European Eating Disorders Review最新文献

{"title":"Transition From Child to Adult Eating Disorder Services: A Qualitative Meta-Aggregation","authors":"Amelia Austin,&nbsp;Manya Singh,&nbsp;Sela Scott,&nbsp;Maria Nicula,&nbsp;Andrea Krishnapillai,&nbsp;Jayden Lee,&nbsp;Cheryl Webb,&nbsp;Ana Cláudia Vieira de Almeida,&nbsp;Mehar Sesan,&nbsp;Heidi Vander Steen,&nbsp;Julia Hews-Girard,&nbsp;Christopher J. Mushquash,&nbsp;Melissa Kimber,&nbsp;Jennifer Couturier,&nbsp;Gina Dimitropoulos","doi":"10.1002/erv.70134","DOIUrl":"10.1002/erv.70134","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Some young people with eating disorders (EDs) require transfer from paediatric to adult services, which can be difficult and distressing. While most research on this topic is qualitative, no qualitative focused synthesis yet exists.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Systematic review identified 21 qualitative studies, which were analysed using meta-aggregation.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Findings included: (1) Age-related transfers deserve specific attention; (2) The distress of the young person, families, and clinicians must be considered; (3) Clear communication between all parties is essential; (4) Paediatric supports should include early conversations and build health management skills; (5) Timing should align with developmental readiness; (6) Plans should be personalised and account for concurrent life transitions; (7) Referrals should be straightforward; GPs need more training to support young people during referral gaps; [Correction added on 06 July 2026, after first online publication: The word “support” has been added to the preceding sentence.] (8) Joint supports include overlapping care, transition coordinators, transition passports, and peer support; (9) Paediatric and adult services should develop a shared philosophy/culture for emerging adults; (10) Parent/carer involvement should be balanced with building the young person's independence; (11) ED-specific guidelines or interventions may be beneficial; (12) Adult supports include emerging adult programming, increased resources, and ED training for generalist services.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>While consistent with existing expertise based guidance, this synthesis provides a qualitative evidence base to inform intervention development and co-production.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48117,"journal":{"name":"European Eating Disorders Review","volume":"34 6","pages":"1471-1495"},"PeriodicalIF":3.2,"publicationDate":"2026-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/erv.70134","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148266593","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":"Psychopharmacological Prescribing Patterns Among Italian Adolescents With Anorexia Nervosa: Exploring Real-World Treatment Practices","authors":"Marika Orlandi,&nbsp;Arianna Vecchio,&nbsp;Giulia Andorno,&nbsp;Maria Pia Riccio,&nbsp;Cinzia Crispino,&nbsp;Martina Maria Mensi","doi":"10.1002/erv.70150","DOIUrl":"10.1002/erv.70150","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>To investigate real-world psychopharmacological prescribing patterns among Italian adolescents with anorexia nervosa (AN) compared with psychiatric controls without eating disorders, and to examine whether AN diagnosis independently predicts medication use after accounting for psychiatric comorbidities. Participants were recruited from two Italian Child and Adolescent Neuropsychiatry services to improve the representativeness of prescribing practices across different clinical settings within the Italian healthcare system.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>This cross-sectional cohort study included 298 female adolescents (aged 12–18 years) from 2017 to 2025. Participants were classified into AN (<i>n</i> = 149) and control (<i>n</i> = 149) groups based on DSM-5/DSM-5-TR diagnoses. Sociodemographic, clinical, and pharmacological data were collected. Multivariable logistic regression models examined associations between diagnosis and prescription of any psychotropic medication, specific drug classes, and polypharmacy (≥ 2 psychotropic classes), adjusting for psychiatric comorbidities while accounting for potential site-related differences in local prescribing practices.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Psychotropic medication use was more frequent among controls in unadjusted analyses. In multivariable models, AN diagnosis was not independently associated with the prescription of any psychotropic medication, antipsychotics, or antidepressants. In contrast, AN group showed a significantly higher likelihood of receiving benzodiazepines (aOR = 2.76, 95% CI 1.43–5.47) and polypharmacy (aOR = 2.37, 95%CI 1.23–4.64) compared with controls. Polypharmacy was also independently associated with psychotic disorders, personality disorders, and depressive disorders.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>In this multicenter Italian real-world cohort, psychopharmacological treatment in adolescents with AN appeared to be primarily driven by psychiatric comorbidities rather than AN diagnosis itself. However, benzodiazepine use and higher rates of polypharmacy in AN may reflect disorder-specific clinical features and unmet treatment needs. These findings highlight the complexity of pharmacological management in adolescent AN and the need for more robust, disorder-specific evidence to guide clinical practice.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48117,"journal":{"name":"European Eating Disorders Review","volume":"34 6","pages":"1626-1636"},"PeriodicalIF":3.2,"publicationDate":"2026-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/erv.70150","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148406333","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":"Gaze Behaviour in Adolescent Patients With Anorexia Nervosa: The Special Role of Subjectively Unattractive Body Parts","authors":"Franziska Martin,&nbsp;Anca Sfärlea,&nbsp;Anne Radix,&nbsp;Clara Sophie Beer,&nbsp;Hannah Fischer,&nbsp;Belinda Platt,&nbsp;Gerd Schulte-Körne,&nbsp;Martin Holtmann,&nbsp;Tanja Legenbauer","doi":"10.1002/erv.70138","DOIUrl":"10.1002/erv.70138","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>Research suggests that patients with anorexia nervosa (AN) focus on subjectively unattractive parts of their own and others' bodies. This attentional bias has been explained by increased anxiety, which is observed in patients with AN. The present study therefore examined whether attentional bias towards unattractive body parts is stronger in AN patients than in clinical and non-patient controls.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>After high and low anxiety induction, female adolescents with AN (<i>n</i> = 27), depression without an eating disorder (<i>n</i> = 18), and non-patient participants (<i>n</i> = 14) viewed images of their own bodies and those of an underweight and an overweight individual while eye-tracking data were recorded. After viewing the images, participants rated body parts regarding attractiveness.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Mixed ANOVAs revealed that all participants looked longer at unattractive parts of the overweight body and fixated earlier on attractive parts of the overweight and own body than on unattractive parts. Unattractive body parts were visited more frequently for the overweight and own bodies. Compared to the two control groups, AN patients fixated more on subjectively unattractive body parts and were more likely to focus on the overweight body.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>This preference for subjectively unattractive body parts in AN patients is linked to increased body dissatisfaction, with gaze patterns indicating anxiety-related hyperscanning of their own and the overweight body.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48117,"journal":{"name":"European Eating Disorders Review","volume":"34 6","pages":"1504-1514"},"PeriodicalIF":3.2,"publicationDate":"2026-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148273523","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":"Multi-Family Day Treatment for Adolescents With Anorexia Nervosa: Clinical Outcomes and Treatment Duration as a Stand-Alone or Adjunctive Intervention","authors":"Annik Simons,&nbsp;Anke Tielemans,&nbsp;Jesse Berwouts,&nbsp;Inge Glazemakers,&nbsp;Dirk Van West","doi":"10.1002/erv.70145","DOIUrl":"10.1002/erv.70145","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>This study examined the effects of multi-family therapy (MFT-AN); delivered as 10 treatment days over one year; on weight, eating disorder behaviours and emotional problems in adolescents with anorexia nervosa. The added benefit of a 1-year duration compared to 6 months was evaluated. Finally, the outcomes between stand-alone MFT-AN and MFT-AN combined with inpatient treatment were compared.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>Self-reported data from 230 adolescents (aged 9–18 years) and their families were collected at baseline (T0), 6 months (T6), and 12 months (T12). Percentage median BMI was calculated at all time points. Data were analysed using (generalised) linear mixed models.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Significant improvements were observed in percentage median BMI, anorectic symptoms and parent-reported emotional problems, from T0 to T6 and T12 (<i>p</i> &lt; 0.001) and from T6 to T12 (<i>p</i> = 0.002–<i>p</i> = 0.014). Ineffectiveness, body dissatisfaction, interoceptive awareness and drive for thinness (<i>p</i> &lt; 0.001), fear of adulthood (<i>p</i> = 0.003) and perfectionism (<i>p</i> = 0.04) showed a significant improvement from T0 to T6 and T12, and from T6 to T12 (<i>p</i> = 0.008–<i>p</i> = 0.021). Interpersonal distrust showed only a significant improvement between T6 and T12 (<i>p</i> = 0.004). Interaction effects between time and inpatient treatment were significant only for percentage median BMI (<i>p</i> = 0.006) and interoceptive awareness (<i>p</i> = 0.008). Treatment satisfaction was high.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>MFT-AN is an effective treatment for adolescents with anorexia nervosa. Continued improvement supports the added value of a 1-year duration. MFT-AN can be implemented both as a stand-alone and adjunctive intervention.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48117,"journal":{"name":"European Eating Disorders Review","volume":"34 6","pages":"1574-1586"},"PeriodicalIF":3.2,"publicationDate":"2026-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148377397","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":"Healthcare Professionals’ Experiences of Barriers and Facilitators to ARFID Identification, Diagnosis and Treatment: A Rapid Review","authors":"Sandra-Eve Bamigbade,&nbsp;she/her,&nbsp;Freya Cooper,&nbsp;she/her,&nbsp;Amanda Ludlow,&nbsp;she/her","doi":"10.1002/erv.70148","DOIUrl":"10.1002/erv.70148","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>Despite increasing evidence of the physical and psychosocial impairments associated with Avoidant/Restrictive Food Intake Disorder (ARFID), there are currently no national guidelines for its assessment and treatment. In the absence of such guidance, it is crucial to understand the experiences of healthcare professionals (HCPs) involved in ARFID care.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>This review included 13 studies exploring HCPs’ experiences of accessing or delivering care for individuals with ARFID. The findings were synthesised into three key themes (Kambanis and Thomas 2023): limited knowledge surrounding ARFID (American Psychiatric Association 2022), lack of education and specialised training and (World Health Organization 2019) the need for clear referral pathways and multidisciplinary collaboration.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The review identified significant gaps in HCPs’ understanding of ARFID, including a lack of confidence in clinical decision-making, challenges with differential diagnosis, difficulties navigating referral processes and an absence of established care pathways. These barriers contribute to inconsistent care provision across services.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Addressing these gaps through enhanced training, defined referral pathways and improved multidisciplinary collaboration is essential for improving diagnostic accuracy and treatment outcomes. While this review may represent a snapshot of HCP awareness during a period of growing recognition of ARFID, the themes identified appear consistent across settings. These findings underscore the need for a global effort to build HCPs' confidence and competence in recognising and managing ARFID, thereby improving patient outcomes.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48117,"journal":{"name":"European Eating Disorders Review","volume":"34 6","pages":"1637-1647"},"PeriodicalIF":3.2,"publicationDate":"2026-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/erv.70148","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148425577","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":"Binge-Spectrum Eating Disorders and Higher Body Mass Index Are Associated With Greater Negative Attitudes Towards Obesity","authors":"Ashley Dunford,&nbsp;Wesley R. Barnhart,&nbsp;P. Evelyna Kambanis,&nbsp;Lilian P. Palmer,&nbsp;Stefania Yee,&nbsp;Jordan Hillard,&nbsp;Esther Dechant,&nbsp;Kelsie T. Forbush,&nbsp;Kamryn T. Eddy,&nbsp;Jennifer J. Thomas","doi":"10.1002/erv.70149","DOIUrl":"10.1002/erv.70149","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>Eating disorders (EDs) in individuals with larger bodies are increasingly common and associated with experiences of weight stigma, yet negative attitudes towards obesity (NATO) across EDs and the weight spectrum remain understudied. We examined whether NATO differed across EDs and body mass index (BMI) groups.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>Participants were 322 adults (BMI range = 14.5–72.4 kg/m²) seeking outpatient ED treatment. We hypothesised that EDs commonly characterised by weight/shape concerns (i.e., anorexia nervosa [AN], bulimia nervosa [BN], binge-eating disorder [BED]) would show higher NATO scores than avoidant/restrictive food intake disorder (ARFID) and that individuals at the upper and lower ends of the BMI spectrum (obesity/overweight vs. underweight) would report greater NATO than those in the normal BMI range.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A one-way ANOVA showed that BN and BED groups reported higher NATO than the ARFID <i>and</i> AN groups. Individuals with obesity endorsed greater NATO than the normal weight <i>and</i> underweight groups. Diagnosis and BMI were associated with NATO, but BMI was no longer significant when included with diagnosis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>NATO appears more strongly related to ED diagnosis than BMI. Individuals with binge-spectrum EDs and those with obesity may be particularly vulnerable. Further investigation inclusive of weight stigma frameworks is needed.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48117,"journal":{"name":"European Eating Disorders Review","volume":"34 6","pages":"1608-1615"},"PeriodicalIF":3.2,"publicationDate":"2026-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148399702","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-Dependent Insulinotropic Polypeptide/Glucagon-Like-Peptide-1 Use Following 10-Session Cognitive–Behavioural Therapy for Binge-Eating Disorder: A Single-Case Experimental Design","authors":"Ashley Dunford,&nbsp;Stefania Yee,&nbsp;Jennifer J. Thomas,&nbsp;Kamryn T. Eddy,&nbsp;Esther Dechant","doi":"10.1002/erv.70135","DOIUrl":"10.1002/erv.70135","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>Many patients with larger bodies present to eating disorder (ED) treatment seeking weight loss. Whether glucose-dependent insulinotropic polypeptide/glucagon-like-peptide receptor agonists (GIP/GLP-1s) are helpful or harmful for such patients remains unknown. This single case experimental design study examined the effects of Tirzepatide (7.5 mg/0.05 mL), a GIP/GLP-1 following 10-session cognitive-behavioural therapy (CBT-T) in a patient with binge-eating disorder (BED) and obesity.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>A 37-year-old female presented to an outpatient ED clinic with BED and a body mass index of 68.9 kg/m². We assessed weekly and then monthly ED behaviours and cognitions using the Eating Disorder 15 (ED-15) across two treatment phases: CBT-T (3 months) and GIP/GLP-1 administration (9 months).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>As hypothesised, ED cognitions and binge frequency decreased during CBT-T. Also as hypothesised, during GIP/GLP-1 phase, binge frequency remained low and dietary restraint absent. We observed continued reductions in ED cognitions and 39-pound weight loss.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>GIP/GLP-1 treatment after CBT-T was followed by ED remission and weight loss without serious adverse events. CBT-T skills may mitigate risk of disordered eating during GIP/GLP-1 use. The combination of psychotherapy and GIP/GLP-1s may further reduce binge-eating and lead to weight loss. Research is needed to explore risks and benefits of GIP/GLP-1s for patients with EDs.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48117,"journal":{"name":"European Eating Disorders Review","volume":"34 6","pages":"1465-1470"},"PeriodicalIF":3.2,"publicationDate":"2026-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148195119","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":"Resumption of Menses and Normalisation of Body Weight in Adolescents Undergoing Specialised Treatment for Anorexia Nervosa Inpatient or Outpatient Treatment","authors":"Annika Woltmann,&nbsp;Linus Imken,&nbsp;Vivien Kaiser,&nbsp;Johanna L. Keeler,&nbsp;Daniel Le Grange,&nbsp;Christoph U. Correll,&nbsp;Verena Haas","doi":"10.1002/erv.70139","DOIUrl":"10.1002/erv.70139","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>To predict resumption of menses (ROM) in patients with anorexia nervosa (AN).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>Females aged 9–17 years with AN, receiving inpatient multimodal treatment (IMT) or family-based treatment (FBT) underwent assessments at baseline, 6-month and 12-month follow-up (12FU). A menstrual questionnaire recorded date, weight and height at loss of menses (LOM) and ROM occurring up to 30 months after 12FU. A stepwise backward logistic regression analysis evaluated predictors for menstruation at 12FU.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Among 99 females (age = 14.8 ± 1.7) with AN (restrictive = 85 [86%], binge-purge = 8 [8%], atypical = 6 [6%]), and percent median body mass index (%median BMI) = 78.9 [IQR = 74.3, 82.8] undergoing IMT (<i>n</i> = 50) or FBT (<i>n</i> = 49), 66 (66.7%) had at baseline secondary amenorrhoea, 26 (26.3%) were without menarche, 5 (5.1%) had regular menses, and 2 (2.0%) used contraceptives. At 12FU, menses were present in 45 (45.5%) patients and associated with baseline menarche (OR = 6.04, <i>p</i> = 0.002) and higher 12FU %mBMI (OR = 1.08, <i>p</i> = 0.006) (<i>R</i>² = 0.251). After an average of 15 months of amenorrhoea [IQR = 12.0, 25.0] (<i>n</i> = 41 with information), %mBMI at ROM (92.0 [IQR = 86.6, 97.8], equalling BMI percentile = 25.0; range = 1–60), was 6.8 %mBMI units &gt; LOM (85.2 [IQR = 79.9, 92.0]; <i>p</i> = 0.001), and 6.5 %mBMI units &lt; premorbid %mBMI (98.5 [IQR = 94.1109.7]; <i>p</i> &lt; 0.001).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>ROM follows weight recovery. Full restoration to premorbid BMI percentile is not necessary for ROM.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48117,"journal":{"name":"European Eating Disorders Review","volume":"34 6","pages":"1515-1527"},"PeriodicalIF":3.2,"publicationDate":"2026-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/erv.70139","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148279261","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":"Sleep Health in Bulimia Nervosa: A Systematic Review","authors":"Samantha Kenny,&nbsp;Malka Hershon,&nbsp;Linda Booij,&nbsp;Rebecca Burdayron,&nbsp;Marie-Hélène Pennestri","doi":"10.1002/erv.70136","DOIUrl":"10.1002/erv.70136","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>Research on sleep in bulimia nervosa (BN) is methodologically varied and yields inconsistent findings. This review synthesised BN-sleep studies and examined whether comorbid mood disorders contribute to sleep disturbance.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>PsycINFO, Medline (Ovid), and Scopus were searched for English or French quantitative studies comparing sleep health variables between individuals with diagnosed BN and healthy controls. Extracted data included study design, sample characteristics, sleep and BN measures, and key findings. Methodological quality was evaluated using a validated risk-of-bias tool.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Of 1233 titles/abstracts and 39 full texts screened, 11 studies met inclusion criteria. Some studies using subjective measures reported greater sleep disturbance in individuals with BN, including poorer sleep quality, difficulty initiating or maintaining sleep, and increased daytime sleepiness, with moderate to large effect sizes (|<i>d</i>| = 0.60–1.43). Objective findings were mixed: one actigraphy study reported later sleep onset and wake times in BN, while findings for sleep efficiency and rapid eye movement (REM) sleep parameters were inconsistent, and most polysomnography (PSG) variables showed no reliable group differences despite some large effect sizes (range: |<i>d</i>| = 0.72–1.69). Sleep disturbances were reported in some BN samples with and without comorbid mood disorders, although the specific contribution of mood pathology remains unclear. Studies were generally small, cross-sectional, and dated.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Some studies suggest elevated subjective sleep disturbances in individuals with BN, but findings remain heterogeneous and are limited by methodological variability and small sample sizes. Future studies are needed to better characterise sleep health in individuals with BN.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Trial Registration</h3>\u0000 \u0000 <p>The systematic review was registered with the International Prospective Register of Systematic Reviews (CRD42022354504)</p>\u0000 </section>\u0000 </div>","PeriodicalId":48117,"journal":{"name":"European Eating Disorders Review","volume":"34 6","pages":"1528-1546"},"PeriodicalIF":3.2,"publicationDate":"2026-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/erv.70136","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148284537","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":"A Socially Assistive Robot for Outpatient Eating Disorder Waiting-List Support: A Mixed-Methods Feasibility Randomised Controlled Trial","authors":"Dimitri Chubinidze,&nbsp;Zhuo Li,&nbsp;Ayse Gundogan,&nbsp;Karina L. Allen,&nbsp;Petr Slovak,&nbsp;Kate Tchanturia","doi":"10.1002/erv.70141","DOIUrl":"10.1002/erv.70141","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>This feasibility randomised controlled trial (RCT) evaluated Purrble, a socially assistive robot for emotion regulation, as a low-intensity adjunct during waitlist periods in adult eating disorder services.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>Adults waiting for outpatient eating disorder treatment were randomised to four weeks of Purrble use or waitlist-as-usual. The primary outcome was emotion regulation, assessed with the Difficulties in Emotion Regulation Scale; secondary outcomes included sensory sensitivity, anxiety, depression, and motivation for change. Analyses were conducted using paired <i>t</i>-tests and linear mixed-effects models. Acceptability was explored via a qualitative survey.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>39 participants were enrolled in the trial and 37 participants were retained (19 Purrble, 18 control). A significant group × time interaction emerged for depression, with greater reductions in symptoms among Purrble participants. No significant interactions were found for emotion regulation, sensory sensitivity, motivation, or anxiety, though the Purrble group showed small-to-moderate improvements in emotion regulation, sensory sensitivity, and anxiety, and a significant within-group increase in motivation. Qualitative findings identified four categories: situational use during distress, sensory comfort and emotional connection, design limitations/barriers, and continued use with integration into self-care.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Purrble proved acceptable and feasible as a waitlist adjunct in adult eating disorder outpatient services. A significant between-group effect on depression and a within-group improvement in motivation provide preliminary support for a fully powered trial.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48117,"journal":{"name":"European Eating Disorders Review","volume":"34 6","pages":"1562-1573"},"PeriodicalIF":3.2,"publicationDate":"2026-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/erv.70141","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148340663","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}