Journal of Eating Disorders最新文献

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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. 更正:“迷宫”:一项随机对照试验的研究方案,使用混合方法探索一种严肃游戏在治疗饮食失调方面的潜力和有效性。
IF 5.7 3区 医学
Journal of Eating Disorders Pub Date : 2026-09-03 DOI: 10.1186/s40337-026-01760-1
Maria Mercedes Guala, Aida Bikic, Kim Bul, David Clinton, Anna Mejldal, Helene Nygaard Nielsen
{"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}
引用次数: 0
Letter to the Editor regarding "Social media use and roles of self-objectification, self-compassion and body image concerns: a systematic review". 关于“社交媒体的使用和自我物化、自我同情和身体形象关注的作用:系统回顾”的致编辑信。
IF 5.7 3区 医学
Journal of Eating Disorders Pub Date : 2026-08-31 DOI: 10.1186/s40337-026-01751-2
Dwi Prasetyo, Tia Saraswati
{"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}
引用次数: 0
Improvements in sleep, weight, and eating-disorder symptoms following off-label leptin treatment in an adolescent with chronic anorexia nervosa and insomnia: a case report. 一名青少年慢性神经性厌食症和失眠症患者接受标签外瘦素治疗后睡眠、体重和饮食失调症状的改善:1例报告
IF 5.7 3区 医学
Journal of Eating Disorders Pub Date : 2026-08-27 DOI: 10.1186/s40337-026-01748-x
Alexander Dück, Hang Zhu, Judith Melinat, Monika Kruzer, Christoph Berger, Michael Kölch, Martin Reinhardt, Hannes Brehme, Annelie Zimmermann, Linda Frintrop, Olaf Reis
{"title":"Improvements in sleep, weight, and eating-disorder symptoms following off-label leptin treatment in an adolescent with chronic anorexia nervosa and insomnia: a case report.","authors":"Alexander Dück, Hang Zhu, Judith Melinat, Monika Kruzer, Christoph Berger, Michael Kölch, Martin Reinhardt, Hannes Brehme, Annelie Zimmermann, Linda Frintrop, Olaf Reis","doi":"10.1186/s40337-026-01748-x","DOIUrl":"10.1186/s40337-026-01748-x","url":null,"abstract":"<p><p>We report off-label administration of human recombinant leptin (metreleptin) over a 12-day period in a 17-year-old female adolescent with chronic anorexia nervosa (AN) and clinically significant insomnia. Two observation windows are distinguished throughout: a short-term window between day 1 (pre) and day 12 (post) of dosing, and a longer-term window between day 12 and the two-month follow-up (d + 60), capturing both changes temporally associated with leptin administration and the course of continued weight gain after the end of dosing. Over the short-term window the clinical course comprised a modest weight gain (BMI 15.4 → 16.2 kg/m²), a marked reduction in eating-disorder cognitions and compulsive exercise, attenuation of starvation-associated motor hyperactivity, and changes in objective sleep architecture (more N3 sleep, less wake after sleep onset). In this window, broader cognitive-affective and depressive symptom dimensions remained largely unchanged, and subjective insomnia did not yet improve. Over the longer-term window the course comprised continued substantial weight gain (BMI 18.3 kg/m² at d + 60), a marked drop in subjective insomnia, partial normalisation of circadian rhythm parameters in nonparametric analysis, and a transient increase in broader cognitive-affective symptoms. As a single retrospective case observation, the findings are hypothesis-generating and cannot be disentangled from concurrent weight gain and inpatient treatment.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":"14 1","pages":""},"PeriodicalIF":5.7,"publicationDate":"2026-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13520261/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148841738","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}
引用次数: 0
Maladaptive exercise: the hidden role of physical activity and sport professionals in the early detection of eating disorders. 不适应运动:体育活动和体育专业人员在饮食失调早期发现中的隐藏作用。
IF 5.7 3区 医学
Journal of Eating Disorders Pub Date : 2026-08-26 DOI: 10.1186/s40337-026-01742-3
Valerio Zaccaria, Fabiola Panvino, Roberto Paparella, Maura Ilardi, Dolores Forgione, Ignazio Ardizzone, Francesco Pisani
{"title":"Maladaptive exercise: the hidden role of physical activity and sport professionals in the early detection of eating disorders.","authors":"Valerio Zaccaria, Fabiola Panvino, Roberto Paparella, Maura Ilardi, Dolores Forgione, Ignazio Ardizzone, Francesco Pisani","doi":"10.1186/s40337-026-01742-3","DOIUrl":"10.1186/s40337-026-01742-3","url":null,"abstract":"<p><p>Eating disorders (EDs) are a significant public health concern, particularly among adolescents and young adults. While physical activity (PA) is generally health-promoting, maladaptive exercise, characterized by compulsive and excessive activity linked to weight control, is often a core feature of ED pathology. Despite the high prevalence of these conditions, early identification remains a critical challenge, as most cases are detected only after severe organic or psychiatric complications. PA and sport professionals, such as personal trainers and coaches, are uniquely positioned to observe early warning signs due to their frequent direct contact with at-risk individuals. This Comment, developed within the European ERASMUS+ Sport project \"My Fit Friend\", proposes a practical framework for equipping PA and sport professionals with tools for early detection in youths aged 11-18 years, including a structured observational diary and simulation-based training using avatar interactions. These tools allow those professionals to act as \"informed sentinels\", identifying fractures in global functioning and facilitating timely referrals while maintaining clear professional boundaries. We argued that integrating standardized educational interventions and observational tools into European sport policy is pivotal to bridge the gap between the gym floor and clinical intervention, transforming recreational settings into protective environments for youth mental health.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":"14 1","pages":""},"PeriodicalIF":5.7,"publicationDate":"2026-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13520179/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148833928","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}
引用次数: 0
Trajectories of blood parameters and body weight during inpatient treatment of anorexia nervosa with extreme underweight. 极度体重不足神经性厌食症住院治疗期间血液参数和体重的变化轨迹。
IF 5.7 3区 医学
Journal of Eating Disorders Pub Date : 2026-08-12 DOI: 10.1186/s40337-026-01734-3
Eva P Wuttke, Adrian Meule, Ulrich Cuntz, Ulrich Voderholzer
{"title":"Trajectories of blood parameters and body weight during inpatient treatment of anorexia nervosa with extreme underweight.","authors":"Eva P Wuttke, Adrian Meule, Ulrich Cuntz, Ulrich Voderholzer","doi":"10.1186/s40337-026-01734-3","DOIUrl":"10.1186/s40337-026-01734-3","url":null,"abstract":"<p><strong>Background: </strong>Laboratory parameters and body weight are objective markers of physical stability in patients with severe and extreme anorexia nervosa. However, systematic analyses of trajectories during inpatient treatment with high-calorie refeeding and prophylactic phosphate supplementation remain limited in extremely underweight persons. Therefore, it is essential to gain a comprehensive understanding of changes in laboratory parameters, body mass index, and factors influencing these trajectories under this treatment approach in patients with severe and extreme anorexia nervosa, who are at particularly high risk of medical complications.</p><p><strong>Methods: </strong>Retrospective data of a six-week treatment period from 519 female inpatients of a specialized care unit with anorexia nervosa (body mass index at admission: M = 12.6 kg/m<sup>2</sup>, SD = 1.35) were analyzed. Laboratory parameters (hemoglobin, thrombocytes, leukocytes, aspartate aminotransferase, alanine aminotransferase, creatine kinase, sodium, potassium, and phosphate) and body weight were assessed weekly.</p><p><strong>Results: </strong>More than one-third of patients showed leukopenia or hypertransaminasemia at admission. Most laboratory values and body mass index tended to ameliorate during the six-week treatment period. Lower body mass index at admission or longer illness duration was associated with larger changes in body mass index and several laboratory parameters (e.g., hemoglobin or aspartate aminotransferase).</p><p><strong>Conclusions: </strong>These findings provide a detailed characterization of laboratory changes during inpatient refeeding with prophylactic phosphate supplementation. The observed temporal patterns of laboratory stabilization may help inform individualized monitoring strategies and provide a basis for evaluating whether the frequency of routine laboratory testing can be tailored over a longer course of treatment according to clinical status and resolution of previous abnormalities. Furthermore, these findings may support the effectiveness and safety of inpatient refeeding protocols with prophylactic phosphate supplementation in patients with severe and extreme anorexia nervosa and an extremely low body mass index at admission (< 13 kg/m<sup>2</sup>).</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":"14 1","pages":""},"PeriodicalIF":5.7,"publicationDate":"2026-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13471363/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148726858","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}
引用次数: 0
Effectiveness without safety: a response to Duggan, Hardy, and Waller (2026). 没有安全性的有效性:对Duggan, Hardy, and Waller(2026)的回应。
IF 5.7 3区 医学
Journal of Eating Disorders Pub Date : 2026-08-06 DOI: 10.1186/s40337-026-01732-5
Laurence Cobbaert
{"title":"Effectiveness without safety: a response to Duggan, Hardy, and Waller (2026).","authors":"Laurence Cobbaert","doi":"10.1186/s40337-026-01732-5","DOIUrl":"10.1186/s40337-026-01732-5","url":null,"abstract":"<p><p>This commentary responds to Duggan, Hardy, and Waller's systematic review and meta-analysis of cognitive-behavioural therapy (CBT) for outpatients with anorexia nervosa (AN). Although the review synthesises evidence of clinical benefit, it does not define, extract, or discuss iatrogenic harm or reasons for dropout. This omission limits what can be inferred from the review's conclusions. Effectiveness and safety are distinct evidentiary domains: improvement in weight or eating disorder (ED) symptoms does not demonstrate absence of iatrogenic harm, especially when clinical trials have not systematically defined, monitored, or reported treatment-related risks. Evidence-based care requires not only evidence of effectiveness, but also evidence about safety. This commentary argues that evidence syntheses may produce an unduly favourable account of treatment impact when they quantify and emphasise benefit without equivalent attention to iatrogenesis, weakening informed consent and obscuring patient-reported experiences that may not be captured by symptom or weight outcomes alone. The paper considers methodological, clinical, ethical, epistemic, and intersectional implications of this asymmetry. It recommends that future ED clinical trials and systematic reviews evaluate benefit and harm together, undertake balanced assessments of benefits versus risks, use clearer harm definitions and patient-reported measures, report reasons for dropout, assess longer-term outcomes, and involve lived experience contributors substantively in study design, interpretation, and translation.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":"14 1","pages":""},"PeriodicalIF":5.7,"publicationDate":"2026-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13445850/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148686237","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}
引用次数: 0
A descriptive study of patients' and families' experience of multifamily therapy for eating disorders in young adults. 一项关于年轻人饮食失调多家庭治疗的患者和家庭经验的描述性研究。
IF 5.7 3区 医学
Journal of Eating Disorders Pub Date : 2026-08-06 DOI: 10.1186/s40337-026-01730-7
Berit Støre Brinchmann, Anne Kristine Sørstrøm, Lisa Marie Jacobsen, Gro Anita Ytterstad, Laurent Olivier Trichet
{"title":"A descriptive study of patients' and families' experience of multifamily therapy for eating disorders in young adults.","authors":"Berit Støre Brinchmann, Anne Kristine Sørstrøm, Lisa Marie Jacobsen, Gro Anita Ytterstad, Laurent Olivier Trichet","doi":"10.1186/s40337-026-01730-7","DOIUrl":"https://doi.org/10.1186/s40337-026-01730-7","url":null,"abstract":"<p><strong>Background: </strong>Eating disorders (EDs) have profound consequences not only for affected individuals but also for their families. While multifamily therapy (MFT) is well established for children and adolescents with an ED, less is known about its relevance and impact for young adults and their families. This study aimed to explore and describe experiences and outcomes of a MFT programme for young adults with a severe ED, and their family members.</p><p><strong>Methods: </strong>A descriptive multi-method design was used, combining qualitative and quantitative data collected at a regional specialist centre in Norway. Qualitative data consisted of group and individual interviews with young women with an ED, and family members who had participated in MFT between 2012 and 2022. Reflexive thematic analysis was applied. Quantitative data were collected from 47 young adult women and 99 family members before and after the MFT programme, using validated measures of ED psychopathology, mental health, quality of life, and family functioning. Descriptive and pre-post analyses were conducted.</p><p><strong>Results: </strong>Qualitative findings generated two overarching themes: \"Knowledge and tools for understanding\" and \"Understand and be understood\". Participants described MFT as providing experiential learning, shared language, and concrete metaphors that enhanced insight into the illness and improved family communication. Quantitatively, patients reported reduced body shape concern, hostility, and trait anxiety, as well as increased satisfaction with their environment. Family members reported significantly reduced perceived burden, guilt, and need for accommodation, alongside lower levels of state anxiety following MFT.</p><p><strong>Conclusions: </strong>Findings suggest that MFT may offer meaningful benefits for both young adults with an ED and their families by strengthening understanding, communication, and emotional coping. The study extends existing evidence by highlighting the relevance of MFT beyond adolescence and underscores the importance of family-oriented interventions for young adults with a severe ED.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":"14 1","pages":""},"PeriodicalIF":5.7,"publicationDate":"2026-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13487969/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148799775","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}
引用次数: 0
The impact of peer and media pressure on muscle dysmorphia for men and women in the general German population is mediated by the internalization of muscularity ideals. 同伴和媒体压力对德国普通人群中男性和女性肌肉畸形的影响是由肌肉理想的内化所介导的。
IF 5.7 3区 医学
Journal of Eating Disorders Pub Date : 2026-08-04 DOI: 10.1186/s40337-026-01718-3
Marietta Lieb, Christopher Zaiser, Nora M Laskowski, Georg Halbeisen, Georgios Paslakis
{"title":"The impact of peer and media pressure on muscle dysmorphia for men and women in the general German population is mediated by the internalization of muscularity ideals.","authors":"Marietta Lieb, Christopher Zaiser, Nora M Laskowski, Georg Halbeisen, Georgios Paslakis","doi":"10.1186/s40337-026-01718-3","DOIUrl":"10.1186/s40337-026-01718-3","url":null,"abstract":"<p><strong>Background: </strong>Muscle dysmorphia (MD) is characterized by an excessive concern of not being muscular enough. Sociocultural influences appear to play a central role in the internalization of muscular beauty ideals and the development of MD. No study has examined the potential mediating pathways from sociocultural pressure sources through internalized beauty standards to an algorithm-defined MD diagnosis in the general German population.</p><p><strong>Methods: </strong>A cross-sectional survey was conducted among adults (≥ 18 years) in Germany via the Online Platform Prolific<sup>®</sup>. Participants completed standardized questionnaires assessing sociocultural influences and internalization of different beauty standards (SATAQ-4R) and a clinically algorithm-defined MD, operationalized using criteria by Pope et al. [4], following the approach described by Mitchison et al. [14]. Data were weighted to approximate representativeness for the German population across the key demographics age and gender.</p><p><strong>Results: </strong>In the total sample, a binary logistic regression indicated that internalization of the beauty standards Thin/Low body fat, Muscularity, and General Attractiveness significantly predicted algorithm-defined MD, whereas sociocultural pressure sources such as Family, Peers, Significant Others, and Media were not significant. In linear regression models, Media pressures predicted all forms of internalization, while Peer pressure predicted only Muscularity internalization. Mediation analyses indicated that internalization, particularly internalization of ideals of Muscularity, significantly mediated the relationship between Media and Peer pressures and algorithm-defined MD. Gender-specific analyses also showed Muscularity internalization as the key mediator for both men and women. In men, internalization of General Attractiveness ideals additionally mediated the relationship between Media pressure and MD. In women, only Family had a significant effect on algorithm-defined MD, mediated via Muscularity Internalization.</p><p><strong>Discussion: </strong>Our findings highlight that internalization, particularly of the Muscularity ideal, appears to be a core mechanism linking sociocultural pressures to algorithm-defined MD. These results provide empirical evidence that interventions for MD need to focus on modifying internalized appearance ideals, especially the Muscularity ideal, to reduce MD symptoms in both men and women, with additional attention to General Attractiveness internalization in men.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":"14 1","pages":""},"PeriodicalIF":5.7,"publicationDate":"2026-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13435413/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148674354","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}
引用次数: 0
Women's eating disorder origins as responses to childhood trauma and negative social self: a qualitative study exploring lived experience perspectives. 女性饮食失调的起源是对童年创伤和消极社会自我的反应:一项探索生活经验视角的定性研究。
IF 5.7 3区 医学
Journal of Eating Disorders Pub Date : 2026-08-04 DOI: 10.1186/s40337-026-01656-0
Kelsea V Schoenbauer, Elizabeth A Suter
{"title":"Women's eating disorder origins as responses to childhood trauma and negative social self: a qualitative study exploring lived experience perspectives.","authors":"Kelsea V Schoenbauer, Elizabeth A Suter","doi":"10.1186/s40337-026-01656-0","DOIUrl":"10.1186/s40337-026-01656-0","url":null,"abstract":"<p><strong>Background: </strong>Research has identified many risk factors, ranging from individual to sociocultural believed to contribute to the development of eating disorders. However, the majority of studies are quantitative and tend to focus on anorexia nervosa exclusively, while prioritizing the voices of experts over those with lived experience's descriptions of causes. This is problematic because individuals with eating disorders have been found to hold different perceptions regarding the cause of their condition compared to individuals without an eating disorder. In this study, we address these gaps. We focus on the voices of individuals with lived experience rather than experts, take a qualitative approach to get richer, fuller accounts of individuals' experiences than may be allowed by quantitative data alone, and investigate the onset of a spectra of eating disorders rather than limit focus to one particular type. The purpose of this qualitative study is to explore the perceived origins of eating disorders from the perspective of women with lived experience.</p><p><strong>Method: </strong>We interviewed 21 women to elicit their eating disorder life story narratives. Women's eating disorder life story narratives were analyzed using reflexive thematic analysis.</p><p><strong>Results: </strong>Analysis identified two origin story themes: Eating Disorder as Response to Childhood Trauma (i.e., private threats to the self) and Eating Disorder as Response to Negative Social Self (i.e., public threats to the self). Taken together, these two origin story themes help situate women's eating disorder beginnings in their private and public contexts.</p><p><strong>Conclusions: </strong>Study results are discussed as holding both academic and practical significance. Academically, this study advances eating disorder research in five ways. First, it extends research on eating disorder causes. Second, it advances the area's feminist efforts. Third, it increases lived experience perspectives. Fourth, it accelerates the area's reflexive turn. Fifth, it addresses diverse eating disorder experiences. Practically, study results hold utility for women with eating disorders and eating disorder professionals by better contextualizing women's eating disorder beginnings and aiding in sense-making.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":"14 1","pages":""},"PeriodicalIF":5.7,"publicationDate":"2026-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13435451/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148674348","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}
引用次数: 0
Ethical issues related to restrictive practices for anorexia nervosa in young people. 与青少年神经性厌食症限制性治疗相关的伦理问题。
IF 5.7 3区 医学
Journal of Eating Disorders Pub Date : 2026-08-03 DOI: 10.1186/s40337-026-01715-6
Angela Yan, Michele Yeo, Emily Wilson, Jenny O'Neill, Lynn Gillam
{"title":"Ethical issues related to restrictive practices for anorexia nervosa in young people.","authors":"Angela Yan, Michele Yeo, Emily Wilson, Jenny O'Neill, Lynn Gillam","doi":"10.1186/s40337-026-01715-6","DOIUrl":"10.1186/s40337-026-01715-6","url":null,"abstract":"<p><strong>Background: </strong>Anorexia nervosa (AN) is an eating disorder affecting many young people. In severe AN, complications associated with profound weight loss and malnutrition can arise, and restrictive measures (e.g., manual force, devices, or medications) may be employed to ensure treatment of patients at imminent risk of harm. This narrative review explores the ethical issues in restrictive practices or coercive treatment for young people with AN.</p><p><strong>Methods: </strong>345 papers were initially retrieved from online databases Ovid Medline, PsycINFO, Embase and PubMed. 247 papers were systematically screened according to established inclusion and exclusion criteria, before being assessed for relevance. 40 papers remained after screening and were included in the review.</p><p><strong>Conclusions: </strong>Only three empirical studies were identified, with the remainder of the papers in the review being non-empirical. Significant arguments supporting restrictive or coercive practices include preservation of life; cognitive immaturity; altered capacity; alleviation of pressure or guilt regarding treatment decisions (particularly for parents or guardians); and retrospective gratitude. Pertinent counterarguments include patient distress; unjust violation of autonomy; harm to others; damage to parent-child relationships; and impacts on the therapeutic alliance. Despite there being widespread agreement on the ethical issues raised, the literature lacks guidance on how to proceed in these situations. Although restrictive or coercive treatment may be considered essential, last-resort management for young people with severe AN, the literature prompts clinicians to consider the associated harms. Future empirical research should be conducted to better understand the benefits and harms of such practices from patient, parent, and clinician perspectives.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":"14 1","pages":""},"PeriodicalIF":5.7,"publicationDate":"2026-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13505003/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148820099","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}
引用次数: 0
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