Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity最新文献

{"title":"Associations between job stress, eating behaviors, and body mass index among healthcare professionals at King Faisal Medical Complex, Taif, Saudi Arabia.","authors":"Wejdan A Altuwairqi, Amani A Alrasheedi","doi":"10.1007/s40519-026-01856-2","DOIUrl":"https://doi.org/10.1007/s40519-026-01856-2","url":null,"abstract":"<p><strong>Background: </strong>Healthcare professionals are frequently exposed to occupational stress due to the demanding nature of their work environment. Such stress may influence eating behaviors and potentially contribute to weight-related health outcomes. This study aimed to examine the association between job stress, eating behaviors, and body mass index (BMI) among healthcare professionals working at King Faisal Medical Complex, Taif, Saudi Arabia.</p><p><strong>Methods: </strong>A cross-sectional study was conducted among 323 healthcare professionals aged 25-60 years at King Faisal Medical Complex, Taif, Saudi Arabia. Participants completed a self-administered online questionnaire comprising of three sections: sociodemographic and lifestyle characteristics, the Brief Job Stress Questionnaire (BJSQ), and the Dutch Eating Behavior Questionnaire (DEBQ). BMI was calculated based on self-reported height and weight. Descriptive statistics, group comparisons, and correlation analyses were performed.</p><p><strong>Results: </strong>High job stress was reported by 46.4% of participants. Moderate levels of restrained eating (52.3%) and external eating (65.6%) were common, whereas emotional eating was less prevalent, with 37.5% reporting moderate levels and only 9.0% reporting high levels. Weak but statistically significant correlations were observed between job stressors and emotional eating (r = 0.11, p = 0.049) and stress response and external eating (r = 0.14, p = 0.014). Social support was weakly and inversely correlated with external eating (r =  - 0.15, p = 0.006). Restrained and emotional eating behaviors were significantly higher among overweight and obese participants compared with normal-weight individuals (p < 0.05). However, no significant association was observed between overall job stress and BMI.</p><p><strong>Conclusions: </strong>Job stress is highly prevalent among healthcare professionals and is modestly associated with certain eating behaviors. Although job stress was not directly associated with BMI, maladaptive eating behaviors-particularly restrained and emotional eating--were significantly related to higher BMI. These findings highlight the importance of workplace strategies that address both stress management and healthy eating behaviors to support the well-being of healthcare professionals. This study is based on a cross-sectional design and is classified as level of evidence 4.</p>","PeriodicalId":11391,"journal":{"name":"Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147697737","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Understanding inner self-states in eating disorders: preliminary findings from a structured elicitation study.","authors":"Paolo Meneguzzo, Natalia Seijo, Anna Pillan, Enrica Bucci, Alice Garolla, Anna Marzotto, Francesca Buscaglia, Patrizia Todisco","doi":"10.1007/s40519-026-01857-1","DOIUrl":"10.1007/s40519-026-01857-1","url":null,"abstract":"<p><strong>Purpose: </strong>Eating disorders are frequently associated with fragmented self-experiences, including harsh self-criticism, shame, and withdrawal, which may be difficult to articulate using standard clinical interviews. Structured elicitation tools may support the exploration of these internal self-states in a clinically meaningful way.</p><p><strong>Methods: </strong>A total of 14 women receiving treatment for eating disorders at a specialised Italian centre participated in a structured elicitation interview using nine visual-symbolic self-part cards developed for clinical use. For each card, participants provided a numeric endorsement rating (0-10) and open-ended explanations following fixed prompts. Data were analysed using an inductive thematic approach with cross-case comparison.</p><p><strong>Results: </strong>Higher endorsement was observed for cards reflecting self-rejection, internal criticism, and concealment. Across participants' accounts, four cross-cutting themes emerged: (1) persecutory self-criticism linked to internalised relational judgement; (2) shame-based body rejection as a core self-reference; (3) protective withdrawal associated with emotional invisibility and (4) developmental discontinuity characterised by forced maturity and unmet childhood needs.</p><p><strong>Conclusions: </strong>This brief report suggests that structured elicitation using visual-symbolic prompts can facilitate the exploration of clinically relevant self-states in people with eating disorders. Findings are preliminary but highlight the potential value of this approach for assessment and psychotherapy formulation.</p><p><strong>Level of evidence: </strong>Level V, qualitative descriptive study based on clinical interviews.</p>","PeriodicalId":11391,"journal":{"name":"Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13091891/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147688733","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"In-person interview versus online self-assessment of the eating disorder examination: an empirical validation of data equivalence.","authors":"Nicole Besse-Flütsch, Lena Maria Mayr, Lukasz Smigielski, Claudia Bühlmann, Dagmar Pauli","doi":"10.1007/s40519-026-01837-5","DOIUrl":"https://doi.org/10.1007/s40519-026-01837-5","url":null,"abstract":"<p><strong>Purpose: </strong>Online self-assessments in mental health are becoming increasingly common, and the COVID-19 pandemic has further accelerated the need for reliable digital tools. However, the degree of equivalence between online self-assessments and in-person interviews in the context of eating disorders remains under-researched. This study investigated the equivalence of adolescent patient responses on the Eating Disorder Examination (EDE) collected across these two modalities.</p><p><strong>Methods: </strong>The EDE was administered in a cross-over test-retest design, both as an online self-assessment questionnaire and as an in-person interview, to 49 adolescents (47 females, 15.9 ± 1.9 years) attending specialized outpatient clinic services. The Eating Disorder Inventory-2 (EDI-2) served as a reference measure. Equivalence of EDE scores was tested with a two one-sided t test procedure (TOST) for paired data with bootstrapping using a non-inferiority margin of ± 0.5 raw points. Cramer's V assessed agreement between the two EDE-derived diagnoses.</p><p><strong>Results: </strong>The analyses confirmed equivalence between the two EDE versions. However, when comparing diagnoses based solely on EDE responses with clinician-derived diagnoses, a non-negligible effect of assessment modality emerged (Cramer's V = 0.56; proportion of shared variability = 0.31), with the online self-assessment version being more accurate. When objective weight data were included, diagnostic accuracy increased to nearly 90% for both modalities.</p><p><strong>Conclusions: </strong>These results support the equivalence of the online EDE self-assessment questionnaire with the in-person EDE interview and suggest that the online format may promote trustworthy responses through its perceived anonymity. Objective weight remains an important criterion when translating diagnostic data across different assessment modalities in eating disorders.</p>","PeriodicalId":11391,"journal":{"name":"Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147671418","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The association between CALLY index and obesity in adolescents: a comparative analysis with traditional inflammatory markers.","authors":"Yanchao Li, Xiaoshan Shao, Xiaoyan Yang","doi":"10.1007/s40519-026-01844-6","DOIUrl":"https://doi.org/10.1007/s40519-026-01844-6","url":null,"abstract":"<p><strong>Objective: </strong>To investigate the association between the C-reactive protein-Albumin-lymphocyte (CALLY) index and obesity in adolescents, and evaluate its predictive performance compared to traditional inflammatory markers.</p><p><strong>Methods: </strong>Data from NHANES 2015-2018 were analyzed, including 2188 adolescents aged 12-20 years. The CALLY index was calculated as (albumin × lymphocytes)/CRP. Multivariate weighted logistic regression was used to assess associations with obesity. Receiver Operating Characteristic (ROC) curves and Area Under the Curve (AUC) were computed to evaluate the predictive performance of the CALLY index compared to traditional inflammatory markers (NLR, PLR, SII, SIRI). Survey-weighted logistic regression assessed associations of CALLY with obesity; model fit (Nagelkerke R²) and discrimination were evaluated, with sensitivity analyses for model specifications.</p><p><strong>Results: </strong>The CALLY index was inversely associated with obesity (OR = 0.968, 95% CI 0.958-0.977, p < 0.001), with each 1-unit increase reducing obesity odds by 3.20%. This association remained significant after multivariate adjustment and varied by age, race, and physical activity. The standalone AUC of CALLY (0.743) significantly outperformed traditional markers (PLR: 0.515, NLR: 0.546, SII: 0.593, SIRI: 0.598). Combined with covariates, AUC increased to 0.774 (DeLong test p < 0.001). At the cutoff of 15.10, CALLY achieved > 80% sensitivity with a positive likelihood ratio near 2.0.</p><p><strong>Conclusions: </strong>The CALLY index is a robust and independent predictor of obesity in adolescents, outperforming traditional inflammatory markers. Its integration with traditional covariates further enhances predictive accuracy, suggesting that the CALLY index could be a valuable tool for early screening and intervention in adolescent obesity.</p>","PeriodicalId":11391,"journal":{"name":"Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147662405","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Investigating the causal role of sleep disorders in anorexia nervosa and obsessive-compulsive disorder: a bidirectional Mendelian randomization study.","authors":"Ying Liu, Lixia Chen, Jing Wang, Yuan Zhao","doi":"10.1007/s40519-026-01858-0","DOIUrl":"https://doi.org/10.1007/s40519-026-01858-0","url":null,"abstract":"<p><strong>Background: </strong>Whether common sleep phenotypes causally influence anorexia nervosa (AN) or obsessive-compulsive disorder (OCD) is unclear; we used Mendelian randomization (MR) to test effects of daytime sleepiness (DS), insomnia, and sleep apnea (SA) on AN and OCD, and the reverse direction.</p><p><strong>Methods: </strong>We conducted bidirectional two-sample MR using genome-wide association studies (GWAS) of DS (N = 452,071), insomnia (N = 453,379), SA (N = 523,366), AN (N = 72,517), and OCD (N = 33,943), predominantly of European ancestry. Instruments were single-nucleotide polymorphisms meeting genome-wide significance (p < 5 × 10^⁻8), clumped for linkage disequilibrium (r² < 0.001) with mean F > 10; harmonization aligned effect alleles. The primary estimator was inverse-variance weighted (IVW), with weighted median and MR-Egger as sensitivity analyses. Heterogeneity and pleiotropy were evaluated with Cochran's Q, MR-Egger intercepts, and MR-PRESSO.</p><p><strong>Results: </strong>Genetic liability to SA was associated with higher risks of AN (IVW OR = 1.47, 95% CI 1.13-1.91, p = 0.004) and OCD (IVW OR = 1.22, 95% CI 1.08-1.37, p = 0.001). DS and insomnia showed no clear associations with either outcome. Reverse analyses provided no evidence that genetic liability to AN or OCD influenced DS, insomnia, or SA. Sensitivity analyses indicated adequate instrument strength (mean F = 15.55-25.75), limited directional pleiotropy, and estimates that were directionally consistent across methods; MR-PRESSO signals in models with AN did not materially alter conclusions.</p><p><strong>Conclusions: </strong>Genetic evidence supports a causal contribution of SA, not DS or insomnia, to AN and OCD, with no evidence for reverse causation. Sleep-disordered breathing may be a modifiable target for prevention or adjunctive treatment; replication in diverse ancestries using objective sleep measures is warranted. Level of evidence III well-designed cohort analytic study.</p>","PeriodicalId":11391,"journal":{"name":"Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147662348","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical and psychopathological follow-up of patients with anorexia nervosa with or without NSSI comorbidity admitted to an inpatient service.","authors":"Federico Amianto, Beatrice Ferrero, Chiara Davico, Daniele Marcotulli, Andrea Martinuzzi","doi":"10.1007/s40519-026-01850-8","DOIUrl":"https://doi.org/10.1007/s40519-026-01850-8","url":null,"abstract":"<p><strong>Purpose: </strong>Approximately 27% of patients with an eating disorder (ED) present with comorbid non-suicidal self-injurious behaviors (NSSI). EDs comorbid with NSSI display worse eating psychopathology and overall psychological distress. This follow-up study aims to compare the clinical and psychopathological characteristics at the time of hospital admission and the long-term outcome of patients with and without comorbid NSSI.</p><p><strong>Methods: </strong>73 adolescents affected with an ED were included in the study and divided into two groups depending on the comorbidity with NSSI. Clinical and anamnestic data, personality traits, social, emotional and behavioral functioning, and eating psychopathology were collected. A comparison was made between the NSSI group and the non-NSSI group on clinical and psychopathological characteristics. After a 5-year follow-up, participants were interviewed with a structured interview to investigate the history of AN and NSSI, and they completed questionnaires for the self-assessment.</p><p><strong>Results: </strong>Specific personality traits like low Cooperativeness and low levels of Reward Dependence, greater impairment of behavioral and emotional functioning, and worse eating psychopathology characterized AN participants with NSSI. The 5-year outcome was less favorable in participants with a history of NSSI with a remission rate 77.7% in participants with AN alone and of 21% in participants with NSSI.</p><p><strong>Conclusions: </strong>The differences between subgroups highlight the need to investigate NSSI at the initial clinical evaluation of adolescents who come to observation for an ED. Clinical and psychopathological characteristics of AN with comorbid NSSI require more intensive care and tailored therapeutic approaches to improve the long-term outcome, promoting recovery and improving quality of life.</p><p><strong>Level of evidence iii: </strong>Evidence obtained from well-designed cohort or case-control analytic studies.</p>","PeriodicalId":11391,"journal":{"name":"Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147638265","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The association between childhood traumatic events and weight restoration in adult anorexia nervosa inpatient treatment: a longitudinal study.","authors":"Leonard Meyer-Schwickerath, Anna Suling, Bernd Löwe, Sarah Kottich, Angelika Weigel","doi":"10.1007/s40519-026-01851-7","DOIUrl":"10.1007/s40519-026-01851-7","url":null,"abstract":"<p><strong>Purpose: </strong>To examine the association between childhood traumatic events and weight restoration during specialized inpatient treatment for anorexia nervosa (AN).</p><p><strong>Methods: </strong>Within this naturalistic prospective exploratory single-center study, patients with AN were recruited between 2014 and 2019 from a specialized eating disorder inpatient unit. Childhood traumatic events were assessed using the Childhood Trauma Questionnaire Short Form (CTQ-SF) and the Adverse Childhood Experiences Questionnaire (ACE). Posttraumatic stress disorder (PTSD) was diagnosed via a clinical interview. A mixed linear model was used to analyze associations between childhood traumatic events and weight restoration, while adjusting for the confounders AN subtype, medication, psychological comorbidities, gender and age.</p><p><strong>Results: </strong>Sixty patients with AN (mean age 24.60 years, SD = 7.60; 95% female; 77% restricting subtype) participated. The mean body mass index (BMI) increase after 12 weeks was 2.48 kg/m² (SD = 0.88). Six patients (10%) were diagnosed with PTSD. The mean CTQ-SF sum score was 43.78 (SD = 18.00), and 17 patients (28.33%) indicated a relevant exposure to adverse childhood experiences (ACE). There were no relevant associations between childhood traumatic events and weight restoration during inpatient treatment (CTQ-SF b = 0.00, 95% CI [-0.02, 0.02]; ACE b = -0.04, 95% CI [-0.16, 0.07]).</p><p><strong>Conclusion: </strong>In our sample childhood traumatic events were not associated with weight restoration during inpatient treatment for AN. Given the low prevalence of childhood traumatic events in the present sample, further studies are recommended to explore the potential impact of childhood traumatic events on weight restoration in AN to optimize clinical outcomes.</p><p><strong>Level of evidence: </strong>Level III: evidence obtained from well-designed cohort or case-control analytic studies.</p>","PeriodicalId":11391,"journal":{"name":"Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13065605/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147608242","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cross-cultural adaptation and psychometric validation of the Turkish Düsseldorf Orthorexia Scale in adolescents.","authors":"Omca Guney, Selman Yildirim, Ibrahim Halil Akbas, Duygu Kinay Ermis, Nurdan Kasar","doi":"10.1007/s40519-026-01847-3","DOIUrl":"10.1007/s40519-026-01847-3","url":null,"abstract":"<p><strong>Purpose: </strong>Orthorexia nervosa (ON) is characterized by an excessive preoccupation with healthy eating that may lead to rigidity, distress, and functional impairment. Validated instruments for assessing orthorexic tendencies in adolescent psychiatric settings remain limited. This study aimed to examine the psychometric properties of the Turkish version of the Düsseldorf Orthorexia Scale (TR-DOS) in a clinically referred adolescent sample.</p><p><strong>Methods: </strong>Adolescents aged 12-18 years presenting to a child and adolescent psychiatry outpatient clinic completed the TR-DOS, Orthorexia Nervosa Inventory (ONI), Eating Attitudes Test-26 (EAT-26), and Revised Child Anxiety and Depression Scale-Child Version (RCADS-CV). Psychiatric diagnoses were established through clinician-administered DSM-5 interviews. Construct validity was examined using exploratory and confirmatory factor analyses, internal consistency using Cronbach's alpha and McDonald's omega, and convergent validity through correlations with related measures.</p><p><strong>Results: </strong>The sample comprised 209 adolescents (61.2% female; mean age = 15.7 ± 1.72 years). Exploratory factor analysis supported a single-factor solution. Confirmatory factor ana`lysis also supported a one-factor structure, with good model fit (χ²/df = 1.51, CFI = 0.977, TLI = 0.967, RMSEA = 0.049, SRMR = 0.039). All factor loadings were statistically significant, with standardized loadings ranging from 0.335 to 0.725. Internal consistency was high (Cronbach's alpha = 0.868; McDonald's omega = 0.871). TR-DOS scores were positively correlated with ONI and EAT-26, but not with BMI or RCADS-CV total anxiety. Adolescents with obsessive-compulsive disorder had significantly higher TR-DOS scores than those without this diagnosis.</p><p><strong>Conclusion: </strong>The TR-DOS demonstrated satisfactory validity and reliability in a clinically referred Turkish adolescent sample. Level of evidence Level V, descriptive study.</p>","PeriodicalId":11391,"journal":{"name":"Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13065574/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147590759","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring differences in mindfulness and mindful eating between adults with varying weight status.","authors":"Christian E Preissner, Dennis de Ruijter, Hein de Vries, Anke Oenema","doi":"10.1007/s40519-026-01848-2","DOIUrl":"https://doi.org/10.1007/s40519-026-01848-2","url":null,"abstract":"<p><strong>Purpose: </strong>Mindfulness is increasingly being investigated as a relevant factor for weight management. It is currently unclear how and which underlying dispositional mindfulness and eating behavior-specific mindfulness processes are related to body weight. The purpose of this study was to investigate how dispositional mindfulness and mindful eating facets differ between adults with lower weight, overweight, and obesity.</p><p><strong>Methods: </strong>Dutch adults (N = 1118; M_age = 52.1) completed a cross-sectional assessment of dispositional mindfulness, mindful eating, and body mass index (BMI). Multivariate analyses were used to examine differences between BMI groups (i.e., participants with lower weight, overweight, and obesity) on dispositional mindfulness and mindful eating facets, controlling for demographics and meditation experience.</p><p><strong>Results: </strong>There were no differences between the BMI groups in dispositional mindfulness facets. In terms of mindful eating, participants with obesity showed a heightened awareness of the effects of environmental cues on their eating behavior, and a lower capacity to refrain from reactive responses and judgment toward their eating, in comparison to participants with a lower weight.</p><p><strong>Conclusion: </strong>Results suggest that behavior-specific mindful eating may be a relevant factor to address to promote healthy weight management in the general, non-treatment-seeking population. These explorative findings need to be replicated and explored further through studies utilizing more robust, longitudinal research designs.</p>","PeriodicalId":11391,"journal":{"name":"Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147580935","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cognitive remediation therapy (CRT-O) for young Indian adults living with overweight or obesity: a qualitative study of participant experience.","authors":"Vandhana Susilkumar, Bhasi Sukumaran, Radha Kumar, Jayanthi Raman","doi":"10.1007/s40519-026-01845-5","DOIUrl":"10.1007/s40519-026-01845-5","url":null,"abstract":"<p><strong>Background: </strong>The prevalence of obesity in India has reached epidemic levels with 40.3% living with overweight or obesity. Problematic eating behaviours have been implicated in the development and maintenance of overweight and obesity. Conventional cognitive-behavioural intervention for eating disorders has not shown favourable long-term outcomes in weight management. Recent research has indicated early evidence for using cognitive remediation therapy (CRT-O) for eating disorders including disordered eating behaviours in those living with overweight and obesity. We conducted a feasibility study through a randomized controlled trial (RCT) with 70 young Indian adults with obesity or overweight. We also obtained participant feedback post-intervention, to identify putative contributing factors to the study outcomes.</p><p><strong>Methodology: </strong>Fifteen young adult participants completed 28 sessions of CRT-O intervention program for their weight management. On trial completion, participants were randomly selected to provide their feedback and experience of their participation. A semi-structured qualitative interview was conducted. Transcripts were semantically coded and thematic analysis was done.</p><p><strong>Results: </strong>Thematic analysis yielded six themes: 1. gaining new insights into their eating habits; 2. self-reported changes in eating behaviours; 3. self-reported behavioural changes; 4. perceived physical benefits; 5. perceived psychological benefits; 6. perceptions about the CRT-program. The sub-themes that emerged indicated general acceptance of the CRT-O intervention and its potential translation in real life.</p><p><strong>Conclusions: </strong>This study showed improved metacognitive awareness on participants' eating behaviours. Additionally, the findings indicated that participants developed an improved ability to resist several highly palatable but unhealthy foods. Participants also reported experiencing more self-control in their food grazing habits and reported that this led to a better ability to manage their weight.</p>","PeriodicalId":11391,"journal":{"name":"Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13149649/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147527700","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}