Publications by authors named "Laura Adamo"

Article Synopsis
  • Internalized weight stigma (IWS) negatively impacts mental and physical health, leading to a need for targeted psychological interventions.
  • A systematic review of 161 articles identified 20 studies that showed these interventions are generally feasible, acceptable, and effective at reducing IWS and improving related health outcomes.
  • However, more rigorous research, especially randomized controlled trials, is necessary to confirm these findings and better understand the effectiveness of different interventions.
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Article Synopsis
  • * A systematic review of 161 articles led to 20 studies showing that psychological interventions are feasible and generally well-accepted, with many reporting significant reductions in IWS and improvements in health outcomes.
  • * The findings suggest that current interventions hold promise for enhancing the wellbeing of individuals with IWS, though more rigorous research, like randomized controlled trials, is essential to establish their effectiveness further.
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Yellow nail syndrome (YNS) is a rare, acquired condition, characterised by at least two of the three clinical criteria: nail changes, respiratory tract disease and lymphoedema. Currently, the aetiology of YNS remains unknown; however, it is believed to be caused by impaired lymphatic drainage. Currently, there remain no definitive treatment options available and no prospective trials evaluating this.

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Objective: Few individuals with eating disorders (EDs) receive treatment. Innovations are needed to identify individuals with EDs and address care barriers. We developed a chatbot for promoting services uptake that could be paired with online screening.

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Background: Most individuals with eating disorders (EDs) do not receive treatment, and those who do receive care typically do not receive evidence-based treatment, partly due to lack of accessible provider training. This study developed a novel "all-in-one" online platform for disseminating training for mental health providers in cognitive-behavioral therapy guided self-help (CBTgsh) for EDs and supporting its implementation. The aim of the study was to obtain usability data from the online platform prior to evaluating its effects on provider training outcomes and patient ED symptom outcomes in an open pilot trial.

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Objective: Individuals with eating disorders (EDs) often do not receive evidence-based care, such as interpersonal psychotherapy (IPT), partly due to lack of accessible training in these treatments. The standard method of training (i.e.

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Article Synopsis
  • A study developed a chatbot to support adults with eating disorders (EDs) who are not currently in treatment, offering enrollment in research with the chatbot after an online screening.
  • Out of 6747 eligible respondents, only 3.0% enrolled in the study, but a notable 90.2% of those enrolled went on to use the chatbot.
  • The results showed that older respondents (≥25 years) were more likely to enroll and use the chatbot, while those practicing regular dietary restriction were less likely to participate; future efforts will focus on understanding barriers to participation and improving treatment access.
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Objective: The aim of this study was to describe the anatomy of the portal system in fetuses with persistent right umbilical vein (PRUV).

Methods: Prospective observational study of fetuses diagnosed with PRUV. All patients underwent a comprehensive portal system anatomy scan supplemented by two-dimensional (2D) and three-dimensional (3D) color doppler modalities.

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We describe a case of collodion baby diagnosed prenatally by ultrasound. Classic signs (ectropion, flattened nose, and eclabion) were detected on routine ultrasound at 21 weeks of gestation. At birth, the presence of collodion membrane was confirmed and subsequently, the diagnosis of an autosomal recessive congenital ichthyosis due to compound heterozygosity of the TGM1 gene was made.

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Background: Avoidant/restrictive food intake disorder (ARFID) is a serious, albeit under-researched, feeding or eating disorder. This exploratory study utilized data from adult respondents to the National Eating Disorders Association online eating disorder screen to validate items assessing the presence of ARFID and examine the prevalence, clinical characteristics, and correlates of a positive ARFID screen.

Methods: Among 50,082 adult screen respondents between January 2022 and January 2023, the prevalence of a positive ARFID screen was calculated.

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Objective: To examine trajectories of therapeutic skills use and weekly relations between skills use and symptom change during the enhanced version of cognitive-behavioral therapy (CBT-E) for bulimia nervosa (BN).

Method: Fifty-five adults (M age: 39.0 ± 14.

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Objective: To examine the mental health problems that college students with eating disorders (EDs) and comorbid depression and/or anxiety disorders preferred to target first in a digital treatment program and explore correlates of preferred treatment focus.

Methods: Four hundred and eighty nine college student users of a digital cognitive-behavioral guided self-help program targeting common mental health problems (76.7% female, M  = 20.

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Article Synopsis
  • * A systematic review assessed the reach (interest from invited students) and uptake (participation of enrolled students) of DMHIs based on cognitive-behavioral therapy (CBT) across college populations.
  • * Out of 10,315 articles, only 90 met the criteria, revealing low overall reach but high uptake among participants; many studies lacked sufficient data on these metrics, highlighting the need for better reporting practices.
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Article Synopsis
  • - This study compared dietary restraint and restriction in adolescents seeking weight control, specifically looking at differences between those with loss-of-control (LOC) eating and those without.
  • - 37 adolescents participated in a week-long assessment, with results showing that 41% engaged in LOC eating and those individuals practiced more forms of dietary restraint than those without LOC eating.
  • - The findings indicate that while attempting to restrain eating correlates with LOC eating, actual food restriction does not, suggesting the need for further research on this relationship to improve weight control interventions.
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Background: Binge-type eating disorders (EDs; i.e., bulimia nervosa, binge eating disorder) are common among young adults with high body weight, yet few interventions target both conditions.

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  • This study investigates the link between food insecurity (FI) and eating disorders (EDs) among adults, focusing on behaviors, diagnoses, and treatment-seeking intentions.
  • Out of 8,714 respondents, 25% were at risk for FI, which was related to increased binge eating, laxative use, and dietary restriction behaviors.
  • While FI was linked to a higher risk of likely ED diagnosis, it did not significantly affect current treatment status or intentions to seek treatment.
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Background: Avoidant/restrictive food intake disorder (ARFID) is a serious, albeit under-researched, feeding or eating disorder. This exploratory study utilized data from adult respondents to the National Eating Disorders Association (NEDA) online eating disorder screen to validate items assessing the presence of ARFID and examine the prevalence, clinical characteristics, and correlates of a positive ARFID screen compared to other probable eating disorder/risk categories.

Methods: Among 47,705 adult screen respondents between January 2022 and January 2023, the prevalence of a positive ARFID screen was calculated.

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Background: This study tested whether the dissonance-based eating disorder prevention program reduced onset of subthreshold/threshold anorexia nervosa (AN), bulimia nervosa (BN), binge eating disorder (BED), and purging disorder (PD) over long-term follow-up.

Methods: Data were combined from three prevention trials that targeted young women at high-risk for eating disorders ( = 1092; age = 19.3).

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Objective: A significant gap exists between those who need and those who receive care for eating disorders (EDs). Novel solutions are needed to encourage service use and address treatment barriers. This study developed and evaluated the usability of a chatbot designed for pairing with online ED screening.

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Biological, genetic, and environmental factors make weight loss very difficult. Acceptance-based behavioral treatment (ABT) supplements standard behavioral treatments (BT) for obesity by teaching skills to accept the discomfort inherent to weight control behaviors and prioritize long-term, values-based goals. Grit, the ability to persevere in goal pursuit, overlaps conceptually with ABT principles and may predict outcomes in ABT.

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Objectives: Abnormal fetal tongue size is a phenotypic feature of various syndromes including Beckwith-Wiedemann, Pierre-Robin, oromandibular limb hypoplasia, chromosomal aberrations, etc. Current data regarding normal fetal tongue size are limited. Hence, micro/macroglossia are subjectively determined.

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Objective: Test the hypothesis that the efficacy of a dissonance-based obesity/eating disorder prevention program, Project Health, could be enhanced by implementing it in single-sex groups and adding food response inhibition and attention training.

Method: Using a 2 × 2 factorial design, young adults (N = 261; Mage = 19.3, 79% female; 64% White) were randomized to (a) single-sex or (b) mixed-sex groups that completed food response inhibition and attention training or (c) single-sex or (d) mixed-sex groups that completed generic response inhibition and attention training with nonfood images.

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Weight suppression (WS) predicts future weight gain and increases in eating disorder symptoms in community and clinical samples but has received minimal attention in obesity and eating disorder prevention programs. In a sample of emerging adults (N = 364) in a randomized controlled trial evaluating two obesity and eating disorder prevention interventions versus a control condition, this study aimed to replicate the findings that WS and its interaction with baseline BMI predict increases in weight and eating disorder symptoms and test a novel hypothesis that WS would moderate the effects of the interventions on change in weight and eating disorder symptoms. Participants completed assessments at baseline, post-intervention, 6-, 12-, and 24-months.

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