J. Treasure - Profile on Academia.edu (original) (raw)

Papers by J. Treasure

Behandlung der Bulimia nervosa

Der Nervenarzt, 2011

Many young women and also men are constantly dissatisfied with their body. In some cases the disc... more Many young women and also men are constantly dissatisfied with their body. In some cases the discontent with one's own body and the resulting restrictive eating behaviour can predetermine the path to bulimia nervosa. This article summarizes the treatment options and their respective evidence for bulimia nervosa. Apart from the choice of treatment setting, psychotherapeutic treatment measures and the role of psychopharmacologic drugs for the treatment of bulimia nervosa are discussed.

Behaviour Research and Therapy, 1994

Clinical obesity, 2014

Weight loss maintenance following participation in a behavioural weight loss programme remains a ... more Weight loss maintenance following participation in a behavioural weight loss programme remains a critical challenge in the obesity field. Social support predicts engagement in weight control behaviours, yet interventions designed to enhance social support have had only limited success in improving weight loss maintenance in obese adults. The rationale for a novel approach to enhance the effectiveness of social support for weight loss maintenance is provided. Specifically, there is theoretical and empirical support for training support people in motivational interviewing in order to facilitate the development of self-motivation for weight control in obese adults. Self-motivation is, in turn, associated with long-term behaviour change, including sustained engagement in weight control behaviours. The design and methodology of a study for evaluating the effectiveness of training support people in motivational interviewing to assist obese adults with weight loss maintenance is described....

Динамика заболеваемости расстройствами пищевого поведения

L’efficacia delle psicoterapie nel trattamento dei disturbi del comportamento alimentare

Die Bulimie besiegen: Ein Selbsthilfe-Programm

Central coherence in women with bulimia nervosa

The International journal of eating disorders, 2008

To examine the concept of central coherence in women with bulimia nervosa (BN) and address simila... more To examine the concept of central coherence in women with bulimia nervosa (BN) and address similarities and difference with those with anorexia nervosa (AN) METHOD: Forty two women with BN and 42 matched healthy women, completed neuropsychological testing measuring aspects of central coherence: Rey-Osterrieth Complex Figure (RCFT), Embedded Figures Test (EFT), Block Design Test (BD), Homograph Reading Test (HRT), and Sentence Completion Task (SCT). The BN group showed superiority in local processing as measured by EFT and lesser relative advantage from segmentation in BD, and difficulties in global processing in both visual and verbal domains as examined by RCFT, HRT, and SCT. Anxiety levels were associated with low central coherence indices in RCFT. People with BN displayed a profile consistent with the weak central coherence hypothesis. Their pattern of cognitive performance resembles that seen in AN although some differences are apparent.

Cognitive flexibility, central coherence and social emotional processing in males with an eating disorder

The World Journal of Biological Psychiatry, 2013

Journal of Psychiatric Research, 2013

European Eating Disorders Review, 2001

This paper focuses on motivational aspects in the assessment and treatment of eating disorders. M... more This paper focuses on motivational aspects in the assessment and treatment of eating disorders. Measurement issues and therapeutic implications are reviewed as will be the limitations of the motivational model.

“A computer isn’t gonna judge you”: A qualitative study of users’ views of an internet-based cognitive behavioural guided self-care treatment package for bulimia nervosa and related disorders

Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity, 2011

Counselling and Psychotherapy Research, 2005

Treatments for eating disorders, in particular for people with anorexia nervosa, have often been ... more Treatments for eating disorders, in particular for people with anorexia nervosa, have often been adaptations of therapies designed for other conditions. Indeed, there is a move advocating the use of a transdiagnostic treatment approach in which general module based treatments are mixed together as needed rather than using a specific anorexia nervosa targeted strategy. The outcome of treatment is relatively poor, especially for those who for some reason do not have the benefit of an expert form of early intervention for anorexia nervosa. Technological advances in the neurosciences and genetics have radically altered how eating disorders and in particular anorexia nervosa have been conceptualised. In this paper we describe evidence that suggests that key aspects of the social information processing network both the cognitive and affective elements may be anomalous in people with anorexia nervosa. This has implications for models of treatment which can be tailored more directly to these causal and or maintaining factors. We describe the Maudsley method of working with adults with anorexia nervosa which has integrated these elements. This treatment approach includes working with the individual to develop a more flexible and holistic cognitive style with greater emotional intelligence. This is supplemented with work with the families to interrupt interactions that either accommodate to or aggravate the symptoms. Thus we are now in the position to understand and work to change how people with anorexia nervosa think and behave rather than focusing on what people think and say they do. Our prediction is that treatments that focus more directly on aetiology such as the intrapersonal and interpersonal maintaining factors will improve outcome.

Cognitive Therapy and Research, 2013

Anxiety, altered attention for social stimuli and poor recognition of emotions were examined as p... more Anxiety, altered attention for social stimuli and poor recognition of emotions were examined as putative intermediate phenotypes of eating disorders (EDs). Three hundred and forty two participants (65 ED offspring; 52 healthy offspring; 124 parents of ED offspring; 101 parents of healthy offspring) completed self report and behavioural measures of anxiety, attention for social stimuli and emotion recognition. ED offspring and their parents had higher trait anxiety in comparison to healthy controls. Social anxiety co-segregated with the illness in parents. ED offspring did not show Stroop interference for social stimuli. Subtle alterations in response to social stimuli were observed in ED fathers. ED groups did not have difficulties recognising complex emotions. In conclusion, trait and social anxiety fulfil some of the criteria for intermediate phenotypes in EDs. There was less evidence for behavioural measures of anxiety and social processing. This may be a consequence of sample characteristics, low power or task sensitivity.

The Demand for Eating Disorder Care

British Journal of Psychiatry, 1996

BackgroundAn epidemiological study of anorexia nervosa and bulimia nervosa in primary care was pe... more BackgroundAn epidemiological study of anorexia nervosa and bulimia nervosa in primary care was performed using the General Practice Research Database (GPRD).MethodThe GPRD was screened between 1988 and 1994 for newly diagnosed cases of anorexia nervosa and bulimia nervosa. The validity of the computer diagnosis was established by obtaining clinical details from a random sample of the general practitioners (GPs).ResultsIncidence rates for detection of cases by GPs in 1993 was 4.2 per 100 000 population for anorexia nervosa and 12.2 per 100 000 for bulimia nervosa The relative risks of females to males was 40:1 for anorexia nervosa and 47:1 for bulimia nervosa A threefold increase in the recording of bulimia nervosa was found from 1988 to 1993. Eighty per cent of anorexia nervosa cases and 60% of bulimia nervosa cases were referred to secondary care.ConclusionThere is a continuing expansion of service need for bulimia nervosa The majority of cases of eating disorders are referred to s...

Handbook of Eating Disorders

... Page 10. xii CONTRIBUTORS Lucy Serpell, Eating Disorders Unit, Institute of Psychiatry, De Cr... more ... Page 10. xii CONTRIBUTORS Lucy Serpell, Eating Disorders Unit, Institute of Psychiatry, De Crespigny Park, London SE5 8AF, UK Roz Shafran, Oxford University, Department of Psychiatry, Warneford Hospital, Oxford, OX3 7JX, UK ...

Moving to establish the mechanisms underpinning the biopsychiatric models of eating disorders with brain-based translational treatments: from paradigm clash to paradigm complementarity

Advances in Eating Disorders, 2013

The critical examination of the biopsychiatric framing of eating disorders (EDs) is an important ... more The critical examination of the biopsychiatric framing of eating disorders (EDs) is an important reminder of the dangers of polarisation into black and white thinking. The pendulum has certainly swung towards a brain-based understanding. However, at the moment the evidence to support biological causal and maintaining mechanisms is weak. In their critical analysis of the paradigm clash, the authors raise several important points which we will address in this commentary. First, they question whether the evidence for the biology of EDs as a risk or maintaining factor is robust. They note the reliance on correlations and they point out the limitations of the ‘recovery paradigm’ as a means of determining causal factors. Second, they cite important interactions between biology and environment particularly in the context of development. Finally, they question the fundamental assumptions of the biopsychiatric paradigm. Because of time and space constraints we have limited this discussion to these three main domains.

Measurement of excessive appetite and metabolic changes in Prader-Willi syndrome

International journal of obesity and related metabolic disorders : journal of the International Association for the Study of Obesity, 1993

The behavioural, cognitive and metabolic response to food intake was studied in 13 adults with th... more The behavioural, cognitive and metabolic response to food intake was studied in 13 adults with the Prader-Willi syndrome (PWS) and compared to ten age-matched controls. Rates of eating were observed during one hour's access to food and feelings of hunger were assessed using a visual analogue scale. Blood was taken for estimation of glucose, insulin, cholecystokinin (CCK), prolactin, growth hormone (GH) and cortisol every 20 min for a total period of 100 min. Ten (76%) of the subjects with PWS ate steadily for the whole hour that food was available and on average consumed three times more calories than the control group. The median ratings for feelings of hunger in the PWS group changed in the expected direction but these changes were delayed compared to the control group and only reached the same level as the controls after the PWS subjects had eaten a significantly greater amount of food. In the PWS group, in contrast to the control group, feelings of hunger started to re-emerg...

Aftercare intervention through text messaging in the treatment of bulimia nervosa--feasibility pilot

The International journal of eating disorders, 2006

Even with the best available treatment, most bulimia nervosa (BN) sufferers are not symptom free ... more Even with the best available treatment, most bulimia nervosa (BN) sufferers are not symptom free at the end of therapy and, for those who have achieved remission, risk of relapse is high. Thus, there is a need for aftercare or relapse prevention interventions after therapy. It is not yet known what type of intervention should be delivered, and how to suit patient needs while being mindful of cost and time constraints of service providers. This pilot study was conducted to explore the feasibility, acceptability, and efficacy of a text messaging (short messaging service [SMS])-based intervention in the aftercare of BN patients who had received outpatient psychotherapy. A total of 21 patients with BN participated in the 6-month SMS-based intervention as a step-down treatment after outpatient therapy. Levels of use of the program were relatively low and attrition high, indicating limited acceptance of the intervention. This study suggests that the SMS-based intervention would benefit fr...

International Journal of Eating Disorders, 2012

Objective: Exploring social anhedonia in eating disorders (ED) was the main objective of this stu... more Objective: Exploring social anhedonia in eating disorders (ED) was the main objective of this study. Social anhedonia relates to a reduced feeling of pleasure from social stimulation. Researching the exact nature of problems in interpersonal relationships is an important topic for clinicians and researchers in the field. Method: The revised social anhedonia scale was completed by 148 participants: anorexia nervosa (AN) n 5 72; bulimia nervosa (BN) n 5 19; recovered AN n 5 14; healthy controls (HC) n 5 43. Participants also completed mood related measures and the Toronto Alexythimia scale. Results: People with AN and BN had higher self-reported social anhedonia than people without ED. Recovered AN had an intermediate profile in between AN and HC. Clinical severity and alexithymia were strongly associated with social anhedonia scores. Discussion: Difficulty identifying and expressing feelings could be related to this diminished drive for social pleasure.

The neuropsychological profile of children at high risk of developing an eating disorder

Psychological Medicine, 2012

BackgroundThere is a large body of evidence indicating that eating disorders (EDs) are characteri... more BackgroundThere is a large body of evidence indicating that eating disorders (EDs) are characterized by particular neuropsychological profiles. We aimed to further explore whether impairments in neuropsychological functioning previously found in ED groups are present prior to onset, or are secondary to the disorder.MethodThis is the first study to explore neuropsychological functioning in children born to a mother with a lifetime ED, who are therefore at high risk of developing an ED, in a large cohort sample. We investigated intelligence and attention at age 8 years (n = 6201) and working memory (WM) and inhibition at age 10 years (6192) in children who are at high risk of developing an ED, compared to children who are not.ResultsThe children of women with lifetime anorexia nervosa (AN) showed high full-scale and performance IQ, increased WM capacity, better visuo-spatial functioning, and decreased attentional control. The children of women with lifetime bulimia nervosa (BN) showed...