European Eating Disorders Review最新文献_第2页

Alliance processes in eating disorders with childhood maltreatment sequelae: Preliminary implications. 带有童年虐待后遗症的饮食失调症的联盟过程：初步影响。

IF 3.9 2区心理学

European Eating Disorders Review Pub Date : 2024-10-08 DOI: 10.1002/erv.3137

Malin E Olofsson, KariAnne R Vrabel, Maren C Kopland, Hanna P Eielsen, Hanne W Oddli, Timothy D Brewerton

{"title":"Alliance processes in eating disorders with childhood maltreatment sequelae: Preliminary implications.","authors":"Malin E Olofsson, KariAnne R Vrabel, Maren C Kopland, Hanna P Eielsen, Hanne W Oddli, Timothy D Brewerton","doi":"10.1002/erv.3137","DOIUrl":"https://doi.org/10.1002/erv.3137","url":null,"abstract":"Background: Effective eating disorder (ED) treatments are drastically needed for patients with experiences of sustained and prolonged emotional, physical and sexual childhood maltreatment (CM) that often results in post-traumatic sequelae such as severe, complex posttraumatic stress disorder (cPTSD). EDs with comorbid cPTSD (cPTSD-ED) have protracted treatment courses and poorer prognoses.Aim: To summarise the knowledge base on cPTSD-ED with specific emphasis on disturbances in self-organisation (DSO) in relation to therapeutic alliance (TA) processes.Method: Expert opinions based on current relevant literature are critically examined.Results: Preliminary insights on change and alliance processes suggest that neglecting to address emotional-relational processes in the conceptualisation and treatment of cPTSD-ED impedes treatment progress.Conclusion: We hypothesise that the DSO construct inherent in cPTSD-ED calls for a focus on TA processes in addition to traditional ED treatment elements such as nutritional rehabilitation and behaviour change, and regardless of ED treatment provided. More process research on a larger scale is urgently called for.","PeriodicalId":48117,"journal":{"name":"European Eating Disorders Review","volume":null,"pages":null},"PeriodicalIF":3.9,"publicationDate":"2024-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142394309","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}

引用次数: 0

Delving into the role of reward and punishment sensitivity in anorexia nervosa: Punishment responsivity as the only predictor of eating disorder symptom persistence in adolescents. 深入研究奖惩敏感性在神经性厌食症中的作用：惩罚反应性是青少年饮食失调症状持续存在的唯一预测因素。

IF 3.9 2区心理学

European Eating Disorders Review Pub Date : 2024-10-01 DOI: 10.1002/erv.3138

Nienke C Jonker, Klaske A Glashouwer, Peter J de Jong

{"title":"Delving into the role of reward and punishment sensitivity in anorexia nervosa: Punishment responsivity as the only predictor of eating disorder symptom persistence in adolescents.","authors":"Nienke C Jonker, Klaske A Glashouwer, Peter J de Jong","doi":"10.1002/erv.3138","DOIUrl":"https://doi.org/10.1002/erv.3138","url":null,"abstract":"Objective: This study differentiated between self-reported punishment responsivity (PR) and motivation to avoid punishment (MP) and examined their relationship with anorexia nervosa (AN) and its course in a combined cross-sectional and longitudinal approach. We explored whether inconsistent findings regarding reward sensitivity may be explained by previous research not differentiating between reward responsivity (RR) and motivation to approach reward (MR).Method: Participants were 69 adolescents with AN and 69 adolescents without AN matched on age, sex and educational level. Eating disorder (ED) symptom severity, PR, MP, RR, and MR were assessed at the start of treatment and 1 year later.Results: Only PR was higher in patients with AN than in the comparison group. Both PR and MP decreased over the course of 1 year, however, only the reduction in PR was related to the reduction in ED symptoms. Lastly, only higher baseline PR was independently related to less improvement in ED symptoms over the course of 1 year.Conclusion: There was no support for the involvement of RS or its specific dimensions in AN. Most critical, the findings suggest that specifically the PR dimension of punishment sensitivity is related to the persistence of AN and could be an important target for treatment.","PeriodicalId":48117,"journal":{"name":"European Eating Disorders Review","volume":null,"pages":null},"PeriodicalIF":3.9,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142367023","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}

引用次数: 0

The predictive value of emotion regulation difficulties and negative mood on short and long-term treatment outcomes in an online guided self-help programme for adults with binge-eating disorder. 在针对暴饮暴食症成人的在线指导自助计划中，情绪调节困难和消极情绪对短期和长期治疗效果的预测价值。

IF 3.9 2区心理学

European Eating Disorders Review Pub Date : 2024-09-20 DOI: 10.1002/erv.3135

Felicitas Forrer, Marius Rubo, Andrea Wyssen, Andrea H Meyer, Simone Munsch

{"title":"The predictive value of emotion regulation difficulties and negative mood on short and long-term treatment outcomes in an online guided self-help programme for adults with binge-eating disorder.","authors":"Felicitas Forrer, Marius Rubo, Andrea Wyssen, Andrea H Meyer, Simone Munsch","doi":"10.1002/erv.3135","DOIUrl":"https://doi.org/10.1002/erv.3135","url":null,"abstract":"Objective: Cognitive behaviour therapy (CBT) online guided self-help programs represent efficacious and accessible treatment options for adults with binge-eating disorder (BED), but research on predictors of treatment outcome is scarce. This study aimed to investigate the predictive value of emotion regulation difficulties relative to that of negative mood on short- and longer-term treatment outcomes in an online guided self-help programme for BED above and beyond other predictors (age, sex, baseline BED severity).Methods: Participants were 63 adults (87% female, mean age 37.2 years) with BED. Data was analysed using a hierarchical model approach.Results: Emotion regulation difficulties better predicted both weekly binge-eating frequency and eating disorder (ED) pathology at posttreatment than negative mood, after controlling for the effect of age, sex and baseline BED severity. At 6-month follow-up, neither emotion regulation difficulties nor negative mood further added to the prediction of weekly binge-eating frequency, whereas negative mood, but not emotion regulation difficulties, did so for ED pathology.Conclusion: These findings indicate that emotion regulation difficulties at treatment begin might be a relevant predictor of immediate treatment outcome in online guided self-help for adults with BED but might have lower impact on longer-term treatment outcome than negative mood.Clinical trial register number: The clinical trial register number is not given in this version of the manuscript due to anonymisation.","PeriodicalId":48117,"journal":{"name":"European Eating Disorders Review","volume":null,"pages":null},"PeriodicalIF":3.9,"publicationDate":"2024-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142298836","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}

引用次数: 0

A network analysis of eating disorder, PTSD, major depression, state‐trait anxiety, and quality of life measures in eating disorder patients treated in residential care 对接受住院治疗的饮食失调症患者的饮食失调、创伤后应激障碍、重度抑郁、状态-特质焦虑和生活质量进行网络分析

IF 5.3 2区心理学

European Eating Disorders Review Pub Date : 2024-09-18 DOI: 10.1002/erv.3136

Timothy D. Brewerton, Maren C. G. Kopland, Ismael Gavidia, Giulia Suro, Molly M. Perlman

{"title":"A network analysis of eating disorder, PTSD, major depression, state‐trait anxiety, and quality of life measures in eating disorder patients treated in residential care","authors":"Timothy D. Brewerton, Maren C. G. Kopland, Ismael Gavidia, Giulia Suro, Molly M. Perlman","doi":"10.1002/erv.3136","DOIUrl":"https://doi.org/10.1002/erv.3136","url":null,"abstract":"BackgroundThe network approach in the eating disorder (ED) field has confirmed important links between EDs and posttraumatic stress disorder (PTSD) symptoms. However, studies including comorbid symptoms are scarce, which limits our understanding of potentially important connections. We hypothesised that anxiety, depression and poor quality of life (QOL) would provide a more complete picture of central, maintaining factors.MethodsNetwork analysis using R was performed in 2178 adult ED patients (91% female) admitted to residential treatment. Assessments included the ED Examination Questionnaire (EDEQ), the Eating Disorders Inventory (EDI‐2), the PTSD Checklist for DSM‐5 (PTSD clusters (PCL‐5)), the Patient Health Questionnaire (PHQ‐9), the Spielberger State‐Trait Anxiety Scale (STAI), and the ED QOL Scale (EDQOL), which measure symptoms of EDs, PTSD, major depression, state‐trait anxiety, and QOL, respectively.ResultsEDI‐2 ineffectiveness showed the highest centrality (expected influence) followed by EDI‐2 interoceptive awareness, STAI state anxiety, EDEQ shape concern, EDQOL psychological subscale, and PTSD cluster D (hyperarousal) symptoms. Eating Disorder Quality of Life psychological and physical‐cognitive subscales and PHQ‐9 major depressive, STAI state anxiety and PCL‐5 PTSD cluster E (negative alterations in mood and cognition) symptoms showed the highest bridge expected influence, suggesting their interactive role in maintaining ED‐PTSD comorbidity.ConclusionsThis is the first network analysis of the interaction between ED and PTSD symptoms to include the comorbid measures of depression, anxiety, and QOL in a large clinical sample of ED patients. Our results indicate that several symptom clusters are likely to maintain ED‐PTSD comorbidity and may be important targets of integrated treatment.","PeriodicalId":48117,"journal":{"name":"European Eating Disorders Review","volume":null,"pages":null},"PeriodicalIF":5.3,"publicationDate":"2024-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142264890","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}

引用次数: 0

Affect and disordered eating behaviours in women's daily lives: The comparative explanatory roles of distinct momentary emotion dysregulation dimensions 女性日常生活中的情绪和饮食失调行为：不同瞬间情绪失调维度的比较解释作用

IF 5.3 2区心理学

European Eating Disorders Review Pub Date : 2024-09-11 DOI: 10.1002/erv.3134

Kelly A. Romano, Carol B. Peterson, Lisa M. Anderson, Kristin E. Heron

{"title":"Affect and disordered eating behaviours in women's daily lives: The comparative explanatory roles of distinct momentary emotion dysregulation dimensions","authors":"Kelly A. Romano, Carol B. Peterson, Lisa M. Anderson, Kristin E. Heron","doi":"10.1002/erv.3134","DOIUrl":"https://doi.org/10.1002/erv.3134","url":null,"abstract":"ObjectiveThe present study aimed to examine: (a) whether distinct momentary emotion dysregulation dimensions differentially mediated momentary associations between affect and disordered eating behaviours (DEBs) in the natural environment; (b) whether these associations differed based on affect, emotion dysregulation, and DEB type.Method150 women with eating disorder pathology (Mage = 20.95, SD = 4.14) completed 4 surveys targeting affect, emotion dysregulation, and DEBs each day for a 10‐day ecological momentary assessment period. Multilevel structural equation models examined whether four momentary emotion dysregulation dimensions (difficulties with emotional and behavioural modulation, lack of emotional acceptance, awareness, and clarity) mediated momentary associations between negative and positive affect (PA), and loss of control eating, overeating, and dietary restriction.ResultsMomentary difficulties with emotional and behavioural modulation mediated momentary associations between negative affect (NA) and women's loss of control eating and overeating. These findings did not extend to PA, the other emotion dysregulation dimensions, or dietary restriction.ConclusionsCollectively, these results support emotional and behavioural modulation deficits in the natural environment as potential transdiagnostic maintenance mechanisms of overeating and loss of control eating. These findings also support the potential benefits of targeting NA and this type of emotion dysregulation in existing and novel real‐time eating disorders interventions.","PeriodicalId":48117,"journal":{"name":"European Eating Disorders Review","volume":null,"pages":null},"PeriodicalIF":5.3,"publicationDate":"2024-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142212947","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}

引用次数: 0

The structure of motivation: Assessing readiness to change dimensions and their predictive value with the network validation of the Italian version of the Anorexia Nervosa Stages of Change Questionnarie. 动机的结构：通过对意大利语版 "神经性厌食症改变阶段问卷 "进行网络验证，评估改变准备度及其预测价值。

IF 3.9 2区心理学

European Eating Disorders Review Pub Date : 2024-09-04 DOI: 10.1002/erv.3133

Matteo Martini, Paola Longo, Federica Toppino, Carlotta De Bacco, Antonio Preti, Giovanni Abbate-Daga, Matteo Panero

{"title":"The structure of motivation: Assessing readiness to change dimensions and their predictive value with the network validation of the Italian version of the Anorexia Nervosa Stages of Change Questionnarie.","authors":"Matteo Martini, Paola Longo, Federica Toppino, Carlotta De Bacco, Antonio Preti, Giovanni Abbate-Daga, Matteo Panero","doi":"10.1002/erv.3133","DOIUrl":"https://doi.org/10.1002/erv.3133","url":null,"abstract":"Objective: Motivation to change is an important predictor for treatment outcomes in individuals with anorexia nervosa (AN), however, the existence and clinical relevance of distinct motivational dimensions are understudied. This study aimed to structurally validate the AN Stage of Change Questionnaire (ANSOCQ) in the Italian adult AN population to identify separate motivational dimensions and their association with clinical variables and outcomes.Method: Inpatients and outpatients with AN (N = 300) completed the ANSOCQ and measures assessing eating and depressive psychopathology. Unique Variable Analysis and Exploratory Graph Analysis were employed to identify dimensions in the network structure of ANSOCQ. Cross-sectional associations with clinical variables were assessed in the whole sample. Predictive value on weight and psychopathology was assessed in inpatients.Results: Two dimensions were identified, one comprising items relative to weight gain, and the second items regarding attitudes towards eating, body, and emotional problems. Feelings associated with eating resulted as most central in the network. Higher scores in the first dimension and ANSOCQ total predicted weight gain during hospitalisation. No significant predictors emerged for changes in eating psychopathology.Discussion: These findings confirm the robust psychometric properties of ANSOCQ and provide support for the use of its subdimensions in clinical practice.","PeriodicalId":48117,"journal":{"name":"European Eating Disorders Review","volume":null,"pages":null},"PeriodicalIF":3.9,"publicationDate":"2024-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142127028","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}

引用次数: 0

Clinicians' confidence in diagnosing atypical anorexia nervosa: An experimental study of the role of patient and clinician characteristics. 临床医生诊断非典型神经性厌食症的信心：关于患者和临床医生特征作用的实验研究。

IF 3.9 2区心理学

European Eating Disorders Review Pub Date : 2024-08-20 DOI: 10.1002/erv.3132

Jessica Beard, Tracey D Wade, Glenn Waller

{"title":"Clinicians' confidence in diagnosing atypical anorexia nervosa: An experimental study of the role of patient and clinician characteristics.","authors":"Jessica Beard, Tracey D Wade, Glenn Waller","doi":"10.1002/erv.3132","DOIUrl":"https://doi.org/10.1002/erv.3132","url":null,"abstract":"Objective: This experimental study investigated the weight loss parameters and resulting end weight that influence clinician confidence in diagnosing atypical anorexia nervosa (AAN).Methods: Clinicians (N = 67) read a series of vignettes where patient weight loss and end weight varied, then rated their confidence in an AAN diagnosis and alternatives. Using repeated measures ANOVAs, we examined patient (weight loss, end weight) and the possible relationship between clinician (e.g., age, profession) characteristics and confidence in diagnosing AAN.Results: Clinicians were most confident in an AAN diagnosis when patients had lost 10% or 15% of their body weight, leaving them at a high or normal weight. Clinicians considered 5% as significant weight loss for AAN, but only when the patient ended at a high or normal weight. However, they did not clearly differentiate AAN from unspecified feeding and eating disorder (UFED) when there was a 5% weight loss resulting in high or normal end weight. Clinician characteristics did not impact on confidence in diagnoses.Conclusion: The DSM's 'significant weight loss' criterion leaves room for clinicians to interpret it idiosyncratically. The lack of a clear pattern of UFED and AAN diagnosis has important clinical implications, as UFED tends to be dismissed as being less serious.","PeriodicalId":48117,"journal":{"name":"European Eating Disorders Review","volume":null,"pages":null},"PeriodicalIF":3.9,"publicationDate":"2024-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142009734","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}

引用次数: 0

Family therapy for emerging adults with anorexia nervosa: Expert opinion on evidence, practice considerations, and future directions. 针对新出现的成人厌食症患者的家庭治疗：专家对证据、实践注意事项和未来方向的看法。

IF 3.9 2区心理学

European Eating Disorders Review Pub Date : 2024-08-18 DOI: 10.1002/erv.3129

Elizabeth Dodge, Julian Baudinet, Amelia Austin, Ivan Eisler, Daniel Le Grange, Gina Dimitropoulos

{"title":"Family therapy for emerging adults with anorexia nervosa: Expert opinion on evidence, practice considerations, and future directions.","authors":"Elizabeth Dodge, Julian Baudinet, Amelia Austin, Ivan Eisler, Daniel Le Grange, Gina Dimitropoulos","doi":"10.1002/erv.3129","DOIUrl":"https://doi.org/10.1002/erv.3129","url":null,"abstract":"Various forms of eating disorder focused family therapy (FT-ED) have been developed and evaluated for adolescents. FT-ED for adolescent anorexia nervosa (AN) focuses on empowering parents/carers with the knowledge and skills required to facilitate recovery for their child. The recent trend and increased awareness of the period between adolescence and adulthood during ages 18-25, known as 'emerging adulthood', has brought into question whether the traditional treatment approach for adults with AN, that is, individual therapies, is the most appropriate approach for this age group. This paper briefly outlines the current forms FT-ED for emerging adults with AN and examines the evidence for each. We then present considerations for tailoring FT-ED for emerging adults with AN across three broad domains: structure and set-up, process, and content. Finally, we present suggestions on how to troubleshoot common pitfalls that may be encountered, such as reluctance to include parents in treatment. Future research should examine which forms of FT-ED are best for which emerging adults and families and under what contexts. There is also a need to explore the incorporation of technology into sessions with families who live apart.","PeriodicalId":48117,"journal":{"name":"European Eating Disorders Review","volume":null,"pages":null},"PeriodicalIF":3.9,"publicationDate":"2024-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141996649","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}

引用次数: 0

Early intervention for adolescents with anorexia nervosa: Pilot evaluation of an outpatient group therapy prior to inpatient treatment. 对患有神经性厌食症的青少年进行早期干预：对住院治疗前的门诊小组疗法进行试点评估。

IF 3.9 2区心理学

European Eating Disorders Review Pub Date : 2024-08-13 DOI: 10.1002/erv.3128

Valeska Stonawski, Christiane Stehbach, Marlen Bauer, Susanne Wangler, Gunther H Moll, Stefanie Horndasch, Oliver Kratz

{"title":"Early intervention for adolescents with anorexia nervosa: Pilot evaluation of an outpatient group therapy prior to inpatient treatment.","authors":"Valeska Stonawski, Christiane Stehbach, Marlen Bauer, Susanne Wangler, Gunther H Moll, Stefanie Horndasch, Oliver Kratz","doi":"10.1002/erv.3128","DOIUrl":"https://doi.org/10.1002/erv.3128","url":null,"abstract":"Objective: An increasing demand for inpatient treatment for adolescents with anorexia nervosa (AN) during and after the Covid-19 pandemic contrasts with limited capacity and long waiting times. The current pilot study evaluated an outpatient group therapy (GT) as early intervention for adolescents with AN prior to inpatient treatment.Methods: Seventeen female adolescents who participated at the GT (intervention group, INT) were compared to 16 adolescents without GT (treatment-as-usual, TAU). BMI, eating disorder psychopathology and motivation of change (MoC) were assessed at three timepoints.Results: Comparing pre- versus post- group participation, we identified a significant increase of MoC and a trend towards a decreased AN-specific psychopathology. Comparing INT with TAU adolescents, we found a significant lower AN psychopathology at inpatient admission for the INT group and a trend for different BMI courses: While the BMI of the TAU group decreased during waiting time, the INT group did not show a decrease during GT resulting in a higher BMI at admission.Conclusions: Results of the current pilot study suggest positive effects of an early outpatient intervention in a group setting for adolescents with AN prior to inpatient treatment. Further research with larger sample sizes is necessary to validate the current pilot results.","PeriodicalId":48117,"journal":{"name":"European Eating Disorders Review","volume":null,"pages":null},"PeriodicalIF":3.9,"publicationDate":"2024-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141972104","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}

引用次数: 0

Investigating the structure of disordered eating symptoms in adult men: A network analysis. 调查成年男性饮食紊乱症状的结构：网络分析

IF 3.9 2区心理学

European Eating Disorders Review Pub Date : 2024-08-12 DOI: 10.1002/erv.3131

R Leopold Eschrich, Georg Halbeisen, Sabine Steins-Loeber, Nina Timmesfeld, Georgios Paslakis

{"title":"Investigating the structure of disordered eating symptoms in adult men: A network analysis.","authors":"R Leopold Eschrich, Georg Halbeisen, Sabine Steins-Loeber, Nina Timmesfeld, Georgios Paslakis","doi":"10.1002/erv.3131","DOIUrl":"https://doi.org/10.1002/erv.3131","url":null,"abstract":"Objective: Eating disorders (EDs) increasingly emerge as a health risk in men, but there is concern that men's symptoms go unnoticed due to stereotypical perceptions and gender-related differences in symptom presentation. Novel assessments focused particularly on attitudes and behaviours towards increasing muscle size and definition. Using network analysis, this study aimed to corroborate and extend previous findings on disordered eating presentation in men by examining the role of muscularity concerns among an extended range of disordered eating symptoms.Method: N = 294 adult men (18 years or older) completed muscularity-related and disordered eating assessments, among which we included assessments for orthorexic eating and Avoidant/Restrictive Food Intake Disorder for the first time. We selected symptoms empirically, estimated a regularised network, identified symptom communities, evaluated network loadings and bridge centrality estimates, and compared network structures between different groups of participants.Results: We identified five symptom communities related to muscularity-related concerns, features of core ED psychopathology, and selective eating. Symptoms regarding ruminating about healthy eating, guilt for unhealthy eating, weight overvaluation, concerns about muscularity, and selective eating emerged as highly central.Discussion: The results largely corroborate previous observations but suggest that muscle-building behaviours are part of a broader cluster of male body shaping and rule-based dieting behaviours.","PeriodicalId":48117,"journal":{"name":"European Eating Disorders Review","volume":null,"pages":null},"PeriodicalIF":3.9,"publicationDate":"2024-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141972105","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}

引用次数: 0