Journal of Eating Disorders最新文献

{"title":"The Bonny Method of Guided Imagery and Music as a trauma-informed approach in eating disorder treatment: theoretical framework and case illustrations.","authors":"Annie Heiderscheit","doi":"10.1186/s40337-026-01625-7","DOIUrl":"https://doi.org/10.1186/s40337-026-01625-7","url":null,"abstract":"<p><strong>Background: </strong>Eating disorders (EDs) are severe and complex mental health conditions with high mortality, significant psychiatric comorbidity, and increasing global prevalence. ED behaviours (e.g., restriction, bingeing, purging) may function as adaptive strategies for affect regulation, management of trauma-related distress, and avoidance of embodied experience. While trauma-informed care emphasises safety, empowerment, and relational attunement, trauma in EDs is often held somatically and may remain inaccessible through verbal therapies alone. The Bonny Method of Guided Imagery and Music (GIM), an experiential depth-oriented music psychotherapy, uses therapist-selected programmed music to evoke imagery, emotion, memory, and embodied processes within a supportive therapeutic relationship. This paper explores GIM as a trauma-informed approach targeting psychological and embodied mechanisms underlying ED symptoms. A theoretical framework is outlined in which music-evoked imagery and neuroaesthetics engagement facilitate symbolic emotional exploration, embodied integration, interoceptive reconnection, affect regulation within safety, and meaning-making and identity repair.</p><p><strong>Case presentation: </strong>The framework is illustrated through four case examples from a qualitative feasibility study of GIM in ED treatment. Participants were four adult women (aged 26-57) engaged across levels of care, each receiving 12-16 individual GIM sessions over 12-months. The cases include selected session excerpts highlighting music and imagery processes that explore the functional role of ED symptoms.</p><p><strong>Conclusions: </strong>Across cases, GIM enabled access to unresolved emotions, trauma-related somatic distress, attachment dynamics, and identity disturbances, while supporting emotion regulation, agency, and transformation of symptom-related coping. These findings position GIM as a promising multimodal, embodied intervention for trauma-informed ED treatment, particularly for individuals with complex trauma and difficulties engaging in verbal interventions. Further research is needed to clarify mechanisms of change, clinical indications, and integration within multidisciplinary ED care.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":" ","pages":""},"PeriodicalIF":4.5,"publicationDate":"2026-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147822553","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 validation of a short form of the Yale Food Addiction Scale 2.0 in adolescents.","authors":"Pasquale Anselmi, Daiana Colledani, Luis J Gómez Pérez, Lucia Monacis, Bruno Genetti, Alessandra Andreotti, Daniele Fassinato, Egidio Robusto, Adele Minutillo, Luisa Mastrobattista, Claudia Mortali","doi":"10.1186/s40337-026-01609-7","DOIUrl":"https://doi.org/10.1186/s40337-026-01609-7","url":null,"abstract":"<p><strong>Background: </strong>The Yale Food Addiction Scale 2.0 (YFAS 2.0) consists of 35 items and assesses food addiction (FA) according to the 11 DSM-5 diagnostic criteria for substance-related and addictive disorders, plus impairment or distress. Its 13-item short form, the modified YFAS 2.0 (mYFAS 2.0), has been found to yield a lower symptom count and a lower FA prevalence. This work aimed to develop an alternative short form of the YFAS 2.0, the revised YFAS 2.0 (rYFAS 2.0), designed to reproduce the YFAS 2.0 results as closely as possible.</p><p><strong>Methods: </strong>Two studies were conducted in large, independent samples of adolescents recruited from middle and high schools to develop the instrument and to evaluate its psychometric properties (factor structure, internal consistency, and measurement invariance across gender and school level), as well as its ability to reproduce YFAS 2.0 symptom counts, FA diagnoses, and FA correlates.</p><p><strong>Results: </strong>The rYFAS 2.0 consists of 24 items and showed a one-dimensional factor structure, very good internal consistency, and invariance across gender and school level. It reproduced YFAS 2.0 symptom counts and FA diagnoses very well and better than the mYFAS 2.0 (for comparisons with YFAS 2.0 symptom counts, mean Cohen's d = 0.47 and 0.75 for rYFAS 2.0 and mYFAS 2.0, mean Pearson's r = .99 and .92 for rYFAS 2.0 and mYFAS 2.0; mean overall accuracy in replicating YFAS 2.0 FA diagnoses was .982 and .911 for rYFAS 2.0 and mYFAS 2.0, respectively). It also reproduced YFAS 2.0 findings on FA prevalence and correlates.</p><p><strong>Conclusions: </strong>The rYFAS 2.0 is a valuable instrument for use in clinical settings and studies requiring an efficient yet sensitive measure of FA.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":" ","pages":""},"PeriodicalIF":4.5,"publicationDate":"2026-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147786105","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":"Mind the gap: parental perspectives on mental health service transitions for young adults with anorexia nervosa.","authors":"Anne Bryde, Sidse Breer Schultz Volden, Amalie Schousboe, Dorthe Waage, Alia Arif Hussain, Mette Bentz, Signe Holm Pedersen, Nadia Micali","doi":"10.1186/s40337-025-01501-w","DOIUrl":"https://doi.org/10.1186/s40337-025-01501-w","url":null,"abstract":"<p><strong>Introduction: </strong>The transition from Child and Adolescent Mental Health Services (CAMHS) to Adult Mental Health Services (AMHS) is known to be difficult. For young persons (YP) with anorexia nervosa (AN) transitioning between services might be particularly challenging due to the timing, often coinciding with other key life changes. The potential consequences of inadequate transition are many: treatment dropout, heightened symptom load, and increased distress amongst patients and relatives. Furthermore, the parent-child relationship may be affected by the changes related to service transition. Parents are highly involved in treatment in CAMHS, but have a less central role in AMHS, therefore, their experience of transition is important to fully grasp potential problems or shortcomings of the transition processes and thereby improve it. The parental voice has not received much attention to date. This study aimed to describe common themes in parental experiences of their role, when their YP transitions from CAMHS to AMHS.</p><p><strong>Methods: </strong>A total of seven parents were included, three fathers, three mothers and one stepmother. Parents were interviewed using a semi-structured interview guide focused on their experiences of the transition process. The data was analyzed using thematic analysis.</p><p><strong>Results: </strong>The analysis revealed 3 superordinate themes relating to the parental experience of transition: (1) The transition process, (2) Autonomy and independence, and (3) Shift in parental role. The parents´ overall experience of the transition process was that it was unsatisfactory, and in their view a cause of increased anxiety and a worsening of symptoms in the YP. Furthermore, parents described feeling anxious and uncertain regarding the new personal and legal autonomy and independence that the YP had in the AMHS. Finally, the large shift in parental role was challenging, although, for some it improved the parent-child relationship.</p><p><strong>Discussion: </strong>Parents can be highly affected by the transition process and the shift in involvement, and the parent-child relationship can both improve or strain in this phase. Furthermore, several parents experienced their child having adverse outcomes of the transition process or lack thereof. Future research can benefit from including parental perspectives on transitioning in healthcare for YP with AN.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":" ","pages":""},"PeriodicalIF":4.5,"publicationDate":"2026-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147786199","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":"Pathways to improved treatment of anorexia nervosa: a need for reconceptualization.","authors":"Janet Polivy, Stephen Touyz","doi":"10.1186/s40337-026-01601-1","DOIUrl":"10.1186/s40337-026-01601-1","url":null,"abstract":"<p><strong>Objective: </strong>Given anorexia nervosa's (AN) status as one of the most difficult psychiatric disorders to treat, with the highest mortality rate, with millions of dollars spent on researching its treatment, and decades of assiduous study, it is surprising and distressing that treatment outcomes have remained essentially unimproved since the first treatments were presented over 70 years ago. Recent theorizing argues for a more personalized approach to treatment but cannot yet specify what that should look like.</p><p><strong>Method: </strong>The current paper argues that classifying AN patients into more useful subgroups is necessary for treatment-particularly individualized treatment-to progress, rather than treating the disorder as a unitary phenomenon based on issues concerning body image. The literature on contributors and characteristics of groups of AN patients is critically reviewed including comorbidities with other psychiatric disorders, environmental stressors and life events, and pre-existing personality makeup.</p><p><strong>Results: </strong>The examination of the data helps to identify what distinguishes individuals who respond to treatment and recover from AN from those who remain disordered. We suggest aspects of AN that contribute to treatment success or failure and suggest ways to ascertain how the disorder develops in different individuals.</p><p><strong>Discussion: </strong>We conclude that more attention is needed to distinguish between people who develop the disorder in reaction to environmental stressors or events, people who appear to have a physiological, possibly genetic predisposition to psychiatric dysfunction, and people who have both a predisposition to disorder and an environmental trigger.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":"14 1","pages":""},"PeriodicalIF":4.5,"publicationDate":"2026-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13126749/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147786187","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":"Bidirectional temporal relationships between emotional state and eating across eating disorders: a network approach.","authors":"Sercan Kahveci, Julia Reichenberger, Ann-Kathrin Arend, Alessandra C Mansueto, René Freichel, Ulrich Voderholzer, Jens Blechert","doi":"10.1186/s40337-026-01617-7","DOIUrl":"https://doi.org/10.1186/s40337-026-01617-7","url":null,"abstract":"<p><strong>Objective: </strong>Several models of eating disorders (EDs) suggest that emotions and eating influence each other in a vicious cycle, producing part of the observed symptoms. However, no research tested whether such cycles exist across EDs. We therefore explored networks of prospective relationships between negative and positive emotions and eating-related behaviors (hunger, food craving, calorie intake, and binges) across EDs and healthy controls (HCs).</p><p><strong>Method: </strong>These variables were assessed six times a day for eight days in women with restrictive (AN-R, N = 29) and binge-purge (AN-BP, N = 26) Anorexia Nervosa, Bulimia Nervosa (BN, N = 42), and Binge-Eating Disorder (BED, N = 37), and in HCs (N = 57). Prospective relationships were analyzed with modified vector-autoregressive networks.</p><p><strong>Results: </strong>Unlike HCs, ED groups showed many emotion-eating relationships. Calorie intake predicted subsequent increased negative or reduced positive affect in every ED, and so did binges in AN-BP, BN, and BED; post-binge negative affect was predicted to last up to 10 h. AN-R showed positive emotional eating, with more desire to eat and hunger during positive mood, while BED showed negative emotional eating, with worry predicting desire to eat and hunger, and irritation predicting calorie intake directly. Binges were not predicted by negative emotions, likely due to a long temporal distance between measurements. All EDs showed restriction-promoting feedback loops mediated by negative affect following calorie intake. In particular, AN-BP showed a panic-like cycle wherein a lack of hunger predicted worry, and this worry predicted a further reduction in hunger.</p><p><strong>Discussion: </strong>Post-eating dysphoria was present in all EDs, while restriction-promoting feedback loops were present in most EDs.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":" ","pages":""},"PeriodicalIF":4.5,"publicationDate":"2026-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147786012","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":"\"Always, always have hope:\" persons with lived experience, carers and health professionals' experiences before and after discharge from hospital for an eating disorder.","authors":"Kylie Matthews-Rensch, Rosiel Elwyn, Lisa Jones, Adrienne Young","doi":"10.1186/s40337-026-01621-x","DOIUrl":"https://doi.org/10.1186/s40337-026-01621-x","url":null,"abstract":"<p><strong>Background: </strong>Eating disorders can result in inpatient admissions. The transition of care between this tier of service and outpatient support can be challenging, particularly without intensive outpatient options. The potential benefits of providing intensive outpatient options during this transition period are significant, however there is limited research in this area. This study aimed to understand the experiences and needs of persons with lived experience, carers and health professionals before and after this transition in care for adults in Australia.</p><p><strong>Methods: </strong>Using mixed quantitative and qualitative methodology, and experience based co-design principles and processes, we gathered individual experience (stage 1) and developed an understanding of the care transition (stage 2). In stage 1, persons with lived experience and carers were interviewed. Health professionals were surveyed using an online questionnaire. In stage 2, preferences for support were explored in workshops. Findings were analysed using descriptive statistics (quantitative data) and inductive content analysis (qualitative data).</p><p><strong>Results: </strong>Stage 1: Five persons with lived experience and six carers were interviewed. Seventy-three health professionals completed the questionnaire. Stage 2: Two persons with lived experience, two carers and three health professionals participated in workshops. Given the small sample sizes, findings should be interpreted as exploratory. We identified three themes in stage 1: (1) Eating disorder care has the potential to be disempowering, traumatic and isolating but can also be motivating and hopeful, (2) Inpatient care does not always prepare patients for success prior to discharging, (3) Transitioning into outpatient care has the potential to be inequitable, expensive or non-existent. Preferred priority areas for improvement (stage 2) included individualised holistic and empathetic care, practical and timely post-discharge support, additional supportive networks, cultural change in healthcare, workforce training and development, and consistency in service offerings and equity of access.</p><p><strong>Conclusions: </strong>The return home from inpatient care can be difficult to navigate, marked by a lack of continuity of care and insufficient resources. This research highlights areas to target in co-designing a support system for adult patients with eating disorders after discharge from inpatient care.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":" ","pages":""},"PeriodicalIF":4.5,"publicationDate":"2026-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147785631","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":"Clinical outcomes of restricting-type anorexia nervosa onset in female adolescents and young adults aged 12-24 years during Japan's first COVID-19 state of emergency.","authors":"Kenta Toda, Shu Takakura, Motoharu Gondo, Tomoko Kitajima, Takafumi Suematsu, Hiroaki Yokoyama, Chie Suzuyama Asou, Tomokazu Hata, Nobuyuki Sudo","doi":"10.1186/s40337-026-01619-5","DOIUrl":"https://doi.org/10.1186/s40337-026-01619-5","url":null,"abstract":"<p><strong>Background: </strong>Our previous research indicated that patients with self-reported onset of eating disorders (EDs) during Japan's first state of emergency (declared April 7, 2020) for COVID-19 were significantly Eyounger at presentation and had a shorter illness duration, which potentially facilitated earlier clinical intervention. Since early consultation is often associated with better prognosis in anorexia nervosa (AN), we hypothesized that patients with AN development during the first state of emergency would exhibit more favorable outcomes.</p><p><strong>Methods: </strong>This age-adjusted comparative study included 36 female adolescent and young adult patients (aged 12-24 years) with restricting-type AN (AN-R) diagnosed according to the Diagnostic and Statistical Manual of Mental Disorders, fifth edition criteria. Both inpatients and outpatients were included and categorized into three groups: those who visited the hospital before (Before group, n = 12) and after (After group, n = 12) the emergency declaration and those with self-reported symptom onset during the first state of emergency (During group, n = 12). Patients were evaluated at their initial visit (T0) and 3 (T1), 6 (T2), and 12 months (T3) thereafter using the Global Clinical Score (GCS) and percent standard weight as outcome measures. Psychological characteristics at T0 were assessed using the Parental Bonding Instrument (PBI) and Eating Disorder Inventory (EDI).</p><p><strong>Results: </strong>The During group demonstrated significantly earlier improvement compared to the other two groups. Specifically, GCS scores at T1 were significantly lower in the During group (Before vs. During: 11 vs. 9, p = 0.006; After vs. During: 11 vs. 9, p = 0.0030), indicating a large effect. Percent standard body weight at T2 was significantly higher in the During group than in the After group (After vs. During: 73 vs. 83.5, p = 0.01), exhibiting a large effect. EDI and PBI scores were comparable among groups.</p><p><strong>Conclusion: </strong>Patients whose patient-reported AN-R symptom onset occurred during the first state of emergency showed a faster recovery trajectory than did those who presented before or after the emergency, consistent with our hypothesis. Increased time spent at home with family during the \"stay-at-home\" period may have contributed to earlier medical consultation and subsequent recovery, although this interpretation remains speculative. These findings highlight the importance of early intervention in AN treatment.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":" ","pages":""},"PeriodicalIF":4.5,"publicationDate":"2026-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147786095","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":"Maladaptive perfectionism and experiential avoidance as transdiagnostic pathways between eating disorder and social anxiety symptoms in young adults.","authors":"Rafael Triguero-Sánchez, María J Triguero-López","doi":"10.1186/s40337-026-01614-w","DOIUrl":"https://doi.org/10.1186/s40337-026-01614-w","url":null,"abstract":"<p><strong>Background: </strong>Eating disorder (ED) and social anxiety (SA) symptoms frequently co-occur and are associated with greater clinical severity and poorer outcomes. From a transdiagnostic perspective, maladaptive perfectionism and experiential avoidance have been proposed as shared vulnerability processes, yet they have rarely been examined simultaneously within integrative structural frameworks.</p><p><strong>Methods: </strong>This study examined bidirectional associations between ED and SA symptom risk and evaluated the role of maladaptive perfectionism and experiential avoidance as transdiagnostic processes within a cross-sectional structural equation modelling framework. A non-clinical sample of 705 young adults aged 18-25 years was recruited from educational settings in Spain. Participants completed validated self-report measures assessing ED (Eating Attitudes Test-26, EAT-26; [28]) and SA symptom risk (Liebowitz Social Anxiety Scale, LSAS; [50] ), maladaptive perfectionism (concern over mistakes and personal standards) (Frost Multidimensional Perfectionism Scale, FMPS; [26]), and experiential avoidance (Personalized Psychological Flexibility Index, PPFI; [41]). Structural equation modelling with bootstrap estimation was used to estimate direct and indirect associations and to compare alternative models.</p><p><strong>Results: </strong>ED and SA symptom risk showed significant bidirectional associations. Maladaptive perfectionism was consistently associated with higher ED and SA symptom risk through direct and indirect associations. Experiential avoidance exhibited a more complex pattern, characterised by negative direct associations alongside positive indirect associations with both symptom domains. Models including both transdiagnostic processes demonstrated superior fit and parsimony compared with models excluding these processes or including a single process.</p><p><strong>Conclusions: </strong>These findings highlight maladaptive perfectionism and experiential avoidance as relevant transdiagnostic processes associated with the co-occurrence of ED and SA symptoms in young adults. The results support integrative, process-focused perspectives for understanding ED-SA comorbidity and may inform assessment and formulation within transdiagnostic frameworks.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":" ","pages":""},"PeriodicalIF":4.5,"publicationDate":"2026-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147786206","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 in adolescence: the roles of sensation seeking, weight status, and behavioral difficulties.","authors":"Marianna Bogner, Ricarda Schmidt, Anja Hilbert, Mandy Vogel, Juliane Ludwig, Wieland Kiess, Tanja Poulain","doi":"10.1186/s40337-026-01620-y","DOIUrl":"10.1186/s40337-026-01620-y","url":null,"abstract":"<p><strong>Background: </strong>Previous studies that have focused primarily on binge eating in young adults have suggested an association between the personality trait sensation seeking and disordered eating. Far less is known about this relationship in adolescents, particularly concerning sensation seeking and eating disorder psychopathology. Thus, the present study investigated the association between sensation seeking and disordered eating, including eating disorder psychopathology and relevant diagnostic symptoms of eating disorders (i.e., binge eating) in healthy adolescents, while also considering relevant sociodemographic variables. Additionally, moderating effects of weight status and behavioral difficulties were explored.</p><p><strong>Methods: </strong>Four hundred 13- to 15-year-old participants from the LIFE Child study (Leipzig, Germany) provided information on sensation seeking (encompassing novelty- and intensity-seeking), disordered eating, behavioral difficulties, and sociodemographic data. Objective anthropometric measurements (body mass index, BMI) were also taken. Multiple linear regression models were applied to assess associations between sensation seeking and sociodemographic variables, as well as between sensation seeking and disordered eating. BMI and behavioral difficulties were included as moderators for analyses on interactions.</p><p><strong>Results: </strong>Boys displayed higher levels of sensation seeking than girls, and novelty seeking was positively associated with socioeconomic status. Sensation seeking was positively associated with restraint and overeating. Associations with eating concern, loss of control eating, and binge eating did not remain significant after correction for multiple testing. The association between sensation seeking and disordered eating was stronger in adolescents with a higher BMI, more symptoms of hyperactivity/inattention, more emotional symptoms, and more peer problems.</p><p><strong>Conclusion: </strong>The results indicate that higher sensation seeking is associated with restraint and overeating in adolescence. Hyperactivity/inattention and internalizing symptoms were shown to moderate associations between sensation seeking and disordered eating, suggesting that they may be promising targets for prevention strategies and interventions.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":"14 1","pages":""},"PeriodicalIF":4.5,"publicationDate":"2026-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13126762/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147786184","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":"Conceptualising trauma in eating disorders: a reflexive commentary on the role of neglect, iatrogenic harm, and epistemic injury.","authors":"James Downs","doi":"10.1186/s40337-026-01610-0","DOIUrl":"https://doi.org/10.1186/s40337-026-01610-0","url":null,"abstract":"<p><p>While links between eating disorders and post-traumatic stress disorder are well established, dominant frameworks have tended to locate trauma primarily outside healthcare, offering limited tools for understanding how neglect, exclusion, coercive practices, and epistemic misrecognition within care may contribute to ongoing distress. Drawing on empirical research, ethical scholarship, and reflexive lived experience analysis, this Comment paper examines how trauma-related symptoms in eating disorders may arise not only from early life adversity, but also through harmful relationships with healthcare, including eating disorder services themselves. Three interrelated domains of iatrogenic trauma are examined: exclusion and neglect within care pathways; traumagenic dynamics within clinical encounters; and epistemic injury, where individuals are undermined as credible interpreters of their own experience. Together, the author suggests that these processes may contribute to disturbances in self-organisation, dissociation, mistrust, and increased reliance on disordered eating behaviours as coping strategies. The paper argues that failure to recognise trauma arising within healthcare risks misattributing system-generated distress to individual psychopathology, reinforcing disengagement and treatment impasse. Recognising iatrogenic trauma has important implications for assessment, formulation, and treatment planning, and requires greater attention to acknowledgement, epistemic justice, and collaborative, formulation-driven models of care. Efforts to refine the links between eating disorders and trauma therefore require explicit attention to healthcare-related harm if they are to support more ethical, effective, and humane practice.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":"14 1","pages":""},"PeriodicalIF":4.5,"publicationDate":"2026-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13107760/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147786248","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}