Journal of Eating Disorders最新文献

{"title":"Eating disorders and psychiatric comorbidity among first-year university students in Sweden: Prevalence and risk factors.","authors":"Catharina Strid, Petra Lindfors, Claes Andersson, Anne H Berman","doi":"10.1186/s40337-025-01230-0","DOIUrl":"10.1186/s40337-025-01230-0","url":null,"abstract":"<p><strong>Background: </strong>This study explored eating disorders (ED) prevalences, comorbidity of ED with other mental disorders, and risk factors for ED among university students. ED included binge eating disorder (BED), bulimia nervosa (BN), or other specified feeding and eating disorders (OSFED).</p><p><strong>Methods: </strong>A total of 3425 first-year university students in Sweden completed an online survey covering a range of criteria for psychiatric diagnoses, within the World Mental Health International College Student (WMH-ICS) initiative. Pearson's χ² -tests were used to compare algorithm-based diagnostic prevalences for eating disorders and other comorbid psychiatric disorders between three groups: students with ED with or without other comorbid psychiatric disorders (A), students with psychiatric disorders but no ED comorbidity (B), and students with no psychiatric disorders (C). Multinomial logistic regression was used to calculate between-group comparisons of odds ratios for independent risk factors, where group B served as the reference group for comparisons with groups A and C.</p><p><strong>Results: </strong>Of the total sample, 75% had at least one psychiatric disorder and 28% had at least one lifetime ED diagnosis. Students with ED (group A) reported higher prevalences for comorbid anxiety disorders, depression, suicidal behavior, and non-suicidal self-injury compared to students with psychiatric disorders but no ED (group B). Group A participants exhibited a higher risk of hazardous drinking, were more likely to have received medical treatment, and to identify as bisexual. Compared to group B, students with no psychiatric disorders (group C) were more likely to report better mental and physical health, but less likely to engage in hazardous drinking, and to have sought mental health treatment.</p><p><strong>Conclusions: </strong>A large proportion of students with ED had additional psychiatric disorders, indicating that individuals with ED suffer from multiple mental health problems. It is crucial that student health services acquire competency to offer effective ED assessment and treatment.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":"13 1","pages":"52"},"PeriodicalIF":3.5,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11924712/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143671502","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":"\"Binge eating disorder is the slum of eating disorders\": a qualitative study of Norwegian women with binge eating disorder in the encounter with the healthcare system.","authors":"Julie Riise, Kjersti Solhaug Gulliksen, KariAnne Vrabel, Margrethe Seeger Halvorsen","doi":"10.1186/s40337-025-01223-z","DOIUrl":"10.1186/s40337-025-01223-z","url":null,"abstract":"<p><strong>Background: </strong>Binge Eating Disorder (BED) is the most prevalent eating disorder, yet it remains under-recognized and insufficiently understood in both healthcare and society. This leads to a lack of appropriate treatment options and challenges of identification within somatic healthcare. Our study aims to elucidate effective treatment approaches for BED by exploring patients' personal understandings of their treatment needs.</p><p><strong>Methods: </strong>We interviewed 6 individuals diagnosed with BED regarding their healthcare experiences and analyzed the data using a modified qualitative method combining thematic and interpretive phenomenological analysis.</p><p><strong>Results: </strong>The analysis resulted in three main themes: Lack of understanding, Trapped in body shame and Hope and movement, each with belonging subcategories. These themes narrate a journey from being unrecognized with a psychological issue, feeling immobilized by body shame towards embarking on recovery. Particularly Trapped in body shame links the other main themes representing a barrier and a pivotal point in the recovery process.</p><p><strong>Conclusions: </strong>Our study highlights that shame related to binge eating and body image is pervasive in participants, exacerbated by a healthcare system that often prioritizes weight and lifestyle. Such shame can block treatment access and prolong the disorder. We argue for a paradigm shift in clinical practice towards patient-centered care that prioritizes empathy and holistic support over weight-focused models. Group therapy can be beneficial in reducing shame, if the group composition is carefully considered. Effective BED treatment should involve creating a safe environment for discussing body shame, emphasizing the need to address this issue to improve treatment effectiveness and patient satisfaction.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":"13 1","pages":"51"},"PeriodicalIF":3.5,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11921570/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143665170","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":"Exploring the relations between body dissatisfaction, rumination, physical activity, and restrained eating: a latent moderated structural equation approach.","authors":"Ying Wang, Chunmei Wu, Qi Wang, Guoqiu Liu, Ming Hao","doi":"10.1186/s40337-025-01229-7","DOIUrl":"10.1186/s40337-025-01229-7","url":null,"abstract":"<p><strong>Background: </strong>Previous studies have shown that body dissatisfaction is closely related to restrained eating, however, the specific mechanisms and conditions of body dissatisfaction need to be further explored. Therefore, this study aims to explore the mediating and moderating variables influencing the relations between body dissatisfaction and restrained eating, providing recommendations for the prevention of restrained eating among university students.</p><p><strong>Methods: </strong>Participants comprised 1213 university students who completed the Negative Physical Self Scale, Ruminative Responses Scale, Restrained Eating Scale, and Physical Activity Scale. Data regarding their body measurements were also obtained. A Latent Moderated Structural Equation Approach was constructed to examine the mediating role of rumination and the moderating role of physical activity in the relations between body dissatisfaction and restrained eating.</p><p><strong>Results: </strong>Body dissatisfaction was positively correlated with rumination (r = 0.19, p < 0.01), restrained eating was positively correlated with body dissatisfaction (r = 0.45, p < 0.01), and restrained eating was positively correlated with rumination (r = 0.25, p < 0.01). Path analysis of the mediation model and moderated mediation model using structural equation modeling showed that rumination explained 6.5% of the total relations between body dissatisfaction and restrained eating. Physical activity moderated the effect of body dissatisfaction on rumination.</p><p><strong>Conclusions: </strong>It suggests that as physical activity increased, the relations between body dissatisfaction and rumination were strengthened. Therefore, it is advisable for university students to avoid placing excessive emphasis on using physical activity and restrictive eating to lose weight. Instead, efforts should focus on developing healthy exercise motivations and guiding adolescents toward positive self-perception.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":"13 1","pages":"49"},"PeriodicalIF":3.5,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11917071/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143659033","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":"Reckoning with the past: a qualitative analysis of medical students describing their formative experiences with weight bias.","authors":"Elizabeth W Cotter, Ashley Dunford, Kirsten Gilchrist, Tong Yan, Lawrence Deyton, Kofi Essel","doi":"10.1186/s40337-025-01231-z","DOIUrl":"10.1186/s40337-025-01231-z","url":null,"abstract":"<p><strong>Introduction: </strong>Most healthcare providers exhibit weight bias (i.e., negative assumptions, beliefs, or discriminatory acts toward someone based on their weight/body size) in their interactions with patients with obesity. Such bias can be exacerbated in medical training and may lead to reduced healthcare utilization and worsened patient outcomes. This study explored reflections of pre-clinical medical students on formative experiences they perceived to be related to their newly identified implicit weight bias.</p><p><strong>Method: </strong>Seven hundred and sixteen second-year medical students completed the Weight Implicit Association Test (IAT) between April 2019-April 2022 and were instructed to write a reflective response based on their results. Of this sample, 212 students described experiences from childhood in their reflections, and these participant quotes were pulled for analysis. Inductive coding techniques were used to identify themes that were generated from medical students' reflections on formative experiences using the software program Dedoose Version 8.3.35.</p><p><strong>Results: </strong>The identified themes highlighted medical students' own struggles with weight management and body dissatisfaction in childhood, a fear of having obesity, the prioritization of a \"healthy\" (i.e., thin) body and the stigmatization of larger bodies, and the influence of culture of origin on thin-ideal internalization. Results recognize the manifold experiences that these medical students have before entering their formalized medical training.</p><p><strong>Discussion: </strong>Despite the proven negative impact on patient care caused by clinician weight bias there is a paucity of medical training programs that address weight bias. This research highlights the need for a more intentional educational curriculum to counteract the deeply rooted implicit weight bias existent in some future healthcare providers.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":"13 1","pages":"50"},"PeriodicalIF":3.5,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11921586/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143659092","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":"Ketamine as adjuvant treatment in eating disorders: an exploratory study of a case series and retrospective analysis.","authors":"Paula J Escobedo-Aedo, Chris Serrand, Sarah Kabani, Clémentine Estric","doi":"10.1186/s40337-025-01232-y","DOIUrl":"10.1186/s40337-025-01232-y","url":null,"abstract":"<p><strong>Background: </strong>Eating disorders (EDs) significantly impair physical health and psychosocial functioning. Few effective therapeutic approaches exist for EDs, particularly in Anorexia Nervosa (AN). The use of ketamine, already characterized as a noncompetitive NMDA antagonist anesthetic in depression and suicidal ideations, could be an innovative adjuvant treatment for the AN spectrum.</p><p><strong>Methods: </strong>We describe a case series of eight patients treated with intravenous Ketamine Adjuvant Treatment (KAT) combined with usual care. We also review the literature and discuss the theoretical mechanisms behind the influence of KAT in EDs. Our patients were all female, with a diagnosis of AN spectrum, and aged between 16 and 44. We offered KAT attempting to remodel rigid food-centered thoughts. Some sessions were guided by psychomotor or psychological support, thus working on self-image, body perceptions, self-esteem, and sensorial re-exposure to \"forbidden\" food.</p><p><strong>Results: </strong>KAT significantly improved BMI, with a coefficient of 0.71 (0.23-1.20, p = 0.002), with a tendency to improve weight regain dynamics from the fourth or fifth infusion onwards. It could also reduce AN psychopathology and obsessive-compulsive-like symptoms (ruminations, cognitive rigidity, guilt), improving clinical evolution.</p><p><strong>Conclusions: </strong>Our findings underscore the potential of KAT as a therapeutic approach for restrictive EDs as an adjuvant treatment or after failure of first-line treatments. It particularly addresses rigid thought patterns and neurocognitive biases that are notoriously difficult to target. Ketamine's \"pro-plasticity\" and \"pro-neurogenesis\" properties may facilitate this effect. KAT represents a potential tool after failure of first-line treatments. Future research in controlled studies is imperative to corroborate its effect.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":"13 1","pages":"48"},"PeriodicalIF":3.5,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11917004/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143651473","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":"Prevalence and correlates of muscle dysmorphia in a sample of boys and men in Canada and the United States.","authors":"Kyle T Ganson, Deborah Mitchison, Rachel F Rodgers, Stuart B Murray, Alexander Testa, Jason M Nagata","doi":"10.1186/s40337-025-01233-x","DOIUrl":"10.1186/s40337-025-01233-x","url":null,"abstract":"<p><strong>Background: </strong>Muscle dysmorphia is a significant mental health condition that has been under-researched in epidemiological, community-based studies. Therefore, this study aimed to identify the prevalence and correlates of probable muscle dysmorphia among a sample of Canadian (n = 784) and American (n = 563) boys and men ages 15-35 years.</p><p><strong>Methods: </strong>The sample comprised 1,488 boys and men who completed a variety of measures and items to capture sociodemographic characteristics and muscle dysmorphia symptoms. Diagnostic criteria were applied to identify probable muscle dysmorphia among the sample. Unadjusted (e.g., chi-square tests, independent samples t-tests) and adjusted (e.g., logistic regression) analyses were used to determine the sociodemographic factors (e.g., age, body mass index, gender, race/ethnicity, sexual orientation, education, relationship status, and country) associated with cases of probable muscle dysmorphia.</p><p><strong>Results: </strong>The prevalence of probable muscle dysmorphia was 2.8% (95% confidence interval 2.0-3.7%). Aside from lower body mass index among those with probable muscle dysmorphia, there were no significant demographic differences between those with and without probable muscle dysmorphia across ages, genders, races/ethnicities, and sexual orientations. Those with probable muscle dysmorphia had significantly higher scores on standardized measures of muscle dysmorphia symptomatology and muscularity-oriented attitudes and behaviors compared to those without probable muscle dysmorphia.</p><p><strong>Conclusions: </strong>Findings underscore that muscle dysmorphia may be more prevalent among boys and men in Canada and the United States than previously thought, highlighting the need for more research, prevention, assessment, and intervention efforts. The minimal differences across sociodemographic factors are notable, highlighting the need for an inclusive understanding of muscle dysmorphia.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":"13 1","pages":"47"},"PeriodicalIF":3.5,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11916914/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143651526","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":"Co-design of a single session intervention chatbot for people on waitlists for eating disorder treatment: a qualitative interview and workshop study.","authors":"Gemma Sharp, Bronwyn Dwyer, Jue Xie, Roisin McNaney, Pranita Shrestha, Christopher Prawira, Anne Nileshni Fernando, Kathleen de Boer, Hao Hu","doi":"10.1186/s40337-025-01225-x","DOIUrl":"10.1186/s40337-025-01225-x","url":null,"abstract":"<p><strong>Background: </strong>Early treatment is critical to improve eating disorder prognosis. Single session interventions have been proposed as a strategy to provide short term support to people on waitlists for eating disorder treatment, however, it is not always possible to access this early intervention. Conversational artificial intelligence agents or \"chatbots\" reflect a unique opportunity to attempt to fill this gap in service provision. The aim of this research was to co-design a novel chatbot capable of delivering a single session intervention for adults on the waitlist for eating disorder treatment across the diagnostic spectrum and ascertain its preliminary acceptability and feasibility.</p><p><strong>Methods: </strong>A Double Diamond co-design approach was employed which included four phases: discover, define, develop, and deliver. There were 17 participants in total in Australia; ten adults with a lived experience of an eating disorder and seven registered psychologists working in the field of eating disorders, who participated in online interviews and workshops. Thematic and content analyses were undertaken with interview/workshop transcriptions with findings from the previous phase informing the ideas and development of the next phase. A final prototype of a single session intervention chatbot was presented to the participants in the deliver phase.</p><p><strong>Results: </strong>Thematic and content analyses identified four main themes that were present across the four phases of interviews/workshops: conversational tone, safety and risk management, user journey and session structure, and content.</p><p><strong>Conclusions: </strong>Overall, the feedback on the single session intervention chatbot was positive throughout the Double Diamond process from both people with a lived experience of an eating disorder and psychologists. Incorporating the feedback across the four themes and four co-design phases allowed for refinement of the chatbot. Further research is required to evaluate the chatbot's efficacy in early treatment settings.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":"13 1","pages":"46"},"PeriodicalIF":3.5,"publicationDate":"2025-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11899673/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143606018","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":"\"Like a rollercoaster\": carer experiences of residential treatment for eating disorders.","authors":"Rebekah Rankin, Janet Conti, Lucie Ramjan, Phillipa Hay","doi":"10.1186/s40337-025-01226-w","DOIUrl":"10.1186/s40337-025-01226-w","url":null,"abstract":"<p><strong>Background: </strong>Residential facilities for eating disorders are becoming increasingly common, providing recovery-oriented care in less restrictive environments compared to traditional hospital treatments. Despite their popularity, there is a lack of research regarding parent and carer experiences of residential programs. Furthermore, while the impact of eating disorders on parents and caregivers is well-documented, understandings of their lived experiences remain limited. The aim of this study was to explore parent and carer lived experiences of Australia's first residential facility for the treatment of eating disorders.</p><p><strong>Methods: </strong>As part of a clinical evaluation (June 2021 - August 2023), 15 parents participated in a semi-structured interview about their experience of residential treatment. Transcripts were analysed using inductive reflexive thematic analysis.</p><p><strong>Results: </strong>Analysis generated six main themes from the data: (1) When everything is still not enough; (2) They were giving us hope; (3) I just felt relief; (4) I can resume the role of loving parent; (5) We almost need our own therapist; and, (6) Treatment access: There needs to be a hundred more. These themes collectively highlight both the burden of caring for a loved one with an ED and parents' experiences of residential treatment. Overall, participants described residential treatment as providing respite and hope, enabling them to reclaim aspects of their lives that had been overshadowed by the eating disorder. Although not a \"magic cure\", residential care was viewed as an essential component of a broader continuum of care.</p><p><strong>Conclusions: </strong>This research highlights the unique benefits of the residential model and the importance of a compassionate care environment, while underscoring the importance of supporting caregivers throughout the treatment process. Given the critical role of carers in treatment outcomes, further research is essential to deepen our understandings of the carer experience and develop interventions that support both the experiencing person and their primary support people.</p><p><strong>Trial registration: </strong>This study was prospectively registered with the Australian New Zealand Clinical Trials Registry (ANZCTR12621001651875p).</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":"13 1","pages":"45"},"PeriodicalIF":3.5,"publicationDate":"2025-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11895211/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143605555","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":"Interventions for improving psychological symptoms in binge eating disorder (BED) and loss of control (LOC) eating in childhood and adolescence: a systematic scoping review.","authors":"Phillipa Louise Brothwood, Julian Baudinet","doi":"10.1186/s40337-025-01206-0","DOIUrl":"10.1186/s40337-025-01206-0","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Despite reports of high incidence and prevalence, relatively few studies have investigated outcomes for children and adolescents with binge eating disorder (BED) and loss of control (LOC) eating. This study aimed to scope the available literature systematically.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;A systematic scoping review methodology was implemented. Five databases (Medline, PsycInfo, Embase, CENTRAL and Scopus) were searched on the 23rd of August 2024 for relevant peer-reviewed journal articles and dissertations. No beginning time point was specified, and the end time point was chosen as the 23rd of August 2024. Restrictions were placed on age (under 20), diagnosis (BED, LOC eating) and study design (quantitative).&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;Ten quantitative studies were identified: eight randomised controlled trials and two case series. Outcome data for 2400 young people were synthesised. Most studies (70%) had a sample size of fewer than 100 participants. Treatment modalities were heterogeneous and included psychological therapies such as cognitive behavioural therapy (CBT), dialectical behavioural therapy (DBT), interpersonal therapy (IPT) and group schema therapy. One study examined the role of medication. The results suggested that six different treatment modalities (CBT (group and individual), IPT, DBT, family-based IPT (FB-IPT), and medication) were associated with a reduction in the number of binge eating episodes and LOC eating. In terms of other psychological aspects such as depression, anxiety and self-esteem, the data were sparse, and it was difficult to draw meaningful conclusions.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions: &lt;/strong&gt;The findings highlight a paucity of evidence-based interventions in this area for young people with BED and LOC eating. This is an emerging and important field in child and adolescent eating disorders as it is now ten years since BED was introduced into the DSM-V with prevalence estimates higher than other eating disorders in this population. As the onset of binge eating often occurs in late childhood or adolescence there is a role for early intervention. Further research into the efficacy of different therapeutic options for this age group is needed. In this review, the authors searched for studies where treatment for binge eating disorder (BED) or loss of control eating (LOC) in young people (under 20 years old) had been trialled. They wanted to see which treatments could improve the mental health of young people with these conditions. To ensure that as many studies as possible were included, five different databases were searched. Ten studies were found and the majority of these were small studies with less than 100 participants. Nine of the studies investigated the role of talking therapies, for example, cognitive behavioural therapy and one study examined how medication helped. The talking therapies used in each of the nine studies were varied. The authors found that, on the whol","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":"13 1","pages":"44"},"PeriodicalIF":3.5,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11895364/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143597893","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":"Knowledge and attitudes of Dutch psychiatry residents towards anorexia nervosa.","authors":"Joyce Maas, Mladena Simeunovic-Ostojic, Pia Burger, Nynke Bodde, Theodoor Veerman","doi":"10.1186/s40337-025-01227-9","DOIUrl":"10.1186/s40337-025-01227-9","url":null,"abstract":"<p><strong>Background: </strong>Stigma significantly hinders treatment seeking, adherence to treatment, referrals, and can prolong recovery, while increasing the risk of relapse due to social exclusion and stress. Stigmatizing attitudes towards anorexia nervosa are widespread, and not only held by the general public, but also by professionals.</p><p><strong>Objective: </strong>As stigmatizing attitudes towards mental disorders often develop early during education and training, the study's objective was to investigate stigmatizing attitudes towards anorexia nervosa among Dutch psychiatry residents, as well as their mental health literacy.</p><p><strong>Methods: </strong>In this pilot study, Dutch psychiatry residents (N = 61) were surveyed, with a 49% response rate, using a comprehensive questionnaire that included nine parts, covering multiple stigma domains, disease prestige, knowledge, and professional training.</p><p><strong>Results: </strong>Anorexia nervosa was ranked 18th in disease prestige with a mean score of 6.23. Although most stigmatizing attitudes were not widely endorsed by psychiatry residents, there were a few notable exceptions, especially attitudes related to blame, fragility and social distance. They characterized patients as insecure, controlling, sad, and defensive, and reported feeling worried, incompetent, pessimistic and anxious when dealing with patients with anorexia nervosa. Only 37% felt confident in diagnosing anorexia nervosa.</p><p><strong>Conclusion: </strong>There is a critical need for further research on the social value ranking of psychiatric disorders and the development of a comprehensive stigma scale, as well as targeted educational interventions. Addressing stigma through focused training programs could lead to better patient outcomes, improved treatment satisfaction, and reduced barriers to care for individuals with anorexia nervosa.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":"13 1","pages":"42"},"PeriodicalIF":3.5,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11892271/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143597894","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}