Eating behaviors最新文献

{"title":"Opportunities lost? Rates and predictors of attrition in an eating disorders outpatient service","authors":"Rosie Blackburn ,&nbsp;Kate E. Tonta ,&nbsp;David M. Erceg-Hurn ,&nbsp;Bronwyn C. Raykos ,&nbsp;Peter M. McEvoy","doi":"10.1016/j.eatbeh.2024.101898","DOIUrl":"https://doi.org/10.1016/j.eatbeh.2024.101898","url":null,"abstract":"<div><h3>Objective</h3><p>To examine rates and predictors of attrition from referral through to treatment completion in an outpatient public psychology service's eating disorder program in Perth, Western Australia.</p></div><div><h3>Method</h3><p>The proportion (number) of clients (<em>N</em> = 671; mean age = 23.8 years) transitioning between stages of pre-treatment and treatment was identified. Associations between demographic, treatment and clinical variables and attrition were investigated using logistic regression.</p></div><div><h3>Results</h3><p>Only 34% (<em>n</em> = 230) of referred patients started treatment and 16% (<em>n</em> = 107) completed treatment. Referral acceptance was correlated with provisional diagnoses that meet the service's inclusion criteria, and attendance at an initial assessment was correlated with younger age. Treatment commencement was correlated with the presence of a co-occurring depressive or anxiety disorder, and no previous suicide attempts. Completing a full course of treatment was correlated with no previous hospitalisation for psychiatric issues, no previous suicide attempts, a history of psychiatric medication use, and treatment with family-based therapy.</p></div><div><h3>Discussion</h3><p>High rates of attrition were found from referral to treatment completion. A suggested framework for defining the different stages of attrition is proposed to allow for consistency of attrition reporting across the mental health field. Future studies are needed to identify why clients disengage following referral, assessment, and treatment commencement, to inform strategies to engage and sustain engagement and to optimise outcomes.</p></div>","PeriodicalId":11476,"journal":{"name":"Eating behaviors","volume":"54 ","pages":"Article 101898"},"PeriodicalIF":2.8,"publicationDate":"2024-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1471015324000576/pdfft?md5=a9239dda04fb5cbca78c6a107b354c4a&pid=1-s2.0-S1471015324000576-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141324884","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":"Body checking and avoidance among dancers","authors":"Catherine R. Drury ,&nbsp;Stephen Armeli ,&nbsp;Katharine L. Loeb","doi":"10.1016/j.eatbeh.2024.101897","DOIUrl":"https://doi.org/10.1016/j.eatbeh.2024.101897","url":null,"abstract":"<div><p>Dancers are at heightened risk for eating disorders (EDs) and have job and training demands that obscure ED assessment and likely impede treatment. Two behavioral manifestations of ED psychopathology that may present uniquely in a dance environment are body checking and body avoidance. The current study sought to provide a foundational understanding of the phenomenology of body checking and avoidance among dancers by assessing the reliability (i.e., internal consistency) of existing body checking and avoidance measures and the relationships, or convergent validity, between measures of body checking and avoidance and measures of related constructs. Eighty professional and pre-professional (i.e., conservatory level) dancers (78.8 % female) from seven dance genres completed self-report measures of body checking and avoidance, ED pathology, clinical perfectionism, depression, and anxiety. Across the dancer sample, body checking and avoidance measures demonstrated adequate internal consistency. More frequent body checking and body avoidance was strongly related to higher levels of ED pathology. There were moderate to strong correlations between body checking and body avoidance and clinical perfectionism, depression, and anxiety such that higher body checking and body avoidance was related to higher clinical perfectionism, depression, and anxiety. Exploratory analyses found no significant differences between ballet dancers and dancers of other dance genres; professional dancers scored in the normative range on measures of body checking and body avoidance. Dancers' qualitative descriptions of body checking and avoidance revealed behaviors not included in existing questionnaires, such as unique mirror use behaviors, technology-assisted body checking, and the checking and avoidance of body parts relevant to the dance-specific body ideal. Results support the inclusion of body checking and avoidance interventions in ED treatments for dancers (particularly pre-professional dancers) and emphasize the need for dancer-specific ED assessment methods.</p></div>","PeriodicalId":11476,"journal":{"name":"Eating behaviors","volume":"54 ","pages":"Article 101897"},"PeriodicalIF":2.8,"publicationDate":"2024-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1471015324000564/pdfft?md5=8486beb00918b26c2c6ed9fa0f1213b4&pid=1-s2.0-S1471015324000564-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141303190","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":"Validation of the Weight-Related Eating Questionnaire in pregnancy","authors":"Kuan-Lin Yeh ,&nbsp;Ying Meng ,&nbsp;I. Diana Fernandez ,&nbsp;Susan W. Groth","doi":"10.1016/j.eatbeh.2024.101887","DOIUrl":"10.1016/j.eatbeh.2024.101887","url":null,"abstract":"<div><p>The Weight-Related Eating Questionnaire (WREQ), designed for assessing distinct constructs of dietary restraint and disinhibition-related eating behaviors, has not been validated in pregnancy. This secondary data analysis aimed to evaluate the WREQ's psychometrics in a diverse sample of pregnant women from the eMoms randomized controlled trial (<em><span>N</span></em> = 1399), randomly split for exploratory (EFA, <em>n</em> = 691) and confirmatory factor analysis (CFA, <em><span>n</span></em> = 708). Cronbach's alpha and corrected item-total correlation was used to examine internal consistency reliability. Sequential multiple regression analyses were used to assess criterion validity. EFA revealed three factors – dietary restraint, susceptibility to external cues, and emotional eating – accounting for 65.6 % of total variances. Parallel analysis confirmed a combination of two restraint subtypes (routine restraint and compensatory restraint). CFA showed that item 3 for assessing routine restraint had the lowest squared multiple correlation (0.22). The overall Cronbach's alpha of 0.87 demonstrated good internal consistency. Dietary restraint was negatively associated with the intake of energy (<em>p</em> <em>=</em> .03) and carbohydrates (<em>p</em> <em>=</em> .02), whereas susceptibility to external cues was positively associated with the intake of energy (<em>p</em> &lt; .001), carbohydrates (<em>p</em> &lt; .001), and total fat (<em>p</em> = .003). Additionally, emotional eating was positively associated with early-pregnancy body mass index (BMI) after adjustment for covariates (<em>p</em> &lt; .001). These findings confirmed the reliability of the WREQ, the construct validity for susceptibility to external cues and emotional eating, and demonstrated its criterion validity regarding nutritional intake in pregnant women.</p></div>","PeriodicalId":11476,"journal":{"name":"Eating behaviors","volume":"55 ","pages":"Article 101887"},"PeriodicalIF":2.8,"publicationDate":"2024-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141140685","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 dieting practices and eating disorder attitudes and behaviors: Results from the Canadian study of adolescent health behaviors","authors":"Jingchuan Fan ,&nbsp;Jason M. Nagata ,&nbsp;Kelly Cuccolo ,&nbsp;Kyle T. Ganson","doi":"10.1016/j.eatbeh.2024.101886","DOIUrl":"https://doi.org/10.1016/j.eatbeh.2024.101886","url":null,"abstract":"<div><p>This study aimed to describe the frequency of dieting practices among adolescents and young adults in Canada, as well as determine the association between dieting and eating disorder attitudes and behaviors. Data from 2762 Canadian adolescents and young adults from the Canadian Study of Adolescent Health Behaviors were analyzed. Frequencies were used to determine the prevalence of 11 different diets among the sample, and chi-square tests were used to assess gender differences. Multiple modified Poisson and linear regression analyses were conducted to determine the associations between any dieting and eating disorder attitudes and behaviors. Among the sample, 15.7 % of girls and women, 10.4 % of boys and men, and 13.0 % of transgender/gender expansive (TGE) participants reported any dieting in the past 12 months, with the Ketogenic diet being most common among all genders. Results from regression analyses showed that engaging in any dieting in the past 12 months was associated with greater eating disorder psychopathology among girls, women, boys, and men, but not TGE participants. There were varying trends in association between specific types of dieting practices and eating disorder behaviors among girls, women, boys, and men. Dieting is relatively common among a national sample of Canadian adolescents and young adults, and engagement is associated with greater eating disorder psychopathology and behaviors. Healthcare and public health professionals should consider screening for eating disorders among adolescents and young adults who report engaging in dieting practices.</p></div>","PeriodicalId":11476,"journal":{"name":"Eating behaviors","volume":"54 ","pages":"Article 101886"},"PeriodicalIF":2.8,"publicationDate":"2024-05-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S147101532400045X/pdfft?md5=c47e2b6cc5c1690892248e599ff76967&pid=1-s2.0-S147101532400045X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141083589","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The relationship among disordered eating behavior, power of food scale and sensitization of the reinforcing value of food","authors":"Ana Letícia Pereira Andrade ,&nbsp;Jennifer L. Temple ,&nbsp;Katherine N. Balantekin","doi":"10.1016/j.eatbeh.2024.101878","DOIUrl":"10.1016/j.eatbeh.2024.101878","url":null,"abstract":"<div><h3>Introduction</h3><p>Disordered eating behaviors are a current public health concern since their progression can lead to the development of a full criteria eating disorder. Sensitization to repeated intake of high energy density (HED) foods is associated with excess weight gain over time, but less is known about relationships with assessments of disordered eating. Thus, this study aims to understand how disordered eating behaviors refunlate to the influence of the food environment and sensitization.</p></div><div><h3>Method</h3><p>163 adolescents – 50 % female and 13.2 mean age – were followed for 24 months. Sensitization was assessed by comparing the relative reinforcing value (RRV) of HED food at baseline and after two weeks of daily intake; sensitization was defined as RRV of food after repeated intake. Study participants also completed the EDE-Q, and Power of Food Scale (PFS). We conducted multivariate general linear models to examine these associations.</p></div><div><h3>Results</h3><p>Sensitization status and PFS scores at baseline were positively associated with EDE-Q subscale scores cross-sectionally, but not longitudinally, at baseline and 24 months. We found that sensitization to HED food and higher susceptibility to food cues relates to increased disordered eating behaviors and both at baseline and at 24-months.</p></div><div><h3>Discussion</h3><p>These findings suggest that sensitization to repeated HED food intake and the food environment might be a risk factor for later engagement in disordered eating behaviors. Future studies should address the temporal relationships among these factors and the role that social norms around body weight and weight stigma may play in the development of these behaviors.</p></div>","PeriodicalId":11476,"journal":{"name":"Eating behaviors","volume":"53 ","pages":"Article 101878"},"PeriodicalIF":2.8,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140793667","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":"Emotions for a novel health food: Is there an impact bias and can it be reduced?","authors":"Amanda J. Dillard,&nbsp;Kristy K. Dean,&nbsp;Alyssa Langenberg","doi":"10.1016/j.eatbeh.2024.101880","DOIUrl":"https://doi.org/10.1016/j.eatbeh.2024.101880","url":null,"abstract":"<div><p>Eating decisions may be influenced by an impact bias, or the tendency to overestimate the intensity and duration of emotions for future events or outcomes. In this study, we tested the impact bias, among college students, for eating a novel health food – kale chips. We also examined how an emotion adaptation recall exercise influenced emotions and eating behavior. After reading about the health benefits of kale, college students (<em>N</em> = 80) reported their anticipated emotions (e.g., how intensely they <em>would</em> experience each emotion) for eating kale chips. Following a control (<em>n</em> = 40) or emotion adaptation (<em>n</em> = 40) writing exercise, they were asked to eat these chips. They then reported their experienced emotions (e.g., how intensely they experienced each emotion) as well as their intentions to eat kale in the future. Findings indicated that participants showed a negative impact bias in which they anticipated more intense negative emotions than they experienced. However, they showed an opposite effect for positive emotions, anticipating lower positive emotion than they experienced. Relative to the control group, those who did an emotion adaptation exercise experienced lower levels of disgust after eating kale chips and reported higher intentions to eat them in the future. Subsequent analyses of consumption revealed that those in the emotion adaptation condition also ate more of the kale chips. Findings suggest that affective forecasting theory may be a useful framework through which to develop and test ideas about emotions and eating in the context of novel health foods.</p></div>","PeriodicalId":11476,"journal":{"name":"Eating behaviors","volume":"53 ","pages":"Article 101880"},"PeriodicalIF":2.8,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140893268","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":"Enhancing body image satisfaction and well-being among early adolescents: Feasibility and preliminary outcomes of the mind. body. voice. program","authors":"Anne E. Fritzson ,&nbsp;Bonnie H.C. Schrag ,&nbsp;Bernadette Park ,&nbsp;Samantha Strife ,&nbsp;Leah A. Peña Teeters ,&nbsp;Emma H. Lischwe ,&nbsp;Gav B.M. Bell ,&nbsp;Wendy B. Herron ,&nbsp;Sona Dimidjian","doi":"10.1016/j.eatbeh.2024.101875","DOIUrl":"https://doi.org/10.1016/j.eatbeh.2024.101875","url":null,"abstract":"<div><p>Although most research has emphasized high-school and college-aged women, body dissatisfaction and eating disorder behavior are also a concern for middle-school girls. We partnered with Girls Inc., a community-based organization to explore feasibility and preliminary outcomes of the mind. body. voice. (m.b.v.) program with a middle-school-aged cohort. The program was collaboratively designed with youth, focusing on body image satisfaction, disordered eating risk factors, and mental health and well-being. The work occurred during the COVID-19 pandemic, offering a unique opportunity to assess the promise of the program under difficult extenuating circumstances. In an open-trial design, we assessed change from pre- to post-program administered with two cohorts, one delivered remotely in 2020 (<em>n</em> = 17) and one in-person in 2021 (<em>n</em> = 13). Findings indicated that participation in the m.b.v. program was associated among both cohorts with significant decreases in negative body judgment and adherence to cultural appearance biases, and significant increases in body awareness, agency, and positive self-regard, as well as significant reductions in negative affect. Results support the feasibility and promise of both remote and in-person administration of the program targeting young adolescents, and in partnership with a well-established community-based organization.</p></div>","PeriodicalId":11476,"journal":{"name":"Eating behaviors","volume":"53 ","pages":"Article 101875"},"PeriodicalIF":2.8,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140341745","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 and emotional eating in Arab, middle eastern, and north African American women","authors":"Maria A. Kalantzis,&nbsp;Abby L. Braden,&nbsp;Andrea Haidar","doi":"10.1016/j.eatbeh.2024.101868","DOIUrl":"10.1016/j.eatbeh.2024.101868","url":null,"abstract":"<div><p>Arab, Middle Eastern, and North African (A-MENA) American women are often subject to intersectional discrimination, and they have also not been traditionally recognized as a distinct racial group in disordered eating literature. No study to date has provided descriptive information on disordered and emotional eating A-MENA American women, nor has examined perceptions of widely used measurements of eating pathology in this population. The current study generated descriptive information among A-MENA women on two widely used measures of eating pathology, the Eating Disorder Examination Questionnaire (EDE-Q) and the Emotional Eating Scale (EES). Participants (<em>N</em> = 244) were A-MENA adult women were recruited via social media and snowball sampling. Qualitative findings provide potential sociocultural predictors of disordered eating that should be further explored, such as bicultural identity and family pressures/comments toward appearance. Secondly, themes from the EES-R indicate adding emotion of shame and considering identity-related stress. The current study provides prevalence data and future directions of research on widely used eating pathology and appearance attitude measurements for A-MENA American women.</p></div>","PeriodicalId":11476,"journal":{"name":"Eating behaviors","volume":"53 ","pages":"Article 101868"},"PeriodicalIF":2.8,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140085948","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":"Differences in the impacts of muscle dysmorphia symptoms on distress between heterosexual women and homo/bisexual women","authors":"Rafael Moreton Alves da Rocha,&nbsp;Letícia da Silva de Souza,&nbsp;Natalício Augusto da Silva Junior,&nbsp;Henrique Soares Novo,&nbsp;Ricardo Luiz Castro de Mesquita,&nbsp;Evandro Morais Peixoto","doi":"10.1016/j.eatbeh.2024.101884","DOIUrl":"https://doi.org/10.1016/j.eatbeh.2024.101884","url":null,"abstract":"<div><p>Muscle Dysmorphia (MD) and its psychological impacts on women, especially within sexual minorities, are still relatively understudied. The objective of this study was to compare the relationship of MD symptoms and psychological distress between heterosexual women and lesbian/bisexual women. Our sample consisted of 479 Brazilian cisgender women from the community, aged between 18 and 70 years (M = 32.78; SD = 10.45). Among them, 327 (68.27 %) identified as heterosexual, 134 (27.98 %) as bisexual, and 18 (3.76 %) as lesbian. To ensure there was no bias due to measurement error, the psychometric properties of the instruments in the sample were tested, and invariance between the groups was assessed. <em>t</em>-tests, structural equation modeling, and latent profile analyses were conducted to comprehend the differences between the groups. The results indicated significant differences and a greater severity of MD symptoms and distress for lesbian/bisexual women. The implications of these results are discussed, emphasizing the need for further exploration of MD studies within sexual minorities.</p></div>","PeriodicalId":11476,"journal":{"name":"Eating behaviors","volume":"53 ","pages":"Article 101884"},"PeriodicalIF":2.8,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141078551","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":"Identifying methods used to manage weight and shape by first year university students: A qualitative analysis","authors":"Rica A. Generoso ,&nbsp;Katherine W. Bauer ,&nbsp;Kendrin R. Sonneville ,&nbsp;Samantha L. Hahn","doi":"10.1016/j.eatbeh.2024.101885","DOIUrl":"10.1016/j.eatbeh.2024.101885","url":null,"abstract":"<div><h3>Objective</h3><p>To identify current strategies used by first-year university students to lose weight, maintain weight, or change their body shape.</p></div><div><h3>Methods</h3><p>First-year university students (<em>n</em> = 661) completed an open-ended, web-based survey. Cross-sectional data were analyzed qualitatively using a reflexive thematic approach to identify strategies used to lose weight, maintain weight, or alter body shape/composition. Thematic maps were constructed for each weight- and shape-related goal.</p></div><div><h3>Results</h3><p>Four main types of strategies were used to achieve all three weight or shape-related goals among first-year college students: changes in diet, changes in exercise, self-monitoring, and disordered eating. One behavioral strategy observed across all weight-related goals was prioritizing protein consumption, including protein gained from supplementation. However, there were also differences in strategies by weight- or shape-related goal. For example, only participants aiming to lose or maintain weight reported mindful strategies for monitoring diet. Individuals aiming to alter body composition reported heterogeneity in goal-related intentions, targeting specific body parts through exercise, and extensive supplement use.</p></div><div><h3>Conclusions</h3><p>First-year college students use a variety of strategies to manage their weight and shape. Some strategies were observed across goals, whereas others are specific to the weight- or shape-related goal. More research is needed to understand the impacts, both positive and negative, of using the strategies identified in the present study.</p></div>","PeriodicalId":11476,"journal":{"name":"Eating behaviors","volume":"53 ","pages":"Article 101885"},"PeriodicalIF":2.8,"publicationDate":"2024-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141047625","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}