Eating behaviors最新文献

{"title":"Negative emotion differentiation, but not gastric interoception, is linked to “feeling fat” among women with elevated eating pathology","authors":"Naomi G. Hill,&nbsp;K. Jean Forney","doi":"10.1016/j.eatbeh.2025.101964","DOIUrl":"10.1016/j.eatbeh.2025.101964","url":null,"abstract":"<div><div>“Feeling fat” is the subjective sensation of being overweight, which is not fully explained by one's body weight. Disruptions in emotion differentiation and gastric interoception may contribute to feeling fat. We hypothesized that poor negative emotion differentiation and poor gastric interoceptive accuracy would each be associated with higher levels of feeling fat after adjusting for negative affect intensity and body fat percentage. Cisgender female university students (N = 69; M(SD) age = 20.3(3.7), 60.9 % heterosexual, 91.3 % white) completed questionnaires and the two-step water load test. Regression analyses, which adjusted for negative affect intensity and body fat percentage, found that neither negative emotion differentiation (B &lt; 0.001, <em>p</em> = .52) nor gastric interoceptive accuracy (B = 0.01, <em>p</em> = .97) were related to feeling fat. Post hoc, eating pathology severity moderated the relationship between negative emotion differentiation and feeling fat (B = −6.97, <em>p</em> = .03); poorer negative emotion differentiation was associated with greater feeling fat for those with Eating Disorder Examination Questionnaire Global Scores above 1.47 (B = −5.79, <em>p</em> = .050). The relationship between gastric interoception and feeling fat did not vary by eating pathology severity (B = −0.04<em>, p</em> = .79). Self-reported feeling full also contributed to feeling fat after consuming water to perceived maximum fullness (<em>p</em> &lt; .001); however, <em>changes</em> in feeling full were not associated with changes in feeling fat across the task (<em>p</em> = .09). Poorer negative emotion differentiation is associated with feeling fat for those with elevated eating pathology. Individuals with elevated eating pathology may benefit from improving their ability to label and understand emotions to reduce feeling fat. Future research should test whether changes in feeling full cause feeling fat.</div></div>","PeriodicalId":11476,"journal":{"name":"Eating behaviors","volume":"57 ","pages":"Article 101964"},"PeriodicalIF":2.4,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143619475","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":"Psychological factors associated with binge eating among women with infertility","authors":"Erin N. Haley ,&nbsp;Alyssa M. Vanderziel ,&nbsp;Amy M. Loree ,&nbsp;Kaitlyn M. Vagnini ,&nbsp;Genevieve E.M. Joseph-Mofford ,&nbsp;Leah M. Hecht ,&nbsp;Lisa R. Miller-Matero","doi":"10.1016/j.eatbeh.2025.101965","DOIUrl":"10.1016/j.eatbeh.2025.101965","url":null,"abstract":"<div><div>Eating disorder pathology, including binge eating, is highly prevalent among women diagnosed with infertility. Binge eating has a range of consequences that may undermine fertility outcomes, yet population-specific risk and protective factors are unknown. Identifying factors associated with binge eating among this unique population may inform more sensitive and effective prevention and intervention efforts. In this cross-sectional observational study, women diagnosed with infertility completed validated self-report measures of psychiatric symptoms, eating disorder pathology, overvaluation of shape and weight (OSW), infertility distress, infertility acceptance, and trait mindfulness. Mann-Whitney <em>U</em> tests and two-part zero-inflated Poisson regression analyses were performed to identify associations between these factors and the presence and frequency of binge eating. In our sample (<em>N</em> = 188), 39.4 % endorsed recent binge eating (<em>n</em> = 74). These participants reported higher symptoms of anxiety (<em>p</em> &lt; .001), depression (p &lt; .001), OSW (p &lt; .001), dietary restraint (p &lt; .001), body mass index (&lt;0.001), and lower mindfulness (<em>p</em> = .003) relative to those who denied binge eating. There were no group differences in infertility distress or acceptance. In a two-part zero-inflated Poisson regression model, higher OSW was the only factor significantly independently associated with higher odds of binge eating, whereas increased depression severity was significantly independently associated with greater binge eating frequency. Ultimately, OSW and depression may be particularly important treatment targets for women with infertility engaging in binge eating, above and beyond related psychological risk factors. Implications for future research and clinical practice are discussed.</div></div>","PeriodicalId":11476,"journal":{"name":"Eating behaviors","volume":"57 ","pages":"Article 101965"},"PeriodicalIF":2.4,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143600628","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":"Exploring clinical phenotypes of food addiction and its distress correlates: A cross-sectional evaluation in treatment-seeking individuals with obesity","authors":"Fausta Micanti ,&nbsp;Claudio Caiazza ,&nbsp;Luigi Franzese ,&nbsp;Michele D'Ambrosio ,&nbsp;Niccolò Solini ,&nbsp;Felice Iasevoli ,&nbsp;Michele Fornaro ,&nbsp;Andrea de Bartolomeis ,&nbsp;Vito Rago","doi":"10.1016/j.eatbeh.2025.101961","DOIUrl":"10.1016/j.eatbeh.2025.101961","url":null,"abstract":"<div><h3>Introduction</h3><div>Food addiction (FA) shares neurobiological and behavioral mechanisms with substance use disorders, including craving and compulsive consumption despite harm and significant impairment. This study examines the prevalence of FA among treatment-seeking individuals with obesity, focusing on the contribution of emotional dysregulation, eating behaviors, and distress tolerance, to draw parallels with substance use frameworks.</div></div><div><h3>Methods</h3><div>This cross-sectional study included 125 individuals with obesity (BMI &gt; 30 kg/m²) and FA diagnosis was performed using the Yale Food Addiction Scale 2.0 (YFAS-2.0). We employed the Difficulties in Emotional Regulation Scale (DERS), Distress Tolerance Scale (DTS), Interpersonal Reactivity Index (IRI) to evaluate emotional, empathy and distress measures, and performed an Exploratory Factory Analysis to evaluate the adequacy of DTS and IRI. We used LASSO regression to identify FA predictors, mediation analysis to explore indirect effects among significant variables and FA.</div></div><div><h3>Results</h3><div>FA was present in 37.6 % of participants, with higher prevalence among individuals with binge eating (68.4%) and grazing (54.8 %). DERS was higher in individuals with FA (MD = 25.79; 95 % C.I. [18.45, 33.13], <em>p</em> &lt; .01), while distress tolerance was lower (MD = −7.15, 95 % C.I. [−10.5, −3.84], <em>p</em> &lt; .01). LASSO regression identified pathological eating behaviors as the strongest predictors of FA, alongside emotional dysregulation. Mediation analysis revealed that emotional dysregulation mediated the relationship between distress tolerance and FA.</div></div><div><h3>Discussion</h3><div>FA represents a frequent phenomenon in obesity, often driven by low distress tolerance and poor emotional regulation, mirroring other addictions. Pathological eating behaviors may represent different phenotypic expressions of FA. Considering the relevant psychological underpinning, integrating tailored psychological interventions into obesity management may promote sustained weight management and improved outcomes.</div></div>","PeriodicalId":11476,"journal":{"name":"Eating behaviors","volume":"57 ","pages":"Article 101961"},"PeriodicalIF":2.4,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143549717","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":"Beyond the screen: The relationships between online activities and eating disorder risk","authors":"Xinfang Ding","doi":"10.1016/j.eatbeh.2025.101963","DOIUrl":"10.1016/j.eatbeh.2025.101963","url":null,"abstract":"<div><div>This study explores the associations between online activities and eating disorder (ED) risk. Seven types of online activities were investigated: the usage of calorie counting and fitness apps, dating apps, social networking sites (SNS), engagement in online games, exposure to pro-ED content, cyberbullying victimization, and mukbang. A sample of 404 participants (257 females, 147 males) aged 18–48 were recruited via a Chinese online survey platform. Latent profile analysis (LPA) identified patterns of online activity, and multiple linear regression assessed the relationship between these activities and ED risk. The results showed that three distinct online activity profiles emerged: Low Risk Group, Moderate Risk Group, and High Risk Group, comprising 63.12 %, 29.70 %, and 7.18 % of the sample, respectively. The Low Risk Group exhibited the lowest ED risk and significantly lower engagement in all ED-related online activities except for social media use, compared to the other groups. The Moderate Risk Group showed a moderate level of ED risk; it did not differ significantly from the High Risk Group in most online activities, but it had higher social media use and lower rates of cyberbullying victimization. Regression analysis indicated that social media use, pro-ED content exposure, and cyberbullying victimization were significantly associated with ED risk, accounting for 43.9 % of the variance. These findings indicate that different patterns of online activity are associated with varying ED risks, and the combination of social media use and cyberbullying victimization, rather than each factor alone, appears to be correlated with higher ED risk.</div></div>","PeriodicalId":11476,"journal":{"name":"Eating behaviors","volume":"57 ","pages":"Article 101963"},"PeriodicalIF":2.4,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143563832","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":"Implicit approach-avoidance bias for body and food-related stimuli among individuals with anorexia nervosa in partial remission","authors":"Caroline Christian,&nbsp;Chloe M. Hudson,&nbsp;Victoria E. Bell,&nbsp;Andrea B. Goldschmidt","doi":"10.1016/j.eatbeh.2025.101962","DOIUrl":"10.1016/j.eatbeh.2025.101962","url":null,"abstract":"<div><h3>Objective</h3><div>Partial remission from anorexia nervosa (AN) is an understudied stage of illness, during which individuals experience improvements in behavioral/physical symptoms, but continue to experience cognitive/affective symptoms. Studying factors that may be related to recovery vs. relapse during partial remission is important given the relatively low rates of full remission in AN. Fear and avoidance of eating disorder-related stimuli are important maintaining factors in AN and require evaluation during this stage of remission.</div></div><div><h3>Methods</h3><div>The current exploratory study (<em>N</em> = 35 individuals with AN in partial remission) investigates implicit approach-avoidance bias for food and body stimuli using a computer-based, behavioral task.</div></div><div><h3>Results</h3><div>Participants on average had an avoidance bias for larger bodies, an approach bias for smaller bodies, and an avoidance bias for lower calorie foods.</div></div><div><h3>Discussion</h3><div>These findings suggest that implicit avoidance bias for larger bodies, but not higher-calorie foods, may be present during partial remission from AN. These results are consistent with current treatment models of AN, which prioritize behavioral and nutritional rehabilitation first, and persistent body image preoccupations later in treatment. Pending future research, step-down care and relapse prevention for AN during partial remission may benefit from targeting these body-related fear and avoidance biases.</div></div>","PeriodicalId":11476,"journal":{"name":"Eating behaviors","volume":"57 ","pages":"Article 101962"},"PeriodicalIF":2.4,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143549713","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":"Preventing weight gain in adults who emotionally eat: An open pilot","authors":"Rachel W. Goode ,&nbsp;Loneke T. Blackman Carr ,&nbsp;Yiwen Xu ,&nbsp;Tyisha Harper-Cooks ,&nbsp;Stephanie Wilhoit-Reeves ,&nbsp;Ramine C. Alexander ,&nbsp;Ana Paola Campos ,&nbsp;Julian Robles ,&nbsp;Deborah F. Tate","doi":"10.1016/j.eatbeh.2025.101960","DOIUrl":"10.1016/j.eatbeh.2025.101960","url":null,"abstract":"<div><h3>Background</h3><div>Weight gain prevention is a critical component of comprehensive obesity care. Emotional eating may contribute to unwanted weight gain, increasing cardiometabolic risk factors among adults with obesity. One way to help reduce emotional eating and reduce weight gain is to provide instruction in Appetite Awareness Training (AAT).</div></div><div><h3>Purpose</h3><div>The purpose of this open pilot study was to examine the feasibility and acceptability of the SATISFY intervention, a 12-week intervention consisting of AAT and training from the Diabetes Prevention Program in a sample of Black and White adults with obesity, and who report emotional eating.</div></div><div><h3>Methods</h3><div>Eligible adults participated in 12 virtual weekly 60–90-minute group sessions. The intervention included content from AAT and the Diabetes Prevention Program. Participants also received weekly feedback on weight and eating behavior trends via a digital health platform. Participants were assessed at 0, 3 (T1), and 6 months (T2).</div></div><div><h3>Results</h3><div>At baseline, participants (<em>N</em> = 31) had a mean (±SD) age of 47.55 ± 12.41 years, BMI of 36.6 ± 6.6 kg/m² and moderate levels of emotional eating. Participants attended approximately 50 % of sessions and 77 % of participants were retained at six months. Reductions in emotional eating subscales, disinhibition, and improvements in interoceptive awareness were observed, with participants also largely maintaining their weight from T1–T3. Finally, participants reported moderate to moderately high acceptability scores.</div></div><div><h3>Conclusion</h3><div>The results of this study provide evidence about the feasibility, acceptability, and potential of the SATISFY program to help participants with emotional eating maintain their weight.</div></div>","PeriodicalId":11476,"journal":{"name":"Eating behaviors","volume":"57 ","pages":"Article 101960"},"PeriodicalIF":2.4,"publicationDate":"2025-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143549716","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":"Associations between intraindividual variability in weekday-weekend sleep timing and duration and eating disorder pathology","authors":"Kara A. Christensen Pacella ,&nbsp;Faith Kim ,&nbsp;Angeline R. Bottera ,&nbsp;Kelsie T. Forbush ,&nbsp;Graham McGinnis","doi":"10.1016/j.eatbeh.2025.101959","DOIUrl":"10.1016/j.eatbeh.2025.101959","url":null,"abstract":"<div><div>Sleep disruptions may be risk factors for eating disorder symptoms. However, mean estimates of sleep characteristics may not be ideal metrics, considering many individuals have irregular sleep patterns. Although variability in sleep-wake timing is associated with irregular eating patterns among individuals with eating disorders (Linnaranta et al., 2020), studies of sleep intraindividual variability (IIV) and eating pathology are limited. To fill this gap, we evaluated two indices of sleep IIV from weekdays-to-weekends and their relation to eating disorder risk. The sample was drawn from the 2018–2019 Healthy Minds Study (<em>N</em> = 25,879). We conducted two binary logistic regressions predicting screening positive for an eating disorder from IIV indices, adjusting for depression and mean sleep time. Greater IIV_timing (i.e., greater shifts in the timing of the sleep midpoint between weekdays and weekends) was associated with greater odds of screening positive for an eating disorder (OR = 1.049). Greater IIV_duration (i.e., greater shifts in duration of sleep between weekdays and weekends) was associated with lesser odds (OR = 0.967); however, suppressor effects of depression likely explain this finding. Greater mean duration of sleep was associated with lower odds of screening positive for an eating disorder in both models. Results are consistent with theories emphasizing the importance of sleep IIV in conceptualizing psychopathology risk; however, effect sizes were small and may have limited clinical significance. By only asking about mean sleep duration, clinicians may miss other sleep-related predictors of eating disorder psychopathology. Findings support investigating techniques to regularize sleep patterns among people with disordered eating.</div></div>","PeriodicalId":11476,"journal":{"name":"Eating behaviors","volume":"57 ","pages":"Article 101959"},"PeriodicalIF":2.4,"publicationDate":"2025-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143444304","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":"Prospective reciprocal relations between psychosocial impairment and eating disorder symptoms in a high-risk sample","authors":"May Stern ,&nbsp;Paul Rohde ,&nbsp;Christopher David Desjardins ,&nbsp;Jasmine Savannah Perry ,&nbsp;Eric Stice","doi":"10.1016/j.eatbeh.2025.101958","DOIUrl":"10.1016/j.eatbeh.2025.101958","url":null,"abstract":"<div><div>Impairment in psychosocial functioning increases risk for future onset of eating disorders and a treatment that produced larger reductions in eating disorder symptoms also produced larger improvements in psychosocial functioning. However, no studies have tested whether there is a prospective reciprocal relationship between psychosocial impairment and eating disorder symptoms. Accordingly, the current study tested the hypotheses that baseline psychosocial functioning would predict future increases in eating disorder symptoms and that baseline eating disorder symptoms would predict future increases in psychosocial impairment. These questions were addressed with data from a large sample (<em>N</em> = 1952; <em>M</em> = age 19.7, <em>SD</em> = 5.7) of adolescent girls and young women at high risk for eating pathology due to body image concerns who were followed over a 3-year period. Findings suggest a reciprocal relationship between eating disorder symptoms and psychosocial impairment. Elevated eating disorder symptoms at baseline predicted future increases in psychosocial impairment over 3-year follow-up and elevated psychosocial impairment at baseline predicted future increases in eating disorder symptoms over 3-year follow-up. Both reciprocal effects were small-medium in magnitude (partial η² = 0.05 and 0.03, respectively). These results suggest that psychosocial impairment is a risk factor for future escalations in eating pathology and should be a target in prevention programs. Additionally, it may be useful for treatments to focus on reducing the impact of eating pathology on psychosocial functioning, which is a novel intervention target for eating disorder treatment.</div></div>","PeriodicalId":11476,"journal":{"name":"Eating behaviors","volume":"57 ","pages":"Article 101958"},"PeriodicalIF":2.4,"publicationDate":"2025-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143418913","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":"Disordered eating among military adolescents presenting for annual health visits at a naval clinic","authors":"Ella C. Perrin ,&nbsp;Andrew M. South ,&nbsp;Elizabeth G. Cius","doi":"10.1016/j.eatbeh.2025.101949","DOIUrl":"10.1016/j.eatbeh.2025.101949","url":null,"abstract":"<div><h3>Introduction</h3><div>The purpose of this study was to estimate disordered eating behavior (DEB) prevalence in military dependent adolescents, compare it to previous reports in the general adolescent population, and investigate whether obesity, sex and gender, or key military-specific demographics (parent in the military, parental active duty [AD] status, military branch, number of lifetime moves, number of parental deployments) are associated with higher DEB risk.</div></div><div><h3>Methods</h3><div>Retrospective cross-sectional study of military dependents aged 11–19 years seen in an adolescent clinic at a naval medical center for annual health maintenance visits. We manually abstracted body mass index, gender, sex, military demographics, and ChEAT-26 eating disorder screening results from electronic health records. We compared DEB prevalence to established estimates from the general adolescent population (p₀ = 0.1) and estimated DEB risk by obesity, gender, sex, and military demographics.</div></div><div><h3>Results</h3><div>Of 92 participants, 49 % identified as male; 9 % had obesity, 63 % had an AD parent, and 81 % were Navy families. DEB prevalence was 13 %, no different from the general population. Obesity and having a parent in the Air Force were associated with higher ChEAT-26 score. There was no significant difference in DEB risk by gender or sex.</div></div><div><h3>Conclusions</h3><div>DEB prevalence in military-dependent adolescents is estimated at 13 %, similar to previous reports in the general population, and obesity is associated with higher DEB risk. Military dependent males may have comparable DEB risk to females, reinforcing the importance of universal DEB screening in adolescents, and of changing the narrative of who is at risk for DEB.</div></div>","PeriodicalId":11476,"journal":{"name":"Eating behaviors","volume":"57 ","pages":"Article 101949"},"PeriodicalIF":2.4,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143429425","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":"“Find a life worth living”: An analysis of experiences of residential treatment for eating disorders","authors":"Caitlin A. Clague ,&nbsp;Janet Conti ,&nbsp;Lucie Ramjan ,&nbsp;Rebekah Rankin ,&nbsp;Sinead Day ,&nbsp;Phillipa Hay","doi":"10.1016/j.eatbeh.2025.101950","DOIUrl":"10.1016/j.eatbeh.2025.101950","url":null,"abstract":"<div><div>Residential treatment for eating disorders is becoming increasingly common, and aims to provide individualised care within a less restrictive environment than traditional inpatient treatment settings. However, research regarding participant experiences of residential care remain limited. This study employed a mixed-methods longitudinal design to explore the experiences of individuals receiving care at Australia's first residential treatment facility for eating disorders. Seventy-eight participants completed the Your Experience of Service Survey and provided responses to open-ended questions at baseline, week 4, and discharge. Three main themes were generated from the data using reflexive thematic analysis: 1) Hopes for treatment and recovery; 2) Experiences at Wandi Nerida; and 3) Strengthening hope for recovery. Results demonstrated that participants held a generally positive view of residential treatment, particularly valuing individual psychological and nutritional therapies, meal support, nature therapies, and the presence of lived experience staff. Participants perceived residential treatment as providing holistic care that enhanced their sense of hope for recovery and supported their efforts to reclaim their identity from the eating disorder. While there was variability in each person's experience, overall, participants reported feeling respected, safe, and comfortable during their time at Wandi Nerida. These findings support literature suggesting that residential treatment offers a unique opportunity to facilitate person-centred and recovery-oriented treatment that promotes autonomy in the context of individualised, holistic and evidenced-based person-centred treatment. Nonetheless, residential treatment remains only one option along the broader continuum of care and further research is needed to optimise several aspects of this model of care.</div></div>","PeriodicalId":11476,"journal":{"name":"Eating behaviors","volume":"57 ","pages":"Article 101950"},"PeriodicalIF":2.4,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143388492","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}