Journal of Eating Disorders最新文献

{"title":"Using a measure of the DSM-5 alternative model of personality disorder traits to define personality types in people seeking eating disorder treatment: a pilot study.","authors":"Tanya Gilmartin, Caroline Gurvich, Gemma Sharp","doi":"10.1186/s40337-025-01413-9","DOIUrl":"10.1186/s40337-025-01413-9","url":null,"abstract":"<p><strong>Background: </strong>There has been increasing research focus on the relationship between eating disorders and personality types and traits separately. In this pilot study, we present a mixed methods approach to classify individuals with an eating disorder as Overcontrol (OC; anxiousand perfectionistic), Undercontrol (UC; emotionally dysregulated) or resilient (without personality pathology). We then explore the Diagnostic and Statistical Manual of Mental Disorders, fifth edition, Alternative Model of Personality Disorder trait profiles associated with OC and UC presentations.</p><p><strong>Methods: </strong>Twenty individuals (12 women, 2 men, 6 gender-diverse) seeking treatment for eating disorders were classified as OC, UC or resilient based on a structured clinical interview and clinician rating scales supplemented by self-report measures of depression, anxiety and stress. Group differences in DSM-5 alternative model personality traits and eating pathology were examined.</p><p><strong>Results: </strong>Twelve individuals were classified as OC, six as resilient, and two as UC. The OC group scored higher than the resilient group on the following DSM-5 alternative model of personality disorder traits: Anhedonia, Depressivity, Emotional Lability, Submissiveness and Separation Insecurity with large effect sizes (Cohen's d = .0.80-1.84).</p><p><strong>Conclusions: </strong>Our research suggests the importance of assessing the public and private nature of problem behaviour within clinical assessment. In addition, our results indicated potential benefit of further research focused on understanding personality types in the context of DSM-5 pathological personality traits.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":"13 1","pages":"227"},"PeriodicalIF":4.5,"publicationDate":"2025-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12532889/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145309445","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":"What does taking olanzapine mean to young people with anorexia nervosa and their families? Findings from the OPEN feasibility trial.","authors":"Rachel Rowan Olive, Vanessa Kellermann, Olena Said, Ece Sengun Filiz, Janet Treasure, Ulrike Schmidt, Jessica Bentley, Joel W T Khor, Mima Simic, Dasha Nicholls, Hubertus Himmerich, Vanessa Lawrence","doi":"10.1186/s40337-025-01401-z","DOIUrl":"10.1186/s40337-025-01401-z","url":null,"abstract":"<p><strong>Background: </strong>Olanzapine is a second-generation antipsychotic medication often prescribed for young people with Anorexia Nervosa (AN), though supporting evidence is limited. The OPEN feasibility trial of olanzapine for young people (12-24 years) with AN, explored the feasibility of a future definitive trial on olanzapine in young people. Qualitative interviews examined the acceptability of olanzapine and trial design among young people with AN and their families. Here, we explore: what does taking olanzapine mean to young people with AN and their families, specifically regarding decisions to take or decline it?</p><p><strong>Methods: </strong>Twelve young people who agreed to take olanzapine, two who declined, and four parents took part in semi-structured qualitative interviews, which were conducted and analysed by lived-experience researchers using reflexive thematic analysis. Four young people who agreed to take olanzapine also took part in follow-up interviews, totalling 23 interviews with 16 participants. Of the interviewed parents, three had a child who consented to olanzapine and one had a child who declined. Lived-experience-led analysis, influenced by the survivor research tradition, is novel as applied to this topic.</p><p><strong>Results: </strong>We constructed four themes: (1) Moving away from illness in contexts of desperation, moving towards recovery as broader life goals; (2) Parents and young people critically evaluate multiple information sources on olanzapine; (3) Consent versus coercion in olanzapine decision-making are determined by treatment history and clinical power dynamics; (4) Ambivalence around recovery can be heightened regarding medication. Across themes, young people and parents showed their decision-making to be careful and context-bound, factoring in: concerns around treatment delays; trusting or mistrustful relationships to clinicians or the broader system; peer experiences; and fears around recovery alongside goals for improved quality-of-life. Reported clinical conversations about weight gain did not always reflect olanzapine's evidence base. Important risks included unsupervised olanzapine cessation where wishes to stop were not accommodated clinically, and increased food restriction on starting olanzapine.</p><p><strong>Conclusions: </strong>Views and experiences of olanzapine are inseparable from young people's clinical and social contexts. Clinicians should consider discussing these contexts alongside medication, bearing in mind clinical encounters' complex power dynamics, and should be clear about olanzapine's association with weight gain.</p><p><strong>Trial registration: </strong>ISRCTN80075010.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":"13 1","pages":"228"},"PeriodicalIF":4.5,"publicationDate":"2025-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12533353/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145309598","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":"Unveiling night eating syndrome: how it connects to mental health, insomnia, and quality of life in university students-a cross-sectional study.","authors":"Nour Amin Elsahoryi, Mohammed O Ibrahim, Fadwa Hammouh, Omar Amin Alhaj, Sara Al-Basha","doi":"10.1186/s40337-025-01406-8","DOIUrl":"10.1186/s40337-025-01406-8","url":null,"abstract":"<p><strong>Background: </strong>Night Eating Syndrome (NES) is a type of eating disorder that's often overlooked, yet it can seriously impact mental health, sleep quality, and overall well-being. Despite its significance, research on NES-especially among university students-remains limited.</p><p><strong>Objective: </strong>This study set out to determine how common NES is among university students in Jordan and explore its connections to mental health issues like depression, anxiety, and stress, as well as insomnia and overall quality of life.</p><p><strong>Methods: </strong>This cross-sectional study involving a total of 1214 university students (average age: 22.73 ± 3.4 years). NES was identified using the Night Eating Questionnaire (NEQ), with a clinical cutoff score of ≥ 25. Mental health was assessed using the Depression Anxiety Stress Scale-21 (DASS-21), while insomnia levels were measured through the Insomnia Severity Index (ISI). To dig deeper into these relationships, we ran logistic regression analyses.</p><p><strong>Results: </strong>NES was found to be highly prevalent, affecting 58.2% of participants in this study. Women were 1.94 times more likely to have NES than men (p-value < 0.001). Considering obese individuals as a reference category, overweight individuals had significantly higher odds of NES (B = 1.17, Exp(B) = 3.21, 95% CI 1.78, 5.78, p-value < 0.001), being approximately 3.2 times more likely to have NES. In contrast, individuals within the healthy BMI range (18.5-24.9 kg/m²) had a dramatically reduced likelihood of NES (B = -2.08, Exp(B) = 0.13, 95% CI 0.07, 0.22, p-value < 0.001), indicating an 87% reduction in NES risk compared to obese individuals. Compared to the reference category (never smokers), current smokers were significantly more likely to have NES (B = 1.02, Exp(B) = 2.78, 95% CI 1.77-4.39, p-value < 0.001), indicating that their odds of NES were approximately 2.8 times higher than those of never smokers. The former smokers demonstrated an even stronger association with NES (B = 2.60, Exp(B) = 13.43, 95% CI 8.16-22.12, p-value < 0.001), indicating that their odds of developing NES were approximately 13 times higher compared to never smokers.</p><p><strong>Conclusion: </strong>This study highlights how widespread NES is among university students and sheds light on its strong ties to gender, BMI, smoking, physical activity, and stress levels. Given these findings, it's clear that targeted efforts-like mental health screenings, smoking cessation programs, and stress management initiatives-are needed to help students improve their well-being and reduce NES risk.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":"13 1","pages":"225"},"PeriodicalIF":4.5,"publicationDate":"2025-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12532883/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145309466","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":"Managing adolescent eating disorders in primary care: a qualitative study of provider perspectives.","authors":"Catherine R Drury, Amanda E Downey, Siena Vendlinski, Peyton Crest, Pooja Mittal, Erin C Accurso","doi":"10.1186/s40337-025-01412-w","DOIUrl":"10.1186/s40337-025-01412-w","url":null,"abstract":"<p><strong>Background: </strong>Primary care providers (PCPs) serve a critical role in the identification and treatment of adolescent eating disorders (EDs); yet, few PCPs receive ED training. Without this training, PCPs are not well-equipped to deliver optimal care. Partnering with PCPs is essential to understanding and ameliorating the challenges they face in managing EDs within the primary care setting. This study seeks to explore PCP practices and priorities in the detection and treatment of adolescent EDs to ultimately inform a brief curriculum about EDs for PCPs.</p><p><strong>Methods: </strong>PCPs in California (N = 10) participated in individual, semi-structured interviews focused on a needs assessment, including top priorities in their clinical care setting, current practices around screening and treating EDs, and areas of need around EDs. A multi-step, qualitative thematic analysis process was used to identify and name primary latent themes and subthemes that included both a priori interview content areas and themes uncovered in the data review.</p><p><strong>Results: </strong>PCPs described structural barriers and resource constraints to supporting ED patients in primary care. Regarding areas for further training, PCPs requested guidance on when to refer to a higher level of care, how to prevent EDs in vulnerable youth, and how to address psychological ED symptoms (e.g., negative body image). Providers reported directly encouraging adolescents with EDs to increase their nutrition, as opposed to utilizing a parent-led approach.</p><p><strong>Conclusions: </strong>This study adds to the limited literature on the experiences of PCPs in identifying and managing EDs in adolescents. Future research can develop and evaluate strategies for integrating ED screening measures and interventions into PCP workflows, as well as targeted, asynchronous ED training programs for PCPs.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":"13 1","pages":"223"},"PeriodicalIF":4.5,"publicationDate":"2025-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12523073/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145304050","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":"Dichotomous thinking about food as an understudied subclinical disordered eating cognition.","authors":"Jordan A Levinson, Jordan E Parker, Jeffrey M Hunger, A Janet Tomiyama","doi":"10.1186/s40337-025-01388-7","DOIUrl":"10.1186/s40337-025-01388-7","url":null,"abstract":"<p><p>Dichotomous thinking about food involves sorting foods into strict categories such as \"good\" and \"bad\" or \"healthy\" and \"unhealthy,\" and is an understudied cognition in the context of disordered eating. Although this way of thinking is an established symptom in orthorexia nervosa, there is a dearth of research on dichotomous thinking about food and its correlates and consequences. The purpose of this paper is to discuss the lack of research on dichotomous thinking about food, as well as to understand previously unknown associations between dichotomous thinking about food and other subclinical disordered eating behaviors and cognitions. In a racially diverse sample of 630 women ages 18-44, dichotomous thinking about food was positively and significantly (at p < .01) associated with body dissatisfaction, binge eating, cognitive restraint, restriction, excessive exercise, purging, drive for thinness, and anti-fat attitudes. Results suggest that dichotomous thinking about food warrants further inclusion in research on eating disorder pathology. Future studies should examine the prevalence of dichotomous thinking across ages, gender and racial/ethnic groups, consequences of this cognitive pattern, and whether dichotomous thinking about food precedes eating disorder diagnoses.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":"13 1","pages":"224"},"PeriodicalIF":4.5,"publicationDate":"2025-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12522722/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145304096","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":"Yoga as a therapeutic intervention for body image in the pediatric population: a systematic review.","authors":"Nicolette Bullard, Neil Rupani, Julyssa A Renteria, Justin Miller, Kristopher E Kaliebe","doi":"10.1186/s40337-025-01386-9","DOIUrl":"10.1186/s40337-025-01386-9","url":null,"abstract":"<p><p>Body image concerns significantly impact adolescents' mental health and self-esteem, with increasing prevalence observed globally. This systematic review evaluates the impact of yoga interventions in promoting positive body image among children and adolescents. Following PRISMA guidelines, six electronic databases were searched up to August 6, 2024, yielding six studies that met the inclusion criteria. Eligible studies were peer-reviewed, published in English, included quantitative data, and enrolled pediatric participants with a mean age under 18 years. Studies were included if they examined yoga as a stand-alone intervention with or without a comparison group and reported body image outcomes such as body satisfaction, body dissatisfaction, embodiment, body appreciation, or appearance concerns. The included studies varied in design, duration, and participant characteristics, with interventions ranging from 4 to 24 weeks and involving participants aged 8 to 21 years. Methodological quality was assessed using the GRADE criteria, evaluating risk of bias across dimensions such as allocation concealment, blinding, sample size, and reporting clarity. Due to heterogeneity in outcome measures and study design, meta-analysis was not feasible, and a structured narrative synthesis was conducted instead. Results indicate that yoga may improve body esteem and body satisfaction, particularly among adolescents with disordered eating. However, findings were mixed for other outcomes including shape concern, weight concern, body surveillance, and body appreciation. Methodological limitations, including small sample sizes, variability in study quality, and lack of diversity in study populations, were common. The review highlights the potential of yoga as a supplementary approach to enhance body image but underscores the need for high-quality, diverse, and inclusive research to confirm its impact across different populations.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":"13 1","pages":"222"},"PeriodicalIF":4.5,"publicationDate":"2025-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12522506/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145294166","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":"Meal plan inclusions and exclusions in the inpatient, outpatient and community setting for adolescent and adult eating disorder care: a scoping review.","authors":"Cassandra Bendall, Jacinta Winderlich, Alice Anderson, Michelle Caughey, Jamie Hoy, Jacinta Coleman, Christie Jane Bennett","doi":"10.1186/s40337-025-01410-y","DOIUrl":"10.1186/s40337-025-01410-y","url":null,"abstract":"<p><strong>Background/aim: </strong>Minimal research has been conducted on meal plan food exclusions and there is limited evidence to guide introduction of feared foods in eating disorder treatment. This scoping review aimed to explore the evidence on food inclusion and exclusions in inpatient, outpatient, and community settings for adolescents and adults.</p><p><strong>Methods: </strong>A scoping review was performed and reported according to Preferred Reporting Items for Systematic and Scoping Review guidelines. All English language primary research studies from the earliest time point exploring meal plan exclusions in people aged > 12 years old with an eating disorder were included. The search was conducted in January 2025 in six databases with no date limits.</p><p><strong>Results: </strong>Of the 3693 studies screened, eight studies were included. Non-randomised intervention studies comprised 50% (n = 4), 62% (n = 5) of studies involved consumers and 38% (n = 3) were clinician-led. Clinician-led practices varied with most permitting exclusions for religious or medical reasons i.e. allergy, or lifelong dislikes. Vegetarianism and veganism were inconsistently permitted amongst clinicians. Various meal planning approaches were utilised to improve dietary variety including meal preparation (n = 1), menu planning (n = 2), and food cards (n = 2) in consumer-led studies.</p><p><strong>Conclusion: </strong>This review outlined the various approaches utilised in meal plan exclusion rationale across inpatient, outpatient, and community settings. Findings highlight there is limited literature exploring meal plan exclusion rationale in the treatment of eating disorders. Of the available literature, no consensus could be concluded due to high heterogeneity. Evidence-based practice recommendations for meal plan exclusions should be included in future eating disorder guidelines to facilitate consistency in clinical practice.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":"13 1","pages":"220"},"PeriodicalIF":4.5,"publicationDate":"2025-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12512758/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145276467","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":"Emotional intelligence and loneliness in eating disorders: a cluster-analytic study across diagnostic categories.","authors":"Paolo Meneguzzo, Anna Marzotto, Fabio Conti, Barbara Mezzani, Luca Maggi, Patrizia Todisco","doi":"10.1186/s40337-025-01411-x","DOIUrl":"10.1186/s40337-025-01411-x","url":null,"abstract":"<p><strong>Objective: </strong>The present study aimed to investigate emotional intelligence and loneliness in individuals with eating disorders (EDs) using a transdiagnostic approach. Specifically, it sought to identify emotional-loneliness profiles through cluster analysis and evaluate their association with clinical characteristics and diagnostic categories.</p><p><strong>Method: </strong>A total of 371 participants (220 with EDs and 151 healthy controls) completed self-report measures including the Wong and Law Emotional Intelligence Scale (WLEIS), the UCLA Loneliness Scale, and the Eating Disorder Examination Questionnaire (EDE-Q). K-means cluster analysis was performed on standardized WLEIS and UCLA scores. Between-group comparisons and post hoc tests were conducted to assess differences across clusters in ED severity, BMI, age, and diagnosis. Logistic and chi-square analyses explored diagnostic distribution and predictive associations.</p><p><strong>Results: </strong>Three distinct clusters emerged: (1) Low Emotional Intelligence/High Loneliness (n = 130), (2) Moderate EI/Moderate Loneliness (n = 141), and (3) High EI/Low Loneliness (n = 100). Cluster 1 showed the most adaptive profile, while Cluster 0 exhibited the highest ED severity and loneliness. Diagnostic category distribution differed significantly across clusters (χ²(8) = 89.56, p < .001), but emotional profiles did not align exclusively with specific diagnoses, supporting a transdiagnostic model. Emotional intelligence and loneliness significantly predicted ED status.</p><p><strong>Conclusion: </strong>Emotional intelligence and loneliness form meaningful psychological profiles that transcend ED diagnoses and are associated with clinical severity. Assessing these factors may enhance early detection and inform targeted interventions. Future studies should explore the role of early adversity and trauma in shaping these profiles.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":"13 1","pages":"221"},"PeriodicalIF":4.5,"publicationDate":"2025-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12512611/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145276482","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":"Family life and caregiving during family-based treatment (FBT) for anorexia nervosa: parent, patient, and clinician perspectives.","authors":"Dorthe Waage, Anne Bryde, Mette Bentz, Nadia Micali","doi":"10.1186/s40337-025-01367-y","DOIUrl":"10.1186/s40337-025-01367-y","url":null,"abstract":"<p><strong>Objective: </strong>Family-based treatment (FBT) is the treatment of choice for adolescent anorexia nervosa (AN). Although effective, caregivers often experience significant emotional strain, uncertainty, and distress whilst undergoing FBT. This study aims to explore how parents, adolescents, and clinicians experience challenges of family life and caregiving during FBT.</p><p><strong>Method: </strong>A qualitative design was employed using focus groups with parents (N = 10), individuals recovered from adolescent-onset AN (N = 4), and clinicians (N = 8). Reflexive thematic analysis was applied to identify themes.</p><p><strong>Results: </strong>Four overarching themes were identified: 1) AN as an intrusive force disrupting family life, 2) shared experiences of guilt, doubt, and isolation, 3) the evolving parental role within treatment, and 4) the reorganization of family dynamics around the illness. Parents described significant ambivalence toward treatment responsibilities, while adolescents struggled with isolation. Clinicians noted discrepancies in how different stakeholders understood and engaged with treatment.</p><p><strong>Conclusions: </strong>Our findings highlight the importance of addressing both the practical and emotional aspects of caregiving to enhance treatment outcomes, as FBT remains an essential intervention for adolescent AN. Further research should investigate ways to strengthen caregiver empowerment and mitigate distress while maintaining the core principles of FBT.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":"13 1","pages":"219"},"PeriodicalIF":4.5,"publicationDate":"2025-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12502378/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145240124","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":"Weight discrimination and eating disorder symptoms in early adolescence: a prospective cohort study.","authors":"Jason M Nagata, Arianna Thompson, Christiane K Helmer, Kyle T Ganson, Alexander Testa, Wesley R Barnhart, Jinbo He, Fiona C Baker, Jason M Lavender","doi":"10.1186/s40337-025-01404-w","DOIUrl":"10.1186/s40337-025-01404-w","url":null,"abstract":"<p><strong>Background: </strong>Weight discrimination is associated with adverse outcomes, including eating disorder (ED) symptoms, but few longitudinal studies have investigated this relationship in early adolescence. We examined the prospective association of weight discrimination with ED symptoms one year later in early adolescents, and the extent to which this association was moderated by body mass index (BMI) percentile and sex.</p><p><strong>Methods: </strong>We analyzed prospective data from Year 2 (2018-2020) and Year 3 (2019-2021) of the Adolescent Brain Cognitive Development (ABCD) Study (N = 9,079). To estimate the associations between self-reported experiences of weight discrimination in Year 2 and ED symptoms in Year 3, we conducted multiple logistic and ordinal logistic regression analyses, controlling for potential covariates, including ED symptoms in Year 2. Weight discrimination was measured using the Perceived Discrimination Scale. Presence of various ED symptoms was assessed via parent report using the Kiddie Schedule for Affective Disorders and Schizophrenia (KSADS-5). Participant BMI percentile and sex were also investigated as potential moderators.</p><p><strong>Results: </strong>Weight discrimination was prospectively associated with higher odds of worry about weight gain (adjusted odds ratio [aOR] 2.12, 95% confidence interval [CI] 1.08-4.14, p = 0.028), self-worth tied to weight (aOR 3.75, 95% CI 2.54-5.55, p < 0.001), inappropriate compensatory behaviors to prevent weight gain (aOR 2.75, 95% CI 2.02-3.74, p < 0.001), binge eating symptoms (aOR 1.72, 95% CI 1.10-2.68, p = 0.018), and distress about binge eating (aOR 2.26, 95% CI 1.33-3.85, p = 0.002) one year later. Weight discrimination was also associated with higher odds of a greater number of overall ED symptoms one year later (aOR 2.21, 95% CI 1.61-3.03, p < 0.001). A significant interaction by BMI percentile was also found: in adolescents with BMI of 5th to < 85th percentile, weight discrimination was more strongly and prospectively associated with higher odds of binge eating symptoms (aOR 3.32, 95% CI 1.27-8.68, p = 0.015) and binge eating distress (aOR 5.11, 95% CI 2.10-12.44, p < 0.001).</p><p><strong>Conclusions: </strong>Results support a prospective relationship between perceived weight discrimination and ED symptoms in early adolescents, and the differential associations based on BMI percentile highlight the need for interventions that address weight stigma across the weight spectrum.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":"13 1","pages":"216"},"PeriodicalIF":4.5,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12482715/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145193525","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}