European Eating Disorders Review最新文献

{"title":"Temporal Trends in the Epidemiology of Eating Disorders Between 2000 and 2022: A Danish Register Study of Their Incidence and Comorbidities.","authors":"Nadia Micali, Helena L Davies, Heidi Jeannet Graff, Laust H Mortensen, Emilie R Hegelund","doi":"10.1002/erv.70061","DOIUrl":"10.1002/erv.70061","url":null,"abstract":"<p><strong>Background: </strong>Eating disorders are debilitating illnesses that often co-occur with other psychiatric disorders and somatic diseases. Evidence indicates that the incidence of eating disorders has been increasing. We first examine the landscape of EDs over time, including the COVID-19 period, via assessing the incidence of anorexia nervosa (AN), bulimia nervosa (BN), and other eating disorders (OED) in Denmark. We additionally map the impact of eating disorders by assessing their prevalence and comorbidities.</p><p><strong>Methods: </strong>Diagnosed eating disorder cases were identified from the Danish National Patient Register from 1995 to 2022. We calculated age- and sex-specific incidence rates for each year. We additionally calculated prevalence for the years 2000, 2010, and 2022 and identified comorbidities via primary or secondary ICD-10 diagnoses from inpatient and outpatient hospital contacts and prescription medication data from the Danish National Prescription Registry. Associations between eating disorders and ICD-10 diseases and prescription medication were investigated with logistic regression models.</p><p><strong>Results: </strong>The incidence of eating disorders increased over the study time in younger age groups for both sexes, particularly for AN and OED, whilst BN diagnoses showed a declining incidence rate (IR) from 2017 onwards. Evidence for increased incidence rates during and following the COVID-19 pandemic was strongest for AN and OED in females aged 10-14 (respectively a 35.5% increase in IR for AN and 57.1% for OED between 2019 and 2021). All eating disorders showed high levels of comorbidities with both psychiatric and somatic illnesses. For example, BN (OR = 23.37, 95% CI: 17.52-31.16) and OED (OR = 19.09, 95% CI: 14.89-24.48) were associated with subsequent abuse of non-dependence-producing substances, and AN was associated with diseases of the circulatory system (OR = 1.88, 95% CI: 1.77-2.01), with diagnoses occurring on average almost 1 year after AN.</p><p><strong>Discussion: </strong>The incidence of AN and OED has increased in the last 22 years in Denmark. Increased incidence in younger age groups after 2020 is likely due to psychosocial challenges and heightened vulnerability to mental health difficulties during the COVID-19 pandemic. Low prevalence of EDs in males may demonstrate poor identification and underdiagnosis. EDs have high public health impact given their increasing prevalence and breadth of identified somatic and psychiatric comorbidities.</p>","PeriodicalId":48117,"journal":{"name":"European Eating Disorders Review","volume":" ","pages":"749-769"},"PeriodicalIF":3.4,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13048747/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145769620","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":"Essential Training for an Essential Role: Dietitians and Eating Disorder Care.","authors":"Caroline A Hill, Tanja Rabbering, Kelly M Dann, Jasmine K Singh, Maureen Moerbeck, Sarah Maguire","doi":"10.1002/erv.70115","DOIUrl":"https://doi.org/10.1002/erv.70115","url":null,"abstract":"<p><strong>Aims: </strong>Dietitians are critical members of the multidisciplinary eating disorder treatment team. Dietitians frequently encounter clients with undiagnosed or undisclosed eating disorders; however, many graduate dietitians lack specialised eating disorder training. This study evaluates the effectiveness of the Dietitian Essentials eLearning program to increase dietitians' self-reported knowledge, skills, and confidence to treat clients with eating disorders.</p><p><strong>Methods: </strong>Health professionals (N = 613) consented to participate in the evaluation between January 2019 and March 2025. Change in self-reported pre- and post-training knowledge, skills, confidence, and willingness to treat eating disorders were analysed using paired-sample t-tests (N = 438), and differences by remoteness of work setting and years of eating disorder clinical experience were assessed with repeated measures ANOVA. Feedback on program feasibility, acceptability, and most and least helpful aspects of the course were collected.</p><p><strong>Results: </strong>Participants were mostly dietitians working in generalist settings with less than 2 years of experience working with eating disorders, however 80% reported they were currently treating clients with eating disorders. Large post-training improvements (Cohen's d = 0.9-1.7) were observed across all learning outcomes, with the largest gains for treatment-specific knowledge and professional issues. Dietitians with the least eating disorder clinical experience showed the greatest improvements.</p><p><strong>Discussion: </strong>Dietitian Essentials meets a critical workforce training gap for dietitians by providing dietitian-specific eating disorder training which is essential to safe clinical practice. Dietitians are often the first responders for eating disorder care-equipping community dietitians with core competencies may facilitate earlier identification and contribute to minimising harm and improving outcomes for this at-risk population.</p>","PeriodicalId":48117,"journal":{"name":"European Eating Disorders Review","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2026-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147785710","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":"Impact of COVID-19 Lockdown on Psychopathology at the Onset of Eating Disorders.","authors":"Elvira Anna Carbone, Cristiano Dani, Matteo Geraci, Alessia Romeo, Ana Jiménez-Peinado, Marianna Rania, Enrico Lodovici, Valentina Zofia Cordasco, Emanuele Cassioli, Eleonora Rossi, Livio Tarchi, Valdo Ricca, Giovanni Castellini, Cristina Segura-Garcia","doi":"10.1002/erv.70123","DOIUrl":"https://doi.org/10.1002/erv.70123","url":null,"abstract":"<p><strong>Objective: </strong>Previous research has shown that the COVID-19 pandemic worsened eating-disorder (ED) symptoms, but most studies have focused on inpatients and compared only two periods: pre-COVID and the period following the pandemic's onset. Outpatient populations, particularly those with binge eating disorder (BED) and other specified feeding or eating disorders (OSFED), have been underrepresented. It remains unclear whether the pandemic influenced the clinical presentation at ED onset. This study aimed to examine differences in general and eating-disorder-related psychopathology at first presentation among outpatients with all ED diagnoses before, during, and after the COVID-19 lockdown in Italy.</p><p><strong>Methods: </strong>We retrospectively reviewed clinical records and assessment data from 400 patients seeking treatment for the first time at a specialised outpatient ED service. Patients were grouped into three periods: pre-lockdown (01.01.2019-10.06.2020), lockdown (11.06.2020-30.09.2021), and post-lockdown (01.10.2021-31.12.2022). These periods were defined to capture the effects of the lockdown while considering the DSM-5 requirement that symptoms persist for at least 3 months to establish a diagnosis. Multivariate analyzes of variance were used to evaluate the effects of period, diagnosis, and their interaction on sociodemographic characteristics, eating-disorder specific symptoms, and general psychopathology.</p><p><strong>Results: </strong>Significant differences were observed across diagnoses, including BED and OSFED. During the lockdown, patients exhibited greater concerns regarding dietary restriction, binge eating, and body, weight and shape across diagnostic groups compared with pre-lockdown. The post-lockdown period was associated with a younger age at ED onset and earlier initiation of dieting behaviours.</p><p><strong>Conclusions: </strong>By distinguishing pre-lockdown, lockdown, and post-lockdown phases and accounting for the DSM-5 diagnostic timeline, this study extends prior research beyond the conventional pre/post pandemic comparison. The COVID-19 lockdown was linked to more severe eating-disorder specific and anxiety-related symptoms at illness onset in outpatients across diagnoses, while the post-lockdown period was marked by earlier onset and increased disorder-specific concerns.</p>","PeriodicalId":48117,"journal":{"name":"European Eating Disorders Review","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2026-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147785832","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":"Associations Between Avoidant/Restrictive Food Intake Disorder Dimensions and Obsessive-Compulsive Symptomatology.","authors":"Mariana Valdez Aguilar, Gabriela K Giulumian, Isabel Rodriguez, Jessica H Baker, Preina P Surti, Lisa Dinkler, Jerry Guintivano, Jessica S Johnson, Casey M MacDermod, Shelby N Ortiz, Emily M Pisetsky, Jennifer P White, Nadia Micali, Cynthia M Bulik, Laura M Thornton, Ya-Ke Wu","doi":"10.1002/erv.70122","DOIUrl":"https://doi.org/10.1002/erv.70122","url":null,"abstract":"<p><strong>Objective: </strong>Although obsessive-compulsive disorder (OCD) commonly co-occurs with anorexia nervosa and bulimia nervosa, less is known about its relationship with avoidant/restrictive food intake disorder (ARFID) dimensions. Whether associations between ARFID dimensions and OCD differ by sex is also unclear. We examined associations between ARFID dimensions and OCD symptoms by sex, accounting for depression and anxiety.</p><p><strong>Methods: </strong>Data from 3120 participants ages 15+ in the ARFID Genes and Environment (ARFID-GEN) study were analyzed. ARFID dimensions (i.e., sensory sensitivity; low appetite/lack of interest in food; and fear of aversive consequences), OCD symptoms, anxiety, and depression were assessed using validated self-report measures. We evaluated associations between ARFID dimensions and OCD symptoms using general linear models, adjusting for depression and anxiety.</p><p><strong>Results: </strong>ARFID dimensions were significantly associated with OCD symptoms. After adjusting for depression and anxiety, these associations were attenuated but remained significant for all ARFID dimensions. Associations between ARFID dimensions and OCD symptoms varied by sex.</p><p><strong>Conclusion: </strong>The relation between ARFID symptomatology and OCD warrants further exploration across the developmental spectrum in which ARFID appears. Clinically, bidirectional screening may improve diagnostic clarity and be informative to tailor interventions appropriately.</p><p><strong>Trial registration: </strong>ARFID-GEN is registered in clinicaltrials.gov (NCT05605067).</p>","PeriodicalId":48117,"journal":{"name":"European Eating Disorders Review","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2026-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147785697","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":"Glucose and Loss of Control Eating: Evidence From Naturalistic Assessment After Roux-en-Y Gastric Bypass.","authors":"Gail A Kerver, Kristine J Steffen, Debra L Safer, Glen Forester, David B Sarwer, Stephen A Wonderlich, Scott G Engel","doi":"10.1002/erv.70102","DOIUrl":"https://doi.org/10.1002/erv.70102","url":null,"abstract":"<p><strong>Objective: </strong>While loss of control (LOC) eating is associated with poor outcomes following metabolic and bariatric surgery (MBS), the mechanisms driving it are less understood. This study used momentary, naturalistic data to examine glucose as a biological correlate of LOC eating after Roux-en-Y gastric bypass (RYGB).</p><p><strong>Method: </strong>Participants (45 adults one-year post-RYGB) completed 10 days of ecological momentary assessment (EMA) while wearing a continuous glucose monitor (CGM). Eating episodes reported in EMA were time-matched to CGM readings 3 hours before and after eating episodes. Four CGM metrics (mean, variability, time in hyper- and hypo-glycaemia) were used in multilevel models to test whether glucose functioning was a significant antecedent and/or consequence of LOC eating.</p><p><strong>Results: </strong>Greater mean glucose levels and variability each significantly predicted engagement in an eating episode, while more time spent in hyperglycemia predicted the absence of eating. Significantly higher mean glucose was observed after eating. No glucose metric specifically predicted engagement in LOC eating; however, LOC eating resulted in significantly greater glucose variability.</p><p><strong>Conclusions: </strong>Glucose level and variability predicted subsequent eating, but not LOC eating. However, LOC eating was associated with subsequent glucose variability, which might help explain how LOC eating is associated with poorer outcomes following RYGB.</p>","PeriodicalId":48117,"journal":{"name":"European Eating Disorders Review","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2026-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147785702","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":"Leptin Reduces Running in a Rodent Anorexia Nervosa Model via a Distributed Neural Network.","authors":"Nick J M Papavoine, Melissa N Veendijk, Jessie Nijman, Mieneke C M Luijendijk, Inge G Wolterink-Donselaar, Frank J Meye, Roger A H Adan","doi":"10.1002/erv.70119","DOIUrl":"https://doi.org/10.1002/erv.70119","url":null,"abstract":"<p><strong>Objective: </strong>Hyperactivity is a persistent and clinically relevant symptom in anorexia nervosa (AN). Hyperactivity is inversely correlated with leptin levels. While systemic leptin administration attenuates hyperactivity in rodent models, the specific brain regions mediating this effect remain unclear. Leptin acts on different brain areas involved in energy expenditure and motivation, including the ventral tegmental area (VTA), substantia nigra (SN) and lateral hypothalamus (LH). The present study aimed to determine through which of these regions leptin mediates its suppressive effects on hyperactivity, reflected in rodent models as compulsive running, in the Activity-Based Anorexia (ABA) model.</p><p><strong>Method: </strong>To identify the neural substrates of leptin's behavioural effects, female Wistar rats were stereotactically cannulated targeting the VTA, SN, or LH. Animals were subjected to the ABA paradigm, and site-specific leptin (300 ng) or vehicle infusions were administered just before the onset of compulsive running. Running wheel activity (RWA), food intake, and body weight were assessed.</p><p><strong>Results: </strong>Pooled analyses identified the SN, LH, and VTA as functionally relevant nodes where leptin administration significantly reduced compulsive running. While leptin also attenuated the compensatory increase in food intake across all three regions, the robust suppression of running compared to the more modest effects on feeding suggests a partial functional dissociation within this distributed network.</p><p><strong>Discussion: </strong>These findings indicate that leptin modulates compulsive running and feeding through a distributed neural network rather than a single discrete locus. The identification of the SN and LH as novel targets for the suppression of compulsive running provides a first mapping of the neural substrates underlying leptin's regulation of hyperactivity.</p>","PeriodicalId":48117,"journal":{"name":"European Eating Disorders Review","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2026-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147785780","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":"Longitudinal Associations of Body Image Flexibility With Eating Disorder Psychopathology, Eating-Related Psychosocial Impairment, and Psychological Distress in Chinese Cisgender Men and Women.","authors":"Peiyi Wang, Yueyang Xiao, Yunyi Cheng, Reza N Sahlan, Wesley R Barnhart, Jason M Nagata, Jinbo He","doi":"10.1002/erv.70120","DOIUrl":"https://doi.org/10.1002/erv.70120","url":null,"abstract":"<p><strong>Objective: </strong>Body image flexibility is a clinically relevant protective process linked to lower eating disorder psychopathology and better psychological functioning, yet its longitudinal role in shaping psychological risk and resilience remains unclear, particularly across women and men in non-Western contexts. This study examined its bidirectional associations with thinness- and muscularity-oriented disordered eating, eating-related psychosocial impairment, and psychological distress among Chinese adults.</p><p><strong>Method: </strong>Chinese adults completed baseline (N = 800; 400 women and 400 men) and eight-month follow-up (N = 491; 246 women and 245 men) online surveys. Cross-lagged panel models were used to examine bidirectional associations.</p><p><strong>Results: </strong>Higher body image flexibility at T1 was related to lower levels of thinness-oriented disordered eating, muscularity-oriented disordered eating, eating-related psychosocial impairment, and psychological distress at T2. Conversely, higher levels of thinness-oriented disordered eating, muscularity-oriented disordered eating, eating-related psychosocial impairment, and psychological distress at T1 were related to lower body image flexibility at T2. These bidirectional associations were consistent across women and men.</p><p><strong>Discussion: </strong>Body image flexibility can function both as a protective resource and as a process susceptible to psychological strain. Intervention efforts should be gender inclusive and target multidimensional forms of eating disorder psychopathology alongside psychological well-being.</p>","PeriodicalId":48117,"journal":{"name":"European Eating Disorders Review","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2026-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147730389","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 Importance of Considering Personal Recovery for Eating Disorders.","authors":"Andrew Allen, Maddison Tunstall, Catherine Houlihan, Kay Pozzebon, Daniel B Fassnacht, Kathina Ali","doi":"10.1002/erv.70116","DOIUrl":"https://doi.org/10.1002/erv.70116","url":null,"abstract":"<p><strong>Objective: </strong>Definitions of recovery from eating disorders (EDs) have traditionally emphasised symptom reduction and functional restoration. However, growing research highlights the importance of integrating personal recovery, defined by self-acceptance, autonomy, and psychological wellbeing. This study explored the relationship between partial clinical remission and personal recovery in individuals with lived experience of an ED.</p><p><strong>Method: </strong>A total of 234 participants (N = 234; M_age = 28.10; 89.3% female; 49.6% non-heterosexual) were recruited online and completed measures assessing ED symptom severity, quality of life, and personal recovery. Criteria for partial clinical remission were based on established cut-offs for measures of ED symptomology. Personal recovery was defined by self-endorsement of a validated recovery framework.</p><p><strong>Results: </strong>Chi-square tests revealed that rates of personal recovery (52.1%) were significantly higher than rates of partial clinical remission (22.6%). While clinical remission increased the likelihood of personal recovery (OR = 6.46), many participants endorsed personal recovery despite not meeting clinical criteria. No significant differences in personal recovery were found between ED types or between heterosexual and non-heterosexual participants as an exploratory analysis.</p><p><strong>Conclusions: </strong>These findings underscore the importance of incorporating personal recovery constructs into ED assessment, treatment, and outcome monitoring.</p>","PeriodicalId":48117,"journal":{"name":"European Eating Disorders Review","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2026-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147785797","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":"Long-Term Effectiveness of Inpatient and Day-Hospital Treatment of Eating Disorders in Departments of Psychosomatic Medicine and Psychotherapy in Germany.","authors":"Magdalena Pape, Stephan Herpertz, Stephan Doering, Henrik Kessler, Martina de Zwaan, Almut Zeeck, Armin Hartmann, Tobias Hofmann, Matthias Rose, Katrin Imbierowicz, Franziska Geiser, Ilona Croy, Kerstin Weidner, Jörg Rademacher, Silke Michalek, Eva Morawa, Yesim Erim, Eva-Maria Skoda, Martin Teufel, Stanislav Heinzmann, Claas Lahmann, Eva Milena Johanne Peters, Johannes Kruse, Dirk von Boetticher, Christoph Herrmann-Lingen, Mariel Nöhre, Ulrike Dinger, Hans-Christoph Friederich, Alexander Niecke, Christian Albus, Rüdiger Zwerenz, Manfred Beutel, Casper Roenneberg, Peter Henningsen, Barbara Stein, Christiane Waller, Karsten Hake, Carsten Spitzer, Andreas Stengel, Stephan Zipfel, Katja Weimer, Harald Gündel, Aram Kehyayan","doi":"10.1002/erv.70114","DOIUrl":"https://doi.org/10.1002/erv.70114","url":null,"abstract":"<p><strong>Background: </strong>There is ample evidence on the efficacy of different therapeutic approaches in treating eating disorders. Yet, studies on the effectiveness of inpatient/day-hospital treatment of eating disorders are rare.</p><p><strong>Method: </strong>Data were retrieved from a naturalistic multi-center effectiveness study of inpatient and day-hospital treatment in departments of psychosomatic medicine and psychotherapy in Germany (MEPP). N = 151 patients with Anorexia Nervosa (AN) and atypical AN, as well as n = 120 patients with Bulimia Nervosa (BN) and atypical BN were included. Eating disorder pathology (EDE-Q) and BMI were assessed on admission, at discharge, and 1 year after discharge. Changes over time were analysed in both outcomes. Treatment success was assessed individually using reliable change (RC) indices. Regression analyses were used to identify predictors of RC.</p><p><strong>Results: </strong>EDE-Q scores decreased in both patient groups. One year after discharge, RC was estimated in 33.8% of patients with AN and 43.3% of patients with BN. 24.2% of patients with AN and 54.3% with BN showed partial remission.</p><p><strong>Discussion: </strong>Results from this multi-center effectiveness study are comparable to those of former national and European studies. Based on the results of individual treatment success, recommendations for inpatient/day-hospital treatment can be derived.</p><p><strong>Trial registration: </strong>The study was registered at the German Clinical Trials Register (www.drks.de; ID: DRKS00016412).</p>","PeriodicalId":48117,"journal":{"name":"European Eating Disorders Review","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2026-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147718290","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":"Parenteral Nutrition in Eating Disorders: A Systematic Scoping Review.","authors":"Yosua Yan Kristian, Fitria Nusa Eka Pratiwy, Veronica Wijaya","doi":"10.1002/erv.70117","DOIUrl":"https://doi.org/10.1002/erv.70117","url":null,"abstract":"<p><strong>Background: </strong>Eating disorders (EDs), particularly anorexia nervosa, are often associated with malnutrition that requires adequate nutritional support, including parenteral nutrition (PN) in selected cases. This scoping review summarises the existing evidence on the indications, outcomes, and complications of PN in patients with EDs.</p><p><strong>Methods: </strong>A systematic search was conducted in four databases (Embase, MEDLINE, Global Health, and APA PsycINFO) from inception to 30 March 2026. This review was reported in accordance with the PRISMA-ScR guidelines and registered on the Open Science Framework (https://osf.io/gqhzj).</p><p><strong>Results: </strong>We included 29 relevant studies. Most studies were conducted more than 10 years before this review. PN was primarily used in patients with severe EDs when oral or enteral nutrition was refused or poorly tolerated. PN was associated with weight gain and improvements in electrolyte and micronutrient status. The effects on serum proteins and haematological indices were inconsistent. Psychological outcomes were infrequently reported. The reported complications include elevated transaminases and catheter-related infections. Acceptability data were sparse, with clinicians rarely using PN routinely.</p><p><strong>Conclusion: </strong>PN has a limited but potentially helpful role in selected patients with EDs. However, this should be interpreted with caution, as recent evidence on PN is limited. Further high-quality studies are needed to provide clearer guidance to inform safe, ethical, and patient-centred practice.</p>","PeriodicalId":48117,"journal":{"name":"European Eating Disorders Review","volume":" ","pages":""},"PeriodicalIF":3.4,"publicationDate":"2026-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147699382","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}