European Eating Disorders Review最新文献

{"title":"Clinicians' Experiences of Eating Disorder Focused Family Therapy With Autistic Young People.","authors":"Fiona Duffy, Imogen Peebles, Emma Clark, Rachel Loomes, Lisa Thomson, Ellen Maloney, Emy Nimbley","doi":"10.1002/erv.3173","DOIUrl":"10.1002/erv.3173","url":null,"abstract":"<p><strong>Objective: </strong>Eating disorder focused family therapy (FT-ED) is the leading outpatient intervention for adolescents with Anorexia Nervosa. Autistic people report poorer eating disorder treatment experiences and may be at increased risk of inpatient admissions. There is a need to consider adaptions to eating disorder treatment for this population. The aim of this study is to explore the experiences of clinicians in the delivery of FT-ED for Autistic young people with Anorexia Nervosa and any adaptations currently being implemented.</p><p><strong>Method: </strong>FT-ED trained clinicians who had experience of delivering this modality with young Autistic people and their families, were invited to take part in interviews. Transcripts were analysed using Reflexive Thematic Analysis.</p><p><strong>Results: </strong>Eleven clinicians completed interviews and analysis generated four themes and eight subthemes: (1) Systemic context, (2) Raising potential autism, (3) Autism eating disorders crossover, (4) Manual versus adaptations.</p><p><strong>Conclusions: </strong>This paper is the first exploration of clinician's experience delivering FT-ED to Autistic young people and their families and highlighted unique considerations with this population. It is an initial step to consider adaptations to the FT-ED model, with the aim of making eating disorder treatments more effective, accessible and acceptable for Autistic young people and their families.</p>","PeriodicalId":48117,"journal":{"name":"European Eating Disorders Review","volume":" ","pages":""},"PeriodicalIF":3.9,"publicationDate":"2025-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143014233","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":"Altered Sensorimotor Striatal Network Connectivity in Women With Anorexia Nervosa.","authors":"Yu-Ping Wang, Min-Yi Chu, Yi Wang, Xiaoxia Lei, Qing Kang, Ling Yue, Yan Chen, Simon S Y Lui, Zhen Wang, Raymond C K Chan, Jue Chen","doi":"10.1002/erv.3172","DOIUrl":"https://doi.org/10.1002/erv.3172","url":null,"abstract":"<p><strong>Objective: </strong>Anorexia nervosa (AN) is associated with disturbances in reward processing, cognitive control, and body image perception, implicating striatal dysfunction. Evidence suggests that underweight may modulate brain function in AN. We aimed to investigate whole-brain resting-state functional connectivity (rsFC) of the striatum in patients with AN while controlling for the acute effects of underweight.</p><p><strong>Method: </strong>Using theoretically selected striatal sub-regions, whole-brain rsFC patterns of the striatum were compared among patients with AN (n = 39, BMI = 16.19 ± 1.48 kg/m²), normal weight healthy controls (NHC) (n = 31, BMI = 20.98 ± 1.72 kg/m²), and underweight healthy controls (UHC) (n = 22, BMI = 16.68 ± 0.69 kg/m²). Correlation analysis between rsFC and clinical measures was conducted for the patients with AN.</p><p><strong>Results: </strong>Compared with the NHC group, AN patients showed increased striatal rsFC with the fronto-parietal network (FPN) and reduced striatal rsFC with sensorimotor and visual regions. Compared with the UHC group, AN patients exhibited reduced striatal rsFC solely with sensorimotor and visual regions. No significant correlations were found between striatal rsFC and clinical variables in the patients with AN.</p><p><strong>Conclusion: </strong>Our findings suggest that decreased striatal rsFC with sensorimotor and visual areas may represent illness-specific neural correlates in patients with AN.</p>","PeriodicalId":48117,"journal":{"name":"European Eating Disorders Review","volume":" ","pages":""},"PeriodicalIF":3.9,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143014228","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":"Cost-Effectiveness Analysis of Family-Based Treatment With Additional Home Treatment for Adolescent Anorexia Nervosa","authors":"Lena Maria Mayr,&nbsp;Nicole Besse-Flütsch,&nbsp;Lukasz Smigielski,&nbsp;Susanne Walitza,&nbsp;Dagmar Pauli","doi":"10.1002/erv.3170","DOIUrl":"10.1002/erv.3170","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>Family-based treatment (FBT) is promising for treating adolescents with anorexia nervosa, but long-term remission rates are modest. Home treatment (HT) as a supplement to FBT aims to enhance sustainability and effectiveness by supporting recovery within the family. This study compares the cost-effectiveness of FBT alone versus FBT with additional HT for adolescents with anorexia nervosa.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>This cost-effectiveness analysis is based on a non-randomized pilot study, which examined the effectiveness of HT for adolescents with anorexia nervosa, disregarding the financial aspects. HT involved therapeutic interventions delivered in the patient's home environment, while FBT involved structured therapy sessions at the psychiatric clinic. Data from 61 patients were analysed, with 40 receiving FBT + HT and 21 receiving FBT only. Costs included FBT sessions, HT sessions, and inpatient treatment. Effectiveness was measured by weight restoration at thresholds of expected body weight (EBW) &gt; 85% and EBW &gt; 95%.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>FBT + HT promoted greater weight restoration within three months compared to FBT alone (70% vs. 52% at EBW &gt; 85%; 38% vs. 29% at EBW &gt; 95%). FBT + HT was more cost-effective, with lower average costs per patient meeting weight restoration criteria (8243 vs. 20,446 Swiss francs at EBW &gt; 85%; 15,387 vs. 37,485 Swiss francs at EBW &gt; 95%). Inpatient treatment accounted for most of the cost, with FBT + HT reducing hospitalisation needs.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>FBT with additional HT is a more cost-effective treatment for adolescents with anorexia nervosa. Although the cost-effectiveness index was relatively high, effective treatment could reduce the long-term burdens of this disorder. Larger long-term studies are needed to validate these findings and assess sustained cost-effectiveness.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48117,"journal":{"name":"European Eating Disorders Review","volume":"33 3","pages":"608-615"},"PeriodicalIF":3.9,"publicationDate":"2025-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142956699","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":"Guided Self-Help Treatment for Children and Young People With Eating Disorders: A Proof-Of-Concept Pilot Study","authors":"Emily Davey,&nbsp;Rachel Bryant-Waugh,&nbsp;Sophie D. Bennett,&nbsp;Nadia Micali,&nbsp;Julian Baudinet,&nbsp;Anna Konstantellou,&nbsp;Sam Clark-Stone,&nbsp;Amelia Green,&nbsp;Roz Shafran","doi":"10.1002/erv.3171","DOIUrl":"10.1002/erv.3171","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>To conduct a proof-of-concept pilot study of a CBT guided self-help intervention for children and young people with eating disorders.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>Children and young people were recruited from two outpatient eating disorder services in England. They received a CBT guided self-help intervention consisting of eight modules and weekly support sessions. Clinical outcomes (eating disorder psychopathology and associated impairment, changes in %median BMI, depression, anxiety, and behavioural difficulties) were assessed at baseline and post-intervention (12 weeks). Qualitative data were collected for future intervention refinement.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Six female adolescents (aged 13–17) received the CBT guided self-help intervention. All participants completed a minimum of six modules and six support sessions. Quantitative and qualitative feedback suggested that the intervention was acceptable. From baseline to post-intervention, there was a reduction in eating disorder psychopathology and impairment, along with an increase in %median BMI. Outcomes for depression, anxiety and behavioural difficulties were mixed.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The CBT guided self-help intervention was feasibly implemented, acceptable to participants, and showed potential to produce clinical benefits. While promising, these findings are preliminary and derived from a small, non-randomised sample of White female adolescents. More rigorous evaluation with a randomised design and a larger, representative sample is warranted.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48117,"journal":{"name":"European Eating Disorders Review","volume":"33 3","pages":"595-607"},"PeriodicalIF":3.9,"publicationDate":"2025-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/erv.3171","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142923740","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":"Association of Phosphate Supplements With Refeeding Oedema in Restrictive Eating Disorders","authors":"Vishnupriya Khatri,&nbsp;Amy Stein,&nbsp;Philip S. Mehler,&nbsp;Dennis Gibson","doi":"10.1002/erv.3169","DOIUrl":"10.1002/erv.3169","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>Refeeding oedema, believed to result from the effects of insulin on renal sodium retention and subsequent oedema formation, typically occurs during the first 2 weeks after reintroduction of nutrition in individuals with severe malnutrition and can intensify body image distress in patients with eating disorders (EDs). Phosphate supplements have been found to increase insulin sensitivity, and it is hypothesised that they may also contribute to refeeding oedema in patients with EDs.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>In this retrospective cohort study of 633 patients with severe malnutrition due to anorexia nervosa (AN) or avoidant restrictive food intake disorder (ARFID), the impact of phosphate supplementation on the rate of weight gain was investigated.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>39% of patients required treatment with phosphate supplements during their hospital course. Patients in the phosphate supplement group had significantly more weight gain than the cohort who did not receive a phosphate supplement (<i>p</i> &lt; 0.05). The rate of weight gain also increased, in the phosphate supplement group, as admission body mass index decreased.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>This is the first study to suggest that crucial phosphate supplementation contributes to refeeding oedema in patients with EDs. Future studies should seek to better understand the relationship between phosphate supplementation and weight trends in order to optimise clinical management.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48117,"journal":{"name":"European Eating Disorders Review","volume":"33 3","pages":"589-594"},"PeriodicalIF":3.9,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142915977","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 Cognitive Profile in Adolescents With Anorexia Nervosa and the Relationship With Autism and ADHD: A Pilot Study","authors":"Sandra Rydberg Dobrescu,&nbsp;Karin Dahlin,&nbsp;Louise Karjalainen,&nbsp;Annelie Bördal Montonen,&nbsp;Helena Klint,&nbsp;Ingrid Stenberg,&nbsp;Gunilla Paulson Karlsson,&nbsp;Elisabet Wentz","doi":"10.1002/erv.3168","DOIUrl":"10.1002/erv.3168","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>We aimed to examine the cognitive profile in adolescents with anorexia nervosa (AN) and its association with traits of autism spectrum disorder (ASD) and ADHD. In addition, resemblance in the cognitive profile between youths with AN and their parents was explored.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Adolescent females with acute AN (<i>n</i> = 20) and a healthy comparison group (<i>n</i> = 28) completed neuropsychological tasks of set-shifting (Trail making test, Wisconsin Card Sorting Test) and central coherence (Rey Complex Figures Task, Group Embedded Figures Test, object assembly subtest). In the AN group, mothers and fathers (<i>n</i> = 31) also completed the neuropsychological tasks. Traits of ASD and ADHD were assessed. The AN group was reassessed after weight gain.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Weight-restored AN adolescents scored higher on the Group Embedded Figures Test than a comparison group (<i>p</i> &lt; 0.001). No other set-shifting and central coherence differences were found across groups. A father-child correlation emerged in the object assembly subtest (<i>r</i> = 0.53, <i>p</i> = 0.035). ASD and ADHD traits were common in the AN group and not only related to starvation. No associations were found between neuropsychological deficits and traits of ASD and ADHD.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Scant support was found for weaker central coherence in weight-recovered adolescents with AN. Set-shifting impairments could not be observed in young females with acute AN or after weight recovery.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48117,"journal":{"name":"European Eating Disorders Review","volume":"33 3","pages":"575-588"},"PeriodicalIF":3.9,"publicationDate":"2024-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/erv.3168","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142898896","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":"Professional Digital Counselling for Eating Disorders in Germany: Results of the DigiBEssst Project Survey on the Perspectives and Experiences of Health Professionals, Individuals With Eating Disorders, and Carers","authors":"Anna Hofer,&nbsp;Sigrid Borse,&nbsp;Cäcilia Hasenöhrl,&nbsp;Kathrin Harrach,&nbsp;Stefan Ehrlich,&nbsp;Andreas Schnebel,&nbsp;Eva Wunderer","doi":"10.1002/erv.3164","DOIUrl":"10.1002/erv.3164","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>The research project DigiBEssst examines existing digital counselling services for individuals with eating disorders (ED) and carers in Germany. It highlights their experiences with digital counselling as well as those of the expert counsellors involved, aiming to derive quality criteria for digital counselling in ED.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>A mixed-methods design was adopted. Analysing the websites of 181 professional counselling centers, the research team identified 86 counselling centers for ED that offered online counselling. Initially, 29 centres participated in an online survey. Subsequently, in-depth, semi-structured interviews were conducted with professionals (<i>n</i> = 15), individuals with ED (<i>n</i> = 13), and carers (<i>n</i> = 10). The data were analysed using descriptive statistics and structured content analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Less than half of the German counselling facilities offered online counselling. The participants emphasised the need for a specific concept, counsellors' profound expertise in ED and online counselling, sustainable funding, sufficient personnel and time resources, and secure platforms to ensure data protection and quality management. Access to professional services requires informative, user-friendly websites, and social media presence.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The identified prerequisites and quality criteria for professional online counselling developed in this project can provide recommendations for the conceptualisation of digital counselling services.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48117,"journal":{"name":"European Eating Disorders Review","volume":"33 3","pages":"562-574"},"PeriodicalIF":3.9,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/erv.3164","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142856090","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":"Editorial: Biological Therapies and Eating Disorders.","authors":"Hubertus Himmerich, Beate Herpertz-Dahlmann, Sabrina Mörkl","doi":"10.1002/erv.3166","DOIUrl":"https://doi.org/10.1002/erv.3166","url":null,"abstract":"<p><strong>Objective: </strong>Blood-based biomarkers and neuroimaging techniques have improved our understanding of the underlying biology of eating disorders (EDs) and have increased our diagnostic portfolio.</p><p><strong>Method: </strong>This editorial accompanies an article collection on novel biological approaches to treat EDs.</p><p><strong>Results: </strong>The collection covers intermittent theta burst stimulation, therapeutic drug monitoring, pharmacological treatments (olanzapine, metreleptin, psychedelics, and anti-inflammatory medications), microbiome-based treatments such as pro- and prebiotics, as well as individually tailored treatment approaches for EDs.</p><p><strong>Discussion: </strong>Research of brain areas and bodily systems that are related to memory, emotions and immune function will hopefully expand the biological treatment options for people with EDs.</p>","PeriodicalId":48117,"journal":{"name":"European Eating Disorders Review","volume":" ","pages":""},"PeriodicalIF":3.9,"publicationDate":"2024-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142830347","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":"Carer Outcomes From a Residential Treatment Service for Eating Disorders","authors":"Sinead Day,&nbsp;Deborah Mitchison,&nbsp;Katherine Gill,&nbsp;Rebekah Rankin,&nbsp;W. Kathy Tannous,&nbsp;Phillipa Hay","doi":"10.1002/erv.3165","DOIUrl":"10.1002/erv.3165","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>Eating disorders often result in distress, relationship impairment, and emotional, social, and financial burden for family members and other loved ones. However, carer outcomes from eating disorder treatment are under-researched, particularly residential settings. This study aimed to examine carer outcomes from a transdiagnostic residential service for eating disorders, which included therapist-led psychoeducation and peer support for carers.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>Measures of carer burden, accommodation and enabling of eating disorder symptoms, psychological distress, and health-related quality of life were completed at pre-treatment and three months' post-treatment by 51 carers (66.7% parents).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Linear mixed effects modelling found significant improvement in carer burden (<i>b</i> = −5.80, <i>p</i> = 0.033), accommodation and enabling of eating disorder symptoms (<i>b</i> = −13.32, <i>p</i> = 0.003), and psychological distress (<i>b</i> = −3.19 <i>p</i> = 0.026), with medium to large effect sizes (<i>d</i> = −0.76–1.32). Averaged across time, women reported significantly greater carer burden than men (<i>b</i> = 12.42, <i>p</i> = 0.011).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Findings support the effectiveness of residential treatment for carers, including improvement in behaviours that are likely to support eating disorder recovery. Future research is needed to determine what elements in residential treatment, the caregiving relationship, and beyond contribute to these positive outcomes.</p>\u0000 \u0000 <p><b>Trial Registration:</b> The study was prospectively registered on the Australian and New Zealand Clinical Trials Registry in November 2021, registration number ACTRN12621001651875</p>\u0000 </section>\u0000 </div>","PeriodicalId":48117,"journal":{"name":"European Eating Disorders Review","volume":"33 3","pages":"551-561"},"PeriodicalIF":3.9,"publicationDate":"2024-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142830345","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":"Binge Eating Behaviour Before and 10 Years Following Metabolic and Bariatric Surgery","authors":"Deborah Lynn Reas,&nbsp;Selma Øverland Lie,&nbsp;Tom Mala,&nbsp;Ingela Lundin Kvalem","doi":"10.1002/erv.3161","DOIUrl":"10.1002/erv.3161","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>Little is known about the longer-term maintenance, remission, or development of binge eating behaviour (BE) following metabolic and bariatric surgery (MBS). This brief report investigated BE prior to and 10 years following MBS and examined mental health and weight outcomes between BE groups (never BE, continued BE, remitted BE, or developed ‘de novo’ BE).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>One hundred and eighty-three participants (76.1% females) with a mean age of 44.8 (± 9.5) years and mean BMI of 42.9 kg/m² (± 5.4) were assessed before and 10 years following MBS (94.0% Roux-n-Y).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>At 10 years, 48% had never engaged in BE, 27.9% had remitted, 15.8% had continued BE, and 8.2% reported de novo BE. Individuals who continued BE were younger, reported higher levels of anxiety and depression, and had regained more weight. Individuals who continued <i>or</i> developed de novo BE reported higher levels of post-surgical repetitive eating behaviour and were more likely to regain ≥ 25% of maximum weight lost.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Approximately 25% of the sample reported post-operative BE a decade following MBS, including 8.2% de novo cases. Individuals who engaged in post-operative BE demonstrated significantly worse mental health and weight outcomes, especially those with a lifetime history who continued to engage in BE after 10 years. Findings provide nuance to the existing literature and underscore the value of assessing BE at pre- and post-surgery.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48117,"journal":{"name":"European Eating Disorders Review","volume":"33 3","pages":"544-550"},"PeriodicalIF":3.9,"publicationDate":"2024-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/erv.3161","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142824557","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}