PURPOSE: The purpose of the study was to investigate the psychological factors such as eating psychopathology, depression, obsessive-compulsion, sleep problem, and stressors that affect the alcohol problems in patients with eating disorders. METHODS: Patients with eating disorders (n=347) who visited "M" clinic for eating disorder were participated in the study. Data were collected from February 2008 to May 2010 using Eating Disorder Inventory-2, Beck Depression Inventory, Maudsley Obsessional-Compulsive Inventory, and Alcohol Use Disorder Identification Test-Korean. RESULTS: Of the participants, 17.3% had an alcohol problem, 9.2% of them were diagnosed with alcohol dependency. Age, history of mental disorder in family, stress for love relationship, difficulties falling asleep, and 'impulse regulation' (one of eating psychopathologies) were significant associated factors of alcohol problem, but depression and obsessive-compulsion were not significant. CONCLUSION: Future interventions for patients with eating disorders should focus on assessing alcohol problems. Assessment should be non-judgmental, especially for those patients with high levels of impulse dysregulation, difficulties falling asleep, and stress in love relationship in order to prevent their early drop-out for the treatment. Alternative treatment for sleep problem and stress management also may be helpful for the patients with alcohol problem and eating disorders.
Depression ; Eating ; Feeding and Eating Disorders* ; Humans ; Love ; Mental Disorders ; Psychology ; Psychopathology

The occurrence of eating disorders in Chinese adolescents is increasing. However the cause, diagnosis, treatment and prognosis of this disorder are rarely reported by pediatricians. This paper investigated the cause and treatment of six cases of eating disorders in adolescent patients. The medical data of six cases of eating disorders in the Shanghai Children's Medical Center from January 2003 to September 2005 were retrospectively reviewed. The patients were 5 girls and 1 boy, whose onset ages ranged from 12.4 to 15.8 years. They were initially referred to the clinic between 12.9 to 16.7 years, with a course of disease varying from three to twelve months. The patients' body mass index (BMI) varied from 9.07 to 17.0. Four out of the six patients were hospitalized because of low temperature, low blood pressure, bradycardia, dehydration and multiple systems damages. The other two were treated in the out-patient clinic. Based on the medical history and physical examination as well as laboratory findings, five of them were diagnosed with anorexia nervosa and the other one were bulimia nervosa. All of the patients were under the care of a team consisting of pediatricians, dietitians, psychiatrists and nurses. When the patients whose vital signs were unstable, medical treatment focused on life sustention and they were kept on beds compulsively and given nutrition transfusion. Meanwhile cognition and behavior therapy was administered to help the patients find out the internal and environmental factors related to the development of this disorder, establish a new conception of healthy weight, and correct their abnormal eating behaviors. The patients who had a severe distortion of body image and a big resistance to the treatment were additionally administered with psychiatry drugs. After treatment, three patients set up a healthy eating behavior, their body weights gradually recovered and they had no relapse during a 1-year follow-up. The other three patients retained some abnormal eating behaviors and their body weights were always below normal. It was found that eating disorders in adolescents may be triggered by some environmental factors, such as comments on body shape from their peers, fashion influence, academic pressures, and problems in communication. Since the patients' abnormal eating behaviors were masked or neglected by parents at the early stage of the disease and the clinical presentations were related to multiple systems, it is difficult to make an early diagnosis and treatment. It is important to improve the pediatricians' knowledge of eating disorders of adolescents and perform cooperation between a multidisciplinary team for the early diagnosis and treatment of this disorder.
Adolescent ; Child ; Feeding and Eating Disorders ; etiology ; psychology ; therapy ; Female ; Humans ; Male

The purpose of this study was to examine the prevalence of eating disorders and the dietary, and psychological factors that influence eating disorders in high school girls. Data was collected from 4 vocational and 4 general girls' high schools in Incheon. Among the total of 595 questionnaires collected, 581 were analyzed. For data analyses, frequency, percentage, average, t-test, one-way ANOVA, Duncan's Post-Hoc and regression were conducted using SPSS WIN ver 10.0 program. As a result, 25 out of 581 students (4.3%) are judged to have eating disorders. The mean BMI of the subjects is 20.2, but the BMI students think of as ideal is 17.6. Since the frequencies of diet trial, taking diet pills, and skipping dinner are higher, the average score of Eating Attitudes Test for Korean Adolescents (EAT-26KA) is higher, they are more likely to have eating disorders. The lower the degree of body satisfaction and self esteem are, the higher the average score of EAT-26KA is. It tells that the possibility of developing eating disorders is closely related to BMI and psychological factors specially body satisfaction.
Adolescent ; Analysis of Variance ; Diet ; Feeding and Eating Disorders* ; Eating* ; Female* ; Humans ; Incheon ; Meals ; Prevalence ; Psychology ; Self Concept ; Statistics as Topic

OBJECTIVETo examine the effect of childhood abuses on adolescents' psychology and behaviors related to harmful dietary pattern.

METHODSAnonymous questionnaire study on childhood abuses, adolescents' psychology and behaviors regarding their dietary patterns was conducted among 5141 students in 9 middle schools in 2 areas of Anhui province.

RESULTSAmong 5141 students, 29.9% reported having severe childhood physical abuse, 64.8% having intermediate childhood physical abuse, 51.4% having mental abuse, 5.3% having physical contact sexual abuse and 24.5% having non-physical contact sexual abuse. In junior, senior middle schools and vocational schools, the incidence rate of severe childhood physical abuse, physical contact sexual abuse and non-physical contact sexual abuse among male students was higher than that among female students. In total, the incidence rate of childhood mental abuse among female students (53.1%) was higher than that among male students (49.8%) and with significant difference (chi2 = 5.484, P < 0.05). The incidence rate of 5 kinds of childhood abuses among junior middle school students was relatively low, and the incidence rate of intermediate childhood physical abuse and mental abuse was higher among senior middle school students. The incidence rate of 9 among the 11 kinds of psychology and behaviors related to harmful dietary pattern among female students in the middle schools and vocational schools was higher than that among male students. By unconditional multivariate logistic regression model, results showed that the childhood abuses was among the 11 kinds of psychological and behavioral risk factors related to harmful dietary pattern.

CONCLUSIONChildhood abuses had negative effects on dietary behaviors in adolescents.

Adolescent ; Adolescent Behavior ; Child ; Child Abuse ; psychology ; China ; epidemiology ; Feeding Behavior ; Feeding and Eating Disorders ; epidemiology ; Female ; Humans ; Incidence ; Male ; Mental Disorders ; epidemiology ; Risk Factors

OBJECTIVES: The epidemic of coronavirus disease 2019 (COVID-19) brought psychological stress to the public, especially to patients. This study aims to investigate the mental health of patients with COVID-19 in Changsha. METHODS: We took cross-section investigation for the mental health of 112 patients with COVID-19 via questionnaires. Mann-Whitney test, Chi-square test, and Fisher's exact test were performed to compare general and clinical data between the slight-ordinary patients and severe patients. Single sample -tests were used to compare the difference between the factor scores of the Symptom Check-List 90 (SCL-90) in COVID-19 patients with the norm of 2015 and factor scores of SCL-90 in patients with the severe acute respiratory syndrome (SARS). RESULTS: The obsessive-compulsive, depression, sleep and eating disorders had the highest frequency among the positive symptoms of SCL-90 in patients with COVID-19 in Changsha. The factor scores of somatization, depression, anxiety, phobia anxiety, sleep and eating disorders in patients with COVID-19 were higher than those of the norm (≤0.001 or <0.05). Slight-ordinary patients with COVID-19 in Changsha showed lower factor scores of somatization, depression, anxiety, and hostility compared with the patients with SARS (<0.001 or <0.05). There was no difference in factor scores of SCL-90 between the patients with severe COVID-19 and those with SARS(>0.05). CONCLUSIONS The levels of somatization, depression, anxiety, phobia anxiety, sleep and eating disorders in patients with COVID-19 in Changsha are higher than those of the norm. However, the mental health of slight-ordinary patients with COVID-19 is better than that of patients with SARS. It needs to provide targeting psychological interventions depending on the severity of patients.
Anxiety ; Betacoronavirus ; China ; Coronavirus Infections ; psychology ; Depression ; Feeding and Eating Disorders ; Health Status ; Humans ; Mental Health ; Pandemics ; Pneumonia, Viral ; psychology ; Sleep Wake Disorders ; Surveys and Questionnaires

PURPOSE: This study was designed to assess the prevalence and correlates of disturbed eating attitudes and behaviors in South Korean students. MATERIALS AND METHODS: In a cross-sectional survey, 2,226 fourth and seventh grade students filled out questionnaires on eating attitudes and behaviors (Eating Attitude Test -26, EAT-26), coping strategies, fear of being overweight, behavioral problems, anxiety, depression, and self-esteem. RESULTS: Disturbed eating attitudes and behaviors were found in 7 percent of students. In the multivariate analyses, disturbed eating attitudes and behaviors were associated with the passive coping strategies, fear of being overweight, total behavioral difficulties, fourth grade, and high socioeconomic status (SES). Differences in the associations were found between boys and girls. There were significant associations between elevated EAT-26 scores and passive coping strategies, desired underweight body mass index (BMI), and low SES in boys; and between elevated EAT-26 scores and passive coping strategies, fear of being overweight, behavioral problems, being in the fourth grade, and high and low SES in girls. CONCLUSION: In South Korean children, disturbed eating attitudes and behaviors were associated with various psychological and sociocultural factors; some gender-related differences are also evident.
Adolescent ; Body Mass Index ; Child ; Cross-Sectional Studies ; Eating Disorders/epidemiology/*psychology ; Feeding Behavior/*psychology ; Female ; Humans ; Male ; Multivariate Analysis ; Social Class

PURPOSE: This study was designed to assess the prevalence and correlates of disturbed eating attitudes and behaviors in South Korean students. MATERIALS AND METHODS: In a cross-sectional survey, 2,226 fourth and seventh grade students filled out questionnaires on eating attitudes and behaviors (Eating Attitude Test -26, EAT-26), coping strategies, fear of being overweight, behavioral problems, anxiety, depression, and self-esteem. RESULTS: Disturbed eating attitudes and behaviors were found in 7 percent of students. In the multivariate analyses, disturbed eating attitudes and behaviors were associated with the passive coping strategies, fear of being overweight, total behavioral difficulties, fourth grade, and high socioeconomic status (SES). Differences in the associations were found between boys and girls. There were significant associations between elevated EAT-26 scores and passive coping strategies, desired underweight body mass index (BMI), and low SES in boys; and between elevated EAT-26 scores and passive coping strategies, fear of being overweight, behavioral problems, being in the fourth grade, and high and low SES in girls. CONCLUSION: In South Korean children, disturbed eating attitudes and behaviors were associated with various psychological and sociocultural factors; some gender-related differences are also evident.
Adolescent ; Body Mass Index ; Child ; Cross-Sectional Studies ; Eating Disorders/epidemiology/*psychology ; Feeding Behavior/*psychology ; Female ; Humans ; Male ; Multivariate Analysis ; Social Class

PURPOSE: The aim of this study was to develop a Korean version of Night Eating Questionnaire (KNEQ) and test its psychometric properties and evaluate items according to item response theory. METHODS: The 14-item NEQ as a measure of severity of the night eating syndrome was translated into Korean, and then this KNEQ was evaluated. A total of 1171 participants aged 20 to 50 completed the KNEQ on the Internet. To test reliability and validity, Cronbach's alpha, correlation, simple regression, and factor analysis were used. Each item was analyzed according to Rasch-Andrich rating scale model and item difficulty, discrimination, infit/outfit, and point measure correlation were evaluated. RESULTS: Construct validity was evident. Cronbach's alpha was .78. The items of evening hyperphagia and nocturnal ingestion showed high ability in discriminating people with night eating syndrome, while items of morning anorexia and mood/sleep provided relatively little information. The results of item analysis showed that item2 and item7 needed to be revised to improve the reliability of KNEQ. CONCLUSION: KNEQ is an appropriate instrument to measure severity of night eating syndrome with good validity and reliability. However, further studies are needed to find cut-off scores to screen persons with night eating syndrome.
Adult ; Anorexia/etiology ; Factor Analysis, Statistical ; Feeding and Eating Disorders/*psychology ; Humans ; Internet ; Middle Aged ; *Program Evaluation ; *Psychometrics ; Republic of Korea ; Self Report ; Surveys and Questionnaires ; Translating ; Young Adult

INTRODUCTIONElevated levels of psychopathology have been described in various groups of obese patients. This study aimed to describe the presence of depressive and binge eating symptoms in patients presented for clinical weight management at a general hospital in Singapore, as well as their health-related quality of life (HRQOL). Correlations between these symptoms and other demographic and clinical variables were also sought.

MATERIALS AND METHODSPatients presented at a clinical weight management programme were asked to complete the Beck Depression Inventory (BDI), Binge Eating Scale (BES) and the Short Form-36 (SF-36). Clinical and demographic data were also collected.

RESULTSOf the group, 17.1% reported moderate or severe binge eating symptoms and 9.7% reported moderate or severe depressive symptoms. HRQOL, mostly in physical health domains, was lower in this sample compared to local norms. Within the group, binge eating and depressive symptoms, but not increasing obesity, predicted poorer HRQOL.

CONCLUSIONSPsychological symptoms are significantly present in patients presented for clinical weight management and these contribute to poorer quality of life. Addressing these symptoms will improve the overall well-beings of these patients and the total benefits gained will exceed the benefits of weight loss per se.

Adult ; Aged ; Depression ; complications ; diagnosis ; epidemiology ; Feeding and Eating Disorders ; complications ; epidemiology ; Female ; Health Status Indicators ; Humans ; Male ; Mental Disorders ; epidemiology ; physiopathology ; Middle Aged ; Obesity ; complications ; ethnology ; psychology ; therapy ; Psychiatric Status Rating Scales ; Quality of Life ; psychology ; Singapore ; epidemiology ; Young Adult

TCA are used for the treatment of major depression, anxiety disorders, eating disorders, chronic pain syndromes, and peripheral neuropathies associated with psychiatric and medical conditions that call for a higher rate of prescription drugs. Frequently observed toxic symptoms are sinus tachycardia and altered mental status. Severe toxic symptoms include altered mental status, dysrhythmia, seizure, and secondary complications. Serious cardiotoxicity can lead to ventricular dysrhythmia and a classic TCA electrocardiogram. Gluteal myonecrosis is reported in postoperative alcoholic states, unconscious conditions where patients remain in one position over a long period of time, strenuous physical training, or in crushing injuries. We report a case of gluteal myonecrosis after treatment with several drugs including TCA resulted in intoxication. The patient was mentally drowsy and had been lying down for 20 hours upon discovery. The patient presented on arrival to the ER with cardiotoxicity secondary to TCA intoxication and was treated. Two weeks following the incident, she complained of pain in the gluteal area. Subsequent management and investigation revealed that her gluteal myonecrosis was a result of delayed complication from a prolonged recumbent position and hemolysis due to drug interactions. She eventually recovered without the need for surgery (fasciotomy).
Alcoholics ; Antidepressive Agents ; Antidepressive Agents, Tricyclic ; Anxiety Disorders ; Chronic Pain ; Deception ; Depression ; Drug Interactions ; Feeding and Eating Disorders ; Electrocardiography ; Hemolysis ; Humans ; Necrosis ; Peripheral Nervous System Diseases ; Prescription Drugs ; Seizures ; Tachycardia, Sinus ; Unconscious (Psychology)