Journal of Eating Disorders最新文献

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The perceived impact of the ANZAED Eating Disorder Credential: perspectives of individuals with eating disorder lived experience. ANZAED饮食失调证书的感知影响:饮食失调患者生活经验的视角。
IF 5.7 3区 医学
Journal of Eating Disorders Pub Date : 2026-07-31 DOI: 10.1186/s40337-026-01690-y
Madalyn McCormack, Tracy Shand, Janet Conti, Gabriella Heruc, Siân A McLean, Katarina Prnjak, Rebecca Barns, Phillipa Hay
{"title":"The perceived impact of the ANZAED Eating Disorder Credential: perspectives of individuals with eating disorder lived experience.","authors":"Madalyn McCormack, Tracy Shand, Janet Conti, Gabriella Heruc, Siân A McLean, Katarina Prnjak, Rebecca Barns, Phillipa Hay","doi":"10.1186/s40337-026-01690-y","DOIUrl":"10.1186/s40337-026-01690-y","url":null,"abstract":"<p><strong>Background: </strong>In response to individual and systemic barriers hindering the timely and effective treatment of eating disorders (EDs), the Australia & New Zealand Academy for Eating Disorders (ANZAED) introduced an eating disorder credential for clinicians in June 2022. The Credential aims to enhance treatment access, quality, and outcomes. While the Credential has been well received by stakeholders, its effectiveness from the perspective of those with lived experience of an ED needs to be more fully understood. The current study aims to explore the experiences and perspectives of people living with an ED in relation to their treatment experiences provided by Credentialed Eating Disorder Clinicians (credentialed clinicians) and non-credentialed clinicians.</p><p><strong>Methods: </strong>An exploratory mixed-methods cross-sectional study was conducted involving 100 participants with personal lived experience of an ED. Participants were recruited via Australian eating disorder services and organisations, including the ANZAED and National Eating Disorders Collaboration (NEDC) membership databases, with recruitment information distributed through their email and social media platforms. Participants completed a survey with open- and closed-ended questions on their attitudes towards the Credential and experiences of treatment by a credentialed clinician or non-credentialed clinician. Descriptive statistics and Mann-Whitney U tests were used to examine differences in attitudes, treatment experiences, and helpfulness ratings between participants who had seen credentialed and non-credentialed clinicians, alongside inductive thematic analysis of open-ended survey responses.</p><p><strong>Results: </strong>Irrespective of their own clinicians' credentialing status, participants valued the Credential; almost two thirds identified that their most helpful treatment experience was with a credentialed clinician. Three themes were generated from open-ended survey responses that explored the treatment experiences of those with lived experience of an ED: (1) Expertise, Accessibility, and Continuity of Care, (2) A Collaborative Approach, and (3) Personalised and Effective Treatment Delivered with Understanding, Compassion, and Respect.</p><p><strong>Conclusions: </strong>The current study adds to the ED literature by highlighting the perceived value of the ANZAED Eating Disorder Credential by individuals with lived experience. Further, it supports existing research that identifies clinician's expertise, a collaborative approach to treatment, and the provision of individualised treatment as key factors contributing to positive treatment outcomes. However, barriers to accessibility, including the cost of treatment and availability of credentialed clinicians, remain and need to be addressed for individuals to receive the full benefits of the Credential.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":"13 Suppl 1","pages":""},"PeriodicalIF":5.7,"publicationDate":"2026-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13428425/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148649503","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}
引用次数: 0
Iatrogenic harm and premature treatment discontinuation in eating disorders: a lived experience response to Wade and Schmidt (2026). 饮食失调的医源性伤害和过早停止治疗:对Wade和Schmidt(2026)的生活经验反应。
IF 5.7 3区 医学
Journal of Eating Disorders Pub Date : 2026-07-30 DOI: 10.1186/s40337-026-01719-2
Laurence Cobbaert, Rosiel Elwyn
{"title":"Iatrogenic harm and premature treatment discontinuation in eating disorders: a lived experience response to Wade and Schmidt (2026).","authors":"Laurence Cobbaert, Rosiel Elwyn","doi":"10.1186/s40337-026-01719-2","DOIUrl":"10.1186/s40337-026-01719-2","url":null,"abstract":"<p><p>Premature discontinuation from eating disorder (ED) treatment is commonly interpreted through adherence, motivation, ambivalence, treatment fit, or symptom change. Wade and Schmidt make an important contribution by identifying seven strategies intended to improve retention and by moving beyond explanations located solely within the patient. They explicitly frame retention as a route through which people may obtain greater therapeutic benefit. This commentary argues that continued participation does not, by itself, establish benefit, safety, acceptability, treatment quality, or recovery. Some discontinuation may reflect treatment non-response or circumstances unrelated to care. In other cases, it may communicate poor treatment fit, coercion, relational rupture, cultural or identity-related misattunement, or iatrogenic harm. These possibilities cannot be distinguished reliably when adverse effects are poorly defined, inconsistently monitored, and inadequately reported, or when patient accounts of iatrogenic harm are discounted. We propose an expanded framework in which retention is evaluated alongside collaboratively defined benefit, treatment safety, reasons for staying and leaving, and patient-reported experiences during treatment and follow-up. Mixed-methods research, informed consent about potential negative effects, repeated confidential feedback, repair-oriented responses to reported harm, and lived experience-led co-production are required to determine whether care is safe and worth continuing. Retention records participation. Its clinical value depends on the care in which people are retained.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":"14 1","pages":""},"PeriodicalIF":5.7,"publicationDate":"2026-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13425919/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148632357","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}
引用次数: 0
Collective responsibility and ecological thinking in eating disorders: moving beyond individualistic models of illness and recovery. 饮食失调的集体责任和生态思维:超越疾病和康复的个人主义模式。
IF 5.7 3区 医学
Journal of Eating Disorders Pub Date : 2026-07-22 DOI: 10.1186/s40337-026-01707-6
James Downs
{"title":"Collective responsibility and ecological thinking in eating disorders: moving beyond individualistic models of illness and recovery.","authors":"James Downs","doi":"10.1186/s40337-026-01707-6","DOIUrl":"10.1186/s40337-026-01707-6","url":null,"abstract":"<p><p>Eating disorder treatment and recovery are often framed as matters of individual responsibility, with change positioned as dependent on the person's motivation, insight, and willingness to recover. While agency remains important, this paper argues that such framings are too narrow and can obscure the wider conditions that shape both illness and the possibility of recovery. Drawing on ecological systems theory, ecosocial approaches to health, evolutionary psychiatry, and lived experience, this paper develops an account of eating disorders as phenomena that arise within interacting systems of biological vulnerability, interpersonal relationships, sociocultural pressures, institutional arrangements, and political economy. It argues that individualistic models of illness and recovery may contribute to shame, stigma, epistemic injustice, and what is described here as hyper-responsibilisation, particularly where care is fragmented, delayed, or unequally distributed. In contrast, an ecological perspective allows eating disorders to be understood as embodied and socially patterned forms of suffering that cannot be adequately addressed through individual behaviour change alone. The paper concludes that if eating disorders are ecological in their production and maintenance, then responsibility for responding to them must also be ecological. Recommendations are made to support more collective, relational, and structurally informed approaches to prevention, treatment, and recovery.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":"14 1","pages":""},"PeriodicalIF":5.7,"publicationDate":"2026-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13393828/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148563044","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}
引用次数: 0
The influence of therapist actions, strategies and qualities on change processes in psychological therapies for eating disorders: grounded theory analysis. 治疗师的行为、策略和素质对饮食失调心理治疗变化过程的影响:扎根理论分析。
IF 5.7 3区 医学
Journal of Eating Disorders Pub Date : 2026-07-18 DOI: 10.1186/s40337-026-01713-8
Jasmin Langdon-Daly, Annanya Goenka
{"title":"The influence of therapist actions, strategies and qualities on change processes in psychological therapies for eating disorders: grounded theory analysis.","authors":"Jasmin Langdon-Daly, Annanya Goenka","doi":"10.1186/s40337-026-01713-8","DOIUrl":"https://doi.org/10.1186/s40337-026-01713-8","url":null,"abstract":"<p><strong>Background: </strong>Therapist actions, qualities and strategies are a potentially modifiable factor influencing outcome in psychological therapies for eating disorders. This study aims to hear the perspectives of those with lived experience, to identify therapist actions and behaviours which were helpful or unhelpful in change and recovery, and to construct a theory of the processes by which these therapist actions might impact on recovery.</p><p><strong>Methods: </strong>Eighteen participants who had undergone various psychological therapies for EDs took part in semi-structured interviews. They described helpful and unhelpful therapist behaviours, their emotional and cognitive impacts, and how these influenced recovery. Using a constructivist grounded theory approach, data were analysed through initial and focused coding, comparative methods, theoretical sampling, and memo-writing to develop a theoretical model.</p><p><strong>Results: </strong>Participants described two interacting major categories of therapist actions, strategies and qualities: therapist 'style and stance' along with 'tasks of therapy'. These were described as having some direct pathways of influence on 'change processes and recovery', but also acted through three core categories of interacting intervening processes: 'the person seen heard and cared for', 'trust and openness to therapy' and 'turning towards change'. These processes are the core of the model, acting to catalyse (or block) change.</p><p><strong>Conclusions: </strong>Elements of therapist style and the tasks of therapy influence recovery both directly and through key intervening processes: feeling seen, heard and cared for; developing trust and openness to therapy; and turning towards change. The constructed model and categories are considered in light of psychotherapy theory. The identified aspects of therapist style and tasks are relevant to clinicians and can inform the co-production of guidance for future use in training and delivery of ED therapies.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":" ","pages":""},"PeriodicalIF":5.7,"publicationDate":"2026-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148498322","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}
引用次数: 0
Dissonance-based eating disorder prevention for young women in Portugal: examining the body project's efficacy, delivery modality, and preference match. 葡萄牙年轻女性基于失调的饮食失调预防:检查身体项目的功效、交付方式和偏好匹配。
IF 5.7 3区 医学
Journal of Eating Disorders Pub Date : 2026-07-18 DOI: 10.1186/s40337-026-01711-w
Carol Coelho, Rita Ramos, Tânia Rodrigues, Sónia Gonçalves, Paulo P P Machado
{"title":"Dissonance-based eating disorder prevention for young women in Portugal: examining the body project's efficacy, delivery modality, and preference match.","authors":"Carol Coelho, Rita Ramos, Tânia Rodrigues, Sónia Gonçalves, Paulo P P Machado","doi":"10.1186/s40337-026-01711-w","DOIUrl":"https://doi.org/10.1186/s40337-026-01711-w","url":null,"abstract":"<p><p>Eating disorders are prevalent among young women and entail negative personal and societal consequences. Investing in prevention programs could make a meaningful difference. The Body Project is a dissonance-based prevention program with extensive empirical support for improving eating disorders' symptomatology, risk factors, and protective factors. This study is the first to evaluate the efficacy and feasibility of the Body Project in Portugal. It is also the first to explore long-term modality differences in efficacy and whether matching participants to their preferred modality moderates intervention outcomes. A total of 147 female university students with body concerns, aged 18 to 30 years, were randomly assigned to one of the peer-led Body Project interventions -in-person or virtual - or to a waitlist control. Participants in the in-person and virtual Body Project reported high satisfaction with the intervention and showed significant improvements from pre- to posttest across outcomes compared to the waitlist, except for self-esteem in the virtual group. Improvements remained significant at 6- and 12-month follow-ups, except for negative affect and dieting behaviors at 12-month follow-up in the in-person group. While both interventions produced comparable outcomes, the in-person group showed larger immediate reductions in eating disorder symptomatology, whereas the virtual group showed delayed reductions. Matching participants to their preferred modality significantly moderated the effect of delivery modality on changes from pre- to posttest in thin-ideal internalization, dieting behaviors, eating disorder symptomatology, and body appreciation. Exploratory analyses suggested that matched participants tended to show larger gains in the in-person intervention, whereas unmatched participants tended to show larger gains in the virtual intervention. Implications, limitations, and recommendations are discussed.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":" ","pages":""},"PeriodicalIF":5.7,"publicationDate":"2026-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148498346","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}
引用次数: 0
"We might be making mistakes, but we're learning, we're trying, and we're listening": embedding qualitative methods within the plan-do-study-act cycle to support the development of a pilot multidisciplinary ARFID pathway. “我们可能会犯错误,但我们正在学习,我们正在尝试,我们正在倾听”:在计划-执行-研究-行动循环中嵌入定性方法,以支持多学科ARFID试点途径的发展。
IF 5.7 3区 医学
Journal of Eating Disorders Pub Date : 2026-07-16 DOI: 10.1186/s40337-026-01692-w
Maxine Byrne, Eva Eastman, Cat Papastavrou Brooks, Annie Stevenson, Natalie Wheelhouse, Sophie Webber, Lisa Bevis, Amy Brown
{"title":"\"We might be making mistakes, but we're learning, we're trying, and we're listening\": embedding qualitative methods within the plan-do-study-act cycle to support the development of a pilot multidisciplinary ARFID pathway.","authors":"Maxine Byrne, Eva Eastman, Cat Papastavrou Brooks, Annie Stevenson, Natalie Wheelhouse, Sophie Webber, Lisa Bevis, Amy Brown","doi":"10.1186/s40337-026-01692-w","DOIUrl":"https://doi.org/10.1186/s40337-026-01692-w","url":null,"abstract":"<p><strong>Background: </strong>Avoidant restrictive food intake disorder (ARFID) was introduced to the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) in 2013 and current guidelines recommend multidisciplinary care, however there are few evaluations of such pathways. This study aims to enhance the study stage of the plan-do-study-act (PDSA) cycle using qualitative methods to improve the development, refinement, and implementation of a novel pilot ARFID pathway in a community eating disorder service.</p><p><strong>Methods: </strong>Semi-structured interviews were conducted with 17 participants with experience of the pathway (7 service users:10 staff members) according to an interview schedule. Reflexive, codebook thematic analysis was used to analyse the interview data.</p><p><strong>Results: </strong>Gaps in understanding and treating ARFID were revealed, leading to feelings of uncertainty and frustration. The establishment of a specialist multidisciplinary team (MDT) improved knowledge and efficiency but created challenges related to team integration and resource allocation. Barriers for service user engagement and communication demonstrated the need for service user consultation and pathway co-creation.</p><p><strong>Conclusions: </strong>Service user consultation, treatment adaptations for neurodiversity and cross-service working were identified to improve the pathway as part of the act stage of the PDSA cycle. Future ARFID pathways should prioritise service user agency and access to multidisciplinary care and incorporate consultation from external eating disorder service, as well as lived experience experts.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":" ","pages":""},"PeriodicalIF":5.7,"publicationDate":"2026-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148473416","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}
引用次数: 0
A case series evaluation of a schema therapy-coaching programme for carers of patients with moderate to severe anorexia nervosa: the CAREFREE programme. 对中度至重度神经性厌食症患者护理人员图式治疗指导方案的案例系列评估:无忧无虑方案。
IF 5.7 3区 医学
Journal of Eating Disorders Pub Date : 2026-07-16 DOI: 10.1186/s40337-026-01704-9
Emma Mawdsley, Stacey McNicol, Alasdair C Rutherford, Lesley Symon, Debbie Smith, Hazel Elliott, Susan Simpson
{"title":"A case series evaluation of a schema therapy-coaching programme for carers of patients with moderate to severe anorexia nervosa: the CAREFREE programme.","authors":"Emma Mawdsley, Stacey McNicol, Alasdair C Rutherford, Lesley Symon, Debbie Smith, Hazel Elliott, Susan Simpson","doi":"10.1186/s40337-026-01704-9","DOIUrl":"https://doi.org/10.1186/s40337-026-01704-9","url":null,"abstract":"<p><strong>Background: </strong>Anorexia Nervosa (AN) can be a complex condition to treat, often complicated by high chronicity, complexity and comorbidity. Treatments for AN with comorbidity and complexity are limited, with carers having to take a large role in supporting these individuals. Carer distress can be high, impacting carer wellbeing and contributing to familial dynamics which can also perpetuate AN behaviours as a way of coping. This study evaluated a novel carers group, the CAREFREE programme, for the specific needs of carers of Moderate to Severe AN (MS-AN: adults with AN who have not responded to previous treatments, have a complex comorbidity, and/or complex aetiology), using schema therapy-focused coaching to improve carer distress and family functioning.</p><p><strong>Methods: </strong>A non-concurrent group case series design was employed. Outcome measures included carer distress, expressed emotion, family functioning and communication, mood, and attachment-related anxiety and avoidance. Outcomes were analysed at 4-timepoints, (i.e. pre-intervention, mid-point [6 weeks], post-intervention [12-weeks] and 3-month follow-up), using multi-level modelling.</p><p><strong>Results: </strong>53 carers commenced the programme in the study across 5 groups. Carer distress, expressed emotion, family functioning, mood and attachment-related avoidance significantly improved after the end of the group and remained significantly improved at follow-up. Attachment-anxiety did not lead to statistically significant changes, although a trend of improvement was seen.</p><p><strong>Conclusions: </strong>Preliminary evidence suggests improvements in carer wellbeing and family functioning following participation in the CAREFREE programme for carers of MS-AN. Attachment outcome measures that did not lead to statistically significant change may be related to the time-limited nature of the intervention and the group intervention itself, with greater change in attachment outcomes often requiring individualised and more intensive interventions. Future research is required to explore what impact this has on patient outcomes. Trial registration This study was registered with clinicaltrials.gov (ClinicalTrials.gov ID: NCT06624397).</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":" ","pages":""},"PeriodicalIF":5.7,"publicationDate":"2026-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148457350","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}
引用次数: 0
Mental health interventions for carers of individuals with eating disorders: a systematic review of randomized controlled trials assessing efficacy on anxiety and depressive symptoms. 饮食失调患者护理人员的心理健康干预:对评估焦虑和抑郁症状疗效的随机对照试验的系统回顾。
IF 5.7 3区 医学
Journal of Eating Disorders Pub Date : 2026-07-14 DOI: 10.1186/s40337-026-01705-8
Ilaria Riboldi, Chiara Alessandra Capogrosso, Cristina Crocamo, Alessandro Chinello, Luigi Enrico Zappa, Francesco Bartoli, Giuseppe Carrà
{"title":"Mental health interventions for carers of individuals with eating disorders: a systematic review of randomized controlled trials assessing efficacy on anxiety and depressive symptoms.","authors":"Ilaria Riboldi, Chiara Alessandra Capogrosso, Cristina Crocamo, Alessandro Chinello, Luigi Enrico Zappa, Francesco Bartoli, Giuseppe Carrà","doi":"10.1186/s40337-026-01705-8","DOIUrl":"https://doi.org/10.1186/s40337-026-01705-8","url":null,"abstract":"<p><strong>Background: </strong>Carers of individuals with eating disorders (EDs) often experience high levels of psychological distress, which can lead to anxiety and depressive symptoms. While several interventions have been developed to support carers, the effectiveness on their mental health remains unclear.</p><p><strong>Methods: </strong>We performed a systematic review of randomized controlled trials (RCTs) assessing mental health interventions for carers of individuals with EDs, with anxiety and depressive symptoms defined as outcomes of interest. Searches were performed across major electronic databases up to 31 October 2025.</p><p><strong>Results: </strong>Twelve RCTs met the inclusion criteria. Structured narrative synthesis indicated that statistically significant effects were infrequent, outcome-specific, and generally small in magnitude. Interventions based on the Cognitive-Interpersonal Maintenance Model (CIMM) were the most frequently evaluated. However, only one trial demonstrated significant improvements in depressive symptoms (p = 0.010), with no significant effect on the Depression Anxiety Stress Scale (DASS-21) total scores (p = 0.06) or on the anxiety subscale (p = 0.50). In addition, Cognitive Behavioural Therapy (CBT)-based interventions showed some promising effects on the Hospital Anxiety and Depression Scale (HADS) total score (p = 0.033), but these results were not consistently replicated across guided and unguided formats. Among the other approaches, a video-based skills-training intervention produced a measurable reduction in carer distress, but this effect was observed only when combined with professional support (p = 0.030). Overall, interventions incorporating professional or peer support appeared more promising than fully self-directed approaches, although direct comparisons between guided and unguided formats did not consistently show statistically significant differences. Quality assessment showed at least an average standard of quality for all the included trials.</p><p><strong>Conclusions: </strong>Interventions for carers of individuals with EDs are conceptually well-founded, yet current evidence provides only limited support for their effectiveness in reducing anxiety and depressive symptoms. Future research should prioritize interventions that combine more structured mental health strategies with guided self-help programmes and workshops, providing tailored support to address the various needs of carers.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":" ","pages":""},"PeriodicalIF":5.7,"publicationDate":"2026-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148438564","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}
引用次数: 0
Creating a hospital-based nutrition pathway for adults: evaluation of implementation in two United States hospital-systems. 创建以医院为基础的成人营养途径:对美国两家医院系统实施情况的评估。
IF 5.7 3区 医学
Journal of Eating Disorders Pub Date : 2026-07-14 DOI: 10.1186/s40337-026-01708-5
Helen Liljenwall, Elissa H Patterson, Stephanie Van Decker, Natalie Prohaska, John Hunter, Elizabeth O G Hoffman, Susan G Burgess, Sheila Shanmugan, Jeylan Close, Rebecka Peebles
{"title":"Creating a hospital-based nutrition pathway for adults: evaluation of implementation in two United States hospital-systems.","authors":"Helen Liljenwall, Elissa H Patterson, Stephanie Van Decker, Natalie Prohaska, John Hunter, Elizabeth O G Hoffman, Susan G Burgess, Sheila Shanmugan, Jeylan Close, Rebecka Peebles","doi":"10.1186/s40337-026-01708-5","DOIUrl":"https://doi.org/10.1186/s40337-026-01708-5","url":null,"abstract":"<p><strong>Background: </strong>Since the COVID-19 pandemic there has been a rise in the incidence and severity of eating disorders (ED). The Hospital of the University of Pennsylvania (HUP) and University of Michigan Hospital System (UMHS) have similarly seen a rise in the incidence and severity of patients admitted with eating disorders. Until 2023, no formal pathway existed for the treatment of malnutrition in adult patients with ED at either hospital system.</p><p><strong>Methods: </strong>The Consolidated Framework for Implementation Research (CFIR) was used by program leads at both HUP and UMHS for the identification of barriers and facilitators influencing the implementation of a treatment pathway for adult patients with eating disorders admitted to the medical floors.</p><p><strong>Results: </strong>The pathways at UMHS and HUP were overall remarkably similar and many of the same barriers and facilitators impacting the implementation of the treatment pathways were identified within both programs. Both programs consist of care bundles involving structured, observed meals with daily calorie goals for patients, frequent electrolyte monitoring, and daily blind weights.</p><p><strong>Conclusions: </strong>These treatment pathways address the treatment of malnutrition in adults with eating disorders admitted to inpatient medical floors in general hospital settings with no prior history of eating disorder expertise, and both have been successfully implemented at HUP and UMHS thereby providing much-needed services for this patient population. The manuscript expands on existing literature by describing the facilitators and limitations of the implementation of an eating disorder protocol in a general adult hospital setting.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":" ","pages":""},"PeriodicalIF":5.7,"publicationDate":"2026-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148449807","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}
引用次数: 0
The association between eating disorders and adolescent idiopathic scoliosis: a systematic review. 饮食失调与青少年特发性脊柱侧凸之间的关系:一项系统综述。
IF 5.7 3区 医学
Journal of Eating Disorders Pub Date : 2026-07-11 DOI: 10.1186/s40337-026-01662-2
Dennis Gibson, Millie Plotkin, Marina Foster, Delaney Wesselink, Taylor Mannix
{"title":"The association between eating disorders and adolescent idiopathic scoliosis: a systematic review.","authors":"Dennis Gibson, Millie Plotkin, Marina Foster, Delaney Wesselink, Taylor Mannix","doi":"10.1186/s40337-026-01662-2","DOIUrl":"https://doi.org/10.1186/s40337-026-01662-2","url":null,"abstract":"<p><strong>Objective: </strong>A plausible association between adolescent idiopathic scoliosis (AIS) and eating disorders (EDs) is suggested by the current research, although this potential relationship is poorly defined. This systematic review seeks to better understand the association between AIS and EDs.</p><p><strong>Methods: </strong>Medline, Embase, and Web of Science were searched for articles that assessed the combination of AIS and EDs.</p><p><strong>Results: </strong>Twelve articles were included in the final review. Six of the twelve studies were assessed as having serious risk of bias, and one was assessed to have moderate risk of bias. Three plausible associations are suggested from studies in this review: (1) individuals with AIS tend to have lower BMIs, (2) there is little evidence to suggest that individuals with AIS exhibit increased ED psychopathology, and (3) limited studies using sample cohorts of individuals diagnosed with EDs suggest an increased likelihood of also being diagnosed with AIS.</p><p><strong>Conclusion: </strong>Additional longitudinal research in the ED population is needed to better understand the association between EDs and AIS and whether EDs confer increased risk to develop AIS.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":" ","pages":""},"PeriodicalIF":5.7,"publicationDate":"2026-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148425511","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}
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