European Eating Disorders Review最新文献

{"title":"Alexithymia and Emotion Recognition Over the Treatment Course in Adolescents and Emerging Adults With Anorexia Nervosa.","authors":"Michael Zeiler, Tanja Wittek, Stefanie Truttmann, Julia Klang, Konstantin Kopp, Helene Krauss, Ellen Auer-Welsbach, Susanne Ohmann, Petra Sackl-Pammer, Sonja Werneck-Rohrer, Ulrike Schmidt, Andreas Karwautz, Gudrun Wagner","doi":"10.1002/erv.70005","DOIUrl":"https://doi.org/10.1002/erv.70005","url":null,"abstract":"<p><strong>Objective: </strong>To investigate longitudinal changes in alexithymia and emotion recognition among adolescents and emerging adults with anorexia nervosa (AN) and whether these domains can independently predict the long-term eating disorder (ED) outcome.</p><p><strong>Method: </strong>Ninety-one female patients with AN (mean age: 16.2; 87.6% restrictive type) were included. Forty-five patients received the Maudsley Model Anorexia Nervosa Treatment (MANTRa) and 46 patients received psychotherapeutic treatment-as-usual (TAU). Alexithymia and facial emotion recognition were assessed at baseline and after 1 year. ED pathology was assessed at four time points (until 18-months follow-up).</p><p><strong>Results: </strong>Alexithymia significantly improved until follow-up when controlled for weight change, with no significant difference between the MANTRa and TAU groups. There was no change in emotion recognition accuracy while we observed significant reductions in emotion recognition response times. Neither baseline alexithymia nor emotion recognition accuracy significantly predicted ED outcome when adjusted for illness severity psychiatric comorbidity. The effects of improvements in alexithymia on improvements in ED pathology were partly mediated by change in depression.</p><p><strong>Conclusions: </strong>We recommend to routinely assess alexithymia in young people with AN. Therapeutic interventions helping patients to identify, differentiate, and describe their emotions should be intensified. Psychoeducational elements, expressive writing and group intervention components may be supportive.</p>","PeriodicalId":48117,"journal":{"name":"European Eating Disorders Review","volume":" ","pages":""},"PeriodicalIF":3.9,"publicationDate":"2025-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144477295","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":"From Disordered Eating to Eating Competence: Exploring Transitions in Adolescent Eating Profiles and the Role of Identity, Embodiment, and Critical Eating Messages From Parents and Peers.","authors":"Lore Vankerckhoven, Laurence Claes, Elise Van Laere, Steven Eggermont, Koen Luyckx","doi":"10.1002/erv.70004","DOIUrl":"https://doi.org/10.1002/erv.70004","url":null,"abstract":"<p><strong>Objective: </strong>Adolescence is a key period for the development of eating behaviours. To date, little attention has been paid to the development of positive eating behaviours during adolescence, and longitudinal research with such a holistic focus is lacking. To provide a better understanding of adolescent eating behaviours, this study examined patterns of stability and change in eating profiles among community youth. In addition, this study examined how these profiles and patterns were related to background, psychological, and contextual variables.</p><p><strong>Method and results: </strong>This longitudinal study with two timepoints included 608 adolescents and emerging adults at the first timepoint for the current analyses (T1: 64.3% female; M_age = 16.99; SD = 1.24; range = 14-21 years). Using latent transition analysis (LTA), three eating behaviour profiles emerged: a competent eating profile, a subclinical profile, and a clinical profile. Although most individuals in the competent eating and clinical profiles remained within their profile over time, individuals in the subclinical profile were more likely to progress toward greater eating competence or more severe eating disorder symptoms. Using multinomial logistic regression models; sex, adjusted BMI, identity, embodiment, and critical parent and peer eating messages appeared to be related to profile membership, whereas only age, sex, and adjusted BMI were related to transition patterns.</p><p><strong>Conclusion: </strong>The present study informs theory and practice by identifying subgroups of adolescents who differ in their eating behaviours. In addition, these findings provide insight into which aspects are meaningfully related to stability and variability in eating behaviours, supporting the development of targeted interventions.</p>","PeriodicalId":48117,"journal":{"name":"European Eating Disorders Review","volume":" ","pages":""},"PeriodicalIF":3.9,"publicationDate":"2025-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144477296","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":"Investigating Associations Between General and Disorder-Specific Reward and Suicidality in Anorexia Nervosa.","authors":"Soo-Eun Lee, Scott J Crow, Ann F Haynos","doi":"10.1002/erv.70002","DOIUrl":"https://doi.org/10.1002/erv.70002","url":null,"abstract":"<p><strong>Objective: </strong>Altered reward processing is proposed to be central to the pathology of anorexia nervosa (AN). This study aimed to investigate how aspects of reward dysfunction relate to suicidal thoughts and behaviours (STBs) in AN.</p><p><strong>Method: </strong>We compared responses on self-report measures of general (i.e., anticipatory, consummatory, and social reward) and disorder-specific (i.e., self-starvation reward) reward between individuals with AN with (AN + STBs; n = 28) or without (AN; n = 31) lifetime active STBs and healthy controls (HC; n = 32). Further, we examined whether interactions between general and disorder-specific reward dysfunction were associated with lifetime active STBs in AN.</p><p><strong>Results: </strong>Compared to AN and HC groups, the AN + STBs group reported significantly lower anticipatory and social reward; both AN + STBs and AN groups reported higher self-starvation reward than HCs. When accounting for the effects of depression, group differences became non-significant for general rewards but remained significant for disorder-specific reward processing. The interaction between anticipatory and self-starvation reward was significantly associated with STB risk beyond the effects of depression: AN participants reporting high self-starvation reward were at elevated STB risk regardless of anticipatory reward levels, whereas those with low self-starvation reward showed increased STBs only when anticipatory reward was also low.</p><p><strong>Conclusion: </strong>Our results suggest that the combination of general and disorder-specific reward processes may shape distinct suicidality risk profiles in AN.</p>","PeriodicalId":48117,"journal":{"name":"European Eating Disorders Review","volume":" ","pages":""},"PeriodicalIF":3.9,"publicationDate":"2025-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144286864","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":"A Commentary on the Increasing ARFID Referrals to a Tertiary Child and Adolescent NHS Specialist Feeding and Eating Disorder Service in the UK.","authors":"Danielle Lambert, Emma Willmott, Jo Cryer","doi":"10.1002/erv.70003","DOIUrl":"https://doi.org/10.1002/erv.70003","url":null,"abstract":"<p><strong>Background: </strong>Avoidant restrictive food intake disorder (ARFID) was introduced as a diagnosis to our mental health diagnostic manuals in 2013. Referrals to a UK-based tertiary feeding and eating disorder service for feeding difficulties, including ARFID, increased by 37% since 2019.</p><p><strong>Objective: </strong>This commentary discusses potential reasons for the increase observed in referrals for feeding difficulties, including ARFID presentations.</p><p><strong>Main discussion: </strong>We discuss several factors which may be contributing to the rise in referrals; a growing recognition of ARFID since its diagnostic introduction 10 years ago, the broad and inclusive diagnostic criteria for ARFID, the heterogeneous presentation of ARFID and its high co-occurrence of neurodevelopmental and mental health conditions, and a lack of established evidence-based interventions at present. We also consider broader contextual factors, including the possible impact of the COVID-19 pandemic, sociocultural changes in mealtime practices and food availability and increasing systemic pressures on services.</p><p><strong>Conclusions and implications: </strong>Understanding the multi factorial causes behind increased referrals is crucial for developing effective services that can manage the demands, are responsive to the needs of patients and provide appropriate and timely care for children and their families.</p>","PeriodicalId":48117,"journal":{"name":"European Eating Disorders Review","volume":" ","pages":""},"PeriodicalIF":3.9,"publicationDate":"2025-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144276331","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":"The Role of Social Media Usage in the Impact of Body Image on Disordered Eating Attitudes During the Third Trimester of Pregnancy.","authors":"Ebru Dığrak, İrfan Akkoç, Pelin Calpbinici","doi":"10.1002/erv.70001","DOIUrl":"https://doi.org/10.1002/erv.70001","url":null,"abstract":"<p><strong>Objective: </strong>Social media use can negatively impact both physical and mental well-being by influencing aspects like body image and potentially leading to eating disorders. This issue is particularly significant during pregnancy, a time when maternal and foetal health are heavily influenced by nutrition. This study aims to examine how social media use affects the relationship between body image and disordered eating attitudes in the third trimester of pregnant women.</p><p><strong>Method: </strong>A cross-sectional survey was conducted with a convenience sample of 368 pregnant women during their routine prenatal visits. Data collection occurred between May 2023 to May 2024, utilising the Social Media Use Integration Scale, the Disordered Eating Attitudes in Pregnancy Scale and the Body Image in Pregnancy Scale. The study's hypotheses were analysed using structural equation modelling.</p><p><strong>Results: </strong>The study demonstrated significant positive correlations among body image perception, disordered eating attitudes, and social media use during the third trimester of pregnancy. Particularly, higher levels of social media use exacerbated the negative effects of body image perception on disordered eating attitudes. The overall model explained 29.21% of the variance in disordered eating attitudes, with social media use playing a significant moderating role.</p><p><strong>Conclusion: </strong>These findings suggest that negative body image perceptions and social media use affect disordered eating attitudes in the third trimester of pregnant women. Furthermore, social media use serves as a significant moderator, increasing the negative effects of body image concerns. Healthcare providers should take into account the influence of social media on pregnant women's body image and eating behaviours when developing intervention strategies. Implementing educational programs that promote a positive body image perception and enhance media literacy could be beneficial.</p>","PeriodicalId":48117,"journal":{"name":"European Eating Disorders Review","volume":" ","pages":""},"PeriodicalIF":3.9,"publicationDate":"2025-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144217306","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":"Contextualising Physical Activity Levels in Patients With Anorexia Nervosa: A Systematic Review and Meta-Analysis.","authors":"Álex V Pagador, Hugo Olmedillas, Danika A Quesnel, Iván Cavero-Redondo, María Fernandez-Del-Valle","doi":"10.1002/erv.3205","DOIUrl":"https://doi.org/10.1002/erv.3205","url":null,"abstract":"<p><strong>Background and objective: </strong>Anorexia nervosa (AN) is a mental disorder most prevalent among adolescent females, with rising cases in younger and more culturally diverse populations. Unhealthy activity patterns are common and have been linked to increased relapse rates; however, data on objectively measured physical activity levels (PALs) in this population is scarce. This study aimed to examine PALs and sedentary time (ST) in patients with AN.</p><p><strong>Methods: </strong>Following PRISMA guidelines, 16 studies met inclusion criteria (PICO strategy). Sensitivity and subgroup analyses by age and treatment phase were performed.</p><p><strong>Results: </strong>Patients' mean age ranged from 12.6 to 36.2 years. Pooled mean ST was high (617.49 min/day). Light physical activity (LPA), moderate physical activity (MPA) and moderate-to-vigorous physical activity (MVPA) were higher in adult studies, while vigorous physical activity (VPA) was higher in adolescents. Steps were reported only in adult samples.</p><p><strong>Conclusion: </strong>This is the first systematic review and meta-analysis assessing objectively measured PALs in AN patients. Findings reveal different PALs patterns by age-group, and insufficient data by treatment stage. These results identified a critical research gap essential for future development of targeted interventions and informed strategies to support recovery.</p>","PeriodicalId":48117,"journal":{"name":"European Eating Disorders Review","volume":" ","pages":""},"PeriodicalIF":3.9,"publicationDate":"2025-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144136545","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":"Pre-Treatment Specialist Interventions Improve Parents' Self-Efficacy and Their Children's Eating Disorder Symptomology Before Commencing Outpatient Treatment.","authors":"Morgan J Sidari, Daniel Wilson, Salvatore Catania, Victoria Brown, Edith Nkwenty, Amy Davis, Penny Knight, Jacinda White, Sarah Maguire, Tania Withington","doi":"10.1002/erv.3211","DOIUrl":"https://doi.org/10.1002/erv.3211","url":null,"abstract":"<p><strong>Background: </strong>Despite the severe and increasing burden of eating disorders (EDs) on children and adolescents, treatment services are typically only accessible after substantial waiting times. One strategy used to support families during the waitlist period is psychoeducation.</p><p><strong>Objective: </strong>This pilot study aimed to evaluate the effectiveness of a 6-week pre-treatment psychoeducation and specialist medical management and group-based support programme for parents, targeting parental self-efficacy and preparedness for their child's upcoming treatment at an Australian specialist outpatient ED clinic.</p><p><strong>Method: </strong>Waitlisted young people (197, mean age 14.55, SD = 1.70, 67% Anorexia Nervosa) and their parents (304) completed questionnaires assessing parents' depression, anxiety and self-efficacy, and young people's depression, ED symptomology and BMI; these measures were completed pre- and post-programme and changes were assessed using multilevel models.</p><p><strong>Results: </strong>Parents increased in self-efficacy, showed modest improvements in depression, and no significant change in anxiety. Young people showed significant improvements in global ED symptomology, BMI and depression.</p><p><strong>Conclusions: </strong>Our findings suggest that a pre-treatment programme yields significant improvements in parental self-efficacy, which is key to effective treatment of EDs in young people. Additionally, modest but meaningful improvements to young people's weight and psychopathology are achievable before families commence an evidence-based outpatient treatment.</p>","PeriodicalId":48117,"journal":{"name":"European Eating Disorders Review","volume":" ","pages":""},"PeriodicalIF":3.9,"publicationDate":"2025-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144136548","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":"Association Between Nutrition Patterns and Metabolic and Psychological State Among Young Adults.","authors":"Geovanny Genaro Reivan Ortiz, Roser Granero, María Pilar Aranda-Ramírez, María Alejandra Aguirre-Quezada","doi":"10.1002/erv.3209","DOIUrl":"https://doi.org/10.1002/erv.3209","url":null,"abstract":"<p><strong>Background-objectives: </strong>Obesity is an increasing global public health problem with severe correlated chronic diseases (physical and mental disorders). The aim of this study is to identify nutrient patterns among young adults who are overweight or obese based on their dietary intake, and to explore the associations between nutrient patterns and sociodemographic and clinical variables (anthropometric, cardiometabolic, and psychological).</p><p><strong>Methods: </strong>A voluntary response (non-random) sample involving N = 188 overweight and obese university students (men and women, with a mean age of 20.8 years [SD = 2.6]) was recruited. Pregnancy, endocrine-genetic disorders, weight-loss diet and use of treatments that could affect endocrine parameters were defined as exclusion criteria.</p><p><strong>Results: </strong>Three nutritional patterns were identified, that explained 69% of the total variance: (a) NP1, characterised by a high intake of minerals and vitamins; (b) NP2, characterised by a high intake of carbohydrates; and (c) NP3, characterised by a high intake of fats and sodium. Higher mean scores in NP1 were related to female gender (p = 0.015), while higher NP1 and NP2 levels were associated to divorced/separated marital status (p = 0.007 and p = 0.041, respectively). Path analysis revealed a direct relationship between being within metabolically unhealthy obesity (MUO) levels and higher levels of anxiety (standardised coefficient St.Coeff = 0.14, p = 0.049), depression (St.Coeff = 0.17, p = 0.014) and stress (St.Coeff = 0.13, p = 0.048). In addition, the metabolic risk profile (the classification into MUO vs. MHO) achieved a mediational link between the factor scores for NP1 and a worse psychological state.</p><p><strong>Discussion: </strong>This study provides empirical knowledge to design more effective prevention and treatment plans for young adults who are overweight or obese, considering the impact nutritional patterns have on metabolic and psychopathological distress.</p>","PeriodicalId":48117,"journal":{"name":"European Eating Disorders Review","volume":" ","pages":""},"PeriodicalIF":3.9,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144129197","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":"What the Eye Sees, the Mind Rejects: Implicit Visual Processing of Food Images in Anorexia Nervosa.","authors":"M Dimakopoulou, T Ciorli, M Pyasik, C Andriulli, F Bevione, M Martini, G Abbate Daga, L Pia","doi":"10.1002/erv.3210","DOIUrl":"https://doi.org/10.1002/erv.3210","url":null,"abstract":"<p><strong>Objective: </strong>This study aims to explore the role of implicit visual processing in reinforcing maladaptive eating behaviours in Anorexia Nervosa-restricting subtype (AN-R), focussing on how high- and low-calorie food stimuli are processed at different stages.</p><p><strong>Method: </strong>Thirty-two AN-R females and 36 healthy controls participated. Using a combination of novel paradigms in the field, the study employed: Breaking Continuous Flash Suppression (bCFS) for unconscious detection, Binocular Rivalry (BR) for perceptual dominance, and the Food Preference Approach-Avoidance Task (FP-AAT) for subconscious food associations.</p><p><strong>Results: </strong>AN-R individuals exhibited prolonged perceptual dominance for high-calorie foods but simultaneously displayed stronger implicit avoidance tendencies towards these foods. Notably, the perceptual advantage correlated with heightened interoceptive awareness, while avoidance was linked to body dissatisfaction and difficulty tolerating bodily sensations. Conversely, healthy females showed the opposite pattern, implicitly approaching high-calorie foods while avoiding low-calorie foods, suggesting a more adaptive integration of food-related cues.</p><p><strong>Conclusions: </strong>This study provides novel insights into the complex role of high-calorie foods in AN, highlighting whether and how different aspects of implicit visual processing influence eating behaviours, and underscoring the need for targeted interventions incorporating implicit cognitive mechanisms to address visual processing biases and support AN recovery.</p>","PeriodicalId":48117,"journal":{"name":"European Eating Disorders Review","volume":" ","pages":""},"PeriodicalIF":3.9,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144102892","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":"Noshing on Chocolate, I Can Do That: Increased Chocolate Consumption in the Chocolate-Modified Bogus Taste Test With Better and Not Worse Inhibitory Control.","authors":"Philipp A Schroeder, Anton Ernst, Robert Wirth, Nils B Kroemer, Jennifer Svaldi","doi":"10.1002/erv.3206","DOIUrl":"https://doi.org/10.1002/erv.3206","url":null,"abstract":"<p><strong>Background: </strong>Chocolate is the most craved energy-dense food. Yet, most individuals can limit their chocolate consumption. Here, we investigate the cognitive mechanisms underlying chocolate consumption in a chocolate bogus taste test in a cross-sectional experimental design.</p><p><strong>Method: </strong>High chocolate cravers abstained from chocolate for a week, followed by a virtual reality chocolate exposure with biometric trajectory recordings of their stopping responses and an ad-libitum bogus taste test of spontaneous chocolate intake. A single-target implicit association task and a computerised stop-signal task served as unstandardised control tasks 1-2 days before chocolate intake.</p><p><strong>Results: </strong>Associations of parameters from all tasks with chocolate intake were small (|r| < 0.23). Elastic net models misestimated food intake by min. 160 kcal (generalisation: 180 kcal) and feature selection was only possible with L1 penalty. At the group level, participants showed a more controlled and delayed movement towards chocolate relative to neutral cues, evidenced by lower peak acceleration and peak velocity and faster stopping latency.</p><p><strong>Discussion: </strong>The findings demonstrate the complex cognitive-behavioural underpinnings of food intake, food craving and abstinence.</p>","PeriodicalId":48117,"journal":{"name":"European Eating Disorders Review","volume":" ","pages":""},"PeriodicalIF":3.9,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144095648","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}