Kerri Gillespie, Aleshia Ellis, Susan Roberts, Grace Branjerdporn
{"title":"An evaluation of an online education module to improve clinician knowledge and management of eating disorders in the peripartum: a three-month follow-up.","authors":"Kerri Gillespie, Aleshia Ellis, Susan Roberts, Grace Branjerdporn","doi":"10.1186/s40337-025-01337-4","DOIUrl":"https://doi.org/10.1186/s40337-025-01337-4","url":null,"abstract":"<p><strong>Background: </strong>Eating disorders (ED) in the perinatal period pose significant health risks to both mother and infant. Maternity staff have reported a lack of training to support the identification, screening, and management of ED. The study aimed to evaluate the efficacy and ongoing sustainability of a co-designed, online education module to increase clinician and peer worker knowledge of EDs in the peripartum.</p><p><strong>Methods: </strong>Online surveys were conducted before and after completing the education modules, and at three-month follow-up, to determine changes in knowledge and confidence over time. The three-month survey also investigated the implementation of learning in practice.</p><p><strong>Results: </strong>Improvements in knowledge of screening, identification, monitoring, and management were significantly greater at three months than at baseline. However, scores had decreased compared to immediately post-education. Time burden was considered a major barrier to education and implementation.</p><p><strong>Conclusions: </strong>The online education module showed promise as a tool to improve long-term knowledge and confidence regarding perinatal ED for clinicians and peer workers. Revisiting the education module may be beneficial for sustaining knowledge and confidence to identify and manage peripartum ED. Further support, in terms of additional learning items or the creation of a searchable resource, may enhance translation to practice.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":"13 1","pages":"148"},"PeriodicalIF":3.5,"publicationDate":"2025-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144692026","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Solène Thorey, Augustin Behaghel, Jordan Sibeoni, Corinne Blanchet, Marie Rose Moro, Emilie Carretier, Maude Ludot-Grégoire
{"title":"Lived experiences of adolescents with anorexia nervosa and their parents during olanzapine treatment: a qualitative study.","authors":"Solène Thorey, Augustin Behaghel, Jordan Sibeoni, Corinne Blanchet, Marie Rose Moro, Emilie Carretier, Maude Ludot-Grégoire","doi":"10.1186/s40337-025-01327-6","DOIUrl":"10.1186/s40337-025-01327-6","url":null,"abstract":"<p><strong>Background: </strong>Olanzapine is commonly prescribed in Anorexia Nervosa, despite conflicting evidence regarding its efficacy and safety. This study aimed to complement existent quantitative by exploring the lived experiences of adolescents and parents with this treatment.</p><p><strong>Method: </strong>Ten adolescent girls and ten parents were interviewed in a single psychiatric department in Paris. Data saturation was achieved. We used semi-structured interviews enriched with narrative methods, including writing tasks and picture elicitation questions.</p><p><strong>Results: </strong>Four chronological meta-themes were identified: (1) Introduction of antipsychotic treatment with Olanzapine: rapid acceptance generating mixed feelings about the future. (2) The first few weeks of medication: Adolescents questioning alone the treatment after first intakes. (3) Taking note of the results during the initial few months of treatment. (4) Then what? Fears and doubts about the future.</p><p><strong>Conclusion: </strong>The prescription of olanzapine was often perceived as a liminal stage-a transitional moment akin to a \"rite of passage\" in the trajectory of Anorexia Nervosa. For many adolescents, it represented an opportunity to assert autonomy and gain a sense of empowerment in their relationships with both the medical team and their parents. However, implicit concerns about weight gain as a side effect often became a core issue of miscommunication. These concerns should be openly addressed throughout the treatment process. Shortening the usual duration of olanzapine therapy may offer a constructive path toward reinforcing the therapeutic alliance and avoiding non-medical discontinuation.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":"13 1","pages":"146"},"PeriodicalIF":3.5,"publicationDate":"2025-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12281770/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144683368","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Body dissatisfaction, stigma and eating disorders: a scoping study on the role of compassion focused therapy.","authors":"Shannon Dover, Fiona Clements","doi":"10.1186/s40337-025-01292-0","DOIUrl":"https://doi.org/10.1186/s40337-025-01292-0","url":null,"abstract":"<p><p>Despite Cognitive-Behavioural Therapy (CBT) being the gold standard for treating eating disorders (ED), approximately 50% of patients do not see significant results. Increased body-related stigma in society, driven by a pursuit of thinness for peer acceptance, has led to substantial rises in body image dissatisfaction, which is closely linked with EDs like Anorexia Nervosa (AN), Bulimia Nervosa (BN), and Binge Eating Disorder (BED). This issue needs addressing in treatment as societal pressures cause individuals to internalise stigma. Compassion Focused Therapy (CFT), which emphasises a compassionate self-approach, might be a suitable alternative to CBT, focusing more on body image acceptance and potentially breaking the shame-cycle caused by stigma. This study compiled current literature on CFT's role in addressing body image dissatisfaction and stigma in ED patients. 8 studies with 637 female and 14 male participants were reviewed. Results showed that CFT-combined approaches reduced body image dissatisfaction and ED pathology, particularly in young adult females with BED. Participants noted that stigma and fear of judgement hindered ED treatment but recognised that increased self-compassion could mitigate these effects. The study highlighted the need for more diverse and broader participant samples, and standalone CFT studies, to enhance the generalisability of results and expand upon the current research pool of CFT uses for body image in eating disorders. In conclusion, CFT shows promise as an alternative method to reduce stigma and treat body image dissatisfaction in ED populations.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":"13 1","pages":"145"},"PeriodicalIF":3.5,"publicationDate":"2025-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144683367","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Gabriella Heruc, Kim Hurst, Sarah Trobe, Beth Shelton, Emma Spiel, Siân A McLean
{"title":"Development and implementation of a credentialing system for clinicians providing eating disorder care.","authors":"Gabriella Heruc, Kim Hurst, Sarah Trobe, Beth Shelton, Emma Spiel, Siân A McLean","doi":"10.1186/s40337-025-01310-1","DOIUrl":"10.1186/s40337-025-01310-1","url":null,"abstract":"<p><p>With eating disorder prevalence increasing in Australia and around the world, it is critical that clinicians are trained in eating disorder treatment and that people with eating disorders, their families and supports can identify suitably trained clinicians. With funding from the Australian Government, the Australia & New Zealand Academy for Eating Disorders (ANZAED) and National Eating Disorders Collaboration partnered to develop and implement a novel credentialing system to recognise dietitians and mental health professionals with a minimum level of knowledge, experience, and training in eating disorder care. This paper aims to describe the development and implementation of this credentialing system, exploring its initial uptake by clinicians. In developing the Credential, initial scoping work included extensive consultation with clinicians, peak professional bodies, and those with lived experience of an eating disorder and their families. Once the criteria for the ANZAED Eating Disorder Credential were established and a custom website built, the Credential opened for applications from clinicians on 24 November 2021. To engage with clinicians, incentive schemes were used, including a limited evidence sunset period encouraging the existing workforce to apply, and professional development programs targeting the upskilling of clinicians new to eating disorder treatment. In the first 19 months of the Credential, 1410 clinicians (including 511 dietitians and 899 mental health professionals) were awarded the Credential. Although there was a small amount of anticipated attrition during the first renewal period, 1275 clinicians remained currently credentialed at 30 June 2023. Overall, most credentialed clinicians were private practitioners, likely motivated by the need for professional recognition. To support program improvements and long-term sustainability, future research will explore the benefits, impacts, and challenges of the credentialing system as perceived by clinicians and people with an eating disorder and their families.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":"13 Suppl 1","pages":"144"},"PeriodicalIF":3.5,"publicationDate":"2025-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12272996/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144660844","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Restraint for nasogastric tube feeding in young people with anorexia nervosa or atypical anorexia nervosa: a retrospective audit.","authors":"Meaghan Hawley, Jenny O'Neill, Jaclyn Dorland, Stacey Richards, Sharon Kinney, Andrew Court, Cate Rayner","doi":"10.1186/s40337-025-01342-7","DOIUrl":"10.1186/s40337-025-01342-7","url":null,"abstract":"<p><strong>Background: </strong>Medically unstable young people with anorexia nervosa or atypical anorexia nervosa, are admitted to the adolescent medical ward at the reporting institution for nutritional rehabilitation. If meals are refused a nasogastric tube may be needed. At times restraint is used to ensure the required feeds are administered. This is an ethically complex and distressing dilemma for all involved and can result in long-term trauma for young people. The aim of this project was to establish a profile of young people with anorexia nervosa or atypical anorexia nervosa who require restraint for nasogastric tube insertion and/or feeding in the acute care paediatric setting and to understand the extent of restraint events occurring.</p><p><strong>Method: </strong>We undertook a retrospective audit of inpatients admitted to the adolescent medical ward at a quaternary pediatric hospital in Melbourne, Australia, between 2021 and 2023, for the treatment of anorexia nervosa or atypical anorexia nervosa. Data points were agreed by multidisciplinary stakeholders and were collected from the institution's electronic medical record. Data were analysed using descriptive statistics.</p><p><strong>Results: </strong>Of the 217 young people admitted, 23 (11%) had documented physical restraint for nasogastric tube feeding. Mental health comorbidities, neurodivergence, and social or behavioural complexity were higher in the young people who required feeding restraint as compared to those that did not. Of note, 15 (65%) of young people who were restrained for feeds had a diagnosis of autism, or a clinical note in their medical record indicating possible autism.</p><p><strong>Conclusions: </strong>Young people in our institution admitted to the adolescent medical ward with anorexia nervosa or atypical anorexia nervosa who are restrained for feeding have a more complex clinical, social and behavioural profile than those who do not require restraint. Care and treatment tailored to the individual, sensitive to neurodivergence, encourages clinicians to consider the young person they are treating to reduce or prevent restraint and to inform a restraint approach that mitigates iatrogenic harm.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":"13 1","pages":"143"},"PeriodicalIF":3.5,"publicationDate":"2025-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12269248/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144650960","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Linda Lukas, Laura Nuding, Gerd Schulte-Körne, Belinda Platt, Anca Sfärlea
{"title":"Losing weight, gaining confidence? actual weight does not predict body (dis)satisfaction and self-esteem in adolescents with anorexia nervosa.","authors":"Linda Lukas, Laura Nuding, Gerd Schulte-Körne, Belinda Platt, Anca Sfärlea","doi":"10.1186/s40337-025-01338-3","DOIUrl":"10.1186/s40337-025-01338-3","url":null,"abstract":"<p><strong>Background: </strong>In line with modern-day beauty ideals, many adolescent girls strive to have a slender figure. Thus, low body weight is expected to be related to greater body satisfaction and self-esteem in adolescent girls. However, for adolescents with anorexia nervosa (AN) this is often not the case: despite being underweight, they exhibit high levels of body dissatisfaction and low self-esteem. Negative cognitive biases for information related to one's body might explain this disconnection between body weight and body (dis)satisfaction/self-esteem in adolescents with AN. The present study explores the association between actual weight, negative cognitive biases, and body dissatisfaction/self-esteem in both adolescents with AN and adolescents without mental disorder (healthy controls; HCs).</p><p><strong>Methods: </strong>Weight was assessed as Body Mass Index Standard Deviation Score, interpretation bias for body-related information was assessed with an experimental paradigm (Scrambled Sentences Task), body dissatisfaction was measured using the Body Shape Questionnaire, and self-esteem was measured using the Rosenberg Self-Esteem Scale in n = 40 12-18-year-old adolescent girls with AN and n = 40 HCs. Hierarchical regression analyses were calculated to investigate whether weight and/or interpretation biases predicted body dissatisfaction and self-esteem.</p><p><strong>Results: </strong>In adolescents with AN, negative body-related interpretation bias was a significant positive predictor of body dissatisfaction and negative predictor of self-esteem while body weight did not predict any of the outcome measures. In HCs, both weight and negative interpretation bias were significant positive predictors of body dissatisfaction and significant negative predictors of self-esteem.</p><p><strong>Conclusion: </strong>The results show a disconnection between body weight and body (dis)satisfaction/self-esteem in adolescents with AN and highlight the association between negative cognitive biases for body-related information and body (dis)satisfaction/self-esteem. The negatively biased processing of information related to one's body could confirm the perception of the body as flawed and not thin enough and hinder adolescents with AN to perceive their bodies' thinness, even in the state of severe underweight. The results underline the need to target negatively biased cognitions about the body in AN treatment.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":"13 1","pages":"141"},"PeriodicalIF":3.5,"publicationDate":"2025-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12265378/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144650959","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Janet Conti, Madalyn McCormack, Gabriella Heruc, Katarina Prnjak, Rebecca Barns, Siân A McLean, Phillipa Hay
{"title":"ANZAED eating disorder credentialed clinician perceptions and experiences of professional development.","authors":"Janet Conti, Madalyn McCormack, Gabriella Heruc, Katarina Prnjak, Rebecca Barns, Siân A McLean, Phillipa Hay","doi":"10.1186/s40337-025-01307-w","DOIUrl":"10.1186/s40337-025-01307-w","url":null,"abstract":"<p><strong>Background: </strong>The ANZAED Eating Disorder Credential (the Credential) is the first national and cross discipline program to be developed that specifies the standard of qualifications, knowledge, and ongoing professional development activities needed for health professionals to provide safe and effective treatment of eating and feeding disorders. This study explored clinicians' experiences and perspectives of the Credential with a particular focus on the ongoing requirements for clinicians to engage in supervision and other eating disorder specific continuing professional development (CPD) activities to maintain their credentialing.</p><p><strong>Methods: </strong>Participants were 28 ANZAED Credentialed Eating Disorder Clinicians who participated in a semi-structured interview after completion of an online self-report survey. The interview and survey explored their views on the credentialing of clinicians, motivations to become credentialed, and experiences and perceptions of the CPD requirements. Analysis involved descriptive statistics of survey responses and an inductive thematic analysis of interview transcripts.</p><p><strong>Results: </strong>The thematic analysis generated two main themes with three subthemes for each. The first theme explored the clinicians' priorities for CPD including supervisor expertise and competence, the supervisory relationship, and accessing and meeting the requirements for CPD. The second theme was on the clinicians' experiences of CPD focusing specifically on the development of knowledge and competency, support and reflective practice, and the supervisory context. Cutting across these two main themes were the clinicians' level of experience and clinical practice in eating disorders, and enablers and barriers to CPD.</p><p><strong>Conclusions: </strong>Credentialed clinicians found the CPD requirements of the Credential, including supervision and other CPD activities, to be valuable. However, many questioned the sustainability of maintaining the Credential, perceiving the requirements as challenging to meet due to time, cost, or access. There is a need for consideration of how to embed greater flexibility in the CPD requirements to account for a clinician's level of experience, clinicians' developmental needs, and professional circumstances.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":"13 Suppl 1","pages":"142"},"PeriodicalIF":3.5,"publicationDate":"2025-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12265107/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144650961","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":"Establishment of an international Consortium for Research in Eating Disorders (CoRe-ED): Analysis of early-stage participant involvement and expectations.","authors":"Gemma Sharp, Simon Stafrace, Hao Hu, Peter Wigley","doi":"10.1186/s40337-025-01336-5","DOIUrl":"10.1186/s40337-025-01336-5","url":null,"abstract":"<p><strong>Background: </strong>Eating disorders are a major global health concern. However, eating disorders research has been incorrectly labelled by some as \"niche\" and is critically underfunded throughout the world. With a plan to try to assist in addressing these issues and others, we launched the international not-for-profit Consortium for Research in Eating Disorders (CoRe-ED) in September 2024. CoRe-ED has a global mission to promote innovations in eating disorders research by empowering all voices and ultimately creating new therapies for all people experiencing eating disorders. The aim of the present study was to examine the broad characteristics of the individuals who joined CoRe-ED free of charge and their expected benefits and experiences in the earliest stages of CoRe-ED.</p><p><strong>Methods: </strong>CoRe-ED registrants completed a written online form between 25 September 2024 and 31 December 2024. As part of this registration process, they consented to deidentified aggregated data being used for research purposes. We analysed the registration data from 252 adult participants, particularly, their primary country of residence, their role(s) (e.g., researcher with lived experience) and their perceived expectations for benefits and experiences using inductive thematic analysis.</p><p><strong>Results: </strong>The CoRe-ED registrants came from 20 countries across five continents, with Australia being the most common country. The following roles were represented; researchers, health professionals, working in a not-for-profit/advocacy role, lived experience of an eating disorder either personally and/or as a carer/supporter, and working in industry, with researchers being the highest frequency group. Thematic analysis of perceived expectations for CoRe-ED resulted in seven major themes: (1) networking, connecting, and community building (2), research contribution and collaboration (3), learning, staying informed, and professional development (4), raising awareness and advocacy (5), facilitating innovations and advancements in practice and policy (6), sharing lived experience, and (7) gaining international insights and inspiration.</p><p><strong>Conclusions: </strong>Our findings suggested that our novel international eating disorder research consortium had attracted registrants across multiple continents and groups who broadly wished to network/build a community, contribute to research and receive education. Future research should examine longer term experiences to ensure that expectations are being met and that the broader global mission of CoRe-ED is being addressed.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":"13 1","pages":"139"},"PeriodicalIF":3.5,"publicationDate":"2025-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12261732/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144643871","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}
John Paul Ben Silang, Fathima Minisha, Hayat Qassim A-Hajjaji, Catherine Medina Lim, Jishamol Thankappan, B'Chira Bent Ismail Ben Ali, Mani Megalai Prakash, Zeinab Abdillahi Mohamed, Remya Mathew, David Hali De Jesus, Salwa Mohammad Abu Yaqoub, Thomas Farrell
{"title":"Arabic translation and psychometric testing of the prenatal eating behaviors screening tool.","authors":"John Paul Ben Silang, Fathima Minisha, Hayat Qassim A-Hajjaji, Catherine Medina Lim, Jishamol Thankappan, B'Chira Bent Ismail Ben Ali, Mani Megalai Prakash, Zeinab Abdillahi Mohamed, Remya Mathew, David Hali De Jesus, Salwa Mohammad Abu Yaqoub, Thomas Farrell","doi":"10.1186/s40337-025-01264-4","DOIUrl":"10.1186/s40337-025-01264-4","url":null,"abstract":"<p><strong>Background: </strong>Early detection and treatment of eating behavioral problems among pregnant women are essential due to the associated adverse impact on pregnancy and the health of the offspring. Prenatal Eating Behaviors Screening (PEBS) tool, a 12-item self-administered questionnaire, can be used to screen for eating disorders (ED) during pregnancy. This study performed an Arabic translation of PEBS and a psychometric analysis to determine its validity and reliability.</p><p><strong>Methods: </strong>The standard forward-backward translation method was used to generate PEBS-Arabic. The 12-item Likert scale questionnaire was completed by 116 antenatal women in the tertiary maternity care hospital in Qatar. Content validity was determined by the content validity index (CVI) using input from five experts. Reliability was assessed using Cronbach's alpha, and confirmatory and exploratory factor analysis (CFA & EFA) to test construct validity. The correlations between PEBS-Arabic scores and maternal characteristics were explored.</p><p><strong>Results: </strong>The mean total PEBS score in the cohort was 16.3 (± 5.2), with nulliparity and higher educational level resulting in statistically significantly higher mean scores. The PEBS-Arabic had a very good item-CVI and scale-CVI of 1.00. The overall Cronbach's alpha was 0.77, which demonstrated good and acceptable reliability. The CFA using a single-factor solution showed an acceptable correlation for most items. In the EFA, a two-factor solution resulted in most items loading accurately into the pre-determined factors (bulimia and anorexia) with acceptable correlations.</p><p><strong>Conclusion: </strong>The PEBS-Arabic is the first translated version of this pregnancy-specific screening tool for ED. This tool demonstrates good reliability, content and construct validity. This study is a valuable step towards understanding and detecting the prevalence and determinants of ED in pregnancy, with the aim of improving maternal, fetal and child health.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":"13 1","pages":"138"},"PeriodicalIF":3.5,"publicationDate":"2025-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12261738/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144643870","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}