European Eating Disorders Review最新文献

{"title":"'We Need Help Too'-The Forgotten Stakeholders: Exploring the Needs of Carers During Their Young Persons' Transition From Child to Adult Eating Disorder Services.","authors":"Isabel Lenham, Maria Livanou, Anya Heneghan, Grace Hill, Alanta McKenzie, Marta Marlais, Francesca Marshall, Zara Smalley, Eleni Xanthopoulou, Nora Kornai, Jessica Wilks, Ailsa McKay, Jun Teh, Julian Baudinet","doi":"10.1002/erv.70162","DOIUrl":"https://doi.org/10.1002/erv.70162","url":null,"abstract":"<p><strong>Background: </strong>Carers are essential in their young person's recovery during transition from child to adult eating disorder services. Despite recommendations, carer's own needs can be overlooked in transition planning. Subsequently, carers experience distress in supporting their young person and navigating the transition. This study is part of the initial phase of a larger co-production project aiming to develop a new intervention supporting young people with eating disorders and their families in transitioning to adult services. This study explored the lived experiences of carers to deepen our understanding of carers experiences and needs during the transition.</p><p><strong>Method: </strong>Eleven semi-structured interviews were conducted online, with carers who had experience of their young person transitioning from child and adolescent to adult eating disorder services, across two NHS sites in England.</p><p><strong>Results: </strong>Reflexive Thematic Analysis was used to analyse the data and five key themes were generated: (1) the forgotten stakeholders, (2) navigating the transition in the dark, (3) managing the intricacies of transition, (4) a plethora of service criteria and (5) negotiating the power dynamics.</p><p><strong>Conclusions: </strong>Carers continue to articulate concerns that corroborate and reinforce the wider transitional care literature, with few carers feeling supported in the process. Prioritising the co-development of interventions supporting carers wellbeing during transition is key to ensure carers distress is not perpetuated.</p>","PeriodicalId":48117,"journal":{"name":"European Eating Disorders Review","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2026-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148762632","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":"Sport-Specific Factors and Values Leading to Normalisation of Disordered Eating Behaviours in Elite Sport: A Scoping Review.","authors":"Danielle Mercado, Olivia Howe, Laurence Claes, Silvia Camporesi","doi":"10.1002/erv.70163","DOIUrl":"https://doi.org/10.1002/erv.70163","url":null,"abstract":"<p><strong>Background: </strong>Disordered eating behaviours (DEBs) can be normalised by elite sports values and norms, obscuring risk for DEBs.</p><p><strong>Objectives: </strong>This scoping review mapped (1) how DEBs are conceptualised in elite sport, (2) the values, norms, and institutional mechanisms that normalise them, and (3) the barriers that obstruct recognition and care.</p><p><strong>Methods: </strong>The search was conducted using Joanna Briggs Institute (JBI) methodology and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) checklist, encompassing eight databases with no date limits. A protocol was registered; 3497 records were screened (1153 duplicates were removed), 283 full texts were reviewed, and 128 studies were included.</p><p><strong>Results: </strong>Study designs are largely crosssectional, based on self-report, and variably specific to particular sports. (1) DEBs are framed as a continuum ranging from functional practices to pathology, with tipping points linked to seasonality, injury and selection processes. (2) Normalisation mechanisms of DEBs stem from sports-specific values and norms, constituting an elite sporting ethic, body ideals, coach/team culture, institutional surveillance and public/media scrutiny. (3) Barriers for assessment and help-seeking include the moralisation of restrictive behaviours, stigma, 'toughness' norms, knowledge gaps, coach gatekeeping, organisational constraints and gendered assumptions.</p><p><strong>Conclusions: </strong>System-level safeguards are needed and athlete-centred, protective initiatives should be prioritised over performance-oriented outcomes. Future research should prioritise longitudinal designs, elite sports-sensitive measures, and equity-oriented sampling.</p>","PeriodicalId":48117,"journal":{"name":"European Eating Disorders Review","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2026-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148766392","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":"Turning the TIDE: Paediatric Provider Perspectives on Implementing a Transition Intervention for Eating Disorders.","authors":"Maria Nicula, Melissa Kimber, Khrista Boylan, Jennifer Couturier","doi":"10.1002/erv.70159","DOIUrl":"https://doi.org/10.1002/erv.70159","url":null,"abstract":"<p><strong>Objective: </strong>This qualitative study aimed to explore paediatric providers' perspectives on the acceptability, feasibility, and appropriateness of the Transition Intervention for Eating Disorders (TIDE) within existing specialised paediatric eating disorder (ED) programs to inform its refinement and implementation in real-world clinical settings.</p><p><strong>Method: </strong>A Qualitative Description study was conducted in Ontario paediatric ED programs; clinicians and administrative staff participated in virtual focus groups and transcripts were analysed inductively using conventional content analysis.</p><p><strong>Results: </strong>Twenty-four staff from five Ontario paediatric ED programs participated. TIDE was viewed as valuable and addressing unmet transition needs. Providers endorsed its components but emphasised tailoring to developmental readiness, family structures, and local service contexts. Peer support, structured transition meetings, navigation resources, and primary care involvement were seen as beneficial. Feasibility concerns centred on limited staffing, time, and coordination infrastructure, with many indicating willingness to implement selected components rather than the full model.</p><p><strong>Conclusions: </strong>TIDE was considered a promising framework, but successful implementation depends on contextual adaptation and organisational support. Flexible delivery that preserves core functions of TIDE may enhance its scalability and improve continuity of care for youth transitioning to adult ED services.</p>","PeriodicalId":48117,"journal":{"name":"European Eating Disorders Review","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2026-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148690113","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":"Participation in the New Maudsley Model Workshops is Associated With Reductions in Caregiver Burden in Eating Disorders","authors":"Cristiano Dani,&nbsp;Eleonora Rossi,&nbsp;Emanuele Cassioli,&nbsp;Giulia Selvi,&nbsp;Livio Tarchi,&nbsp;Francesco Rotella,&nbsp;Sandra Moretti,&nbsp;Maria Rita Troiani,&nbsp;Giulio D'Anna,&nbsp;Ilenia Giunti,&nbsp;Stefano Lucarelli,&nbsp;Janet Treasure,&nbsp;Valdo Ricca,&nbsp;Giovanni Castellini","doi":"10.1002/erv.70111","DOIUrl":"10.1002/erv.70111","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>Caregivers of individuals with eating disorders (ED) frequently experience psychological distress, expressed emotion, and accommodation behaviours, contributing to caregiver burden. The New Maudsley Model (NMM) is a structured intervention designed to improve caregivers' emotional regulation, communication, and coping strategies. This study examined changes in caregiver burden associated with participation in NMM workshops and explored the temporal relationship between psychological distress and ED symptom impact.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>A total of 447 caregivers participated, with 189 completing baseline and post-intervention assessments, including psychological distress (DASS-21), accommodation (AESED), expressed emotion (FQ), and ED symptom impact (EDSIS). Linear mixed models and structured equation modelling (SEM) were computed for longitudinal analyses.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Significant reductions were observed in anxiety, expressed emotion, accommodation, and ED symptom impact, following NMM workshops. Higher baseline psychological distress was associated with larger subsequent reductions in distress over time, while ED symptom impact was less modifiable over time, appearing influenced by family dynamics. Baseline ED symptom impact was associated with subsequent changes in caregiver distress.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>These findings highlight the potential clinical utility of NMM workshops within standard ED care, emphasising the need to target caregiver beliefs, emotional responses, and coping behaviours to improve caregiver's well-being and possibly support better ED outcomes.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48117,"journal":{"name":"European Eating Disorders Review","volume":"34 5","pages":"1221-1230"},"PeriodicalIF":3.2,"publicationDate":"2026-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/erv.70111","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147646861","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":"Parenteral Nutrition in Eating Disorders: A Systematic Scoping Review","authors":"Yosua Yan Kristian,&nbsp;Fitria Nusa Eka Pratiwy,&nbsp;Veronica Wijaya","doi":"10.1002/erv.70117","DOIUrl":"10.1002/erv.70117","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>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>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>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>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>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>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>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>\u0000 </section>\u0000 </div>","PeriodicalId":48117,"journal":{"name":"European Eating Disorders Review","volume":"34 5","pages":"1250-1272"},"PeriodicalIF":3.2,"publicationDate":"2026-08-03","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}

{"title":"Glucose and Loss of Control Eating: Evidence From Naturalistic Assessment After Roux-en-Y Gastric Bypass","authors":"Gail A. Kerver,&nbsp;Kristine J. Steffen,&nbsp;Debra L. Safer,&nbsp;Glen Forester,&nbsp;David B. Sarwer,&nbsp;Stephen A. Wonderlich,&nbsp;Scott G. Engel","doi":"10.1002/erv.70102","DOIUrl":"10.1002/erv.70102","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>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>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>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>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>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>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>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>\u0000 </section>\u0000 </div>","PeriodicalId":48117,"journal":{"name":"European Eating Disorders Review","volume":"34 5","pages":"1304-1313"},"PeriodicalIF":3.2,"publicationDate":"2026-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/erv.70102","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":"OA","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,&nbsp;Cristiano Dani,&nbsp;Matteo Geraci,&nbsp;Alessia Romeo,&nbsp;Ana Jiménez-Peinado,&nbsp;Marianna Rania,&nbsp;Enrico Lodovici,&nbsp;Valentina Zofia Cordasco,&nbsp;Emanuele Cassioli,&nbsp;Eleonora Rossi,&nbsp;Livio Tarchi,&nbsp;Valdo Ricca,&nbsp;Giovanni Castellini,&nbsp;Cristina Segura-Garcia","doi":"10.1002/erv.70123","DOIUrl":"10.1002/erv.70123","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>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>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>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>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>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>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>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>\u0000 </section>\u0000 </div>","PeriodicalId":48117,"journal":{"name":"European Eating Disorders Review","volume":"34 5","pages":"1336-1350"},"PeriodicalIF":3.2,"publicationDate":"2026-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/erv.70123","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":"OA","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,&nbsp;Yueyang Xiao,&nbsp;Yunyi Cheng,&nbsp;Reza N. Sahlan,&nbsp;Wesley R. Barnhart,&nbsp;Jason M. Nagata,&nbsp;Jinbo He","doi":"10.1002/erv.70120","DOIUrl":"10.1002/erv.70120","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>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>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>Chinese adults completed baseline (<i>N</i> = 800; 400 women and 400 men) and eight-month follow-up (<i>N</i> = 491; 246 women and 245 men) online surveys. Cross-lagged panel models were used to examine bidirectional associations.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>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>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>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>\u0000 </section>\u0000 </div>","PeriodicalId":48117,"journal":{"name":"European Eating Disorders Review","volume":"34 5","pages":"1294-1303"},"PeriodicalIF":3.2,"publicationDate":"2026-08-03","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":"Associations Between Avoidant/Restrictive Food Intake Disorder Dimensions and Obsessive-Compulsive Symptomatology","authors":"Mariana Valdez Aguilar,&nbsp;Gabriela K. Giulumian,&nbsp;Isabel Rodriguez,&nbsp;Jessica H. Baker,&nbsp;Preina P. Surti,&nbsp;Lisa Dinkler,&nbsp;Jerry Guintivano,&nbsp;Jessica S. Johnson,&nbsp;Casey M. MacDermod,&nbsp;Shelby N. Ortiz,&nbsp;Emily M. Pisetsky,&nbsp;Jennifer P. White,&nbsp;Nadia Micali,&nbsp;Cynthia M. Bulik,&nbsp;Laura M. Thornton,&nbsp;Ya-Ke Wu","doi":"10.1002/erv.70122","DOIUrl":"10.1002/erv.70122","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>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>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>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>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>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>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>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>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Trial Registration</h3>\u0000 \u0000 <p>ARFID-GEN is registered in clinicaltrials.gov (NCT05605067)</p>\u0000 </section>\u0000 </div>","PeriodicalId":48117,"journal":{"name":"European Eating Disorders Review","volume":"34 5","pages":"1327-1335"},"PeriodicalIF":3.2,"publicationDate":"2026-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/erv.70122","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":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Weight Suppression, Brain Reward Response to Food Cues, and Bulimic Behaviours: A Pilot fMRI Study","authors":"Simar Singh,&nbsp;Kanchana Jagannathan,&nbsp;Anna Rose Childress,&nbsp;Michael R. Lowe","doi":"10.1002/erv.70127","DOIUrl":"10.1002/erv.70127","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>Weight suppression (WS), or the difference between one's highest past and current weights, may help maintain bulimia nervosa (BN) by altering reward response to food cues. This pilot study tested associations among WS, brain reward activation to food cues, and BN behaviours.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Twenty women with BN were shown images of milkshake or tasteless control solution, followed by receipt of the corresponding beverage during fMRI. Regressions examined associations between brain activation in a priori regions of interest and WS and BN behaviours (i.e., objective binge-eating episodes, self-induced vomiting episodes, dietary restraint), corrected at <i>k</i> = 333, <i>p</i> &lt; 0.010. Correlations examined the association between WS and BN behaviours.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Upon consumption of milkshake versus control solution, WS positively associated with activation in the left caudate (<i>k</i> = 361, <i>p</i> = 0.001). WS also positively associated with binge eating (<i>r</i> = 0.52, <i>p</i> = 0.019), purging (<i>r</i> = 0.48, <i>p</i> = 0.032), and restraint (<i>r</i> = 0.53, <i>p</i> = 0.017). No BN behaviours associated with brain activation upon anticipation or consumption of milkshake (all <i>p</i>s &gt; 0.010).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>Given the caudate's role in hedonic eating, the WS-caudate association may help maintain BN behaviours, such as binge eating. Although we failed to find an association between BN behaviours and caudate activation, our sample size was small. Therefore, we encourage replication in larger samples.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48117,"journal":{"name":"European Eating Disorders Review","volume":"34 5","pages":"1370-1377"},"PeriodicalIF":3.2,"publicationDate":"2026-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147864738","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}