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Eating Disorder And Depression Annotated Bibliography

Eating Disorder and Depression Annotated Bibliography: What is the Association between Depression and Eating Disorders?

Costa, J., Maroco, J., Gouveia, J., & Ferreira, C. (2016). Shame, self-criticism, perfectionistic self-presentation and depression in eating disorders. International Journal of Psychology and Psychological Therapy, 16(3), 315-328.

This article focuses on the connection between external shame and depression in individuals with eating disorders and the moderating role of self-criticism and perfectionistic self-presentation. Following a cross-sectional survey of 121 women with eating disorder, it was found that shame and perfectionistic self-presentation interact to cause self-criticism, which in turn results in depression. The implication thereto is that, when an individual internalises an ideal self, they gain a standard that as per their comparison with the actual self, results in negative feelings and self-evaluations; the individual perceives their real self as flawed or inferior. Consequently, the individual resorts to perfectionist self-representation so as to create to a positive image on other people's mind. Though this strategy can prevent shame and self-criticism, it potentially leads to eating disorder-related depression. The fairly large sample used is a major strength of the study. Nonetheless, the cross-sectional nature of the study design hinders...

Additionally, the study only included women. Overall, the study has significant implications for practice in the sense that therapeutic interventions aimed at treating eating disorder-related depression should pay greater attention to helping patients minimise the tendency of perfectionistic self-presentation.
Mustelin, L., Raevuori, A., Kaprio, J., & Keski-Rahkonen, A. (2014). Association between eating disorders and migraine may be explained by major depression. International Journal of Eating Disorders, 47, 884-887.

This longitudinal study sought to examine the relationship between eating disorders and migraine and the moderating effect of depression. The study, which included 2,825 twin women diagnosed with eating disorder, found that subjects with eating disorder were more likely to have migraine compared to those without eating disorder, with the correlation being mediated by major depressive disorder. In essence, the occurrence of migraine was found to be significantly higher in subjects with both eating disorder and depression. In addition to its large sample, the study finds a formerly ignored link between eating disorder, depression, and migraine. This is a valuable addition to the field of psychopathology. Nonetheless, there are important weaknesses. First, the study focused only on women. Also, the target subjects were twins, meaning familial transmission could have been a causal factor. Another limitation appears in the longitudinal nature…

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This article focuses on the relationship between dietary intake, eating disorder signs, and depressive symptoms in adolescents. The relationship was tested using a population-based cohort of 429 female adolescents. It was found that adolescents diagnosed with an eating disorder had a substantially lower consumption of fat, starch, fatty acid, as well as vitamins A and E. compared to their counterparts without an eating disorder. Further, for participants with an eating disorder, fatty acid intake was found to be significantly and negatively correlated with eating disorder and depressive signs. A major strength of the study is the large sample used, which reinforces the representativeness of the findings. In addition, the study compared specific dietary ingredients' intake and depressive symptoms in subjects with and without an eating disorder. Major weaknesses of the study include use of self-report data and exclusion of male subjects. Even so, the study further demonstrates the impact of eating disorder on psychological wellbeing. In the event an eating disorder is discovered, proper monitoring and management should be undertaken, specifically focusing on nutritional deficiencies and depressive symptoms.

Bachle, C., Lange, K., Stahl-Pehe, A., Castillo, K., Scheuing, N., Holl, R., Giani, G., & Rosenbauer, J. (2015). Symptoms of eating disorders and depression in emerging adults with early-onset, long duration type 1 diabetes and their association with metabolic control. PLoS ONE, 10(6), e0131027.

This study sought to analyse the incidence of and relationship between eating disorder symptoms and depression in patients with early-onset type 1 diabetes. 211 subjects aged 18 to 21 years (male and female) participated in the study. Results of the study indicate that the presence of an eating disorder was positively associated with severe symptoms of depression; the outcome revealed that women are the most affected segment. Reliance on population-based data is a major strength of the study. The inclusion of male and female subjects also adds to the strengths of the study as this enabled comparison across genders. Nonetheless, the study is limited by its cross-sectional design, which hinders causality inferences. From a practice perspective, it is imperative for patients with type 1 diabetes to be assessed for depression. In most cases, attention is paid to glucose levels, dietary intake, physical activity, and diabetes-related morbidities. Adding mental health screening can improve health outcomes in type 1 diabetes patients.
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