Jessica Owen from Cherish Editions kindly gifted me a copy of Rachel Townsend’s memoir Finding Frank for an honest review.
Rachel covers several difficult subjects, such as domestic violence, depression, child abuse, alcoholism, and drug addiction. She is raw and honest with the accounts of her life and I can relate on several fronts. I was rooting for her the whole way.
Finding Frank reels you in fast, so find a comfy spot because once you start reading, you will keep turning the pages to see how her life takes the next turn.
About the author
Rachel is a counselor and holistic therapist, now based in Cornwall in the UK, having a globetrotter for much of her life. As a counselor, motivated by her life experiences, she specializes in helping with trauma and recovery, and relationship problems. Outside of her profession, her personal experiences shape her prose.
About Finding Frank
How do you find love when all you’ve known as a child is violence and abuse?
How do you find your way back from the clutches of drug addiction and stop yourself from sinking deeper and deeper into a dark and debilitating depression? How do you carry on when you finally open your heart and then lose the one you love in the most tragic of circumstances?
Rachel’s story is a tale of triumph over adversity. Set in a tropical island paradise in the West Indies, Rachel’s journey takes her away to boarding school in England and on to the Middle East for the school holidays, where she first sets eyes on Frank.
Remarkably, Rachel not only finds a way to make peace with the terrible traumas of her past, but she manages to turn her life around completely and along the way, she finds love… a love she once believed was lost to her forever.
My Thought
“Finding Frank is a riveting memoir from Rachel Townsend who has overcome insurmountable odds to rise above trauma and blossom into a whole, loving person and respected author. She’s an inspiration for us all. Rachel comes from a background of violence and child abuse, she was abandoned by her mother as a child and uprooted from her island home to find herself in a boarding school in the Middle East. Rachel was guided by the love of her father and made new friends which helped her gain self-confidence. As a young woman, Rachel finds herself spiraling into a dark depression without the tools to cope, the darkness seems to have no end in sight. Rachel wanted love in her life but felt that true love would not come around a second time. Finding Frank is not your typical love story and that’s one of the reasons I love it. Life isn’t like the movies, it’s hard and painful at times. Rachel shows us no matter how hard and painful, you can overcome the past and build a solid future of your dreams. Finding Frank is a must-read, you may find yourself sharing with friends and family too.”
Cherish Editions
Cherish Editions is the self-publishing division of Trigger Publishing, the UK’s leading independent mental health and wellbeing publisher.
We are experienced in creating and selling positive, responsible, important and inspirational books, which work to de-stigmatise the issues around mental health, as well as helping people who read them to maintain and improve their mental health and wellbeing. By choosing to publish through Cherish Editions, you will get the expertise of the dedicated Trigger Team at every step of the process.
We are proud of what we do, and passionate about the books that we publish. We want to do the very best for you and your book, holding your hand every step of the way.
Carrying trauma from your childhood is so draining and it has far-reaching effects on your physical and mental health. Many people experience flashbacks and PTSD symptoms after surviving sexual abuse as a child, but often, the impact is less direct. Even those that do not think about the abuse itself that much and assume that they are not affected by the trauma that much may experience a range of mental and physical health issues. Survivors of childhood sexual abuse do not always connect the dots and they don’t realize that the issues they experience are related to their trauma.
Understanding what potential issues can be caused in adulthood can help survivors recognize when their trauma is affecting them. These are some of the most common physical and mental health issues caused by childhood sexual abuse.
Depression
Depression is one of the most common mental health issues we face right now and there are a lot of reasons why people develop it in the first place. However, studies show that there is a strong correlation between people that experienced abuse as a child and people that suffer from serious depressive disorders. As an adult, attending depression counseling can help manage the symptoms and you may even be able to start unpacking some of that trauma.
However, research suggests that early intervention to support children is the key to avoiding this issue in later life.
Substance Abuse And Eating Disorders
Dangerous behaviors like substance abuse and eating disorders are also more prevalent in survivors of childhood sexual abuse. The symptoms of trauma are often difficult to manage, especially if the survivor does not have the support that they need. Many sexual abuse survivors also suffer from other mental health issues and it’s common for them to self medicate with alcohol or drugs. Eating disorders are often a way of gaining control over one aspect of their life because a person feels so out of control in other areas.
Sexual Confusion
Sexual confusion is incredibly common in male survivors of childhood sexual assault. Boys that are abused by older men when they are too young to understand sexuality will be confused about whether they are homosexual or not. This confusion remains as they grow older and it can make it incredibly difficult for them to form meaningful relationships.
Obesity
We think of obesity as a fairly straightforward problem; if you eat too much, you gain weight. But it’s far more complicated than that and childhood sexual abuse often has a role to play. During a weight loss study, it was discovered that many of the participants that struggled to stop overeating had been abused as children. Further research in the area has shown that there is a direct correlation between obesity and childhood sexual abuse.
If we are ever to deal with the issue of childhood sexual abuse and help survivors regain power over their lives, it is important that we understand just how much impact it has in adulthood. These are some of the most common ways that sexual abuse manifests in adulthood, but there are countless other health issues that it can cause.
I’m so glad you’ve joined me this week for another edition of Weekend Music Share.
Have a great weekend!
Melinda
Welcome back to Weekend Music Share; the place where everyone can share their favorite music.
Feel free to use the ‘Weekend Music Share‘ banner in your post, and don’t forget to use the hashtag #WeekendMusicShare on social media so other participants can find your post.
We like to believe that we live in a generally safe world where our quality of life isn’t continually on the line. If we didn’t, we’d struggle to leave the house in the morning.
But the truth is that we don’t live on a perfectly safe planet. In fact, there are dangers everywhere.
Every minute of the day, for instance, somebody is injured in a crash, and many of the victims have life-changing disabilities that stay with them for the rest of their lives.
You can’t really understand disability until you’ve experienced it. Suddenly, you find out that you can’t do all the things you used to be able to do, and it creates a whirlwind of emotions. Life just isn’t the same afterward, either mentally or physically.
For many people, the first response is anger. If their disability was their fault, they feel a kind of rage against themselves. Why did they put themselves in danger?
If their disability was somebody else’s fault, they feel a sense of violation against the person who did it to them, even if it was unintentional. There are often long court battles as people attempt to get compensation from another party.
The anger, however, eventually becomes a cost if it lingers. The longer it goes on, the more it taxes the individuals. Eventually, it can harm their health further, leading to forms of depression and chronic disease.
Losing your abilities is a little bit like losing somebody you love. If you can no longer walk, for instance, you go through a process of grieving over that loss. Instinctively, you know that the ability isn’t going to come back. And so you have to psychologically and emotionally deal with that fact before you can move on.
That kind of mentality is quite destructive, but also commonplace in people who’ve been injured or develop a chronic condition. The trick, of course, is to recognize that life does go on and that there are plenty of things you can do to enjoy your existence.
In some situations, disability can also breed loneliness. Some people find that they are more isolated from their friends and family because of the fact that they can no longer get around as well as they used to.
Loneliness can also occur at an emotional level. When you have a disability, you feel somewhat alienated from the people around you. Unlike you, they don’t know what it is like to be housebound or bedbound. And so they can’t really understand what life is like for a person in your situation.
The solution here is to join a group of people who do understand what you’re going through so that you can voice your feelings and make them known.
Home hunting can be a stressful thing, right? It can take ages, and you might never find the house you really want, and you might have family on the way that makes it even harder to go from property to property, or maybe the house hunting is just getting in the way of the honeymoon period. No matter what the reason is, you’re dreading the thought of trying to find a new place to live.
And that’s where we can help. We’ve got some ideas for stress-busting the process below, so be sure to keep them in mind if you’re about to hit the market and secure a property that could become yours forever home.
Whoever you’re buying with, and whatever reasons you’re buying for, you all need to be on the same page. Most new home buyers are couples, either newlywed or with a young, growing family, and while both groups have a lot in common, you and your partner need to be in the agreement above all else.
We don’t want any arguments here, or to delay the house-hunting process by any number of weeks, which will really help with keeping the stress off of your shoulders. So, you need to both be looking for the same thing – sit down together, and don’t stop workshopping until you have the same list on your minds. Only then should you get in touch with an estate agent.
Work with an Agent
You’re also going to want to work with an agent, to allow them to do all of the hard work for you, such as scouting out properties and negotiating the price with the seller. Because when you’ve got someone knowledgeable and professional on your side, such as PropertiesMiami, you have a much better chance of scoring a smooth and budget buying process.
Plus, an estate agent will help you to decide what it is you’re looking for, or need if you’re struggling to come up with these features yourself. They can help you to come to an agreement, or even reach a compromise together.
Have Compromises Ready
Finally, there’s a good chance you’re not going to score the home of your dreams here (but it’s not impossible!), and you’ll need to have some compromises ready in advance. What are you willing to negotiate with your partner on? What features aren’t quite a must-have, and you’re willing to live without and/or renovate in at a later date?
You can swap out many things to bring your dream home to life, like the light fixtures, flooring, and even windows. Keep an open mind and imagine what it will look like with a change in mirrors, installing a bay window, or maybe adding a chandelier. The cost to get a window replacement company or electrician in to bring your idea to life might be cheaper than hunting down the home that already has the fixture installed. Is the kitchen boring you to sleep? Take off the cupboard doors and add your touch to them with a lick of paint and new knobs. If your taste is a bit more expensive than your current budget, don’t write off the house just yet. Instead, start saving for the changes you love.
For example, maybe you want a breakfast nook, but none of the houses you like have one? Decide if this really matters or not, and then buy the house that could become a proper family home, and still has room for that breakfast nook when you’ve got the cash later on…
Stress is at an all-time high when house hunting and moving, so try to eliminate it from the start. You’ve got some great tools on your side to do so!
I’m so glad you stopped by today, I love seeing your smiling face and hearing your comments.
The Peony is my favorite flower and this year my husband bought one for the backyard. I’ve been so surprised by how quickly it’s growing and the flowers are huge. This one unfortunately doesn’t have the fragrant smell like my grannies did.
In an age where everyone is constantly connected, and false pretenses are the norm, it can be hard to stay positive about life and yourself. Many teens have attested how social media has made them feel more insecure about how they look. This may be because filters and editing tools can make a person look entirely different from actual reality, creating false and unrealistic standards today’s generation of girls feel they need to live up to.
Plastic surgeons have even come up with a new term called “Snapchat Dysmorphia,” which is a condition doctors have found mostly in adolescent women who try to get plastic surgery in order to look more like what they look like on Snapchat or Instagram with all the added filters. Looking after yourself has never been more vital, especially when living in a world that is constantly trying to convince you of what is acceptable and considered beautiful. That said, here are some tips on what you can do to look after your mental health in a digital age.
It may sound like a childish approach at first, but limiting the amount of time you spend on your phone, and especially online, can do wonders for your mental well-being. The more time to spend online, the less time you spend in the real world, being productive and practicing other healthy habits. Social media is helpful in a long list of ways. Whether it is to gain exposure for your business, staying in touch with friends and family, or learning more about what’s going on in the world around you, anything you do excessively will ultimately lead to an imbalance of some sort in your life. Moderation is key, which is why setting boundaries to the amount of time you spend on social media can open up loads of time for other important things like work, family time, getting in some exercise, or even just relaxing. You’ve probably found yourself hopping on Instagram for a quick catch-up, only to find yourself an hour later, still scrolling, each post just as interesting as the one before it. This is why it’s essential to set a limit because, whether you notice it or not, it happens more than you think.
Protect Yourself
One of the less glamorous things about social media is the fact that we can’t always control what pops up. Suggested posts are brought to your feed, and before you know it, you stumble upon something that may offend or really bother you. This isn’t necessarily social media’s fault; even though they try to keep a tight rein on what’s posted on their platform, there are billions of people posting each and every minute, making it almost impossible for them to regulate content thoroughly. They have, however, given you a small amount of authority and have taken your power of free will online by giving you an unfollow, block, and report button. These buttons aren’t just there to look pretty; they cause real action once implemented and can lead to the platform taking a closer look at the relevant content and disposing of the post (or the entire account if necessary) in order to make your experience better. Have a look at https://backlightblog.com/how-to-block-unblock-on-instagram to learn more about how to use some of these helpful tools.
Tech Cleanse
Many celebrities have taken some time off from their social media accounts with millions of followers for a bit of a break-away. These public figures have realized how stressful and pressurizing the online world can be and have learned that taking some personal time can only benefit one’s mental health. Allowing yourself a tech cleanse from time to time will lift your spirits and make you feel like an entirely new person – this means taking a period of time and detaching yourself from the online world. No, you don’t have to lock away your phone in a drawer and throw away the key, just take a breather from the hustle and bustle of social media and do some self-reflecting, pamper yourself a bit, maybe even take up a new hobby or learn a new skill. The online world isn’t going anywhere soon and will definitely still be there by the time you get back!
Your number one priority should always be you at the end of the day, whether it be physically, emotionally, mentally, or spiritually. Take some time, give yourself some space, and do whatever you need to do to ensure you stay happy and healthy, inside and out.
I asked Aila Health to provide an introduction about their service offerings for my autoimmune disease and other chronic illness readers. I found their concept interesting and wanted to share it with you. The idea of tapping into a community of like-minded people is interesting and finding a place that offers one on one coaching from people who understand chronic illnesses is rare.
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Aila Health | Newsletter Content
Welcome to Aila Health!
Precision health for chronic illness
Who We Are
Article by Rory Stanton, CEO
Hi guys! Rory here. I’m the founder ofAila Health, a company I’m building to bring compassionate, accessible care to people living with autoimmune diseases and other chronic illnesses. I wanted to let you know why I created Aila Health and tell you about the app we just released for chronic illness warriors. After watching my cousin spend years visiting dozens of specialists to help diagnose and manage her chronic illness, I thought there had to be a better way.
The Problem
I talked with hundreds of patients and specialists to try to figure out how to solve this problem. I learned that your care is siloed and your doctors can’t always see a full picture of your health. They see a couple of your symptoms at random intervals but don’t always see all of the other symptoms or factors that cause flare ups.
Not Invisible
The Aila Health app allows you to sync all of your health data in one place and identify what is triggering your flare ups. Because your health information is centralized in one place, you can better share your trends with your doctors. Your doctors can then see “invisible” symptoms like chronic pain, fatigue, insomnia with the data, even if your lab tests keep coming back “normal.”
The Community
Once you download the app, you can also connect with other chronic illness warriors in the Aila community to share insights and get support. We’d love to invite members of the Looking for the Light community to the Aila Health app.
Download the app for free to consolidate your health information and track your flare ups in one place
Personalized Coaching
If you want additional help with personalized nutrition, mindfulness and stress management training and 1:1 holistic health coaching, you can subscribe to the health coaching program. We’re offering Looking for the Light members 25 % OFF your first month.
Just enter code Light25 at checkout.
As part of building community, we’re hosting a 3-month webinar series, kicking off Thursday, May 13th. First up in the series, we’ll hear real stories from real people about living with autoimmune disease. These powerful, amazing, and inspiring individuals will share about their health journeys. Register to attend here and we’ll keep you posted on additional webinars too! https://ailahealth.com/webinar
Aila Health solutions are available to the chronic illness community with a tap of the finger. It’s one place for your one on one coaching needs, an information database, and a support system with other chronic illness warriors.
This post is part of TED’s “How to Be a Better Human” series, each of which contains a piece of helpful advice from people in the TED community; browse through all the posts here.
The problem of misinformation isn’t going away.
Internet platforms like Facebook and Twitter have taken some steps to curb its spread and say they are working on doing more. But no method yet introduced has been completely successful at removing all misleading content from social media. The best defense, then, is self-defense.
Misleading or outright false information — broadly called “misinformation” — can come from websites pretending to be news outlets, political propaganda or “pseudo-profound” reports that seem meaningful but are not. Disinformation is a type of misinformation that is deliberately generated to maliciously mislead people. Disinformation is intentionally shared, knowing it is false, but misinformation can be shared by people who don’t know it’s not true, especially because people often share links online without thinking.
Emerging psychology research has revealed some tactics that can help protect our society from misinformation. Here are seven strategies you can use to avoid being misled, and to prevent yourself – and others – from spreading inaccuracies.
The lesson is to be particularly critical of information from groups or people with whom you agree or find yourself aligned – whether politically, religiously, or by ethnicity or nationality. Remind yourself to look for other points of view, and other sources with information on the same topic.
You can play an online game called “Fakey” to see how susceptible you are to different ways news is presented online.
When consuming news, make sure you know how trustworthy the source is or whether it’s not trustworthy at all. Double-check stories from other sources with low biases and high fact ratings to find out who — and what — you can actually trust, rather than just what your gut tells you.
Also, be aware that some disinformation agents make fake sites that look like real news sources – so make sure you’re conscious of which site you are actually visiting. Engaging in this level of thinking about your own thinkinghas been shown to improve your ability to tell fact from fiction.
Thinking “is what I am sharing true?” can help you stop the spread of misinformation and will encourage you to look beyond the headline and potentially fact-check before sharing.
Even if you don’t think specifically about accuracy, just taking a pause before sharing can give you a chance for your mind to catch up with your emotions. Ask yourself whether you really want to share it, and if so, why. Think about what the potential consequences of sharing it might be.
Research shows that most misinformation is shared quickly and without much thought. The impulse to share without thinking can even be more powerful than partisan sharing tendencies. Take your time. There is no hurry. You are not a breaking-news organization upon whom thousands depend for immediate information.
5. Be aware of your emotions
People often share things because of their gut reactions, rather than the conclusions of critical thinking. In a recent study, researchers found that people who viewed their social media feed while in an emotional mindset were significantly more likely to share misinformation than those who went in with a more rational state of mind.
Anger and anxiety, in particular, make people more vulnerable to falling for misinformation.
6. If you see something, say something
Stand up to misinformation publicly. It may feel uncomfortable to challenge your friends online, especially if you fear conflict. The person to whom you respond with a link to a Snopes post or other fact-checking site may not appreciate being called out.
An additional benefit is that public debunking notifies other viewers that they may want to look more closely before choosing to share it themselves. So even if you don’t discourage the original poster, you are discouraging others.
7. If you see someone else stand up, stand with them
If you see someone else has posted that a story is false, don’t say “well, they beat me to it so I don’t need to.” When more people chime in on a post as being false, it signals that sharing misinformation is frowned upon by the group more generally.
Stand with those who stand up. If you don’t and something gets shared over and over, that reinforces people’s beliefs that it is OK to share misinformation — because everyone else is doing it, and only a few, if any, are objecting.
Allowing misinformation to spread also makes it more likely that even more people will start to believe it — because people come to believe things they hear repeatedly, even if they know at first they’re not true.
There is no perfect solution. Some misinformation is harder to counter than others, and some countering tactics are more effective at different times or for different people. But you can go a long way toward protecting yourself and those in your social networks from confusion, deception and falsehood.
This article is republished from The Conversation under a Creative Commons license.
H. Colleen Sinclair PhD is an Associate Professor of Social Psychology at Mississippi State University. Her research focuses on interpersonal relationships, social influence and misinformation.
Living with Fibromyalgia is a delicate dance, which is why May’s Fibromyalgia Awareness Month is so important. The bloggers at the Fibro Blogger Directory got together to provide the ultimate post for Fibromyalgia recommendations. Each blogger has a link with the rest of the blog post, so definitely head over to other blogs to read […]
According to a 2019 survey from the Centers for Disease Control, approximately one in five youths reported they’d seriously considered attempting suicide within the last year, while one in six had actually made a suicide plan, and one in 11 had made an attempt. Since the pandemic began, things have only gotten worse. In 2020 Mental Health America reported an uptick in severe major depression and suicidal ideation among youth. It noted in September 2020 that more than half of 11- to 17-year-olds reported they had experienced frequent thoughts of suicide or self-harm in the last two weeks. Other statistics are equally alarming.
Simply put, this pandemic has pushed stress levels of many youth to the breaking point. There are many contributing factors, such as isolation from peers, concern about loved ones getting sick, family financial issues such as job losses, and stress from navigating distance learning.
Then there are the situations in which child abuse and exploitation occur. During the early months of the pandemic, for example, child abuse complaints dropped, sometimes by as much as 50 percent. That’s not because abuse and exploitation issues were down. Just the opposite–the abuse was unreported because it wasn’t being seen by those who would typically catch it.
Teachers and school staff are often a first line of defense to report abuse and identify and support students who are dealing with stress and anxiety, because they are with the student all week and often see the telltale signs of a problem. For instance, is the student suddenly withdrawn from friends? Have they stopped eating at lunch? Are they suddenly lacking proper hygiene? But during the pandemic, in many cases teachers aren’t seeing the students as often, if at all, in person. This makes it more difficult for them to detect potential problems, but it doesn’t make it impossible.
Increasingly withdrawn behavior. Has a student who typically participates a lot in class suddenly stopped? If so, this could be a sign that there is something more going on.
Increased attention-seeking behavior. A student who typically is very respectful of the rules of an online environment is increasingly engaging in behavior that requires the teacher’s attention. It might be as simple as clicking their mute button on and off during a lesson or dressing inappropriately when on camera.
Significant changes in attendance, or suddenly wanting to keep their video off when they previously had it on.
To support students, teachers can schedule one-on-one virtual check-ins to see how students are doing. They can also provide their contact information and make sure students know they can reach out if they need to talk. Some schools use technology that allows staff to monitor students’ online activity and teachers to report concerns. A free tool called back:drop lets teachers track and record wellbeing information and concerns. Teachers can take advantage of tools like this if they’re available to keep tabs on potential issues and intervene if needed. Mental Health America also has a toolkit with tips to support students’ mental health.
The long-term impact of the pandemic in terms of students’ mental health is yet to be seen. In the short term however, teachers and school staff can help students weather the storm by keeping an eye on how students are behaving online, and by taking advantage of the resources mentioned above. These tools and practices can help teachers continue to be that first line of defense.
Justin Reilly is a former teacher and education leader with 20 years of experience leading EdTech businesses to success. With an early career teaching mathematics and information and communications technologies in UK secondary schools, Reilly understands firsthand the challenges associated with digital learning. He currently serves as CEO of Impero Software, a leader in student safety software. He has also served as the CEO of Mwabu Group, one of Africa’s leading EdTech businesses, serving schools and ministries of education in some of the most remote and unstable regions and as vice president of technology delivery and strategic partnerships at Pearson Education and CEO of Fronter AS, a provider of learning management systems. He works at Impero’s UK office in Nottingham.
The study examined nearly 400,000 female veterans, of which nearly one-third suffered from PTSD. The results of that study reflected that female veterans suffering from PTSD were 44% more likely to have the debilitating heart disease than their fellow veterans who did not have PTSD.
A similar study done in 2017 found that male veterans suffering from PTSD were 18% more likely to suffer from heart disease than their fellow veterans who did not have PTSD.
PTSD can affect women and men in different ways. Women with PTSD are more likely to feel depressed and anxious, while men with PTSD are more likely to have problems with alcohol or drugs. However, while both women and men who experience PTSD may develop physical health problems, the severity and preponderance of those symptoms also differ between the sexes.
According to the American Heart Association, ischemic heart disease refers to problems caused by narrowing of the arteries. That results in less blood and oxygen reaching the heart muscle and ultimately can lead to a heart attack.
As with men, the most common symptom of a heart attack in women is chest pain or discomfort. But women are somewhat more likely than men to experience some of the other common symptoms, particularly shortness of breath, nausea/vomiting and back or jaw pain.
Ischemic heart disease is also known as coronary artery disease or coronary heart disease.
Often, ischemic heart disease has no symptoms and can lead to a heart attack with no prior warning.
Despite advances in prevention and treatment, cardiovascular disease remains the leading cause of death worldwide. In the U.S., one in four deaths is caused by heart disease.
The study further found that female veterans who suffered from PTSD at relatively young ages, especially those under 40 years old, were at greater risk for heart disease.
The authors of the study recommend that physicians closely monitor patients with PTSD for coronary and related diseases as a result of their findings.
An inability to stop what you are doing or are about to do can cause considerable distress. Until recently, uncontrolled eating or binge eating, an eating disorder, has been linked to reduced self-regulation under stress, or deficits in brain regions responsible for inhibitory control. But this popular theory of impulsivity-induced binge eating has no direct evidence.
A new study led by scientists at the University of Cambridge examined how experimentally induced stress affects self-regulation in normal individuals and women with anorexia and bulimia. Functional magnetic resonance imaging (FMRI) neuroimaging of participants under stressful and neutral conditions showed that stress-induced lack of self-control is too simplistic and inadequate in explaining the cause of binge eating.
Earlier neuroimaging studies in patients with bulimia nervosa (BN) reported reduced activity in frontostriatal regions that are important in self-control, resulting in the popular theory that posits binge eating results from a failure of self-regulation under stress. However, there has been no direct evidence that stress impairs self-regulation in binge-eating disorders.
The researchers determined the effect of acute stress on self-control in 85 women, including 33 women with BN, 22 women with anorexia nervosa and bingeing or purging (AN-BP), and 30 normal women.
The authors performed a validated method of measuring proactive (anticipation of stopping) and reactive (outright stopping) inhibition called the stop-signal anticipation task, on all participants coupled with repeated FMRI scans for two consecutive days. The stop-signal anticipation task entailed pushing a button to stop a moving bar when it reached a specific point on the screen. On some trials, the bar stopped early, and the participants had to stop themselves from pushing the button.
The results showed women with BN showed reduced proactive inhibition while prefrontal responses were increased in women with both AN-BP and BN, whereas reactive inhibition remained intact in both diagnostic groups. Both AN-BP and BN groups showed distinct, stress-induced changes in inferior and superior frontal activity during both proactive and reactive inhibition tasks, but task performance was unaffected by stress.
These findings provide novel evidence of reduced proactive inhibition in BN, yet these inhibitory control deficits did not generalize to women with AN-BP. The results show that stress alters brain activity associated with inhibitory control in both groups of women with eating disorders but had no effect on their ability to stop their actions. These results demonstrate that self-inhibition is intact in the face of stress and the underlying neural mechanism behind binge eating is more complex than previously thought.
“Our findings identify intriguing alterations of stress responses and inhibitory function associated with binge eating, but they counsel against stress-induced failures of inhibitory control as a comprehensive explanation for loss-of-control eating,” the authors noted.