{"title":"Food Addiction in Individuals With Overweight and Obesity Undergoing a 12-Week Long Tailored mHealth Weight Loss Intervention.","authors":"Magdalena Pape, Stephan Herpertz, Tanja Färber, Caroline Seiferth, Natalie Schoemann, Jörg Wolstein, Sabine Steins-Loeber","doi":"10.1002/erv.3196","DOIUrl":"https://doi.org/10.1002/erv.3196","url":null,"abstract":"<p><strong>Objective: </strong>Former studies indicated worse outcome for individuals with food addiction (FA) when participating in weight loss programs. Yet, the results may have been influenced by comorbid eating disorders and insufficient consideration of psychological aspects associated with FA.</p><p><strong>Methods: </strong>We report here a subgroup analysis on treatment success of participants with overweight/obesity and FA, but no comorbid eating disorders, compared to individuals with overweight/obesity but without FA and eating disorders taking part in a 12-week long tailored mHealth weight loss intervention (IG) that addresses psychological aspects of overweight/obesity or a waitlist control condition (CG). Body-mass-index and eating styles were assessed at four time points: baseline, 3, 9 and 15 months after baseline.</p><p><strong>Results: </strong>Overall, the IG significantly reduced weight and improved eating styles. The efficacy of the intervention was higher in the IG + FA concerning long-term weight loss and emotional eating.</p><p><strong>Conclusion: </strong>These findings suggest that individuals with FA, without comorbid eating disorders, benefit from a tailored mHealth weight loss intervention that focuses on psychological aspects of overweight/obesity. This underscores the presence of a FA subgroup among individuals with overweight and obesity, characterised by unique vulnerabilities and treatment responses, which should be further analysed. There is a need for specialised treatment of FA components in obesity and overweight.</p><p><strong>Trial registration: </strong>ClinicalTrials.gov identifier: NCT04080193.</p>","PeriodicalId":48117,"journal":{"name":"European Eating Disorders Review","volume":" ","pages":""},"PeriodicalIF":3.9,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143781684","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}
Jojanneke M Bijsterbosch, Anne M E Schnitzler, Amy Harrison, Janet L Treasure, Lot C Sternheim
{"title":"The Effectiveness and Feasibility of the New Maudsley Collaborative Care Approach Skills-Based Training for Carers of Individuals With an Eating Disorder in the Netherlands.","authors":"Jojanneke M Bijsterbosch, Anne M E Schnitzler, Amy Harrison, Janet L Treasure, Lot C Sternheim","doi":"10.1002/erv.3193","DOIUrl":"https://doi.org/10.1002/erv.3193","url":null,"abstract":"<p><strong>Objective: </strong>People with eating disorders (EDs) often need intensive help from loved ones. The New Maudsley Collaborative Care Approach (NMCCA) skills-based training supports carers in this role. This study examined the effectiveness and feasibility of the NMCCA-training for carers in the Netherlands.</p><p><strong>Methods: </strong>Participants were parents of 12-25-aged individuals with a (provisional) ED diagnosis. The training consisted of five online sessions in 6 weeks. Outcomes included carers' levels of confidence in ED-related caregiver skills, symptoms of depression, anxiety, and stress, and health-related quality of life. A paired samples t-test and Wilcoxon signed-rank tests compared outcomes after to before the training. An Analysis of Covariance examined changes in ED-related caregiver skills confidence over time, controlling for baseline anxiety traits. Feasibility and acceptability were assessed using Visual Analogue Scales.</p><p><strong>Results: </strong>Of the 37 carers who started the training, 33 completed both before and after training assessments. Carers evaluated the training as feasible and helpful, which was also reflected by a significant increase in ED-related caregiver skills confidence (staying robust when controlling for baseline anxiety traits).</p><p><strong>Conclusions: </strong>Findings contribute to research showing the effectiveness of the NMCCA skills-based training, alongside showing its potential for improving ED-related caregiver skills in Dutch carers.</p>","PeriodicalId":48117,"journal":{"name":"European Eating Disorders Review","volume":" ","pages":""},"PeriodicalIF":3.9,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143732410","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":"Virtual (Self) Reflection: Frequent Videoconferencing Usage Is Uniquely Associated With Body Dissatisfaction and Dietary Restraint Symptoms Among Adults.","authors":"Jade Portingale, Isabel Krug","doi":"10.1002/erv.3191","DOIUrl":"https://doi.org/10.1002/erv.3191","url":null,"abstract":"<p><strong>Objective: </strong>This study examined the relationship between videoconferencing usage frequency for work/study purposes and eating disorder (ED)-related symptoms, focusing on psychological factors that may heighten vulnerability to such concerns in appearance-focused interactions.</p><p><strong>Method: </strong>Australia-based participants (N = 1820; 76% female; Mage = 20.28, SD = 4.43) completed an online survey assessing videoconferencing usage frequency for work/study, ED-related symptoms (body dissatisfaction, disordered eating [DE], depression), and psychological factors (appearance-based rejection sensitivity [appearance-RS], self-objectification, body-ideal internalization). Participants were categorized as higher-frequency users (multiple times per week or more; n = 1334; 73%) or lower-frequency users (once per week or less; n = 486; 27%).</p><p><strong>Results: </strong>Body-ideal internalization and appearance-RS showed small to medium positive associations with all ED-related symptoms. Higher-frequency users reported greater body dissatisfaction and DE symptoms (overall, dieting, and oral control), though these effects were modest, explaining minimal variance beyond established risk factors. Videoconferencing frequency was unrelated to depressive or bulimia/food preoccupation symptoms and rarely moderated psychological factor-symptom relationships, with three exceptions: higher frequency usage modestly weakened the positive association between appearance-RS and DE (overall and oral control) and modestly strengthened the positive association between self-objectification and buimia/food preoccupation DE symptoms.</p><p><strong>Conclusions: </strong>These findings suggest that frequent work/study-related videoconferencing may be uniquely associated with body dissatisfaction and dietary restraint symptoms, particularly for those with a tendency to self-objectify. Future research into individual differences, usage contexts, and face-related outcomes is warranted.</p>","PeriodicalId":48117,"journal":{"name":"European Eating Disorders Review","volume":" ","pages":""},"PeriodicalIF":3.9,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143671483","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":"Sexual Dysfunction in Women With Eating Disorders: Systematic Review and Meta-Analysis.","authors":"Tatiana Hess, Zuzana Špacírová","doi":"10.1002/erv.3189","DOIUrl":"https://doi.org/10.1002/erv.3189","url":null,"abstract":"<p><strong>Background: </strong>Eating disorders (EDs) are common mental health conditions that impact people globally. Sexual health problems are also widely researched across various contexts. This paper explores the connection between these two areas by conducting a meta-analysis to assess sexual dysfunction (SD) in women with EDs compared to healthy individuals.</p><p><strong>Methods: </strong>Multiple electronic databases were searched. Studies reporting mean scores of SD scales in women with EDs compared to women without these conditions, were included. The combined analyses used standardized mean deviations (SMDs), with relevant 95% confidence intervals (CIs). Each study was weighted using inverse variance models with random effects. The risk of publication bias was estimated.</p><p><strong>Results: </strong>From an initial pool of 2665 studies, 7 studies met inclusion criteria for the systematic review, involving 908 individuals. Out of these, five studies focussing on women with AN or BN were eligible for meta-analysis. No study involving the BED female group met the inclusion criteria to be included in the meta-analysis. The association between SD and AN showed a random-effects pooled SMD of -0.95 (95% CI = -1.40 to -0.50) with high heterogeneity (I<sup>2</sup> = 78.32%, p = 0.01). For BN, this was of -0.51 (95% CI = -0.88 to -0.13) with no heterogeneity (I<sup>2</sup> = 0.00%, p = 0.76). Sensitivity analyses showed that the overall effect is sensitive to the type of questionnaire used to measure the SD.</p><p><strong>Conclusion: </strong>The results indicate that SD is more pronounced in women with AN than in those with BN. More studies with robust methodological designs are necessary to further investigate SD. The female BED group should be included in future studies focussing on SD. The findings suggest that sexual health interventions should target women with EDs, as these conditions have a significant impact on relationships and sexual satisfaction.</p>","PeriodicalId":48117,"journal":{"name":"European Eating Disorders Review","volume":" ","pages":""},"PeriodicalIF":3.9,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143651395","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}
Mun Yee Kwan, Ayla N Gioia, Rebecca Braverman, Kristina Drumheller
{"title":"Fitspiration and Thinspiration on Twitter: A Content Analysis.","authors":"Mun Yee Kwan, Ayla N Gioia, Rebecca Braverman, Kristina Drumheller","doi":"10.1002/erv.3190","DOIUrl":"https://doi.org/10.1002/erv.3190","url":null,"abstract":"<p><strong>Objective: </strong>Fitspiration, an inspiration phenomenon intended to promote healthy living via exercises and dietary changes has been shown to convey unhealthy messages, contributing to body dissatisfaction. The aim of the present study was to compare thinspiration and fitspiration social media content on Twitter.</p><p><strong>Methods: </strong>A total of 301 thinspiration posts and 479 fitspiration posts with the most views from Twitter were collected over a 4-week period for a content analysis. Text, image, and video content were coded by two independent coders.</p><p><strong>Results: </strong>Thinspiration posts had more content on thin ideals and disordered eating while fitspiration posts had more content on muscular ideals and healthy living. Content focussing on weight or fat loss, unrealistic body ideals, and body sexualisation or objectification, were present in both thinspiration and fitspiration posts.</p><p><strong>Conclusions: </strong>These findings support existing literature that both fitspiration and thinspiration content contains unhealthy messages. The current study made novel contributions to the literature by examining food-related and video content, in addition to body-related and text and image content.</p>","PeriodicalId":48117,"journal":{"name":"European Eating Disorders Review","volume":" ","pages":""},"PeriodicalIF":3.9,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143651375","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}
Vanessa Jürgensen, Georg Halbeisen, Martin S Lehe, Georgios Paslakis
{"title":"Muscularity Concerns and Disordered Eating Symptoms in Adult Women: A Network Analysis.","authors":"Vanessa Jürgensen, Georg Halbeisen, Martin S Lehe, Georgios Paslakis","doi":"10.1002/erv.3192","DOIUrl":"https://doi.org/10.1002/erv.3192","url":null,"abstract":"<p><p>This study examined the role of muscularity concerns in eating disorder (ED) symptoms among a sample of women. We expanded on previous research by exploring a broader range of ED symptoms, including orthorexia (ON) and avoidant/restrictive food intake disorder (ARFID). Using network analysis, we analysed data from 308 adult women (18 years or older) who completed muscularity, disordered eating, and sociodemographic assessments. Our findings revealed five interconnected symptom communities reflecting traditional ED symptoms, such as eating concerns and shape and weight overvaluation. Notably, muscularity concerns emerged as a distinct community, emphasising their relevance to ED symptoms in women. Additionally, we identified selective eating tendencies and compulsive healthy eating. Highly central symptoms were rumination about healthy eating, fear and guilt over unhealthy eating, body-related embarrassment, and muscularity concerns (wishing to be heavier, wishing for heavier arms). These results suggest that muscularity concerns could constitute a uniquely identifiable and central diagnostic target for body image concerns and disordered eating in women.</p>","PeriodicalId":48117,"journal":{"name":"European Eating Disorders Review","volume":" ","pages":""},"PeriodicalIF":3.9,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143651378","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}
Dennis Gibson, Kristin Sterrett, Swathi Nemani, Philip S Mehler
{"title":"The Medical Complications of Purging Behaviours Associated With Eating Disorders.","authors":"Dennis Gibson, Kristin Sterrett, Swathi Nemani, Philip S Mehler","doi":"10.1002/erv.3178","DOIUrl":"https://doi.org/10.1002/erv.3178","url":null,"abstract":"<p><strong>Objective: </strong>The purpose of this paper is to comprehensively review the medical complications associated with purging behaviours and their recommended treatments.</p><p><strong>Methods: </strong>A thorough review of the literature through May 2024 was completed.</p><p><strong>Results: </strong>The medical complications associated with purging behaviours affect every body system. Some of these complications are related to the method and frequency of purging while others are independent of the method of purging.</p><p><strong>Conclusion: </strong>Purging behaviours associated with eating disorders confer serious medical complications that are generally reversible with cessation of purging behaviours, weight restoration, and treatment of the underlying eating disorder.</p>","PeriodicalId":48117,"journal":{"name":"European Eating Disorders Review","volume":" ","pages":""},"PeriodicalIF":3.9,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143606633","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}
Feliberto de la Cruz, Monica Di Giuliano, Katrin Rieger, Andy Schumann, Karl-Jürgen Bär
{"title":"Dynamic Functional Connectivity Markers in Anorexia Nervosa and Their Association With Clinical Symptoms: A Cross-Sectional Study.","authors":"Feliberto de la Cruz, Monica Di Giuliano, Katrin Rieger, Andy Schumann, Karl-Jürgen Bär","doi":"10.1002/erv.3188","DOIUrl":"https://doi.org/10.1002/erv.3188","url":null,"abstract":"<p><p>The human brain possesses a unique ability to switch between patterns of functional connectivity, known as brain states, which are crucial for regulating biological, cognitive, and emotional processes. These states are linked to numerous neurological and neuropsychiatric conditions, however, their relationship to clinical symptoms of anorexia nervosa (AN) is not well understood. In this exploratory study, we aimed to identify whole-brain dynamic functional alterations in AN and their association with AN symptoms. To this end, we recruited 19 women diagnosed with AN and 22 healthy controls (HCs) who underwent resting-state functional magnetic resonance imaging. By implementing a sliding-window approach, we found that AN patients had limited flexibility to transit between different brain configurations compared to HCs. Moreover, AN patients spent a significant amount of time in a functional configuration characterised by strong coupling between the ventral attentional network and the somatomotor network. Changes in these networks play a crucial role in body image disturbances, interoceptive awareness, and body image-body schema interaction. Interestingly, the time spent in this specific brain state showed a negative relationship with body mass index, along with a positive correlation with eating disorder indices. Our study highlights the potential of dynamic functional connectivity as a prognostic and therapeutic means to spotlight maladaptive functional brain configurations in AN.</p>","PeriodicalId":48117,"journal":{"name":"European Eating Disorders Review","volume":" ","pages":""},"PeriodicalIF":3.9,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143597936","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}
Melissa Creese, Sarah Hampton, Janina Brede, Charli Babb, Mair Elliott, Lucy Serpell, Catherine R G Jones, John R E Fox, Alana Loewenberger, Will Mandy
{"title":"\"From That Moment, Everything has Changed\": The Experience of Women With Anorexia Nervosa Receiving a Diagnosis of Autism.","authors":"Melissa Creese, Sarah Hampton, Janina Brede, Charli Babb, Mair Elliott, Lucy Serpell, Catherine R G Jones, John R E Fox, Alana Loewenberger, Will Mandy","doi":"10.1002/erv.3186","DOIUrl":"https://doi.org/10.1002/erv.3186","url":null,"abstract":"<p><strong>Objective: </strong>Autism and eating disorders (ED) frequently co-occur, particularly in women. Autistic individuals are often undiagnosed when they present to mental health services and many receive their autism diagnosis during or after ED treatment. This study sought to understand the experiences of autistic women with co-occurring anorexia nervosa (AN) receiving an autism diagnosis.</p><p><strong>Method: </strong>Secondary data analysis was conducted on 17 semi-structured interviews with autistic women with AN using reflexive thematic analysis. Participants had a diagnosis of autism, had current or past experience of AN, were female-identifying and aged 18 or above.</p><p><strong>Results: </strong>Participants experienced missed opportunities for autism diagnosis along with misdiagnoses and misunderstandings from healthcare professionals. Participants tended to receive their diagnosis at the point of crisis and experienced being passed between autism and ED services. Receiving a diagnosis helped participants make sense of their experiences and take control of their lives but also brought feelings of shock and distress.</p><p><strong>Conclusions: </strong>While autism diagnosis is often a positive experience for autistic women with AN, a range of emotions can be experienced. The findings highlight a need for better and earlier identification of autism among women with EDs, alongside appropriate post-diagnosis support and ED treatment that is adapted to autistic individuals' needs.</p>","PeriodicalId":48117,"journal":{"name":"European Eating Disorders Review","volume":" ","pages":""},"PeriodicalIF":3.9,"publicationDate":"2025-03-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143586892","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}
Rachel Loomes, Katy Chivers, Chloé Georgeaux-Healy, Will Mandy, Tom Jewell
{"title":"Understanding the Autistic Experience of Restrictive Eating Disorders-A Systematic Review and Qualitative-Synthesis.","authors":"Rachel Loomes, Katy Chivers, Chloé Georgeaux-Healy, Will Mandy, Tom Jewell","doi":"10.1002/erv.3181","DOIUrl":"https://doi.org/10.1002/erv.3181","url":null,"abstract":"<p><strong>Objective: </strong>To synthesise qualitative findings on the autistic experience of restrictive eating disorders in order to identify common themes and use this to inform future research on the development of more effective care.</p><p><strong>Method: </strong>This systematic review was pre-registered on PROSPERO (CRD42023434116) and followed PRISMA guidelines. CINAHL, PsycINFO, Medline, Embase, Web of Science and Global Health databases were searched. Studies were included if they contained qualitative data detailing the autistic experience of restrictive eating disorders from autistic people, carers or healthcare professionals. The Critical Appraisal Skills Programme was used to assess quality of studies. Recurring themes were identified via thematic synthesis.</p><p><strong>Results: </strong>Nine studies met the inclusion criteria, all focused on anorexia nervosa. Four themes arose from the analysis: (1) the relationship between autism and restrictive eating; (2) the journey to self-understanding; (3) experience of eating disorder services; (4) suggested treatment adaptations.</p><p><strong>Conclusion: </strong>Findings suggest a broad range of mechanisms underlying the development and perpetuation of anorexia nervosa that are related to autism and are not consistently acknowledged and addressed in current care provision. This emphasises the need for more research into developing adapted or novel interventions for autistic people with eating disorders, as well as training programmes for clinicians.</p>","PeriodicalId":48117,"journal":{"name":"European Eating Disorders Review","volume":" ","pages":""},"PeriodicalIF":3.9,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143558262","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}