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While a sedentary lifestyle is a one of the most pressing health concern in western society, there appears to be a minority of individuals who exercise compulsively and in excess. Relatively little research has examined the factors leading exercise to transition from a healthy and sociable habit to one that is potentially pathological, addictive, and physically damaging. The present study examined the possible impact of early maladaptive schema (EMS) and implicit self-esteem on exercise dependence (EXD) in a cohort of Australian cyclists. A total of 136 cyclists completed the Young Schema Questionnaire Short-Form Revised, Self-esteem Implicit Association Test and Exercise Dependence Scale Revised to assess EMS, implicit self-esteem and for EXD symptomology. Early maladaptive schema, specifically the domains 'other directedness' and 'impaired limits', accounted for a significant proportion of the variability in self-reported EXD symptomology. Additionally, a significant proportion of this cohort exhibited EXD symptomology irrespective of socio-demographic characteristics. These findings indicate that individuals who have an excessive external focus on the desires and needs of others, and/or are unable to set appropriate internal limits, may be at higher risk of developing EXD symptomology than individuals with lower levels of specific EMS. Therefore, understanding the relationship between EMS and EXD may aid in understanding the etiology of EXD and the development of intervention strategies., Author(s): Rebekah M. Rankin [sup.1] , Paul A. Read [sup.1] , Benjamin R. Walker [sup.1] , Paul M. Rankin [sup.2] Author Affiliations: (1) grid.1002.3, 0000 0004 1936 7857, School of [...]

Summary: Eating disorders are now well acknowledged mental health problems that are common and present in people from diverse sociodemographic backgrounds.The past decade has seen a rapid expansion in research into eating disorder interventions.In response to the increasing burden of eating disorders, the Australian Government Department of Health and Aged Care has implemented significant policy changes to improve patient access to Medicare and inpatient treatment facilities.There are several international clinical practice guidelines and a robust evidence base particularly for first line care with specific psychological therapies, including guidelines for the management of eating disorders in individuals with a high weight.Medications play an important adjunct role in care, and novel neuromodulating treatments, such as psychostimulants, are under study.There is emerging evidence for increased person‐centred care, with more choice in the form of alternatives to hospital inpatient programs and more respectful consideration of care for all who experience an eating disorder, including people with high weight. [ABSTRACT FROM AUTHOR]

Background: Treatment for anorexia nervosa (AN) is typically delivered on a continuum of care, starting with outpatient treatment, and moving onto intensive outpatient, day or residential treatment and/or inpatient hospitalisation. However, minimal attention has been afforded to the lived experiences of persons undergoing inpatient treatment for AN. In particular, qualitative literature pertaining to the lived experiences of specialist inpatient or residential treatment of AN remains fragmented and incomplete. The aim of this review was to synthesise current literature exploring patients' lived experiences of residential and inpatient treatment for AN within eating disorder-specific treatment services. Methods: Five databases were searched and a qualitative thematic systematic review and meta-synthesis of 11 studies were conducted. Results: Eleven studies of 159 participants were included. Four meta-themes were constructed from the data: (1) a medical discourse—"I don't think it's individualised here"; (2) restrictive practice—living in a "bubble"; (3) myself, others and "a similar demon"; and (4) I am "not just another anorexic". The data also revealed two cross-cutting themes: (1) more than a single experience; and (2) meaning making and identity. Conclusions: These findings highlight the complex and multifaceted nature of the inpatient treatment experience as well as the inherent conflicts in balancing the necessity of medical and psychological intervention with person-centred treatment approaches in the treatment of AN. Plain English Summary: Treatment for anorexia nervosa (AN) is typically delivered on a continuum of care, starting with outpatient treatment, and moving onto intensive outpatient, day or residential treatment and/or inpatient hospitalisation. However, not much is known about the lived experiences of people going through inpatient treatment for AN. An improved understanding of individuals' treatment experiences is essential in informing the development of new models of care with the potential to improve outcomes. In this systematic review, we examined the lived experiences of individuals going through inpatient treatment for AN available in the current literature. Searching in scientific databases resulted in 10,666 articles, 11 of which met the rigorous inclusion criteria. Four meta-themes and two cross-cutting themes were observed in patient experiences across the studies reviewed. These themes provide insight into the complex and multifaceted nature of the inpatient treatment experience as well as the inherent conflicts in balancing the necessity of medical and psychological intervention with person-centred treatment approaches in the treatment of AN. [ABSTRACT FROM AUTHOR]