Compulsive Collecting: Finding Hope In The Misunderstood Mess of Hoarding
Compulsive collecting or Hoarding is a misunderstood and debilitating mental health issue. Many psychologists and counsellors never see someone with this condition as they very rarely present for help. This article from an Australian newspaper provides an excellent overview of the condition and issues underlying hoarding, and I have included links to two brilliant books co-authored by the researchers discussed in the article, who have developed a wholistic and novel approach to it’s treatment.
Credit: Kate Benson, Sydney Morning Herald April 8 2010
They may dress well or hold down a good job. But hoarders are unhappy people who suffer from a debilitating condition.
Every suburb has one. The elderly woman weaving through an overgrown backyard full of cardboard boxes, old tyres and discarded furniture. Cats perch on every surface; kittens roll about among the rusted drums and long grass.
Inside, behind closed curtains, the rooms are piled high with papers, cups, plates and bottles. Broken toys, old clothes and shopping bags spill across kitchen benches and floor, smothering the stove and filling the sink, neither of which has been used in years.
The stench of cat faeces, urine and food scraps fill the house.
To her neighbours, she is an oddity. Or a pest, bringing down house values and encouraging vermin.
But to therapists she is one of a growing band across Australia suffering from a debilitating condition known as compulsive hoarding, where people feel a need to collect and store items that seem useless to others.
Their homes become havens of insurmountable clutter and junk, often leaving them unable to sleep in their beds or use appliances. Many end up with electricity or gas supplies disconnected or their fridge and washing machines unusable because they fear their lifestyle will be revealed if they contact a tradesmen to make repairs.
This secrecy and shame make it difficult to know exactly how many people have the disorder.
Some experts think between 200,000 and 500,000 Australians compulsively hoard, but others put the figure closer to 800,000.
“It’s a sleeping giant,” Chris Mogan, a clinical psychologist and expert on hoarding, says. “There is no systematic estimate of how many hoarders there are in any Australian setting. I suspect there are many, many more out there than we are aware of.”
Louise Newman, the president of the Royal Australian and New Zealand College of Psychiatrists, agrees.
Click image to read reviews
“I’ve only seen one case in my career [because] these people usually only come to light when the council steps in and orders a clean-up. Hoarders desperately want to keep hoarding. They don’t want to be stopped.”
There is little research on the condition in Australia and not much in the way of funding or treatment programs, but experts are hopeful hoarding will be included in the next (fifth) edition of the Diagnostic and Statistical Manual of Mental Disorders, the bible used by mental health experts to diagnose psychiatric conditions.
Many sufferers fall between the cracks because hoarding is not a clinical diagnosis in its own right, but is seen more as an offshoot of obsessive compulsive disorder, muddled with depression, anxiety, panic disorder and low self-esteem.
“But it is different to OCD and once we get it in the DSM-V, therapists, psychiatrists, psychologists and social workers can then be trained in the management of it [and] we can attract funding for research,” Mogan says.
Jessica Grisham, a clinical psychologist who specialises in obsessive compulsive disorder, also believes compulsive hoarding should be included in the next edition as it requires specialised treatment.
She cites recent neural imaging studies in the US that showed that different parts of the brain were activated in hoarders than in obsessive compulsive disorder patients.
Mogan and Grisham agree that cognitive behaviour therapy, where sufferers are slowly taught to change their thought patterns, is more effective than medication alone.
But hoarders responded better to a specially adapted version of the therapy, developed by the American hoarding experts Gail Steketee and Randy Frost. It had been achieving success with about 60 per cent of hoarders – far more than standard cognitive behaviour therapy.
“But it has to be a long-term project. You don’t go in to someone’s place and do a sudden excavation against their will,” Grisham says.
“That’s a violation and it’s very traumatic for them. It might make great TV, but it’s not good clinically.”
Mogan agrees. A pay TV show, Hoarders, was damaging to the public’s understanding of the illness, because it focused on forcefully cleaning houses in three days.
“Within six to 12 months that house will be recluttered because it is a compulsion … they suffer a lot of grief after things are taken away.”
Mogan makes weekly home visits to hoarders, and focuses on getting them to reduce the associated dangers by ensuring their home has two exits for safety, and working appliances and smoke alarms.
“Just as we do with drugs and alcohol, we’re into harm minimisation. Once the house is safe, we gradually set more goals. If they are comfortable with that, they will continue to stay in touch and not reject us.”
Sometimes the problem extends beyond mounds of paperwork and clothes. Mogan and Grisham know patients who hoarded urine or fingernail clippings. Some stored their own faeces or collected one particular item, such as bicycles. One sufferer was hoarding so much junk, the only access to the house was a 30-centimetre gap at the top of the front door.
But for Allie Jalbert, of the RSPCA, the most distressing hoarders are those who keep scores of cats and dogs, all battling for attention and food on a crowded suburban block.
She has been calling for years to have hoarding classified as an illness in its own right to allow more people to receive treatment and put an end to the 100 per cent recidivism rate.
“Often, we find that hoarders might be treated for peripheral symptoms such as anxiety or depression, but their core problem, the hoarding, is not addressed. So once we have cleaned out the house, they reoffend, which is very, very frustrating for everyone involved,” Jalbert says.
Some people threatened suicide and had to be removed by police when faced with the prospect of giving up their animals or clutter.
“There’s a mixed bag of emotion when you deal with hoarders. Firstly, there is the concern for your personal safety but there is also a degree of empathy because often these people are quite emotional and attached to the animals. But it’s quite frustrating to see animals living in such horrific situations,” she says.
“I’ve seen bathtubs full of faeces and rubbish, sinks that no longer work, homes with no heating or cooling. Sometimes it’s quite an overwhelming experience.”
Click image to view reviews
Who develops the condition and why?
Some studies have shown that many hoarders have been brought up in households where chaos reigned. Some were neglected as children and witnessed pets being treated poorly.
Mogan accepts the aetiology is mostly unknown, but cites an Australian study that found sufferers reported failing to connect with their parents or growing up in households lacking emotional warmth.
“The lack of attachment causes them to become ambivalent about their identity and about other people. As a compensatory mechanism, they link with things, which they find more compelling, more predictable and dependable and less rejecting.”
But Grisham believes there is no real trigger, apart from children of hoarders being rewarded for saving things and getting punished for discarding. “Sometimes there is a traumatic head injury but those cases are very rare.”
The condition affects slightly more women than men but is found across all occupations, age groups and ethnicities. “And they are in relationships,” Mogan says. “Albeit strained ones.
“Some are going out to work, but they make sure no one comes to their house. They’re not agoraphobic. On the contrary, many hoarders go out a lot to escape. But their children’s lives can’t be normalised because they can never sit down for a meal or find space to do homework. It’s a real impost on the family experience.”
Mogan runs group therapy sessions in Melbourne and says that many patients do want to be cured.
“This condition is a disability and the source of quite a lot of human suffering and neglect. A lot of these people are quite relieved to get help.”
//
Related articles by Zemanta
- Are You Developing Hoarding Behaviors? (blisstree.com)
- How to handle the hoarding habit (nationalpost.com)
![Reblog this post [with Zemanta]](https://i0.wp.com/img.zemanta.com/reblog_e.png)
Video: A Conversation With Temple Grandin
Not long ago I posted a video of a lecture by Temple Grandin. Temple is autistic, a designer of livestock handling facilities and a Professor of Animal Science at Colorado State University. She is an icon in the Autistic Community. Her life has been a beacon and an inspirational story and recently her story was told in a biopic produced by HBO. She is the author of several books on autism and the autistic spectrum.
Yesterday I came across this amazing one-on-one interview with Temple. The video is a re-broadcast of an hour long intimate discussion with Temple about her life, her work and her journey with autism. If you are at all interested in the area of ASD you will want to watch this!
//
Related articles by Zemanta
- America’s best-known autistic person, Temple Grandin, talks about her new biopic (time.com)
- Temple Grandin: Why Autism is a gift (cnn.com)
Ripped Off!: The Psychological Cost Of Wearing A Fake Rolex (Or Other Knockoffs)
Credit: Wray Herbert: The Huffington Post April 7 2010:
Read the original research paper HERE (PDF)
Within just a few blocks of my office, street vendors will sell me a Versace t-shirt or a silk tie from Prada, cheap. Or I could get a deal on a Rolex, or a chic pair of Ray Ban shades. These aren’t authentic brand name products, of course. They’re inexpensive replicas. But they make me look and feel good, and I doubt any of my friends can tell the difference.
That’s why we buy knockoffs, isn’t it? To polish our self-image–and broadcast that polished version of our personality to the world–at half the price? But does it work? After all, we first have to convince ourselves of our idealized image if we are going to sway anyone else. Can we really become Ray Ban-wearing, Versace-bedecked sophisticates in our own mind–just by dressing up?
New research suggests that knockoffs may not work as magically as we’d like–and indeed may backfire. Three psychological scientists–Francesca Gino of Chapel Hill, Michael Norton of Harvard Business School, and Dan Ariely of Duke–have been exploring the power and pitfalls of fake adornment in the lab. They wanted to see if counterfeit stuff might have hidden psychological costs, warping our actions and attitudes in undesirable ways.
Here’s an example of their work. The scientists recruited a large sample of young women and had them wear pricey Chloe sunglasses. The glasses were the real thing, but half the women thought they were wearing knockoffs. They wanted to see if wearing counterfeit shades–a form of dishonesty–might actually make the women act dishonestly in other ways.
So they had them perform a couple tasks–tasks that presented opportunities for lying and cheating. In one, for example, the women worked on a complicated set of mathematical puzzles–a task they couldn’t possibly complete in the time allowed. When time elapsed, the women were told to score themselves on the honor system–and to take money for each correct score. Unbeknownst to them, the scientists were monitoring both their work and their scoring.
And guess what. The women wearing the fake Chloe shades cheated more–considerably more. Fully 70 percent inflated their performance when they thought nobody was checking on them–and in effect stole cash from the coffer. To double-check this distressing result, the scientists put the women through a completely different task, one that forced a choice between the right answer and the more profitable answer. And again the Chloe-wearing women pocketed the petty cash. Notably, the women cheated not only when they expressed a preference for the cheap knockoffs, but also when the real and fake designer glasses were randomly handed out. So it appears that the very act of wearing the counterfeit eyewear triggered the lying and cheating.
Click image to read reviews
This is bizarre and disturbing, but it gets worse. The psychologists wondered if inauthentic image-making might not only corrupt personal ethics, but also lead to a generally cynical attitude toward other people. In other words, if wearing counterfeit stuff makes people feel inauthentic and behave unethically, might they see others as phony and unethical, too? To test this, they again handed out genuine and counterfeit Chloe shades, but this time they had the volunteers complete a survey about “someone they knew.” Would this person use an express line with too many groceries? Pad an expense report? Take home office supplies? There were also more elaborate scenarios involving business ethics. The idea was that all the answers taken together would characterize each volunteer as having a generally positive view of others–or a generally cynical view.
Cynical, without question. Compared to volunteers who were wearing authentic Chloe glasses, those wearing the knockoffs saw other people as more dishonest, less truthful, and more likely to act unethically in business dealings.
So what’s going on here? Well, the scientists ran a final experiment to answer this question, and here are the ironic results they report on-line this week in the journal Psychological Science: Wearing counterfeit glasses not only fails to bolster our ego and self-image the way we hope, it actually undermines our internal sense of authenticity. “Faking it” makes us feel like phonies and cheaters on the inside, and this alienated, counterfeit “self” leads to cheating and cynicism in the real world.
Counterfeiting is a serious economic and social problem, epidemic in scale. Most people buy these fake brands because they are a lot cheaper, but this research suggests there may be a hidden moral cost yet to be tallied.
Read the original research paper HERE (PDF)
Related articles by Zemanta
- The Most Counterfeited Products (images.businessweek.com)
- A Question of Authenticity and Designer Sunglasses (outspokenmedia.com)
Why Your Job Doesn’t Make You Happy
Information supplied by T
he British Psychological Society
Read the original research paper here (PDF)
People who are unhappy in life are unlikely to find satisfaction at work. This is the finding of a study published online last thursday, 1st April 2010, in the Journal of Occupational and Organizational Psychology.
Assistant Professor Nathan Bowling of Wright State University, USA, and colleagues Kevin Eschleman and Qiang Wang undertook a meta-analysis on the results of 223 studies carried out between 1967 and 2008. All of the studies had investigated some combination of job satisfaction and life satisfaction (or subjective well-being).
Assistant Professor Nathan Bowling said: “We used studies that assessed these factors at two time points so that we could better understand the causal links between job satisfaction and life satisfaction. If people are satisfied at work, does this mean they will be more satisfied and happier in life overall? Or is the causal effect the opposite way around?”
Click image to read reviews
The causal link between subjective well-being and subsequent levels of job satisfaction was found to be stronger than the link between job satisfaction and subsequent levels of subjective well-being.
“These results suggest that if people are, or are predisposed to be, happy and satisfied in life generally, then they will be likely to be happy and satisfied in their work,” said Nathan Bowling.
“However, the flipside of this finding could be that those people who are dissatisfied generally and who seek happiness through their work, may not find job satisfaction. Nor might they increase their levels of overall happiness by pursuing it.”
Read the original research paper here (PDF)
Related articles by Zemanta
- Those Who Enjoy Life More Likely to Be Happy at Work (nlm.nih.gov)
ADHD Treatment: Behavior Therapy & Medication Seem To Positively Affect The Brain In The Same Way
(Information provided by The Wellcome Trust 1 April 2010)
Read the original research paper HERE (PDF)
Medication and behavioural interventions help children with attention deficit hyperactivity disorder (ADHD) better maintain attention and self-control by normalising activity in the same brain systems, according to research funded by the Wellcome Trust.
In a study published today in the journal ‘Biological Psychiatry’, researchers from the University of Nottingham show that medication has the most significant effect on brain function in children with ADHD, but this effect can be boosted by complementary use of rewards and incentives, which appear to mimic the effects of medication on brain systems.
ADHD is the most common mental health disorder in childhood, affecting around one in 20 children in the UK. Children with ADHD are excessively restless, impulsive and distractible, and experience difficulties at home and in school. Although no cure exists for the condition, symptoms can be reduced by a combination of medication and behaviour therapy.
Methylphenidate, a drug commonly used to treat ADHD, is believed to increase levels of dopamine in the brain. Dopamine is a chemical messenger associated with attention, learning and the brain’s reward and pleasure systems. This increase amplifies certain brain signals and can be measured using an electroencephalogram (EEG). Until now it has been unclear how rewards and incentives affect the brain, either with or without the additional use of medication.
To answer these questions, researchers at Nottingham’s Motivation, Inhibition and Development in ADHD Study (MIDAS) used EEG to measure brain activity while children played a simple game. They compared two particular markers of brain activity that relate to attention and impulsivity, and looked at how these were affected by medication and motivational incentives.
Click Image to view reviews
The team worked with two groups of children aged nine to 15: one group of 28 children with ADHD and a control group of 28. The children played a computer game in which green aliens were randomly interspersed with less frequent black aliens, each appearing for a short interval. Their task was to ‘catch’ as many green aliens as possible, while avoiding catching black aliens. For each slow or missed response, they would lose one point; they would gain one point for each timely response.
In a test designed to study the effect of incentives, the reward for avoiding catching the black alien was increased to five points; a follow-up test replaced this reward with a five-point penalty for catching the wrong alien.
The researchers found that when given their usual dose of methylphenidate, children with ADHD performed significantly better at the tasks than when given no medication, with better attention and reduced impulsivity. Their brain activity appeared to normalise, becoming similar to that of the control group.
Similarly, motivational incentives also helped to normalise brain activity on the two EEG markers and improved attention and reduced impulsivity, though its effect was much smaller than that of medication.
“When the children were given rewards or penalties, their attention and self-control was much improved,” says Dr Maddie Groom, first author of the study. “We suspect that both medication and motivational incentives work by making a task more appealing, capturing the child’s attention and engaging his or her brain response control systems.”
Professor Chris Hollis, who led the study, believes the findings may help to reconcile the often-polarised debate between those who advocate either medication on the one hand, or psychological/behavioural therapy on the other.
“Although medication and behaviour therapy appear to be two very different approaches of treating ADHD, our study suggests that both types of intervention may have much in common in terms of their affect on the brain,” he says. “Both help normalise similar components of brain function and improve performance. What’s more, their effect
Click Image to view reviews
is additive, meaning they can be more effective when used together.”
The researchers believe that the results lend support from neuroscience to current treatment guidelines
for ADHD as set out by the National Institute for Health and Clinical Excellence (NICE). These recommend that behavioural interventions, which have a smaller effect size, are appropriate for moderate ADHD, while medication, with its larger effect size, is added for severe ADHD.
Although the findings suggest that a combination of incentives and medication might work most effectively, and potentially enable children to take lower doses of medication, Professor Hollis believes more work is needed before the results can be applied to everyday clinical practice or classroom situations.
“The incentives and rewards in our study were immediate and consistent, but we know that children with ADHD respond disproportionately less well to delayed rewards,” he says. “This could mean that in the ‘real world’ of the classroom or home, the neural effects of behavioural approaches using reinforcement and rewards may be less effective.”
Read the original research paper HERE (PDF)
Related articles by Zemanta
- Mount Sinai finds meta-cognitive therapy more effective for adult ADHD patients (scienceblog.com)
- What Do Girls with ADHD Look Like As Adults? (psychcentral.com)
Mid Life – What’s The Crisis?: Why Self Esteem Peaks In The Middle-Aged
Credit: LiveScience
Read the original research article HERE (PDF)
Bad vision and other physical ailmen
ts aren’t the only things that seem to get worse as people grow old. Self-esteem also declines around the age of retirement, a new study finds.
The study involved 3,617 American men and women ranging in age from 25 to 104. Self-esteem was lowest among young adults, but increased throughout adulthood, peaking at age 60, before it started to decline.
Several factors might explain this trend, the researchers say.
“Midlife is a time of highly stable work, family and romantic relationships. People increasingly occupy positions of power and status, which might promote feelings of self-esteem,” said study author Richard Robins of the University of California, Davis. “In contrast, older adults may be experiencing a change in roles such as an empty nest, retirement and obsolete work skills in addition to declining health.”
Measuring self-esteem
The participants were surveyed four times between 1986 and 2002. They were asked to rate their level of agreement with statements such as: “I take a positive attitude toward myself,” which suggests high self-esteem; “At times I think I am no good at all,” and “All in all, I am inclined to feel that I am a failure,” which both suggest low self-esteem.
Subjects also indicated their demographics, relationship satisfaction, and whether they had experienced stressful life events, including suddenly losing a job, being the victim of a violent crime, or experiencing the death of a parent or child.
On average, women had lower self-esteem than men throughout most of adulthood, but self-esteem levels converged as men and women reached their 80s and 90s. Blacks and whites had similar self-esteem levels throughout young adulthood and middle age. In old age, average self-esteem among blacks dropped much more sharply than self-esteem among whites. This result held even after accounting for differences in income and health.
Future research should further explore these ethnic differences, which might lead to better interventions aimed at improving self-esteem, the study authors say.
Click on image to read reviews
More self-esteem factors
Education, income, health and employment status all had some effect on the self-esteem trajectories, especially as people aged.
“People who have higher incomes and better health in later life tend to maintain their self-esteem as they age,” Orth said.
“We cannot know for certain that more wealth and better health directly lead to higher self-esteem, but it does appear to be linked in some way. For example, it is possible that wealth and health are related to feeling more independent and better able to contribute to one’s family and society, which in turn bolsters self-esteem.”
People of all ages in satisfying and supportive relationships tend to have higher self-esteem, according to the findings.
However, despite maintaining higher self-esteem throughout their lives, people in happy relationships experienced the same drop in self-esteem during old age as people in unhappy relationships.
“Thus, being in a happy relationship does not protect a person against the decline in self-esteem that typically occurs in old age,” said study author Kali H. Trzesniewski of the University of Western Ontario.
With medical advances, the drop in self-esteem might occur later for baby boomers, Orth said. Boomers might be healthier for longer and, therefore, able to work and earn money longer.
Read the original research article HERE (PDF)
Related articles by Zemanta
- Self-Esteem And Self-Respect (andrewsullivan.theatlantic.com)
- Aging Health Strongly Affected by How You Feel About Aging (seniormemorysource.com)
- Parenting: Signs of Low Self-Esteem in Children (abcnews.go.com)
Exercise DOES Help Improve Mood! And Just 25 Minutes Worth Will Decrease Stress & Increase Energy
Having an Honors degree in Human Movement Studies and working in gyms in a former life while studying for my Clinical Masters degree, I have seen this to be true. Of course it seems self evident, but these researchers have used great science with an excellent and now research-proven written program and workbook. These, along with their recent meta-analytic research review, show just how effective exercise can be in improving mood.
Credit: PhysOrg.com) — Exercise is a magic drug for many people with depression and anxiety disorders, according to researchers who analyzed numerous studies, and it should be more widely prescribed by mental health care providers.
“Exercise has been shown to have tremendous benefits for mental health,” says Jasper Smits, director of the Anxiety Research and Treatment Program at Southern Methodist University in Dallas. “The more therapists who are trained in exercise therapy, the better off patients will be.”
The traditional treatments of cognitive behavioral therapy and pharmacotherapy don’t reach everyone who needs them, says Smits, an associate professor of psychology.
“Exercise can fill the gap for people who can’t receive traditional therapies because of cost or lack of access, or who don’t want to because of the perceived social stigma associated with these treatments,” he says. “Exercise also can supplement traditional treatments, helping patients become more focused and engaged.”
The Program used in the study is available from bookstores-Click Image to view description
Smits and Michael Otto, psychology professor at Boston University, presented their findings to researchers and mental health care providers March 6 at the Anxiety Disorder Association of America’s annual conference in Baltimore.
Their workshop was based on their therapist guide “Exercise for Mood and Anxiety Disorders,” with accompanying patient workbook (Oxford University Press, September 2009).
The guide draws on dozens of population-based studies, clinical studies and meta-analytic reviews that demonstrate the efficacy of exercise programs, including the authors’ meta-analysis of exercise interventions for mental health and study on reducing anxiety sensitivity with exercise.
“Individuals who exercise report fewer symptoms of anxiety and depression, and lower levels of stress and anger,” Smits says. “Exercise appears to affect, like an antidepressant, particular neurotransmitter systems in the brain, and it helps patients with depression re-establish positive behaviors. For patients with anxiety disorders, exercise reduces their fears of fear and related bodily sensations such as a racing heart and rapid breathing.”
After patients have passed a health assessment, Smits says, they should work up to the public health dose, which is 150 minutes a week of moderate-intensity activity or 75 minutes a week of vigorous-intensity activity.
At a time when 40 percent of Americans are sedentary, he says, mental health care providers can serve as their patients’ exercise guides and motivators.
The patient workbook which accompanies the program - Click image to view description
“Rather than emphasize the long-term health benefits of an exercise program — which can be difficult to sustain — we urge providers to focus with their patients on the immediate benefits,” he says. “After just 25 minutes, your mood improves, you are less stressed, you have more energy — and you’ll be motivated to exercise again tomorrow. A bad mood is no longer a barrier to exercise; it is the very reason to exercise.”
Smits says health care providers who prescribe exercise also must give their patients the tools they need to succeed, such as the daily schedules, problem-solving strategies and goal-setting featured in his guide for therapists.
“Therapists can help their patients take specific, achievable steps,” he says. “This isn’t about working out five times a week for the next year. It’s about exercising for 20 or 30 minutes and feeling better today.”
Related articles by Zemanta
- Personal Health: Research Is Starting to Shed Light on Body Dysmorphic Disorder (nytimes.com)
- Music Soothes Anxiety as Well as Massage Does (nlm.nih.gov)
Asperger’s Syndrome on “Arthur”
Here’s a different look at Asperger’s as explained by Brain on the kids show Arthur!
Related articles by Zemanta
- ARTHUR Explores Asperger’s Syndrome in a New Episode on Monday (susanheim.blogspot.com)
- The New Autism Spectrum Disorder (NASD) in the DSM-5: Autism Minus Intellectual Disability (autisminnb.blogspot.com)
- “Parenthood”: Sex, Drugs, & Asperger’s (blisstree.com)
The Real “Rain Man”: A Fascinating Look At Kim Peek
Kim Peek 1951-2009 Image via Wikipedia
Kim Peek was the inspiration for the movie Rain Man starring Dustin Hoffman and Tom Cruise. Peek, who passed away last year at the age of 58, lived with his father Fran. Peek suffered from a brain development disorder known as agenesis of the corpus collosum. Malformation and absence of the corpus callosum are rare developmental disorders that result in a wide spectrum of symptoms, ranging from severe cerebral palsy, epilepsy and autism to relatively mild learning problems.
While Kim was able to perform extraordinary mental feats, particularly related to memory of historical facts, he struggled with many of the day to day tasks of life. This is a fascinating short video of Kim’s visit to London and his explanation of his condition. Enjoy!Vodpod videos no longer available.
click image to read reviews
click image to read reviews
Related articles by Zemanta
- Man Who Inspired ‘Rain Man’ Dies At 58 (npr.org)
- “I have so many things in me that you can’t even guess them all.” – Kim Peek. (althouse.blogspot.com)
Binge Eating: A 12 Week Self-Guided Program Gets Great Results
Kaiser Permanente Center for Health Research, Press Release
Short-Term Program 
for Binge Eaters Using “Overcoming Binge Eating” by Dr. Christopher Fairburn Has Long-Term Benefits
PORTLAND, Ore. — A new study finds that a self-guided, 12-week program helps binge eaters stop binging for up to a year and the program can also save money for those who participate. Recurrent binge eating is the most common eating disorder in the country, affecting more than three percent of the population, or nine million people, yet few treatment options are available.
But a first-of-a-kind study conducted by researchers at the Kaiser Permanente Center for Health Research, Wesleyan University and Rutgers University found that more than 63 percent of participants had stopped binging at the end of the program — compared to just over 28 percent of those who did not participate. The program lasted only 12 weeks, but most of the participants were still binge free a year later. A second study, also published in the April issue of the Journal of Consulting and Clinical Psychology, found that program participants saved money because they spent less on things like dietary supplements and weight loss programs.
“It is unusual to find a program like this that works well, and also saves the patient money. It’s a win-win for everyone,” said study author Frances Lynch, PhD, MSPH, a health economist at the Kaiser Permanente Center for Health Research. “This type of program is something that all health care systems should consider implementing.”
“People who binge eat more than other people do during a short period of time and they lose control of their eating during these episodes. Binge eating is often accompanied by depression, shame, weight gain, loss of self-esteem and it costs the health care system millions of extra dollars,” said the study’s principal investigator Ruth H. Striegel-Moore, PhD, a professor of psychology at Wesleyan University. “Our studies show that recurrent binge eating can be successfully treated with a brief, easily administered program, and that’s great news for patients and their providers.”
Binge eating has received a lot of media attention recently because the American Psychiatric Association is recommending that it be considered a separate, distinct eating disorder like bulimia and anorexia. This new diagnosis can be expected to focus more attention on binge eating and how best to treat it, according to the researchers. It also could influence the number of people diagnosed and how insurers will cover treatment.
This randomized controlled trial, conducted in 2004–2005, involved 123 members of the Kaiser Permanente health plan in Oregon and southwest Washington. More than 90 percent of them were women, and the average age was 37. To be included in the study, participants had to have at least one binge eating episode a week during the previous three months with no gaps of two or more weeks between episodes.
Click image to read reviews: Book helps achieve results in this research study
Half of the participants were enrolled in the intervention and asked to read the book “Overcoming Binge Eating” by Dr. Christopher Fairburn, a professor of psychiatry and expert on eating disorders. The book details scientific information about binge eating and then outlines a six-step self-help program using self-monitoring, self-control and problem-solving strategies. Participants in the study attended eight therapy sessions over the course of 12 weeks in which counselors explained the rationale for cognitive behavioral therapy and helped participants apply the strategies in the book. The first session lasted one hour, and subsequent sessions were 20–25 minutes. The average cost of the intervention was $167 per patient.
All participants were mailed fliers detailing the health plan’s offerings for healthy living and eating and encouraged to contact their primary care physician to learn about more services.
By the end of the 12-week program 63.5 percent of participants had stopped binging, compared to 28.3 percent of those who did not participate. Six months later, 74.5 percent of program participants abstained from binging, compared to 44.1 percent in usual care. At one year, 64.2 percent of participants were binge free, compared to 44.6 percent of those in usual care.
Everyone in the trial was asked to provide extensive information about their binge eating episodes, how often they missed work or were less productive at work, and the amount they spent on health care, weight-loss programs and weight loss supplements. Researchers also examined expenditures on medications, doctor visits, and other health-related services.
The researchers then compared these costs between the two groups and found that average total costs were $447 less in the intervention group. This included an average savings of $149 for the participants, who spent less on weight loss programs, over-the-counter medications and supplements. Total costs for the intervention group were $3,670 per person per year, and costs for the control group were $4,098.
“While program results are promising, we highly encourage anyone who has problems with binge eating to consult with their doctors to make sure this program is right for them,” said study co-author Lynn DeBar, PhD, clinical psychologist at the Kaiser Permanente Center for Health Research.
Study authors include: Lynn DeBar, John F. Dickerson, Frances Lynch and Nancy Perrin from the Kaiser Permanente Center for Health Research in Portland, Oregon; Ruth H. Striegel-Moore and Francine Rosselli from Wesleyan University; G. Terence Wilson from Rutgers, The State University of New Jersey; and Helena C. Kraemer from the Stanford University School of Medicine.
About Peter
Peter Brown BHMS (Hons) MPsychClin MAPS
I’m a Clinical Psychologist and have a private practice and consultancy in Brisbane Australia. I have 24 years experience in child, adult and family clinical psychology. I have a wonderful wife and three kids.
I am co-founder of Christian Wholeness Counselling Services.
I like researching issues of the brain & mind, reading and seeking out new books and resources for myself and my clients. I thought that others might be interested in some of what I have found also, hence this blog…
Subscribe to My Blog Posts & Updates
-
Blog Surfer
Alphainventions
Recent Comments
Peter H Brown Clinical Psychologist 