ORCID Profile
0000-0002-3822-5809
Current Organisation
The Children's Hospital of Philadelphia
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Publisher: Wiley
Date: 03-02-2023
DOI: 10.1002/EAT.23902
Abstract: For youth with anorexia nervosa (AN), remission requires high caloric goals to achieve weight restoration, consumption of a wide variety of calorically dense foods, and reintroduction of eliminated foods. Family‐based treatment (FBT), the gold‐standard treatment for youth with AN, empowers parents to renourish their child and restore them to health yet, parents often report struggling with shifting meal planning and grocery shopping behaviors to focus on nutritional rehabilitation and weight restoration. This proof‐of‐concept study aimed to modify a simulated grocery store (Open Science Online Grocery [OSOG]) for parents of youth with AN and explore the acceptability and feasibility of its use as part of standard care. Study staff collaborated with six parent research partners to modify the OSOG prior to piloting it with participants. Participants were 10 parents of youth undergoing a first‐time hospitalization for medical stabilization of AN or atypical AN. Parents completed a battery of measures and a semistructured interview assessing the acceptability and feasibility of OSOG. Parents described the tool as credible and acceptable. Qualitative feedback highlighted common themes of caregiver burden, nutrition education, and acceptability of the tool. Results point to the need for more work in supporting parents in Phase I of FBT. Families are instrumental in supporting youth to recover from anorexia nervosa. During treatment, parents are charged with selecting and serving their adolescent's meals, often requiring them to change grocery shopping and food preparation habits to meet their child's high caloric needs. Parents reported feeling overwhelmed by this task and noted struggling with learning different approaches to nourish their adolescent during an already stressful time. Collaboratively with parents, we modified a tool to support parents in shifting thier shopping habits, which they reported as being a helpful springboard in the early phase of treatment.
Publisher: Wiley
Date: 09-10-2022
DOI: 10.1002/EAT.23626
Abstract: Pathological exercise in anorexia nervosa (AN) is a harmful behavior associated with a chronic course and poor prognosis. To date, no comprehensive theoretical model exists to describe pathological exercise in the context of AN, and as such, few treatments are effective at promoting direct and sustained pathological exercise extinction. Using a framework put forth by Wise & Koob (2014), debating the relative importance of positive and negative reinforcement in substance use, we present three hypotheses of behavioral reinforcement of exercise, encompassing biological, psychological, and environmental influences. Specifically, we argue that exercise is positively reinforced through receipt of biological and behavioral rewards, negatively reinforced through avoidance of aversive emotions, and that these two systems work in tandem over time to engrain pathological exercise as a habit. We then present suggestions for testing each of these hypotheses as future directions for the field.
Publisher: American Psychological Association (APA)
Date: 05-2020
DOI: 10.1037/PAS0000804
Publisher: Informa UK Limited
Date: 09-07-2020
Publisher: Wiley
Date: 11-05-2021
DOI: 10.1002/EAT.23535
Abstract: Gastrointestinal (GI) concerns are often presumed to complicate nutritional rehabilitation for restrictive eating disorders, yet their relationship to weight restoration outcomes is unclear. This retrospective chart review examined GI history and weight‐related discharge outcomes in primarily adult, underweight inpatients with anorexia nervosa (AN, N = 107) or avoidant/restrictive food intake disorder (ARFID, N = 22) treated in a meal‐based, behavioral eating disorder program. Lifetime GI symptomatology, diagnoses, diagnostic tests, and procedures were abstracted from medical records. Generalized linear models examined associations of GI diagnoses, tests, and procedures with discharge BMI and rate of weight gain. Ninety‐nine percent of patients reported GI symptomatology and 83% had one or more GI diagnoses with constipation and GERD most common. GI diagnoses ( p .01) and testing ( p .001) were more common in ARFID than AN. Average inpatient weight gain (1.59 kg/week), and discharge BMI (18.5 kg/m 2 ), did not differ by group. Slower weight gain in patients with (1.3 kg/week), versus without (1.7 kg/week), history of tube feeding ( p = .02), accounted for a main effect of GI procedures on inpatient rate of gain ( p = .01). Despite ubiquitous GI symptomatology, meal‐based weight restoration achieved average weekly weight gain above recommended APA guidelines for hospitalized patients with an eating disorder. History of tube feeding was associated with slower mean weight gain, which remained, however, within recommended APA guidelines.
Publisher: Wiley
Date: 27-02-2021
DOI: 10.1002/EAT.23479
Publisher: Wiley
Date: 08-2020
DOI: 10.1002/EAT.23349
Publisher: Springer New York
Date: 2014
Publisher: Elsevier
Date: 2014
Publisher: Cambridge University Press (CUP)
Date: 18-09-2015
DOI: 10.1017/BEC.2015.12
Abstract: Background: Preschool-aged children exhibit a relatively high prevalence rate of anxiety disorders, and the course of these disorders is often chronic. However, surprisingly few studies have focused on the treatment of anxiety in this age group. In response to this limitation, the purpose of the current study was to examine the effectiveness of an open trial of the Fun FRIENDS (FF) program, a downward extension of the FRIENDS programs for preschool-aged children (5–7 years), in a community clinic setting. Method: The s le included 31 children diagnosed with an anxiety disorder. Treatment consisted of 10 weekly sessions administered in a group format. Parents also received two information sessions. Child anxiety, behavioural inhibition, and resiliency were assessed at preintervention, immediate postintervention, and at 12-month follow-up. Results: Significant decreases in child anxiety and shyness and improvements on measures of resiliency were observed following the completion of treatment. Conclusions: The results of this study provide support for the effectiveness of the Fun FRIENDS program as a treatment for anxiety in young children. Further, this study adds to the relatively small body of research focused on the use of CBT to treat anxiety disorders in this population.
Publisher: OMICS Publishing Group
Date: 2014
Publisher: Center for Open Science
Date: 12-05-2020
Abstract: In iduals with eating disorders (EDs) are at significant risk for increases in symptomatology and diminished treatment access during the COVID-19 pandemic. Environmental precautions to limit coronavirus spread have affected food availability and access to healthy coping mechanisms, and have contributed to weight stigmatizing social media messages that may be uniquely harmful for those experiencing EDs. Additionally, changes in socialization and routine, stress, and experiences of trauma that are being experienced globally may be particularly deleterious to ED risk and recovery. This paper presents a brief review of the pertinent literature related to risk of EDs in the context of COVID-19 and offers suggestions for modifying intervention efforts to accommodate for the unique challenges in iduals with EDs and providers may be experiencing in light of the ongoing public health crisis.
Publisher: Springer Science and Business Media LLC
Date: 09-10-2020
Publisher: Project MUSE
Date: 2017
Publisher: Elsevier BV
Date: 08-2021
Publisher: Wiley
Date: 07-10-2020
DOI: 10.1002/EAT.23386
Location: United States of America
No related grants have been discovered for Marita Cooper.