Anxiety and Compulsion Patterns in the Maintenance of Bingeing/Purging

Hdl Handle:
http://hdl.handle.net/10034/605676
Title:
Anxiety and Compulsion Patterns in the Maintenance of Bingeing/Purging
Authors:
Thomas, Mike; Lovell, Andy
Abstract:
This paper reports on the results of a study into the self-reported coping strategies employed by a small sample (n=12) of individuals diagnosed with Bulimia Nervosa purging sub-type, severe and enduring eating disorder (Seed-BN), referred to an out-patient clinic for psychotherapy. Data collection focused on the vomiting activities of participants through analysis of their self-management from diary extracts, which recorded vomiting patterns. Participants all experienced significant mental health issues, had complex histories of BN over a prolonged period, difficulties maintaining relationships, and many had an additional history of substance misuse including dependence on prescription drugs. The study findings indicated two different self-management strategies, anxiety-containment and compulsion-maintenance. There was a clear association between anxiety and controlled weekly vomiting patterns compared with compulsion and daily vomiting patterns. The implications for nursing practice relate to the potential for assessment of differences in vomiting patterns to indicate self-management status and subsequent interventions focusing on either anxiety or compulsive patterns.
Affiliation:
University of Central Lancashire; University of Chester
Citation:
Thomas, M., & Lovell, A. (2014). Anxiety and Compulsion Patterns in the Maintenance of Bingeing/Purging. Journal of Psychiatric and Mental Health Nursing, 22(1), 20-29. DOI: 10.1111/jpm.12167
Publisher:
Wiley
Journal:
Journal of Psychiatric and Mental Health Nursing
Publication Date:
12-Sep-2014
URI:
http://hdl.handle.net/10034/605676
DOI:
10.1111/jpm.12167
Additional Links:
http://onlinelibrary.wiley.com/doi/10.1111/jpm.12167/full
Type:
Article
Language:
en
Description:
This is the peer reviewed version of the following article: Thomas, M., & Lovell, A. (2014). Anxiety and Compulsion Patterns in the Maintenance of Bingeing/Purging. Journal of Psychiatric and Mental Health Nursing, 22(1), 20-29. DOI: 10.1111/jpm.12167, which has been published in final form at http://onlinelibrary.wiley.com/doi/10.1111/jpm.12167/full. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archiving
EISSN:
1365-2850
Appears in Collections:
Health and Social Care

Full metadata record

DC FieldValue Language
dc.contributor.authorThomas, Mikeen
dc.contributor.authorLovell, Andyen
dc.date.accessioned2016-04-18T09:54:24Zen
dc.date.available2016-04-18T09:54:24Zen
dc.date.issued2014-09-12en
dc.identifier.citationThomas, M., & Lovell, A. (2014). Anxiety and Compulsion Patterns in the Maintenance of Bingeing/Purging. Journal of Psychiatric and Mental Health Nursing, 22(1), 20-29. DOI: 10.1111/jpm.12167en
dc.identifier.doi10.1111/jpm.12167en
dc.identifier.urihttp://hdl.handle.net/10034/605676en
dc.descriptionThis is the peer reviewed version of the following article: Thomas, M., & Lovell, A. (2014). Anxiety and Compulsion Patterns in the Maintenance of Bingeing/Purging. Journal of Psychiatric and Mental Health Nursing, 22(1), 20-29. DOI: 10.1111/jpm.12167, which has been published in final form at http://onlinelibrary.wiley.com/doi/10.1111/jpm.12167/full. This article may be used for non-commercial purposes in accordance with Wiley Terms and Conditions for Self-Archivingen
dc.description.abstractThis paper reports on the results of a study into the self-reported coping strategies employed by a small sample (n=12) of individuals diagnosed with Bulimia Nervosa purging sub-type, severe and enduring eating disorder (Seed-BN), referred to an out-patient clinic for psychotherapy. Data collection focused on the vomiting activities of participants through analysis of their self-management from diary extracts, which recorded vomiting patterns. Participants all experienced significant mental health issues, had complex histories of BN over a prolonged period, difficulties maintaining relationships, and many had an additional history of substance misuse including dependence on prescription drugs. The study findings indicated two different self-management strategies, anxiety-containment and compulsion-maintenance. There was a clear association between anxiety and controlled weekly vomiting patterns compared with compulsion and daily vomiting patterns. The implications for nursing practice relate to the potential for assessment of differences in vomiting patterns to indicate self-management status and subsequent interventions focusing on either anxiety or compulsive patterns.en
dc.language.isoenen
dc.publisherWileyen
dc.relation.urlhttp://onlinelibrary.wiley.com/doi/10.1111/jpm.12167/fullen
dc.subjectAnxietyen
dc.subjectBulimia nervosaen
dc.subjectPurgingen
dc.subjectCompulsionen
dc.subjectPurging patternsen
dc.subjectVomitingen
dc.titleAnxiety and Compulsion Patterns in the Maintenance of Bingeing/Purgingen
dc.typeArticleen
dc.identifier.eissn1365-2850en
dc.contributor.departmentUniversity of Central Lancashire; University of Chesteren
dc.identifier.journalJournal of Psychiatric and Mental Health Nursingen
dc.date.accepted2014-06-15en
or.grant.openaccessYesen
rioxxterms.funderxxen
rioxxterms.identifier.projectxxen
rioxxterms.versionAMen
rioxxterms.licenseref.startdate2214-09-12en
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