Compensatory Behaviors Research Articles

Validation of the Modified Yale Food Addiction Scale 2.0 (mYFAS 2.0) in Spanish University Students.

The aim of this study was to explore the factorial structure, psychometric properties and association with anthropometric and clinical variables of the Modified Yale Addiction Scale 2.0 (mYFAS 2.0) in a Spanish university population. A cross-sectional study of n = 270 university students in Spain was conducted. mYFAS 2.0, Emotional Eater Questionnaire (EEQ), Alcohol Use Disorder Identification Test (AUDIT), Pittsburg Sleep Quality index (PSQI) and Perceived Stress Scale (PSS). In mYFAS 2.0 were performed an Exploratory Factor Analysis (EFA), an Unweight Least Square (ULS), a model fit using comparative fit index (CFI) and nomological validity. EFA revealed that a two-factor structure is the most appropriate in a non-clinical population of Spanish university students. The factors accounted for 18.54% and 16.33% of the variance, and the correlation between them was moderate-0.487 (p < 0.001). This different structure from that reported in the original scale could be derived from the cultural characteristics and intrinsic eating habits of the study population. The correlation matrix reported an inverse association of mYFAS 2.0 with Body Mass Index (BMI). In addition, participants with a BMI below 25 showed a higher mYFAS 2.0 and EEQ score. These results suggest some changes in the psychometric assessment structure of the mYFAS 2.0 in a non-clinical population of university students, as well as the usefulness of this questionnaire to identify individuals with an adequate BMI but with compensatory behaviours that predispose to different eating disorders.

Weight-control compensatory behaviors patterns and correlates: a scoping review.

Weight-control compensatory behaviors appear to be a commonly utilized strategy for health management. Individuals engaging in such behaviors believe that the negative consequences from unhealthy behaviors will be neutralized by the positive consequences of healthy behaviors. Existing research has not reached a consensus on whether such behaviors are beneficial to health. This review aims to (1) summarize the patterns of weight-control compensatory health behaviors in different populations, (2) highlight correlates, predictors, and consequences of compensatory health behaviors, and (3) identify gaps for future research. This review identified existing literature using online databases, CINAHL and PubMed. Primary research articles published after 2000 with non-clinical participants of 12 years or older who engaged in compensatory behaviors for weight control purposes were selected. Descriptive statistics were extracted from 35 studies. Different patterns for weight-control compensatory behaviors emerged between the female and male sexes. Meanwhile, no clear association of such behaviors was found across weight status. Studies reviewed also highlighted three main areas of compensatory behaviors for weight management, namely dietary behaviors, physical activity, and alcohol consumption. Weight-control compensatory behaviors had significant negative correlations with mental health indicators, such as psychosocial functioning, emotional differentiation ability, and body esteem. Weight-control compensatory behaviors may be a widely used weight management strategy and can be presented in diverse ways. Although believed to be promoting health, such behaviors appear to be associated with poor psychological well-being. This emerging topic warrants more in-depth investigation to establish the direction of causation. Future research may investigate the relationship between weight-control compensatory behaviors and various aspects of health over longer time periods, examine the engagement of multiple weight-control compensatory behaviors, and focus on high-risk populations.

Dental erosion and its correlation with bulimia nervosa: a literature review

Dental erosion is the loss of mineralized tooth tissue caused by acids not originating from the oral microbiota. It results from extrinsic factors, such as acidic foods and beverages, or intrinsic factors, such as gastroesophageal reflux and frequent vomiting. Bulimia nervosa (BN), an eating disorder characterized by episodes of binge eating followed by compensatory behaviors such as forced vomiting, can exacerbate dental erosion. The aim of this study was to conduct a narrative literature review on dental erosion, addressing diagnosis, prevention, treatment, and its correlation with BN. A search was conducted on the PubMed platform in July 2023 using MeSH terms “tooth erosion” and “bulimia nervosa” combined with “OR”. After applying inclusion and exclusion criteria, 21 articles were selected, and 6 additional studies were included through manual search. A concerning link between BN and dental erosion was observed, as patients with purging-type BN frequently exhibit dental damage due to the acidic pH of vomit, which leads to mineral loss from the enamel. Early diagnosis and proper management, involving clinical identification and implementation of preventive and therapeutic strategies, are crucial to preventing severe cases. Prevention should focus on reducing acid exposure and maintaining good oral hygiene, while treatment may include fluoride application, restorations, and, in advanced cases, more invasive procedures. Interprofessional collaboration and the de-stigmatization of eating disorders are essential for improving detection and treatment, providing care that addresses both the psychological and physical issues associated with dental erosion.

Adult dietary experience influences mortality of the pest melon fly, Zeugodacus cucurbitae (Diptera: Tephritidae), to an ingested toxin

AbstractIngested toxins formulated as baits can be effective in the management of insect pests, but their efficacy may be influenced by insect foraging alongside active ingredients. There are several components that might influence insect consumption of toxic baits, one of which being prior nutritional exposure. In our study, we investigated how protein deprivation following adult emergence influences lethal and sublethal effects of boric acid on the pest tephritid melon fly, Zeugodacus cucurbitae. We performed a series of experiments to address the impact of prior diet on mortality, diet consumption, enzymes involved in detoxification and antioxidation and fly activity. Newly emerged melon fly adults were provided either diet containing 3:1 sucrose/yeast hyrdrolysate or just sucrose for three days prior to bioassays. Overall, protein deprivation had a strong effect on fly interactions with boric acid. In two separate experiments (continuous exposure and short duration feeding), insects only pre‐fed sucrose had significantly higher mortality compared with those pre‐fed protein. Insects that were pre‐fed only sucrose removed more liquid diet over the same duration of the experiments, suggesting compensatory foraging behaviours. Adults pre‐fed sucrose had higher catalase (1.5×) and superoxide dismutase (1.7×) activities compared with adults pre‐fed sucrose‐yeast, but we found no effect of boric acid on their activity or that of glutathione‐S‐transferase or acetylcholinesterase activity. Boric acid consumption also significantly reduced the activity of melon flies. Overall, our results demonstrate that prior diet in fly adulthood can impact subsequent exposure to and efficacy of ingested toxicants.

Is compensation a myth? Modelling the use of public and private urban green spaces in relation to the geographical context

The compensation hypothesis postulates that the absence of green spaces in residential areas leads to a greater use of public green spaces and nature in general. This paper tests this hypothesis by focusing on the use of public and private urban green spaces. A holistic approach is adopted that considers the complexity of residential context and the use of urban, peripheral and private green spaces. A survey was conducted in two medium-sized French cities (Dijon and Besançon) to identify how their green spaces were used and perceived. The residential context was described through multiple spatial and environmental metrics (physical and visual access to nature, noise level, private green space area) that were GIS-referenced to postal addresses. On the basis of that data, the compensation hypothesis was explored using a PLS path model. The results show the absence of compensatory behaviour when considering just the overall relationships between the use of different types of green spaces. However, conditional compensatory behaviours can be detected when allowance is made for other variables (physical and visual accessibility to nature, type of housing, dwelling floor area, noise level). These results remain dependent on the geographical context of the city, with a higher compensation effect where natural areas are less accessible.

The Impact of Green Purchase Intention on Compensatory Consumption: The Regulatory Role of Pro-Environmental Behavior

Green purchasing behavior refers to the potential of consumers to reduce the impact on the environment and the excessive loss of natural resources in the procurement process as far as possible under the premise of meeting their own needs. This behavior is not only helpful in alleviating environmental problems but also is an important way to achieve sustainable development. However, whether consumers will increase non-green or excessive compensatory consumption behaviors due to the “moral permission” psychological tendency, present after purchasing green products, is an important question in the current research. This study explores the effect of green purchase intention on compensatory consumption behavior, with special attention to the moderating role of pro-environmental behavior in this relationship. With the increasingly severe global environmental problems, green consumption, as a pro-environmental behavior, has gradually become the focus of social attention. By analyzing the relationship between consumers’ green purchase intention and their subsequent compensatory consumption behavior, this study further reveals the important role of pro-environment behavior in the consumption decision-making process.

Coping With Interstitial Cystitis/Bladder Pain Syndrome.

Compensatory coping, or maladaptive alterations in behavior with the intention of preventing or managing symptoms, is increasingly being explored as a key factor in how people respond to bladder conditions. Preliminary investigations have identified relations between coping behaviors and psychological distress in urologic conditions, including interstitial cystitis/bladder pain syndrome (IC/BPS). However, previous explorations of coping have not accounted for heterogeneity in coping behaviors or addressed the likelihood that some coping behaviors may be more adaptive than others. This study sought to examine how two specific types of coping behaviors, primary control coping and disengaged coping, are related to distress and symptoms in IC/BPS, and to explore the potential role of pain phenotype in this relationship. A secondary data analysis was conducted with a large community data set (N = 677 women with IC/BPS) and employed descriptive and inferential statistics to characterize coping patterns and explore novel predictors of distress. Results indicated that almost all participants engaged in at least one compensatory coping behavior within the last week. Both types of coping behaviors correlated with psychological symptoms, and when controlling for relevant clinical variables (i.e., age and severity of urinary symptoms), disengaged coping behaviors were significantly associated with psychological distress. Further, the addition of pain phenotype to multiple regression models resulted in a more effective predictive model when considering the relation between coping behaviors and depression. By investigating more deeply the relationship between coping and distress, understanding of potential risk factors and mechanisms is increased, offering valuable insights for intervention strategies for IC/BPS patients.

Differences in alcohol-related variables between individuals who engage in food and alcohol disturbance (FAD) behaviors and those who only use alcohol: The role of FAD motives.

Food and alcohol disturbance (FAD) is the use of any compensatory behavior (e.g., skipping meals) within the context of a drinking episode. FAD has two underlying motives: to enhance the effects of alcohol (FAD-AE) and/or compensate for calories consumed from alcohol (FAD-CC). Prior work finds that FAD is positively associated with alcohol-related outcomes; however, it is unclear whether FAD confers increased risk above alcohol use alone, and whether there are differences in alcohol outcomes by FAD motive. Thus, the present study evaluated alcohol use patterns (i.e., past-month quantity/frequency, binge use, consequences, and drinking motives) by FAD status and FAD motives. Data were from the Stimulant Norms and Prevalence 2 (SNAP2) study, which included 5,809 undergraduates from six US universities. Participants were grouped into four categories: Alcohol-Only, FAD-AE, FAD-CC, and FAD-both (i.e., both FAD-AE and FAD-CC motives). Ordinary least squares regression was used for drinking motives and quasi-Poisson regressions were used for other outcomes. Alcohol use quantity, frequency, binge use, and consequences were all greatest in the FAD-both group and lowest in the alcohol-only group, with the FAD-AE and FAD-CC groups intermediate and not significantly different from each other. To illustrate, the FAD-both group had 47%, 33%, and 25% greater alcohol-related consequences than the Alcohol-Only, FAD-CC, and FAD-AE groups, respectively. This stepwise pattern held for drinking motives, with fewer significant differences. Engagement in FAD is linked to increased likelihood of poor alcohol outcomes versus alcohol use alone, and FAD for both motives represents the highest risk group.

Efficacy of Repetitive Transcranial Magnetic Stimulation (rTMS) in the Treatment of Bulimia Nervosa (BN): A Review and Insight into Potential Mechanisms of Action.

Bulimia nervosa (BN) is a disorder primarily affecting adolescent females, characterized by episodes of binge eating followed by inappropriate compensatory behaviors aimed at preventing weight gain, including self-induced vomiting and the misuse of diuretics, laxatives, and insulin. The precise etiology of BN remains unknown, with factors such as genetics, biological influences, emotional disturbances, societal pressures, and other challenges contributing to its prevalence. First-line treatment typically includes pharmacotherapy, which has shown moderate effectiveness. Neuroimaging evidence suggests that altered brain activity may contribute to the development of BN, making interventions that directly target the brain extremely valuable. One such intervention is repetitive transcranial magnetic stimulation (rTMS), a non-invasive stimulation technique that has been garnering interest in the medical community for many years. This review explores the use of rTMS in the treatment of BN. Searches were conducted in the PubMed/Medline, ResearchGate, and Cochrane databases. Twelve relevant studies were identified. Analysis of the results from these studies reveals promising findings, particularly regarding key parameters in the pathophysiology of BN. Several studies assessed the impact of rTMS on binge episodes. While some studies did not find significant reductions, most reported decreases in binge eating and purging behaviors, with some cases showing complete remission. Reductions in symptoms of depression and food cravings were also demonstrated. However, results regarding cognitive improvement were mixed. The discussion focused heavily on potential mechanisms of action, including neuromodulation of brain networks, induction of neuroplasticity, impact on serotonergic dysfunction, anti-inflammatory action, and HPA axis modulation. rTMS was found to be a safe intervention with no serious side effects. rTMS in the treatment of BN appears to be a promising intervention that alleviates some symptoms characteristic of the pathophysiology of this disorder. An additional effect is a significant reduction in depressive symptoms. However, despite these findings, further research is required to confirm its effectiveness and elucidate the mechanisms of action. It is also recommended to further investigate the potential mechanisms of action described in this review.

Cylindrical Blume-Capel Nanotube with core/shell structure: compensation temperature and hysteresis loops

The critical, compensation and hysteresis behaviors of the Blume-Capel model with mixed spins SkS=±2,±1,0 and σiC=±3/2,±1/2 , on a cylindrical nanotube with core–shell structure were studied using the mean-field approximation based on the Gibbs-Bogoliubov inequality. The effects of the single-ion anisotropies and the exchange coupling on phase diagrams, magnetizations and hysteresis loops were investigated. The first-order and second-order phase transitions and critical end-point were found, therefore, the system does not give any tricritical point. Furthermore, the model’s results anticipate the presence of the compensation phenomena and multi-cycle hysteresis behaviors.

Screen time, problematic screen use, and eating disorder symptoms among early adolescents: findings from the Adolescent Brain Cognitive Development (ABCD) Study

PurposeEmerging research evidence suggests positive relationships between higher screen time and eating disorders. However, few studies have examined the prospective associations between screen use and eating disorder symptoms in early adolescents and how problematic screen use may contribute to symptom development.MethodsWe analyzed prospective cohort data from the Adolescent Brain Cognitive Development (ABCD) Study (N = 10,246, 2016–2020, ages 9–14). Logistic regression analyses were used to estimate the longitudinal associations between baseline self-reported screen time and eating disorder symptoms in year two. Logistic regression analyses were also used to estimate cross-sectional associations between problematic screen use in year two (either problematic social media or mobile phone use) and eating disorder symptoms in year two. Eating disorder symptoms based on the Kiddie Schedule for Affective Disorders and Schizophrenia (KSADS-5) included fear of weight gain, self-worth tied to weight, engaging in compensatory behaviors, binge eating, and distress with binge eating.ResultsEach additional hour of total screen time and social media use was associated with higher odds of fear of weight gain, self-worth tied to weight, compensatory behaviors to prevent weight gain, binge eating, and distress with binge eating two years later (odds ratio [OR] 1.05–1.55). Both problematic social media and mobile phone use were associated with higher odds of all eating disorder symptoms (OR 1.26–1.82).ConclusionsFindings suggest greater total screen time, social media use, and problematic screen use are associated with more eating disorder symptoms in early adolescence. Clinicians should consider assessing for problem screen use and, when high, screen for disordered eating.Level of evidenceLevel III: Evidence obtained from well-designed cohort or case–control analytic studies.

Magnetic and thermodynamic properties of mixed spin-3/2 and spin-3 Ising ferrimagnets on a 2D triangular lattice: Monte Carlo study

Monte Carlo methods in the presence and absence of an external magnetic field were used to investigate the thermodynamic and magnetic properties of the mixed spins (3/2, 3) Ising ferrimagnets in a 2D triangular lattice consisting of sublattices A, B, and C. Two types of mixing were considered: S→=(SA,SB,SC)=(3/2,3,3) (Model I) and S→=(SA,SB,SC)=(3/2,3,3/2) (Model II). In contrast to bipartite lattices, the antiferromagnetic coupling between spin-3/2 and spin-3 in the triangular lattice leads to geometric frustrations that impact magnetic properties. Determination of ground state phase diagrams, combined with verification of whether or not there was magnetic hysteresis when crossing each transition line, revealed first- and second-order phase transition lines, as well as multicritical points. The temperature investigation in the absence of an external magnetic field revealed rich magnetic properties such as 1st- and 2nd-order phase transitions, N- and L-type compensation points, tricritical points, and critical endpoints, as well as M-, P-, Q-, R- and S-type total magnetization behaviours. The effect of the crystal field on finite-temperature phase diagrams and compensation behaviour was also carried out. As a result, the critical temperatures of Model II become constant when the crystal field is sufficiently strong. In contrast, several critical values of the crystal field for which the critical temperature is zero were identified for Model I. In the presence of a magnetic field, hysteresis behaviour and associated magnetic properties such as coercivity and magnetic remanence were investigated. The effect of crystal field and temperature was explored. Hysteresis of one to four loops were found at low temperatures when the crystal field varied. Finally, as the temperature rises, the hysteresis loops' area decreases to zero at high temperatures.

Mobile phone conversation during nighttime driving: Effects on driving behavior

Objectives This study aims to investigate the impact of mobile phone use (specifically, conversation), considering various use modes, on driving behavior at night. Mobile phone use is a source of driver distraction and has been associated with increased accident risk. Driving at night also entails higher accident risk and severity compared to daytime driving. Several studies have investigated the impact of mobile phone use on driving behavior; however, only a few have explored the differences between the different use modes. Most present studies involved daytime driving, although mobile phone use at night is equally if not more prevalent. Method A driving simulator experiment was designed in which 55 participants drove under nighttime simulator conditions, in different road environments (urban and rural) and under different types of distraction: no distraction, handheld, wired earphone, and speaker mode. The drives were performed during late afternoon and evening hours to resemble nighttime conditions both in the simulator and in the actual environment. Participants also completed a questionnaire for collection of different types of data. Results Results highlight the effect of mobile phone use on driving behavior, through specific indicators. Mobile phone use resulted in reduced 85th percentile driving speed and 85th percentile acceleration and increased reaction time and lateral deviation. However, safer stopping distance was observed in rural roads. Parameters relative to mobile phone use familiarity and exposure were found to mitigate mobile phone use effects. Conclusions Mobile phones affect driving behavior at night in a similar manner to that noted in several different studies considering daytime driving. The hands-free regulation should be revisited, because driver distraction also occurred under this particular use mode. Further research is required considering mobile phone use familiarity and exposure and effects of mobile phone use, because the latter is reduced with an increase in the former. Stopping distance, an understudied but more immediate surrogate measure of road safety, was increased with mobile phone use, mainly as a result of the risk compensation behavior that drivers adopt, indicating that more research is required in this field.

Insight into compensation behaviors and hysteresis characteristics of an Ising-type borophene monolayer

Abstract Boron is another novel two-dimensional material after graphene with splendid chemical and physical properties and potential applications in magnetism, electronics, energy materials and other fields. Studying the magnetic properties of borophene is important to improve the relevant theories and experiments. In this paper, we extend a single spin-3/2 Ising model to analyze the magnetic characteristics of the borophene monolayer by using Monte Carlo simulation. The influence of crystal field, exchange coupling and external magnetic field on the magnetization, magnetic susceptibility and internal energy are studied separately and the phase diagrams are presented. The calculation indicates that the system presents the compensation temperature and triple-loop hysteresis behaviors.

Exploring the continuum of eating behaviour, from 'normal' to disordered eating.

Eating is a distinct behaviour in humans, in that they must consume food to provide sufficient energy for the body to function and to ensure survival. Behaviours around food consumption can range from 'normal' to disordered, where some people may develop eating patterns that suggest a preoccupation with food or weight. This preoccupation can lead to inappropriate compensatory behaviours, such as purging or excessive exercise, or dysphoric mood following food consumption. This article discusses the continuum between 'normal' eating behaviours and eating disorders, with a focus on binge eating behaviour and binge eating disorder. The author also describes the use of a screening tool for identifying binge eating behaviour and suggests ways in which nurses might support patients in addressing disordered eating behaviours.

Bulimia nervosa and treatment-related disparities: a review.

Bulimia nervosa (BN) is a type of eating disorder disease usually manifesting between adolescence and early adulthood with 12 as median age of onset. BN is characterized by individuals' episodes of excessive eating of food followed by engaging in unusual compensatory behaviors to control weight gain in BN. Approximately 94% of those with BN never seek or delay treatment. While there are available treatments, some populations do not have access. Left untreated, BN can become severe and lead to other serious comorbidities. This study is a review of randomized controlled trials to explore available treatments and related treatment disparities. The objective of this review was to identify differences among treatment modalities of BN and aide in the further treatment and research of bulimia nervosa. This study followed narrative overview guidelines to review BN treatment studies published between 2010 and 2021. The authors used PubMed and PsychInfo databases to search for articles meeting the inclusion criteria. Search terms included phrases such as, BN treatment, BN and clinical trials, and BN and randomized clinical trials. Most of the reviewed studies had their sample sizes between 80 and 100% female with age range between 18 and 60 years old. Sample sizes were mostly between 80 and 100% white. Treatment practices included both pharmacological and psychosocial interventions, such as cognitive behavioral therapy (CBT) and limited motivational interviewing (MI). Most studies were in outpatient settings. Reviewed research shows that certain populations face disparities in BN treatment. Generally, individuals older than 60, males and racial minorities are excluded from research. Researchers and practitioners need to include these vulnerable groups to improve BN treatment-related disparities.

Spin magnetotransport in rare-earth iron garnet (REIG)/Pt: Effects of modulated bulk and REIG/Pt interfaces

The intrinsic magnetization compensation behaviors of rare-earth iron garnets (REIGs) make the material promising for applications in ultrafast spin storage devices. REIG/heavy metal heterostructures such as TbIG/Pt often display two sign crossovers of anomalous Hall effect resistance with varying temperatures. One of these crossovers is attributed to the magnetization compensation of REIG, and the other to the competition between the magnetic proximity effect and the spin Hall effect. Here, we design trilayer REIG heterostructures based on two rare-earth species (Tb and Eu). We modulate the layer stacking of the TbIG/EuIG/TbIG sandwich with a fixed total thickness and explore the contributions of REIG bulk and REIG/Pt interfaces on these two crossover points. As TbIG gradually moves away from Pt, the compensation temperature shows some fluctuations. However, when TbIG is entirely out of contact with Pt, the second crossover point undergoes a change that shows REIG/Pt interface dependency. The results highlight the dominance of REIG bulk on the compensation behavior and the interface sensitivity of the second crossover point. This study provides a reference for designing controllable spintronics devices, such as magnon valve applications.

Smoking reduction using an electronic nicotine delivery system (ENDS) with nicotine delivery similar to combustible cigarettes

BackgroundElectronic nicotine delivery systems (ENDS) offer a promising approach to tobacco harm reduction, but many people use both ENDS and combustible cigarettes (“dual use”), which undermines potential risk reduction. To explore the role of ENDS nicotine delivery in promoting switching to ENDS, we conducted a study in which people who smoked cigarettes were offered an ENDS that had previously been shown to replicate the rapid nicotine pharmacokinetics of combustible cigarettes (BIDI® Stick).MethodsTwenty-five cigarette smoking adults, not seeking smoking cessation treatment, but open to using ENDS as a cigarette substitute, were provided with a 12-week supply of BIDI® Stick in tobacco or menthol flavors, during a study that included seven biweekly sessions and a 6-month follow-up. Daily diaries assessed ENDS and cigarette use, and exhaled carbon monoxide (eCO) served as an objective marker of smoke intake. Subjective ratings were collected to assess the rewarding properties of ENDS and combustible cigarettes, and indices of nicotine dependence.ResultsOver 12 weeks, ENDS use increased to an average of 15.8 occasions per day (SD = 20.2) and self-reported cigarette consumption decreased by 82% from 16.7 cigarettes/day (SD = 6.0) at baseline to 3.0 cigarettes/day (SD = 4.1) at week 12. The eCO level decreased by 27% from an average of 20.0 ppm (SD = 9.8) at baseline to 14.5 ppm (SD = 9.9) at week 12. Four of 25 participants completely switched to ENDS and were smoking abstinent during weeks 9–12. At 6 months one participant was confirmed to be abstinent. Ratings of subjective reward for the ENDS were very similar to those of participants’ usual brands of cigarettes. Dependence level was lower for the ENDS than for combustible cigarettes.ConclusionsIn this study, the ENDS effectively replicated the subjective rewarding effects of participants’ usual brands of cigarettes and led to a substantial reduction in reported cigarettes/day. Exhaled CO showed less of a decrease, possibly due to compensatory smoking behavior and/or the timing of eCO measurements that might not have reflected smoke intake throughout the day. The relatively low rate of sustained smoking abstinence at 6 months suggests that additional approaches continue to be needed for achieving higher rates of complete switching.Trial registrationClinicalTrials.gov identifier NCT05855343.

Uncovering Ethical Behavior: A Causal Factors Perspective of Control Systems and Compensation

This research examines the effects of internal control, compliance, management remuneration, and work ethic on auditors' ethical behavior. The study involved 46 auditors from a public accounting firm in Central Jakarta, using purposive sampling. Both quantitative and descriptive statistical methods, along with multiple linear analysis, were employed. Data was collected through a questionnaire assessing internal control, compliance, management compensation, work ethic, and auditors' ethical behavior. Findings reveal that internal control and compensation significantly influence auditors' ethical behavior. However, management compensation alone does not have a significant effect. Work ethic also has a substantial impact on ethical behavior. Collectively, internal control, compliance, management compensation, and work ethic significantly affect auditors' ethical behavior. Managerial implications include the necessity for robust internal control systems to prevent unethical conduct and designing management compensation structures that do not incentivize unethical behavior.

The Impact of High Levels of Compensatory Exercise on Treatment Outcomes in Threshold and Subthreshold Bulimia Nervosa.

Bulimia nervosa (BN) and other specific feeding or eating disorders with subthreshold BN symptoms (OSFED-BN) are characterized by recurrent binge eating episodes accompanied by compensatory behaviors, including excessive exercise. We aimed to examine the role of compensatory exercise on several clinical disorder-related variables and the treatment outcomes. The sample included 478 patients diagnosed with either BN or OSFED-BN admitted for a 16-week eating disorder-specific treatment program. A battery of questionnaires was administered to evaluate eating and general psychopathology, and personality traits. Other clinical disorder-related data, including levels of compensatory exercise, were assessed through a semi-structured clinical interview. Between-group comparisons of compensatory exercise levels were analyzed, as a predictive model of risk of poor treatment outcomes. Path analysis was conducted using structural equation models to estimate the direct and indirect effects between the main variables. Higher levels of self-reported compensatory exercise were associated with greater eating psychopathology, general psychopathology, and more dysfunctional personality traits and were a predictor of poor treatment outcomes. Additionally, these levels achieved a mediating role in several paths contributing to a higher likelihood of a poor outcome. Further research is required to determine how psychotherapeutic approaches can be optimized to adequately include adaptive exercise for these patients.