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1.
In this position paper-one of six care practice papers published by Lamaze International and reprinted here with permission-the benefit of no routine interventions during birth is discussed and presented as an evidence-based practice that helps promote, protect, and support normal birth. The paper is written for childbearing women and their families. It presents evidence related to restrictions on eating and drinking, use of intravenous fluids, continuous electronic fetal monitoring, artificial rupture of the membranes, augmentation of labor, and epidural analgesia. The accompanying commentary-written by an award-winning medical writer-supports and expands on the benefits of no routine interventions during birth. Lamaze International recommends that laboring women avoid restrictions on eating and drinking. The organization also recommends avoidance of IVs, continuous electronic fetal monitoring, epidurals, and efforts to speed up labor, unless a clear indication for their use is evident.  相似文献   

2.
This study found that treatment‐seeking sexual minority college women evidenced serious eating concerns. Regardless of sexual orientation and compared with those with low levels of eating concerns, women with high levels of eating concerns evidenced increased depression, increased generalized anxiety, and a greater likelihood of experiencing trauma. Regardless of eating concerns severity, sexual minority women evidenced greater depression, generalized anxiety, and likelihood of trauma than did heterosexual women, with bisexual women reporting the highest concerns.  相似文献   

3.
Chapter 6     
Abstract

Participants in this study were 221 female undergraduate students who completed the Eating Disorder Inventory-2 and the Parental Eating and Weight Messages Survey. As predicted, the results indicate there is a perception by young women with elevated eating disturbance and concerns with weight and body shape, and greater dissatisfaction with current weight that their mothers communicated negative verbal messages about eating and weight. It was also found that young women with a lower level of eating disturbance perceived that their mothers communicated positive verbal messages about weight and eating. Additionally, there appears to be a relationship between the perception of negative messages made by fathers to mothers about their mothers' weight, and daughters' elevated disordered eating scores.  相似文献   

4.
College women are at particular risk for developing eating disorders and related eating and body image concerns. The purpose of this article is to explore how both drive for thinness and fear of fat may be addressed in counseling with college women. Characteristics of drive for thinness and fear of fat as they relate to the development of eating disorders are addressed, and implications for college counseling and assessment of these constructs are presented.  相似文献   

5.
This study investigated the psychological correlates of treatment seeking for eating disorders in female college students. Results indicated that 56% of the 106 participants with eating‐disorder symptomatology did not believe their behaviors warranted therapy. Women with eating‐disorder symptoms who did not believe their behaviors warranted therapy exhibited higher levels of immature defenses and lower endorsement of sociocultural norms concerning attractiveness than did women who believed treatment was needed. These findings hold implications for the prevention and treatment of college women's disordered eating.  相似文献   

6.
The present study examined the relation between stress and eating in 25 bulimic women and 33 controls. Participants self-monitored calories consumed and stress levels over 5 days corresponding to the time just before and just after their psychology midtream exam. For both groups stress was not reduced in after eating. Suprisingly, for the bulimic group, the greatest reduction in stress occurred just prior to eating. These results are not consistent with current stress/coping models of bulimia which hypothesize the binge eating serves as a method of stress reduction and suggest that further evaluation on the relationship between stress and eating are needed.  相似文献   

7.
This study compared the prevalence of eating disorder behaviors between female collegiate athletes (n = 206) and female college nonathletes (n = 197). Although female nonathletes had somewhat higher average scores on the Eating Attitudes Test 26, the proportion at risk for disordered eating was not different in the 2 groups. There was no significant difference among female athletes in different sports. Younger women were found to have more symptoms of disordered eating than did older women.  相似文献   

8.
9.
Help-seeking stigma is considered a major obstacle to seeking professional psychological services in Asian American college women. Informed in part by objectification theory and the psychological flexibility model of behavior change, the present cross-sectional study examines the role of disordered eating cognition and psychological inflexibility in help-seeking stigma among a sample of Asian American college women (N = 257). More specifically, this study examined whether disordered eating cognitions and psychological inflexibility would mediate the association between psychological distress and stigma tolerance for seeking psychological services in this group. Results revealed that both greater disordered eating cognition and greater psychological inflexibility were associated with lower stigma tolerance, and each of them uniquely mediated the association between greater psychological distress and lower stigma tolerance. These findings suggest that disordered eating cognitions and avoidance-based coping and beliefs may contribute to help-seeking stigma and its association with psychological distress. Limitations of the study and the directions of future research are discussed.  相似文献   

10.
This study, conducted at a historically Black university, evaluated the impact of awareness and internalization of the Western thin ideal of beauty on body dissatisfaction, drive for thinness, and bulimia in African-American, African, and Caribbean women. The relationship between internalization of the thin ideal and disordered eating was moderated by ethnicity, with the relationship significant only for the African-American group. Internalization functioned as a mediator between awareness of the thin ideal and both drive for thinness and bulimia, but only for the African-American group. These results suggest that the sociocultural model may not be as valuable in predicting eating disturbance in women from non-Western societies.  相似文献   

11.
Abstract

The current study examined patterns of association among mutuality, self-silencing, and disordered eating in an ethnically diverse sample of college women (N = 149). Partner mutuality and overall self-silencing were negatively correlated and together were associated with six disordered eating indices. All four self-silencing subscales were associated with disordered eating patterns. For example, external self-perception was associated with drive for thinness, bulimia, body dissatisfaction, and interoceptive awareness. Implications of the findings for college counselors are discussed.  相似文献   

12.
Family history events have been shown to be reliable predictors of eating and body image concerns; however, little is known regarding how family history events compare in a clinical sample, or if these events differ by gender. The current study addresses this paucity, focusing on 3,129 university students seeking clinical services. Having a family member with an eating problem was the most consistent family history predictor across all severity levels. Men and women demonstrated different family history predictors, indicating possible separate pathways to eating or body image concerns based on gender.  相似文献   

13.
Making Sense of Eating Disorders in Schools   总被引:1,自引:0,他引:1  
Over the last two decades we have witnessed an emerging set of conditions in schools which render them contexts replete with social messages about the body, health, and self. Research has suggested that both the formal and informal contexts of education are heavily imbued with a “culture of healthism” which places moral obligation and blame on individuals for their health/problem. In this paper we explore the ways in which young women with eating disorders constructed their identities within and against the various “health” discourses now found within schools. Data is presented from life history interviews with young women who have been diagnosed with anorexia and/or bulimia who were resident at a leading centre for the treatment of eating disorders in the UK. The experiences of the young women in the study point towards the ways in which schools, despite their best intentions, are implicated in constructing contexts which are inimical to the well-being of young women who have been diagnosed with anorexia or bulimia and perhaps others who are making sense of their bodies, health, and selves in these cultures.  相似文献   

14.
The authors explored Hispanic and Caucasian college women's (N = 264) behavioral and attitudinal symptoms of eating disorders after controlling for body mass index and internalization of the thinness ideal, as well as the roles of ethnicity and ethnic identity in symptomatology. Correlational analysis, multivariate analysis of variance, and regression analysis suggested more similarities than differences between Hispanic and Caucasian college women in terms of eating disorders.  相似文献   

15.
OBJECTIVE: This study examined specific aspects of child sexual abuse in relation to symptom severity among hospitalized patients diagnosed with bulimia nervosa. METHOD: Participants were 45 hospitalized bulimic women who reported a history of child sexual abuse. Structured interviews were conducted in order to obtain detailed information regarding specific features of the abusive event(s). Participants also completed instruments that measured depression and eating pathology. RESULTS: There were no significant differences in severity of depression or eating disturbance among women reporting differing abusive experiences including intrafamilial versus extrafamilial abuse, abuse with or without the use of physical force, one versus multiple incidents, early abuse versus abuse occurring after age 14, contact versus noncontact abuse, disclosed versus undisclosed, and combined physical/sexual abuse versus sexual abuse alone. CONCLUSION: The specific characteristics of child sexual abuse are not related to the level of symptomatology for hospitalized bulimic patients. This study suggests that differences in the nature of the abuse may not be as important as the fact that the abuse occurred in the first place.  相似文献   

16.
情绪失调是一种常见的心理问题,它严重影响了孩子的心理健康和身体发育。为了避免情绪失调所带来的厌学、退缩、拒食等问题行为,探索改变情绪失调的有效策略,本研究从认知的角度出发采用了心理辅导及家庭介入的方法,取得了比较理想的效果。研究发现,通过改变家庭环境中的人为因素以及运用认知重建等策略能较好地改变因情绪失调产生的问题行为。  相似文献   

17.
A survey was conducted of 20 bulimic women, aged 18-33 who were in a residential treatment program for eating disorders. All had attended college within the past 5 years. Information was gathered through interviews and questionnaires. The major finding was that for this sample, the women felt that the college environment contributed directly to the development and/or exacerbation of their bulimia. Weight gain as freshman, unstructured environments, separation factors. Comparisons between the college and therpeutic environments were drawn with potential directions for change.  相似文献   

18.
The overall relationship between family functioning, self‐esteem, and perfectionism and eating disorder behaviors was examined in a sample of 437 college women. Results of the path analysis suggest significant direct and indirect effects. Implications for treatment and early intervention are discussed.  相似文献   

19.
20.
This paper draws on data collected from young white middle class women experiencing eating disorders to highlight what we refer to as the paradox of performativity in schools. In interviews with these young women on their schooling experiences, their narratives convey both a critique of the social conditions of their schooling and their subjugated subjectivities, yet claim they are unable to ‘voice’ that critique within schools, or to resist performativity. In this paper, we explore this ambiguity and the implications it has for the subjectivities of young women. Such stories vividly reveal the painful and complex processes they endure in an effort to conform to performative cultures. The limits and possibilities of their ‘voice’ within these contexts, we suggest, reveals how performative discourse intersects with and is mediated by the embodied knowledge that both teachers and students bring to these educational encounters.  相似文献   

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