Jake Linardon, Claudia Liu, Zoe McClure, Hannah K. Jarman, Mariel Messer, Cleo Anderson, Matthew Fuller-Tyszkiewicz
{"title":"Self-Guided Psychological Interventions for the Treatment and Prevention of Eating Disorders: A Meta-Analysis of Randomized Controlled Trials","authors":"Jake Linardon, Claudia Liu, Zoe McClure, Hannah K. Jarman, Mariel Messer, Cleo Anderson, Matthew Fuller-Tyszkiewicz","doi":"10.1002/erv.3201","DOIUrl":"10.1002/erv.3201","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Self-guided interventions may broaden the dissemination of evidence-based prevention and treatment protocols for eating disorders. We conducted a meta-analysis comparing self-guided prevention and treatment approaches for eating disorders to (1) control groups and (2) professionally guided self-help programs.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Forty-six trials were included. Interventions ranged from web, to app, to CD-ROM to book-based programs. Random effects meta-analyses were conducted on numerous symptom and risk outcomes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Only four trials recruited an unselected sample, with self-guided programs reducing shape/weight concerns over control groups (<i>g</i> = 0.18). Among high risk/symptomatic samples (<i>k</i> = 25), self-guided interventions reduced several behavioural and cognitive symptoms (<i>gs</i> = 0.31–0.50) over control groups, with effects being robust when adjusting for higher risk of bias and small sample trials. Among clinical samples (<i>k</i> = 17), evidence for the effectiveness of self-guided interventions over control groups on symptom measures was only found for binge-eating disorder, as too few studies sampled other diagnostic subtypes. Among 10 trials that compared guided to unguided self-help, we observed a significant effect in symptom reduction in favour of guided self-help (<i>g</i> = −0.26). Dropout did not differ between guided and unguided self-help (OR = 0.97).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Self-guided interventions may be an effective, low intensity intervention format for high risk individuals or for binge-eating disorder presentations.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48117,"journal":{"name":"European Eating Disorders Review","volume":"33 5","pages":"984-994"},"PeriodicalIF":3.4,"publicationDate":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/erv.3201","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144018917","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}
Bruno Halioua, Leslie Sulimovic, Maurice Corcos, Patrick Bantman, Muriel Vaislic, Rachel Rimmer, Charles Taieb, Robert Ejnes, Stéphanie Dassa, Gerard Shadili
{"title":"Behaviour of Children of Holocaust Survivors in France Regarding Food","authors":"Bruno Halioua, Leslie Sulimovic, Maurice Corcos, Patrick Bantman, Muriel Vaislic, Rachel Rimmer, Charles Taieb, Robert Ejnes, Stéphanie Dassa, Gerard Shadili","doi":"10.1002/erv.3187","DOIUrl":"10.1002/erv.3187","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Holocaust survivors experienced extreme trauma, including physical abuse and malnutrition, leading to various eating disorders. The aim of this study was to compare the eating behaviours of Children of Holocaust Survivors (CHS) with those of children of non-Jewish parents who had at least one parent in France during World War II (CW), and to explore the influence of parental relationships with food on these behaviours.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>CHS and CW participants were recruited via social media for an online survey that collected demographic data, family war history, parental hunger experiences, and the prevalence of family silence about the war.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Among 522 CHS and 100 CW, no significant difference was found in overall dietary behaviour. However, CHS were more likely to value holiday culinary traditions for themselves (77.6% vs. 40%), their parents (68.5% vs. 40.2%), and their children (61.1% vs. 32.1%). CHS whose parents experienced hunger were more likely to keep large food stores (69.5% vs. 51.2%), eat quickly (38.7% vs. 24.2%), eat all the food (61.1% vs. 47%), and overeat (55.5% vs. 45%).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>This study, the first of its kind in a large cohort, highlights the lasting impact of the Holocaust on eating behaviour in CHS.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48117,"journal":{"name":"European Eating Disorders Review","volume":"33 5","pages":"974-983"},"PeriodicalIF":3.4,"publicationDate":"2025-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144051042","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}
Rachel E. Liebman, Kristen M. Hernandez, Jennifer Ip, Jessica Burdo, Kathryn Trottier
{"title":"Psychological Treatment of Co-Occurring Trauma History, Posttraumatic Stress Disorder, and Eating Disorders: A Systematic Review of Clinical Outcomes","authors":"Rachel E. Liebman, Kristen M. Hernandez, Jennifer Ip, Jessica Burdo, Kathryn Trottier","doi":"10.1002/erv.3195","DOIUrl":"10.1002/erv.3195","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>The association between eating disorders (EDs) and both trauma exposure and posttraumatic stress disorder (PTSD) is well established. Existing evidence is inconclusive about the impact of trauma exposure and/or comorbid PTSD on ED treatment outcomes and if comorbid ED affects PTSD treatment outcomes. The objective of this systematic review is to consolidate the literature on treatment efficacy and effectiveness for individuals with EDs and trauma histories with and without PTSD, as well as to understand how ED and PTSD symptoms may impact improvement in each other, and how improvements in ED and PTSD symptoms might differ across treatment focus (ED-focused, PTSD-focused or both) and modality (e.g., cognitive behavioural, psychodynamic, transdiagnostic, integrative).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A systematic search of peer-reviewed publications was conducted across three databases (PsycINFO, PubMed, SCOPUS).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Results indicate that comorbid PTSD symptoms, but not trauma history alone, may negatively affect ED treatment outcomes. Likewise comorbid ED symptoms may negatively affect PTSD treatment outcomes, but data is lacking. ED and/or PTSD symptom improvement was observed across treatment modalities.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Results suggest that individuals may respond to a variety of modalities. Integrated and concurrent treatments show promise as an effective strategy to achieve long-term recovery from this debilitating comorbid condition.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48117,"journal":{"name":"European Eating Disorders Review","volume":"33 5","pages":"957-973"},"PeriodicalIF":3.4,"publicationDate":"2025-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/erv.3195","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144057701","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}
Amit Goldstein, Ofer Hugeri, Orly Lavan, Adi Rotenberg, Silvana Fennig
{"title":"Adolescent Anorexia Nervosa: Disentangling Inpatient Therapeutic Interventions","authors":"Amit Goldstein, Ofer Hugeri, Orly Lavan, Adi Rotenberg, Silvana Fennig","doi":"10.1002/erv.3198","DOIUrl":"10.1002/erv.3198","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>Anorexia Nervosa (AN) is a complex eating disorder that presents significant challenges in adolescent treatment. This study examined the impact of targeted therapeutic interventions on weight trajectories and patient engagement among female adolescents receiving inpatient treatment.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A sample of 42 female adolescents (aged 12–18) undergoing inpatient treatment for AN was studied. The study investigated weight gain patterns in response to six specific therapeutic interventions and analysed the relationship between intervention strategies and patient weight progression.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Significant variations in weight gain were observed across different therapeutic interventions. Interventions involving treatment contract renewal, conversations with a senior clinician, and treatment pauses demonstrated notable impacts on patient weight trajectories. Particularly intriguing were instances in which potential treatment termination triggered substantial weight gain within the following week, suggesting complex psychological mechanisms underlying patient motivation.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The study provides critical insights into the nuanced dynamics of inpatient AN treatment for adolescents. The findings emphasize the importance of individualized, motivational therapeutic strategies that go beyond traditional weight-focused interventions. While acknowledging limitations such as a small sample size, this study offers preliminary evidence supporting the development of phase-specific treatment protocols to optimize patient outcomes and therapeutic engagement.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48117,"journal":{"name":"European Eating Disorders Review","volume":"33 5","pages":"950-956"},"PeriodicalIF":3.4,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143812297","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}
Adrian Meule, Anna L. Dieffenbacher, David R. Kolar, Ulrich Voderholzer
{"title":"Weight Suppression, Binge Eating, and Purging as Predictors of Weight Gain During Inpatient Treatment in Persons With Bulimia Nervosa","authors":"Adrian Meule, Anna L. Dieffenbacher, David R. Kolar, Ulrich Voderholzer","doi":"10.1002/erv.3197","DOIUrl":"10.1002/erv.3197","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>Persons with bulimia nervosa (BN) often gain weight during treatment, which potentially poses a threat to treatment adherence. Although weight suppression has been found to be a predictor of weight gain in persons with BN, research about the trajectory of weight changes during treatment and other predictors thereof is scarce.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>The current study examined weight suppression as well as self-reported binge eating severity and purging frequency at admission as predictors of weight change in 746 persons with BN (95% female) who received inpatient treatment at the Schoen Clinic Roseneck (Prien am Chiemsee, Germany) between 2015 and 2020.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Body mass index (BMI) increased linearly across treatment weeks. Higher weight suppression predicted larger weight gain, particularly in those with a relatively low BMI at admission. More frequent purging and less severe binge eating predicted larger weight gain but high binge eating severity in combination with infrequent purging attenuated this effect.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Results replicate that those with high weight suppression are at higher risk for gaining weight during BN treatment but extend these findings in that this effect additionally depends on current BMI, similar to findings reported in persons with anorexia nervosa. They further demonstrate that the core features of BN—binge eating and purging—also predict weight change both separately and interactively and may, therefore, be considered in psychoeducation and therapy planning.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48117,"journal":{"name":"European Eating Disorders Review","volume":"33 5","pages":"941-949"},"PeriodicalIF":3.4,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/erv.3197","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143804497","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":"Food Addiction in Individuals With Overweight and Obesity Undergoing a 12-Week Long Tailored mHealth Weight Loss Intervention","authors":"Magdalena Pape, Stephan Herpertz, Tanja Färber, Caroline Seiferth, Natalie Schoemann, Jörg Wolstein, Sabine Steins-Loeber","doi":"10.1002/erv.3196","DOIUrl":"10.1002/erv.3196","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>Former studies indicated worse outcome for individuals with food addiction (FA) when participating in weight loss programs. Yet, the results may have been influenced by comorbid eating disorders and insufficient consideration of psychological aspects associated with FA.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We report here a subgroup analysis on treatment success of participants with overweight/obesity and FA, but no comorbid eating disorders, compared to individuals with overweight/obesity but without FA and eating disorders taking part in a 12-week long tailored mHealth weight loss intervention (IG) that addresses psychological aspects of overweight/obesity or a waitlist control condition (CG). Body-mass-index and eating styles were assessed at four time points: baseline, 3, 9 and 15 months after baseline.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Overall, the IG significantly reduced weight and improved eating styles. The efficacy of the intervention was higher in the IG + FA concerning long-term weight loss and emotional eating.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>These findings suggest that individuals with FA, without comorbid eating disorders, benefit from a tailored mHealth weight loss intervention that focuses on psychological aspects of overweight/obesity. This underscores the presence of a FA subgroup among individuals with overweight and obesity, characterised by unique vulnerabilities and treatment responses, which should be further analysed. There is a need for specialised treatment of FA components in obesity and overweight.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Trial Registration</h3>\u0000 \u0000 <p>ClinicalTrials.gov identifier: NCT04080193</p>\u0000 </section>\u0000 </div>","PeriodicalId":48117,"journal":{"name":"European Eating Disorders Review","volume":"33 5","pages":"931-940"},"PeriodicalIF":3.4,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/erv.3196","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143781684","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}
Jojanneke M. Bijsterbosch, Anne M. E. Schnitzler, Amy Harrison, Janet L. Treasure, Lot C. Sternheim
{"title":"The Effectiveness and Feasibility of the New Maudsley Collaborative Care Approach Skills-Based Training for Carers of Individuals With an Eating Disorder in the Netherlands","authors":"Jojanneke M. Bijsterbosch, Anne M. E. Schnitzler, Amy Harrison, Janet L. Treasure, Lot C. Sternheim","doi":"10.1002/erv.3193","DOIUrl":"10.1002/erv.3193","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>People with eating disorders (EDs) often need intensive help from loved ones. The New Maudsley Collaborative Care Approach (NMCCA) skills-based training supports carers in this role. This study examined the effectiveness and feasibility of the NMCCA-training for carers in the Netherlands.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Participants were parents of 12–25-aged individuals with a (provisional) ED diagnosis. The training consisted of five online sessions in 6 weeks. Outcomes included carers' levels of confidence in ED-related caregiver skills, symptoms of depression, anxiety, and stress, and health-related quality of life. A paired samples <i>t</i>-test and Wilcoxon signed-rank tests compared outcomes after to before the training. An Analysis of Covariance examined changes in ED-related caregiver skills confidence over time, controlling for baseline anxiety traits. Feasibility and acceptability were assessed using Visual Analogue Scales.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Of the 37 carers who started the training, 33 completed both before and after training assessments. Carers evaluated the training as feasible and helpful, which was also reflected by a significant increase in ED-related caregiver skills confidence (staying robust when controlling for baseline anxiety traits).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Findings contribute to research showing the effectiveness of the NMCCA skills-based training, alongside showing its potential for improving ED-related caregiver skills in Dutch carers.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48117,"journal":{"name":"European Eating Disorders Review","volume":"33 5","pages":"918-930"},"PeriodicalIF":3.4,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/erv.3193","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143732410","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":"Virtual (Self) Reflection: Frequent Videoconferencing Usage Is Uniquely Associated With Body Dissatisfaction and Dietary Restraint Symptoms Among Adults","authors":"Jade Portingale, Isabel Krug","doi":"10.1002/erv.3191","DOIUrl":"10.1002/erv.3191","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>This study examined the relationship between videoconferencing usage frequency for work/study purposes and eating disorder (ED)-related symptoms, focusing on psychological factors that may heighten vulnerability to such concerns in appearance-focused interactions.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>Australia-based participants (<i>N</i> = 1820; 76% female; <i>M</i>age = 20.28, <i>SD</i> = 4.43) completed an online survey assessing videoconferencing usage frequency for work/study, ED-related symptoms (body dissatisfaction, disordered eating [DE], depression), and psychological factors (appearance-based rejection sensitivity [appearance-RS], self-objectification, body-ideal internalization). Participants were categorized as higher-frequency users (multiple times per week or more; <i>n</i> = 1334; 73%) or lower-frequency users (once per week or less; <i>n</i> = 486; 27%).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Body-ideal internalization and appearance-RS showed small to medium positive associations with all ED-related symptoms. Higher-frequency users reported greater body dissatisfaction and DE symptoms (overall, dieting, and oral control), though these effects were modest, explaining minimal variance beyond established risk factors. Videoconferencing frequency was unrelated to depressive or bulimia/food preoccupation symptoms and rarely moderated psychological factor-symptom relationships, with three exceptions: higher frequency usage modestly weakened the positive association between appearance-RS and DE (overall and oral control) and modestly strengthened the positive association between self-objectification and buimia/food preoccupation DE symptoms.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>These findings suggest that frequent work/study-related videoconferencing may be uniquely associated with body dissatisfaction and dietary restraint symptoms, particularly for those with a tendency to self-objectify. Future research into individual differences, usage contexts, and face-related outcomes is warranted.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48117,"journal":{"name":"European Eating Disorders Review","volume":"33 5","pages":"904-917"},"PeriodicalIF":3.4,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/erv.3191","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143671483","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":"Sexual Dysfunction in Women With Eating Disorders: Systematic Review and Meta-Analysis","authors":"Tatiana Hess, Zuzana Špacírová","doi":"10.1002/erv.3189","DOIUrl":"10.1002/erv.3189","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Eating disorders (EDs) are common mental health conditions that impact people globally. Sexual health problems are also widely researched across various contexts. This paper explores the connection between these two areas by conducting a meta-analysis to assess sexual dysfunction (SD) in women with EDs compared to healthy individuals.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Multiple electronic databases were searched. Studies reporting mean scores of SD scales in women with EDs compared to women without these conditions, were included. The combined analyses used standardized mean deviations (SMDs), with relevant 95% confidence intervals (CIs). Each study was weighted using inverse variance models with random effects. The risk of publication bias was estimated.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>From an initial pool of 2665 studies, 7 studies met inclusion criteria for the systematic review, involving 908 individuals. Out of these, five studies focussing on women with AN or BN were eligible for meta-analysis. No study involving the BED female group met the inclusion criteria to be included in the meta-analysis. The association between SD and AN showed a random-effects pooled SMD of −0.95 (95% <i>CI =</i> −1.40 to −0.50) with high heterogeneity (<i>I</i><sup>2</sup> = 78.32%, <i>p</i> = 0.01). For BN, this was of −0.51 (95% <i>CI</i> = −0.88 to −0.13) with no heterogeneity (<i>I</i><sup>2</sup> = 0.00%, <i>p</i> = 0.76). Sensitivity analyses showed that the overall effect is sensitive to the type of questionnaire used to measure the SD.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The results indicate that SD is more pronounced in women with AN than in those with BN. More studies with robust methodological designs are necessary to further investigate SD. The female BED group should be included in future studies focussing on SD. The findings suggest that sexual health interventions should target women with EDs, as these conditions have a significant impact on relationships and sexual satisfaction.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48117,"journal":{"name":"European Eating Disorders Review","volume":"33 5","pages":"879-894"},"PeriodicalIF":3.4,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143651395","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}
Mun Yee Kwan, Ayla N. Gioia, Rebecca Braverman, Kristina Drumheller
{"title":"Fitspiration and Thinspiration on Twitter: A Content Analysis","authors":"Mun Yee Kwan, Ayla N. Gioia, Rebecca Braverman, Kristina Drumheller","doi":"10.1002/erv.3190","DOIUrl":"10.1002/erv.3190","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>Fitspiration, an inspiration phenomenon intended to promote healthy living via exercises and dietary changes has been shown to convey unhealthy messages, contributing to body dissatisfaction. The aim of the present study was to compare thinspiration and fitspiration social media content on Twitter.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A total of 301 thinspiration posts and 479 fitspiration posts with the most views from Twitter were collected over a 4-week period for a content analysis. Text, image, and video content were coded by two independent coders.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Thinspiration posts had more content on thin ideals and disordered eating while fitspiration posts had more content on muscular ideals and healthy living. Content focussing on weight or fat loss, unrealistic body ideals, and body sexualisation or objectification, were present in both thinspiration and fitspiration posts.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>These findings support existing literature that both fitspiration and thinspiration content contains unhealthy messages. The current study made novel contributions to the literature by examining food-related and video content, in addition to body-related and text and image content.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48117,"journal":{"name":"European Eating Disorders Review","volume":"33 5","pages":"895-903"},"PeriodicalIF":3.4,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143651375","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}