European Eating Disorders Review最新文献

{"title":"Psychometric Properties of the Commitment to Exercise Scale in Inpatients With Anorexia Nervosa and Bulimia Nervosa.","authors":"Fiona M Fabry, Sandra Schlegl, Nina Dittmer, Ulrich Voderholzer, David R Kolar, Adrian Meule","doi":"10.1002/erv.70099","DOIUrl":"10.1002/erv.70099","url":null,"abstract":"<p><strong>Objective: </strong>Compulsive exercise is a common behaviour among persons with eating disorders, particularly in those with anorexia nervosa (AN) and bulimia nervosa (BN). In the current study, we examined psychometric properties of a German version of the eight-item Commitment to Exercise Scale (CES) with a four-point scale response format.</p><p><strong>Method: </strong>Data of N = 2424 persons with AN and BN who completed the CES among other measures as part of the routine diagnostic assessment at admission to and discharge from inpatient treatment were analysed based on a preregistered protocol (https://doi.org/10.17605/OSF.IO/Z2RYW).</p><p><strong>Results: </strong>The CES had high internal consistency and a one-factor structure with measurement invariance across age and diagnostic groups. Large correlations with other measures of compulsive exercise supported convergent validity and small-to-moderate correlations with other measures supported divergent validity. Scores on the CES were sensitive to change as they moderately decreased during inpatient treatment, with changes in compulsive exercise being larger in males and persons with AN that in females and persons with BN.</p><p><strong>Conclusions: </strong>The CES has sound psychometric properties in persons with AN and BN. Given its brevity, it may be favoured over lengthier instruments for assessing compulsive exercise in research and clinical practice.</p>","PeriodicalId":48117,"journal":{"name":"European Eating Disorders Review","volume":" ","pages":"1121-1129"},"PeriodicalIF":3.4,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147436688","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":"Feasibility and Preliminary Outcomes of Group-Based Cognitive Remediation and Emotion Skills Training (CREST) for Adult Women With Anorexia Nervosa and Bulimia Nervosa: A Pilot Pre-Post Study.","authors":"Petr Minařík, Kristýna Wohlinová, Veronika Dostálová, Natálie Bočková, Jiří Suchý, Hana Papežová","doi":"10.1002/erv.70100","DOIUrl":"10.1002/erv.70100","url":null,"abstract":"<p><strong>Introduction: </strong>Cognitive and emotional deficits are common in eating disorders (EDs), especially anorexia nervosa (AN) and bulimia nervosa (BN), and can hinder engagement and recovery. This pilot single-group pre-post study examined the feasibility and preliminary outcomes of group-based Cognitive Remediation and Emotion Skills Training (CREST) for adult women with AN/BN in a day care programme setting.</p><p><strong>Methods: </strong>Fifty seven women enroled; 32 completed the 5-week, 10-session programme. Completers and non-completers were compared to identify predictors of adherence. Emotional functioning was assessed using symptom and trait self-report measures, including the TAS-20, Zung Self-Rating Anxiety Scale, BDI-II, EDE-Q, TEQ, and the Self-Compassion Scale. Feasibility was evaluated based on enrolment, completion rates, and treatment adherence.</p><p><strong>Results: </strong>Preliminary analyses indicated decreases in anxiety (SAS, p < 0.001) and depression (BDI-II, p < 0.001), alongside higher self-compassion (SCS, p < 0.001). Results should be interpreted cautiously given the absence of a control group and notable attrition; improvements may reflect combined effects of CREST and standard multidisciplinary care. Higher BMI and shorter illness duration were associated with completion; in regression, only more previous hospitalisations remained significant.</p><p><strong>Conclusions: </strong>Pilot findings suggest that group-based CREST may represent a feasible adjunctive intervention for patients with AN and BN. Further controlled studies are required to disentangle its specific effects from standard care to confirm its effectiveness.</p>","PeriodicalId":48117,"journal":{"name":"European Eating Disorders Review","volume":" ","pages":"1150-1160"},"PeriodicalIF":3.4,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147487270","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":"Adverse Childhood Experiences and Anorexia Nervosa: Mediating Mechanisms and Risk by Adversity Patterns.","authors":"Haruka Sakurai, Shuhei Ishikawa, Ryo Okubo, Nobuyuki Mitsui, Fumiya Miyano, Yuki Kako, Keisuke Takanobu, Yutaka Fujii, Satoshi Asakura, Yusuke Umegaki, Chong Chen, Yohei Sasaki, Takahiro A Kato, Takahiro Tabuchi","doi":"10.1002/erv.70101","DOIUrl":"10.1002/erv.70101","url":null,"abstract":"<p><strong>Objective: </strong>The current study aimed to investigate the mediating mechanisms linking adverse childhood experiences (ACEs) to anorexia nervosa (AN) and to examine whether distinct patterns of ACE exposure are associated with differential risks and mediation pathways.</p><p><strong>Method: </strong>Data for 9746 female individuals were collected from nationally representative Japanese surveys. ACEs were assessed using a 15-item Japanese ACE questionnaire, and AN was identified via self-reported physician diagnosis. Causal mediation analysis and structural equation modelling were used to examine indirect pathways, while latent class analysis (LCA) was used to identify ACE patterns.</p><p><strong>Results: </strong>Greater ACE exposure was significantly associated with a higher AN prevalence. In mediation analyses, loneliness, psychological distress, and brooding rumination were the most influential mediators, forming a latent \"negative affectivity\" factor that significantly mediated ACEs and AN. The LCA identified four ACE profiles: \"low adversities\", \"psychological abuse\", \"poverty\", and \"multiple adversities\". Relative to the \"low adversities\" group, other classes showed higher AN prevalence, although class differences in prevalence and mediators were modest.</p><p><strong>Discussion: </strong>We demonstrated that the number of ACEs, rather than their patterns, increases AN risk. Negative affectivity was a consistent strong mediator across ACE patterns; thus, it can be an important target for intervention in trauma-exposed individuals with AN.</p>","PeriodicalId":48117,"journal":{"name":"European Eating Disorders Review","volume":" ","pages":"1140-1149"},"PeriodicalIF":3.4,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147505151","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":"Faecal Microbiota Transplantation in Anorexia Nervosa: A Systematic Review of Methodologies, Outcomes, and Challenges With Recommendations for Future Studies","authors":"Anna C. Thelen,&nbsp;Nele M. Korten,&nbsp;Larissa Blischke,&nbsp;Clara Voelz,&nbsp;Cordian Beyer,&nbsp;Jochen Seitz,&nbsp;Stefanie Trinh","doi":"10.1002/erv.70080","DOIUrl":"10.1002/erv.70080","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>Anorexia nervosa (AN) is a severe psychiatric disorder displaying an altered gut microbiome. Faecal microbiome transplantation (FMT) has emerged as a powerful research tool and potential treatment option in AN due to the microbiome-gut-brain axis. Current studies are limited and reveal variable FMT protocols. This leads to heterogeneous outcomes and complicates drawing definitive conclusions from existing literature. This review aims to compile and assess the different protocols and develop recommendations on ideal donors, handling of faeces, recipients, duration/frequency of FMT, and measuring transfer success for future FMT studies regarding AN.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We systematically screened three databases (Pubmed, Embase, Web of Science), identifying 13 studies, including two human case reports, one human study protocol, and 10 animal studies.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>While all studies demonstrated microbial alterations in the recipients, not all animal studies successfully induced an AN/underweight phenotype, suggesting that precise coordination of study protocol components to allow further refinement is essential.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Researchers should prioritise clear, comprehensive, and transparent documentation to ensure the interpretability and reproducibility of FMT procedures. Detailed reporting will enable more meaningful comparisons across studies, deepen our understanding of the microbiome's role in AN, and help identify methodological factors that influence outcomes. Ultimately, completeness of documentation in FMT studies in AN has substantial potential to support future clinical applications and improve patient care.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48117,"journal":{"name":"European Eating Disorders Review","volume":"34 4","pages":"926-945"},"PeriodicalIF":3.4,"publicationDate":"2026-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/erv.70080","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145991417","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":"Lived Experience Collaboration in Eating Disorders Research: Perspectives of Those With Lived Experience, Carers, Clinicians and Researchers","authors":"Erica Neill,&nbsp;Stephanie Miles,&nbsp;Rosiel Elwyn,&nbsp;Grace Fountas,&nbsp;Inge Gnatt,&nbsp;Zoe Jenkins,&nbsp;Amy Malcolm,&nbsp;Selma Music,&nbsp;Tamara Simpson,&nbsp;Caitlin Yolland,&nbsp;Andrea Phillipou","doi":"10.1002/erv.70091","DOIUrl":"10.1002/erv.70091","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>The importance of including people with a lived experience (LE) of eating disorders (ED) in the development and conduct of research is being recognised for the value it brings to the field. While the risks and benefits are beginning to be understood, there is still a lack of clarity around how to support LE partners through the process. This study examined perspectives on LE collaboration in ED research from individuals with personal LE, carers, clinicians, and researchers.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>An online survey yielded 122 participants: 71 with personal LE, 37 carers, 21 clinicians, and 18 researchers.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>While researchers generally supported LE collaboration, carers were more hesitant. Across groups, the main perceived benefit was producing more meaningful research and improved treatments, while the primary concern was the risk of relapse for LE contributors. Views varied on the appropriate illness stage for LE involvement, though most agreed that readiness should be assessed collaboratively. Researchers strongly endorsed the development of ED-specific guidelines for LE engagement.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Overall, each of the groups valued LE input but identified a need for clearer guidance on safe and effective collaboration.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48117,"journal":{"name":"European Eating Disorders Review","volume":"34 4","pages":"1016-1021"},"PeriodicalIF":3.4,"publicationDate":"2026-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/erv.70091","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147291505","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":"Effectiveness of a Low-Intensity Self-Guided Psychoeducational Intervention for Individuals Waitlisted for Specialised Eating-Disorder Treatment: A Randomised Controlled Trial","authors":"Linda Booij,&nbsp;Barbara Barth,&nbsp;Micaël Thériault,&nbsp;Bronwyn Raykos,&nbsp;Peter McEvoy,&nbsp;Howard Steiger","doi":"10.1002/erv.70093","DOIUrl":"10.1002/erv.70093","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>Gaining access to evidence-informed treatment for eating disorders (EDs) is challenging, and this creates interest in the possible benefits of self-help treatment methods. We investigated the effectiveness of receiving evidence-informed self-guided psychoeducation, delivered to individuals while on a waitlist for specialised ED care.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>While waitlisted for treatment, 62 adults were randomised to one of two 4-week conditions: (a) Weekly psychoeducation related to EDs via email (Experimental condition); or (b) No psychoeducation (Control condition). Participants completed weekly measures of ED attitudes (ED-15), body satisfaction (Body Satisfaction Scale) and motivation to change (Readiness Ruler).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Participants in the experimental condition showed a greater reduction in ED-15 scores after 4 weeks of exposure to the psychoeducational materials compared to control participants. Effect sizes were in the small-to-medium range, with the strongest effects observed among individuals who were engaging in binge/purge behaviours. There were no effects on body satisfaction or motivation to change. Participants reported being reasonably engaged and satisfied with the materials.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Delivering low-intensity self-guided psychoeducation appears to be effective in reducing ED attitudes and preoccupations among people waitlisted for specialised ED services, especially those presenting with bulimic symptoms. However, the intervention seemed not to impact motivation for change.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Trial Registration</h3>\u0000 \u0000 <p>The trial was registered retroactively at Clinicaltrials.gov (NCT07319936)</p>\u0000 </section>\u0000 </div>","PeriodicalId":48117,"journal":{"name":"European Eating Disorders Review","volume":"34 4","pages":"1089-1098"},"PeriodicalIF":3.4,"publicationDate":"2026-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/erv.70093","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147349460","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":"Māori Experiences of Eating Disorders: A Scoping Review of How Little We Know","authors":"Michaela A. Pettie,&nbsp;Ngāti Pūkenga,&nbsp;William Simcock,&nbsp;Ngāti Raukawa ki te Tonga,&nbsp;Adam Whiskin,&nbsp;Mau Te Rangimarie Clark,&nbsp;Waikato/Tanui, Ngāti Pikiao, Ngāti Kahungunu ki te Wairoa,&nbsp;Hannah Kennedy,&nbsp;Martin Kennedy,&nbsp;Jennifer Jordan","doi":"10.1002/erv.70076","DOIUrl":"10.1002/erv.70076","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>Māori, the Indigenous people of New Zealand, have unique cultural perspectives on health and wellbeing, yet information about Māori experiences eating disorders (EDs) remains limited. This scoping review maps existing literature on EDs among Māori to identify current knowledge, gaps, and future research needs.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>Six academic databases were systematically searched for studies involving Māori with EDs, following Arksey and O'Malley's scoping review framework and the PRISMA-ScR scoping review guidelines. Eligible peer-reviewed publications involving Māori participants and Māori-specific data on EDs or disordered eating were charted and summarised using narrative synthesis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The search identified 72 potential sources, 11 met the inclusion criteria. These studies examined Māori experiences with EDs, ED-service use, and treatment barriers. Population survey data suggested that Māori may experience EDs at comparable or higher rates than non-Māori, although estimates were statistically uncertain. Recent studies reported that stereotypes, discrimination, and culturally incongruent treatment created barriers to accessing diagnosis, support, and care, contributing to low engagement until hospitalisation is required.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The small number of eligible publications highlights a critical gap in understanding Māori experiences of EDs. Updated epidemiological studies and Māori-led research are needed to strengthen knowledge and inform culturally responsive practice and policy.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48117,"journal":{"name":"European Eating Disorders Review","volume":"34 4","pages":"865-880"},"PeriodicalIF":3.4,"publicationDate":"2026-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145913453","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":"Individual Cognitive Remediation Therapy and Individual Emotion Skills Training for Anorexia Nervosa: A Case Series Study in a Paediatric Ward","authors":"Dario Marin,&nbsp;Federica Tedde,&nbsp;Federico Muzzarelli,&nbsp;Paola Elisa Cogo,&nbsp;Lucia Giombini","doi":"10.1002/erv.70086","DOIUrl":"10.1002/erv.70086","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Adolescents with anorexia nervosa (AN) often present cognitive rigidity, impaired decision-making, and difficulties processing emotions, all of which can impede engagement in treatment. The marked rise in paediatric hospitalisations for AN during the COVID-19 pandemic highlights the urgent need for brief, targeted interventions in inpatient settings.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This case series explored the feasibility and preliminary effects of combining Cognitive Remediation Therapy (CRT) and Cognitive Remediation and Emotion Skills Training (CREST) for eight female adolescents (12–16 years) admitted to a paediatric ward with AN or atypical AN. Over the course of their hospitalisation, participants received 20 individual CRT + CREST sessions in addition to standard multidisciplinary care.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Neuropsychological and self-report measures administered at admission (T0), post-intervention (T1), and 6-month follow-up (T2) revealed significant improvements in central coherence, cognitive flexibility, decision-making, theory of mind, and interoceptive awareness between T0 and T1 (all <i>p</i> &lt; 0.05). These gains were maintained at T2, with no further significant changes. All participants completed the intervention without dropout.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Findings suggest that CRT combined with CREST is a feasible, developmentally sensitive approach that may enhance cognitive and emotional readiness for subsequent therapy in adolescents with AN during inpatient care. Larger controlled studies are needed to confirm these promising results.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48117,"journal":{"name":"European Eating Disorders Review","volume":"34 4","pages":"952-959"},"PeriodicalIF":3.4,"publicationDate":"2026-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/erv.70086","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146126511","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":"An Investigation of Key Symptoms That Account for the Early Response Effect During Psychological Therapy for Eating Disorders","authors":"Ammara Imtiaz,&nbsp;Caroline Bell,&nbsp;Glenn Waller,&nbsp;Jaime Delgadillo","doi":"10.1002/erv.70094","DOIUrl":"10.1002/erv.70094","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>The <i>early response effect</i>, defined as a reliable symptomatic improvement during the initial phase of treatment, is the most robust predictor of recovery following eating disorder treatment. This study aimed to investigate which symptom domains mostly influence the early response effect.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Data from <i>N</i> = 232 adult patients (90.8% females; mean age = 29.97, SD = 10.67) treated in an outpatient eating disorder psychotherapy service were randomly partitioned into training (<i>N</i> = 161) and test (<i>N</i> = 71) samples. A Bayesian network model was developed in the training sample, modelling early changes (sessions 1–4) and interactions among symptoms measured by the Eating Disorder Examination Questionnaire (EDE-Q). A variable selection approach was applied to include only the most important variables in the model (i.e., reliable predictors of recovery). The trained model was externally validated by applying it to predict post-treatment recovery status in the test sample. Prediction accuracy was evaluated using the AUC statistic.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The model identified a network of six interrelated eating disorder symptoms which were the most important predictors of recovery. The model was reliable in predicting recovery status and showed good generalisability to a test sample (training AUC = 0.81 vs. test AUC = 0.77). Early changes in six areas (ranked by importance) reliably predict recovery after therapy: [1] avoidance of body exposure; [2] feelings of ‘fatness’; [3] preoccupation with food, eating or calories; [4] fear of losing control over eating; [5] dissatisfaction with body shape; [6] dietary rules.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>The identification of early response domains associated with eventual recovery could help to inform targeted interventions strategies for patients with eating disorders. Future replication is warranted in more diverse and larger samples, including the applicability of these findings to different diagnostic groups.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48117,"journal":{"name":"European Eating Disorders Review","volume":"34 4","pages":"1058-1064"},"PeriodicalIF":3.4,"publicationDate":"2026-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/erv.70094","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147318696","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 Day-Patient Treatment on Eating Disorder Symptoms in Persons With Bulimia Nervosa: A Meta-Analysis","authors":"Anna L. Dieffenbacher,&nbsp;Ulrich Voderholzer,&nbsp;Adrian Meule","doi":"10.1002/erv.70077","DOIUrl":"10.1002/erv.70077","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>Outpatient treatment for bulimia nervosa (BN) often fails to reduce core symptoms like binge eating and purging, while inpatient care is costly and separates patients from their everyday environment. Day-patient treatment offers a middle ground by providing intensive daytime therapy with the opportunity to apply skills at home. This meta-analysis evaluated the effectiveness of day-patient treatment for BN and explored potential outcome moderators.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A systematic search yielded 1664 records, and 20 studies were included in the analysis. Outcome variables were changes in questionnaire scores on eating disorder psychopathology, binge eating frequency, purging frequency, and body mass index (BMI) from admission to discharge and, if available, from discharge to follow up.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Eating disorder psychopathology decreased from admission to discharge with a large effect size and remained stable from discharge to follow up. Pooled effect sizes showed large reductions in binge eating and purging frequency from admission to discharge, whereas BMI did not change significantly.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Day-patient treatment effectively reduces eating disorder psychopathology, binge eating, and purging. As BMI seems to remain stable, this may be used to ease patients' weight gain concerns.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48117,"journal":{"name":"European Eating Disorders Review","volume":"34 4","pages":"895-906"},"PeriodicalIF":3.4,"publicationDate":"2026-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/erv.70077","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145949485","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}