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

{"title":"Investigating the association between night eating symptoms and chronotype: the mediating role of depressive symptoms in a sample of Italian university students.","authors":"Giulia Riccobono, Tommaso Barlattani, Valentina Socci, Edoardo Trebbi, Angela Iannitelli, Assunta Pompili, Francesca Pacitti","doi":"10.1007/s40519-024-01707-y","DOIUrl":"10.1007/s40519-024-01707-y","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to understand the relationship between night eating symptoms, chronotype, and depressive symptoms among Italian university students.</p><p><strong>Methods: </strong>The study assessed 905 students using self-report questionnaires, including the night eating questionnaire (NEQ), the Morningness-Eveningness Questionnaire (MEQ), and the Beck depression Inventory (BDI). The correlation between variables was analyzed using Pearson correlation analysis, and mediation analysis was conducted using SPSS PROCESS Macro to estimate the association between variables.</p><p><strong>Results: </strong>Among the students' sample, the mean age was 25.54 years, with an age range between 18 and 35, 68.7% were women, 15% were morning types with MEQ scores of 59 and above, 64.8% were intermediate types with MEQ scores between 42 and 58, 20.3% were evening types with MEQ scores of 41 and below, and 3.6% reached the criteria for night eating syndrome (NES). There was an inverse correlation between MEQ and BDI scores, higher BDI and lower MEQ scores, and a significant inverse correlation between NEQ and MEQ scores, higher NEQ and lower MEQ scores. Individuals with higher NEQ scores had higher BDI scores, indicating a significant positive correlation between night eating symptoms and depressive symptoms. MEQ had a statistically significant negative direct effect on BDI and NEQ variables. The direct impact of BDI on NEQ was positive and statistically significant. The indirect negative effect of MEQ on NEQ through BDI was also determined to be statistically significant.</p><p><strong>Conclusion: </strong>The study found that depressive symptoms played a significant mediating role in the link between eveningness and night eating, with a partial mediation. Evening chronotype was associated with an elevated night eating score. The findings emphasize the importance of chronotherapeutic approaches in treating night eating. However, further research is necessary to elucidate the intricate relationship between these variables.</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":"30 1","pages":"25"},"PeriodicalIF":2.9,"publicationDate":"2025-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11910444/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143633276","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":"Night eating and night eating syndrome: associations with dysfunctional eating behaviors, mental health and quality-of-life measures in Australian adults.","authors":"Haider Mannan, Stephen Touyz, Phillipa Hay","doi":"10.1007/s40519-025-01732-5","DOIUrl":"10.1007/s40519-025-01732-5","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Purpose: &lt;/strong&gt;The association of night eating (NE) and NE syndrome (NES) with dysfunctional eating behaviors, mental health and quality-of-life outcomes has been little explored in the general population. The objective of this study was to explore this for dysfunctional eating behaviors: binge-eating, use of purging, dietary restriction, use of medication to control weight; mental health: anxiety/depression; and quality-of-life outcomes: mental and physical health-related quality of life (M/PHRQoL). NE captured whether in the past 3 months, the respondents had any episodes of waking from sleep and eating, or episodes of eating a very large amount of food after evening meal excluding any such events at social gatherings or travelling overseas on a night flight or because of work shifts. NES was defined by at least weekly episodes of NE with 'a lot' of distress.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;In 2017, 2977 adults from randomly selected households in South Australia were interviewed. Analyses for bivariate association were conducted using weighted tetrachoric and weighted polychoric correlations, and ordinal and binary logistic models, to determine the association between current (3 months) NE or NES as an outcome, and binge-eating, use of purging, dietary restriction, use of medication to control weight, anxiety/depression, mental and physical health-related quality of life (M/PHRQoL) as predictors after controlling for age, sex, and body weight. All analyses adjusted for design effect by stratified cluster sampling.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;Ordinal logistic regression found significantly higher odds of episodes of NE with binge-eating (OR = 1.756, 95% CI 1.527-2.020, p &lt; 0.001), and significantly lower odds with increased MHRQoL (OR = 0.948, 95% 0.921-0.975, p &lt; 0.001) and increased PHRQoL (OR = 0.976, 95% CI 0.966-0.986, p &lt; 0.001). Binary logistic regression found significantly higher odds of NES with binge-eating (OR = 2.62, p &lt; 0.001), and restrictive dieting (OR = 2.491, 95% CI 1.647-3.769, p &lt; 0.01), and significantly lower odds with MHRQoL (OR = 0.913, 95% CI 0.879-0.948, p &lt; 0.001).&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions: &lt;/strong&gt;Those with a history of binge-eating have higher likelihood of having both NE and NES which are also increased for the former in those with poorer MHRQoL and PHRQoL, and for the latter in only those with poorer MHRQoL. Revisions of diagnostic schemes may consider these findings in the context of delineation of boundaries between eating disorder syndromes.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Levels of evidence: &lt;/strong&gt;Multivariate binary logistic regression analyses found there were significantly higher odds of having night eating syndrome in association with binge eating and restrictive dieting and significantly lower odds of night eating syndrome in association with increases in MHRQoL. These results support the Muscatello et al. (Aust N Z J Psychiatry 56:120-1362022, 2022) review noting associations and overlap between n","PeriodicalId":11391,"journal":{"name":"Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity","volume":"30 1","pages":"24"},"PeriodicalIF":2.9,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11906568/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143623905","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":"To predict the prognosis of adolescents with anorexia nervosa leaving inpatient treatment: the development and initial evaluation of a novel tool to be used by a multi-disciplinary team.","authors":"Eleanor Herrmann, Hayley Johns, Emma M Giles, Philippa McQuilton, Sarah Astbury, Rachel V Matthews, J Hubert Lacey","doi":"10.1007/s40519-025-01731-6","DOIUrl":"10.1007/s40519-025-01731-6","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to develop and evaluate the Newbridge Prognosis Score (NPS), a prognostic questionnaire designed for use by a multidisciplinary team (MDT) when an anorexia nervosa (AN) patient is discharged from an inpatient treatment facility for eating disorders. The tool integrates the collective judgment of MDT members to predict short-term outcomes in adolescents with AN, focusing on physical, psychological, and behavioural factors and systematically assessing psychopathology, weight, and continued treatment needs. This information is intended to guide individualized community support, enhance post-discharge recovery, and aid in the allocation of limited community-based resources.</p><p><strong>Methods: </strong>A group of adolescent girls and boys undergoing inpatient treatment for AN participated in the study. In addition, a matched control sub-sample was created. Upon discharge, the multidisciplinary team scored the Newbridge Prognosis Score (NPS), and follow-up data were collected 6 months later from the young person and/or their parents or carers.</p><p><strong>Results: </strong>The NPS significantly correlates with key recovery items, such as weight maintenance, lower eating disorder psychopathology, subsequent need for readmission and engagement in follow-up. Higher NPS scores predict poorer outcomes, such as more severe psychopathology, lower weight or weight loss and higher readmission risk at follow-up. Psychological factors are strong predictors of post-discharge prognosis, with the suggestion that those sufferers may require enhanced psychological support. The NPS is more effective at predicting long-term readmission risk than short-term outcomes. However, the NPS explained only a proportion of the variance in these outcomes and sensitivity in predicting readmission within the matched control sample was mixed.</p><p><strong>Conclusions: </strong>The NPS shows promise as a potential tool for predicting short-term outcomes following AN treatment. While promising, further refinement of the tool is needed, prior to being validated for use in clinical practice.</p><p><strong>Level of evidence: </strong>Level III. Evidence obtained from a well-designed cohort or case-controlled analytic studies.</p>","PeriodicalId":11391,"journal":{"name":"Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity","volume":"30 1","pages":"22"},"PeriodicalIF":2.9,"publicationDate":"2025-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11888998/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143572541","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":"The effect of fermented dairy intake and abdominal obesity in adults: a systematic review and dose-response meta-analysis of cohort studies.","authors":"Fatemeh Sadat Hashemi Javaheri, Milad Nasiri Jounaghani, Amirhossein Sahebkar, Mostafa Norouzzadeh, Pedram Delgarm, Hossein Shahinfar, Artemiss Mirdar Harijani","doi":"10.1007/s40519-025-01733-4","DOIUrl":"10.1007/s40519-025-01733-4","url":null,"abstract":"<p><strong>Objectives: </strong>Diverse analysis has analyzed the potential efficacy of consuming foods created through the fermentation of dairy in mitigating abdominal obesity. The current meta-analysis aims to determine the impacts of consuming fermented dairy foods and the occurrence of abdominal obesity.</p><p><strong>Methods: </strong>Web of Science, PubMed, and Scopus databases were queried for records published before January 13, 2023, to investigate proportionate cohort studies. We employed a random-effects model to appraise the relative risk (RR); effect size was assessed through the 95% confidence interval (CI). Additionally, a one-stage dose-response analysis was executed, quality assessment was conducted through the ROBINS-E tool.</p><p><strong>Results: </strong>Consequently, five publications, comprising 41,430 cases, were included as selected studies. The pooled effect shows an effect on the abdominal obesity risk; however, the effect was not significant. Subgroup analyses revealed a potential risk reduction effect in high- and low-fat and fermented dairy productions, although the findings were not statistically significant. Furthermore, the dose-response analysis indicated a linear decrease in risk with increasing consumption of high-fat fermented yogurt, with an HR of 0.84 (95% CI 0.71, 0.99) by 8 servings/week and an HR of 0.37 (95% CI 0.19, 0.71) by 21 servings/week.</p><p><strong>Conclusion: </strong>These findings imply the potential effectiveness of fermented dairy products, particularly high-fat yogurt, in diminishing the obesity risk. However, further research addressing the limitations of previous studies is essential to confirm these results. Evidence-based medicine level: No level of evidence: Level of evidence III. PROSPERO registration number: CRD42023387538 ( http://www.crd.york.ac.uk/PROSPERO ).</p>","PeriodicalId":11391,"journal":{"name":"Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity","volume":"30 1","pages":"23"},"PeriodicalIF":2.9,"publicationDate":"2025-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11889060/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143585169","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":"Non-suicidal self-injury among women hospitalised for anorexia nervosa.","authors":"France Hirot, Aminata Ali, Corinne Blanchet, Salomé Grandclerc, Ludovic Gicquel, Sylvie Berthoz, Nathalie Godart","doi":"10.1007/s40519-025-01728-1","DOIUrl":"10.1007/s40519-025-01728-1","url":null,"abstract":"<p><strong>Introduction: </strong>Non-suicidal self-injury (NSSI) is frequent in eating disorders (ED). The aim of this study was to describe NSSI among subjects hospitalised for anorexia nervosa (AN) who self-harm and factors associated with NSSI in this population.</p><p><strong>Methods: </strong>This study was part of a larger French longitudinal multi-centre study. Two hundred and two women with AN were recruited from inpatient treatment facilities for ED from 2009 to 2011. All participants fulfilled the DSM-5 diagnostic criteria of AN. Subjects with and without NSSI were compared for clinical characteristics and comorbidities in bivariate analyses. Logistic regression analysis was then used to identify factors associated with NSSI.</p><p><strong>Results: </strong>The mean age of the sample was 20.8 years (± 6.6). The mean BMI was 14.3 (± 1.5). Overall 36.1% had self-harmed in the past 6 months. The main factors that triggered NSSI were a feeling of physical or psychological unease (45.2%), feelings of anger (24.7%), an attempt to relieve discomfort (19.2%), and low self-esteem (16.4%). Lifetime major depressive disorder, suicide attempts and eating concerns were independently associated with NSSI.</p><p><strong>Discussion: </strong>ED symptoms were linked to NSSI, but psychiatric history also played a key role. This is consistent with hypotheses of common underlying transdiagnostic mechanisms linking emotional dysregulation to NSSI and ED.</p><p><strong>Level of evidence: </strong>Level III, well-designed cohort or case-control analytic studies.</p>","PeriodicalId":11391,"journal":{"name":"Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity","volume":"30 1","pages":"21"},"PeriodicalIF":2.9,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11882620/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143556140","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":"Parent-daughter emotional dyssynchrony correlates with personality and psychopathology in adolescents with anorexia nervosa.","authors":"Federico Amianto, Jessica Maria Angelini, Chiara Davico, Daniele Marcotulli, Antonella Anichini, Elena Rainò, Benedetto Vitiello","doi":"10.1007/s40519-025-01726-3","DOIUrl":"10.1007/s40519-025-01726-3","url":null,"abstract":"<p><strong>Purpose: </strong>Anorexia nervosa (AN) is a major concern in adolescents. Attachment problems contribute to its pathogenesis and maintenance. This research explores the relationship between parent-daughter emotional dyssynchrony and the psychopathology of AN daughters.</p><p><strong>Methods: </strong>One hundred and fourteen female adolescents with AN and their parents participated in this study. The daughters completed the youth self-report (YSR) and other self-report measures of personality, eating, and general psychopathology. The parents completed the Child Behavior Checklist (CBCL). The YSR and CBCL ratings were compared and the difference was considered a measure of emotional dyssynchrony. Dyssynchrony scores were correlated with daughters' personality and psychopathology.</p><p><strong>Results: </strong>Mothers scored lower on 15/21 (71%), and fathers scored lower on 11/21 (52%). Mothers scored higher than fathers did in thought problems. Mothers' dyssynchrony was positively related to their daughters' harm avoidance and negatively related to their self-directedness. Both parents' dyssynchrony correlated with their daughters' eating habits and general psychopathology. Dyssynchrony in each psychopathological measure of YSR was positively correlated with specific daughters' psychopathological traits.</p><p><strong>Conclusions: </strong>Parents' perceptions underestimate the suffering of adolescents with AN. Mothers' perception was worse than that of fathers, possibly because of greater overinvolvement. Parent-daughter dyssynchrony is largely related to daughters' psychopathology. This cross-sectional study could not confirm whether dyssynchrony contributed to the onset of AN or follows it. Interventions that promote emotional synchronization may aid in the treatment of adolescents with AN.</p><p><strong>Level of evidence: </strong>III.</p>","PeriodicalId":11391,"journal":{"name":"Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity","volume":"30 1","pages":"20"},"PeriodicalIF":2.9,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11870914/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143531109","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":"Sleep and binge eating in early adolescents: a prospective cohort study.","authors":"Jason M Nagata, Rachel Huynh, Priyadharshini Balasubramanian, Christopher M Lee, Christiane K Helmer, Kyle T Ganson, Alexander Testa, Jinbo He, Jason M Lavender, Orsolya Kiss, Fiona C Baker","doi":"10.1007/s40519-025-01729-0","DOIUrl":"10.1007/s40519-025-01729-0","url":null,"abstract":"<p><strong>Purpose: </strong>To determine the prospective associations between sleep disturbance and binge-eating disorder and behaviors in a national sample of early adolescents in the United States (US).</p><p><strong>Methods: </strong>We analyzed prospective cohort data from the Adolescent Brain Cognitive Development Study (N = 9428). Logistic regression analyses were used to determine the associations between several sleep variables (e.g., overall sleep disturbance, disorders of initiating and maintaining sleep [insomnia], duration; Year 2) and binge-eating disorder and behaviors (Year 3), adjusting for sociodemographic Year 2 binge-eating covariates.</p><p><strong>Results: </strong>Overall sleep disturbance was prospectively associated with higher odds of binge-eating disorder (OR = 3.62, 95% CI 1.87-6.98) and binge-eating behaviors (OR = 1.59, 95% CI 1.17-2.16) 1 year later. Disorders of initiating and maintaining sleep were prospectively associated with higher odds of binge-eating disorder (OR = 1.12, 95% CI 1.05-1.19) and binge-eating behaviors (OR = 1.06, 95% CI 1.03-1.10). Sleep duration under 9 h was prospectively associated with greater binge-eating behaviors.</p><p><strong>Conclusions: </strong>Sleep disturbance, insomnia symptoms, and shorter sleep duration were prospectively associated with binge eating in early adolescence. Healthcare providers should consider screening for binge-eating symptoms among early adolescents with sleep disturbance.</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":"30 1","pages":"19"},"PeriodicalIF":2.9,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11861393/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143499765","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":"The arabic version of the fat phobia scale-short form: reliability and structural validity.","authors":"Hadeel Ghazzawi, Ahmad Alenezi, Sally Souraya, Omar Alhaj, Khaled Trabelsi, Adam Amawi, Mai Helmy, Zahra Saif, Beatrice Bean E Robinson, Haitham Jahrami","doi":"10.1007/s40519-025-01727-2","DOIUrl":"10.1007/s40519-025-01727-2","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Weight bias, often known as fat phobia or weight stigma, refers to unfavorable attitudes and stereotypes that are associated with, and applied to, larger bodies. Fat phobia can include an unreasonable and abnormal dread of being overweight or being associated with obese people. Currently, there is no validated tool available to measure fat phobia in Arabic. Measuring fat phobia in Arabic-speaking populations is crucial, because cultural attitudes toward body weight can be quite negative and discriminatory; these negative attitudes can negatively impact mental health. The current study aimed to adapt, translate, and assess the structural validity of the Fat Phobia Scale-Short Form (F-Scale 14) in Arabic.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;The gold standard approach to translation was used. Forward translation involved translation from the English language to the Arabic language by independent translators. Subsequently, a back-translation review was performed on the translated Arabic version for comparison with the original language. A cross-sectional study was conducted online that included 1246 participants from 22 Arabic countries, of whom 74% were female, 66% single, 83% university graduates, with a mean age of 35 ± 6 years.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;The F-Scale 14 demonstrated good reliability in the Arabic language, with a Cronbach's α of 0.82 (95% CI 0.80-0.83), comparable to the original scale. The test-retest reliability of the scale was 0.92 (95% CI 0.90-0.94). According to the fit indices, the F-Scale 14 demonstrated a satisfactory level of structural validity in Arab cultures. Fit indices are statistical measures used in confirmatory factor analysis (CFA) to assess how well a proposed model fits the observed data. The scale showed a small improvement in factorial structure after the removal of some items. The two items removed were self-indulgent versus self-sacrificing and disliking food versus likes food. The correlation between F-Scale 14 and the figure rating scale was r = 0.76 (p &lt; 0.001), suggesting adequate convergent validity.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions: &lt;/strong&gt;The F-Scale 14 is a crucial indicator of attitudes and opinions concerning obese or overweight individuals. Based on increased internal consistency reliability and the problematic cultural relevance of two items, we recommend adopting a 12-item version of the scale for better cultural relevance in Arabic populations. It is anticipated that the Arabic F-Scale-12 will be highly useful for research and clinical purposes. Future research should test and adapt the Fat Phobia Scale for diverse Arabic populations to ensure its cultural relevance. Exploring its application in clinical settings will enhance our understanding of weight stigma and inform targeted interventions that promote body positivity. By addressing these areas, we can develop effective strategies to foster healthier attitudes toward body image in Arabic communities.&lt;/p&gt;&lt;p&gt;&lt;st","PeriodicalId":11391,"journal":{"name":"Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity","volume":"30 1","pages":"18"},"PeriodicalIF":2.9,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11850402/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143481837","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 pathways between internalized weight bias, eating disorder psychopathology, and weight loss expectations in treatment-seeking adults with binge eating and obesity.","authors":"Katrina T Obleada, Adrian Ortega, Isabel R Rooper, Leah M Parsons, Macarena Kruger, Chidiebere Azubuike, Lindsay D Lipman, Diane Chen, Jennifer E Wildes, Andrea K Graham","doi":"10.1007/s40519-025-01725-4","DOIUrl":"10.1007/s40519-025-01725-4","url":null,"abstract":"<p><strong>Purpose: </strong>Individuals with obesity and binge eating face weight stigma, which can lead to internalized weight bias (IWB), reinforce eating disorder (ED) pathology, and promote unrealistic weight loss expectations (WLE). Greater understanding of pathways between IWB, ED pathology, and WLE could inform interventions to promote healthy WLE and reduce IWB. This study explored pathways through which IWB directly and indirectly relates to eating pathology and WLE in treatment-seeking adults with obesity and recurrent binge eating.</p><p><strong>Methods: </strong>Participants (N = 199, Mage = 40.3, SD = 14.3) completed the Eating Disorder Examination interview (EDE) and questionnaire (EDE-Q), Modified Weight Bias Internalization Scale, and Positive and Negative Affect Scale. WLE were calculated based on participants' expected weight loss divided by current weight. We hypothesized that greater IWB would be associated with greater eating pathology and higher WLE. Pearson correlations were examined to identify possible pathways, followed by exploring direct and indirect associations for pathways with significant correlations.</p><p><strong>Results: </strong>IWB was positively correlated with Eating and Shape Concerns, as well as negative affect (p < 0.05), but not with WLE. Negative affect was positively correlated with WLE. In the pathway model, IWB was directly, negatively associated with WLE (b = - 0.02, p < 0.05). Negative affect was a significant indirect pathway between IWB and WLE (b = 0.01).</p><p><strong>Conclusions: </strong>Our results align with previous literature showing that IWB reinforces eating pathology. Interventions targeting negative affect might promote more reasonable WLE.</p><p><strong>Level of evidence: </strong>Level V, cross-sectional descriptive study.</p>","PeriodicalId":11391,"journal":{"name":"Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity","volume":"30 1","pages":"17"},"PeriodicalIF":2.9,"publicationDate":"2025-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11845428/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143472319","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":"A pilot evaluation of the efficacy and acceptability of a novel imaginal exposure prevention (I-ERP) group programme to treat core weight, shape and social fears or phobias in adolescents with anorexia nervosa in an inpatient setting.","authors":"Kelsie Smith, Jessica Grant, J Hubert Lacey","doi":"10.1007/s40519-025-01723-6","DOIUrl":"10.1007/s40519-025-01723-6","url":null,"abstract":"<p><strong>Background: </strong>Anxiety due to a phobia of normal body weight is a core feature and maintenance factor of anorexia nervosa (AN). This is the first study to explore the efficacy and acceptability of using a novel imaginal exposure response prevention group to target fears associated with being a normal body weight to reduce anxiety in adolescents with AN.</p><p><strong>Methods: </strong>The lead author adapted an I-ERP manual used to treat AN in adults in 1-1 therapy. Content was adapted for an adolescent population, sessions reduced from 10 to 4 and was delivered in a group format with audio recordings to be more accessible for patients. Nineteen patients with AN completed the group and the group therapist collected outcome measures before and after the intervention. A paired samples t-test was used to assess change in eating disorder psychopathology (EDEQ), anxiety and depression (RCAD) and fear of food (FOFM). Qualitative feedback to assess acceptability was also gathered.</p><p><strong>Results: </strong>Statistically significant reduction in anxiety in a variety of situations pertaining to weight and shape was found after completion of the group. There were no significant changes shown in eating disorder psychopathology. Adolescents provided qualitative feedback which suggested the intervention was acceptable for users.</p><p><strong>Conclusions: </strong>I-ERP which has been adapted for adolescents with AN in a group format seems to improve eating disorder psychopathology and reduce weight, shape, social and separation anxiety and phobias when used as an adjuvant to inpatient treatment. Further controlled research is advised.</p><p><strong>Level of evidence: </strong>Level III.</p>","PeriodicalId":11391,"journal":{"name":"Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity","volume":"30 1","pages":"16"},"PeriodicalIF":2.9,"publicationDate":"2025-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11829905/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143425186","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}