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

{"title":"Affective-touch experiences and interpersonal space in anorexia nervosa.","authors":"Federica Toppino, Benedetta Salis, Eugenio Scaliti, Francesco Bevione, Matteo Panero, Annalisa Brustolin, Giovanni Abbate-Daga, Paola Longo","doi":"10.1007/s40519-026-01886-w","DOIUrl":"10.1007/s40519-026-01886-w","url":null,"abstract":"<p><strong>Objectives: </strong>The present study explored affective touch in anorexia nervosa (AN) by: (a) comparing patients with AN and healthy control subjects (HCs) on the quality and quantity of affective-touch experiences across the lifespan; (b) investigating the association between affective touch and body-image-related symptoms; (c) assessing the link between affective touch and interpersonal space (IPS).</p><p><strong>Methods: </strong>Participants (76 patients with AN and 77 HCs) completed self-report questionnaires measuring eating-related symptoms, anxiety, depression, and affective-touch experiences. IPS was assessed with a computer-based stop-distance task with different social conditions.</p><p><strong>Results: </strong>Patients with AN had higher general (i.e., anxiety and depression), and body-image-related (e.g., body checking, body dissatisfaction) symptoms than HCs; moreover, they reported lower quantity of affective touch both in childhood and adulthood and less comfort with affective touch, with a medium to large effect size; more frequent negative affective-touch experiences were also observed in patients than in HCs, with a medium effect size. In patients, lower experienced affective touch, both in childhood and adulthood, and reduced touch-related comfort were associated with larger IPS, independent of anxiety and depression, and with a high effect size after statistical adjustment. No associations with IPS emerged in HCs.</p><p><strong>Conclusions: </strong>The results highlighted a link between negative and reduced affective touch and social difficulties and avoidance in AN. The study remarks the relevance of affective-touch experiences and their relation with implicit body-related mechanisms, suggesting addressing early tactile experiences and interpersonal functioning in clinical interventions.</p><p><strong>Level of evidence: </strong>Level III, case-control study based on self-report questionnaires and a behavioral task.</p>","PeriodicalId":11391,"journal":{"name":"Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2026-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13541973/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148301123","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 orthorexia nervosa risk in high school and university students: associations with perceived social support, body esteem, and diet quality.","authors":"Marta Plichta, Nanette Stroebele-Benschop","doi":"10.1007/s40519-026-01884-y","DOIUrl":"10.1007/s40519-026-01884-y","url":null,"abstract":"<p><strong>Purpose: </strong>The lives of people with eating disorders (EDs) habitually revolve around food and diet, and they exhibit disturbances in attitudes and feelings about their bodies and appearance. Both aspects are also described in people at risk of orthorexia nervosa (ON). Social support plays an important role in the treatment of EDs, but less is known about the role of social support in ON. Therefore, the study aimed to estimate the levels of ON risk, perceived social support, body esteem (BE), and diet quality among students by biological sex, body mass index (BMI) group, and current education stage and program; and evaluate the associations between the levels of ON risk, perceived social support, BE, and diet quality.</p><p><strong>Methods: </strong>Data were collected from 2022 to 2025 through a cross-sectional quantitative survey among 261 Polish high school students (aged 16-19 years) and university students (aged 18-23 years). Students completed the Polish version of the Düsseldorf Orthorexia Scale (PL-DOS), the Multidimensional Scale of Perceived Social Support (MSPSS), the Body Esteem Scale for Adolescents and Adults (BESAA), and the Dietary Habits and Nutrition Beliefs Questionnaire (KomPAN). Pearson Chi-squared test, the Mann-Whitney U test, the Kruskal-Wallis rank ANOVA, and quantile regression analysis were used for further analyses.</p><p><strong>Results: </strong>Females exhibited a significantly higher ON risk than males. University students from nutrition-related majors demonstrated a significantly higher ON risk than those from non-nutrition-related majors. No significant association was found between ON risk and BMI. An increased risk of ON was significantly associated with lower social support from friends, lower BE weight, and a lower intensity of harmful dietary characteristics for health. Meanwhile, higher BE attribution and a higher intensity of beneficial dietary characteristics for health were significantly associated with increased ON risk.</p><p><strong>Conclusions: </strong>Overall, the findings suggest that ON risk is associated with selected psychosocial characteristics, such as perceived social support and body weight-related self-esteem. These findings highlight the need for greater integration of psychological aspects of eating and body image into school and university education programs, as well as interventions aimed at enhancing support from friends to reduce the risk of ON and EDs.</p><p><strong>Level of evidence: </strong>Level III. Evidence obtained from a cross-sectional quantitative study.</p>","PeriodicalId":11391,"journal":{"name":"Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2026-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13529852/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148293867","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":"Different impact of sleeve gastrectomy and Roux-en-Y gastric bypass on thyroid function and levothyroxine requirements.","authors":"Armando Patrizio, Maria Palumbo, Brenno Astiarraga, Giacomo Redi, Carlo Moretto, Rosario Bellini, Alessandro Antonelli, Stefania Camastra","doi":"10.1007/s40519-026-01873-1","DOIUrl":"10.1007/s40519-026-01873-1","url":null,"abstract":"<p><strong>Purpose: </strong>Bariatric surgery might impact the thyroid function test and, in hypothyroid patients, the dose of levothyroxine (LT4), but data are not univocal. We evaluated changes in thyroid function during the first year following bariatric surgery in patients without pre-existing thyroid disease, as well as adjustments in LT4 dosage in those with thyroid disorders, comparing the effects of Roux-en-Y gastric bypass (RYGB) and sleeve gastrectomy (SG).</p><p><strong>Methods: </strong>A retrospective observational study including 69 patients on LT4 therapy (Tr) and 85 patients with normal thyroid function (Nt) at pre-surgical work-up and at regular follow-up at 45 days, 3-6 months and 1-year visits after surgery.</p><p><strong>Results: </strong>The mean body weight reduction for the entire cohort was in 31.4 ± 0.7% 1 year after surgery. In the two Nt groups, TSH levels remained stable throughout the observation period, without differences for type of surgery and without relationship with body weight. After bariatric surgery, the patients treated with LT4, belonging to both Tr-RYGB and Tr-SG, needed to increase the dosage per kg body weight to achieve stable TSH. At 1 year, the increase of LT4/kg/die was higher in the Tr-RYGB group than Tr-SG group (0.44 vs 0.30 mcg/kg/die, p = 0.032).</p><p><strong>Conclusion: </strong>In patients with severe obesity and normal thyroid function, TSH levels are not related with body weight change. Patients treated with LT4, after bariatric surgery need to in-crease the dosage per kg of body weight of the LT4 especially after surgery with malabsorptive component (RYGB) compared to restrictive surgery (SG).</p>","PeriodicalId":11391,"journal":{"name":"Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2026-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13309409/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148276408","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":"Clinical and sociodemographic correlates of body mass index in a large multicenter obsessive-compulsive disorder sample.","authors":"Samuel Frota Cunha, Jônatas Magalhães Santos, Acácio Moreira-Neto, Roseli Gedanke Shavitt, Ygor Arzeno Ferrão, Maria Conceição do Rosário, Maria Alice Simões de Mathis, Marcos Vinícius Sousa de Oliveira, Leonardo F Fontenelle, Euripedes Constantino Miguel, Marcelo Camargo Batistuzzo, Marcelo Queiroz Hoexter","doi":"10.1007/s40519-026-01869-x","DOIUrl":"10.1007/s40519-026-01869-x","url":null,"abstract":"<p><strong>Purpose: </strong>This multicenter study aims to investigate associations between body mass index (BMI) and sociodemographic and clinical characteristics in a clinical sample of individuals with obsessive-compulsive disorder (OCD).</p><p><strong>Methods: </strong>Data were analyzed from 947 adults diagnosed with OCD, recruited through the Brazilian Research Consortium on Obsessive-Compulsive Spectrum Disorders. BMI was calculated from self-reported weight and height and categorized according to WHO definitions. Sociodemographic and clinical data were obtained using standardized instruments. Associations between BMI and sociodemographic/clinical variables were examined using linear regression models.</p><p><strong>Results: </strong>The mean BMI in the sample was 24.55 kg/m² (SD = 4.65), with 5.5% of participants classified as underweight, 58% as normal weight, 25% as overweight, and 11.5% as obese. In the multivariate linear regression model, higher BMI was significantly associated with older age (β = 0.09, p < 0.001), current psychiatric treatment (β = 1.4, p < 0.001), and binge eating disorder (β = 4.4, p < 0.001). Lower BMI was significantly associated with female sex (β = - 1.6, p < 0.001) and body dysmorphic disorder (β = - 1.2, p = 0.005). No significant associations were found with educational level, OCD severity, comorbid depression, anxiety, bulimia, or anorexia.</p><p><strong>Conclusion: </strong>Although BMI was unrelated to OCD severity, it was associated with demographic, clinical, and treatment-related variables, underscoring the need for evaluation beyond symptom-based assessment.</p><p><strong>Level of evidence: </strong>III, as it is based on an observational analytic design using a large cross-sectional multicenter sample.</p>","PeriodicalId":11391,"journal":{"name":"Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity","volume":"31 1","pages":""},"PeriodicalIF":3.5,"publicationDate":"2026-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13279398/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148276411","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":"Internalized weight stigma and obesity-related quality of life in adults with obesity or overweight: a cross-sectional study across clinical and community settings.","authors":"Gian Mauro Manzoni, Elena Tomba, Valentina Gardini, Hellas Cena, Romana Schumann, Donatella Ballardini, Lorenzo Maria Donini, Emilia Manzato, Giovanni Gravina, Daniele Di Pauli, Gianluca Castelnuovo, Chiara Mazzoni","doi":"10.1007/s40519-026-01818-8","DOIUrl":"10.1007/s40519-026-01818-8","url":null,"abstract":"<p><strong>Purpose: </strong>Internalized weight stigma (IWS) is a known correlate of reduced quality of life (QoL) in individuals with obesity or overweight. However, few studies have examined whether this association differs across different recruitment settings. This study aimed to assess the association between IWS and obesity-related QoL in adults with obesity or overweight recruited from clinical settings or from the community, while adjusting for established psychological and demographic predictors.</p><p><strong>Methods: </strong>A total of 313 individuals with obesity were recruited from six obesity treatment centers, and 139 with obesity (n = 72) or overweight (n = 67) were recruited from the community via online survey. Participants completed self-report measures of IWS (Weight Bias Internalization Scale), obesity-related QoL (Laval Questionnaire), depressive symptoms (BDI-II), binge eating (BES), and attitudes toward people with obesity (ATOP). Multiple regression models tested the effect of IWS across QoL domains, with interaction terms by recruitment setting and adjustment for covariates.</p><p><strong>Results: </strong>First exploratory analyses revealed some significant differences across clinical centers in both predictors and QoL domains, which warranted the adjustment of the alpha level to 0.005 for all subsequent regression models. IWS significantly predicted poorer QoL in emotional, social, and sexual domains across all groups, including individuals with overweight from the community. It was also associated with lower hygiene-related QoL, but only among individuals with obesity from clinical centers. No direct effect of IWS was found on physical functioning or symptom burden. Depressive symptoms and BMI were strong covariates in most regression models.</p><p><strong>Conclusions: </strong>IWS is independently associated with psychological and interpersonal aspects of QoL across clinical and community settings. These findings underscore the importance of addressing internalized weight stigma in both therapeutic interventions and public health efforts.</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":3.5,"publicationDate":"2026-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13279737/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148249709","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":"Development and validation of the Japanese version of Sociocultural Attitudes Towards Appearance Questionnaire-4-Revised (SATAQ-4R) among Japanese adolescents.","authors":"Takumi Saito, Kazue Ishitsuka, Aurélie Piedvache, Satoshi Yamaguchi, Syudo Yamasaki, Satoshi Usami, Akira Ishiguro, Naho Morisaki","doi":"10.1007/s40519-026-01877-x","DOIUrl":"10.1007/s40519-026-01877-x","url":null,"abstract":"<p><strong>Purpose: </strong>Internalization of appearance ideals and sociocultural pressures contribute to body dissatisfaction and eating disorders. Japanese adolescents report high levels of body dissatisfaction despite relatively low body mass index compared to peers in other countries, highlighting potential cultural influences. However, the Sociocultural Attitudes Towards Appearance Questionnaire-4-Revised (SATAQ-4R) has not been validated in Japan. This study aimed to develop a Japanese version of the SATAQ-4R and examine its psychometric properties among Japanese adolescents.</p><p><strong>Methods: </strong>A nationwide population-based study was conducted in 2023 among 1,368 adolescents aged 11-17 years (girls: n = 694; boys: n = 674). Participants completed self-reported questionnaires. The factor structure of the SATAQ-4R was evaluated using exploratory and confirmatory factor analyses (EFA and CFA), internal consistency was assessed using Cronbach's alpha, and convergent validity was examined using eating-related measures.</p><p><strong>Results: </strong>EFA suggested a five-factor 23-item structure for girls and a seven-factor 23-item structure for boys. CFA showed suboptimal fit for the female model and comparatively better fit for the male model. Most subscales showed acceptable internal consistency, although one female pressure-related subscale showed inadequate reliability. Correlations with external measures provided partial evidence of convergent validity, with associations varying by sex and subscale.</p><p><strong>Conclusion: </strong>These findings provide preliminary evidence for psychometric properties of the Japanese SATAQ-4R. However, suboptimal female model fit, inadequate reliability of one female subscale, and mixed convergent validity evidence indicate that the resulting Japanese models should be used with caution.</p><p><strong>Level of evidence: </strong>Level III, cross-sectional observational study.</p>","PeriodicalId":11391,"journal":{"name":"Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2026-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13518460/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148238991","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":"Development and  initial validation of the Mindful Eating Behaviour Scale for children and parents.","authors":"Natasha Dunsmore, Misba Hussain, Kyriaki Giannou, Michail Mantzios","doi":"10.1007/s40519-026-01881-1","DOIUrl":"10.1007/s40519-026-01881-1","url":null,"abstract":"<p><strong>Purpose: </strong>This research aimed to address existing methodological limitations in research on mindful eating behaviours in children, to enhance future research in this area. This manuscript presents the development and the assessment of the validity and reliability of a Mindful Eating Behaviour Scale for children and parents across five studies.</p><p><strong>Methods: </strong>Study 1 assessed the scale's content validity using ratings from experts in the field. Study 2 evaluated the internal consistency of the scales. Study 3 explored temporal stability using a test-retest design with a 2-week interval. Studies 4 and 5 examined the criterion-related validity of the scales.</p><p><strong>Results: </strong>Study 1 demonstrated that the items reflected the definition of mindful eating behaviour and were suitable for children. Study 2 showed that the scale and the subscales, \"sensory attention\" and \"non-judgemental awareness\" demonstrated good internal consistency. Using exploratory factor analysis, the scale supported the presence of two factors, \"sensory attention\" and \"non-judgemental awareness\". Study 3 showed that the scale was a reliable measure over time. Studies 4 and 5 showed that the scales are suitable measures for mindful eating behaviour. The scales demonstrated correlations between mindfulness and other eating behaviours, but further research is required, as only limited associations were observed.</p><p><strong>Conclusions: </strong>The current research presents new psychometric scales for mindful eating in children. The studies show that the scale is valid and reliable.</p><p><strong>Level of evidence: </strong>No level of evidence: basic science.</p>","PeriodicalId":11391,"journal":{"name":"Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2026-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13486019/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148239049","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":"Eating attitudes among college students: the role of body shape concerns, mental health, and obesity.","authors":"Shromona Das, Divyansha Khajuria, Monika Kulshreshtha, Shivani Chandel","doi":"10.1007/s40519-026-01878-w","DOIUrl":"10.1007/s40519-026-01878-w","url":null,"abstract":"<p><strong>Background: </strong>Body image concerns, mental health disorders, and obesity are highly prevalent among young adults and can significantly influence eating attitudes during the college years.</p><p><strong>Aim: </strong>To study the prevalence of disordered eating attitudes, body shape concerns, common mental health disorders, and obesity among college-going students, and to find out their inter-relationship.</p><p><strong>Method: </strong>This cross-sectional study collected data from 311 participants (186 males; 125 females) aged 18-23 years. Participants completed questionnaires assessing their demographics, eating attitudes, body shape concerns, and common mental disorders. Four somatometric measurements were recorded according to the ISAK protocol for assessing adiposity levels. Spearman's rho assessed the association, and logistic regression identified the risk of possible disordered eating behavior.</p><p><strong>Results: </strong>Males reported higher EAT-26 (p = .042) and dieting scores (p = .019), as well as higher adiposity indices, including waist circumference (p < .001) and body mass index (p = .009), than females. Greater prevalence of high perceived stress (p = .002), severe anxiety (p = .032), high WC (p = .018), and waist-to-hip ratio (p < .001) was reported among females. Body shape concern was significantly positively correlated with disordered eating attitudes among both sexes (p < .001). Females with elevated body shape concerns were eight times more likely to report disordered eating attitudes, whereas males were four times more likely (p < .001). BMI (p = .002), WC (p = .012), and WHtR (p < .001) significantly predicted the risk of disordered eating attitudes among males, whereas anxiety (p = .033) predicted the risk among females.</p><p><strong>Conclusion: </strong>Young adults constitute a critically vulnerable yet underrecognized group for eating and weight-related disorders, underscoring the urgent need to strengthen screening, prevention, and intervention efforts. Future research and public health initiatives must adopt gender-sensitive frameworks that acknowledge the unique pathways through which both sexes experience and express eating-related psychopathology.</p>","PeriodicalId":11391,"journal":{"name":"Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2026-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13481420/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148224006","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":"Mirror exposure in adolescents with anorexia nervosa: a feasibility study on body image disturbance and attentional bias.","authors":"Maarit Pelzer, Jessica Werthmann, Jennifer Svaldi, Christian Fleischhaker, Barbara Haack-Dees, Fritz Renner, Brunna Tuschen-Caffier","doi":"10.1007/s40519-026-01880-2","DOIUrl":"10.1007/s40519-026-01880-2","url":null,"abstract":"<p><strong>Purpose: </strong>Body image disturbances (BID) are central to anorexia nervosa (AN), influencing its development, maintenance and relapse. While mirror exposure (ME) has been shown to reduce BID in adults, research in adolescents is limited. This pilot randomized controlled trial examined the feasibility and effects of ME, added to treatment as usual (TAU), in adolescent inpatients with AN. In addition, we explored changes in body-related attentional bias as a potential mechanism of change.</p><p><strong>Methods: </strong>Adolescent female inpatients with AN were randomized to receive either 12 ME sessions over 4 weeks (ME group, n = 11) or TAU (n = 13) in a pre-post design. Primary outcomes were global measures of BID and eating disorder (ED) pathology. Attentional bias was assessed using two eye-tracking paradigms.</p><p><strong>Results: </strong>Relative to TAU, ME did not improve BID or ED pathology. Both groups showed reductions in BID over time. Exploratory post-hoc analyses indicated reductions in body control and avoidance behaviors in the ME but not the TAU group. An attentional bias toward self-defined unattractive body parts was present but did not change over time in either group.</p><p><strong>Discussion: </strong>In this pilot trial, ME did not provide additional benefits over TAU in improving global BID or ED pathology in adolescent inpatients with AN. Improvements in BID may reflect general therapeutic effects of inpatient treatment. Exploratory analyses indicated potential effects on specific body-related behaviors but require cautious interpretation due to limited power. Future research should examine for whom and at what stage body image-focused interventions may be beneficial.</p><p><strong>Level of evidence: </strong>Level I, randomized controlled trial.</p><p><strong>Trial registration: </strong>The study is registered on the German Clinical Trial Register (DRKS; registration number: DRKS0019104).</p>","PeriodicalId":11391,"journal":{"name":"Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity","volume":"31 1","pages":""},"PeriodicalIF":3.5,"publicationDate":"2026-06-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13246925/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148204578","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":"Dietary restraint, binge eating and adherence to an adolescent intensive behavioural weight management intervention: a Fast Track to Health sub-study.","authors":"Eve T House, Natalie B Lister, Louise A Baur, Sarah P Garnett, Megan L Gow, Cathy Kwok, Hiba Jebeile","doi":"10.1007/s40519-026-01876-y","DOIUrl":"10.1007/s40519-026-01876-y","url":null,"abstract":"<p><strong>Purpose: </strong>Dietary restraint often increases or remains unchanged following adolescent weight management interventions. It is unknown whether dietary restraint change in such interventions is associated with binge eating risk or intervention adherence. This study examined associations between (1) dietary restraint, measured using the Eating Disorder Examination Questionnaire (EDE-Q) and Dutch Eating Behaviour Questionnaire (DEBQ); (2) changes in dietary restraint and binge eating; and (3) changes in dietary restraint, anthropometry, and adherence throughout a weight management intervention.</p><p><strong>Methods: </strong>Secondary data analysis of a clinical trial of behavioural weight management interventions involving adolescents (13-17 years) with obesity and related complications. Associations between dietary restraint, binge eating, and BMI z-score were examined using Pearson or Spearman's rank correlation. Differences in dietary restraint change between adherers and non-adherers were examined by independent samples t-tests or Mann-Whitney U tests.</p><p><strong>Results: </strong>141 adolescents (14.8 years, 49.6% female) were recruited; 136 had baseline, 130 week-4, 120 week-16, and 92 week-52 data included in analyses. EDE-Q and DEBQ restraint scores were correlated at all timepoints (r = 0.442-0.579, all p < 0.001). Changes in dietary restraint and binge eating from baseline to week-4 and week-16 were not correlated. Week-52 change in DEBQ dietary restraint was associated with change in binge eating (r = 0.347, p < 0.001). Correlations between changes in dietary restraint and BMI z-score and differences in change in dietary restraint between adherers and non-adherers were not significant.</p><p><strong>Conclusion: </strong>The findings do not provide robust evidence of dietary restraint as a marker of adherence or binge eating risk during a behavioural weight management intervention.</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":3.5,"publicationDate":"2026-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13451412/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148155832","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}