Journal of Eating Disorders最新文献

{"title":"Associations of trait anger and the anger expression and regulation dimensions with food addiction in the LIFE-adult study.","authors":"Felix S Hussenoeder, Ines Conrad, Melanie Luppa, Margrit Löbner, Alexander Pabst, Christoph Engel, Nigar Reyes, Maryam Yahiaoui-Doktor, Heide Glaesmer, Andreas Hinz, Veronica Witte, Matthias L Schroeter, Evelyn Medawar, Toralf Kirsten, Markus Loeffler, Arno Villringer, Steffi G Riedel-Heller","doi":"10.1186/s40337-026-01802-8","DOIUrl":"https://doi.org/10.1186/s40337-026-01802-8","url":null,"abstract":"<p><strong>Background: </strong>Food addiction (FA) has been linked to pathological eating, obesity, and a variety of detrimental mental health outcomes, yet the role of trait anger remains largely unexplored. This study examined whether trait anger and anger expression and regulation dimensions are associated with FA independently of the Big Five personality traits.</p><p><strong>Methods: </strong>We used data collected between 2011 and 2014 from 1,138 adults aged 20-79 years participating in the LIFE-Adult Study, a population-based German cohort study. Sequential Poisson regression analyses were conducted to examine associations of trait anger and the anger expression and regulation dimensions, i.e., anger expression-in, anger expression-out, anger control, with FA symptoms, adjusting for sociodemographic characteristics, social support, alcohol use, and the Big Five personality traits.</p><p><strong>Results: </strong>Higher trait anger was associated with higher FA symptom counts and remained significant after adjustment for the anger expression and regulation dimensions and sociodemographic characteristics. In the fully adjusted model, trait anger, lower social support, higher neuroticism, and lower conscientiousness were associated with higher symptom counts, whereas the anger expression and regulation dimensions were no longer significant.</p><p><strong>Conclusion: </strong>Our findings suggest that trait anger may be a relevant emotional correlate of FA beyond broader personality-related vulnerability, whereas specific anger expression and regulation dimensions appear to play a less central role. Given the cross-sectional design, conclusions regarding temporal ordering and causality remain limited.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":"14 1","pages":""},"PeriodicalIF":5.7,"publicationDate":"2026-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149225291","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Care approaches for people with longstanding eating disorders: a lived experience perspective on the need for recovery-fostering care.","authors":"Alykhan Asaria","doi":"10.1186/s40337-026-01786-5","DOIUrl":"10.1186/s40337-026-01786-5","url":null,"abstract":"<p><p>People with longstanding eating disorders (EDs) are often conceptualised as 'treatment-resistant' when they are not currently benefitting from established recovery-focused treatments. This may encourage a shift from recovery-focused treatments to care approaches that for many individuals do not foster recovery. As a result, the present article offers an explicitly hope-holding and recovery-fostering care (RFC) approach that neither demands recovery nor abandons the possibility of recovery, whatever recovery may mean to the individual being cared for. RFC is guided by the following principles, which were developed in response to limitations identified in current care approaches for people with longstanding EDs: [1] Holding hope for meaningful recovery and enabling opportunities for it; [2] Building therapeutic alliances; [3] Formulation-based and epistemically just care; [4] Unconditional safeguarding; and [5] Supporting caregivers. RFC is not a scientific model with the level of specification often demanded by academic frameworks. Rather, it is a creative, flexible, and person-led approach to care that prioritises people with lived experience over strict adherence to manuals, and values humanity-based care alongside evidence-based care.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":"14 1","pages":""},"PeriodicalIF":5.7,"publicationDate":"2026-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13651331/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149138291","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reflections on the role of Peer Researchers in eating disorders: identifying challenges, best practices, and future directions.","authors":"James Downs, Ellen Maloney, Anna Carnegie, Kai S Thomas, Laura Chapman","doi":"10.1186/s40337-026-01757-w","DOIUrl":"10.1186/s40337-026-01757-w","url":null,"abstract":"<p><p>The involvement of people with lived experience has become increasingly prominent across mental health research, with co-production and Peer Researcher roles presented as ways of improving the relevance, ethics, and legitimacy of research. Within eating disorder research, however, the integration of Peer Researchers remains inconsistent and is shaped by a range of structural, cultural, and epistemic barriers. Although a growing literature addresses lived experience involvement in eating disorder research, there has been limited critical examination of how Peer Researcher roles operate within a field marked by stigma, narrow recovery narratives, contested notions of credibility, and constrained resources. This paper offers a critical, experience-informed perspective on Peer Research in eating disorders, drawing on the authors' lived and professional experience alongside a selective synthesis of scholarship on co-production, lived experience research, and epistemic justice. We identify recurrent challenges in the implementation of Peer Researcher roles, including unequal recruitment and representation, trauma- and stigma-related harms, limited power-sharing, inadequate attention to welfare, uneven training and career development, and the effects of working within a comparatively small and under-resourced field. We argue that meaningful inclusion of Peer Researchers depends not simply on their presence within research teams, but on improving the conditions within which they participate. This includes greater flexibility, shared decision-making, appropriate support, and recognising experiential knowledge as a valuable form of expertise. This paper contributes a framework for understanding these challenges and offers practical considerations for developing ethical, just, and sustainable approaches to Peer Research that will improve the relevance and legitimacy of eating disorder research more broadly.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":"14 1","pages":""},"PeriodicalIF":5.7,"publicationDate":"2026-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13651354/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149138304","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Letter to the Editor: \"It's never ending and overwhelmingly difficult\": a mixed-methods survey of the impact of caregiving for a loved one with an eating disorder in New Zealand.","authors":"Amélie Blaquière, J Bruno Debruille","doi":"10.1186/s40337-026-01746-z","DOIUrl":"10.1186/s40337-026-01746-z","url":null,"abstract":"<p><p>This correspondence responds to Donkin et al. [1], which examined the psychological burden of caregiving for individuals with eating disorders (EDs) in New Zealand (NZ). While the study makes an important contribution by providing much-needed NZ-specific evidence on caregiver distress, we highlight two considerations that may affect the interpretation and presentation of the findings. First, the normative reference group used to benchmark caregiver wellbeing on the DASS-21 differs from the caregiver sample in both time period and demographic composition, limiting the comparability of the normative analysis. Second, we argue that the study's sole figure gives visual prominence to descriptive findings while the primary inferential results are presented only in text and tables. We also note that reporting the underlying sample size would improve the interpretability of the figure. These refinements would strengthen the clarity and evidential presentation of an important contribution to the eating disorder caregiving literature.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":"14 1","pages":""},"PeriodicalIF":5.7,"publicationDate":"2026-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13625487/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149082449","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pica, avoidant restrictive food intake disorder and rumination disorder in children and adolescents with autism spectrum disorder: A systematic review.","authors":"Gunhild Hodt, Gro Janne Henningsen Wergeland, Ola Skjeldal, Jørn Isaksen, Mads Holten-Andersen, Vesna Bryn, Maj-Britt Posserud","doi":"10.1186/s40337-026-01772-x","DOIUrl":"10.1186/s40337-026-01772-x","url":null,"abstract":"<p><strong>Background: </strong>Children with autism spectrum disorder (ASD) have an increased risk of co-occurring eating disorders such as pica, avoidant restrictive food intake disorder (ARFID) and rumination disorder (RD). The aim of the current systematic review was to synthesize and appraise the existing literature of pica, ARFID and RD in children with ASD regarding occurrence, diagnostic assessment, clinical pathways, intervention and the quantity and design of the included studies.</p><p><strong>Methods: </strong>We conducted a systematic review in accordance with the PRISMA guidelines. MEDLINE, Embase, Cochrane, CINAHL and PsycINFO were searched up to January 12th, 2026. Inclusion criteria were peer reviewed studies in English, age < 18 years, sample of n ≥3 and diagnoses according to DSM-IV/DSM-5, or ICD-9/ICD-10 or the upcoming ICD-11. Eating disorders describing ARFID symptoms or ARFID phenotypes without a formal diagnosis were excluded.</p><p><strong>Results: </strong>The search strategy resulted in a total of 8,678 potentially eligible articles, of which 23 fulfilled inclusion criteria. Ten studies examined comorbid ASD and ARFID, twelve ASD and pica and one ASD and rumination disorder. The included studies indicated an increased risk of pica and ARFID in children with ASD, with potentially severe adverse outcomes appearing responsive to early detection and intervention. RD may still be underrecognized and understudied in ASD.</p><p><strong>Conclusions: </strong>This study confirms a substantial co-occurrence of ASD and eating disorders in which concerns regarding weight and body shape are not the primary drivers. However, there is a scarcity of studies, and the studies have small cohorts and lack standardized diagnostic assessment and treatment. Early detection of these eating disorders may improve clinical outcome.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":"14 1","pages":""},"PeriodicalIF":5.7,"publicationDate":"2026-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13617875/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149076344","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Fasting gut hormone levels following long-term recovery from Anorexia Nervosa: A cross-sectional study.","authors":"Theresa Kolb, Friederike Ingrid Tam, Claudia Förster Ribet, Michaela Ohme, Lina Carlotta Schlolaut, Joseph Adam King, Veit Roessner, Suzanne Lee Dickson, Carmine Maria Pariante, Alessandra Borsini, Nikolaos Perakakis, Stefan Ehrlich","doi":"10.1186/s40337-026-01763-y","DOIUrl":"10.1186/s40337-026-01763-y","url":null,"abstract":"<p><strong>Background: </strong>Glucagon-like peptide-1 (GLP-1), gastric inhibitory peptide (GIP), glucagon, and glicentin are gastrointestinal hormones derived from proglucagon that play crucial roles in regulating appetite and glucose homeostasis. These hormones have been examined during the acute state of anorexia nervosa (AN), with our previous study showing elevated GIP levels in the acute state which normalized following short-term weight restoration. GLP-1 and glicentin concentrations remain unchanged in the acute state, but decrease after short-term weight restoration. However, few studies have investigated whether these alterations are more than mere consequences of the severe underweight, whether they persist after long-term recovery, and whether they could therefore be considered potential trait markers.</p><p><strong>Methods: </strong>In the current study, we assessed fasting serum concentrations of GLP-1, GIP, glucagon, and glicentin in 80 female individuals who had long-term recovered from AN and 100 healthy female controls. For group comparisons, a subset of 70 controls was pairwise age-matched to the recovered patients. Participants were further stratified by oral contraceptive (OC) use.</p><p><strong>Results: </strong>No significant differences in hormone concentrations, confirmed by Bayesian statistics, were observed between controls and recovered patients, regardless of OC use, except for glucagon levels.</p><p><strong>Conclusion: </strong>These findings suggest that alterations in gut-secreted hormones associated with glucose homeostasis during the acute, malnourished phase of AN reflect state-dependent changes that do not persist after recovery. OC use in former patients with AN does not affect the concentration of these hormones during recovery.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":"14 1","pages":""},"PeriodicalIF":5.7,"publicationDate":"2026-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13563803/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148931764","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Avoidant/Restrictive food intake disorder in adults within the community: A mixed-method study on individual impairment and progression.","authors":"Josefa Ilg, Anne-Katrin Merz, Lena Kramer, Alexander Nettlau, Anja Hilbert, Ricarda Schmidt","doi":"10.1186/s40337-026-01765-w","DOIUrl":"10.1186/s40337-026-01765-w","url":null,"abstract":"<p><strong>Background: </strong>While avoidant/restrictive food intake disorder (ARFID) occurs across the lifespan, most previous research focused on children and adolescents. Particularly, individual impairment and progression patterns in adults remain largely unknown. Therefore, this study aimed to explore individual impairment and to identify progression patterns and associated psychological and sociodemographic characteristics in adults with ARFID.</p><p><strong>Methods: </strong>Data from N = 97 adults from the community with an interview-based diagnosis of ARFID were utilized. Participants took part in an online study on ARFID and answered open-ended questions on personal impairment and disorder progression, which were analyzed based on a qualitative content-thematic approach. In addition, ARFID symptoms, obsessive-compulsive personality traits, temperament, and sensory sensitivity were assessed via established questionnaires. Quantitative analyses included comparisons of progression groups in sociodemographic and clinical variables.</p><p><strong>Results: </strong>Qualitatively, seven main themes of impairment emerged: (1) health-related impairment, (2) impairment of lifestyle, (3) impairment by the eating behavior itself, (4) impairment due to responses of the social environment, (5) partnership, (6) parenthood, and (7) impairment due to experiences with practitioners. Higher education and age were more often seen in individuals with improved compared to individuals with deteriorated progression patterns, while greater fear of aversive consequences was associated with deteriorated progression.</p><p><strong>Conclusion: </strong>This is the first study to comprehensively capture the impact of ARFID based on experienced impairments and to highlight the heterogeneity of disorder progression, with educational level, age, and ARFID symptoms emerging as potentially associated factors. Longitudinal studies are needed to prospectively identify risk and protective factors on ARFID's progression and persistence.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":"14 1","pages":""},"PeriodicalIF":5.7,"publicationDate":"2026-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13563864/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148957078","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Appearance-related social media behavior and eating disorder pathology: evidence from the german social media appearance preoccupation scale in nonclinical and clinical samples.","authors":"Sebastian Brand, Isabelle Kappelt, Kai Kloberdanz, Melanie J Zimmer-Gembeck, Stefanie M Jungmann","doi":"10.1186/s40337-026-01762-z","DOIUrl":"10.1186/s40337-026-01762-z","url":null,"abstract":"<p><strong>Background: </strong>Image- and video-based social media have been linked to body dissatisfaction and eating pathology, partly through increased appearance-based social comparison and self-focused attention. The Social Media Appearance Preoccupation Scale (SMAPS) assesses three behaviors relevant in this context: Online Self-Presentation, Appearance-Related Activity, and Appearance Comparison. Higher scores on these dimensions have been linked to more intensive social media use, increased anxiety, depressive symptoms, and disordered eating. However, research has largely relied on English-speaking, non-clinical samples. The present studies therefore aimed to translate and validate a German version of the SMAPS and to compare appearance-related social media behaviors between individuals with eating disorders and healthy controls.</p><p><strong>Methods: </strong>The scale was translated in a systematic translation-back-translation procedure and then examined in two cross-sectional studies. In Study 1, N = 363 young adults completed a survey with the aim of testing the factor structure of the German SMAPS and its associations with eating disorder pathology, general psychological distress, and problematic internet use. In Study 2, multivariate analysis of variance was used to compare German SMAPS scores between n = 21 outpatients with diagnosed eating disorders and n = 37 healthy controls.</p><p><strong>Results: </strong>The three-factor structure of the German SMAPS showed acceptable model fit. All subscales exhibited good internal consistency (ω = 0.83-0.88). Of the three dimensions, Appearance Comparison was most strongly associated with eating disorder pathology and showed the most consistent associations with psychological distress and problematic internet use. It also significantly differentiated patients with eating disorders from healthy controls (p = .004, η²_p = 0.14, 90% CI [0.03, 0.29]).</p><p><strong>Conclusions: </strong>The German SMAPS is a reliable and valid tool for assessing appearance-related social media behaviors in German-speaking populations. The findings suggest that the three dimensions may differ in clinical relevance, with appearance comparison warranting particular attention in future research.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":"14 1","pages":""},"PeriodicalIF":5.7,"publicationDate":"2026-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13548597/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148907560","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Correction: \"Maze Out\": a study protocol for a randomised controlled trial using a mix methods approach exploring the potential and examining the effectiveness of a serious game in the treatment of eating disorders.","authors":"Maria Mercedes Guala, Aida Bikic, Kim Bul, David Clinton, Anna Mejldal, Helene Nygaard Nielsen","doi":"10.1186/s40337-026-01760-1","DOIUrl":"10.1186/s40337-026-01760-1","url":null,"abstract":"","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":"14 1","pages":""},"PeriodicalIF":5.7,"publicationDate":"2026-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13543508/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148888943","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Letter to the Editor regarding \"Social media use and roles of self-objectification, self-compassion and body image concerns: a systematic review\".","authors":"Dwi Prasetyo, Tia Saraswati","doi":"10.1186/s40337-026-01751-2","DOIUrl":"10.1186/s40337-026-01751-2","url":null,"abstract":"<p><p>The systematic review by Sarda et al. synthesizes relationships among social media use, self-objectification, self-compassion, and body image concerns while evaluating evidence relevant to the revised objectification theory model proposed by Wollast and colleagues. This letter extends the authors' call for more rigorous examination of social media use by arguing for greater specificity in conceptualizing digitally mediated appearance experiences. Rather than treating social media as a single exposure or relying on a broad passive/active distinction, we propose examining configurations of content, communicative practices, interpersonal feedback, social comparison, and platform-level curation as \"patterned communicative experiences.\" These experiences can be investigated through activity-specific measures, ecological momentary assessment, digital traces, content analysis, and longitudinal designs. Self-compassion should remain an intrapersonal psychological construct, while communication environments are better treated as contextual conditions that may facilitate or inhibit its activation. Integrating objectification theory, communication psychology, and social media literacy may therefore clarify when and how digital experiences contribute to body surveillance, body shame, and eating disorder risk.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":"14 1","pages":""},"PeriodicalIF":5.7,"publicationDate":"2026-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13531805/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148867513","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}