8 results on '"Jason M. Nagata"'
Search Results
2. Clinician confidence and practices for evaluating bone health in male and female adolescents and young adults with an eating disorder
- Author
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Lance R. Nelson, Jennifer L. Carlson, Bonnie L. Halpern-Felsher, and Jason M. Nagata
- Subjects
Psychiatry and Mental health ,Clinical Psychology ,General Medicine - Abstract
Extensive literature exists on bone health in females with an eating disorder, yet few have studied males. Our study assessed clinician confidence and current practices for assessing bone health in patients with an eating disorder. We also aimed to identify any differences in practice based on patient sex. Our 31-item survey, distributed to adolescent clinicians in the United States via the Society for Adolescent Health and Medicine (SAHM) listserv, assessed clinician confidence and practices for assessing bone mineral density in both male and female adolescents with an eating disorder. Findings showed that clinicians (n = 104) were less confident in assessing bone mineral density in males compared to females (p .001), yet there was no significant difference in rates of obtaining a DXA (p = .390). Although clinicians are less confident assessing bone health in males with an eating disorder than females, this does not appear to result in screening differences.
- Published
- 2022
3. Associations between Adverse Childhood Experiences and Performance-Enhancing Substance Use among Young Adults
- Author
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Jason M. Nagata, Kyle T. Ganson, Stuart B. Murray, Jennifer Tabler, Misty A.W. Hawkins, Deborah Mitchison, and Harley M. Layman
- Subjects
Male ,Health (social science) ,Adolescent ,business.industry ,Sex Offenses ,Public Health, Environmental and Occupational Health ,Medicine (miscellaneous) ,Performance-Enhancing Substances ,Health outcomes ,Young Adult ,Psychiatry and Mental health ,Sexual abuse ,Adverse Childhood Experiences ,Odds Ratio ,Humans ,Medicine ,Female ,Child Abuse ,Longitudinal Studies ,Young adult ,Substance use ,Child ,business ,Clinical psychology - Abstract
Adverse childhood experiences (ACEs) are associated with negative health outcomes, yet their associations with performance-enhancing substance (PES) use are unclear. This study aimed to determine whether ACEs predict greater use of legal and illegal PES in young adults.We analyzed data from the National Longitudinal Study of Adolescent to Adult Health (Sexual abuse had the greatest effect and predicted higher odds of legal PES use (men: adjusted odds ratio [AOR] 1.66, 95% confidence interval [CI] 1.06-2.59; women: AOR 3.74, 95% CI 1.63-8.59) and AAS use (men: AOR 8.89, 95% CI 5.37-14.72; women: AOR 5.73, 95% CI 2.31-14.18). Among men, a history of physical abuse (AOR 3.04, 95% CI 2.05-4.52), being left alone by a parent/guardian (AOR 2.33, 95% CI 1.50-3.60), and basic needs not being met (AOR 3.47, 95% CI 2.30-5.23) predicted higher odds of AAS use. Among women, basic needs not being met (AOR 2.94, 95% CI 1.43-6.04) predicted higher odds of AAS use. Among both men and women, greater number of cumulative ACEs predicted higher odds of both legal and illegal PES use.ACEs predict greater PES use among young adults. Clinicians should monitor for PES use among those who have experienced ACEs and provide psychoeducation on the adverse effects associated with PES use.
- Published
- 2021
4. Updates in the treatment of eating disorders in 2020: a year in review in eating disorders: the journal of treatment & prevention
- Author
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Stuart B. Murray and Jason M. Nagata
- Subjects
Psychotherapist ,Binge eating ,business.industry ,medicine.medical_treatment ,digestive, oral, and skin physiology ,MEDLINE ,Psychological intervention ,General Medicine ,Emotional eating ,medicine.disease ,Dialectical behavior therapy ,Substance abuse ,Psychiatry and Mental health ,Clinical Psychology ,Eating disorders ,Systematic review ,medicine ,medicine.symptom ,business - Abstract
Several important studies advancing treatment of eating disorders were published in Eating Disorders: The Journal of Treatment & Prevention in 2020. This review summarizes the recent contributions to the literature on the treatment of eating disorders, including dialectical behavior therapy, yoga for positive embodiment, and treatment innovations in children and adolescents with eating disorders. Dialectical behavior therapy can be effectively used in complex eating disorder presentations, such as with comorbid substance use disorder and with suicidal behavior, and can be adapted for culturally-responsive treatments for binge eating and for guided self-help. Yoga may promote positive embodiment, which is supported by conceptual frameworks, studies evaluating yoga treatment interventions, and systematic reviews. Advances in eating disorder treatment for children and youth include the development of the Emotional Eating Scale adapted for children and adolescents, a review of primary care interventions for eating disorder treatment, and siblings' perspectives on eating disorder treatment. Research on novel methods including telementoring and innovative treatment modalities invoking feminism are promising areas of future research.
- Published
- 2021
5. Associations between ergogenic supplement use and eating behaviors among university students
- Author
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Jason M. Nagata, Katherine Bell Hill, Jennifer L. Carlson, Rebecka Peebles, and Sasha Gorrell
- Subjects
Male ,endocrine system ,Universities ,biology ,Athletes ,business.industry ,MEDLINE ,Feeding Behavior ,General Medicine ,biology.organism_classification ,Article ,Feeding and Eating Disorders ,Young Adult ,Psychiatry and Mental health ,Clinical Psychology ,Surveys and Questionnaires ,Supplement use ,Humans ,Medicine ,Female ,Students ,business ,Clinical psychology - Abstract
Ergogenic supplements to improve athletic performance are commonly used among college athletes, but little is known about their association with eating disorder symptoms. The objective of this study was to examine associations between ergogenic supplement use and disordered eating attitudes and behaviors among university students, and to compare differences by sex. Undergraduate students from 10 top-ranked National College Athletics Association (NCAA) Division I colleges completed an online survey on supplement use, athletic activities, and eating attitudes and behaviors. Among 1633 university students, males (38.9%) reported higher rates of current supplement use than females (15.2%) (p < .001). In linear regression models adjusting for athletic status and body mass index, current supplement use was associated with higher Eating Disorders Examination-Questionnaire (EDE-Q) Global, Shape Concern, and Restraint scores in both males and females. Supplement use was associated with driven/compelled exercise (OR 2.00, 95% CI 1.33–2.99) in males and diuretic (OR 6.39, 95% CI 2.02–20.22) and diet pill use (OR 3.07, 95% CI 1.79–5.27) in females. Results suggest ergogenic supplement use is common in undergraduates and associated with disordered eating attitudes and behaviors. Clinicians should screen for disordered eating behaviors particularly in young adults who use ergogenic supplements.
- Published
- 2020
6. Last word: A call to develop specific medical treatment guidelines for adolescent males with eating disorders
- Author
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Jason M. Nagata, Kyle T. Ganson, and Stuart B. Murray
- Subjects
Male ,medicine.medical_specialty ,Adolescent ,Medical treatment ,business.industry ,digestive, oral, and skin physiology ,education ,General Medicine ,medicine.disease ,Feeding and Eating Disorders ,Psychiatry and Mental health ,Clinical Psychology ,Eating disorders ,medicine ,Humans ,Female ,Psychiatry ,business - Abstract
Males with eating disorders are underdiagnosed and undertreated, which may be a result of inadequate guidance and training to assess and treat eating disorders for medical professionals. This may be particularly problematic for adolescent males given the focus of eating disorders research and treatment on adolescent females. Furthermore, there is a paucity of research to guide screening, medical treatment, and training of health professions in adolescent males with eating disorders. The development of eating disorders education and training for medical professionals are included in the 21st Century Cures Act, which further emphasizes the opportunity to develop treatment guidelines individualized to male patients. This last word calls for the development of specific medical treatment guidelines for adolescent males with eating disorders.
- Published
- 2019
7. Does it get better? Change in depressive symptoms from late-adolescence to early-adulthood, disordered eating behaviors, and sexual identity
- Author
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Jennifer Tabler, Rachel M. Schmitz, Jason M. Nagata, and Claudia Geist
- Subjects
050103 clinical psychology ,Sexual identity ,030505 public health ,Health (social science) ,05 social sciences ,Late adolescence ,Mental health ,Article ,Sexual minority ,03 medical and health sciences ,Psychiatry and Mental health ,Clinical Psychology ,0501 psychology and cognitive sciences ,Lesbian ,Disordered eating ,0305 other medical science ,Psychology ,Depression (differential diagnoses) ,Depressive symptoms ,Clinical psychology - Abstract
Sexual minority youth are often described as at-risk for mental health comorbidities, including disordered eating behavior (DEB) and depression. This study assesses differences in late-adolescent DEB and depressive symptoms among gay/lesbian, bisexual, or mostly-heterosexual individuals, and how their symptoms change across early-adulthood. While sexual minority youth were more likely to report DEB and elevated depressive symptoms in late-adolescence relative to exclusively heterosexual peers, gay/lesbian individuals experienced improvement in early-adulthood depressive symptoms. Conversely, bisexual individuals maintained elevated depressive symptoms into early-adulthood, and additional depressive symptoms associated with DEB. DEB may be a unique risk-factor shaping the mental health of bisexual youth.
- Published
- 2019
8. Around the Table: Food Insecurity, Socioeconomic Status, and Instrumental Social Support among Women Living in a Rural Kenyan Island Community
- Author
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Sheri D. Weiser, Craig R. Cohen, Richard Magerenge, Charles R. Salmen, Erin M. Milner, Brian Mattah, Matthew D. Hickey, Elizabeth A. Bukusi, Jason M. Nagata, and Kathryn J. Fiorella
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Adult ,Rural Population ,Kenya ,media_common.quotation_subject ,Psychological intervention ,Medicine (miscellaneous) ,Article ,Food Supply ,Young Adult ,Social support ,Humans ,Socioeconomics ,Socioeconomic status ,Aged ,media_common ,Islands ,Food security ,Ecology ,Social network ,business.industry ,Social Support ,General Medicine ,Middle Aged ,Cross-Sectional Studies ,Geography ,Social Class ,Marital status ,Female ,Psychological resilience ,business ,Food Science - Abstract
Food insecurity is a leading cause of morbidity and mortality in sub-Saharan Africa. Because food procurement is a social process embedded in complex social structures, social support may serve a critical role in sustaining food security in resource-limited settings. The objective of this study was to investigate the relationship among socio-economic status, social support, and food insecurity in a rural Kenyan island community. A cross-sectional random sample of 111 female heads of households representing 583 household members were surveyed in Mfangano Island, Kenya from August to October 2010 using adaptations of the Household Food Insecurity Access Scale and the Medical Outcomes Study Social Support Survey. In multiple linear regression models, less instrumental social support, defined as concrete direct ways people help others (B = −0.81; 95% confidence interval [CI] −1.45 to −0.17), and decreased ownership scale based on owning material assets (B = −2.93; 95% CI −4.99 to −0.86) were significantly associated with increased food insecurity, controlling for age, education, marital status, and household size. In addition to economic interventions, social support interventions geared at group capacity and resilience may be crucial adjuncts to improve and maintain the long term food security and health of persons living in low-resource regions.
- Published
- 2015
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