Eating behaviors最新文献

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Examining the impact of ethnoracial status on drive for thinness and bulimic symptoms in women 研究种族状况对女性消瘦和贪食症状的影响
IF 2.4 3区 医学
Eating behaviors Pub Date : 2025-06-26 DOI: 10.1016/j.eatbeh.2025.102008
Harmony F. Vides-Varini , Sarrah I. Ali , April R. Smith , Thomas E. Joiner , Pamela K. Keel
{"title":"Examining the impact of ethnoracial status on drive for thinness and bulimic symptoms in women","authors":"Harmony F. Vides-Varini ,&nbsp;Sarrah I. Ali ,&nbsp;April R. Smith ,&nbsp;Thomas E. Joiner ,&nbsp;Pamela K. Keel","doi":"10.1016/j.eatbeh.2025.102008","DOIUrl":"10.1016/j.eatbeh.2025.102008","url":null,"abstract":"<div><h3>Objective</h3><div>We sought to examine (1) the effects of ethnoracial status on Drive for Thinness (DT) and bulimic symptoms in a large sample of women, and (2) whether the strength of the association between DT and bulimic symptoms differed among ethnoracial groups.</div></div><div><h3>Method</h3><div>Participants (M age = 19.59 years) from five ethnoracial groups (<em>n</em> = 14 American-Indian/Alaska Native, <em>n</em> = 233 Asian, <em>n</em> = 186 Black, <em>n</em> = 125 Hispanic White, and <em>n</em> = 990 non-Hispanic White), completed Eating Disorder Inventory (EDI; Garner et al., 1983) scales.</div></div><div><h3>Results</h3><div>EDI DT scores were significantly lower in Black women compared to both Hispanic and non-Hispanic White women. EDI Bulimia scores were significantly lower in Black women compared to Asian, Hispanic, and non-Hispanic White women. No significant differences were observed among Asian, Hispanic, or non-Hispanic White women. Ethnoracial status moderated the association between DT and Bulimia scores, with a significantly weaker association in Black women compared to Asian, Hispanic, and non-Hispanic White women.</div></div><div><h3>Discussion</h3><div>Findings refute misconceptions that disordered eating uniquely impacts White women and support a nuanced understanding of how ethnoracial status may influence eating disorder risk. Future work should examine sociocultural factors unique to ethnoracial subgroups to inform more targeted and effective intervention strategies.</div></div>","PeriodicalId":11476,"journal":{"name":"Eating behaviors","volume":"58 ","pages":"Article 102008"},"PeriodicalIF":2.4,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144514155","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}
引用次数: 0
Corrigendum to "Ethnic Identity, Body Appreciation, and Intuitive Eating in a National Sample of U.S. Adults" [Eat. Behav. 57C (2025) 1-6]. 《美国成年人全国样本中的种族认同、身体欣赏和直觉饮食》的勘误表。行为学报[j]. 57(2025) 1-6。
IF 2.4 3区 医学
Eating behaviors Pub Date : 2025-06-16 DOI: 10.1016/j.eatbeh.2025.102005
Mengyuan Xia, Jennifer A Harriger, Khanh Bui, Loan P Kim
{"title":"Corrigendum to \"Ethnic Identity, Body Appreciation, and Intuitive Eating in a National Sample of U.S. Adults\" [Eat. Behav. 57C (2025) 1-6].","authors":"Mengyuan Xia, Jennifer A Harriger, Khanh Bui, Loan P Kim","doi":"10.1016/j.eatbeh.2025.102005","DOIUrl":"https://doi.org/10.1016/j.eatbeh.2025.102005","url":null,"abstract":"","PeriodicalId":11476,"journal":{"name":"Eating behaviors","volume":" ","pages":"102005"},"PeriodicalIF":2.4,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144505150","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}
引用次数: 0
Prenatal and perinatal risk factors for feeding and eating disorders in children: A population-based linked cohort study 儿童喂养和饮食失调的产前和围产期危险因素:一项基于人群的相关队列研究
IF 2.4 3区 医学
Eating behaviors Pub Date : 2025-06-14 DOI: 10.1016/j.eatbeh.2025.102006
Berihun Dachew , Biruk Shalmeno Tusa , Yitayish Damtie , Emily Calton , Getinet Ayano , Rebecca Anderson , Rosa Alati
{"title":"Prenatal and perinatal risk factors for feeding and eating disorders in children: A population-based linked cohort study","authors":"Berihun Dachew ,&nbsp;Biruk Shalmeno Tusa ,&nbsp;Yitayish Damtie ,&nbsp;Emily Calton ,&nbsp;Getinet Ayano ,&nbsp;Rebecca Anderson ,&nbsp;Rosa Alati","doi":"10.1016/j.eatbeh.2025.102006","DOIUrl":"10.1016/j.eatbeh.2025.102006","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to investigate the longitudinal effects of prenatal and perinatal risk factors on the development of feeding and eating disorders (FEDs) in children.</div></div><div><h3>Methods</h3><div>A population-based retrospective cohort study was conducted using data from 223,068 mother–child pairs born between 2003 and 2005 in New South Wales, Australia. Offspring were followed for up to 15 years, until 2018. FEDs in children were identified using the Australian version of the International Classification of Diseases, 10th Revision (ICD-10-AM) codes. Logistic regression models were employed to identify predictors of FEDs in children.</div></div><div><h3>Results</h3><div>A total of 435 children (0.2 %) were diagnosed with FEDs. The multivariable analysis identified both maternal and child-related factors significantly associated with FEDs in children. Maternal factors included advanced age (over 35 years) (adjusted odds ratio [AOR] = 1.36, 95 % CI = 1.03–1.79), high socio-economic status (AOR = 1.44, 95 % CI = 1.09–1.91), and perinatal anxiety disorder (AOR = 1.95, 95 % CI = 1.15–3.31). For children, being female (AOR = 3.35, 95 % CI = 2.69–4.17), having low birth weight (AOR = 1.60, 95 % CI = 1.10–2.52), and low Apgar scores were associated with a higher risk of FEDs (AOR = 2.55, 95 % CI = 1.46–4.53).</div></div><div><h3>Conclusion</h3><div>Our findings highlight the association between several prenatal and perinatal factors and an increased risk of FEDs in children. These results underscore the critical need for monitoring and addressing modifiable risk factors during the prenatal and perinatal periods to mitigate their potential adverse effects on children's health.</div></div>","PeriodicalId":11476,"journal":{"name":"Eating behaviors","volume":"58 ","pages":"Article 102006"},"PeriodicalIF":2.4,"publicationDate":"2025-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144307018","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}
引用次数: 0
Corrigendum to "Exploring clinical phenotypes of food addiction and its distress correlates: A cross-sectional evaluation in treatment-seeking individuals with obesity" [Eating Behaviors volume 57 (April 2025), Online ahead of print, 101961]. “探索食物成瘾的临床表型及其相关的痛苦:对寻求治疗的肥胖个体的横断面评估”的更正[饮食行为卷57(2025年4月),在线印刷前,1961年10月]。
IF 2.4 3区 医学
Eating behaviors Pub Date : 2025-05-31 DOI: 10.1016/j.eatbeh.2025.102003
Fausta Micanti, Claudio Caiazza, Luigi Franzese, Vito Rago, Michele D'Ambrosio, Niccolò Solini, Felice Iasevoli, Andrea de Bartolomeis, Michele Fornaro
{"title":"Corrigendum to \"Exploring clinical phenotypes of food addiction and its distress correlates: A cross-sectional evaluation in treatment-seeking individuals with obesity\" [Eating Behaviors volume 57 (April 2025), Online ahead of print, 101961].","authors":"Fausta Micanti, Claudio Caiazza, Luigi Franzese, Vito Rago, Michele D'Ambrosio, Niccolò Solini, Felice Iasevoli, Andrea de Bartolomeis, Michele Fornaro","doi":"10.1016/j.eatbeh.2025.102003","DOIUrl":"https://doi.org/10.1016/j.eatbeh.2025.102003","url":null,"abstract":"","PeriodicalId":11476,"journal":{"name":"Eating behaviors","volume":" ","pages":"102003"},"PeriodicalIF":2.4,"publicationDate":"2025-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144198550","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}
引用次数: 0
Effects of a shared activities parenting intervention on weight outcomes in middle childhood: An exploratory study 共同活动父母干预对儿童中期体重结局的影响:一项探索性研究
IF 2.4 3区 医学
Eating behaviors Pub Date : 2025-05-27 DOI: 10.1016/j.eatbeh.2025.102002
Elizabeth Kubiniec , Hope I. White , Rina D. Eiden , Leonard H. Epstein , Gregory A. Fabiano , Kai Ling Kong , Stephanie Anzman-Frasca
{"title":"Effects of a shared activities parenting intervention on weight outcomes in middle childhood: An exploratory study","authors":"Elizabeth Kubiniec ,&nbsp;Hope I. White ,&nbsp;Rina D. Eiden ,&nbsp;Leonard H. Epstein ,&nbsp;Gregory A. Fabiano ,&nbsp;Kai Ling Kong ,&nbsp;Stephanie Anzman-Frasca","doi":"10.1016/j.eatbeh.2025.102002","DOIUrl":"10.1016/j.eatbeh.2025.102002","url":null,"abstract":"<div><div>General parenting interventions without an explicit focus on weight-related constructs have demonstrated lasting effects on child weight outcomes. However, well-established parenting interventions are time and resource intensive, which has limited their ability to transition to real-world delivery. This exploratory study examined whether Play With Me, a pilot at-home play-based general parenting intervention, affected weight outcomes in middle childhood. The intervention provided evidence-based parenting guidance that parents implemented in shared activities with their four-to-five-year-old children. Two years following the intervention, a follow-up survey was sent to families who had participated (<em>N</em> = 31), and parents (<em>n</em> = 27) reported child height and weight when children were 6.9 ± 0.6 years old. Children in the intervention group had a lower body mass index (BMI) in middle childhood, adjusting for baseline BMI, age, and sex (<em>d</em> = 0.52). Results were similar when examining BMI z-scores, percentiles, and overweight status, with children in the intervention group being less likely to meet clinical criteria for overweight at middle childhood follow-up than children in the control group (9.10 % intervention, 37.50 % control, V = 0.32). These exploratory findings add to the evidence supporting causal links between general parenting and child weight, extend this evidence to an interactive at-home intervention delivery model, and indicate that future rigorous, well-powered trials are needed to test whether results replicate and elucidate mechanisms through which general parenting may promote healthy child growth trajectories.</div></div>","PeriodicalId":11476,"journal":{"name":"Eating behaviors","volume":"58 ","pages":"Article 102002"},"PeriodicalIF":2.4,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144194600","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}
引用次数: 0
Community norms of the Eating Pathology Symptoms Inventory (EPSI) in transgender and gender-diverse adults 跨性别和性别多样化成人饮食病理症状量表(EPSI)的社区规范
IF 2.4 3区 医学
Eating behaviors Pub Date : 2025-05-18 DOI: 10.1016/j.eatbeh.2025.101993
Jason M. Nagata , Christopher D. Otmar , Christopher M. Lee , Emilio J. Compte , Jason M. Lavender , Tiffany A. Brown , Kelsie T. Forbush , Annesa Flentje , Micah E. Lubensky , Mitchell R. Lunn , Juno Obedin-Maliver
{"title":"Community norms of the Eating Pathology Symptoms Inventory (EPSI) in transgender and gender-diverse adults","authors":"Jason M. Nagata ,&nbsp;Christopher D. Otmar ,&nbsp;Christopher M. Lee ,&nbsp;Emilio J. Compte ,&nbsp;Jason M. Lavender ,&nbsp;Tiffany A. Brown ,&nbsp;Kelsie T. Forbush ,&nbsp;Annesa Flentje ,&nbsp;Micah E. Lubensky ,&nbsp;Mitchell R. Lunn ,&nbsp;Juno Obedin-Maliver","doi":"10.1016/j.eatbeh.2025.101993","DOIUrl":"10.1016/j.eatbeh.2025.101993","url":null,"abstract":"<div><div>Transgender and gender-diverse (TGD) individuals are at a higher risk for eating disorders, yet existing community norms for many eating disorder measures predominantly derive from cisgender populations. This study aimed to establish community norms for the Eating Pathology Symptoms Inventory (EPSI) among TGD adults (Forbush et al., 2013). The sample included 1206 gender-diverse people, 599 transgender men, and 293 transgender women from The PRIDE Study, a national longitudinal cohort of sexual and gender minority adults in the United States. We report mean scores, standard deviations, medians, interquartile ranges, and percentile ranks for the eight EPSI scales within TGD populations. Transgender women exhibited significantly higher scores on the Cognitive Restraint, Excessive Exercise, and Negative Attitudes Toward Obesity scales compared to transgender men and gender-diverse people. Conversely, transgender men showed significantly higher scores on the Muscle Building scale relative to transgender women and gender-diverse people. These findings suggest distinct patterns of eating pathology symptoms among TGD individuals and emphasize the need for clinicians to consider gender identity when assessing eating disorder symptoms.</div></div>","PeriodicalId":11476,"journal":{"name":"Eating behaviors","volume":"58 ","pages":"Article 101993"},"PeriodicalIF":2.4,"publicationDate":"2025-05-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144138499","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}
引用次数: 0
Perceived effects of body positive social media content and correlations with trait body image 身体积极社交媒体内容的感知效应及其与身体形象特质的相关性
IF 2.4 3区 医学
Eating behaviors Pub Date : 2025-04-01 DOI: 10.1016/j.eatbeh.2025.101987
Rachel F. Rodgers , Genevieve P. Nowicki , Eleanor H. Wertheim , Susan Paxton
{"title":"Perceived effects of body positive social media content and correlations with trait body image","authors":"Rachel F. Rodgers ,&nbsp;Genevieve P. Nowicki ,&nbsp;Eleanor H. Wertheim ,&nbsp;Susan Paxton","doi":"10.1016/j.eatbeh.2025.101987","DOIUrl":"10.1016/j.eatbeh.2025.101987","url":null,"abstract":"<div><div>Body positive social media content has been described as less detrimental for body image as compared to idealized body-focused social media content. However, little work has explored who finds these posts helpful. This is an important gap, as individuals who are positive towards such content are more likely to engage with it and thus find more of it in their recommended content. The aims of the study were to examine (1) reactions to body positive social media content and (2) their associations with dimensions of body image among young women. A sample of 135 undergraduate women completed an online survey. Participants viewed two different body positive social media posts and for each indicated their reactions on visual analog scales before completing measures of trait body image. One post included only text while the other featured a group of diverse women. Findings revealed that, across dimensions and posts, favorable and positive reactions were more common than negative ones. However, the group image elicited higher ratings of feeling happy, good about one's body, and ok with one's looks, and lower feelings of anxiety and embarrassment. Correlational analyses revealed trait indices of positive body image were associated with higher positive reactions to posts (happy, good about body, OK with looks) and lower negative reactions (embarrassed, anxious, bad about body, motivated to change looks), while indices of poor body image were associated with lower positive and higher negative reactions. Findings suggest body positive social media might be most useful for maintaining positive body image.</div></div>","PeriodicalId":11476,"journal":{"name":"Eating behaviors","volume":"57 ","pages":"Article 101987"},"PeriodicalIF":2.4,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143928464","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}
引用次数: 0
Perfectionism and disordered eating in exercise and nutrition professionals: The role of self-compassion 运动和营养专业人士的完美主义和饮食失调:自我同情的作用
IF 2.4 3区 医学
Eating behaviors Pub Date : 2025-04-01 DOI: 10.1016/j.eatbeh.2025.101990
Maryam Marashi , Danika A. Quesnel , Erin K. O'Loughlin , David M. Brown , Catherine M. Sabiston
{"title":"Perfectionism and disordered eating in exercise and nutrition professionals: The role of self-compassion","authors":"Maryam Marashi ,&nbsp;Danika A. Quesnel ,&nbsp;Erin K. O'Loughlin ,&nbsp;David M. Brown ,&nbsp;Catherine M. Sabiston","doi":"10.1016/j.eatbeh.2025.101990","DOIUrl":"10.1016/j.eatbeh.2025.101990","url":null,"abstract":"<div><div>Disordered eating (DE) is more prevalent among exercise and nutrition professionals (ENPs) which may be partially due to heightened levels of perfectionism. Self-actualizing strategies such as self-compassion may offer protection against DE but are not well-understood among health and wellness professionals. This cross-sectional study investigated the associations between multidimensional perfectionism (self-oriented, socially prescribed, and other-oriented perfectionism) and a two-factor model of DE: (i) weight and shape concerns and (ii) food preoccupation, among ENPs (<em>N</em> = 93; mean age = 33.5; 88.2 % women). Self-compassion was tested as a potential moderating factor. All three dimensions of perfectionism were positively associated with both DE factors. Self-compassion significantly moderated the relationship between self-oriented perfectionism and weight and shape concerns (b = −0.51, SE = 0.22, <em>p</em> = .023). Similarly, self-compassion moderated the relationship between socially prescribed perfectionism and food preoccupation (b = −0.39, SE = 0.19, <em>p</em> = .05). Findings suggest that self-compassion may help reduce the impact of perfectionism on DE risk in ENPs.</div></div>","PeriodicalId":11476,"journal":{"name":"Eating behaviors","volume":"57 ","pages":"Article 101990"},"PeriodicalIF":2.4,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143947661","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}
引用次数: 0
Beyond thinness: The contribution of muscularity-oriented disordered eating to clinical impairment across cultures 超越瘦:跨文化的以肌肉为导向的饮食失调对临床损害的贡献
IF 2.4 3区 医学
Eating behaviors Pub Date : 2025-04-01 DOI: 10.1016/j.eatbeh.2025.101973
Lisa Y. Zhu , Taylor N. Breddy , Reza N. Sahlan , Kerstin K. Blomquist , Lindsay P. Bodell
{"title":"Beyond thinness: The contribution of muscularity-oriented disordered eating to clinical impairment across cultures","authors":"Lisa Y. Zhu ,&nbsp;Taylor N. Breddy ,&nbsp;Reza N. Sahlan ,&nbsp;Kerstin K. Blomquist ,&nbsp;Lindsay P. Bodell","doi":"10.1016/j.eatbeh.2025.101973","DOIUrl":"10.1016/j.eatbeh.2025.101973","url":null,"abstract":"<div><div>Muscularity-oriented disordered eating (MODE) has been linked to negative outcomes, even when controlling for thinness-oriented disordered eating; however, its contribution to clinical impairment across demographic groups remains understudied. This study examined whether MODE independently contributes to clinical impairment while accounting for cognitive restraint, restricting, and purging, and whether this relationship differs by gender and country. Female (<em>n</em> = 1575) and male (<em>n</em> = 906) students from Canada, the United States, and Iran completed self-report measures of MODE, thinness-oriented disordered eating, and clinical impairment. Hierarchical multiple regressions were conducted with gender and country as moderators. Analyses were pre-registered on Open Science Framework. The addition of MODE to the model significantly accounted for 11 % of unique variance in clinical impairment. No significant moderation effects of gender and country were found. Results suggest that across women and men from both Western and non-Western cultural contexts, the unique aspects of MODE are associated with disruptions in daily functioning in multiple domains. These findings challenge the belief that dieting for muscularity is inherently beneficial for well-being. More clinical attention on MODE is warranted, such as targeted prevention and treatment efforts that address MODE specifically, rather than conceptualizing it as an extension of thinness-oriented eating disorders.</div></div>","PeriodicalId":11476,"journal":{"name":"Eating behaviors","volume":"57 ","pages":"Article 101973"},"PeriodicalIF":2.4,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143768919","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}
引用次数: 0
Emergency medical reviews and medical admission transfers during psychiatric inpatient eating disorders unit treatment 精神科住院病人进食障碍治疗期间的紧急医疗检查和住院转院
IF 2.4 3区 医学
Eating behaviors Pub Date : 2025-04-01 DOI: 10.1016/j.eatbeh.2025.101979
Natalie Seiler , Benjamin Ziegeler , Natalie Sacco , Nardine Elzahaby , Karen Gwee
{"title":"Emergency medical reviews and medical admission transfers during psychiatric inpatient eating disorders unit treatment","authors":"Natalie Seiler ,&nbsp;Benjamin Ziegeler ,&nbsp;Natalie Sacco ,&nbsp;Nardine Elzahaby ,&nbsp;Karen Gwee","doi":"10.1016/j.eatbeh.2025.101979","DOIUrl":"10.1016/j.eatbeh.2025.101979","url":null,"abstract":"<div><h3>Objective</h3><div>There is limited information regarding emergency medical reviews (EMRs) and medical admission transfers for psychiatric eating disorders inpatients. We aimed to describe (i) EMRs during psychiatric inpatient eating disorders treatment at the Eating Disorders Unit (EDU), Austin Hospital in Melbourne, Victoria, and (ii) medical admission transfers during EDU admissions.</div></div><div><h3>Methods</h3><div>Retrospective review of patient files was undertaken for inpatients aged 18–65 years with an eating disorder who resided within the Body Image &amp; Eating Disorders Treatment &amp; Recovery Service (BETRS) catchment area and were admitted to EDU between 01/01/21 to 30/10/23.</div></div><div><h3>Results</h3><div>Among 177 EDU admissions there were 33 EMRs and 17 medical transfers. On average, inpatients with EMRs or medical transfers were older with greater medical multimorbidity or polypharmacy, and a higher proportion of atypical anorexia nervosa and anorexia nervosa – binge/purge subtype. EMR indications included postural tachycardia, hypotension, sinus tachycardia, hypokalaemia, hypoglycaemia, altered conscious state, and chest pain. Medical admission indications included refeeding in the setting of vital sign derangement, intravenous potassium, vital sign derangement or falls attributed to antipsychotic use, infection, abdominal pain, and self-harm.</div></div><div><h3>Conclusion</h3><div>Early medical assessment and intensive monitoring are recommended for older patients with greater medical multimorbidity/polypharmacy, orthostasis, or higher risk of electrolyte instability. Caution should be undertaken regarding antipsychotic use in this vulnerable population.</div></div>","PeriodicalId":11476,"journal":{"name":"Eating behaviors","volume":"57 ","pages":"Article 101979"},"PeriodicalIF":2.4,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143828368","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}
引用次数: 0
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