{"title":"Correction: Redefining prevention and early intervention to include longstanding and severe eating disorders.","authors":"James Leonard Downs","doi":"10.1186/s40337-025-01247-5","DOIUrl":"https://doi.org/10.1186/s40337-025-01247-5","url":null,"abstract":"","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":"13 1","pages":"61"},"PeriodicalIF":3.5,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143804587","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}
Adrian Meule, Sebastian Ertl, Kelsie T Forbush, Luka M Mindrup, Johannes C Ehrenthal, David R Kolar
{"title":"Psychometric properties of the German version of the Eating Pathology Symptoms Inventory.","authors":"Adrian Meule, Sebastian Ertl, Kelsie T Forbush, Luka M Mindrup, Johannes C Ehrenthal, David R Kolar","doi":"10.1186/s40337-025-01253-7","DOIUrl":"10.1186/s40337-025-01253-7","url":null,"abstract":"<p><strong>Background: </strong>The Eating Pathology Symptoms Inventory (EPSI) is a multidimensional self-report measure for the assessment of eating pathology and related aspects: Body Dissatisfaction, Binge Eating, Cognitive Restraint, Purging, Restricting, Excessive Exercise, Negative Attitudes Toward Obesity, and Muscle Building. The aims of the current studies were to provide a German translation of the EPSI and replicate the original EPSI's psychometric properties and correlates.</p><p><strong>Methods: </strong>In two cross-sectional surveys using convenience samples (n = 361 and n = 178), participants completed the German EPSI along with other questionnaires.</p><p><strong>Results: </strong>In both studies, the EPSI's eight-factor structure, high internal consistencies, and differential associations with other instruments assessing eating disorder-specific and general psychopathology as well as gender differences on the EPSI's scales were largely replicated.</p><p><strong>Conclusions: </strong>The German EPSI had sound psychometric properties that allow for a reliable and valid, multidimensional assessment of eating-disorder psychopathology.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":"13 1","pages":"60"},"PeriodicalIF":3.5,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143804589","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":"Investigating the impact of causal attributions on anorexia nervosa stigma.","authors":"Rebecca Forde, Helen O'Shea","doi":"10.1186/s40337-025-01192-3","DOIUrl":"10.1186/s40337-025-01192-3","url":null,"abstract":"<p><strong>Background: </strong>Stigmatisation of eating disorders can have debilitating consequences for individuals experiencing such conditions, such as reduced help-seeking and physical and mental deterioration. Dispositional attribution of blame appears to be central to this stigmatisation. Currently, it remains unclear as to whether precise aspects of blame, such as control over and responsibility for the disorder, specifically contribute to these negative dispositional attributions. So, the current study sought to explore causal attribution patterns towards individuals with AN among an adult population.</p><p><strong>Methods: </strong>One-hundred and forty-six participants (M = 36.52 years; SD = 14.45; 118 female) completed an online survey where they were initially randomly assigned to read either a blameworthy (n = 61) or unblameworthy (n = 85) vignette describing a fictional character with AN. Following this, participants completed two self-report inventories (Causal Attribution Scale and Eating Disorder Stigma Scale) measuring their causal attributions and stigma levels regarding the character. Mann-Whitney U tests were completed to evaluate attitudinal differences across groups.</p><p><strong>Results: </strong>Participants in the blameworthy condition significantly attributed more control over the illness to the AN character and held greater mean levels of stigma than participants in the unblameworthy condition. No significant differences were found between conditions for attributions of responsibility and blame. Finally, total causal attribution scores significantly predicted total stigma scores.</p><p><strong>Conclusion: </strong>The findings indicate that stigma towards those with AN may result in part from negative attitudes where individuals experiencing AN are viewed as being in control of their condition. Erroneous attribution of dispositional control can influence interpretations of the cause of AN and trigger inappropriate behavioural responses such as stigmatisation, which can have serious consequences for help-seeking in those with AN. Responsibility-based attributions demonstrated less influence on stigma levels.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":"13 1","pages":"62"},"PeriodicalIF":3.5,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143804588","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":"The compulsive eating paradigm: can psychedelics help in treating obesity?","authors":"Dhanush Ammineni, Rebecca Park","doi":"10.1186/s40337-024-01186-7","DOIUrl":"10.1186/s40337-024-01186-7","url":null,"abstract":"<p><p>Obesity is a multifactorial disorder involving a behavioural aetiology in subsets of patients that traditional therapeutic approaches have failed to address. Drawing parallels with addiction, the rewarding aspects of a chronic energy-dense diet can compromise dopaminergic reward circuits, eventually causing individuals to become habitually responsive to food-related stimuli despite adverse health consequences. The maladaptive prediction of reward and motivational salience that becomes associated with food-related stimuli can exert top-down influence on perception and attention, promoting compulsive eating behaviour. Emerging research suggests that psychedelics, e.g., psilocybin and LSD, induce non-ordinary mental states where the influence of such behaviours could potentially be reduced and modified. Based on current evidence, mechanisms have been proposed which suggest that psychedelics might relax the top-down influence of high-level predictions encoded within neuronal hierarchies and sensitise them to bottom-up information flow. Additionally, psychedelics are thought to open a window of psychological flexibility, allowing people to potentially become open to new cognitive and behavioural strategies that can be offered via assisted psychotherapy. Therefore, psychedelics-assisted psychotherapy may encourage beneficial changes to eating behaviour, in those with maladaptive eating habits. While promising in theory, new research is needed to assess the potential efficacy of psychedelics-assisted psychotherapy in treating compulsive eating behaviour.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":"13 1","pages":"59"},"PeriodicalIF":3.5,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143804590","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}
Esma Kaya Özdemir, Sarper İçen, Esra Döğer, Yasemin Taş Torun, Nihan Solmaz, M Orhun Çamurdan, Aysun Bideci
{"title":"The relationship between food addiction, eating attitudes, and psychiatric symptoms with metabolic control in adolescents with Type 1 Diabetes Mellitus.","authors":"Esma Kaya Özdemir, Sarper İçen, Esra Döğer, Yasemin Taş Torun, Nihan Solmaz, M Orhun Çamurdan, Aysun Bideci","doi":"10.1186/s40337-025-01242-w","DOIUrl":"10.1186/s40337-025-01242-w","url":null,"abstract":"<p><strong>Background: </strong>Metabolic control is of critical importance in children with Type 1 Diabetes Mellitus (T1DM) for the stabilization of blood glucose levels and long-term health outcomes. Dietary choices play an important role in glucose control and the prevention of diabetes-related complications. This study aims to investigate the relationship between food addiction, eating attitudes, and psychiatric symptoms with metabolic control in adolescents diagnosed with T1DM.</p><p><strong>Methods: </strong>Participants (N = 100) were assessed using the Yale Food Addiction Scale (Y-FAS), Eating Attitudes Test-40 (EAT-40), and Brief Symptom Inventory (BSI) to evaluate food addiction, eating attitudes, and psychiatric symptoms. Metabolic parameters of adolescents with T1DM, such as body mass index (BMI), HbA1c levels, insulin dosage, duration of diabetes, and the incidence of ketoacidosis and hypoglycemia, were recorded.</p><p><strong>Results: </strong>The study found that 15% of adolescents had food addiction criteria, and 17% were prone to disordered eating behaviors. The presence of a history of hypoglycemia was related to a higher total symptom score on YFAS and higher total scores, depression, anxiety, somatization, and hostility subscale scores on BSI (p <.05 for all). BMI was positively correlated with anxiety about gaining weight on EAT-40 and higher total scores, depression, and anxiety subscale scores on BSI (p <.05 for all). As the BMI percentile group increased from normal to overweight/obesity, more food addiction symptoms were observed, and significant increases were found in depression, anxiety, negative self-perception, and somatization subscale scores, and the BSI total score (p <.05 for all).</p><p><strong>Conclusions: </strong>Findings suggest that adolescents with T1DM may have a higher susceptibility to food addiction and eating disorders compared to the rates reported in the general population. Hypoglycemia can be a metabolic risk factor for food addiction in adolescents with T1DM. Psychological problems such as depression, anxiety, and somatization in adolescents with T1DM are associated with poor metabolic control. Further studies are needed with larger and more diverse samples.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":"13 1","pages":"58"},"PeriodicalIF":3.5,"publicationDate":"2025-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11966810/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143774481","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}
Joan Abaatyo, Simeon Opeoluwa Sodeinde, Mark Mohan Kaggwa
{"title":"Eating disorders among medical students at a private university in Uganda: a cross-sectional study.","authors":"Joan Abaatyo, Simeon Opeoluwa Sodeinde, Mark Mohan Kaggwa","doi":"10.1186/s40337-025-01234-w","DOIUrl":"10.1186/s40337-025-01234-w","url":null,"abstract":"<p><p>Eating disorders are serious conditions that affect how people think and behave around food, and their body image. This study investigated how common eating disorders are among medical students in Uganda, and the factors linked to their occurance. The findings revealed that 16.6% of medical students showed signs of possible eating disorders based on the SCOFF screening tool. Those at high risk included female sex, individuals with multiple sexual partners, and those experiencing suicidal thoughts. These results highlight the importance of raising awareness about eating disorders in academic settings, particularly in medical institutions, and underscore the need for early identification and targeted interventions. Further research is necessary to explore sociocultural influences on eating disorders in Uganda and other low-resource settings to inform culturally appropriate prevention and treatment strategies.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":"13 1","pages":"56"},"PeriodicalIF":3.5,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11956480/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143755279","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}
Felicia Reed, Maddy Lyon, Anita Raspovic, Peta Marks, Sarah Maguire, Leah Brennan, Claire J Foldi
{"title":"Research metrics of Australian eating disorders researchers.","authors":"Felicia Reed, Maddy Lyon, Anita Raspovic, Peta Marks, Sarah Maguire, Leah Brennan, Claire J Foldi","doi":"10.1186/s40337-025-01239-5","DOIUrl":"10.1186/s40337-025-01239-5","url":null,"abstract":"<p><p>Building the research capacity and capability of Australia's eating disorder (ED) research workforce has been identified as a key strategy to respond to the increasing prevalence of EDs. However, there is currently a limited understanding of the research strengths and scope of this workforce and this is a barrier to capacity building efforts and to evaluating the impacts of these efforts. This study sought to understand and summarise the current research metrics of the top 50 research experts in Australia identified through Expertscape. Publicly available publication, citation and funded research grants metrics, were extracted from Expertscape, Scopus, SciVal, Dimensions.ai and researcher profiles and summarised. The results indicate that Australian Feeding and Eating Disorder (FED) researchers are competitive internationally, and are spread across professional disciplines with the highest representation from psychology. Expertscape researcher rank was associated with higher numbers of publications in feeding and eating disorders overall, but not to total outputs, field-weighted citation impact (FWCI), or number of publications in top percentile journals. Publications were heavily focused on Anorexia Nervosa. Public grants awarded to the identified ED researchers in Australia over the past 10 years were largely National Health and Medical Research Council (NHMRC) project grant schemes, targeting innovative and creative research across any area of health and medical research. Cumulative dollars awarded over the 10-year period up to 2023 were approximately $23.9 million AUD, roughly 6 times less than that awarded to Schizophrenia research. These results summarise the current state of Australian FED research, comprised of a productive high performing research workforce limited by inadequate research funding.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":"13 1","pages":"57"},"PeriodicalIF":3.5,"publicationDate":"2025-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11956253/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143755283","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}
Sidsel Maigaard, Pernille Andreassen, Loa Clausen, Jens Meldgaard Bruun
{"title":"Development and face validity of the Danish STOB screening tool for early detection of binge eating disorder in children and adolescents.","authors":"Sidsel Maigaard, Pernille Andreassen, Loa Clausen, Jens Meldgaard Bruun","doi":"10.1186/s40337-025-01237-7","DOIUrl":"https://doi.org/10.1186/s40337-025-01237-7","url":null,"abstract":"<p><strong>Background: </strong>Binge Eating Disorder (BED) is prevalent among children and adolescents and is associated with severe psychological and somatic health complications. Early detection and intervention are therefore crucial. This study aimed to develop, pilot test, and validate the STOB screening tool (Screening Tool for the early detection Of BED), designed for use in children and adolescents aged 13-18 in primary care settings using a qualitative face validity approach. Additionally, the study explored the perceived acceptability of a supplementary dialogue tool.</p><p><strong>Methods: </strong>The development, pilot testing, and validation of the screening tool followed a two-phase qualitative process. In phase one, development and pilot-testing of the 6-item STOB tool was conducted. In phase two, the validation process incorporated a survey and semi-structured interviews, both assessing various aspects of the screening tool, including language complexity, usability, acceptability, and the presence of uncomfortable or intrusive terms. A total of 42 participants, aged 14-18 years (mean age = 16.4 years), were recruited from a community sample for the survey (23 females, 19 males). For the interviews, 10 participants (8 females, 2 males; mean age = 15.7 years) from the community sample were included, resulting in seven individual interviews and one group interview. Additionally, two female participants with BED, aged 16 and 17, were recruited for interviews only.</p><p><strong>Results: </strong>A total of 16.7% of survey respondents met the screening tool threshold for possible BED, and 4.8% of the total sample scored positive on all questions, further increasing the suspicion of BED. Both the survey and interviews indicated that the screening questions were generally well-understood. However, a few linguistic challenges were identified during interviews, prompting minor semantic adjustments to enhance clarity and accessibility. The Interviews revealed age-related differences in language perception and notable differences in content comprehension between participants with and without BED.</p><p><strong>Conclusion: </strong>The STOB screening tool demonstrates acceptable face validity and potential for implementation in primary care, particularly when accompanied by the supplementary dialogue tool. This study underscores the importance of evaluating self-report questionnaires in terms of terminology and acceptability within the target population. Further validation is recommended across broader adolescent populations.</p><p><strong>Trial registration: </strong>Not applicable.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":"13 1","pages":"55"},"PeriodicalIF":3.5,"publicationDate":"2025-03-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11951758/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143744123","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}
Richard Brown, Claire Murphy-Morgan, James Downs, Dawn Branley-Bell
{"title":"A call for strategy on eating disorders: the need for a comprehensive eating disorder strategy in England and specific guidance for the remote delivery of eating disorder services.","authors":"Richard Brown, Claire Murphy-Morgan, James Downs, Dawn Branley-Bell","doi":"10.1186/s40337-025-01224-y","DOIUrl":"10.1186/s40337-025-01224-y","url":null,"abstract":"<p><p>There are growing calls for a comprehensive, evidence-based national eating disorder (ED) strategy for England. This is due to the rising prevalence of EDs, the lack of national guidance around different ED presentations (and potentially varying treatment needs), ad hoc data collection, and inconsistencies in both care and evaluation of service provision quality. Furthermore, the shift towards remote delivery of care during the COVID-19 pandemic underscores the need for government strategy to include specific guidance on remote delivery of ED services. The increased use of remote healthcare presents an opportunity to mitigate regional disparities in the provision of care. However, there are distinct challenges when delivering ED services remotely. In this position paper, we firstly highlight the growing need for a comprehensive national ED strategy to combat the rising prevalence and harm of EDs. Secondly, we specify the importance of ensuring that future governmental strategy incorporates evidence-based guidelines specific to remote delivery of ED services. This is crucial for promoting consistent provision of ED care. We set out the lack of comprehensive national data, and the need for further research into remote service delivery.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":"13 1","pages":"54"},"PeriodicalIF":3.5,"publicationDate":"2025-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11948745/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143722079","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":"Evaluating the prevalence of eating disorder risk and low energy availability risk in collegiate athletes.","authors":"Lauren J Puscheck, Julie Kennel, Catherine Saenz","doi":"10.1186/s40337-025-01218-w","DOIUrl":"10.1186/s40337-025-01218-w","url":null,"abstract":"<p><strong>Background: </strong>Eating disorders and low energy availability independently and negatively impact eating behaviors and attitudes and overall health. Screening provides early identification of athletes suffering from these conditions, yet few studies have evaluated both simultaneously, and none have investigated eating disorder and low energy availability in the context of sex or sport type. This study determined the prevalence of eating disorder and low energy availability risk in collegiate athletes at a large National Collegiate Athletic Association (NCAA) Division 1 university and the variation of prevalence by sport, sport type, and sex.</p><p><strong>Methods: </strong>This cross-sectional study of NCAA Division 1 athletes used a self-administered survey to collect demographic data and assessed risk using the Eating Disorder Screen for Athletes, Low Energy Availability in Females Questionnaire, and Low Energy Availability in Males Questionnaire. Variations in prevalence were assessed using chi-square tests and variations in mean screening tool scores were assessed using t-tests and ANOVA. Significance was set at p < 0.05.</p><p><strong>Results: </strong>Out of 220 athletes (76 males, 144 females) across 19 sports, 38.18% were at risk for an eating disorder and 47.17% were at risk for low energy availability, while 22.73% were at risk for both conditions. Females had a higher distribution of positive screens for an eating disorder (p = 0.002) and low energy availability (p < 0.001) than males. Aesthetic sport athletes had the highest proportion of eating disorder risk (p = 0.016)-but low energy availability (p = 0.871) did not vary by sport type. Dance team athletes had the highest prevalence of eating disorder risk by sport (p < 0.001), while women's gymnasts had the highest prevalence of low energy availability risk (p < 0.001) by sport.</p><p><strong>Conclusions: </strong>A high percentage of athletes were at risk for an eating disorder and low energy availability. Screening protocols can identify eating disorders and low energy availability earlier, leading to quicker treatment and prevention of severe consequences.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":"13 1","pages":"53"},"PeriodicalIF":3.5,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11929264/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143677386","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}