European Eating Disorders Review最新文献

{"title":"Clinician Perspectives on Barriers and Enablers to Autism-Affirming Eating Disorder Care.","authors":"Emy Nimbley, Amelia Austin, Kate Tchanturia, Kai Thomas, Catherine R G Jones, Karri Gillespie-Smith, Fiona Duffy","doi":"10.1002/erv.70157","DOIUrl":"https://doi.org/10.1002/erv.70157","url":null,"abstract":"<p><strong>Objective: </strong>Autistic people with an eating disorder (ED) report more negative experiences of ED treatment and are at greater risk of requiring higher intensity services. Current ED treatment options do not fully meet underpinning drivers of autistic people's experiences of EDs. There remains little guidance or understanding on how autism-informed adaptations are implemented. This paper aims to explore clinician-perceived barriers and enablers to implementing autism-affirming adaptations in UK ED services.</p><p><strong>Method: </strong>Semi-structured interviews were conducted with 12 clinicians in multidisciplinary roles across UK ED services who were beginning to implement autism-affirming care. Data were analysed using critical realist thematic analysis.</p><p><strong>Results: </strong>Clinicians described many barriers associated with implementing autism-affirming care underpinned by longstanding beliefs about the risks of accommodating ED behaviours. This contributed to anxiety about making adaptations to care and the potential to over- or under-accommodate autistic needs. An underlying assumption that evidence-based practice solely equates to manualised treatment for EDs constrained adaptation. A commitment to individualised formulation and care, regardless of diagnosis, and valuing a diverse multidisciplinary team were key enablers. System-level barriers included siloed autism and ED resources and training.</p><p><strong>Conclusions: </strong>Autism-affirming adaptations challenge some core underpinning messages historically embedded in siloed ED services.</p>","PeriodicalId":48117,"journal":{"name":"European Eating Disorders Review","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2026-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148594032","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":"Calorie-Free Menus as a Potential Mitigation Strategy for Mandatory Calorie Labelling: Evidence From People With Disordered Eating in England.","authors":"Nora Trompeter, Abinaya Nadarajah, Fiona Duffy, Helen Sharpe, Ellen Maloney, Ulrike Schmidt, Lucy Serpell, Dasha Nicholls, Tom Jewell","doi":"10.1002/erv.70151","DOIUrl":"https://doi.org/10.1002/erv.70151","url":null,"abstract":"<p><strong>Objective: </strong>Since the introduction of mandatory out-of-home calorie labelling in England, concerns have been raised about potential negative impacts on people with disordered eating. To mitigate these concerns, food outlets can provide calorie-free menus on request. However, no research has explored their use or impact among people with disordered eating.</p><p><strong>Method: </strong>We conducted a cross-sectional mixed methods study on the wider impacts of calorie labelling among 1001 people aged ≥ 16 years in England with lived experience of disordered eating. Of these, 969 completed questions about calorie-free menus. In-depth quantitative analyses focused on 644 participants who reported negative impact of calorie labels (i.e., those who may benefit from calorie-free menus).</p><p><strong>Results: </strong>Most people did not request calorie-free menus (63.88%), including those that reported negative impacts (53.57%). People with higher clinical impairment, current compensatory behaviours, current comorbid disorder, and a history of eating disorder treatment were more likely to use calorie-free menus. Qualitative analyses highlighted both practical barriers and social discomfort when accessing calorie-free menus. Those who did use calorie-free menus reported positive experiences.</p><p><strong>Conclusions: </strong>People with disordered eating may benefit from accessing calorie-free menus. Addressing practical and social barriers may improve eating experiences of people with disordered eating in the out-of-home sector.</p>","PeriodicalId":48117,"journal":{"name":"European Eating Disorders Review","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2026-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148563313","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":"From Lived Experience to Digital Advocacy: Eating Disorder Recovery Content Creation on Social Media.","authors":"Albano Gaia, Mariarita Semola, Orsola Maneri, Vittoria Franchina, Salvatore Gullo, Rachel Rodgers, Gianluca Lo Coco","doi":"10.1002/erv.70156","DOIUrl":"https://doi.org/10.1002/erv.70156","url":null,"abstract":"<p><strong>Objective: </strong>Despite the importance of incorporating individuals with lived experience in the collaborative development and delivery of eating disorder (ED) services, a paucity of research has addressed the role of content creators with lived experience within the context of social media in contributing to help-seeking and recovery spaces. This qualitative study documents content creators' experiences of recovery-oriented content creation and informal digital support through social media platforms. It also explores how content creators contribute to recovery-oriented communication, prevention, and co-design of digital interventions.</p><p><strong>Method: </strong>A total of 10 Italian female content creators in stable recovery from eating disorders (i.e., no relapse in the past 5 years) were recruited via the Instagram community #DicciComeAiutarti and they were interviewed.</p><p><strong>Results: </strong>Through a reflexive inductive thematic analysis five overarching themes were identified: (1) Using Lived Experience to Build Recovery-Oriented Narratives and Communities, which highlighted lived experience as a relational resource for fostering recovery and shared meaning online; (2) Social media as a Double-Edged Sword, describing social media as both a supportive and potentially harmful space for ED recovery; (3) Communication Strategies for Effective Engagement, focusing on how participants adapted communication practices to the affordances and limits of different platforms; (4) Social Networking, Prevention, and Health Promotion, which framed online activity as part of a broader prevention and health advocacy effort; and (5) Providing Hope in Digital Peer Support, illustrating how structured peer-support contexts reshaped the sharing of lived experience and hope in recovery.</p><p><strong>Discussion: </strong>Finally, the findings of the present study suggest that content creators can meaningfully contribute to the prevention and treatment of ED when integrated into supervised, ethically framed digital networks. The co-production of interventions with individuals who have recovered can engender a more humanised form of digital health communication, strengthening therapeutic engagement and supporting recovery-oriented public health strategies.</p>","PeriodicalId":48117,"journal":{"name":"European Eating Disorders Review","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2026-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148550825","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":"Engagement With the Recovery Record App and Treatment Outcomes for Adolescents and Young Adults With Eating Disorders.","authors":"Renee D Rienecke, Kaitlin Hanss, Erin E Reilly, Sasha Gorrell, Alan Duffy, Jorge E Palacios, Philip S Mehler","doi":"10.1002/erv.70155","DOIUrl":"https://doi.org/10.1002/erv.70155","url":null,"abstract":"<p><strong>Objective: </strong>This retrospective cohort study sought to determine whether higher levels of engagement with the Recovery Record (RR) app were associated with better outcomes on eating disorder (ED) symptoms (Eating Disorder Examination-Questionnaire) (EDE-Q), depression (Patient Health Questionnaire-9), and generalised anxiety (GAD-7) for individuals receiving ED treatment.</p><p><strong>Method: </strong>Participants were 4852 adolescents and young adults receiving treatment between March 2021 and August 2024. RR was made available to all patients during their treatment.</p><p><strong>Results: </strong>Cluster analysis identified three distinct groups: engagement, low engagement, and no engagement. After controlling for baseline severity and treatment duration, engagement was correlated with lower EDE-Q scores at discharge compared to low engagement (β = -0.18, p = 0.010). Engagement was also correlated with significantly lower PHQ-9 scores at discharge relative to both low (β = -0.93, p = 0.004) and no engagement (β = -0.84, p = 0.015) groups. Engagement was associated with lower GAD-7 scores at discharge compared to low engagement (β = -0.90, p = 0.003). Greater average daily logging in the RR app was associated with incremental improvements in all outcomes: EDE-Q (β = -0.042, p = 0.030), PHQ-9 (β = -0.287, p = 0.001), and GAD-7 (β = -0.216, p = 0.010).</p><p><strong>Conclusions: </strong>Findings suggest that engagement with the RR app is associated with better outcomes in terms of ED symptoms, depression, and anxiety.</p>","PeriodicalId":48117,"journal":{"name":"European Eating Disorders Review","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2026-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148498276","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":"Identifying Affective Patterns in Patients With Eating Disorders: A Latent Profile Analysis.","authors":"Rachele Fasolato, Chiara Bonetto, Rosa Bruna Dall'Agnola, Emily Boifava, Federica Bonora, Mariasole Castellazzi, Silvia Castelli, Doriana Cristofalo, Silvia Danese, Monica Ferlin, Stuart B Murray, Martina Puglisi, Silvia Rigon, Antonio Elia Rizzo, Benedetta Signoretto, Corrado Barbui","doi":"10.1002/erv.70154","DOIUrl":"https://doi.org/10.1002/erv.70154","url":null,"abstract":"<p><strong>Background: </strong>Emotional difficulties are common among individuals with Eating Disorders (EDs). Following Panksepp's theoretical model, which conceptualises primary emotional systems as the evolutionary foundation of personality, this study aimed to identify distinct profiles of primary emotional systems within a clinical eating disorder (ED) sample. It further examined differences in sociodemographic, clinical, and psychopathological characteristics across profiles, as well as associations between clinical features and profile membership.</p><p><strong>Methods: </strong>In this cross-sectional study, data were obtained from the Regional Centre for ED registry at the University Hospital of Verona. Measures included the Affective Neuroscience Personality scales, the Eating Disorder Examination, the Symptom CheckList-90-Revised, the Life Stressor Checklist-Revised, and the Impact of Event Scale-Revised. A Latent Profile Analysis was conducted, followed by inferential analyses.</p><p><strong>Results: </strong>Among 122 patients, three profiles emerged: (1) high FEAR and SADNESS, and low SEEKING and PLAY; (2) low negative primary emotional systems and CARE; (3) high positive primary emotional systems and high SADNESS and ANGER. Profiles differed by age, sex, illness duration, trauma burden, depressive-anxiety symptoms, and ED severity.</p><p><strong>Discussion: </strong>Findings revealed emotional heterogeneity among ED patients, underscoring the importance of considering individual emotional differences in treatment planning. Study limitations and directions for future research are discussed.</p>","PeriodicalId":48117,"journal":{"name":"European Eating Disorders Review","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2026-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148473502","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":"'They Should Understand That the Anorexia Drives me to do Anything': Exploring How Individuals With Anorexia Nervosa Make Sense of the Experience of Medical Admissions.","authors":"Hannah Webb, Penny Neild, Vanessa Lawrence, Ulrike Schmidt, Maria Griffiths","doi":"10.1002/erv.70152","DOIUrl":"https://doi.org/10.1002/erv.70152","url":null,"abstract":"<p><strong>Objective: </strong>Anorexia nervosa (AN) is a complex disorder associated with significant morbidity and mortality. Some people with AN require medical admissions to manage physical complications. Currently, little is known about how these medical admissions are experienced, despite an increase in the number of individuals being hospitalised.</p><p><strong>Method: </strong>Interpretative phenomenological analysis was employed to explore adults' lived experience of medical admissions for AN, with data collected through individual interviews. Ten individuals with experience of medical admissions directly related to a diagnosis of AN took part.</p><p><strong>Findings: </strong>Six themes were identified. Admissions were often lifesaving. Gratitude was expressed for medical intervention and, for some, for an intensification of care. However, hospitalisation left many feeling scared and overwhelmed. Participants felt misunderstood and stigmatised and their illness identity continued to dominate. Mental and physical health services were experienced as disconnected and close others sometimes had to shoulder significant responsibility for care.</p><p><strong>Conclusions: </strong>Recommendations are offered regarding the value of enhancing training on AN amongst medical professionals to improve care experiences and the potential importance of a more collaborative and holistic approach that considers patients' comorbidities and personal histories. Future research should explore whether therapeutic techniques may support development of a non-anorexic identity during or after medical admissions and what aspects of treatment can render hospitalisation harmful.</p>","PeriodicalId":48117,"journal":{"name":"European Eating Disorders Review","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2026-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148498259","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":"Eating Disorder Clinician Views About the Impact of Out-of-Home Calorie Labelling on Their Patients: A Qualitative Interview Study.","authors":"Abinaya Nadarajah, Imogen Peebles, Fiona Duffy, Nora Trompeter, Ellen Maloney, Dasha Nicholls, Ulrike Schmidt, Lucy Serpell, Helen Sharpe, Tom Jewell","doi":"10.1002/erv.70153","DOIUrl":"https://doi.org/10.1002/erv.70153","url":null,"abstract":"<p><strong>Objective: </strong>Accumulating evidence suggests that people with eating disorders experience mainly negative impacts of out-of-home calorie labelling. This study explored eating disorder clinician perspectives on how such labels affect individuals with eating disorders, and their views on implementation of this policy.</p><p><strong>Method: </strong>Semi-structured 1:1 interviews were conducted with 20 eating disorder clinicians from different professional disciplines across adolescent and adult services. Reflexive thematic analysis was used to analyse interview transcripts.</p><p><strong>Results: </strong>Four themes and nine subthemes were generated. Themes were: (1) Reinforcing disordered eating; (2) 'Informed choice'; (3) Managing exposure; (4) Policy recommendations. Clinicians mainly identified negative impacts of calorie labelling, such as facilitating dietary restriction, although they also recognised some positives, such as reassurance. Within treatment, clinicians either shielded their patients from out-of-home calorie labels or facilitated exposure to such labels. Clinicians supported implementation options which promote individual autonomy about whether to view calorie information in out-of-home settings.</p><p><strong>Conclusion: </strong>Eating disorder clinicians predominantly describe negative impacts of out-of-home calorie labelling on their patients but also identify positives for some individuals. Findings highlight the importance of clinicians tailoring strategies to individuals' needs based on factors including developmental and recovery stage.</p>","PeriodicalId":48117,"journal":{"name":"European Eating Disorders Review","volume":" ","pages":""},"PeriodicalIF":3.2,"publicationDate":"2026-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148498235","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":"'That's Not Our Pathway': Parent and Carer Experiences of Eating Disorder Focused Family Therapy (FT-ED) for Autistic Young People With Anorexia Nervosa.","authors":"Emy Nimbley, Imogen Peebles, Rachel Loomes, Emma Clark, Amelia Austin, Fiona Duffy","doi":"10.1002/erv.70096","DOIUrl":"10.1002/erv.70096","url":null,"abstract":"<p><strong>Objective: </strong>Autistic people report poorer treatment outcomes for their eating disorder (ED) in comparison to non-autistic peers. Eating disorder focused family therapy (FT-ED) is the leading outpatient intervention for adolescents with Anorexia Nervosa (AN). The aim of this study was to explore the experiences of parents of autistic young people who have received FT-ED, and any recommended adaptations to treatment.</p><p><strong>Method: </strong>Parents of an autistic young person who had received FT-ED within the last 3 years were invited to take part in interviews. Transcripts were analysed using reflexive thematic analysis.</p><p><strong>Results: </strong>Twelve parents of autistic young people with AN completed interviews and analysis generated four core themes: (1) Questioning the principles of FT-ED, (2) Navigating the FT-ED process, (3) Parental (dis)empowerment, (4) Adapting FT-ED.</p><p><strong>Conclusions: </strong>This paper is the first exploration of parents of autistic young peoples' experience of FT-ED for AN, and it highlights possible treatment adaptations for this population. It is part of a larger body of work to consider adaptations to FT-ED, with the aim of making ED treatments more effective, accessible and acceptable for autistic young people and their families.</p>","PeriodicalId":48117,"journal":{"name":"European Eating Disorders Review","volume":" ","pages":"1130-1139"},"PeriodicalIF":3.4,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147460529","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":"Associations Between Severe Food Insecurity and Food Addiction in Brazilian Low-Income Women.","authors":"Amanda Ribeiro Berta, Luiz Gonzaga Ribeiro Silva-Neto, Juliana Souza Oliveira, Nassib Bezerra Bueno, Telma Maria de Menezes Toledo Florêncio, Ana Paula Grotti Clemente, Giovana Longo-Silva, Risia Cristina Egito de Menezes","doi":"10.1002/erv.70098","DOIUrl":"10.1002/erv.70098","url":null,"abstract":"<p><strong>Objective: </strong>The present study aims to assess the distribution of food addiction (FA) across different levels of food insecurity (FI) in Brazilian women of reproductive age living in poverty, and to investigate the association between FA and FI.</p><p><strong>Method: </strong>This is a cross-sectional study conducted between October 2020 and May 2021 in 40 urban favelas and low-income communities. The FA was assessed using the modified Yale Food Addiction Scale 2.0 (mYFAS 2.0) and the FI was measured using the Brazilian Food Insecurity Scale (EBIA). A logistic regression model was used to examine the association between FA and FI, adjusting for age (in years), poverty status, race/skin colour, physical activity, nutritional status, and self-reported diagnosis of depression and anxiety. A total of 1863 adult women of reproductive age (20-44 years) were included.</p><p><strong>Results: </strong>Among the women with FA, 30.7% experienced severe FI. A significant association was found between FA and severe FI, with the chances of FA being higher among women with severe FI compared to those with food security.</p><p><strong>Conclusion: </strong>Severe FI is associated with higher chances of FA, particularly in socioeconomically vulnerable contexts.</p>","PeriodicalId":48117,"journal":{"name":"European Eating Disorders Review","volume":" ","pages":"1111-1120"},"PeriodicalIF":3.4,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147436608","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":"Are Mental Health Symptoms of Parents of Young People Accessing Treatment for Eating Disorders Associated With Accommodating and Enabling Behaviours?","authors":"Daniel Wilson, Renata A Mendes, Natalie J Loxton, James G Scott, Lieve Leering, Govind Krishnamorthy, Jacinda White","doi":"10.1002/erv.70097","DOIUrl":"10.1002/erv.70097","url":null,"abstract":"<p><strong>Background: </strong>Parental and family factors influence treatment outcomes of adolescents with eating disorders (EDs), particularly in family-based interventions. However, little is known about how parental mental health is associated with well-established factors that influence treatment outcomes. This study examined: prevalence and sex differences of parental psychopathology (depression, anxiety, ED, and post-traumatic stress disorder (PTSD)); associations with expressed emotion, self-efficacy, and accommodating and enabling behaviours; and if parental psychopathology independently predicted parental accommodating behaviour.</p><p><strong>Methods: </strong>Participants included 343 caregivers (212 female) of young people referred to a public outpatient ED service who completed measures of psychopathology, expressed emotion, self-efficacy, and accommodating and enabling behaviours.</p><p><strong>Results: </strong>Prevalence of parental mental health symptoms that exceeded clinical cut-points was variable, ranging from 1.6% for fathers' ED symptoms, to 41.9% for mothers' anxiety symptoms. Mothers were more likely to score higher than fathers on depression, anxiety and ED symptom scales. Regression analyses revealed that anxiety and emotional overinvolvement significantly predicted accommodating and enabling behaviours in both male and female caregivers, with perceived criticism also a significant predictor for females.</p><p><strong>Discussion: </strong>Findings highlight the need for supporting parents of young people with EDs with their own mental health and the potential impact that further support for parents may have on treatment outcomes for their children.</p>","PeriodicalId":48117,"journal":{"name":"European Eating Disorders Review","volume":" ","pages":"1099-1110"},"PeriodicalIF":3.4,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147370569","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}