European Eating Disorders Review最新文献

{"title":"Adverse Childhood Experiences, Emotional-Cognitive Profiles, and Response to Cognitive Remediation and Emotion Skills Training in Anorexia Nervosa.","authors":"Paolo Meneguzzo, Elisa Bonello, Alessio Castelli, Anna Marzotto, Elena Tenconi, Patrizia Todisco","doi":"10.1002/erv.70184","DOIUrl":"https://doi.org/10.1002/erv.70184","url":null,"abstract":"<p><strong>Background: </strong>Anorexia nervosa (AN) involves restrictive eating and marked difficulties in emotion regulation and cognitive flexibility. Cognitive Remediation and Emotion Skills Training (CREST) targets these domains, but outcomes may vary by psychological profile and adverse childhood experiences (ACEs). This study examined the associations of emotional-cognitive profiles and ACEs with treatment response following CREST in inpatients with AN.</p><p><strong>Methods: </strong>We studied 198 female inpatients with AN who completed baseline and post-treatment assessments after an 8-week group CREST programme. Cluster analysis of the Difficulties in Emotion Regulation Scale (DERS), Toronto Alexithymia Scale-20 (TAS-20), Detail and Flexibility Questionnaire (DFLEX), and Obsessive-Compulsive Inventory-Revised (OCI-R) identified subgroups. Outcomes (ΔEDE-Q, ΔDFLEX, ΔTAS, ΔBMI) were compared across clusters. Childhood Trauma Questionnaire (CTQ) subscales were tested in multinomial regression and moderation models.</p><p><strong>Results: </strong>Three clusters emerged: Cluster 1 (low impairment), Cluster 0 (moderate impairment), and Cluster 2 (globally impaired). Groups differed in age, illness duration, BMI, and adversities exposure (all p < 0.05). Psychological outcomes differed: ΔDFLEX (H = 63.7, p < 0.001) and ΔTAS (p < 0.001), with Cluster 2 showing the greatest gains. Emotional abuse was positively associated with both the moderate and globally impaired profiles, whereas physical abuse specifically predicted the globally impaired profile. Sexual abuse was inversely associated with both impaired profiles. Moderation analyses indicated that associations between ACE severity and psychological change varied across emotional-cognitive profiles, with direction and magnitude differing by outcome and ACE subtype.</p><p><strong>Conclusions: </strong>Greater short-term psychological changes were observed in the globally impaired profile, although baseline severity warrants cautious interpretation. Adverse childhood experiences were associated with profile membership and heterogeneous patterns of psychological change across profiles.</p>","PeriodicalId":48117,"journal":{"name":"European Eating Disorders Review","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2026-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149217019","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cost-Utility Analysis of an Integrated CBT-E Inpatient-Day Patient Treatment Pathway for Treatment-Experienced Anorexia Nervosa in the United Kingdom.","authors":"Anchith Kota, Diego Manriquez-Robles, Andres Roman-Urrestarazu","doi":"10.1002/erv.70178","DOIUrl":"https://doi.org/10.1002/erv.70178","url":null,"abstract":"<p><strong>Objective: </strong>To estimate lifetime cost-utility of an integrated enhanced cognitive behavioural therapy (CBT-E) inpatient-day patient pathway versus prolonged inpatient treatment-as-usual (TAU) for treatment-experienced adults with anorexia nervosa requiring intensive specialist treatment in the United Kingdom.</p><p><strong>Method: </strong>A five-state cohort Markov model estimated societal costs and quality-adjusted life years (QALYs) over a lifetime horizon using published clinical and UK economic inputs. Deterministic and probabilistic sensitivity analyses examined parameter uncertainty.</p><p><strong>Results: </strong>The integrated pathway was associated with 23.30 modelled QALYs and costs of £234,379.69, compared with 18.64 QALYs and £831,105.70 for TAU: an incremental gain of 4.65 QALYs and savings of approximately £596,726. Findings were most sensitive to treatment responsiveness, relapse, readmission, and chronic disease costs. Probabilistic analyses were broadly consistent with the base-case findings under the specified assumptions.</p><p><strong>Conclusions: </strong>These pathway-level, model-based estimates suggest potential health and economic benefits for this intensive-care population. They depend on assumptions about relapse, recovery, and long-term service use and do not isolate the effect of CBT-E psychotherapy. Findings can inform research and service planning. Prospective comparative economic evaluation remains necessary.</p>","PeriodicalId":48117,"journal":{"name":"European Eating Disorders Review","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2026-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149197101","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Family Functioning Among Adolescents With Avoidant/Restrictive Food Intake Disorder","authors":"Renee D. Rienecke,&nbsp;Jamie L. Manwaring,&nbsp;Kim Anderson,&nbsp;Alan Duffy,&nbsp;Thomas Joiner,&nbsp;Philip S. Mehler,&nbsp;Dan V. Blalock","doi":"10.1002/erv.70137","DOIUrl":"10.1002/erv.70137","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>The purpose of this study was to add to the limited literature on family functioning among adolescents with avoidant/restrictive food intake disorder (ARFID).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>Participants were receiving treatment for ARFID (<i>n</i> = 89) or anorexia nervosa-restricting subtype (AN-R) (<i>n</i> = 66), matched on age, percentage of expected body weight, and treatment length of stay, at a multisite eating disorder treatment facility. All patients completed the Eating Disorders in Youth-Questionnaire (EDY-Q) (a measure of ARFID symptoms) at admission and discharge. Family functioning was assessed with the Family Assessment Device (FAD).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>No family functioning scores were significantly different between patients with ARFID and patients with AN-R, and patients reported poor family functioning on nearly all FAD subscales. No family functioning scores were associated with EDY-Q scores at admission or discharge. No changes in family functioning were associated with discharge EDY-Q scores.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Findings suggest that family functioning among adolescents with ARFID is impaired and comparable to those with AN-R.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48117,"journal":{"name":"European Eating Disorders Review","volume":"34 6","pages":"1496-1503"},"PeriodicalIF":3.2,"publicationDate":"2026-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148260115","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Weight Bias Internalisation and Health-Related Quality of Life in Adolescents: What Role Do Family Meals Play?","authors":"Jaume Broto-Puig,&nbsp;Miriam Latorre-Millán,&nbsp;Eva Penelo,&nbsp;Anna Bach-Faig,&nbsp;David Sánchez-Carracedo","doi":"10.1002/erv.70142","DOIUrl":"10.1002/erv.70142","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>Weight bias internalisation (WBI) has been associated with poorer health-related quality of life (HRQoL), however, evidence in community-based adolescent samples remains scarce. Family meals have shown protective effects on adolescent health, yet their role in the relationship between WBI and HRQoL has not yet been explored. This study investigated associations between WBI, HRQoL, and family meals in Spanish adolescents.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>We conducted a cross-sectional study with a representative sample of 1016 adolescents aged 11–16 from Terrassa, Spain (random multistage cluster sampling). Validated instruments were used to assess WBI (WBIS-M), HRQoL (KIDSCREEN-27), and family dinner quality and frequency. Anthropometric data were objectively measured. Adjusted regression models were conducted.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Lower WBI and a higher frequency and quality of family dinners were associated with higher HRQoL scores across KIDSCREEN-27 domains. Further analyses revealed that family dinners moderated the effect of WBI on two HRQoL factors, attenuating its negative impact. However, this moderating impact became substantially weaker at higher levels of WBI.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>This study of Spanish adolescents is the first to show a negative association between WBI and HRQoL and that this relationship is moderated by the frequency and quality of shared family meals, suggesting that supportive family environments can buffer WBI's negative impact, although this protective role is attenuated at the highest levels of WBI, highlighting the vital need for early prevention, and warranting further investigation.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48117,"journal":{"name":"European Eating Disorders Review","volume":"34 6","pages":"1648-1659"},"PeriodicalIF":3.2,"publicationDate":"2026-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/erv.70142","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148437906","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"‘You Can Be Simultaneously Powerful and Marginalised at the Same Time in Different Ways’. An Intersectional Examination of Barriers and Facilitators of Help-Seeking for Eating Disorders by People From Under-Served Groups","authors":"Jessica Wilkins,&nbsp;Lucy Gallagher,&nbsp;Karina L. Allen,&nbsp;Ulrike Schmidt","doi":"10.1002/erv.70131","DOIUrl":"10.1002/erv.70131","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>To explore barriers and facilitators to help-seeking by people from under-served groups in eating disorders (EDs).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Seventeen participants with lived experience of an ED, identifying as members of groups traditionally under-served in ED research (ethnic minority, sexual or gender minority, or men), took part in semi-structured interviews. Data were analysed using reflexive thematic analysis, with inductive coding, interpretive theme development, and deductive mapping onto a micro-, meso-, and macro-level intersectional framework.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Participants identified factors consistent with existing research on barriers and facilitators to help-seeking alongside factors unique to under-served groups. These included internalised stigma, stereotypes about EDs, lack of inclusive environments and poor representation in ED resources. Systemic factors comprised barriers to accessibility or strict inclusion criteria for specialist treatment. Facilitators to help-seeking included inclusive care, and the utility of information seeking online.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Findings extend existing evidence on ED help-seeking and offer novel insights into experiences of under-served groups in ED. To improve help-seeking among under-served groups, recommendations include interventions to address stigma, challenging stereotypes about EDs, and ensuring inclusive representation in psychoeducation and service provision. At a systemic level, reforms to service commissioning and inclusion criteria are necessary to create equitable access to care.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48117,"journal":{"name":"European Eating Disorders Review","volume":"34 6","pages":"1443-1453"},"PeriodicalIF":3.2,"publicationDate":"2026-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/erv.70131","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148057689","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Eating Disorders and Parkinson's Disease—1: Comorbidities, Neurobiology, and Family History","authors":"Angeline Krueger,&nbsp;Andrew W. Bergen,&nbsp;Irene Litvan,&nbsp;Vincent Filoteo,&nbsp;Carolina Makowski,&nbsp;Susan Murray,&nbsp;Karlee McGlone,&nbsp;Michael Garvin,&nbsp;Andi Drouin,&nbsp;Alyssa Kauffman,&nbsp;Caroline Steele,&nbsp;Heather Hower,&nbsp;Walter H. Kaye","doi":"10.1002/erv.70121","DOIUrl":"10.1002/erv.70121","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>Eating disorders (ED), particularly anorexia nervosa (AN), share neurobiological characteristics with Parkinson's Disease (PD) (e.g., premorbid anxiety, dopaminergic dysfunction, harm avoidance, weight loss), suggesting common vulnerability. The present study built upon these observations, an AN patient's reported family history of Parkinson's Disease (RFHoPD), and AN:PD genetic correlation estimates, by ascertaining RFHoPD in families of individuals with PD.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>We ascertained RFHoPD among ED patients and community participants, and estimated relative risks (RRs) for AN, Bulimia Nervosa (BN), and Binge Eating Disorder (BED).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>In the total sample (<i>N</i> = 1135), we observed increased RFHoPD among patients and community participants meeting criteria for ED diagnoses (<i>n</i> = 727) versus community participants without an ED diagnosis (<i>n</i> = 408). For AN, RFHoPD prevalence was 6.6%, versus 3.4% (<i>χ</i>^<i>2</i> = 4.638, <i>p</i> = 0.031, RR = 1.935, 95% Confidence Interval [CI] = 1.012–3.768). For BN, RFHoPD prevalence was 7.4%, versus 3.4% (<i>χ</i>^<i>2</i> = 4.941, <i>p</i> = 0.026, RR = 2.169, 95% CI = 1.023–4.620). For BED, RFHoPD prevalence was 13.3%, versus 3.4% (<i>χ</i>^<i>2</i> = 6.953, <i>p</i> = 0.008, RR = 3.886, 95% CI = 1.108–11.524).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>ED are associated with elevated RFHoPD. Analyses leveraging disorder-specific research may improve understanding of shared risk factors.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48117,"journal":{"name":"European Eating Disorders Review","volume":"34 6","pages":"1436-1442"},"PeriodicalIF":3.2,"publicationDate":"2026-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148044185","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Severe and Enduring Eating Disorders: A Qualitative Study of Patients' Experiences and Perceived Treatment Needs","authors":"Emilia Kotilahti,&nbsp;Anu Ruusunen,&nbsp;Katarina Lindstedt,&nbsp;Rasmus Isomaa","doi":"10.1002/erv.70132","DOIUrl":"10.1002/erv.70132","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>Approximately 25% of individuals with eating disorders develop severe and enduring eating disorders (SEEDs); yet effective treatments remain limited. This study explored lived experiences of SEEDs, focussing on past treatments, as well as current needs and hopes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>Twenty participants with eating disorders of ≥ 7 years and prior treatment engagement were interviewed about treatment experiences and needs. Transcribed interviews were analysed using phenomenologically informed thematic analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Four main themes emerged: (1) treating the weight, the illness or the person; (2) the attitude of the professionals; (3) the need for specialised treatment; and (4) losing control. The first theme comprised sub-themes: (a) too much focus on weight, (b) one size doesn't fit all, and (c) finding and connecting with the person. Participants found individual tailored treatments, multidisciplinary teams, and specialised ED treatments beneficial. Many felt that their unique situation and needs were overshadowed by a predominant emphasis on weight or inflexible treatment protocols.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The findings support evidence suggesting that treatment should shift from a primary focus in body weight towards more individualised approaches that promote sustainable care and strengthen therapeutic alliances. Future research should examine ways for balancing necessary restrictions with flexibility in inpatient and involuntary care.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48117,"journal":{"name":"European Eating Disorders Review","volume":"34 6","pages":"1454-1464"},"PeriodicalIF":3.2,"publicationDate":"2026-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/erv.70132","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148139342","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Ultra-Processed Food Intake and its Association With Eating Disorders: A Scoping Review","authors":"Marthina Streda Walker,&nbsp;Natália R. Figueiredo,&nbsp;Luana Cristina Lermen,&nbsp;Maria Laura da Costa Louzada,&nbsp;Ana Maria P. Feoli","doi":"10.1002/erv.70144","DOIUrl":"10.1002/erv.70144","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>Ultra-processed foods have been associated with adverse health outcomes, but their relationship with eating disorders remains unclear. This scoping review mapped the available evidence on the association between ultra-processed food intake and eating disorders in adolescents and adults.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>Following Joanna Briggs Institute recommendations and PRISMA-ScR guidelines, searches were conducted in PubMed, PsycINFO, and Embase up to March 2026. Eligible studies were original quantitative research assessing ultra-processed food intake, defined by the Nova classification or equivalent descriptions, in relation to eating disorders. Two reviewers independently conducted study selection, data extraction, and methodological appraisal.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Of 930 records identified, seven cross-sectional studies met the inclusion criteria, comprising 47,758 adolescents and adults. Across studies, positive associations were more often reported for nonrestrictive symptoms, including binge eating, bulimic symptoms, night eating, and loss-of-control eating. One study reported that foods consumed during binge-eating episodes were entirely ultra-processed. Findings for restrictive disorders were fewer and less consistent.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Current evidence suggests a possible relationship between ultra-processed food intake and nonrestrictive eating disorder symptoms and presentations. However, the small number of studies, their cross-sectional design, and methodological heterogeneity limit stronger inferences. Longitudinal and experimental studies are needed to clarify mechanisms and inform future interventions.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48117,"journal":{"name":"European Eating Disorders Review","volume":"34 6","pages":"1587-1596"},"PeriodicalIF":3.2,"publicationDate":"2026-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/erv.70144","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148388202","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Calorie Needs of Older People With Restrictive Eating Disorders Undergoing Refeeding","authors":"Jordyn L. Learner,&nbsp;Dan V. Blalock,&nbsp;Kamila Cass,&nbsp;Kelsey Dworkin,&nbsp;Meghan Foley,&nbsp;Dennis Gibson,&nbsp;Marina Foster,&nbsp;Ann Koutsavlis,&nbsp;Shelby Sitko,&nbsp;Cheryl Lundberg,&nbsp;Philip S. Mehler","doi":"10.1002/erv.70146","DOIUrl":"10.1002/erv.70146","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>While historically viewed as illnesses of youth, restrictive eating disorders (EDs), including anorexia nervosa, restricting subtype (AN-R), and avoidant/restrictive food intake disorder (ARFID), affect women of all ages, yet there is limited understanding of effective interventions and best practices for refeeding of older patients. This study examined whether age affects kcal needs during refeeding and whether caloric needs differ between diagnoses.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>In this retrospective cohort study, average kcal needs for a one-point increase in body mass index (BMI) were assessed for 417 female patients receiving inpatient medical stabilisation for AN-R or ARFID, comparing females &lt; 20 years of age, 20–29, 30–39, and 40+ years using linear regression and chi-square tests of independence.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Average kcals needed for a one-point increase in BMI was 1870 kcal (SD = 1410). Average kcals needed per one-point increase in BMI were not statistically different amongst the age groups (<i>p</i> = 0.30). Patients with AN-R needed significantly fewer kcals than patients with ARFID for a similar amount of weight gain.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>In this high-acuity inpatient sample, caloric needs for weight restoration were similar across age groups. Patients with ARFID required more calories than those with AN-R. Age-based prescription reductions may therefore be unwarranted, supporting individualised, diagnosis-informed refeeding.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48117,"journal":{"name":"European Eating Disorders Review","volume":"34 6","pages":"1616-1625"},"PeriodicalIF":3.2,"publicationDate":"2026-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148406313","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Transition From Child to Adult Eating Disorder Services: A Qualitative Meta-Aggregation","authors":"Amelia Austin,&nbsp;Manya Singh,&nbsp;Sela Scott,&nbsp;Maria Nicula,&nbsp;Andrea Krishnapillai,&nbsp;Jayden Lee,&nbsp;Cheryl Webb,&nbsp;Ana Cláudia Vieira de Almeida,&nbsp;Mehar Sesan,&nbsp;Heidi Vander Steen,&nbsp;Julia Hews-Girard,&nbsp;Christopher J. Mushquash,&nbsp;Melissa Kimber,&nbsp;Jennifer Couturier,&nbsp;Gina Dimitropoulos","doi":"10.1002/erv.70134","DOIUrl":"10.1002/erv.70134","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Some young people with eating disorders (EDs) require transfer from paediatric to adult services, which can be difficult and distressing. While most research on this topic is qualitative, no qualitative focused synthesis yet exists.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Systematic review identified 21 qualitative studies, which were analysed using meta-aggregation.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Findings included: (1) Age-related transfers deserve specific attention; (2) The distress of the young person, families, and clinicians must be considered; (3) Clear communication between all parties is essential; (4) Paediatric supports should include early conversations and build health management skills; (5) Timing should align with developmental readiness; (6) Plans should be personalised and account for concurrent life transitions; (7) Referrals should be straightforward; GPs need more training to support young people during referral gaps; [Correction added on 06 July 2026, after first online publication: The word “support” has been added to the preceding sentence.] (8) Joint supports include overlapping care, transition coordinators, transition passports, and peer support; (9) Paediatric and adult services should develop a shared philosophy/culture for emerging adults; (10) Parent/carer involvement should be balanced with building the young person's independence; (11) ED-specific guidelines or interventions may be beneficial; (12) Adult supports include emerging adult programming, increased resources, and ED training for generalist services.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>While consistent with existing expertise based guidance, this synthesis provides a qualitative evidence base to inform intervention development and co-production.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48117,"journal":{"name":"European Eating Disorders Review","volume":"34 6","pages":"1471-1495"},"PeriodicalIF":3.2,"publicationDate":"2026-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/erv.70134","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148266593","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}