Journal of Eating Disorders最新文献

{"title":"Identifying key psychological characteristics among Chinese individuals with eating disorders: an exploratory graph and network analysis.","authors":"Liyun Zheng, Chao Chen, Darong Zhang, Xueni Li, Shuxia Geng, Qingmei Kong, Tianmei Si","doi":"10.1186/s40337-025-01348-1","DOIUrl":"https://doi.org/10.1186/s40337-025-01348-1","url":null,"abstract":"<p><strong>Background: </strong>Interventions targeting core characteristics of eating disorders (EDs) can effectively alleviate symptoms. However, it remains unclear whether these characteristics exhibit cultural specificity within the Chinese population. This study combines exploratory graph analysis (EGA) and network analysis to identify key psychological characteristics in Chinese patients with EDs.</p><p><strong>Methods: </strong>The psychological characteristics of 1,001 patients with EDs were assessed using the Eating Disorder Inventory-1 (EDI-1). Nineteen representative items were selected and categorized into different dimensions through EGA. Network analysis was then performed to identify key psychological characteristics by determining central and bridge nodes.</p><p><strong>Results: </strong>In addition to the \"ED-specific\" and \"Non-specific\" categories, an unexpected category, \"Perfectionism,\" was identified. Across these three categories, four key psychological characteristics were highlighted: \"terrified of gaining weight,\" \"guilty after overeating,\" \"worry that feelings will get out of control,\" and \"must do things perfectly.\"</p><p><strong>Conclusion: </strong>Beyond drive for thinness, perfectionism and emotional regulation difficulties may represent key psychological characteristics among Chinese individuals with EDs. These findings could help inform the development of culturally tailored treatment strategies for EDs in China.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":"13 1","pages":"149"},"PeriodicalIF":3.5,"publicationDate":"2025-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144692036","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":"\"New types of stories\": a narrative view of good nursing care of severely ill adult patients suffering an eating disorder.","authors":"Berit Støre Brinchmann","doi":"10.1186/s40337-025-01345-4","DOIUrl":"https://doi.org/10.1186/s40337-025-01345-4","url":null,"abstract":"<p><strong>Background: </strong>This study is based on narratives about good nursing care from nurses with experience of working with adult patients with a severe eating disorder. Its aim is to explore and elaborate on nurses` stories. What do nurses highlight as being good nursing practice, and what can we learn from their accounts of good nursing care for people with a serious eating disorder?</p><p><strong>Methods: </strong>Riessman's thematic narrative approach was chosen. Twelve nurses were interviewed individually and asked to reflect on stories from their nursing practice in which they had performed good nursing care. Four stories from these interviews were selected for this article. These four stories were analysed deductively, based on virtue ethics. The stories were worked on one at a time and then considered and analysed together toidentify differences and similarities.</p><p><strong>Results: </strong>The analysis shows how nurses, in addition to scientific knowledge and experience, apply virtues, professional judgement and phronetic knowledge, and take risks in the nursing of patients with a severe eating disorder.</p><p><strong>Conclusion: </strong>Stories of nurses are needed to complement the medical, psychological and diagnostic language used in the treatment of eating disorder patients and will further enrich both clinical practice and research.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":"13 1","pages":"150"},"PeriodicalIF":3.5,"publicationDate":"2025-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144692025","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":"Male body image in focus: muscularity-oriented eating behaviours, muscle dysmorphia, and exercise addiction in gay and heterosexual men.","authors":"Dalit Lev Arey, Yuli Peleg, Tomer Gutman","doi":"10.1186/s40337-025-01311-0","DOIUrl":"https://doi.org/10.1186/s40337-025-01311-0","url":null,"abstract":"<p><strong>Background: </strong>Body image concerns among men-particularly muscularity-oriented eating behaviours, muscle dysmorphia, and exercise addiction-are increasingly recognized but remain understudied in relation to sexual orientation. Existing research suggests that gay men may be more vulnerable to these issues, yet the nature of their interrelationships remains unclear.</p><p><strong>Objective: </strong>This study examined the associations among muscularity-oriented eating behaviours, muscle dysmorphia, and exercise addiction in gay and heterosexual men and tested whether sexual orientation moderated these associations.</p><p><strong>Method: </strong>A sample of 168 physically active men (104 heterosexual, 64 gay) completed validated self-report questionnaires. Analyses included independent samples t-tests, multiple regression, and moderation using the PROCESS macro.</p><p><strong>Results: </strong>Gay men reported significantly higher levels of muscularity-oriented eating behaviours (p = .006, d = 0.44), muscle dysmorphia (p < .001, d = 0.66), and exercise addiction (p = .002, d = 0.50) compared to heterosexual men. Regression analyses showed that both muscularity-oriented eating behaviours and muscle dysmorphia were significantly associated with exercise addiction, jointly accounting for 42% of the variance. Moderation analyses further revealed that sexual orientation significantly moderated these associations, with stronger links observed among gay men for both muscularity-oriented eating behaviours and muscle dysmorphia in relation to exercise addiction.</p><p><strong>Conclusions: </strong>These findings reveal important clinical implications for professionals working with male populations experiencing body image concerns. The stronger association between body image concerns and exercise behaviours in gay men highlights the need for targeted assessment strategies that consider sexual orientation as a meaningful factor in clinical presentations. Results support an integrated approach to screening and treatment that addresses these interconnected concerns simultaneously rather than as separate issues. Clinicians should incorporate muscularity-oriented assessment tools when working with men and develop interventions that specifically address the unique manifestations of body image distress in diverse male populations. Future research should explore underlying sociocultural mechanisms using longitudinal and mixed method approaches to further refine these clinical applications.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":"13 1","pages":"151"},"PeriodicalIF":3.5,"publicationDate":"2025-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144692037","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":"An evaluation of an online education module to improve clinician knowledge and management of eating disorders in the peripartum: a three-month follow-up.","authors":"Kerri Gillespie, Aleshia Ellis, Susan Roberts, Grace Branjerdporn","doi":"10.1186/s40337-025-01337-4","DOIUrl":"https://doi.org/10.1186/s40337-025-01337-4","url":null,"abstract":"<p><strong>Background: </strong>Eating disorders (ED) in the perinatal period pose significant health risks to both mother and infant. Maternity staff have reported a lack of training to support the identification, screening, and management of ED. The study aimed to evaluate the efficacy and ongoing sustainability of a co-designed, online education module to increase clinician and peer worker knowledge of EDs in the peripartum.</p><p><strong>Methods: </strong>Online surveys were conducted before and after completing the education modules, and at three-month follow-up, to determine changes in knowledge and confidence over time. The three-month survey also investigated the implementation of learning in practice.</p><p><strong>Results: </strong>Improvements in knowledge of screening, identification, monitoring, and management were significantly greater at three months than at baseline. However, scores had decreased compared to immediately post-education. Time burden was considered a major barrier to education and implementation.</p><p><strong>Conclusions: </strong>The online education module showed promise as a tool to improve long-term knowledge and confidence regarding perinatal ED for clinicians and peer workers. Revisiting the education module may be beneficial for sustaining knowledge and confidence to identify and manage peripartum ED. Further support, in terms of additional learning items or the creation of a searchable resource, may enhance translation to practice.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":"13 1","pages":"148"},"PeriodicalIF":3.5,"publicationDate":"2025-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144692026","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":"Translation and validation of the Arabic body image-acceptance and action Questionnaire-5 (BI-AAQ-5) for adults.","authors":"Simona Abou Tayeh, Rabih Hallit, Diana Malaeb, Kamel Jebreen, Fouad Sakr, Mariam Dabbous, Souheil Hallit, Feten Fekih-Romdhane, Sahar Obeid","doi":"10.1186/s40337-025-01302-1","DOIUrl":"https://doi.org/10.1186/s40337-025-01302-1","url":null,"abstract":"","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":"13 1","pages":"147"},"PeriodicalIF":3.5,"publicationDate":"2025-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144692038","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":"Lived experiences of adolescents with anorexia nervosa and their parents during olanzapine treatment: a qualitative study.","authors":"Solène Thorey, Augustin Behaghel, Jordan Sibeoni, Corinne Blanchet, Marie Rose Moro, Emilie Carretier, Maude Ludot-Grégoire","doi":"10.1186/s40337-025-01327-6","DOIUrl":"https://doi.org/10.1186/s40337-025-01327-6","url":null,"abstract":"<p><strong>Background: </strong>Olanzapine is commonly prescribed in Anorexia Nervosa, despite conflicting evidence regarding its efficacy and safety. This study aimed to complement existent quantitative by exploring the lived experiences of adolescents and parents with this treatment.</p><p><strong>Method: </strong>Ten adolescent girls and ten parents were interviewed in a single psychiatric department in Paris. Data saturation was achieved. We used semi-structured interviews enriched with narrative methods, including writing tasks and picture elicitation questions.</p><p><strong>Results: </strong>Four chronological meta-themes were identified: (1) Introduction of antipsychotic treatment with Olanzapine: rapid acceptance generating mixed feelings about the future. (2) The first few weeks of medication: Adolescents questioning alone the treatment after first intakes. (3) Taking note of the results during the initial few months of treatment. (4) Then what? Fears and doubts about the future.</p><p><strong>Conclusion: </strong>The prescription of olanzapine was often perceived as a liminal stage-a transitional moment akin to a \"rite of passage\" in the trajectory of Anorexia Nervosa. For many adolescents, it represented an opportunity to assert autonomy and gain a sense of empowerment in their relationships with both the medical team and their parents. However, implicit concerns about weight gain as a side effect often became a core issue of miscommunication. These concerns should be openly addressed throughout the treatment process. Shortening the usual duration of olanzapine therapy may offer a constructive path toward reinforcing the therapeutic alliance and avoiding non-medical discontinuation.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":"13 1","pages":"146"},"PeriodicalIF":3.5,"publicationDate":"2025-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144683368","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":"Body dissatisfaction, stigma and eating disorders: a scoping study on the role of compassion focused therapy.","authors":"Shannon Dover, Fiona Clements","doi":"10.1186/s40337-025-01292-0","DOIUrl":"https://doi.org/10.1186/s40337-025-01292-0","url":null,"abstract":"<p><p>Despite Cognitive-Behavioural Therapy (CBT) being the gold standard for treating eating disorders (ED), approximately 50% of patients do not see significant results. Increased body-related stigma in society, driven by a pursuit of thinness for peer acceptance, has led to substantial rises in body image dissatisfaction, which is closely linked with EDs like Anorexia Nervosa (AN), Bulimia Nervosa (BN), and Binge Eating Disorder (BED). This issue needs addressing in treatment as societal pressures cause individuals to internalise stigma. Compassion Focused Therapy (CFT), which emphasises a compassionate self-approach, might be a suitable alternative to CBT, focusing more on body image acceptance and potentially breaking the shame-cycle caused by stigma. This study compiled current literature on CFT's role in addressing body image dissatisfaction and stigma in ED patients. 8 studies with 637 female and 14 male participants were reviewed. Results showed that CFT-combined approaches reduced body image dissatisfaction and ED pathology, particularly in young adult females with BED. Participants noted that stigma and fear of judgement hindered ED treatment but recognised that increased self-compassion could mitigate these effects. The study highlighted the need for more diverse and broader participant samples, and standalone CFT studies, to enhance the generalisability of results and expand upon the current research pool of CFT uses for body image in eating disorders. In conclusion, CFT shows promise as an alternative method to reduce stigma and treat body image dissatisfaction in ED populations.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":"13 1","pages":"145"},"PeriodicalIF":3.5,"publicationDate":"2025-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144683367","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":"Development and implementation of a credentialing system for clinicians providing eating disorder care.","authors":"Gabriella Heruc, Kim Hurst, Sarah Trobe, Beth Shelton, Emma Spiel, Siân A McLean","doi":"10.1186/s40337-025-01310-1","DOIUrl":"10.1186/s40337-025-01310-1","url":null,"abstract":"<p><p>With eating disorder prevalence increasing in Australia and around the world, it is critical that clinicians are trained in eating disorder treatment and that people with eating disorders, their families and supports can identify suitably trained clinicians. With funding from the Australian Government, the Australia & New Zealand Academy for Eating Disorders (ANZAED) and National Eating Disorders Collaboration partnered to develop and implement a novel credentialing system to recognise dietitians and mental health professionals with a minimum level of knowledge, experience, and training in eating disorder care. This paper aims to describe the development and implementation of this credentialing system, exploring its initial uptake by clinicians. In developing the Credential, initial scoping work included extensive consultation with clinicians, peak professional bodies, and those with lived experience of an eating disorder and their families. Once the criteria for the ANZAED Eating Disorder Credential were established and a custom website built, the Credential opened for applications from clinicians on 24 November 2021. To engage with clinicians, incentive schemes were used, including a limited evidence sunset period encouraging the existing workforce to apply, and professional development programs targeting the upskilling of clinicians new to eating disorder treatment. In the first 19 months of the Credential, 1410 clinicians (including 511 dietitians and 899 mental health professionals) were awarded the Credential. Although there was a small amount of anticipated attrition during the first renewal period, 1275 clinicians remained currently credentialed at 30 June 2023. Overall, most credentialed clinicians were private practitioners, likely motivated by the need for professional recognition. To support program improvements and long-term sustainability, future research will explore the benefits, impacts, and challenges of the credentialing system as perceived by clinicians and people with an eating disorder and their families.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":"13 Suppl 1","pages":"144"},"PeriodicalIF":3.5,"publicationDate":"2025-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12272996/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144660844","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":"Restraint for nasogastric tube feeding in young people with anorexia nervosa or atypical anorexia nervosa: a retrospective audit.","authors":"Meaghan Hawley, Jenny O'Neill, Jaclyn Dorland, Stacey Richards, Sharon Kinney, Andrew Court, Cate Rayner","doi":"10.1186/s40337-025-01342-7","DOIUrl":"10.1186/s40337-025-01342-7","url":null,"abstract":"<p><strong>Background: </strong>Medically unstable young people with anorexia nervosa or atypical anorexia nervosa, are admitted to the adolescent medical ward at the reporting institution for nutritional rehabilitation. If meals are refused a nasogastric tube may be needed. At times restraint is used to ensure the required feeds are administered. This is an ethically complex and distressing dilemma for all involved and can result in long-term trauma for young people. The aim of this project was to establish a profile of young people with anorexia nervosa or atypical anorexia nervosa who require restraint for nasogastric tube insertion and/or feeding in the acute care paediatric setting and to understand the extent of restraint events occurring.</p><p><strong>Method: </strong>We undertook a retrospective audit of inpatients admitted to the adolescent medical ward at a quaternary pediatric hospital in Melbourne, Australia, between 2021 and 2023, for the treatment of anorexia nervosa or atypical anorexia nervosa. Data points were agreed by multidisciplinary stakeholders and were collected from the institution's electronic medical record. Data were analysed using descriptive statistics.</p><p><strong>Results: </strong>Of the 217 young people admitted, 23 (11%) had documented physical restraint for nasogastric tube feeding. Mental health comorbidities, neurodivergence, and social or behavioural complexity were higher in the young people who required feeding restraint as compared to those that did not. Of note, 15 (65%) of young people who were restrained for feeds had a diagnosis of autism, or a clinical note in their medical record indicating possible autism.</p><p><strong>Conclusions: </strong>Young people in our institution admitted to the adolescent medical ward with anorexia nervosa or atypical anorexia nervosa who are restrained for feeding have a more complex clinical, social and behavioural profile than those who do not require restraint. Care and treatment tailored to the individual, sensitive to neurodivergence, encourages clinicians to consider the young person they are treating to reduce or prevent restraint and to inform a restraint approach that mitigates iatrogenic harm.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":"13 1","pages":"143"},"PeriodicalIF":3.5,"publicationDate":"2025-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12269248/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144650960","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":"Losing weight, gaining confidence? actual weight does not predict body (dis)satisfaction and self-esteem in adolescents with anorexia nervosa.","authors":"Linda Lukas, Laura Nuding, Gerd Schulte-Körne, Belinda Platt, Anca Sfärlea","doi":"10.1186/s40337-025-01338-3","DOIUrl":"10.1186/s40337-025-01338-3","url":null,"abstract":"<p><strong>Background: </strong>In line with modern-day beauty ideals, many adolescent girls strive to have a slender figure. Thus, low body weight is expected to be related to greater body satisfaction and self-esteem in adolescent girls. However, for adolescents with anorexia nervosa (AN) this is often not the case: despite being underweight, they exhibit high levels of body dissatisfaction and low self-esteem. Negative cognitive biases for information related to one's body might explain this disconnection between body weight and body (dis)satisfaction/self-esteem in adolescents with AN. The present study explores the association between actual weight, negative cognitive biases, and body dissatisfaction/self-esteem in both adolescents with AN and adolescents without mental disorder (healthy controls; HCs).</p><p><strong>Methods: </strong>Weight was assessed as Body Mass Index Standard Deviation Score, interpretation bias for body-related information was assessed with an experimental paradigm (Scrambled Sentences Task), body dissatisfaction was measured using the Body Shape Questionnaire, and self-esteem was measured using the Rosenberg Self-Esteem Scale in n = 40 12-18-year-old adolescent girls with AN and n = 40 HCs. Hierarchical regression analyses were calculated to investigate whether weight and/or interpretation biases predicted body dissatisfaction and self-esteem.</p><p><strong>Results: </strong>In adolescents with AN, negative body-related interpretation bias was a significant positive predictor of body dissatisfaction and negative predictor of self-esteem while body weight did not predict any of the outcome measures. In HCs, both weight and negative interpretation bias were significant positive predictors of body dissatisfaction and significant negative predictors of self-esteem.</p><p><strong>Conclusion: </strong>The results show a disconnection between body weight and body (dis)satisfaction/self-esteem in adolescents with AN and highlight the association between negative cognitive biases for body-related information and body (dis)satisfaction/self-esteem. The negatively biased processing of information related to one's body could confirm the perception of the body as flawed and not thin enough and hinder adolescents with AN to perceive their bodies' thinness, even in the state of severe underweight. The results underline the need to target negatively biased cognitions about the body in AN treatment.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":"13 1","pages":"141"},"PeriodicalIF":3.5,"publicationDate":"2025-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12265378/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144650959","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}