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

{"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}

{"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}

{"title":"Borderline personality disorder and eating disorders are characterized by specific patterns of autistic traits, post-traumatic and catatonic symptoms.","authors":"Liliana Dell'Osso, Benedetta Nardi, Stefano Pini, Leonardo Massoni, Margarita Pustynnikova, Chiara Bonelli, Gabriele Massimetti, Ivan Mirko Cremone, Bianca Della Rocca, Andrea Fiorillo, Barbara Carpita","doi":"10.1007/s40519-026-01827-7","DOIUrl":"10.1007/s40519-026-01827-7","url":null,"abstract":"<p><strong>Purpose: </strong>The present study aims to clarify the relationships between autistic traits, post-traumatic symptoms, and catatonic features in individuals with BPD and FED. Specifically, we sought to identify whether distinct patterns of autistic and trauma-related features characterize these conditions and to examine their predictive role in the development of catatonic manifestations.</p><p><strong>Methods: </strong>49 subjects with BPD, 55 subjects with FED, specifically anorexia nervosa (AN) or bulimia nervosa (BN)/binge-eating disorder (BED) and 55 non-clinical subjects (NCs) were recruited and assessed with the Adult Autism Subthreshold Spectrum (AdAS Spectrum), the Catatonia Spectrum (CS), and the Trauma and Loss Spectrum Self-Report (TALS-SR).</p><p><strong>Results: </strong>Both FED and BPD groups scored higher on AdAS, CS and TALS-SR than NC, while BPD group scored higher than FED on TALS-SR \"Personal Characteristics and Risk Factors\" domain. AN significantly differed from BN/BED in specific AdAS and CS domains. A positive correlation among AdAS spectrum, CS and TALS-SR domains was reported. Both AdAS and CS total score were predictors for the inclusion in BPD or FED group, with some specific differences in the predictive role of single domains. For the FED group, only AdAS symptoms predicted greater catatonic symptoms, while for the BPD one, both AdAS and TALS-SR were predictors of greater catatonic features.</p><p><strong>Conclusions: </strong>Both BPD and FED subjects exhibit more frequent autistic traits, stress-related symptoms, and catatonic manifestations compared to controls, with specific patterns of features associated with each condition.</p><p><strong>Level of evidence: </strong>Level V: Descriptive studies.</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/PMC13086813/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147431579","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":"Benefits of a brief, remote psychoeducation intervention in treating eating disorders: a preliminary study in a predominantly AN/BN sample.","authors":"Laurent Cruchet, Lucia Romo, Philibert Duriez, Maria Alejandra Laszcz, Daphnée Poupon, Philip Gorwood","doi":"10.1007/s40519-026-01836-6","DOIUrl":"10.1007/s40519-026-01836-6","url":null,"abstract":"<p><strong>Purpose: </strong>Engagement in care is particularly problematic among patients suffering from eating disorders (ED). We aimed to assess whether a brief, remote, psychoeducation (PE) intervention could facilitate engagement and/or potentiate treatment. We also aimed to study whether the acquisition of knowledge, a key aspect of PE, could relate to its efficacy.</p><p><strong>Methods: </strong>We designed a brief, remote PE intervention, based on cognitive behavioural therapy (CBT) principles and literature recommendations. Eighteen ED patients receiving the intervention in addition to treatment as usual (TAU) were compared to 17 ED patients receiving TAU only on: self-reported symptomatology and motivation, actual engagement in a treatment, as well as ED-related knowledge. Assessment times were pre-, post-, and 2 months past the intervention.</p><p><strong>Results: </strong>Within-group improvements in symptomatology (at follow-up) and increases in motivation (post- and follow-up) were observed in the TAU + PE group, but not in TAU. Level of knowledge and changes in motivation were identified as potential mediators of the association between the intervention and ED symptomatology.</p><p><strong>Conclusion: </strong>These preliminary findings suggest that a simple, easily accessible remote PE intervention may represent a promising adjunct to standard ED treatment. They also highlight the potential role of knowledge acquisition as a component associated with intervention-related change.</p><p><strong>Level of evidence iv: </strong>Evidence obtained from multiple time series with or without the intervention, such as case studies. Dramatic results in uncontrolled trials might also be regarded as this type of evidence.</p>","PeriodicalId":11391,"journal":{"name":"Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2026-03-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13086656/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147389813","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":"Sex as a moderator of the relationship between food addiction and body mass index in young non-help-seeking adults at risk for psychosis and controls.","authors":"Feten Fekih-Romdhane, Khouloud Akrimi, Nour Bouallègue, Majda Cheour, Souheil Hallit","doi":"10.1007/s40519-026-01834-8","DOIUrl":"10.1007/s40519-026-01834-8","url":null,"abstract":"<p><strong>Background: </strong>Obesity is one of the serious health problems among people with psychosis at the different stages. Therefore, finding effective strategies to mitigate and manage it in a timely manner before complications arise represents a big challenge for the early intervention scientific community. In this study, we aimed to contribute in advancing the field by testing the moderating role of sex between food addiction and body mass index (BMI) in a sample of young people at-risk for psychosis.</p><p><strong>Methods: </strong>A cross-sectional study was conducted during the period from February to April 2025 among young community adults (aged 18-35) from Tunisia who screened positive to psychosis risk on the Prodromal Questionnaire-Brief (i.e. a total frequency score of 9 and over).</p><p><strong>Results: </strong>Mean BMI was 24.02 ± 3.83 kg/m2, with 40 (27.0%) of participants in the overweight range, 12 (8.1%) in the obese range. The prevalence of food addiction in our sample was of 16.9%, with a higher prevalence in females (23.0%) relative to males (8.2%). The interaction food addiction by sex (Beta = 0.15; p = 0.041; 95% CI = 0.01; 0.29) was significantly associated with BMI. In females, higher food addiction was significantly associated with higher BMI (Beta = 0.15; p = 0.041; 95% CI = 0.01; 0.29). However, this association was not significant in males.</p><p><strong>Conclusion: </strong>In light of this study's results, it is concluded that sex could serve as a significant moderator of the association between food addiction and BMI in community individuals screened as at-risk for psychosis, and should be considered an important determinant in promoting physical health and preventing obesity in this specific group. Level of evidence Level V-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":"2026-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13083526/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147371961","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":"Psychometric properties of shortened versions of the Eating Disorder Examination-Questionnaire in Brazilian women.","authors":"Andreia Dutra Gonçalves, Vitória Bagolin, Pedro Henrique Berbert de Carvalho, Maria Fernanda Laus","doi":"10.1007/s40519-026-01835-7","DOIUrl":"10.1007/s40519-026-01835-7","url":null,"abstract":"<p><strong>Objective: </strong>The Eating Disorder Examination-Questionnaire (EDE-Q) is a widely used 28-item instrument for screening eating disorders, of which 22 are attitudinal items used to compute subscale scores and to assess factorial structure, while six open-ended items assess behavioral frequency and are excluded from dimensional analyses. Shorter versions, such as the EDE-Q7, EDE-Q8, and EDE-Q18, have been proposed to enhance accessibility and psychometric properties. This study aimed to evaluate different factorial structures of the EDE-Q and identify the model that best fits a sample of Brazilian adult women.</p><p><strong>Methods: </strong>A total of 712 women completed the EDE-Q and measures of body satisfaction and sociocultural pressures. The factorial structure was analyzed through confirmatory factor analysis (CFA), and convergent validity and internal consistency were also assessed.</p><p><strong>Results: </strong>The multifactorial structure of the original EDE-Q and the 18-item model did not fit the sample well. Although the 7-item model showed acceptable fit, the 8-item version demonstrated the best fit. The EDE-Q8 factors showed a negative association with appearance evaluation and body area satisfaction, and a positive association with internalization of the thin and muscular body ideal and body mass index. Internal consistency was adequate.</p><p><strong>Conclusion: </strong>The 8-item short version of the EDE-Q is a reliable and practical psychometric tool for assessing disordered eating behaviors in Brazilian adult women. Future studies should explore the psychometric performance of the EDE-Q8 across different age ranges, gender groups, and clinical populations to strengthen evidence for its cross-cultural validity and generalizability.</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":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2026-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13079533/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147364098","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":"Validity and reliability of the Arabic orthorexia nervosa inventory scale in young adults: a validation study.","authors":"Mo'ath F Bataineh, Salma H Alhebshi, Ali M Al-Nawaiseh, Amjad H Jarrar, Mohammad I Hamad, Ayesha S Al Dhaheri, Leila Cheikh Ismail, Habiba I Ali","doi":"10.1007/s40519-026-01838-4","DOIUrl":"10.1007/s40519-026-01838-4","url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to translate and validate the Arabic version of the Orthorexia Nervosa Inventory (ONI) scale to assess orthorexia nervosa (OrNe) among young Arabic-speaking adults in the UAE and explore the relationship between OrNe and various sociodemographic factors.</p><p><strong>Methods: </strong>A total of 625 young adult participants (88.2% female) completed a questionnaire comprising the ONI scale and sociodemographic questions. The study assessed internal reliability using Cronbach's α, external reliability using intraclass correlation coefficient (ICC), content validity using a panel of 12 experts, Known-Group validity using associations between OrNe classification and demographics, and structural validity using confirmatory factor analysis.</p><p><strong>Results: </strong>The Arabic ONI scale showed high internal (Cronbach's α = 0.934) and external (ICC = 0.849) reliability. Content validity was excellent (scale-level content validity index = 0.96). Vegetarians had significantly higher ONI scores, indicating good Known-Group validity. The model fit indices (χ²/df = 1.663, comparative fit index = 0.993, Tucker-Lewis index = 0.992, goodness-of-fit index = 0.989, root mean square error of approximation = 0.033, standardized root mean square residual = 0.049) reflected excellent structural validity.</p><p><strong>Conclusions: </strong>The Arabic ONI scale is a reliable and valid tool for assessing OrNe tendencies in young Arabic-speaking adults. Future studies should explore its applicability to broader populations and investigate predictors of OrNe tendencies.</p><p><strong>Level of evidence: </strong>Level V, descriptive cross-sectional study.</p>","PeriodicalId":11391,"journal":{"name":"Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2026-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12982198/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147369212","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 disorder psychopathology relates to weight loss medication and supplement use 6 months later in women.","authors":"Diane L Rosenbaum","doi":"10.1007/s40519-026-01833-9","DOIUrl":"10.1007/s40519-026-01833-9","url":null,"abstract":"<p><strong>Purpose: </strong>This study examined whether eating disorder (ED) psychopathology related to weight loss medication and over-the-counter weight loss supplement use over time in women. It was hypothesized that ED psychopathology at baseline would relate to the following 6-months later: (1) use of any weight loss medications or supplements; and specific use of: (2) over-the-counter weight loss supplements, (3) prescription weight loss medications, (4) glucagon-like peptide 1 (GLP-1) agonist medications used for weight loss.</p><p><strong>Methods: </strong>Women in the United States were recruited for a 6-month long online study. Questionnaire data were provided, including the 7-item version of the Eating Disorder Examination Questionnaire.</p><p><strong>Results: </strong>Baseline ED psychopathology was related to use of weight loss medications and supplements 6-months later, controlling for baseline use and body mass index (BMI). Analyses found greater odds of using over-the-counter weight loss supplements, prescription weight loss medications, and GLP-1 medications, at 6 months associated with higher baseline ED psychopathology, controlling for baseline weight loss medication/supplement use and BMI.</p><p><strong>Conclusion: </strong>Medications such as GLP-1s can benefit chronic disease management when used appropriately but these, and other weight loss medications and supplements, may also be appealing to those with ED psychopathology to promote restriction and weight loss. ED symptom screening is important prior to, and during, medication use. These data are relevant for prescribers and suggest that evaluation of ED symptoms, especially \"atypical\" anorexia nervosa presentations, may be warranted among those seeking weight loss medications.</p><p><strong>Level of evidence: </strong>Level IV: Evidence obtained from multiple time series with or without the intervention, such as case studies.</p>","PeriodicalId":11391,"journal":{"name":"Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2026-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13079474/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147364126","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":"GLP-1 is associated with perfectionism in Swedish women with anorexia nervosa, independent of BMI.","authors":"Sofia Elm, Suzanne Petersson, Martin Carlsson, Lars Brudin, Ina Marteinsdottir, Pär Wanby","doi":"10.1007/s40519-026-01831-x","DOIUrl":"10.1007/s40519-026-01831-x","url":null,"abstract":"<p><strong>Purpose: </strong>Based on the presence of early satiety in anorexia nervosa (AN), which may delay recovery, and given the dramatic impact of GLP-1 and GIP analog treatment on satiety and weight reduction in obesity by diminishing the sensation of hunger, we initiated this cross-sectional pilot study to explore fasting incretin levels in AN and to identify possible correlations between these hormones and psychiatric symptoms.</p><p><strong>Methods: </strong>17 female subjects aged 18-35 were enrolled; 10 previously diagnosed with AN (5 weight restored, 5 non-weight restored) and 7 healthy controls (HC). Fasting blood samples were analyzed for incretin levels using ELISA. Psychiatric symptoms were evaluated using self-assessment scales for eating disorders (EDI-3, EDE-Q), anxiety (STAI-S + T), depression (MADRS-S), and obsessive-compulsive disorder (OCI-R).</p><p><strong>Results: </strong>Subjects with AN scored overall higher on psychiatric scales, indicating poorer psychological well-being than HC. In non-weight restored AN (non-WRAN) subjects both serum GLP-1 levels (29 (15-85) vs 16 (15-21) pg/mL; p = 0.048) as well as serum GIP levels (37 (14-163) vs 5 (2-58) pmol/L; p = 0.048) were elevated compared to HC. No differences were found in glucagon or PYY levels between groups. A strong correlation between serum GLP-1 levels and EDI-perfectionism independent of BMI (r = 0.768, p = 0.001) was found in the entire group.</p><p><strong>Conclusions: </strong>Independent of BMI, GLP-1 levels were associated with perfectionism, a typical characteristic of AN. Fasting GLP-1 levels were elevated in subjects with non-WRAN. Elevated GLP-1 levels may perpetuate AN symptoms, emphasizing the need for further research into their role in the metabolic and psychiatric dimensions of AN.</p><p><strong>Level of evidence: </strong>Level III: Evidence obtained from well-designed 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":"2026-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13061841/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147347794","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":"Parental eating attitudes and adolescent eating disorder severity: preliminary findings on orthorexic tendencies.","authors":"Francesca Camardella, Valentina Pellegatta, Eleonora Poggiogalle, Maria Pia Casini, Federica Gigliotti, Samira Terlizzi, Angela Favaro, Patrizia Todisco, Paolo Meneguzzo, Lorenzo M Donini","doi":"10.1007/s40519-026-01830-y","DOIUrl":"10.1007/s40519-026-01830-y","url":null,"abstract":"<p><strong>Introduction: </strong>Eating disorders (EDs) often emerge in adolescence and are influenced by family factors. Parental eating attitudes, including orthorexic tendencies, may be associated with adolescent ED severity. We examined parental orthorexic tendencies, cognitive rigidity, and nutritional knowledge in relation to adolescents' ED symptoms.</p><p><strong>Methods: </strong>The sample comprised 59 adolescents (93.2% female; mean age = 18.34 ± 3.78 years) and their parents (36 dyads; 23 single parents). Parents completed measures of orthorexia (ORTO-R), cognitive rigidity (D-FLEX), and an ad hoc nutritional knowledge questionnaire; adolescents completed the EDE-Q. Analyses were conducted in the full sample and repeated in anorexia nervosa (AN).</p><p><strong>Results: </strong>In the full sample, higher maternal ORTO-R scores were associated with greater EDE-Q restraint (β = 0.29, p = 0.042) and shape concern (β = 0.31, p = 0.030). In fathers, older age was associated with adolescents' shape (β = 0.32, p = 0.037) and weight concerns (β = 0.36, p = 0.018), whereas paternal ORTO-R was not significant. Mothers showed higher nutritional knowledge than fathers (U = 821.0, p = 0.013). No parent-child concordance emerged for BMI or eating psychopathology. Associations were no longer significant in AN-only analyses.</p><p><strong>Conclusion: </strong>Parental orthorexic tendencies showed small associations with adolescent ED severity in the full sample, with limited robustness in AN. Findings are preliminary and warrant replication in larger diagnostically stratified cohorts.</p><p><strong>Level of evidence: </strong>Level III, observational analytic study; cross-sectional design.</p>","PeriodicalId":11391,"journal":{"name":"Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2026-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13043582/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147316607","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}