M. Dimakopoulou, T. Ciorli, M. Pyasik, C. Andriulli, F. Bevione, M. Martini, G. Abbate Daga, L. Pia
{"title":"What the Eye Sees, the Mind Rejects: Implicit Visual Processing of Food Images in Anorexia Nervosa","authors":"M. Dimakopoulou, T. Ciorli, M. Pyasik, C. Andriulli, F. Bevione, M. Martini, G. Abbate Daga, L. Pia","doi":"10.1002/erv.3210","DOIUrl":"10.1002/erv.3210","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>This study aims to explore the role of implicit visual processing in reinforcing maladaptive eating behaviours in Anorexia Nervosa-restricting subtype (AN-R), focussing on how high- and low-calorie food stimuli are processed at different stages.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>Thirty-two AN-R females and 36 healthy controls participated. Using a combination of novel paradigms in the field, the study employed: Breaking Continuous Flash Suppression (bCFS) for unconscious detection, Binocular Rivalry (BR) for perceptual dominance, and the Food Preference Approach-Avoidance Task (FP-AAT) for subconscious food associations.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>AN-R individuals exhibited prolonged perceptual dominance for high-calorie foods but simultaneously displayed stronger implicit avoidance tendencies towards these foods. Notably, the perceptual advantage correlated with heightened interoceptive awareness, while avoidance was linked to body dissatisfaction and difficulty tolerating bodily sensations. Conversely, healthy females showed the opposite pattern, implicitly approaching high-calorie foods while avoiding low-calorie foods, suggesting a more adaptive integration of food-related cues.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>This study provides novel insights into the complex role of high-calorie foods in AN, highlighting whether and how different aspects of implicit visual processing influence eating behaviours, and underscoring the need for targeted interventions incorporating implicit cognitive mechanisms to address visual processing biases and support AN recovery.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48117,"journal":{"name":"European Eating Disorders Review","volume":"33 5","pages":"1099-1110"},"PeriodicalIF":3.4,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/erv.3210","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144102892","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}
Philipp A. Schroeder, Anton Ernst, Robert Wirth, Nils B. Kroemer, Jennifer Svaldi
{"title":"Noshing on Chocolate, I Can Do That: Increased Chocolate Consumption in the Chocolate-Modified Bogus Taste Test With Better and Not Worse Inhibitory Control","authors":"Philipp A. Schroeder, Anton Ernst, Robert Wirth, Nils B. Kroemer, Jennifer Svaldi","doi":"10.1002/erv.3206","DOIUrl":"10.1002/erv.3206","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Chocolate is the most craved energy-dense food. Yet, most individuals can limit their chocolate consumption. Here, we investigate the cognitive mechanisms underlying chocolate consumption in a chocolate bogus taste test in a cross-sectional experimental design.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>High chocolate cravers abstained from chocolate for a week, followed by a virtual reality chocolate exposure with biometric trajectory recordings of their stopping responses and an ad-libitum bogus taste test of spontaneous chocolate intake. A single-target implicit association task and a computerised stop-signal task served as unstandardised control tasks 1–2 days before chocolate intake.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Associations of parameters from all tasks with chocolate intake were small (|<i>r</i>| < 0.23). Elastic net models misestimated food intake by min. 160 kcal (generalisation: 180 kcal) and feature selection was only possible with L1 penalty. At the group level, participants showed a more controlled and delayed movement towards chocolate relative to neutral cues, evidenced by lower peak acceleration and peak velocity and faster stopping latency.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>The findings demonstrate the complex cognitive-behavioural underpinnings of food intake, food craving and abstinence.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48117,"journal":{"name":"European Eating Disorders Review","volume":"33 5","pages":"1085-1098"},"PeriodicalIF":3.4,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/erv.3206","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144095648","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":"Effects of Obesity on the Relationship Between Eating Behaviours and Cognitive Emotion Regulation in Chinese College Students: A Network Analysis","authors":"Wei Jiang, Zhanbiao Shi, Xiang-Yang Zhang","doi":"10.1002/erv.3207","DOIUrl":"10.1002/erv.3207","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Maladaptive eating behaviours and cognitive emotion regulation strategies are prevalent in obese populations, both of which have complex aetiologies and interact with each other. This study aimed to examine the interaction between eating behaviours and cognitive emotion regulation strategies, conceptualising symptoms as variables that can directly interact with each other, and explore differences between obese and non-obese populations.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>742 obese and 810 non-obese students were recruited from a university in northern China. Network analysis was used to characterise the network of eating behaviours and cognitive emotion regulation strategies of obese and non-obese students and then compared two network structures' differences.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The network structures of obese and non-obese students differed in terms of the global strength of connections between network symptoms. In the network structure of obese students, the highest key bridge symptom was “catastrophizing”, and the association between “catastrophizing” and “hunger” was the primary bridging edge, which were different from the network structure of non-obese students.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Our results suggest that in the obese population, more attention should be paid to certain maladaptive cognitive emotion regulation strategies such as catastrophizing, which provides new perspectives for preventing or intervening in abnormal eating behaviours (e.g., binge eating) or eating disorders in the obese population.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48117,"journal":{"name":"European Eating Disorders Review","volume":"33 5","pages":"1061-1073"},"PeriodicalIF":3.4,"publicationDate":"2025-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144020630","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}
Samantha A. Everhart, Sohyun C. Han, Ramon Durazo-Arvizu
{"title":"Family-Based Treatment in Higher Levels of Care: A Systematic Review and Meta-Analysis","authors":"Samantha A. Everhart, Sohyun C. Han, Ramon Durazo-Arvizu","doi":"10.1002/erv.3208","DOIUrl":"10.1002/erv.3208","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>Family-Based Treatment (FBT) is the gold standard outpatient eating disorder treatment for children and adolescents with eating disorders. Especially within the past decade, higher levels of care (HLOC) programs including inpatient medical settings and partial hospitalisation programs have incorporated elements of FBT to improve the effectiveness of their treatments. The present study aimed to systematically review the state of the research on FBT adaptations in HLOC and describe the outcomes of those treatment programs.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>Articles were identified via a systematic search of three databases (PsycINFO, PubMed, Cochrane Database of Randomized Controlled Trials) according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Forty articles were identified including 35 studies and 5 programme descriptions, representing 17 inpatient and 23 partial hospitalisation and/or intensive outpatient programs. Thirty quantitative studies and five qualitative studies were included. Findings supported suitability and effectiveness of treatments in improving weight, eating disorder and mental health symptoms and family functioning.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Burgeoning research supports the effectiveness of FBT adapted to HLOC, with the most evidence for improving weight and eating disorder symptoms. The present review identifies further areas of research needed to expand on the current evidence, such as with controlled trials with sufficient follow-up data.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48117,"journal":{"name":"European Eating Disorders Review","volume":"33 5","pages":"1074-1084"},"PeriodicalIF":3.4,"publicationDate":"2025-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144056569","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}
Margaret Sala, Corey R. Roos, Hedy Kober, Jonathan B. Bricker, Casey M. Stern, Joshua Plutchik, Maya John, Angela M. Haeny, Jonathan M. Feldman, Mihaela Aslan, Jennifer L. Hay, Evan M. Forman
{"title":"Combining Cognitive-Behaviour Therapy With Mindfulness Training in a Digital Intervention for Binge Eating Disorder: A Single-Session Pilot Trial","authors":"Margaret Sala, Corey R. Roos, Hedy Kober, Jonathan B. Bricker, Casey M. Stern, Joshua Plutchik, Maya John, Angela M. Haeny, Jonathan M. Feldman, Mihaela Aslan, Jennifer L. Hay, Evan M. Forman","doi":"10.1002/erv.3204","DOIUrl":"10.1002/erv.3204","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>Delivering a single-session treatment digitally can offer increased accessibility. We developed and tested a single-session digital intervention for binge-eating disorder (BED) combining cognitive behavioural therapy (CBT) and mindfulness training.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>English-speaking adults who met criteria for BED were recruited nationally. Participants completed a 60-min digital single-session intervention for BED. Our primary outcome was to evaluate initial acceptability (usability, overall satisfaction, engagement, visual appeal of content, understandability of programme material, desire to continue the programme, and overall helpfulness) and feasibility (intervention completion). We also evaluated changes in binge eating episodes, assessed via the Eating Disorder Examination Questionnaire (EDE-Q) objective binge eating episodes question, and eating disorder symptoms, assessed via the EDE-Q and Binge Eating Scale (BES). Acceptability measures were administered immediately after the completion of the digital module, while the BES and EDE-Q were administered at pre-treatment and at 1-month follow-up.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>All participants (<i>N</i> = 21) completed the intervention. Ratings for acceptability were excellent, with averages above a four on a five-point Likert scale on ratings for all dimensions. Participants reported large and significant decreases in binge eating episodes (<i>d</i> = 0.86) and BES scores (<i>d</i> = 0.91) as well as medium and significant decreases in global eating disorder symptoms at 1-month follow-up (<i>d</i> = 0.55).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>Results from this pilot suggest promising acceptability and feasibility for a single session of <i>Mindful Courage</i> for BED. This single session also appears to be preliminarily efficacious in reducing binge eating.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48117,"journal":{"name":"European Eating Disorders Review","volume":"33 5","pages":"1051-1060"},"PeriodicalIF":3.4,"publicationDate":"2025-05-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144040081","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}
Jiana Schnabel, Kristin Stedal, Mark Rose, Betteke Maria van Noort, Lauren B. Alloy, C. Alix Timko
{"title":"Base Rates of Low Delis Kaplan Executive Function System Scores in Individuals With Anorexia Nervosa","authors":"Jiana Schnabel, Kristin Stedal, Mark Rose, Betteke Maria van Noort, Lauren B. Alloy, C. Alix Timko","doi":"10.1002/erv.3202","DOIUrl":"10.1002/erv.3202","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>Inefficiencies in cognitive flexibility (CF) are a potential vulnerability trait for anorexia nervosa (AN). Yet, much of the research on CF in AN has been conducted in adult samples, with mixed results from research on adolescents. Knowledge of the prevalence of low scores on assessments can help avoid erroneous interpretations of test scores. The current study examined the prevalence of low scores on the Delis Kaplan Executive Function System (D-KEFS) in adolescents and adults with AN and adolescent healthy controls.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>We conducted a secondary analysis of D-KEFS data from 739 participants (552 adolescents with AN [aged 15.39 ± 1.91, 92% female], 69 adults with AN [aged 26.5 ± 6.1, 98.6% female], and 118 adolescent healthy controls [HC] [aged 15.09 ± 2.14, 98.3% female]).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Low scores on the D-KEFS were common across all groups. Adults with AN exhibited the highest proportion of individuals with abnormally low scores, followed by adolescents with AN and adolescent HC. Adolescents with a higher proportion of low scores had a lower BMI <i>z</i>-score and longer length of illness.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Results highlight differences between adults and adolescents and lend support to the hypothesis that inefficiencies in flexibility are either a marker of persistent course or a scar of AN illness.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48117,"journal":{"name":"European Eating Disorders Review","volume":"33 5","pages":"1044-1050"},"PeriodicalIF":3.4,"publicationDate":"2025-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/erv.3202","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144053717","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}
E. Pappaianni, B. Borsarini, C. Berchio, S. Aicoboaie, S. V. Konstantopoulou, D. Van de ville, N. Micali
{"title":"Neurobiology and Cognition in Girls at High-Risk of Eating Disorders: Exploring Imaging-Derived Trait Markers","authors":"E. Pappaianni, B. Borsarini, C. Berchio, S. Aicoboaie, S. V. Konstantopoulou, D. Van de ville, N. Micali","doi":"10.1002/erv.3203","DOIUrl":"10.1002/erv.3203","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Eating disorders (EDs) are serious psychiatric disorders characterized by impairments in neurocognition and altered brain structure. To date the majority of studies have investigated these in acutely ill or recovered individuals. Studying children at familial high risk (FHR) for psychiatric disorders allows investigating vulnerability traits or trait markers that may be present before disorder onset. Our study is the first one to examine executive function and brain structure in girls at FHR for ED (Anorexia Nervosa, Bulimia Nervosa, and Binge Eating Disorder) compared to controls (girls not at familial high risk - HC).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Forty-six (46) FHR girls (median age: 10.5 years, range: 9) and 50 HC girls (median age: 12 years, range: 8) completed a battery of neuropsychological tests assessing cognitive flexibility, inhibitory control, and working memory. Structural magnetic resonance imaging assessed grey matter volume (GMV) and cortical thickness (CT).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Girls at FHR for ED performed a higher number of errors in a cognitive flexibility task compared to HC (<i>β</i> = 0.15, <i>p</i> < 0.05). They also had increased GMV in posterior regions such as the right supramarginal gyrus, middle occipital gyrus, and lingual/fusiform gyrus compared to HC (<i>p</i> < 0.05 cluster-level FWE-corrected), as well as increased CT in the left transverse pole (<i>p</i> < 0.001) and right posterior cingulate cortex (<i>p</i> < 0.05).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Girls at FHR show characteristic neurocognitive performance similar to that seen in individuals with ED, as well as differences in brain structure compared to HC. Our findings, together with previous evidence, highlight impairment in cognitive flexibility as a possible trait marker of ED. Further longitudinal studies are needed to confirm differences in GMV and CT identified in this study.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48117,"journal":{"name":"European Eating Disorders Review","volume":"33 5","pages":"1032-1043"},"PeriodicalIF":3.4,"publicationDate":"2025-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/erv.3203","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144051044","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":"Prevalence of Eating Disorders in Individuals With Schizophrenia Spectrum Disorder: A Systematic Review and Meta-Analysis","authors":"Swastik Subhankar Sahu, Mahalaqua Nazli Khatib, Rekha MM, Mandeep Kaur, Girish Chandra Sharma, Puneet Sudan, K. Satyam Naidu, Rajesh Singh, Brajgopal Kushwaha, Tripti Desai, Muhammed Shabil, Sanjay Singh Chauhan, Lokesh Verma, Amritpal Sidhu, Rachana Mehta, Prakasini Satapathy, Sanjit Sah, Abhay M. Gaidhane, Ganesh Bushi","doi":"10.1002/erv.3199","DOIUrl":"10.1002/erv.3199","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Eating disorders (EDs) are significant comorbidities in individuals with schizophrenia spectrum disorders (SSDs), yet they are often under recognized. This systematic review and meta-analysis aimed to synthesise existing evidence on the prevalence of EDs in SSD populations and to explore potential moderators such as geographical location and diagnostic tools.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We conducted a systematic search of PubMed, Embase and Web of Science for studies reporting the prevalence of EDs in individuals with SSDs. Subgroup analyses examined the influence of geographical location and screening tools on prevalence estimates. Sensitivity analyses and a funnel plot were used to assess the robustness of the findings and potential publication bias.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 13 studies, comprising 1135 participants, were included in the review, with 12 studies contributing to the meta-analysis using R v4.4. The pooled prevalence of EDs in individuals with SSDs was 15.65% (95% CI: 8.04–28.26), with a prediction interval ranging from 1.62% to 67.66%. Subgroup analysis by geographical location revealed substantial variability, with prevalence estimates ranging from 5.88% in Southern Europe to 28.99% in the Middle East and North Africa. Studies using questionnaire-based tools reported a higher pooled prevalence (19.25%) compared to those employing DSM-based diagnostic criteria (11.90%). Significant heterogeneity was observed across studies (<i>I</i><sup>2</sup> = 87%).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>This study highlights the considerable prevalence of EDs in SSD populations, emphasising the need for early identification and integrated care. The variability in prevalence estimates suggests that geographical, cultural and methodological factors play an important role in the findings. Future research should focus on longitudinal studies, the development of standardized diagnostic tools, and the inclusion of underrepresented regions to enhance understanding and improve care for this vulnerable population.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48117,"journal":{"name":"European Eating Disorders Review","volume":"33 5","pages":"1017-1031"},"PeriodicalIF":3.4,"publicationDate":"2025-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144045616","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}
Connor Campbell, Xander Greig, Jessica Griffiths, Devon Hashman, Thomas Sottile, Masanori Isobe, Anees Bahji, Gina Dimitropoulos, Dan Devoe
{"title":"The Prevalence of Excessive Exercise in Eating Disorders: A Systematic Review and Meta-Analysis","authors":"Connor Campbell, Xander Greig, Jessica Griffiths, Devon Hashman, Thomas Sottile, Masanori Isobe, Anees Bahji, Gina Dimitropoulos, Dan Devoe","doi":"10.1002/erv.3194","DOIUrl":"10.1002/erv.3194","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>Individuals with eating disorders (EDs) often present with maladaptive behaviours such as excessive exercise (EE). The consequences of EE include physical injuries, increased risk of anxiety and depression, and impaired social functioning. No systematic reviews have been conducted on the prevalence of EE in EDs. This study aimed to assess the prevalence of EE in EDs and by ED type.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>An electronic database search of the peer-reviewed literature was conducted from inception to October 2024. Review eligibility was restricted to research studies reporting prevalence data for EE in individuals diagnosed with EDs.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Fifty-six studies met the inclusion criteria (<i>n</i> = 21,518; mean age: 22.34 years). The current prevalence of EE in all EDs was 48%. Current prevalence was highest in AN (48%), followed by BN (45%), OSFED (38%), and BED (11%). The lifetime prevalence of EE in all EDs was 63%. Lifetime prevalence was highest in AN (72%), followed by BN (57%) and OSFED (21%).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Nearly half of individuals with an ED engage in EE. High heterogeneity across the included studies likely influenced the prevalence found in this study. Data suggest clinical screening and longitudinal monitoring of EE in those with EDs. Future research into early intervention and treatment for EE in those with EDs is recommended.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Trial Registration</h3>\u0000 \u0000 <p>PROSPERO: CRD42023464148; Open Science Framework: https://doi.org/10.17605/OSF.IO/MYVXW</p>\u0000 </section>\u0000 </div>","PeriodicalId":48117,"journal":{"name":"European Eating Disorders Review","volume":"33 5","pages":"1005-1016"},"PeriodicalIF":3.4,"publicationDate":"2025-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/erv.3194","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144001782","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":"Clinicians' Experiences of Delivering Cognitive Behaviour Therapy Ten (CBT-T): A Qualitative Investigation","authors":"Chloe Hewitt, Siân Coker, Aaron Burgess, Glenn Waller","doi":"10.1002/erv.3200","DOIUrl":"10.1002/erv.3200","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>Cognitive Behaviour Therapy Ten (CBT-T) is a relatively new manualised treatment for non-underweight patients with eating disorders. It has been found to be an effective treatment and to be rated highly by patients. However, it is also important to consider clinicians' perspectives in the implementation and development of new interventions, because clinician perspectives can impact treatment delivery, leading to issues such as therapist drift. Using a qualitative approach, this research aimed to examine clinician experiences of delivering CBT-T.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>The sample consisted of 13 clinicians currently delivering CBT-T, with at least six months experience of delivering this treatment. Semi-structured interviews were conducted via Microsoft Teams, using thematic analysis to identify themes from the interview transcripts.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Three themes and 10 subthemes were identified. The main themes were: positive experiences of delivering CBT-T, changing experience over time, and challenges in delivery.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>Clinicians reported an overall largely positive experience of delivering CBT-T, with some challenges related to treatment delivery identified. Findings are discussed in relation to wider research literature, with recommendations given about how clinicians can be supported with their delivery of CBT-T, and for future research and CBT-T development.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48117,"journal":{"name":"European Eating Disorders Review","volume":"33 5","pages":"995-1004"},"PeriodicalIF":3.4,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/erv.3200","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144024817","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}