Tuesday, May 3, 2011

Eating Disorders and Intervetions : The Road to Recovery

Eating disorders are well known and exist mostly among teenage girls but the public probably doesn’t realize that there are many boys who suffer from Anorexia Nervosa or Bulimia Nervosa or Binge eating as well. However, the incidence rate of either disease is about 10 times more common in females than males (F., and E. 295-319). Research on eating disorders tends to focus more on Anorexia Nervosa and Bulimia but over eating is considered an eating disorder as well.  It is shown that the number of cases for eat disorders had risen about 50 % from 1940 to 1990 (F., and E. 295-319). Eating disorders can lead to serious medical conditions including a “disturbance in the levels of potassium, sodium, calcium”, cardiac arrest, kidney failure, drop in temperature and blood pressure and even death. (F., and E. 295-319) An example can be found in the story of Christy Heinrich who suffered from anorexia nervosa and died because of organ failure. Many teens are using eating disorders to try to look their best and become more attractive and with the consequences including death there has to be a stop to this problem through interventions.
Psychological intervention is necessary to improve the psychological health of all mental patients. It is the support that a person receives in order to get the help they need, it can include medical treatment, support groups, self help, psychological treatment etc. The question is and always will be what works best? The best answer is that everybody needs a different intervention. Some people need to make the choice to get better on their own and others need someone to tell them they are loved and supported through the recovery process. Some patients need cognitive behavior therapy and other need interpersonal therapy, everyone is different. When looking at psychological interventions and eating disorders one study looked at the effect of “an intervention of body image disturbance by employing short educational messages (McSweeney 677). This was a web based study that, with the consent of participants, sent magazine images and asked the participants to fill out a questionnaire “measuring ideal female body size, and body satisfaction” (McSweeney 677). This study did several different surveys for different hypotheses they had but overall they found a common ground that with appropriate magazine photos the girls rated an ideal body image to be larger than before the pictures. This study shows that ideal body image plays a huge part in developing an eating disorder in order to be more like the girls that teens see in magazines. So, this could be a useful intervention not only for someone who has developed an eating disorder and even a distorted body image but it can be used as a prevention intervention for teens.
In another study that looked at the prevention intervention method to treat eating disorders. This study used the interview method for 877 8th grade girls and this was a longitude study that lasted 4 years (Beckerstoll 599). It was found that there is a link between weight concerns and the development of eating disorders. It can also be quoted in saying “both clinicians and researchers have called for public education and early interventions to prevent the development of disordered eating behaviors” (Beckerstoll 599). Intervention and preventing are extremely important here and may be the key to stopping eating disorders. In one final study of obesity among adolescents it was found that one intervention called “Student Bodies” with is a internet-based cognitive behavioral program had a high success rate of no symptoms of an eating disorder after the group and no one in the group developed an eating disorder as opposed to the control group which had several teens who did (Rousch 46). This research just shows that there needs to be an intervention, of any kind, in order for there to be success.

It can be concluded, first of all, that eating disorders are a problem and some types, such as obesity, aren’t given enough research to help find solutions. Second, the use of prevention is definitely important and has a high success rate in decreasing the incidence rates of all eating disorders. Third, there can be no healing from any disorder without the use of interventions, be it psychological or medical or behavioral. It is important for all patients to work with their doctors to find out what intervention is best for them because without intervention there is no recovery. It is important for the public to understand that eating disorders aren’t just for models to stay extra thin, they are very much alive in the middle and high schools and they are a mental disorder. I think that the public doesn’t quite understand how serious these disorders can be and probably don’t know that there have been multiple cases of death because of eating disorders. I also think that professionals need to address, or even report, any patient that may show signs of an eating disorder because sometimes a person suffering from the disorder may just want someone to notice them. Many people suffering from eating disorders are ashamed and will not seek help themselves and it is important for any professional to try their best to get their patients the help they need. I also think that professionals should educate themselves, even a little bit, on eating disorders and even interventions.  As for health psychologists, they need to continue any research they can to better understand this disorder and any and all interventions they can be useful. It is important to understand the tie between the psychological, behavioral, sociological, and even medical parts of this mental illness. I recommend that society should continue to educate themselves about this and all mental disorders so maybe we can be more accepting and looking forward toward healthy goals and recovery for all mental health patients.



This picture represents the Distorted Body Image phenomenon in which a person sees themselves as being a lot bigger than they really are.  http://thebypassedlife.com/wp-content/uploads/2010/11/eating-disorder.jpg

PDFs (in order as the appeared in the blog):





Beckerstoll, . " ATTACHMENT REPRESENTATION AND THERAPEUTIC INTERVENTION IN EATING DISORDERS." Journal of Psychosomatic Research . 56.6 (2004): 599. Print.
Brannon, Linda, and Jess Feist. Health Psychology: An Introduction to Behavior and Health. 7th. Wadsworth Pub Co, 2009. 399-409. Print.
F., Thomas, and Robert E. Abnormal Psychology. sixth. Pearson College Div, 2009. 295-319. Print.
McSweeney, J. "Intervention of Eating Disorder Symptomatology Using Educational Communication Messages." Communication Research. 36.5 (2009): 677. Print.
Rousch, K. "An Internet-based cognitive-behavioral intervention targets eating disorders." American Journal of Nursing. 107.2 (2007): 46. Print.

Wednesday, April 27, 2011

What can it hurt?

                                            What can it hurt?
With numerous fundraisers each year and millions of dollars given to help find the cure- it is no secret that Cancer is a huge deal for Americans. Although the death rates are declining there are still millions of people affected by contracting cancer or by losing a loved one. I have been affected by the loss of a loved one due to cancer and one of my friends was recently diagnosed with stomach cancer, I am even predisposed to skin cancer. I’m sure that everyone somewhere has some kind of connection to cancer which makes this topic so interesting because we are all connected by this deadly disease. I know that there are so many people out there doing their best to find a medical cure to the disease and I’ve yet to meet someone who didn’t want to find a cure. There is so much research going into curing the disease and they have produced things like chemotherapy and even radiation but both of those cause many unpleasant side effects that it is hard for cancer patients to deal with their daily lives. So, what do we do when treating cancer causes life altering side effects? We turn to health psychologists and their research on helping the patients deal with the outcomes or treatment and even accepting that they have cancer.
Psychologists have been trying to find ways to help cancer patients ,first , accept being diagnosed with cancer and they then help them deal with the side effects of cancer and any medical treatment they are going through and help give them the tools to deal with their day-to-day lives. Psychologists can use a variety or treatments such as relaxation training and imagery (Health Psychology , 2010). Both are used to help cancer patients work through the stress and physical side effects of chemotherapy or radiation therapy. They help provide an overall well-being for the cancer patient.
One study looked into the effects of both relaxation training and imagery for children going through chemotherapy. It found that “imagery with suggestions is a well established treatment” (McQuald, & Nassau, 1999).They used techniques such as video games and pictures to help distract children from their chemotherapy and the result was “less postchemotherapy nausea and vomiting” (McQuald, & Nassau, 1999).Because this article was reviewing several other articles about the effects of psychological treatments for children to help deal with chemotherapy side effects there are no clear measurements. Every study that the authors reviewed had different measurements and they are not all indicated in this article. Another study experiences similar “positive outcomes” (Andersen, 1992) when looking at the effectiveness of psychological interventions. The study suggests that facing the disease and learning more about it and having behavior strategies can “provide realistic appraisals for current or impending stresses of the disease or treatment” (Andersen, 1992). Basically, it can help the patient accept and cope with the disease and the treatment of the disease. The main measurement used in this particular study was measuring of effectiveness of the immune system and patient surveys.
In one final study that discussed the tie between stress and health found that there is “accumulating evidence exist[ing] for the direct effect of health behaviors and immunity” (Anderson, Kiecolt-Glaser, & Glaser, 1994) Suggesting that behaviors have a very large impact on physical health. The study narrows down to cancer patients and their psychological health when dealing with stress.  “The contribution of stress to the alteration of health behaviors is made more complex by the direct effect that cancer treatments may have on some behaviors” (Anderson, Kiecolt-Glaser, & Glaser, 1994) This article concluded that psychological health affects health behaviors which affect the physical well-being in cancer patients. It also suggests that with the help of psychotherapy there can be an improvement in mental health resulting in an improvement in physical health. Which is what the previous article found- through psychological intervention children had less unpleasant physical side effects of chemotherapy (McQuald, & Nassau, 1999).
All of these articles suggest that psychological intervention with cancer patients can be beneficial. Each also made a statement that there is just not enough research on the topic of psychology and cancer and there should be more money invested because it can help the patients live a much healthier and happier life. What can it hurt by measuring the effectiveness of psychological treatment on cancer patients or any other chronic disease? Why can’t there be money spent in studying the benefits of psychological treatments? The results from just these three studies are conclusive that there are signs of benefits of psychological intervention and it is worth looking into that idea with different, more accepting, lenses. The public should be made more aware of the fact that there are psychological treatments that can help patients accept that they have been diagnosed with cancer and dealing with physical side effects of the disease and the treatment. I think that if the public and even professionals were more aware, then more people would be more open to this treatment and the evidence for psychological intervention would build up.
Health psychologists know that there is a link between psychology and physical health and I think that they need to find more outlets to advertise that there are therapies that may held any patient deal with any disease through acceptance and behavior strategies. I also think it is important for further research to be conducted in this area to find more specific benefits of these treatments so that more people will participate. The world, as a whole, should be more open to any suggestions that can help chronically ill patients handle their disease. After everything these people have to go through I, personally, think they deserve to live happier lives…after all, what can it hurt?





This is a youtube.com video about the importance of emotional health during cancer.

Links to PDFs of the articles used:



Andersen, B. (1992). Psychological interventions for cancer patients to enhance the quality of life. Journal of Consult Clinical Psychology, 60(4), 552-568.
Anderson, B, Kiecolt-Glaser, J, & Glaser, R. (1994). A biobehavioral model of cancer stress and disease course. Am Psychoogyl, 49(5), 389-404.
Health psychology. (2010, 1007). Belmont: Wadsworth.
McQuald, E, & Nassau, J. (1999). Empirically supported treatments of disease-related symptoms in pediactric psychology : asthma, diabetes and cancer. Jounral of Pediatric Psychology, 24(4), 305-328.

Thursday, April 14, 2011

Don't Stress About It!

The discussion about the health risks of stress have been going on for quite some time. things including “keeping your stress level down”. Honestly, I disregarded this because it With studies being done all the time regarding the consequences of stress on the health of particular organs, the body as a whole and even emotional health it’s hard to not want to take a closer look at the damage stress can cause. Problems of the heart is something that has run in my family for a long time so keeping my heart healthy is very important to me so when I asked my doctor about what I can do to keep my heart in shape I was surprised when she listed some sounded pretty silly that stressing about getting homework done on time or even stressing about getting things on my ‘To-Do List’ taken care of could have any relation to a future heart attack. I was surprised when I started reading about the connection between stress and cardiovascular disease in textbooks, the internet and journals. “About 30 percent of heart attacks may be linked to “psychosocial factors”” (Gulliksson , 2011). This stunned me, heart attacks are supposed to be caused by biology and a poor diet, how can it be caused by psychology or sociology factors?
            So, what is stress? Stress is different to everyone and I’m sure the definition is different as well. Right now, my stress is balancing homework with work with family life with a social life (and trying to find time to work out). I am sure that victims of the tsunami in Japan have completely different stresses. We need to try to clarify these, my stresses are known as every day hassles or stresses that occur on a daily basis such as homework or my long commute to work and Japan victims stresses are classified as cataclysmic events which are defined as sudden and powerful “that require major adaptive responses from population groups sharing the experience” (Health Psychology 2010, 2007). Another type of stress is called life events which are events including but not limited to losing a job or the loss of a loved one (Health Psychology 2010, 2007). Extended reactions to stress can alter the body's immune system in ways that are associated with other "aging" conditions such as frailty, functional decline, cardiovascular disease, osteoporosis, inflammatory arthritis, type 2 diabetes, and certain cancers.” (Weiss & Molitor , 2011)

            One article that I found talked about a study performed to see how Cognitive Behavioral Training, focusing on stress management, would help or not help those who have heart disease compared to other with heart disease who didn’t receive CBT but did receive medications to lower cholesterol, blood pressure and reduce blood clots (Gulliksson , 2011). In this longitude study, of 362 participants being divided into 2 groups, results were measured after 8 years and included the number of deaths, heart attacks and cardiovascular events. The group that participated in CBT went through 20 two hour sessions throughout the course of a year while the other group continued to only take their medications. After 8 years, the results were in! In the CBT group there were “23 deaths, 69 cardiovascular events and 41 heart attacks” and in the group that did not receive therapy “25 died, 77 had any type of cardiovascular events and 51 suffered from heart attacks” (Gulliksson , 2011). Concluding that those who partook in therapy had 41% fewer deaths and 45% fewer heart attacks” (Gulliksson , 2011). These results show that stress and not being able to manage stress can be a determinant for future heart attacks. Stress isn’t the sole accomplice to cardiovascular disease but it seems to be a big part of it.  In a similar study of 362 women who had been diagnosed with coronary heart disease, one group was exposed to CBT and another was not. The results were almost identical the group with the therapy intervention “had a 41% lower rate of fatal and nonfatal first recurrent Cardiovascular disease events” (Gulliksson, 2010).
            One article gives the recommendations of “identify the cause, monitor your moods, make time for yourself at least two to three times a week, walk away when angry, analyze your schedule, set reasonable standards for yourself and others” (Weiss & Molitor , 2011) as means of trying to control levels of stress. It’s important the people with heart disease are informed that stress could have an impact on future heart attacks. Not only patients with heart conditions but all health professionals should be fully aware of the damage that stress can cause so they can be sure to relay this information to their patients. Doctors will wait until they are completely sure of facts before telling their patients about it and that’s fair but I think that they should be aware of studies like that one that I presented. This is a topic that is important for health psychologist because it’s in their ‘department’ tying in psychology with physical health is what they do and it’s important for them to conduct as many studies as possible and put the information out in the public so the word can be spread and lives can be saved.

Here is a cycle of stress, there heart disease problems occur during the “Physical health decline, Psychological strain and Decreased motivation” phase.
http://www.mind4solutions.com/images/stress_cycle.gif



Gulliksson, M. (2010). Randomized controlled trial of cognitive behavioral therapy vs standard treatment to prevent recurrent cardiovascular events in patients with coronary heart disease: secondary prevention in uppsala primary health care project (suprim). Archives of internal medicine (1960), 171(2), Retrieved from http://archinte.ama-assn.org.ezproxy1.lib.asu.edu/cgi/reprint/171/2/134 doi: 10.1001/archinternmed.2010.510
Gulliksson, M. (2011, Janurary 25). Stress-reduction therapy may help heart disease patients. Retrieved from http://www.nlm.nih.gov/medlineplus/news/fullstory_108035.html
Health psychology. (2010, 1007). Belmont: Wadsworth.
Weiss, S., & Molitor, N. (2011). Mind/body health: Stress. Retrieved from http://www.mind4solutions.com/images/stress_cycle.gif


Sunday, April 3, 2011

Benefits of Yoga

This article was about how the use of Yoga could, possible lower the rise of irregular heartbeats. It has been proven that irregular heartbeats can lead to strokes or other more serious problems dealing with the heart so finding a workout that could potentially lower the risk of arterial fibrillation is pretty amazing. As of right now, the way to fix arterial fibrillation is through "invasive procedures and medicines with undesirable side effects"(Pierson, Berkot). There was an experimental method used when testing this hypothesis. There were 49 participants, all of whom had a heart rhythm disorder. The participants were allowed to partake in any physical activity for the first three months and the final three months they had to do 45 minute sessions of yoga, 3 times a week. Through the 6 month period, the participants wore heart monitors so the researchers could see their heart beats during the different physical activities. It was concluded that yoga had a significant impact because it "cut the episodes of irregular heartbeat in half" which also reduced depression and anxiety. It is recommended that people talk to their doctor first but it could be said that yoga could "supplement for everything else they are doing medically"(Pierson, Berkot).

This article stayed on the topic of yoga and irregular heartbeats, it didn't stray and focus too much time on the other health benefits found with the regimen of yoga in the patients. I think that this is an important part of health related news because it can cut the cost of medical care for many people and since the cost of medical care is rising, this atrial can change some lives. There should be more studies, and articles, about exercise programs that can help with serious medical problems, without the use of prescription drugs or surgeries.
I wanted to find an article that would be interesting to me and I started looking at several credible websites such as CNN.com and Newyorktimes.com. I found MSNBC.com and went to the health category and found this article under  a section about exercise.

Randsdell Pierson, Bill Berkot (2011 , April 2). Yoga reduces risk of irregular-heartbeat episodes. Retrieved from http://www.msnbc.msn.com/id/42393809/ns/health/