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  1. Article: The future of eating disorders research: an editorial.

    Touyz, Stephen / Hay, Phillipa

    Journal of eating disorders

    2022  Volume 10, Issue 1, Page(s) 10

    Language English
    Publishing date 2022-01-27
    Publishing country England
    Document type Editorial
    ZDB-ID 2699357-0
    ISSN 2050-2974
    ISSN 2050-2974
    DOI 10.1186/s40337-022-00538-5
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: Comparative utility of the DSM-5 and ICD-11 diagnostic classifications of eating disorders of recurrent binge eating in an Australian community-based sample.

    Brytek-Matera, Anna / Touyz, Stephen / Hay, Phillipa

    European eating disorders review : the journal of the Eating Disorders Association

    2024  Volume 32, Issue 3, Page(s) 524–531

    Abstract: Objective: The present study aimed to compare the estimated prevalence, sociodemographic features and impacts of Bulimia Nervosa (BN), Binge Eating Disorder (BED) and Other Specified Feeding or Eating Disorder (OSFED; BN or BED of low frequency and/or ... ...

    Abstract Objective: The present study aimed to compare the estimated prevalence, sociodemographic features and impacts of Bulimia Nervosa (BN), Binge Eating Disorder (BED) and Other Specified Feeding or Eating Disorder (OSFED; BN or BED of low frequency and/or limited duration) when comparing the DSM-5 with the broader ICD-11 diagnostic criteria for size and specifiers of binge-eating episodes in a general population epidemiological sample.
    Methods: 2977 individuals (1524 women and 1453 men) aged ≥15 years from randomly selected households in South Australia were interviewed in person. Participants were asked questions relating to sociodemographic features, symptoms of eating disorder pathology, physical and mental health-related quality of life (HRQoL; SF-12) and role impairment.
    Results: The estimated prevalence of only one diagnosis, namely BED, was lower when applying DSM-5 criteria than when applying ICD-11 criteria, largely due to the Criterion B binge-eating specifiers of the DSM-5. There were no significant differences in participants' demographic features, HRQoL, or role impairment between the comparable diagnosis of either scheme.
    Conclusions: There were few differences in distribution and similar levels of health impacts when applying either diagnostic scheme in this epidemiological study. However, cases of BED may be missed when using the stricter criteria of DSM-5 in epidemiological surveys. Further studies are needed to assess the clinical utility of the DSM-5 and ICD-11 diagnostic specifiers of binge-eating.
    MeSH term(s) Female ; Humans ; Male ; Australia/epidemiology ; Binge-Eating Disorder/diagnosis ; Binge-Eating Disorder/epidemiology ; Bulimia ; Bulimia Nervosa/epidemiology ; Diagnostic and Statistical Manual of Mental Disorders ; Feeding and Eating Disorders/diagnosis ; Feeding and Eating Disorders/epidemiology ; International Classification of Diseases ; Quality of Life ; Adult ; Middle Aged
    Language English
    Publishing date 2024-01-30
    Publishing country England
    Document type Journal Article
    ZDB-ID 1159507-3
    ISSN 1099-0968 ; 1067-1633 ; 1072-4133
    ISSN (online) 1099-0968
    ISSN 1067-1633 ; 1072-4133
    DOI 10.1002/erv.3068
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: Key-in-session identity negotiations in a first line treatment for adult anorexia nervosa.

    Heywood, Lauren / Conti, Janet / Touyz, Stephen / Madden, Sloan / Hay, Phillipa

    Journal of eating disorders

    2024  Volume 12, Issue 1, Page(s) 20

    Abstract: Background: Exploration of client identity negotiations during treatment for Anorexia Nervosa (AN) is a relatively new area of research. Research suggests that difficulties with identity negotiations may present as a barrier to treatment. This study ... ...

    Abstract Background: Exploration of client identity negotiations during treatment for Anorexia Nervosa (AN) is a relatively new area of research. Research suggests that difficulties with identity negotiations may present as a barrier to treatment. This study sought to explore individuals' identity negotiations during therapy sessions using Compulsive Exercise Activity Therapy (LEAP) combined with Cognitive Behaviour Therapy for Anorexia Nervosa (CBT-AN). Analysis focused on moments in therapy where individuals' identities were dominated or defined by AN and where alternative identities could be generated.
    Method: 40 in-session transcripts from sessions at early, mid and end points of the CBT-AN (with LEAP) treatment were qualitatively analysed for nine of the 78 participants in the original randomised control trial. Through a constructivist framework, thematic analysis was used to identify surface and latent meanings and discursive material participants used to negotiate their identities in the context of therapy sessions.
    Results: Analysis of in-therapy transcripts generated two themes pertaining to identity negotiations: (1) troubled identities and (2) rebuilding identities and lives outside of AN. Early therapy sessions explored fragmented and AN dominated identities, including how AN was troubling to participants' sense of self, contributed to conflicted identities, positioned them outside of normality, and was associated with isolated and othering identities. Within therapy sessions, participants engaged in a recursive process of shifting relationships with AN and themselves and building identities and lives outside of the AN identity. This included generating hopes for recovery and the future more frequently in mid- to late- therapy sessions.
    Conclusion: Identity negotiations evident in the therapeutic conversations aligned with the key components of the CBT-AN intervention, including addressing (1) the characterisation of oneself as 'an anorexic' and (2) the diversification of roles and activities to broaden and enhance self-concepts. Future developments of therapeutic interventions for AN would benefit from greater consideration of ways to assist individuals to more comprehensively address problematic identities, including uncovering identities hidden by the AN identity and generating preferred identities.
    Trial registration: Ethics approval was obtained at the time of the initial study and for this embedded research by the HREC at the Western Sydney University (HR777332).
    Language English
    Publishing date 2024-01-31
    Publishing country England
    Document type Journal Article
    ZDB-ID 2699357-0
    ISSN 2050-2974
    ISSN 2050-2974
    DOI 10.1186/s40337-024-00979-0
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Book: Eating disorders

    Touyz, Stephen W. / Polivy, Janet / Hay, Phillipa

    (Advances in psychotherapy - evidence-based practice ; 13)

    2008  

    Author's details Stephen W. Touyz ; Janet Policy ; Philippa Hay
    Series title Advances in psychotherapy - evidence-based practice ; 13
    Advances in psychotherapy - evidence based practice
    Collection Advances in psychotherapy - evidence based practice
    Keywords Essstörung
    Subject Essgewohnheit ; Essstörungen
    Language English
    Size VIII, 98 S. : graph. Darst.
    Publisher Hogrefe & Huber
    Publishing place Cambridge, MA u.a.
    Publishing country United States
    Document type Book
    HBZ-ID HT015358471
    ISBN 978-0-88937-318-1 ; 0-88937-318-3
    Database Catalogue ZB MED Medicine, Health

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  5. Book: Neuropsychology in clinical practice

    Touyz, Stephen

    1994  

    Author's details ed. by Stephen Touyz
    Keywords Neuropsychology ; Klinische Psychologie ; Neuropsychologie
    Language English
    Size XII, 443 S. : Ill.
    Publisher Acad. Press
    Publishing place Sydney u.a.
    Publishing country Australia
    Document type Book
    HBZ-ID HT006376355
    ISBN 0-7295-2031-5 ; 978-0-7295-2031-7
    Database Catalogue ZB MED Medicine, Health

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  6. Article: Conceptualising specialist supportive clinical management (SSCM): current evidence and future directions.

    Kiely, Laura / Touyz, Stephen / Conti, Janet / Hay, Phillipa

    Journal of eating disorders

    2022  Volume 10, Issue 1, Page(s) 32

    Abstract: Background: Current evidence-based treatments for adult anorexia nervosa (AN) have limitations, with high attrition, very poor outcomes for 20% of people, and no clearly superior manualised therapy for adults with AN. Specialist Supportive Clinical ... ...

    Abstract Background: Current evidence-based treatments for adult anorexia nervosa (AN) have limitations, with high attrition, very poor outcomes for 20% of people, and no clearly superior manualised therapy for adults with AN. Specialist Supportive Clinical Management (SSCM) was designed as a control treatment but has evolved as a valid first line treatment. The present paper aims to provide an overview of the evidence base for SSCM and a pedagogical reconceptualization with expansion by theoretical integration (TI). BODY: A secondary meta-analysis endorses SSCM as a promising treatment. This paper positions SSCM as a manualised therapy for adult AN with six unique features, namely (1) a philosophy which is person-centred, non-prescriptive, and informed by the person's strengths and values, (2) a focus on the person through inclusion of supportive psychotherapy and problem (clinical management), within target symptoms as defined in relation to AN, (3) a flexible and responsive therapy that could be delivered by a variety of clinicians with experience treating AN (4) a commitment to reversing starvation though a directional approach and a defined yet flexible stance on dietetic intervention (5) a commitment to the therapeutic relationship within all three phases of treatment, and (6) a therapy 'uncluttered' by specific mandates. In addition, this paper positions SSCM as a treatment that may be strengthened by other modalities and may also be adapted to the treatment of other eating disorders (ED), not just AN. The level of therapist sophistication to deliver upon the supportive psychotherapy component is explored and future directions are offered.
    Conclusion: SSCM is a unique and valid first line treatment for AN and would benefit from further expansion in line with emerging understandings of AN to strengthen it as a treatment. Speculation on aspects of potency would benefit from further testing. The proposed re-conceptualisation of SSCM in the context of its evidence may strengthen it as a treatment overall, position it as adaptable for treatment of other eating disorders and make it more accessible to clinicians.
    Language English
    Publishing date 2022-03-07
    Publishing country England
    Document type Journal Article ; Review
    ZDB-ID 2699357-0
    ISSN 2050-2974
    ISSN 2050-2974
    DOI 10.1186/s40337-022-00557-2
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Interactions between emotion regulation and everyday flexibility in anorexia nervosa: Preliminary evidence of associations with clinical outcomes.

    Dann, Kelly M / Hay, Phillipa / Touyz, Stephen

    Eating disorders

    2022  Volume 31, Issue 2, Page(s) 139–150

    Abstract: The current study explored interactions between emotion regulation (ER) and cognitive-behavioral flexibility in everyday life in individuals with anorexia nervosa (AN). Participants were 97 female adults with current (57%) or past (43%) full or partial ... ...

    Abstract The current study explored interactions between emotion regulation (ER) and cognitive-behavioral flexibility in everyday life in individuals with anorexia nervosa (AN). Participants were 97 female adults with current (57%) or past (43%) full or partial AN syndrome diagnosis. Participants completed the Difficulties with Emotion Regulation Scale, Emotion Regulation Questionnaire, Eating Disorder Flexibility Index, Eating Disorder Examination Questionnaire and Depression Anxiety Stress Scale short form. Lower flexibility was a strong independent predictor of more severe ED-related cognitions and higher frequency of compensatory behaviors beyond individual differences in emotion regulation and mood. ER measures did not predict clinical characteristics. However, two interactions between flexibility and ER measures were observed which suggested there was a stronger association between greater flexibility and higher BMI for individuals with either higher levels of cognitive reappraisal use, or higher levels of global ER difficulties. Interactions between flexibility and emotion regulation provide evidence that co-occurring difficulties may impact clinical outcomes in AN.
    MeSH term(s) Adult ; Humans ; Female ; Anorexia Nervosa/psychology ; Emotions/physiology ; Emotional Regulation ; Feeding and Eating Disorders ; Cognition
    Language English
    Publishing date 2022-06-14
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1209799-8
    ISSN 1532-530X ; 1064-0266 ; 1067-1633
    ISSN (online) 1532-530X
    ISSN 1064-0266 ; 1067-1633
    DOI 10.1080/10640266.2022.2076337
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article: Editorial: Toward an Improved Understanding of Severe and Enduring Anorexia Nervosa.

    Hay, Phillipa J / Park, Rebecca J / Touyz, Stephen W

    Frontiers in psychiatry

    2021  Volume 12, Page(s) 698194

    Language English
    Publishing date 2021-05-28
    Publishing country Switzerland
    Document type Editorial
    ZDB-ID 2564218-2
    ISSN 1664-0640
    ISSN 1664-0640
    DOI 10.3389/fpsyt.2021.698194
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article: Eating disorders in the time of COVID-19.

    Touyz, Stephen / Lacey, Hubert / Hay, Phillipa

    Journal of eating disorders

    2020  Volume 8, Page(s) 19

    Keywords covid19
    Language English
    Publishing date 2020-04-20
    Publishing country England
    Document type Editorial
    ZDB-ID 2699357-0
    ISSN 2050-2974
    ISSN 2050-2974
    DOI 10.1186/s40337-020-00295-3
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article: The Neuropsychological Profile of Severe and Enduring Anorexia Nervosa: A Systematic Review.

    Broomfield, Catherine / Stedal, Kristin / Touyz, Stephen

    Frontiers in psychology

    2021  Volume 12, Page(s) 708536

    Abstract: Characteristics of Severe and Enduring Anorexia Nervosa (SE-AN) are being investigated to differentiate the patients experiencing SE-AN from those at earlier stages of the AN disease. The current systematic review was the first step in exploring ... ...

    Abstract Characteristics of Severe and Enduring Anorexia Nervosa (SE-AN) are being investigated to differentiate the patients experiencing SE-AN from those at earlier stages of the AN disease. The current systematic review was the first step in exploring neuropsychological functioning as a potentially identifying characteristic for long-term presentations. With a subgroup of AN patients reflecting a unique neuropsychological profile that is proportionate to the quantity of patients that go on to develop SE-AN, it was the aim of this review to assess neuropsychological functioning in the later stage of the disease. In accordance with PRISMA guidelines, a literature search was conducted using four electronic databases (PsycINFO, MEDLINE, Web of Science, and Scopus) for neuropsychological research on AN participants with a seven or more year illness duration. Datasets that met inclusion criteria were screened for SE-AN participants (
    Language English
    Publishing date 2021-08-02
    Publishing country Switzerland
    Document type Systematic Review
    ZDB-ID 2563826-9
    ISSN 1664-1078
    ISSN 1664-1078
    DOI 10.3389/fpsyg.2021.708536
    Database MEDical Literature Analysis and Retrieval System OnLINE

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