they would like to eat or what they believe others at the same age and gender eat. We identified two clusters based on respondents’ psychological eating attitudes. Those with higher versus lower scores on emotional eating and disinhibition reported not only larger portion sizes, but also a higher norm for an appropriate portion size and a higher gap between what they reported to eat and what is appropriate to eat. Interestingly, the chosen portion size for the high scoring cluster did not differ from those they reported other people to choose. This indicates that consumers that are vulnerable to emotional eating or losing control over eating when exposed to food cues have less bias in thinking that they eat less than others like them would eat.

High trait impulsivity is thought to contribute to the sense of loss of control over eating and impulses to binge eat experienced by those with Binge Eating Disorder (BED). Lisdexamfetamine Dimesylate (LDX), a drug approved for treatment of moderate to severe BED, has been shown to decrease impulsive features of BED. However, the relationship between LDX-related reductions of binge eating (BE) episodes and impulsivity has not yet been explored. Forty-one adults aged 18-40 years with moderate to severe BED completed questionnaires and tasks assessing impulsivity at baseline and after 8 weeks of 50-70mg of LDX. Twenty age-matched healthy controls were also assessed at 2 timepoints for normative comparison. Data were analysed using linear mixed models. BED participants exhibited increased self-reported motor, non-planning, cognitive and food-related impulsivity relative to controls but no differences in objective task-based measures of impulsivity. Food-related and non-planning impulsivity were significantly reduced by LDX, but not to normative levels. Individuals with higher baseline levels of motor and non-planning impulsivity, and loss of control over eating scores experienced the greatest reduction in BE frequency after 8 weeks of LDX. Further, there were significant associations between the degree to which subjective loss of control over eating, non-planning impulsivity and BE eating frequency reduced after 8 weeks of LDX. These data suggest that specific subjective measures of impulsivity may be able to predict who will have the greatest benefit from LDX treatment, and that reductions in binge eating frequency may be moderated by concurrent reductions in non-planning impulsivity.

This trial compared weight loss outcomes over 14 weeks in women showing low- or high-satiety responsiveness (low- or high-satiety phenotype (LSP, HSP)) measured by a standardised protocol. Food preferences and energy intake (EI) after low and high energy-density (LED, HED) meals were also assessed. Ninety-six women (n 52 analysed; 41·24 (SD 12·54) years; 34·02 (sd 3·58) kg/m2) engaged in one of two weight loss programmes underwent LED and HED laboratory test days during weeks 3 and 12. Preferences for LED and HED food (Leeds Food Preference Questionnaire) and ad libitum evening meal and snack EI were assessed in response to equienergetic LED and HED breakfasts and lunches. Weekly questionnaires assessed control over eating and ease of adherence to the programme. Satiety quotients based on subjective fullness ratings post LED and HED breakfasts determined LSP (n 26) and HSP (n 26) by tertile splits. Results showed that the LSP lost less weight and had smaller reductions in waist circumference compared with HSP. The LSP showed greater preferences for HED foods, and under HED conditions, consumed more snacks (kJ) compared with HSP. Snack EI did not differ under LED conditions. LSP reported less control over eating and reported more difficulty with programme adherence. In conclusion, low-satiety responsiveness is detrimental for weight loss. LED meals can improve self-regulation of EI in the LSP, which may be beneficial for longer-term weight control.

Background: The outcomes of bariatric surgery are very irregular and mostly unpredictable. The search for variables of predictive value is encouraged to help preventing therapeutic failures. Objective: We aimed to confirm the hypothesis that preexisting eating behaviors could predict neuroendocrine and metabolic outcomes of gastric bypass surgery in morbidly obese subjects. Methods: Twenty-one morbidly obese patients from the Bariatric Surgery Program of our hospital were selected according to the specific inclusion and exclusion criteria for this study. The subjects filled out a validated questionnaire to quantify the “loss-of-control” (LC) dimension of food craving and provided serum samples at the onset of the study and 1 year after gastric bypass surgery. Hematological, metabolic, and hormonal variables were studied by conventional clinical tests and enzyme immunoassays and checked for correlations with LC both before and after surgery. Results: Those patients that had exhibited worse eating control at the beginning of the study experienced a better metabolic response 1 year after surgery in terms of reduction of serum insulin, HOMA1-IR, HOMA2-IR, and vitamin D1; all these variables were inversely correlated with presurgical LC. Serum brain-derived neurotrophic factor (BDNF) levels showed the same tendency; in fact, BDNF significantly decreased only in those patients with worse eating control. Conclusions: Problematic eating behaviors may predict a better response of insulin resistance and a specific reduction of serum BDNF in morbidly obese patients after gastric bypass surgery.

Purpose To determine whether general healthcare providers and adult psychiatrists recognized binge eating disorder (BED) symptoms and features. The aims were to examine how they delineated the core criteria of BED-eating a large amount of food and sense of loss of control over eating-and how their evaluations compared to ratings by BED experts. Design This is a cross-sectional study of a nationwide U.S. sample of healthcare providers and a convenience sample of BED experts. Methods Providers were mailed surveys that asked respondents about their perceptions of a large amount of food and whether they thought case vignettes met thresholds for loss of control. Participants were also asked to select BED diagnostic criteria from a symptom list. Results were analyzed using one-way analyses of variance with post-hoc comparisons and chi-squared tests. Findings The survey was completed by 405 healthcare providers (response rate of 28.4%). Ratings of a large amount of food did not differ between BED experts and general healthcare providers (p = .10) or psychiatrists (p = .90). Provider groups did not differ significantly on whether five of the six vignettes met thresholds for loss of control (p > .05). Of the respondents, 93.0% of general healthcare providers and 88.6% of psychiatrists could not correctly identify the diagnostic criteria for BED. Conclusions Across provider groups, demarcation of a large amount of food and loss of control over eating were relatively consistent. However, general healthcare providers and psychiatrists were not able to correctly identify BED symptoms. Clinical relevance Training and education are greatly needed to improve knowledge of the diagnostic criteria for BED.

IntroductionOne in three adolescents frequently consume unhealthy snacks, which is associated with negative developmental outcomes. To date, it remains unclear how intrapersonal factors account for food choices in adolescents. Guided by the dual-pathway model, the current study aimed to: (1) examine the joint contribution of inhibitory control and attentional bias in predicting unhealthy food choices in adolescents, and (2) determine whether this mechanism is more pronounced in adolescents who experience loss of control over eating (LOC).Materials and MethodsA community sample of 80 adolescents (65% female; 10–17 years old,Mage= 13.28,SD= 1.94) was recruited. Based on a self-report questionnaire, 28.7% of this sample reported at least one episode of LOC over the past month. Food choice was assessed using a computerized food choice task. Both inhibitory control and attentional bias were measured with behavioral tasks (go/no-go and dot probe task, respectively). Binary logistic regressions were conducted to address the research questions.ResultsInhibitory control and attentional bias did not significantly interact to predict unhealthy food choices. However, there was a significant three-way interaction between inhibitory control, attentional bias and LOC. For adolescents without LOC, the combination of poor inhibitory control and low attentional bias was significantly associated with unhealthy food choice. Surprisingly, for adolescents with LOC, there was no significant association between unhealthy food choice and inhibitory control or attentional bias.DiscussionDual-pathway processes do not seem to add to the explanation of food choice behavior for adolescents with LOC. For adolescents who do not experience LOC, those with poor inhibitory control combined with low attentional bias might be at particular risk for making unhealthy food choices.

Purpose The study assessed the relationships between sociodemographics, mental health, and prospective changes in loss of control over eating (LOCE). Methods Sixty-nine participants (Mage = 39.81 years, SD = 12.25; 49.3% female) completed a survey assessing sociodemographics, mental health, and LOCE at three time points. Results A one-way repeated-measures ANOVA revealed statistically significant differences between the Wave 1 and Wave 3 LOCE. Mixed between-within subjects ANOVAs revealed a main effects of time, essential worker status, and mental health constructs. Interaction effects were observed for sex, anxiety, and stress with time. Conclusion Findings provide insight into eating behaviors during COVID-19.

Consuming more energy than is expended may reflect a failure of control over eating behaviour in obesity. Behavioural control arises from a balance between two dissociable strategies of reinforcement learning: model-free and model-based. We hypothesized that weight status relates to an imbalance in reliance on model-based and model-free control, and that it may do so in a linear or quadratic manner. To test this, 90 healthy participants in a wide BMI range (normal-weight (n=31), overweight (n=29), obese (n=30)) performed a sequential decision-making task. The primary analysis indicated that obese participants relied less on model-based control than overweight and normal-weight participants, with no difference between overweight and normal-weight participants. In line, secondary continuous analyses revealed a negative linear, but not quadratic, relationship between BMI and model-based control. Computational modelling of choice behaviour suggested that a mixture of both strategies was shifted towards less model-based control in obese participants. Furthermore, exploratory analyses of separate weights for model-free and model-based control showed stronger reliance on model-free control with increased BMI. Our findings suggest that obesity may indeed be related to an imbalance in behavioural control as expressed in a phenotype of less model-based control potentially resulting from enhanced reliance on model-free computations.

The Loss of Control over Eating Scale (LOCES) and its brief version are well-developed instruments providing comprehensive assessments of LOC eating. The present study aimed at translating the LOCES and its brief version into Chinese and evaluating their psychometric properties. Following standard procedures, the English version of the LOCES and its brief version were translated into Chinese (Mandarin), and then their psychometric properties were evaluated among 1237 Chinese undergraduate students recruited from three provinces in mainland China. The factor structures of the LOCES and its brief version were replicated in the present Chinese sample. Both the C-LOCES and its brief version showed a Cronbach’s α of 0.92. The total scores of the C-LOCES and its brief version showed significant correlations with theoretically correlated constructs: eating disturbances (rs = .37–.47, ps

Objective Loss of control over eating is common among adolescents and is associated with negative developmental outcomes. Recent evidence points to impaired self-regulation, and more specifically poor inhibitory control, as a contributing factor to loss of control over eating among adults; however evidence in adolescent samples is limited. Moreover, in line with dual-process models, researchers have recently started to investigate the moderating role of automatic processes in this relationship, but again studies in adolescents are lacking. Therefore, the aim of the current study was to: (1) investigate whether there is an association between poor inhibitory control and loss of control over eating also among adolescents, and (2) explore whether this relationship is moderated by automatic processing. Method A community sample of 124 adolescents (10–17 years; 65.3% girls; Mage = 14 years; SD = 1.90) was divided into a ‘Loss of Control Group’ (n = 30) and a ‘No Loss of Control Group’ (n = 94) based on a clinical interview. Inhibitory control and automatic processing (general and food specific) were measured by self-report questionnaires. Results Adolescents in the Loss of Control Group reported significantly more problems with overall self-regulation compared to the No Loss of Control Group; however, there was no group difference for inhibition specifically. Contrary to dual-process predictions, there was a trend significant interaction between poor inhibitory control and weaker food specific automatic processing in explaining loss of control over eating. Conclusions Evidence was found for problems with overall self-regulation in adolescents with loss of control over eating. Concerning the specific role of inhibitory control, future studies should replicate whether automatic processing is indeed a crucial moderator.

Introduction: Premenstrual syndromes are among the disorders associated with reproductive age that includes physical, cognitive, emotional, and behavioral signs during the luteal phase that occurs periodically from 7 to 14 days before menstruation. These signs are not present at the begining of menstruation or during the first few days of bleeding. The aim of this study was to investigate the frequency of premenstrual syndromes in high school girls of Ilam during the year 2015. Materials & Methods: This descriptive-analytic study has been performed on 266 single girl- students aged from 15 to 18 years, with the average age of 16.34, considered to have regular and natural menstruation cycles (with gaps of 21 to 35 days between each two menstruations lasting for 3 to 7 days). To assess the frequency of premenstrual syndromes, the prospective questionnaires (Premenstrual Symptoms Screening Tool: PSST) was used for two consecutive cycles. In this research, statistical tests such as Chi-square, Variance analysis, and Logistic regression were applied to analyze the data. Findings: Based on our results, the frequency of medium or sever premenstrual syndromes was 36.84% and the frequency of premenstrual dysphoric disorder was 11.65%. According to logistic regression model, severe bleeding multiplies chances of the individuals suffering from dysphoric disorder by 5.1 times, while pain multiplies chances of the girls suffering from premenstrual syndrome about 4.1. There was a significant relation between the mild and severe premenstrual syndrome with pain, (P less-than 0.001), and also between premenstrual dysphoric disorder and volume of bleeding (P less-than 0.01). Investigating the mean for the 19 signs, the highest averages stood for fatigue, possession of physical signs, trouble or lack of concentration, reduction in interest of participation in normal routines, and anger; while the lowest average stood for over eating. Discussion & Conclusion: Our research concluded that prevalence of such syndromes among Ilami's high school girl-students was relatively high. Considering the negative effects of these syndromes on physical condition as well as psychological, emotional, and social wellbeing of teenagers, and the significance of this period from the educational point of view, more investigations and interventional moves are recommended to manage these signs.

OBJECTIVE The purpose of this study was to evaluate the psychometric properties of the brief loss of control over eating scale (LOCES-B) in a community sample of adolescents. METHOD Participants were 1,116 adolescents (11-15 years; 53% girls; 53% non-Hispanic White) recruited from middle schools in the Northeast United States. Participants were administered self-report surveys during school in the fall of 2016. RESULTS Confirmatory factor analyses indicated that the LOCES-B total score was unidimensional, which was invariant across gender and weight status. The LOCES-B had excellent internal consistency (α = .92). The LOCES-B total score had large, positive relationships with the frequency of LOC eating episodes, objective bulimic episodes, and subjective bulimic episodes, and a small, positive relationship with objective overeating episode frequency. After adjusting for demographics, anthropometrics, and LOC eating frequency, adolescents reporting higher scores on the LOCES-B total score had greater body image dissatisfaction, more internalizing symptoms, and lower trait effortful control. DISCUSSION Findings suggested that the LOCES-B is a reliable and valid measure of LOC eating in early adolescents. The availability of the LOCES-B has the potential to elucidate the developmental trajectories, predictors, and outcomes of LOC eating across the full severity spectrum in large cohort studies of youth.

Introduction Loss-of-control eating (LOCE), inability to refrain from or cease eating, may contribute to significant distress and dysfunction, yet research is lacking specificity on vulnerabilities contributing to LOCE as an independent construct. Preliminary evidence indicates potential roles of distress tolerance, emotion regulation, and affective lability, but the relationship between these variables and LOCE has been under-assessed. Material and methods A sample (N = 3968) consisting of university students completed an assessment of pathological eating and affiliated affective vulnerabilities. A latent variable structural equation model (SEM) was generated to predict LOCE by way of affective lability and indirectly, emotion regulation difficulties and low distress tolerance, controlling for general eating pathology. Results Findings indicated a significant direct effect of affective lability on LOCE, as well as significant indirect effects of emotion regulation difficulties and distress tolerance on LOCE, via affect lability. Additionally, distress tolerance moderated the relationship between emotion regulation difficulties and affective lability, such that lower ability to tolerate distress strengthened the relationship and higher distress tolerance capability attenuated it. Discussion Findings suggest an influence of distress tolerance on the relationship between poor emotion regulation and affective lability, which in turn may affect LOCE. Clinical implications and suggestions for future research are discussed.

This paper draws on research exploring how men narrate their long-term experiences of Weight Loss Surgery [WLS] and is specifically focused on findings relating to male embodiment. Whilst there is concern about increasing obesity and the possible role of bariatric [WLS] surgery in ameliorating this, there has been little research to date exploring men’s longer-term experiences of this. For the purposes of the present study, interviews were conducted with five men who had undergone bariatric surgery at least four years previously. The transcribed interviews were subjected to narrative analysis with the additional incorporation of Watson’s (2000) “male body schema” into this process in order to facilitate focus on the embodied nature of the storied accounts obtained. The findings suggested two seemingly contrasting storylines: “ongoing struggles” and “success”. Struggles related mainly to control over eating habits and the visceral challenges of long-term side effects following surgery. Despite these struggles, the men ultimately presented an overriding storyline of embodied “success” in how the surgery had assisted them to live more normatively male lives. Importantly, narratives around struggles were presented as more private stories in contrast to the public emphasis on success. The silencing dynamic implicit in this suggests the likelihood that other men encountering similar experiences would be reticent to reveal their struggles, thereby perpetuating their suffering and leaving popular obesity and weight loss narratives unchallenged.

Introduction: Stroke affects activities of daily living such as eating. Little is known about how stroke survivors cope with eating difficulties in the long term. This research conducted in the United Kingdom explores the complex phenomenon of eating difficulties 6 months post stroke. Method: This qualitative study used a participatory approach to explore the experiences of seven stroke survivors using a focus group and visual methods of photography, to explore the lived experiences of managing eating with a stroke disability. Findings: Participants ( n = 8) identified barriers to managing eating including physical, social, environmental and emotional issues. Participants recognised that sustaining eating activities regardless of their disabilities was important for their wellbeing. Stroke survivors sought opportunities to participate in occupations that revolved around eating, which enabled them to experience mastery over eating activities. Participants viewed eating activities as a way to self-monitor recovery and progression. Conclusion: This study informs occupational therapy practice about how people living with stroke strive to adapt to eating difficulties.

Inefficient food-specific inhibitory control is a potential mechanism that underlies binge eating in bulimia nervosa and binge eating disorder. Go/no-go training tools have been developed to increase inhibitory control over eating impulses. Using a within-subjects design, this study examined whether one session of food-specific go/no-go training, versus general inhibitory control training, modifies eating behaviour. The primary outcome measure was food consumption on a taste test following each training session. Women with bulimia nervosa and binge eating disorder had small non-significant reductions in high-calorie food consumption on the taste test following the food-specific compared with the general training. There were no effects on eating disorder symptomatic behaviour (i.e. binge eating/purging) in the 24 h post-training. The training task was found to be acceptable by the clinical groups. More research is needed with larger sample sizes to determine the effectiveness of this training approach for clinical populations. Copyright © 2017 John Wiley & Sons, Ltd and Eating Disorders Association.

Children with loss of control (LOC) eating and attention-deficit/hyperactivity disorder (ADHD) are at risk for excessive weight gain. However, it is unclear whether or not these children show disturbances in hunger and satiety regulation. The goal was to examine the food intake and sense of LOC over eating as well as LOC eating-related characteristics during test meal in children with LOC eating and ADHD. Children aged 8–13 y with LOC eating (n = 33), ADHD (n = 32), and matched healthy controls (n = 33), consumed a test meal consisting of their chosen lunch food, with the instruction to eat until feeling full. Sense of LOC over eating, desire to eat, feelings of hunger, and liking of food were repeatedly assessed during test meal. Children with LOC eating and ADHD did not show a higher food intake at maximum satiety compared to control children. Sense of LOC over eating was significantly higher in children with LOC eating compared to children with ADHD and matched controls. Secondary analyses revealed that children with LOC eating ate marginally faster than control children. Both children with LOC eating and ADHD reported greater desire to eat, feelings of hunger, and liking of food during test meal than control children. Even though the results did not reveal statistical evidence to support the assumption of a disturbed food intake in children with LOC eating and ADHD, LOC eating related characteristics were significantly higher in these children compared to the control children. Sense of LOC over eating was confirmed as a specific characteristic of LOC eating. The examination of behavioral indicators of hunger and satiety dysregulation should be complemented with physiological indicators in future research.

Unfair treatment on the basis of a physical characteristic, such as body weight, is associated with unhealthy dieting behaviors in adolescence and adulthood and has also been implicated in substance use. Peer victimization is likewise associated with these health-risk behaviors. It is unclear, however, whether body discrimination is associated with these behaviors independent of peer victimization. The present research uses data from the Longitudinal Study of Australian Children (LSAC) to test the relation between body discrimination and dieting and substance use behaviors in adolescence and test whether the associations are independent of peer victimization, as well as depressive symptoms which are associated with both forms of victimization and health-risk behaviors. Participants (N = 2955) reported on body discrimination, dieting behaviors, and substance use at ages 14–15. Participants who experienced body discrimination were more likely to report fear of gaining weight, losing control over eating, going without eating, using medicine or vomiting to control their weight, engaging in restrained eating, and exercising to control their weight. They also had tried nicotine, alcohol, and marijuana. The associations with eating and alcohol use were independent of peer victimization, whereas the associations with smoking and marijuana were reduced when peer victimization was included in the model. All associations were also independent of depressive symptoms. Overall, the findings suggest that body discrimination is associated with harmful health behaviors at least as early as age 14.

Today is HD (high definition)mobile era .peoples are more conscious about their health and skin also though multimedia .Usually 10-15% cases present before general practitioners are pertaining to skin diseases. Due to altered life style, lack of physical exercise, unhygienic, mental stress, over eating, nutrition deficiency ,more radiation skin diseases are commonly observed. Psoriasis is chronic disorder which is commonly encountered in day today’s clinical practices. It is one of the more discussing issues having social importance. Increased stress ,inorganic food materials and sedentary life style are main predisposing factor which is accounting for wide spared prevalence of this disease. All the skin diseases in Ayurveda have been discussed under the broad heading of Kushta, which are further divided into Mahakustha and Kshudra Kushta. This is a case study of Kitibha Kushta (Psoriasis) treated with the Ayurvedic principles in particular Shodhana Chikitsa and shaman chikitsa.

Decision-making guided by self-evaluation of bodily need states (interoception) is thought to be important for cognitive control over eating or drinking1. However, interoception of body states is notoriously unreliable2–4 because hunger and thirst have similar motivational characteristics5. Consequently, individuals may inaccurately assess their need state and consume food when dehydrated, leading some healthcare professionals to advise overweight patients to drink water before eating6–8. Neuroimaging in humans9–11 and recordings in rodents12–15 indicate medial prefrontal frontal cortex (mPFC) involvement in need state-dependent decisions about hunger and thirst, but mPFC surgical lesions16,17 and electrical activity perturbations have little influence on eating or drinking18,19. To investigate need-state dependent decision-making as well as the function of mPFC in hunger and thirst, we developed an instrumental foraging task for mice that mimics key elements of human decisions. When homeostatic need state was variable, mice did not show intrinsic knowledge of hunger or thirst state but, instead, rapidly identified their need after consumption of small portions of food and water (outcome evaluation). We observed a food-seeking bias, even in thirsty mice, that required outcome evaluation for mice to correctly seek water. mPFC was required for need state-dependent decisions about hunger and thirst, specifically under variable need state conditions. Food-seeking or water-seeking choices were controlled by multiple decision-making processes, and mPFC was involved in goal-directed decisions about the identity of need states. Thus, we have discovered a role for mPFC in decision-making about hunger and thirst, which is relevant for human behaviors that contribute to obesity.

BACKGROUND: Loss of control (LOC) over eating is a cardinal feature of the DSM-5 definition of binge eating (BE). While this behavior is frequently reported in college-age women, there is limited research on descriptions of loss of control from first-person accounts from individuals reporting LOC associated with BE. OBJECTIVE: The objective of this study was to investigate descriptions of LOC associated with BE episodes in college-age women who reported recent BE behavior. STUDY DESIGN: A secondary analysis of previously collected qualitative data on BE behaviors in college students was conducted. Two hundred and twenty-one college-age women’s (age = 19.77 ± 1.03) comments regarding the experiences of LOC associated with BE episodes were analyzed using conventional content analysis. Codes were inductively generated allowing categories to emerge from the data codes. RESULTS: Three major overarching descriptive categories were identified: (1) LOC over eating, (2) feelings associated with the LOC, and (3) cognitive dispositions (thoughts) associated with LOC during a BE episode. DISCUSSION: The findings of this study expand the current literature on LOC over eating and provide a number of potential targets for intervention with college-age women who report BE behaviors.

Objective The network theory of psychopathology has been described as an "innovative framework" that may "transform" clinical psychological science. Several network studies have identified central eating disorder (ED) symptoms, yet studies have been comprised primarily of women. Using two large samples, we constructed ED symptom networks among men to identify central symptoms. Method Participants were recruited from three universities and using Amazon's Mechanical Turk. Participants completed the Eating Disorder Examination-Questionnaire (EDE-Q), Male Body Attitudes Scale, and Drive for Muscularity Scale. ED symptom networks were jointly estimated among men with (n = 248) and without core ED symptoms (n = 902). Core ED symptoms were defined by (a) scoring above a suggested male EDE-Q clinical cutoff and (b) reporting symptoms consistent with probable ED diagnoses. Expected influence and predictability (proportion of each node's variance explained by other nodes in the network) were calculated for each node. Results Shape overvaluation, desiring weight loss, fear of losing control over eating, feeling guilty for missing weight training, and using supplements had the greatest expected influence and predictability. Network structures did not significantly differ between participants with versus without core ED symptoms. Discussion The centricity of body dissatisfaction items in the networks supports some components of cognitive behavioral theories of EDs. However, the findings also suggest the importance of muscularity- and leanness-oriented concerns, which have been traditionally neglected from leading ED theories that tend to focus on thinness pursuits as a main driver of body dissatisfaction.

Objective Few studies have been conducted on disordered eating in Iran, with limited research on loss of control (LOC) eating in adolescents. The purpose of the current study was to evaluate the validation of a Farsi version of the Loss of Control over Eating Scale (F-LOCES) among Iranian adolescents. Method Participants were 504 boys (Age mean = 15.35; Body Mass Index [zBMI] mean = 0.01) and 607 girls (Age mean = 15.71; zBMI mean = −0.01) who completed a battery of questionnaires including the F-LOCES. Results Confirmatory Factor Analysis (CFA) and bi-factor model indicated that the F-LOCES had good fit to the data and supported a three-factor model. Additionally, the scale was invariant across all the groups. Girls had higher scores than boys on the behavioral subscale. Additionally, individuals with elevated eating pathology and zBMI endorsed higher LOC eating. As expected, the F-LOCES scores were positively associated with zBMI, disordered eating symptoms, and depression, and negatively associated with self-esteem. Discussion Findings suggest that the F-LOCES is a reliable and valid measure of LOC eating in Iranian adolescents. The availability of the F-LOCES will enable researchers to examine the developmental trajectories, predictors, and outcomes of LOC eating.

Objective This study examined the prevalence of and changes in loss of control over eating (LOC) among pregnant women with overweight/obesity, along with associations between LOC and depressive symptoms and stress. Method Community women (N = 200; body mass index ≥ 25; 12–20 weeks gestation) reported LOC before and during early pregnancy using the Eating Disorder Examination, which was adapted for administration in pregnancy. Women self-reported depressive symptoms and stress during early pregnancy. Results Twenty-eight percent (n = 56) of women reported LOC before or during early pregnancy: 14.5% (n = 29) reported LOC incidence during early pregnancy, 9.5% (n = 19) reported LOC persistence from prepregnancy to early pregnancy, and 4.0% (n = 8) reported LOC prepregnancy only. Women with LOC reported more depressive symptoms and stress than did those without. Women with LOC persistence reported clinically significant depressive symptoms and elevated stress. Levels of depressive symptoms and stress differed between women with LOC persistence and those without LOC (ps

This case report describes the clinical presentation, diagnosis, and management of a 26-year-old patient with anorexia nervosa (AN) diagnosed with Solitary Rectal Ulcer Syndrome (SRUS). To our knowledge, this is the first case report to document SRUS in AN, whose pathogenesis in this case seems to have been determined by the patient's malnourished and underweight state. Furthermore, SRUS symptoms appear to have interacted with the eating disorder psychopathology, increasing the need to exert control over eating. Cognitive behavioral strategies and procedures were accordingly used to address the eating disorder psychopathology and to promote complete weight restoration, which brought about a significant reduction in the size of the ulcer and the complete resolution of SRUS symptoms. © 2016 Wiley Periodicals, Inc.(Int J Eat Disord 2016; 49:731-735).

Despite being widely used, there has not yet been a confirmatory factor analysis (CFA) on the English version of the Parental Feeding Style Questionnaire (PFSQ). Preschool is a critical time to assess parental feeding styles, and the PFSQ is one of the few measures that can be used with young children. As such, the current study conducted the first CFA on the PFSQ in an English-speaking sample in the United States to establish preliminary evidence of its factor structure. Parents of preschoolers aged 3–5 years (N = 297; M = 33.47 years; 85.2% mothers) presenting to a pediatric dentistry office in the Midwest of the United States were recruited to participate in this cross-sectional study. Parents completed the PFSQ in the waiting room of the dental office. Robust maximum likelihood factor analyses were conducted on the PFSQ. The original four-factor model was not confirmed, but rather, results provided preliminary support for a five-factor solution: Control over Eating, Instrumental Feeding, Emotional Feeding, Encouragement of Variety, and Prompting of Eating, CFI = 0.91, SRMR = 0.06, RMSEA = 0.05. The PFSQ is a widely used measure for assessing parental feeding styles in young children. However, the CFA indicated that the originally proposed four-factor structure did not fit well. Certain modifications to the measure were necessary to improve model fit. A five-factor model fit better, and six items were removed, reducing the original 27-item scale to 21 items. Level V, cross-sectional descriptive study.

Objective Interpersonal psychotherapy (IPT) is aimed at improving negative affect that is purported to contribute to the development and maintenance of loss-of-control (LOC) eating. Although youth who report LOC over eating tend to consume more snack-foods than those without LOC, it is unknown if IPT impacts objective energy intake. Methods To test if IPT improves mood and eating in the laboratory, we examined a sample of 88 girls with LOC eating who were randomized to either IPT (n = 46) or a standard-of-care health education (HE) group program. At baseline, and 6-month (follow-up 1) and 1-year (follow-up 2) following the initiation of the groups, girls consumed lunch from a multi-item meal with an instruction designed to model a LOC episode. Girls also reported mood state immediately before each meal. Results Girls in IPT experienced no significant changes in pre-meal state depressive affect, while girls in HE experienced a non-significant improvement by follow-up 1 and then returned to baseline by follow-up 2 (p

The objective of this study was to analyse emotional distress and concerns related to body image in 712 normal-weight and overweight adolescent girls. A total of 12.3 per cent of the normal-weight girls and 25 per cent of the overweight girls showed extreme weight-control behaviours. In normal-weight adolescents, their engagement in extreme weight-control behaviours was associated with high levels of somatic symptoms, a drive for thinness and control over eating. In overweight girls, high levels of drive for thinness and anxiety were associated with extreme weight-control behaviours. Finally, the implications for preventive and therapeutic programmes are discussed.

OBJECTIVES Contextual factors related to maladaptive eating behavior in youth with overweight/obesity are poorly understood. This pilot study sought to elucidate immediate internal and external cues related to perceptions of overeating and loss of control (LOC) over eating in a heterogeneous sample of children and adolescents with overweight/obesity assessed in their natural environments. METHOD Community-based youth [N = 40; 55% female (n = 22)], aged 8-14 y (M age = 11.2 ± 1.9 y), with overweight/obesity (M z-BMI = 2.07 ± 0.49) reported on all eating episodes and their physiological, environmental, affective, and interpersonal antecedents and correlates via ecological momentary assessment over a 2-week period. Generalized estimating equations were used to assess the relationship between contextual variables and degree of overeating and LOC. RESULTS Eating occasions involving greater food hedonics (i.e., perceived palatability of food being consumed) were associated with greater LOC severity (within-subjects effect: B = 0.01, p = .015), although youth with lower overall levels of food hedonics reported higher LOC severity ratings on average (between-subjects effect: B = -0.04, p = .005). Youth reporting higher overall cravings reported higher average ratings of LOC severity (between-subjects effect: B = 0.20, p = .001). Finally, youth reporting greater overall influence of others on eating behavior evidenced greater average levels of overeating severity (between-subjects effect: B = 0.17, p < .001). DISCUSSION Eating-related factors appear to be most strongly associated with LOC severity, while environmental factors were most associated with overeating severity. Interventions targeting maladaptive eating in youth with overweight/obesity may benefit from helping youth incorporate palatable foods and satisfy cravings in a planned and controlled manner, and enhancing awareness of social-contextual effects on eating.

Restrained eaters constantly limit their eating behavior to avoid gaining weight. Previous research suggests that fundamental deficits in response inhibition might play a role in the development of disinhibited eating among restrained eaters. The current study focuses on the impact of food vs. non-food stimuli on response inhibition in high vs. low restrained eaters. Seventy-five females (38 high and 37 low restrained eaters) completed a novel food stop-signal task in which they were required to discriminate between food and non-food images while inhibiting their response when a stop-signal appeared. The ability to inhibit a response was assessed separately for food and non-food trials, which were used to assess specific inhibition to food and general inhibitory abilities, respectively. Overall, high restrained eaters exhibited poorer response inhibition to non-food stimuli compared to low restrained eaters. Most importantly, high restrained eaters were better able to inhibit a response following presentation of food compared to non-food stimuli. In contrast, low restrained eaters were better at inhibiting a response following non-food compared to food stimuli. We suggest that this pattern is due to fast and strong activation of the response inhibition system in high restrained eaters when facing food stimuli - an activation which might later lead to a paradoxical breakdown of control over eating behavior.

Now a day’s society is more conscious about external beauty compare to internal beauty and also some professional fields they require good looking and charming beauty. Usually 10-15% cases present before general practitioners are pertaining to skin diseases. Due to altered life style, lack of physical exercise, unhygienic, mental stress, over eating, skin diseases are commonly observed. Psoriasis is chronic disorder which is commonly encountered in day today’s clinical practices. It is one of the burning issues having social importance. Increased stress and life style are main predisposing factor which is accounting for wide spared prevalence of this disease. All the skin diseases in Ayurveda have been discussed under the broad heading of Kushtha. Which are further divided in Mahakushtha and Kshudra Kushtha. This paper highlights a case study of Kitibha Kushta (Psoriasis) treated withthe Ayurvedic principles Shodhana Chikitsa.

A diversity of scales capture facets of reward-related eating (RRE). These scales assess food cravings, uncontrolled eating, addictive behavior, restrained eating, binge eating, and other eating behaviors. However, these scales differ in terms of the severity of RRE they capture. We sought to incorporate the items from existing scales to broaden the 9-item Reward-based Eating Drive scale (RED-9; Epel et al., 2014), which assesses three dimensions of RRE (lack of satiety, preoccupation with food, and lack of control over eating), in order to more comprehensively assess the entire spectrum of RRE. In a series of 4 studies, we used Item Response Theory models to consider candidate items to broaden the RED-9. Studies 1 and 2 evaluated the abilities of additional items from existing scales to increase the RED-9's coverage across the spectrum of RRE. Study 3 evaluated candidate items identified in Studies 1 and 2 in a new sample to assess the extent to which they accounted for more variance in areas less well-covered by the RED-9. Study 4 tested the ability of the RED-13 to provide consistent coverage across the range of the RRE spectrum. The resultant RED-13 accounted for greater variability than the RED-9 by reducing gaps in coverage of RRE in middle-to-low ranges. Like the RED-9, the RED-13 was positively correlated with BMI. The RED-13 was also positively related to a diagnosis of type 2 diabetes as well as cravings for sweet and savory foods. In summary, the RED-13 is a brief self-report measure that broadly captures the spectrum of RRE and may be a useful tool for identifying individuals at risk for overweight or obesity.

Purpose The purpose of this paper is to provide an analysis of the concept of binge eating in obese adolescents. Methods Rodgers' evolutionary approach was used to frame this analysis. A search was conducted within the Cumulative Index to Nursing and Allied Health Literature, Medline, and PsycINFO for publications between 1980 and 2011. Findings Conceptual shifts in the meaning of binge eating have occurred over the past 30 years, yet the two enduring attributes are consumption of a large amount of food and a loss of control over eating. Conclusion Though this analysis demonstrates a consensus concerning the core attributes of binge eating, further refinement of the nuances, subtleties, and use of the concept in relation to adolescents is needed.

The aim of this study was to investigate the physical activity, the basic parameters of physical development, and eating habits of students from Ukraine. The research method of diagnostic survey using a IPAQ questionnaire and nutrition questionnaire was carried out in 2013 among 2 125 students, for 60.8% of women and 39.2% men. As a result of studies beneficial indicators of total physical activity were demonstrated, with higher physical activity of persons who have sufficient amount of free time. The level of BMI indicator is in the majority of students at a normal level. The amount and frequency of meals is a sign of positive healthy behaviors. Also the disadvantageous behaviors occur, such as avoidance and loss of control over eating and induction of vomiting for the sake of one’s body.

The aim of the current study, derived from Goal Conflict and Duel Process theories, was to investigate if self-regulation in restrained eaters can be enhanced by strengthening the link between desired food stimuli and eating control goal. An iPhone app, employed to prime eating control goals, was utilized to improve eating self-regulation in restrained eaters. During a 7-day intervention, 20 restrained eaters had access to randomly activated, personalized eating control reminders on their iPhone. Self-regulation efficacy, eating behavior (unhealthy food serving sizes and loss of control over eating), and eating efficacy were assessed pre and post intervention. Results suggest that the reminder significantly improved self-regulation behavior (p

The present study aimed to further validate the Loss of Control Over Eating Scale (LOCES) for use with undergraduate men and women with and without eating disorder (ED) symptoms. A total of 261 participants completed the LOCES and the Eating Disorder Examination - Questionnaire (EDE-Q) and were identified as non-clinical or having probable ED symptomatology based on previously used EDE-Q cutoff scores. Results indicated that the LOCES and its subscales were significantly associated with and a significant predictor of global ED pathology and binge episode frequency. The LOCES behavioral subscale appeared to be a stronger predictor of episode frequency compared to other subscales. The ED pathology groups reported significantly higher LOCES scores compared to the non-ED pathology groups. Binary logistic regression analyses revealed that the LOCES was able to accurately distinguish between those with ED pathology and those without ED pathology in the majority of cases. Findings from the present study suggest that the LOCES is highly predictive of ED pathology, strongly associated with ED cognitions and behaviors, and an accurate index for global eating disorder pathology. Future directions for research are discussed.

Adaptive eating behaviors are dependent on an interaction between motivational states (e.g., hunger) and the ability to control one's own behavior (inhibitory control). Indeed, behavioral paradigms are emerging that seek to train inhibitory control to improve eating behavior. However, inhibitory control is a multifaceted concept, and it is not yet clear how different types (e.g., reactive motor inhibition, proactive motor inhibition, reward-related inhibition) are affected by hunger. Such knowledge will provide insight into the contexts in which behavioral training paradigms would be most effective. The present study explored the impact of promoting a "need" state (hunger) together with motivationally salient distracting stimuli (food/non-food images) on inhibitory control in 46 healthy adults. Participants attended two study sessions, once after eating breakfast as usual and once after acute food restriction on the morning of the session. In each session, participants completed questionnaires on hunger, mood and inhibitory control, and undertook task-based measures of inhibitory control, and had physiological measurements (height, weight, and blood glucose) obtained by a researcher. Acute food restriction influenced task-based assessments but not questionnaire measures of inhibitory control, suggesting that hunger affects observable behavioral control but not self-reported inhibitory control. After acute food restriction, participants showed greater temporal discounting (devaluation of future rewards), and subjective hunger and these were inversely correlated with stop accuracy on the stop signal task. Finally, participants generally responded faster when food-related distractor images were presented, compared to non-food images, independent of state. This suggests that although food stimuli motivate approach behavior, stimulus relevance does not impact inhibitory control in healthy individuals, nor interact with motivational state. These findings may provide some explanation for poorer inhibitory control often reported in studies of individuals who practice restraint over eating.

It is well recognized that bouts of uncontrolled and excessive eating (binges) occur in both a small proportion of patients who are overweight and in about 50 per cent of patients with anorexia nervosa. However, it has only recently been appreciated that many people who fall into neither category also have an eating disorder which is principally characterized by episodes of binge-eating. These people experience a profound and distressing loss of control over eating which results in a grossly disturbed eating pattern. Despite this, their body weight tends to lie within the normal range. The disorder has attracted various names including ‘the dietary chaos syndrome’ (Palmer, 1979), ‘the abnormal normal weight control syndrome’ (Crisp, 1979), ‘bulimia nervosa’ (Russell, 1979), and simply ‘bulimia’ (DSM III, 1980). The term bulimia nervosa is probably the most satisfactory since it conveys the links with anorexia nervosa and emphasises the central role of binge-eating. Russell (1979) proposed the following diagnostic criteria for this syndrome

Los objetivos de esta investigación son describir las conductas alimenticias de riesgo, así como comparar la autoeficacia ante daños a la salud entre quienes tienen problemas alimenticios. Se midieron las conductas alimentarias de riesgocon el instrumento de Unikel, Bojórquez y Carreño (2004), y la autoecacia ante daños a la salud con el inventario de Palacios (2015). Se seleccionó una muestra no probabilística de tipo intencional de 1 012 jóvenes, entre 14 y 22 años (M =16.7), de la Ciudad de México. Los resultados mostraron que las mujeres se preocupan más por su peso, vomitan, ayunan, hacen dieta y usan pastillas para perder peso, en comparación con los hombres, quienes practican más atracones y tienen una mayor falta de control al comer. Adicionalmente, las mujeres son quienes combinan más problemas alimenticios que los hombres. Quienes presentan bajo riesgo alimenticio tienen mayores niveles de autoeficacia saludable. La discusión analiza la utilidad de lo encontrado para prevenir los problemas alimenticios en los jóvenes, así como promover a la autoeficacia como un factor protector del comportamiento alimenticio de riesgo dentro de los programas de nutrición y salud. Fil: Palacios Delgado, Jorge Raúl. Universidad Autonoma de Queretaro; México Fil: Ramirez Amaya, Victor. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Córdoba. Instituto de Investigación Médica Mercedes y Martín Ferreyra. Universidad Nacional de Córdoba. Instituto de Investigación Médica Mercedes y Martín Ferreyra; Argentina

Over the past 40 years, obesity rates in the United States have grown significantly; these rates have not grown uniformly across the United States (18 of the 20 counties with the highest obesity rates are located in the South). Obesity increases cardiovascular disease risk factors and new research has highlighted the negative psychological effects of obesity, known as weight stigma, including decreased selfcontrol resources, over eating, and exercise avoidance. The primary objective of this study was to determine if weight stigma concerns varied regionally and if social behaviors influenced this variation. In two studies, we collected cross-sectional data from participants in the United States including height and weight, weight stigma concerns, and perception of friends’ preoccupation with weight and dieting. We also collected each participant’s home zip code which was used to locate local obesity rate. We established differences in the relationship between body mass index and weight stigma concerns by local county obesity rate and showed that perceived friend preoccupation with weight and dieting mediated this relationship for individuals in low and medium obesity rate counties. For individuals living in United States counties with lower levels of obesity, increases in personal body mass index leads to increased weight stigma concerns due to an increase in perceived friend preoccupation with weight and dieting. These results indicate that relationships between body mass index, weight stigma concerns, and social networks vary significantly for subpopulations throughout the United States.

Culture has an enormous impact on individuals’ food choices and practices. This research aimed to screen cultural eating practices among Jordanians. Jordanian adults (N = 4750) completed a survey with regard to common eating practices in Jordan. Practices were classified into 4 themes, namely regular eating practices (7 practices), seasonal eating practices (4 practices), eating practices in social occasions (6 practices), and eating practices in religious occasions (10 practices). Interestingly, most nutritional practices during Ramadan and Eids (religious occasions) were agreed upon from 100% of the participating sample. In conclusion, culture in Jordan has a huge influences eating practices and food choice. Negative culture’s influence over eating practices may exist, thus increasing awareness about unhealthy eating practices related to culture is necessary.