Dr. Elise Gibbs is a licensed psychologist who provides cognitive behavioral therapy for individuals with eating, mood, and anxiety disorders. She received her doctorate in Clinical Psychology from the PGSP-Stanford Psy.D. Consortium and her BA with Honors and Distinction in Psychology from Stanford University. She completed her clinical internship at the Vanderbilt University Medical Center - VA Internship Consortium and her postdoctoral fellowship at Stanford University’s School of Medicine.
Clinical Assistant Professor, Psychiatry and Behavioral Sciences
Fellowship: Stanford University Psychology Postdoctoral Fellowship (2018) CA
Internship: Vanderbilt University Office of the Registrar (2017) TN
PhD Training: PGSP-Stanford PsyD Consortium (2017) CA
Parenting after Weight Loss Surgery: A Conceptual Model and Two Case Reports.
The ways families approach eating, shape, and weight can result in stress for individual family members and challenge the overall functioning of the family. This is further complicated among families with a parent who has history of obesity or undergone weight loss surgery (WLS). Although WLS can positively impact other family members, it can also exacerbate conflicts regarding feeding and weight. Such conflicts can involve uncertainty regarding the extent to which the entire family should make the dietary changes recommended for the post-WLS parent. Conflict might also center on the appropriate level of concern regarding the children's risk of developing (or maintaining) obesity. This paper uses two case examples to describe the application of a specialized, time-limited intervention: Parent-Based Prevention following Bariatric Surgery (PBP-B). The program was developed to address the unique challenges and concerns that arise after, or are exacerbated by, WLS. Each detailed case example illustrates a common child-feeding challenge and the employment of key PBP-B strategies throughout the course of treatment. In the first case, the parent who had undergone WLS believed the family's current eating behaviors were the same as those that had led to her own overeating, obesity, and co-occurring psychiatric symptoms, while her husband disagreed. In the second case, both parents were concerned about their son's weight, yet due to their prior eating histories, they felt unable to construct boundaries around the feeding experience. Both cases follow families through the entire intervention and illustrate key points and challenges. These cases underscore the need for novel treatment modalities to support families following parental WLS.
View details for DOI 10.1111/famp.12518
View details for PubMedID 31826298
The offspring of parents undergoing a weight loss surgery: asystematicreview.
Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery
The offspring of parents with obesity are at an increased risk of developing this condition themselves because of genetic and environmental factors. One subgroup that may be at particularly high risk of developing obesity is the offspring of parents who have undergone weight loss surgery (PWLS). To date, little research has focused on these offspring or their parents. This systematic review addresses this gap by integrating available literature and assessing the quality of the evidence. To be included, studies were required to have researched characteristics of the offspring of PWLS or parental feeding practices within this population. After review, 12 studies met inclusion criteria. Findings include evidence for heightened risk of obesity among children of PWLS. However, research suggests these children may experience positive, although time-limited, health outcomes after their parents' surgeries. Quality of the evidence was rated as low, primarily because of the lack of randomized controlled studies and information regarding available interventions specifically targeting this vulnerable population. This review underscores the need for research to improve understanding of PWLSfamilies to better support them and capitalize on postbariatric surgery benefits.
View details for DOI 10.1016/j.soard.2020.02.006
View details for PubMedID 32334972
Parent-based prevention after parental weight loss surgery: a pilot case-series trial.
Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery
Overeating and obesity are elevated in children of parents who have undergone weight loss surgery. Parents who have undergone weight loss surgery often report their personal history of obesity interferes with their knowledge, skills, and self-efficacy in developing their children's healthy habits, thus reducing the likelihood of addressing obesogenic environmental factors.This study examines whether a 6-session parent-based prevention after bariatric surgery online intervention is feasible and acceptable for parents. The study also explores the program's signal of efficacy in improving short-term outcomes related to decreased long-term risks for obesity by examining short-term impact on targeted parental cognitions, feeding practices, and child eating behaviors and physical activity habits.University Hospital, United States.Parents were recruited using flyers, clinician referrals, and social media. Measures assessed parental feeding practices, children's eating behaviors, daily hours of screen time, and outdoor play.Ten families enrolled and 7 completed the study. Parents found the intervention relevant and suitable for addressing their parenting concerns. Parental feeding behaviors, such as restriction and pressure to eat, reduced while tracking of sweets and high-fat snacks increased. Children reduced both emotional overeating and undereating. Children's daily hours of screen time reduced as well as their outdoor play time.Parent-based prevention after bariatric surgery aimed at helping parents who have undergone weight loss surgery engineer healthier family lifestyles is feasible, acceptable, and associated with reduced obesogenic risk factors.
View details for DOI 10.1016/j.soard.2020.05.016
View details for PubMedID 32636177
SUPERVISION IN PSYCHIATRIC PRACTICE: PRACTICAL APPROACHES ACROSS VENUES AND PROVIDERS
View details for Web of Science ID 000550978200003
Non-suicidal self-injury and suicidal ideation in relation to eating and general psychopathology among college-age women.
2016; 235: 77-82
Non-suicidal self-injury (NSSI) and suicidal ideation are potent risk factors for suicide and are associated with general and eating disorder-specific psychopathology. Limited research has examined the effects of combined NSSI+suicidal ideation thus concurrent examination is needed to understand potential differential effects on psychopathology. College-aged women (N=508) completed self-report measures of NSSI, suicidal ideation, general psychopathology, and Eating Disorder-specific psychopathology. MANOVAs determined whether the NSSI/SI status groups differed on general and eating disorder pathology measures as a set. Significant MANOVAs were followed up with univariate ANOVAs and posthoc tests. Thirteen women endorsed NSSI+Suicidal Ideation, 70 endorsed NSSI-only, 25 endorsed Suicidal Ideation-only, and 400 endorsed no NSSI/Suicidal Ideation. Both general and eating disorder-specific psychopathology differed across groups. NSSI+Suicidal Ideation and Suicidal Ideation-only groups typically endorsed higher general psychopathology than the no NSSI/Suicidal Ideation and NSSI-only groups. Regarding eating disorder pathology, the NSSI+Suicidal Ideation group was more pathological than no NSSI/Suicidal Ideation and NSSI-only, except on the weight concerns scale, where NSSI+Suicidal Ideation only differed from no NSSI/Suicidal Ideation. The NSSI+Suicidal Ideation group was only greater than Suicidal Ideation-only on measures of depression and eating concern. Results highlight the importance of screening for both NSSI and suicidal ideation, especially for individuals with eating disorder symptoms. Likewise, screening for eating disorder pathology may be beneficial for individuals presenting with NSSI and suicidal ideation.
View details for DOI 10.1016/j.psychres.2015.11.046
View details for PubMedID 26654754
View details for PubMedCentralID PMC4724479
Attention-deficit/hyperactivity disorder-specific stimulant misuse, mood, anxiety, and stress in college-age women at high risk for or with eating disorders
JOURNAL OF AMERICAN COLLEGE HEALTH
2016; 64 (4): 300-308
To examine the misuse of attention-deficit/hyperactivity disorder (ADHD)-specific stimulants in a college population at high risk for or with clinical or subclinical eating disorders.Four hundred forty-eight college-age women aged 18-25 at high risk for or with a clinical or subclinical eating disorder.Participants completed assessments of stimulant misuse and psychopathology from September 2009 to June 2010.Greater eating disorder pathology, objective binge eating, purging, eating disorder-related clinical impairment, depressive symptoms, perceived stress, and trait anxiety were associated with an increased likelihood of stimulant misuse. Subjective binge eating, excessive exercise, and dietary restraint were not associated with stimulant misuse.ADHD-specific stimulant misuse is associated with eating disorder and comorbid pathology among individuals at high risk for or with clinical or subclinical eating disorders. Screening for stimulant misuse and eating disorder pathology may improve identification of college-age women who may be engaging in maladaptive behaviors and inform prevention efforts.
View details for DOI 10.1080/07448481.2016.1138477
View details for Web of Science ID 000375464400004
View details for PubMedID 26822019
View details for PubMedCentralID PMC4904716
Variability in Pregaming Typologies Across the Freshman Year: A Multi-wave Latent Transition Analysis
SUBSTANCE USE & MISUSE
2016; 51 (8): 961-971
Though research is rapidly expanding on pregaming and related risks, studies have not yet identified discrete subtypes of college pregamers or modeled how class membership changes across critical times like college entry.Latent Transition Analysis (LTA) identified classes of pregaming behaviors in entering college students and described transitions in latent statuses across the freshman year.Students with prior alcohol use (N = 711; 51.3% female; 63% White; Mage = 18) were surveyed at orientation and re-assessed at three follow-ups (Fall, Winter, and Spring). Items assessed overall drinking (past 30-day, number of binge episodes), pregaming (typical quantity, normativity relative to overall use, estimated pregaming BAC, drinks consumed post-pregaming event), and problems (overall and pregaming-specific).LTA modeling yielded three distinct classes of pregaming membership (Low, Medium and High) that varied as a function of both overall use and pregaming practices. Evaluation of changes over the year indicated the greatest movement occurred immediately upon college entry, with significantly less movement was seen across the remainder of the year. Cross-class comparisons across all four time points showed clear differences in alcohol-related problems (overall as well as pregaming-specific), with students in the High class reporting markedly higher levels of problems on all domains.Overall, there appears to be considerable heterogeneity in pregaming behaviors, across both students and time that are directly related to differential levels of problems. Findings highlight the need to screen students early for risky drinking practices, including pregaming, and include pregaming-specific material in their campus screening and intervention programming.
View details for DOI 10.3109/10826084.2016.1162813
View details for Web of Science ID 000377301800002
View details for PubMedID 27088309
DOES EMOTION REGULATION PREDICT PARTICIPATION IN THE ONLINE INTERVENTION STUDENT BODIES-EATING DISORDERS (SB-ED)?
SPRINGER. 2014: S21
View details for Web of Science ID 000334408300079