{"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":3.5,"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}
Louise Auguste Schmidt, Jana Katharina Throm, Annica Franziska Dörsam, Katrin Elisabeth Giel
{"title":"Dietary intake of women with and without eating disorder history from pregnancy to 3 years postpartum: a longitudinal analysis.","authors":"Louise Auguste Schmidt, Jana Katharina Throm, Annica Franziska Dörsam, Katrin Elisabeth Giel","doi":"10.1007/s40519-026-01841-9","DOIUrl":"10.1007/s40519-026-01841-9","url":null,"abstract":"<p><strong>Background: </strong>Pregnancy and the postpartum period are vulnerable phases, particularly for women with eating disorder (ED) history. While prior nutritional research has mainly focused on pregnancy, little is known about long-term dietary patterns in this population. This study examined dietary intake in women with and without ED history from pregnancy to 3 years postpartum.</p><p><strong>Methods: </strong>A validated food frequency questionnaire (FFQ) assessed dietary intake in women with ED history (ED group, T1: active ED: n = 12, past ED: n = 12) and healthy controls (HC group, T1: n = 33). Dietary patterns, food groups, as well as macro- und micronutrient intakes were analysed during pregnancy (T1), 1 year postpartum (T2), and 3 years postpartum (T3).</p><p><strong>Results: </strong>Omnivorous diets predominated (T1: 75.4%, T2: 73.2% T3: 74.4%), with no significant differences between groups or over time. However, women with ED history consumed fewer animal-based, energy-dense, sugar- and fat-rich foods. Nutrient intake during pregnancy was comparable between groups. Postpartum, the ED group showed lower fat intake (p = 0.027, T2) higher fiber intake (p = 0.037, T3) and lower vitamin B12 intake (p = 0.031, T3).</p><p><strong>Conclusion: </strong>Nutrient supply during pregnancy was comparable between groups, which is encouraging. Differences in food group consumption may reflect a greater health consciousness or residual restrictive behaviors in women with ED history. Given the known increase in ED symptoms after childbirth, these findings emphasize the need to further examine this nutritionally and psychosocially vulnerable period.</p><p><strong>Level of evidence: </strong>Level 3.</p>","PeriodicalId":11391,"journal":{"name":"Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2026-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13065583/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147527745","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 ketogenic diet for the management of binge-eating disorder: a pilot study.","authors":"Yixuan Liang, Angela Taylor, Chuyu Qiu","doi":"10.1007/s40519-026-01843-7","DOIUrl":"10.1007/s40519-026-01843-7","url":null,"abstract":"<p><p>For legal reasons, the publisher has withdrawn this article from public view. For additional information, please contact the publisher.</p>","PeriodicalId":11391,"journal":{"name":"Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2026-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147510182","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":"Childhood abuse and disordered eating behaviors in female college students: how does depression and anxiety come from?","authors":"Huizi Li, Wenyue Han, Shaoshan Zhuang, Jialong Xu, YueYi Sun, Zheng Zheng","doi":"10.1007/s40519-026-01846-4","DOIUrl":"10.1007/s40519-026-01846-4","url":null,"abstract":"<p><strong>Purpose: </strong>This study examines the relationship among childhood abuse, disordered eating behaviors, depression, and anxiety in female college students. It also investigates the mediating role of disordered eating in the relationship between childhood abuse and depression, as well as anxiety.</p><p><strong>Methods: </strong>832 female college students were evaluated with the Hospital Anxiety and Depression Scale (HADS), Eating Disorder Inventory (EDI) and Personal Report of Childhood Abuse (PRCA).</p><p><strong>Results: </strong>Depression and anxiety was significantly positively correlated with childhood abuse, physical abuse, emotional abuse, sexual abuse and neglect, and was significantly positively correlated with disordered eating. Disordered eating was significantly positively correlated with childhood maltreatment, physical maltreatment, emotional maltreatment and neglect. Disordered eating mediated the relationship between childhood abuse and depression, as well as between childhood abuse and anxiety.</p><p><strong>Conclusion: </strong>Childhood abuse is positively associated with depression and anxiety, both directly and indirectly through the mediating effect of disordered eating. This provides a new perspective for interventions aimed at alleviating the symptoms of depression and anxiety in individuals with a history of childhood abuse.</p>","PeriodicalId":11391,"journal":{"name":"Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2026-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13083386/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147510197","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":"Patterns and trends of eating disorders among women of childbearing age: a comprehensive analysis from 1990 to 2021 with future predictions.","authors":"Qianhui Wen, Qian Wang","doi":"10.1007/s40519-026-01842-8","DOIUrl":"10.1007/s40519-026-01842-8","url":null,"abstract":"<p><strong>Purpose: </strong>Eating disorders (EDs) among women of childbearing age (WCBA; defined by the World Health Organization as women aged 15-49 years) have emerged as a significant public health concern on a global scale. This study aims to explore the patterns and trends of EDs-specifically anorexia nervosa (AN) and bulimia nervosa (BN), as defined by the Global Burden of Disease (GBD) 2021-among WCBA from 1990 to 2021.</p><p><strong>Methods: </strong>Using data from the GBD Study 2021, we quantified the disease burden using disability-adjusted life years (DALYs) and age-standardized DALY rates (ASDR). Temporal trends were assessed via the estimated annual percentage change (EAPC). Relationships between socioeconomic development and burden were evaluated using Spearman's correlation with the Sociodemographic Index (SDI). Future trends were projected using a Bayesian Age-Period-Cohort (BAPC) model.</p><p><strong>Results: </strong>In 2021, the global burden of EDs in WCBA reached 2,035,736 DALYs (95% UI: 1,229,250-3,188,529). From 1990 to 2021, the global ASDR rose from 93.45 to 106.05 per 100,000 population, with an EAPC of 0.48 (95% CI 0.44-0.52). BN consistently imposed a higher burden than AN. ASDR was positively correlated with SDI (r = 0.808, P < 0.001), with high-SDI regions exhibiting the highest burden, while the middle-SDI quintile and the East Asian region showed the most rapid increases. By 2035, the global ASDR is projected to reach 109.84, with peak burdens shifting toward the 20-29 age group.</p><p><strong>Conclusions: </strong>The global burden of EDs among WCBA is substantial and increasing, particularly in rapidly urbanizing and high-income regions. Given the intersection of EDs with reproductive health, integrated screening within obstetric and gynecological care is urgently needed. Public health strategies should prioritize BN and regions undergoing rapid socioeconomic transition to mitigate this escalating crisis. Level of evidence Level IV, evidence obtained from multiple time series (descriptive time-trend analysis).</p>","PeriodicalId":11391,"journal":{"name":"Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2026-03-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13132930/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147503008","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}
Camilla R Benjaminsen, Jens M Bruun, Malthe J Pedersen, Loa Clausen, Jane N Østergaard, Rasmus M Jørgensen
{"title":"Long-term changes in psychosocial well-being in children with obesity deciding not to participate in a lifestyle intervention.","authors":"Camilla R Benjaminsen, Jens M Bruun, Malthe J Pedersen, Loa Clausen, Jane N Østergaard, Rasmus M Jørgensen","doi":"10.1007/s40519-026-01840-w","DOIUrl":"10.1007/s40519-026-01840-w","url":null,"abstract":"<p><strong>Purpose: </strong>To investigate whether children with obesity who decide not to participate in a lifestyle intervention experience a more negative long-term development in psychosocial well-being.</p><p><strong>Methods: </strong>This observational study included 403 children aged 5-10 years with obesity. Children who decided not to participate (n = 71) were compared to those not invited (not-invited group, n = 225) and those attending the lifestyle intervention (intervention group, n = 107). Psychosocial well-being was assessed with a mean follow-up of 24.5 ± 4.5 months using the self-reported Danish National Well-being Questionnaire. Data from national registries and mandatory health examinations were included. Within-group changes were analyzed using McNemar's test, and group differences with multivariable logistic regression.</p><p><strong>Results: </strong>Adjusted analyses showed no significant differences in well-being changes between groups. However, children who decided-not-to-participate reported an overall decrease in psychosocial well-being with significantly increased school-related loneliness and reduced classroom concentration and helpfulness over time. Similarly, the not-invited group reported reduced school-related classroom concentration, helpfulness, and enjoyment but improved loneliness and bullying over time.</p><p><strong>Conclusions: </strong>Deciding not to participate in a lifestyle intervention for childhood obesity was associated with a more negative development in psychosocial well-being over time; however, causality needs to be determined.</p><p><strong>Clinical trial registration: </strong>ClinicalTrials.gov identifier: NCT06705231.</p><p><strong>Level of evidence: </strong>Level III, longitudinal cohort study.</p>","PeriodicalId":11391,"journal":{"name":"Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2026-03-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13102802/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147467383","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}
Maddy Greville-Harris, Laura Vuillier, Catherine Talbot, Katherine Appleton
{"title":"Perfectionism, obsessive-compulsive symptoms, and health-thinness-cleanliness motivations as primary correlates of orthorexia nervosa.","authors":"Maddy Greville-Harris, Laura Vuillier, Catherine Talbot, Katherine Appleton","doi":"10.1007/s40519-026-01823-x","DOIUrl":"10.1007/s40519-026-01823-x","url":null,"abstract":"<p><strong>Purpose: </strong>Orthorexia Nervosa (ON) is characterized by an obsessive preoccupation with eating foods perceived as healthy or clean. Despite growing research interest, risk factors and underlying motivations for ON remain poorly understood. This study examined demographic factors, psychological correlates, and dietary motivations associated with ON symptomatology, building on McComb and Mills' (2019) theoretical model.</p><p><strong>Methods: </strong>Participants (N = 697) completed validated measures of ON, alongside assessments of demographic factors (age, gender, socioeconomic status, dietary means), psychological variables (perfectionism, obsessive-compulsive symptoms, perceived control, perceived vulnerability to disease, past eating disorder diagnosis), and dietary motivations (thinness, health, cleanliness, muscularity, feeling mentally well).</p><p><strong>Results: </strong>Three dietary motivations: desires to be thin, healthy, and clean were significantly associated with ON symptoms across both measures. Perfectionism (specifically perfectionistic striving) and obsessive-compulsive symptoms (particularly the 'washing' subscale reflecting contamination concerns) emerged as the strongest psychological predictors of ON symptomatology. Demographic variables (age, gender, socioeconomic status) were not associated with ON symptoms, although lower perceived dietary means was associated with higher ON symptomatology. Results were largely replicated using both ON scales.</p><p><strong>Conclusion: </strong>ON appears driven by perfectionist striving and contamination-related obsessive-compulsive symptoms, alongside complex motivations that extend beyond health to also include thinness and cleanliness concerns. These findings suggest that ON represents a convergence of multiple motivational domains and highlights potential targets for intervention, including perfectionism-based and exposure-response prevention approaches adapted from obsessive-compulsive disorder and eating disorders treatments.</p><p><strong>Level of evidence: </strong>Level V, based on a descriptive study.</p>","PeriodicalId":11391,"journal":{"name":"Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2026-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13219126/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147456471","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}
Yngvild S Danielsen, Hanna F Skjåkødegård, Denise Wilfley, Rachel P K Conlon, Helge Molde, Vilde Aabel Skodvin, Petur B Juliusson
{"title":"Youth with severe obesity do not demonstrate increased eating disorder symptoms following family-based behavioral obesity treatment.","authors":"Yngvild S Danielsen, Hanna F Skjåkødegård, Denise Wilfley, Rachel P K Conlon, Helge Molde, Vilde Aabel Skodvin, Petur B Juliusson","doi":"10.1007/s40519-026-01839-3","DOIUrl":"10.1007/s40519-026-01839-3","url":null,"abstract":"<p><strong>Purpose: </strong>To investigate eating disorder symptoms before and after family-based behavioral treatment for severe obesity in youth.</p><p><strong>Methods: </strong>Eating disorder symptoms were measured pre- and posttreatment in 74 youth (age: 10-18 years; 58% female; mean body mass index standard deviation score [BMI SDS]: 3.11) enrolled in a 17-session treatment for severe obesity. Symptoms were assessed using the Youth-Eating Disorder Examination Questionnaire (Y-EDE-Q), including a global score and sub-scales for dietary restraint, eating-, weight- and shape concerns. Robust linear mixed models and generalized mixed models were utilized to measure change over time.</p><p><strong>Results: </strong>There was no significant change in global eating disorder score over time (mean (SD) pre 1.82(1.07) and post 1.67(1.08); beta = - 0.16, p = 0.69). Before treatment, 20.3% of the youth scored above the clinical cut-off for eating disorder risk (> 2.5) on the Y-EDE-Q, compared to 13.5% after treatment (beta = - 0.81, p = 0.25). However, no one received a clinical eating disorder diagnosis at any time point. Before treatment, 4 youth reported ≥ 1 objective binge episode per week, compared to no one post-treatment. A significant reduction in shape concern was observed (beta = - 0.29, p = 0.036). No changes were found for dietary restraint, eating- or weight concerns. Global eating disorder- and dietary restraint scores pre-treatment did not predict changes in BMI SDS from pre- to post-treatment.</p><p><strong>Conclusion: </strong>There was no evidence of an increase in eating disorder symptoms in the sample overall during family-based behavioral treatment for severe obesity, and improvements were seen for shape concerns.</p><p><strong>Level of evidence: </strong>Level IV: Evidence obtained from multiple time series with intervention.</p>","PeriodicalId":11391,"journal":{"name":"Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2026-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13099665/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147456439","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}
María J Triguero-López, M Inmaculada Moreno-García, Manuel Morales-Ortiz
{"title":"Relationship between obsessive personality traits and eating disorders.","authors":"María J Triguero-López, M Inmaculada Moreno-García, Manuel Morales-Ortiz","doi":"10.1007/s40519-026-01829-5","DOIUrl":"10.1007/s40519-026-01829-5","url":null,"abstract":"<p><p>This study aimed to examine associations between obsessive personality traits (perfectionism, desire for control, and cognitive flexibility) and eating-related symptomatology in a non-clinical sample of young adults. The objective was to explore which subdimensions were most strongly associated with eating attitudes. A cross-sectional study was conducted with 890 students aged 18-25 years, who completed validated self-report measures: the Eating Attitudes Test (EAT-26) (Garner and Garfinkel in Psychol Med 9(2):273-279, 1979), the Frost Multidimensional Perfectionism Scale (FMPS) (Frost et al. in Cognit Ther Res 14(5):449-468, 1990), the Desirability of Control Scale (Burger and Cooper in Motiv Emot 3(4):381-393, 1979), and the Personalised Psychological Flexibility Index (PPFI) (Kashdan et al. in Psychol Assess 32(9):829-850, 2020). Regression analyses were conducted controlling for sex and age. The results indicated statistically significant but modest associations between several subdimensions of perfectionism, cognitive flexibility, desire for control, and eating-related symptomatology. These findings expand the previous evidence on obsessive personality traits in relation to eating behaviours and should be interpreted as exploratory and correlational in nature.Level of evidence: 2 (observational, cross-sectional study).</p>","PeriodicalId":11391,"journal":{"name":"Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2026-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13216079/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147442891","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}
Caroline Bruun Abild, Eric Stice, Pernille Byrial, Gry Kjaersdam Telléus, Loa Clausen
{"title":"SMILE body project: protocol for a randomized controlled trial of an online eating disorder prevention program in young women with psychiatric disorders.","authors":"Caroline Bruun Abild, Eric Stice, Pernille Byrial, Gry Kjaersdam Telléus, Loa Clausen","doi":"10.1007/s40519-026-01832-w","DOIUrl":"10.1007/s40519-026-01832-w","url":null,"abstract":"<p><strong>Aim: </strong>Young women with psychiatric illness have an increased susceptibility for eating disorders (ED); however, no prevention initiatives have been tested for this group. The Body Project ED prevention program has produced promising effect on ED symptoms, body satisfaction, and future ED onset; however, no studies have investigated this specific vulnerable group. In SMILE Body Project, we adapted the Body Project manual to a psychiatric population. In this protocol paper, we describe the randomized controlled trial (RCT) to evaluate the efficacy of the SMILE Body Project.</p><p><strong>Methods: </strong>This is an ongoing RCT including 300 young women between 15 and 30 years with a psychiatric illness and subjective body dissatisfaction, starting May 2025. Participants are randomized to either online Body Project groups or an active control arm based on expressive writing exercises. The primary aim is to test if SMILE Body Project significantly reduces the incidence of ED in women with psychiatric illness after 2 years compared to controls. The secondary aim is to explore changes in ED symptoms, psychiatric symptoms, QoL, and predictors such as psychiatric symptoms and time spent on social media.</p><p><strong>Results: </strong>We expect that SMILE Body Project will effectively reduce the incidence of ED diagnosis compared to controls. In addition, we anticipate new knowledge on how time spent on social media affects body image in women with psychiatric illness.</p><p><strong>Conclusions: </strong>If SMILE Body Project proves efficacious, it has potential for implementation at low cost and may contribute to broad prevention of future ED onset among young women with psychiatric illness.</p><p><strong>Clinical trials: </strong></p><p><strong>Gov identifier: </strong>NCT06893627.</p>","PeriodicalId":11391,"journal":{"name":"Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2026-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13095908/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147431582","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}