Journal of Eating Disorders最新文献

{"title":"Comparative analysis of bariatric surgery outcomes and preoperative body composition in individuals with obesity with and without binge-eating disorder: a retrospective study.","authors":"Xinping Wang, Dafang Zhan, Jie Zhang, Han Wang, Xiaoqin Pei, Miao Chen, Yuanchuan Zhang","doi":"10.1186/s40337-026-01628-4","DOIUrl":"https://doi.org/10.1186/s40337-026-01628-4","url":null,"abstract":"<p><strong>Objective: </strong>To compare preoperative metabolic parameters and body composition in individuals with obesity with and without binge-eating disorder (BED), and to evaluate postoperative short-term weight-loss outcomes in these two groups in the absence of structured preoperative cognitive-behavioral therapy (CBT).</p><p><strong>Methods: </strong>This retrospective analysis included 302 participants with obesity from the Western China Bariatric Surgery Cohort. Participants were classified into the BED group and the group without BED based on the Binge Eating Scale (BES) questionnaire and Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) diagnostic criteria. Basal metabolic parameters were assessed via an InBody 770 body composition analyzer, and rigorous follow-up tracking of postoperative weight variations was performed.</p><p><strong>Results: </strong>A total of 302 individuals with obesity were included, with 151 participants in the BED group and 151 in the group without BED. The proportion of females was significantly higher in the BED group than in the group without BED (p = 0.023). After adjustment for sex, there were no significant between-group differences in preoperative glucose, triglyceride, or total cholesterol levels. Sex hormone levels were comparable between groups in both males and females. Analysis of body composition showed no group differences in overall body weight, BMI, visceral fat area, or basal metabolic rate; however, females with BED exhibited greater leg fat mass (p = 0.037), while a trend toward a larger thigh circumference was observed among males (p = 0.050). In the linear mixed-effects model adjusted for sex and baseline weight, neither the main effect of group nor the group × time interaction was statistically significant, indicating comparable postoperative weight trajectories between the BED and NBED groups from baseline to 2 years after surgery.</p><p><strong>Conclusion: </strong>Individuals with obesity with and without BED showed largely comparable body-composition and metabolic characteristics. Bariatric surgery was associated with similar short-term weight-loss outcomes in individuals with obesity with and without BED, even in the absence of structured preoperative cognitive-behavioral therapy. These findings suggest that bariatric surgery may be an effective short-term weight-loss intervention for individuals with obesity and binge-eating disorder.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":" ","pages":""},"PeriodicalIF":4.5,"publicationDate":"2026-05-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147857444","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":"Patterns of disordered eating behavior, adaptive and maladaptive perfectionism and impulsivity in early adolescents.","authors":"Kärol Soidla, Kirsti Akkermann","doi":"10.1186/s40337-026-01630-w","DOIUrl":"https://doi.org/10.1186/s40337-026-01630-w","url":null,"abstract":"<p><p>In this study, latent profile analysis (LPA) was used to identify naturally occurring patterns or profiles of maladaptive and adaptive perfectionism, impulsivity, and disordered eating (DE) in early adolescence (111 boys, 138 girls; M age = 13.6 years). Profile membership at age 13 was used to examine disordered eating patterns assessed at ages 11 and 12, providing insights into how symptoms had developed prior to profile formation. Using LPA, we identified five profiles: (1) high functioning (2), maladaptively impulsive (3), anxious-avoidant (4), maladaptively perfectionistic, and (5) maladaptively impulsive-perfectionistic. The maladaptively perfectionistic profile showed the highest levels of dieting, preoccupation with food, and body concerns as well as perceived sociocultural pressure to be thin, followed by the maladaptively impulsive-perfectionistic profile. Analyses of earlier DE patterns indicated that the anxious-avoidant profile consistently showed the lowest BMI and highest perceived pressure to eat, both at age 13 and at earlier assessment points, suggesting possible feeding-related difficulties. The findings confirm that maladaptive and adaptive perfectionism, impulsivity, and BMI are jointly associated with the development of DE in early adolescence, demonstrating that considering these traits together yields greater explanatory value than focusing on any single factor alone. While identifying general risk factors is essential, differentiating personality-based profiles of vulnerable adolescents may be particularly valuable for targeted early prevention.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":" ","pages":""},"PeriodicalIF":4.5,"publicationDate":"2026-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147857475","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":"Validation of the German Child Eating Behaviour Questionnaire (CEBQ) in children and adolescents with eating disorders and ADHD.","authors":"Julia Ulbrich, Anja Hilbert, Simone Munsch, Ricarda Schmidt","doi":"10.1186/s40337-026-01589-8","DOIUrl":"https://doi.org/10.1186/s40337-026-01589-8","url":null,"abstract":"<p><strong>Background: </strong>The Child Eating Behaviour Questionnaire (CEBQ) is an internationally applied, parent-report questionnaire on children's eating behaviors, but has mainly been validated in population-based samples or children with obesity. This study presents a first comprehensive validation of the German version of the CEBQ in a treatment-seeking and community-based sample including anorexia nervosa (AN), avoidant-restrictive food intake disorder (ARFID), loss of control (LOC) eating, attention-deficit/hyperactivity disorder (ADHD), and a healthy control group.</p><p><strong>Methods: </strong>The German version of the CEBQ was completed by 226 parents of children and adolescents (9 months to 17 years) in Germany and Switzerland. Factorial, convergent, and discriminant validity, internal consistency, as well as sociodemographic correlates were assessed, using objectively measured anthropometrics and well-established clinical interviews and questionnaires on eating disorders and associated psychopathology in parent- and self-report.</p><p><strong>Results: </strong>The original 8-factor structure showed acceptable model fit and acceptable to excellent internal consistency. Convergent validity was mostly supported by weight status and interview- and questionnaire-measured eating behaviors. The CEBQ subscales differentiated between groups associated with overeating (ADHD, LOC eating) versus restrictive eating (ARFID and AN).</p><p><strong>Conclusion: </strong>The results support the German version of the CEBQ as a valid and reliable tool for assessing eating behavior in youth with eating disorders and ADHD. Future research using larger and age-specific samples should examine psychometric comparability across developmental stages and may provide norms for the CEBQ to enhance its utility as a screening tool.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":"14 1","pages":""},"PeriodicalIF":4.5,"publicationDate":"2026-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147857484","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":"Parenteral dextrose during refeeding is associated with electrolyte deficiencies in anorexia nervosa: a route-specific analysis of oral and parenteral nutrition.","authors":"Michitaka Funayama, Akihiro Koreki, Yu Mimura, Taketo Takata, Tatsuhiko Yagihashi, Satoyuki Ogino, Shin Kurose, Yusuke Shimizu, Shun Kudo, Akira Nishi, Genki Koyama, Riku Yonezawa, Koki Hosoya","doi":"10.1186/s40337-026-01627-5","DOIUrl":"https://doi.org/10.1186/s40337-026-01627-5","url":null,"abstract":"<p><strong>Background: </strong>Although oral feeding is generally preferred over parenteral nutrition during refeeding in patients with anorexia nervosa, parenteral nutrition often plays a critical role in ensuring adequate nutritional support during early refeeding and preventing underfeeding syndrome. However, few studies have examined route-specific effects on refeeding-related electrolyte deficiencies while accounting for the actual caloric intake delivered via each route.</p><p><strong>Methods: </strong>We retrospectively examined 208 admissions from 98 patients with anorexia nervosa who were hospitalized in the psychiatric ward of Ashikaga Red Cross Hospital between January 2000 and June 2025. The mean age was 35.3 ± 11.1 years, and the mean body mass index (BMI) at admission was 12.2 ± 2.2 kg/m². In 139 of the 208 admissions (66.8%), nutrition was administered via both oral and parenteral routes. Outcome variables included serum electrolyte levels (phosphorus, potassium, magnesium, and calcium) at admission, at the in-hospital nadir, and the percent decrease from admission to nadir. Explanatory variables included caloric intake via the oral route (with a regular diet and enteral formulas analyzed separately) and the parenteral route (with dextrose and non-dextrose nutrients [amino acids and lipids] analyzed separately), electrolyte provision per calorie, BMI, and admission laboratory data. Multivariable mixed-effects regression analyses were performed.</p><p><strong>Results: </strong>Caloric intake from a regular diet, enteral formulas, and parenteral non-dextrose administration was not associated with nadir electrolyte levels or with percent decreases from admission. In contrast, higher parenteral dextrose caloric intake was significantly associated with lower nadir magnesium levels (p < 0.001) and with greater percent decreases in magnesium and calcium (p < 0.001, < 0.05, respectively). Importantly, electrolyte provision per calorie via the parenteral route was not lower than that via the oral route after accounting for reported gastrointestinal absorption rates and carbohydrate proportions in each route.</p><p><strong>Discussion: </strong>These findings indicate that higher parenteral dextrose administration during refeeding is associated with electrolyte decreases. This likely reflects route-specific differences in glucose handling: parenteral nutrition delivers glucose directly and rapidly into the systemic circulation, bypassing hepatic first-pass uptake that normally buffers systemic glucose and insulin exposure during oral intake. Our findings underscore the need for heightened vigilance for electrolyte deficiencies, particularly when administering parenteral dextrose.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":" ","pages":""},"PeriodicalIF":4.5,"publicationDate":"2026-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147844834","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":"\"It's been a very, very long and emotional journey, and the impact is huge\": a reflexive thematic analysis exploring the experiences of parents of children and young people with ARFID.","authors":"Laura Bourne, William Mandy, Rachel Bryant-Waugh","doi":"10.1186/s40337-026-01588-9","DOIUrl":"https://doi.org/10.1186/s40337-026-01588-9","url":null,"abstract":"<p><strong>Background: </strong>Avoidant Restrictive Food Intake Disorder (ARFID) is a relatively newly classified eating disorder which can significantly impact physical health and psychosocial function. This qualitative study aimed to explore the lived experience of ARFID caregivers in order to develop understanding of the condition and how it should be supported.</p><p><strong>Methods: </strong>Semi-structured interviews were conducted with the parents of sixteen children and young people with ARFID, who were recruited from an outpatient eating disorder service in the UK. Interview transcripts were analysed using Reflexive Thematic Analysis.</p><p><strong>Results: </strong>Qualitative analyses revealed four key themes: (1) From fussy eating to something more: The development of ARFID, (2) A fragile process: Factors that worsen and maintain ARFID (3), Developing a toolkit: Learning what helps, and (4) The weight of ARFID: The burden on the whole family. A conceptual model of ARFID development and maintenance is proposed, illustrating the relationships and interactions between the themes captured in the analysis.</p><p><strong>Conclusions: </strong>This study provides insight into the nature and course of ARFID, highlights the widespread impact on the individual and their family, and illustrates the critical role that parents play in managing this eating disorder.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":" ","pages":""},"PeriodicalIF":4.5,"publicationDate":"2026-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147844831","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":"Disordered eating predicts mindful eating regardless of sex and disability status: a cross-sectional study.","authors":"Elif İrem Özlevent, Asli Devrim-Lanpir","doi":"10.1186/s40337-026-01569-y","DOIUrl":"https://doi.org/10.1186/s40337-026-01569-y","url":null,"abstract":"<p><strong>Background: </strong>Disordered eating and mindful eating are under-studied among athletes with disabilities; clarifying their interplay could inform potential prevention strategies. This study examined the relationship between disordered eating and mindful eating in athletes across different sexes and ability statuses, addressing the limited research in disabled populations.</p><p><strong>Methods: </strong>In this cross-sectional study, 140 Turkish athletes (70 with physical disabilities; 70 without) completed the Eating Disorder Examination-Questionnaire and the 30-item Mindful Eating Questionnaire. Group differences, Pearson correlations and multiple linear regression were calculated.</p><p><strong>Results: </strong>Global disordered-eating and mindful-eating scores did not differ by disability status or sex. Athletes with disabilities reported lower Emotional Eating (17.6 ± 4.7 vs. 19.4 ± 4.5; p = 0.023) and, among men, higher Mindfulness sub scores (16.0 ± 2.6 vs. 14.6 ± 2.7; p = 0.006). Mindful eating correlated inversely with disordered eating in both groups (with disabilities: r = -0.49, p < 0.001; without: r = -0.32, p = 0.014) and was strongest in women with disabilities (r = -0.76, p < 0.001). Disordered eating emerged as a significant predictor of lower mindful eating (β = -4.66, p < 0.001), explaining 1% of its variance after controlling for age, sex, body-mass index and disability status.</p><p><strong>Conclusions: </strong>Mindful eating is inversely associated with disordered eating across athletes, with the relationship particularly pronounced in women with disabilities. Interventions that cultivate mindful eating could be relevant for managing disordered eating in para-sport.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":" ","pages":""},"PeriodicalIF":4.5,"publicationDate":"2026-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147844766","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":"Changes in mindful eating and eating behaviors among female university students taking nutrition courses.","authors":"Sine Yilmaz, Pınar Göbel, Zeynep Bengisu Ejder, Şule Kocabaş, Büşra Açikalin Göktürk, Başak Can, Selen Müftüoğlu, Nevin Şanlier","doi":"10.1186/s40337-026-01624-8","DOIUrl":"https://doi.org/10.1186/s40337-026-01624-8","url":null,"abstract":"<p><strong>Background: </strong>This research aimed to investigate the impact of a structured nutrition education program on the dietary behaviours and mindful eating practices of university students. Given that the university phase is critical for developing healthy lifestyle choices, such initiatives show an important opportunity for public health improvement.</p><p><strong>Methods: </strong>A comparative quasi-experimental design was utilized, featuring both experimental and control groups exclusively comprising female students. The experimental group participated in a 14-week structured nutrition education program that integrated interdisciplinary content. The curriculum covered fundamental nutrition concepts, nutritional needs throughout different life stages, physical activity, food science, and principles of healthy eating behaviors. Each session reinforced behavioral awareness through discussions of relevant scientific literature. Pre- and post-intervention assessments were conducted.</p><p><strong>Results: </strong>At the conclusion of the program, the total score on the Dutch Eating Behavior Questionnaire (DEBQ) within the experimental group declined from 2.85 to 2.44; specifically, scores for external eating fell from 2.81 to 2.29, and emotional eating scores decreased from 3.18 to 2.59-each showing statistically significant reductions (p < 0.001). Conversely, the Mindful Eating Questionnaire (MEQ) score improved from 2.75±0.40 to 3.80±0.39 (p < 0.001). In contrast, no notable changes were recorded in either DEBQ or MEQ scores among participants in the control group (p > 0.05).</p><p><strong>Conclusions: </strong>A structured 14-week nutrition education program was associated with improved mindful eating and lower emotional, external, and restrained eating scores among female university students These findings underscore the positive transformations stemming from increased cognitive awareness, particularly regarding external and emotional eating tendencies. Nutrition interventions at universities appear to be an effective strategy for promoting both individual well-being and community health. Furthermore, these results highlight that effective nutrition education empowers individuals to integrate their knowledge into everyday practices. Therefore, it is essential to implement evidence-based methods and resources for nutrition education across all age groups and backgrounds.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":" ","pages":""},"PeriodicalIF":4.5,"publicationDate":"2026-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147844792","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 impact of the Schmetterling NBI Program on selective eating behavior: evaluation of creative therapeutic interventions across three families of children with autism spectrum disorder.","authors":"Sofya A H Bajaa, Basel Allozy, Martin Hautzinger, Ben Godde, Thomas Lang, Ahmed A Karim","doi":"10.1186/s40337-026-01597-8","DOIUrl":"https://doi.org/10.1186/s40337-026-01597-8","url":null,"abstract":"<p><p>Children with autism spectrum disorder (ASD) frequently exhibit selective eating behaviors characterized by food refusal and limited dietary variety, which can lead to nutritional deficiencies and impaired family functioning. This study evaluated the effectiveness of the Schmetterling Nutritional Behavior Intervention (NBI) Program, a creative behavioral intervention integrating established behavioral strategies with innovative components, including imitation chaining, shaping, and therapist-guided exoskeleton modeling. Three children (YW, RA, and JK) diagnosed with autism spectrum disorder (ASD) participated in a single-case experimental design. The study employed the Childhood Autism Rating Scale, 2nd Edition (CARS-2) assessing autism symptom severity, while the Child Eating Behavior Questionnaire (CEBQ) measured changes in eating behavior. Substantial increases in food acceptance were observed across all participants, with the highest improvements in food responsiveness, enjoyment of food, and food fussiness. Tau-U analysis revealed large and significant intervention effects for both therapist-implemented and parent-implemented sessions. Although CARS-2 scores remained within the 'severe' classification range, notable percentage reductions suggested clinically relevant improvements in core autism symptoms. These findings support the Schmetterling NBI Program as an individualized, evidence-based approach to enhancing dietary diversity and reducing maladaptive feeding behaviors in children with ASD.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":" ","pages":""},"PeriodicalIF":4.5,"publicationDate":"2026-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147822591","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":"Cross-cultural adaptation and psychometric evaluation of the Spanish BEDS-7 in a high-symptom Chilean sample: evidence for a two-factor model.","authors":"Neli Escandón-Nagel, Mauro P Olivera, Carlos Baeza-Henríquez, Lea Vallejos-Barrera, Eva Trujillo-ChiVacuan","doi":"10.1186/s40337-026-01623-9","DOIUrl":"https://doi.org/10.1186/s40337-026-01623-9","url":null,"abstract":"<p><strong>Background: </strong>Binge Eating Disorder (BED) is prevalent among adults with overweight/obesity, yet its detection remains limited by the scarcity of validated tools for Spanish-speaking populations. This study aimed to culturally adapt and evaluate the psychometric properties of the Binge Eating Disorder Screener-7 (BEDS-7) in Chilean adults with overweight/obesity and recurrent binge-eating episodes.</p><p><strong>Methods: </strong>The BEDS-7 was translated, back-translated, reviewed by expert judges, and pilot tested to ensure linguistic and cultural adequacy. Content validity evaluation also led to the exploratory addition of two DSM-5-based items. In total, 1,497 adults were recruited; after applying eligibility criteria, 435 were retained. Participants completed the Spanish BEDS-7 and online measures. Content validity was evaluated through expert judgment, structural validity using confirmatory factor analysis and exploratory structural equation modeling, internal consistency using omega coefficients, measurement invariance using multigroup analyses across gender, BMI, and physical activity, and concurrent validity through associations with negative affect.</p><p><strong>Results: </strong>Content validity analyses indicated adequate clarity, coherence, and relevance, although lower sufficiency supported the exploratory inclusion of two additional items. For the BEDS-7, a two-factor structure showed excellent fit (CFI = 0.995; TLI = 0.998; RMSEA = 0.014) and acceptable internal consistency (ω = 0.706), with factors labeled \"loss of control\" and \"emotional distress.\" Measurement invariance was supported across gender, BMI, and physical activity groups, and negative affect was positively associated with both factors.</p><p><strong>Conclusions: </strong>The Spanish BEDS-7 demonstrated adequate psychometric properties for assessing binge-eating symptomatology in Chilean adults with overweight/obesity and recurrent binge-eating. This study provides novel evidence from Latin America and contributes to cross-cultural comparability. Future research should assess diagnostic accuracy and temporal stability.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":" ","pages":""},"PeriodicalIF":4.5,"publicationDate":"2026-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147822482","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":"\"I can lose sight of my own well-being because I'm just so focused on them\": a qualitative investigation of eating disorder clinicians' experiences in England.","authors":"Kat Novogrudsky, Caroline Le Luel, Janet Treasure, Ulrike Schmidt","doi":"10.1186/s40337-026-01615-9","DOIUrl":"https://doi.org/10.1186/s40337-026-01615-9","url":null,"abstract":"<p><strong>Background: </strong>Work in eating disorder (ED) services presents unique challenges and rewards that may affect clinicians' work-related and personal wellbeing. However, research on ED clinician needs, views, and experiences is still sparse, despite major service changes since the COVID pandemic. This study aims to explore and conceptualise NHS ED clinicians' work-related experiences, challenges, and needs, in order to inform future clinicians wellbeing and service improvement strategies.</p><p><strong>Methods: </strong>Clinicians working in ED services (N = 19) were interviewed using a semi-structured interview guide that probed their professional experiences, work-related needs, and views. Interviews were analysed using NVivo, following guidance from Braun and Clarke (2006) for reflexive thematic analysis.</p><p><strong>Results: </strong>A holistic ecological systems framework for ED services was created, comprised of five levels of influence: intrinsic, intra-personal, departmental, systemic, and societal. These levels contain nine themes: [1] clinician motivation for working in ED services [2], complexities of ED management [3], clinician personality and emotional disposition [4], team dynamics [5], supervision, management, and organizational support [6], service-level concerns [7], macro-level systemic concerns [8], broader societal challenges in ED care, and [9] COVID-related challenges. Key concerns included the chronic nature and risk of EDs, growing service demands amid limited resources, and regulation through guidelines and commissioning targets.</p><p><strong>Conclusions: </strong>This presented framework illustrates the multifaceted array of complexities faced by ED clinicians. The interplay of personal, inter-personal, and systemic factors is explored, with clinicians' interest in and commitment to ED care at the core of the framework. These areas can be targeted to improve clinician job satisfaction and reduce burnout risk, with the goal to provide optimal patient care.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":" ","pages":""},"PeriodicalIF":4.5,"publicationDate":"2026-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147822458","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}