Journal of Eating Disorders最新文献

{"title":"Acceptability of a personalised single-session feedback intervention for eating disorders: a qualitative content analysis.","authors":"Laura Lapadat, Samantha Wilson, Lisa Y Zhu, Sarah E Racine","doi":"10.1186/s40337-025-01333-8","DOIUrl":"10.1186/s40337-025-01333-8","url":null,"abstract":"","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":"13 1","pages":"133"},"PeriodicalIF":3.5,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12247479/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144610024","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring the relationship between peer attachment, and disordered eating behaviours and body dissatisfaction in adolescence: a systematic review.","authors":"Clarice Chan, Cecily Donnelly, Aphrodite Eshetu, Dasha Nicholls","doi":"10.1186/s40337-025-01273-3","DOIUrl":"10.1186/s40337-025-01273-3","url":null,"abstract":"<p><strong>Objective: </strong>Adolescence is a critical period in the development of eating disorders (ED) and the influence of peers becomes increasingly evident in shaping behaviour. Insecure attachment to parents is associated with higher ED risk, but the impact of attachment to peers is unknown. This systematic review aims to ascertain the role of peer attachment in ED symptoms and body dissatisfaction in adolescents.</p><p><strong>Methods: </strong>Electronic databases Medline, Embase, PsychINFO, and Scopus were searched using the search terms related to adolescents, eating disorders, peers, and attachment.</p><p><strong>Results: </strong>Out of the 19 included studies (n = 15 cross-sectional, n = 4 Longitudinal), most (n = 17) used the Peer subscale of the 'Inventory of Parent and Peer Attachment (IPPA)' to measure peer attachment. The prevalence of insecure attachment was higher in populations with ED symptoms compared to those without. Lower attachment scores were associated with higher ED symptomology and body dissatisfaction. Out of the 3 subscales of the IPPA, alienation emerged as the most significant predictor of symptomology.</p><p><strong>Discussion: </strong>Insecure attachment to peers may be a risk factor in the development of ED symptoms and body dissatisfaction, but the protective role of secure attachment remains unclear. More longitudinal research is required to disentangle this relationship and ascertain the clinical significance of peer attachment in prognosis or intervention.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":"13 1","pages":"130"},"PeriodicalIF":3.5,"publicationDate":"2025-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12235894/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144585313","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":"From childhood to adolescence: Development of binge eating and the prospective role of self-regulation.","authors":"Nele Westermann, Annette M Klein, Robert Busching, Petra Warschburger","doi":"10.1186/s40337-025-01330-x","DOIUrl":"10.1186/s40337-025-01330-x","url":null,"abstract":"<p><strong>Background: </strong>Research shows that binge eating often starts in childhood or adolescence, but its development remains largely unexplored. Additionally, while cross-sectional studies link self-regulation to binge eating, longitudinal research is lacking. Therefore, this study examined the development of binge eating and self-regulation as a potential predictor for this development in a community sample.</p><p><strong>Methods: </strong>A total of N = 1660 children were assessed at four time points spanning ages 6-11, 7-11, 9-13, and 16-21. The assessment of self-regulation encompassed emotional reactivity, working memory updating, cognitive flexibility, inhibition, inhibitory control, planning behavior, affective decision-making, anger regulation, and as appetite self-regulation, satiety responsiveness, emotional overeating, food responsiveness, and external eating, using computerized tasks, teacher- and parent-reports. Binge eating was modeled by child-reported loss of control eating, overeating, and eating in the absence of hunger. A latent change score model was used to evaluate intra- and interindividual differences in binge eating across middle childhood and adolescence. Self-regulation facets were regressed on changes in binge eating.</p><p><strong>Results: </strong>Results indicated a decrease in binge eating at the beginning of middle childhood, followed by a stagnation and then an increase during adolescence, with significant interindividual differences in these changes. Higher planning behavior, inhibitory control, and cognitive flexibility predicted decreases in binge eating during middle childhood, while higher satiety responsiveness unexpectedly predicted an increase in binge eating during adolescence. Results remained the same after controlling for body weight.</p><p><strong>Conclusions: </strong>Our findings highlight adolescence as a critical period for binge eating prevention, with planning behavior, inhibitory control, and cognitive flexibility acting as protective factors in middle childhood. The longitudinal data underscore the importance of self-regulation in the development of binge eating.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":"13 1","pages":"129"},"PeriodicalIF":3.5,"publicationDate":"2025-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12232867/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144576638","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":"A qualitative investigation of the factors influencing eating disorder symptomology during the postpartum period.","authors":"Chantelle Ecob, Debbie M Smith, Zoe Tsivos, Sarah Peters","doi":"10.1186/s40337-025-01295-x","DOIUrl":"10.1186/s40337-025-01295-x","url":null,"abstract":"<p><strong>Background: </strong>The perinatal period can be a challenging time for women with current or historical eating disorder (ED) experience. Maternal EDs are associated with risks to both the mother and the child. During pregnancy, women are more likely to disengage with ED behaviours for the good of their growing baby. However, the postpartum period is a particularly risky period for the re-emergence or worsening of ED behaviours, irrespective of women's pre-pregnancy ED status. Little is known about the factors which influence ED symptomology during the postpartum period. The aim of this study was to develop an understanding of the factors operating in the postpartum experience that influence ED symptomology.</p><p><strong>Methods: </strong>Semi-structured interviews were conducted with 12 women who had experience of an ED before becoming pregnant. Interview took place during or after the postpartum period, with women reflecting specifically on the postpartum period. Interviews were analysed using Reflexive Thematic Analysis.</p><p><strong>Results: </strong>Four themes were developed within the interview data; (1) Embracing the self, (2) Motherhood: an ED enabler or protector?, (3) ED as a 'plaster' for emotional distress, and (4) The influential voices of others. Theme 1 captures participants' reports of the primary ED recovery facilitator, with a focus on self-awareness, self-understanding, self-compassion, and self-identity. Themes 2-4 describe a 'triangle of powers' which interacted with one another to influence participants' ED symptomology both positively and negatively during the postpartum period.</p><p><strong>Conclusion: </strong>A new model is proposed which predicts that ED symptomology during the postpartum period is influenced by a complex interaction between various internal and external factors. Health care professionals encountering women with EDs during the perinatal period should be aware of these factors, to provide attuned and individualised care and improve outcomes for mothers and babies. Increased awareness how EDs may present during the postpartum period is needed.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":"13 1","pages":"127"},"PeriodicalIF":3.5,"publicationDate":"2025-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12232848/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144576637","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":"Understanding the child and adolescent eating disorder treatment experiences of autistic people and parents.","authors":"Colleen Alford, Andrew Wallis, Phillipa Hay, Deborah Mitchison","doi":"10.1186/s40337-025-01331-w","DOIUrl":"10.1186/s40337-025-01331-w","url":null,"abstract":"","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":"13 1","pages":"128"},"PeriodicalIF":3.5,"publicationDate":"2025-07-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12232722/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144576639","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":"Hospitalizations in adolescents with anorexia nervosa in Spain over two decades.","authors":"Vicente Soriano, José Manuel Ramos, Manuel Faraco, Lucía Gallego, María Inés López-Ibor, Carlos Chiclana-Actis, Eduardo González-Fraile, Gemma Mestre-Bach, Héctor Pinargote, Manuel Corpas, Octavio Corral, Hilario Blasco-Fontecilla","doi":"10.1186/s40337-025-01322-x","DOIUrl":"10.1186/s40337-025-01322-x","url":null,"abstract":"<p><strong>Background: </strong>Anorexia nervosa (AN) is a leading mental disorder among adolescents and is associated with impaired physical health and disruption of psychosocial functioning. Knowing the major determinants and trends of AN in youth are critical for earlier diagnosis and prompt interventions.</p><p><strong>Methods: </strong>We retrospectively examined all hospitalizations in Spain with AN among children and adolescents aged 11 to 18 years, using data from the National Registry of Hospital Discharges spanning 2000 to 2021. We adhered to the RECORD guidelines for reporting observational routinely collected health data. All statistical analyses were performed using SPSS v25.0.</p><p><strong>Results: </strong>Over the 22-year study period, there were 2,015,589 hospitalizations among adolescents in Spain, with 118,609 (5.9%) cases involving mental disorders. There were 15,338 admissions with AN, representing 12.9% of all hospitalizations with mental disorders in youth. Admissions with AN were 5.2-fold more frequent than with bulimia nervosa. Admissions with AN significantly declined from 20.7% in 2000 to 5.2% in 2021. Median age at hospitalizations with AN was 15 years-old. Girls represented 90%. The median length of hospital stay was 14 days. The in-hospital mortality rate was 0.15%, being significantly more frequent in boys than girls. Other mental disorders were present in 15% of AN admissions. After the first year of COVID-19, admissions of adolescents with AN sharply increased by 89%.</p><p><strong>Conclusion: </strong>AN is an important cause of hospitalization in adolescents with mental disorders in Spain. Girls represent 90% of AN admissions. Whereas the rate of AN hospitalizations declined since year 2000, a surge of admissions in adolescents with AN occurred after the first year of COVID-19. Median age has remained fairly stable around 15-years-old over two decades. Anorexia nervosa (AN) is a leading mental disorder among adolescents. We examined all hospitalizations in adolescents with AN in Spain since year 2000 using a nationwide public database. There were over two million admissions in adolescents during the study period, of which 6% involved mental disorders. AN represented 13% of such cases. Median age at hospitalizations with AN was 15 years-old. Girls represented 90%. Admissions with AN significantly declined over time. However, a sharp increase was noticed after the COVID-19 pandemic. This information may guide educational policies and improve preventive strategies at schools and earlier therapeutic interventions.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":"13 1","pages":"125"},"PeriodicalIF":3.5,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12219436/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144545698","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":"Medical management and differential diagnosis of restrictive eating disorders in men: a case study report with co-produced recommendations.","authors":"James Downs, Clive Kelly","doi":"10.1186/s40337-025-01250-w","DOIUrl":"10.1186/s40337-025-01250-w","url":null,"abstract":"<p><strong>Background: </strong>Males with eating disorders (EDs) are an underrepresented population whose symptomatology and treatment needs are poorly understood, having been overlooked in clinical research to date. The role of gastrointestinal disorders, such as gastroparesis, in the context of restrictive EDs is similarly under-explored. Making use of emerging evidence regarding conditions that co-occur with severe EDs to consider potential differential diagnoses in cases of complex and uncertain symptomatology can assist in providing more individualised and empathetic care, preventing avoidable outcomes, including death.</p><p><strong>Case presentation: </strong>The case of a male patient with a longstanding history of restrictive eating and diagnosis of anorexia nervosa is presented. After hospital admission, they developed severe complications, including aspiration pneumonia. Despite medical interventions, the patient's complex presentation and the lack of individualised treatment options contributed to the tragic outcome of death. A postmortem diagnosis revealed gastroparesis, a condition that had gone undetected during his life. Prior to his death, the patient had presented with symptoms overlapping with Avoidant Restrictive Food Intake Disorder (ARFID) and neurodivergence, which are worth considering for how they may have played a role in complicating the clinical picture and making diagnosis and treatment more challenging.</p><p><strong>Conclusions: </strong>The case illustrates the value of exploring differential diagnoses when providing individualised and comprehensive treatment for ED patients with diverse symptomatology and identities. Even where diagnoses of co-occurring conditions do not apply, traditional research and knowledge from lived experience show how adopting an integrative stance is valuable for all patients. Specifically, there is an urgent need for improved treatment protocols for males with restrictive EDs, which accommodate co-occurring conditions like gastroparesis and possible differential diagnoses such as ARFID and neurodivergent conditions. Recommendations are given for how providers can implement gender-specific treatment, comprehensive assessments, and a multidisciplinary approach. Co-creating knowledge with patients themselves is central to achieving more empathetic, well-fitting, and effective treatment that appreciates the complexities of overlapping physical and psychological conditions, and ultimately reduces the risk of preventable deaths.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":"13 1","pages":"124"},"PeriodicalIF":3.5,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12220133/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144545700","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":"Healing at the intersections through lyric, beat and rhyme.","authors":"Sumedha Verma","doi":"10.1186/s40337-025-01222-0","DOIUrl":"10.1186/s40337-025-01222-0","url":null,"abstract":"<p><p>The voices and experiences of diverse people and communities are systemically marginalised and neglected from mental health literature, policy and practice; this is a time of need, and we must move with the times. Taking a critical, intersectional lens to mental health focusing especially on eating disorders, this piece offers an imaginative commentary on healing and recovery experiences that lie alongside, and often outside of, traditional frameworks which remain White, hyper-medicalised and restrictive. I make a case for centring selfhood and belonging at the core of recovery, and explicate how identification, connectedness and healing processes can be facilitated through art. I reference several musical works by Black and Brown female artists as sources of personal resonance, presenting avenues for mirroring, cultural connection, hope and homecoming essential to healing and wellbeing. I conclude that intersectional experiences of eating disorders require intersectional approaches that honour the complexity, tenacity and strength of all people, kin and communities. This piece implores readers to think deep and wide about being, helping and healing beyond bounds.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":"13 1","pages":"121"},"PeriodicalIF":3.5,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12211260/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144545697","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":"Indirect association between childhood maltreatment and food and alcohol disturbance through insecure attachment in university students.","authors":"Ludivine Ritz, Nicolas Mauny, Charlotte Montcharmont, Ninon Dessommes, Denis Jacquet, Maud Lemercier-Dugarin","doi":"10.1186/s40337-025-01321-y","DOIUrl":"10.1186/s40337-025-01321-y","url":null,"abstract":"<p><strong>Background: </strong>Food and Alcohol Disturbance (FAD) is characterized by a functional relationship between disordered eating behaviors and problematic alcohol use. Childhood adversity has been found to be associated with FAD, but its potential impacts on attachment profiles and FAD behaviors have never been examined. The present study tests a model in which insecure attachment mediates the relationship between childhood maltreatment and FAD.</p><p><strong>Methods: </strong>University students (N = 629) participated in the study, completing questionnaires on FAD, childhood maltreatment history, and adult attachment. Structural equation modeling was used to test the mediated effect of childhood maltreatment through attachment on FAD behaviors.</p><p><strong>Results: </strong>Insecure attachment and childhood maltreatment were related; however, only insecure attachment was directly related to FAD behaviors. A history of childhood maltreatment was indirectly related to FAD, mediated by insecure attachment. Attachment insecurity, particularly preoccupied and fearful patterns, was directly related to FAD behaviors in students and mediated the relationship between childhood maltreatment and FAD.</p><p><strong>Conclusions: </strong>These findings may explain how early experiences of child maltreatment can be related to attachment style, and later, in adulthood, influence FAD behaviors in students. Clinicians should adapt treatment and preventions strategies to help patients transition from insecure attachment to a more secure pattern and regulate their negative emotions.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":"13 1","pages":"126"},"PeriodicalIF":3.5,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12220335/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144545699","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":"Resistance training is an underused and promising tool in eating disorder recovery: a narrative review.","authors":"Victoria Bongiorno, Martica Heaner","doi":"10.1186/s40337-025-01305-y","DOIUrl":"10.1186/s40337-025-01305-y","url":null,"abstract":"<p><strong>Background: </strong>Individuals with eating disorders may experience reduced bone mineral density and muscle mass, lower quality of life, and debilitating psychopathology. Abstinence from exercise has historically been recommended in the treatment of eating disorders. However, evidence shows that well-planned, supervised exercise can be safe and beneficial. Resistance training is an exercise modality of particular interest because of its ability to protect bone and muscle mass, in addition to its mental health and quality of life benefits. The purpose of this narrative review is to examine the use of resistance training in the treatment of eating disorders to determine whether its incorporation in treatment programs should be recommended.</p><p><strong>Methods: </strong>A search of the literature was conducted via PubMed, Web of Science, ScienceDirect, and Sage Journal. Articles published before the final database search (March 22nd, 2025) were considered.</p><p><strong>Inclusion criteria: </strong>Studies must examine how the use of resistance training affects people with anorexia nervosa, bulimia nervosa, or binge eating disorder, and must be published in English. Both quantitative and qualitative literature were included.</p><p><strong>Results: </strong>A total of 17 studies were examined. Quantitative research revealed significant improvements in body composition, strength, and quality of life when resistance training was included in treatment. The available evidence suggests that higher loading is well-tolerated and is more effective than low loading at improving body composition. Qualitative research demonstrated participants' positive attitudes toward the use of resistance training during treatment. The participants reported improved relationships with exercise, citing the emphasis on building strength as an empowering motivator that deemphasizes weight loss.</p><p><strong>Conclusion: </strong>In combination with a multidisciplinary team including a dietitian, psychologist, and medical provider, resistance training has the potential to play an important role in improving psychopathology, quality of life, and body composition in patients with eating disorders. More research is needed in this area before its inclusion in treatment can be confidently recommended. Plain english summary People with eating disorders experience reduced bone mineral density muscle mass, and report low quality of life. Although abstinence from exercise has historically been recommended in the treatment of eating disorders, its intentional application may confer meaningful benefits to both physical and mental health. Resistance training is a modality that shows promise for improving many eating disorder symptoms, including protecting and increasing bone and muscle health and improving quality of life.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":"13 1","pages":"123"},"PeriodicalIF":3.5,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12220358/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144545701","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}