Journal of Eating Disorders最新文献

{"title":"Women's eating disorder origins as responses to childhood trauma and negative social self: a qualitative study exploring lived experience perspectives.","authors":"Kelsea V Schoenbauer, Elizabeth A Suter","doi":"10.1186/s40337-026-01656-0","DOIUrl":"10.1186/s40337-026-01656-0","url":null,"abstract":"<p><strong>Background: </strong>Research has identified many risk factors, ranging from individual to sociocultural believed to contribute to the development of eating disorders. However, the majority of studies are quantitative and tend to focus on anorexia nervosa exclusively, while prioritizing the voices of experts over those with lived experience's descriptions of causes. This is problematic because individuals with eating disorders have been found to hold different perceptions regarding the cause of their condition compared to individuals without an eating disorder. In this study, we address these gaps. We focus on the voices of individuals with lived experience rather than experts, take a qualitative approach to get richer, fuller accounts of individuals' experiences than may be allowed by quantitative data alone, and investigate the onset of a spectra of eating disorders rather than limit focus to one particular type. The purpose of this qualitative study is to explore the perceived origins of eating disorders from the perspective of women with lived experience.</p><p><strong>Method: </strong>We interviewed 21 women to elicit their eating disorder life story narratives. Women's eating disorder life story narratives were analyzed using reflexive thematic analysis.</p><p><strong>Results: </strong>Analysis identified two origin story themes: Eating Disorder as Response to Childhood Trauma (i.e., private threats to the self) and Eating Disorder as Response to Negative Social Self (i.e., public threats to the self). Taken together, these two origin story themes help situate women's eating disorder beginnings in their private and public contexts.</p><p><strong>Conclusions: </strong>Study results are discussed as holding both academic and practical significance. Academically, this study advances eating disorder research in five ways. First, it extends research on eating disorder causes. Second, it advances the area's feminist efforts. Third, it increases lived experience perspectives. Fourth, it accelerates the area's reflexive turn. Fifth, it addresses diverse eating disorder experiences. Practically, study results hold utility for women with eating disorders and eating disorder professionals by better contextualizing women's eating disorder beginnings and aiding in sense-making.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":"14 1","pages":""},"PeriodicalIF":5.7,"publicationDate":"2026-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13435451/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148674348","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":"Ethical issues related to restrictive practices for anorexia nervosa in young people.","authors":"Angela Yan, Michele Yeo, Emily Wilson, Jenny O'Neill, Lynn Gillam","doi":"10.1186/s40337-026-01715-6","DOIUrl":"10.1186/s40337-026-01715-6","url":null,"abstract":"<p><strong>Background: </strong>Anorexia nervosa (AN) is an eating disorder affecting many young people. In severe AN, complications associated with profound weight loss and malnutrition can arise, and restrictive measures (e.g., manual force, devices, or medications) may be employed to ensure treatment of patients at imminent risk of harm. This narrative review explores the ethical issues in restrictive practices or coercive treatment for young people with AN.</p><p><strong>Methods: </strong>345 papers were initially retrieved from online databases Ovid Medline, PsycINFO, Embase and PubMed. 247 papers were systematically screened according to established inclusion and exclusion criteria, before being assessed for relevance. 40 papers remained after screening and were included in the review.</p><p><strong>Conclusions: </strong>Only three empirical studies were identified, with the remainder of the papers in the review being non-empirical. Significant arguments supporting restrictive or coercive practices include preservation of life; cognitive immaturity; altered capacity; alleviation of pressure or guilt regarding treatment decisions (particularly for parents or guardians); and retrospective gratitude. Pertinent counterarguments include patient distress; unjust violation of autonomy; harm to others; damage to parent-child relationships; and impacts on the therapeutic alliance. Despite there being widespread agreement on the ethical issues raised, the literature lacks guidance on how to proceed in these situations. Although restrictive or coercive treatment may be considered essential, last-resort management for young people with severe AN, the literature prompts clinicians to consider the associated harms. Future empirical research should be conducted to better understand the benefits and harms of such practices from patient, parent, and clinician perspectives.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":"14 1","pages":""},"PeriodicalIF":5.7,"publicationDate":"2026-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13505003/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148820099","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":"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}

{"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}

{"title":"Childhood bullying and body dissatisfaction in adolescents from marginalised groups.","authors":"Marie-Christine Opitz, Nora Trompeter, Ulrike Schmidt, Nadia Micali, Helen Sharpe","doi":"10.1186/s40337-026-01709-4","DOIUrl":"10.1186/s40337-026-01709-4","url":null,"abstract":"<p><strong>Background: </strong>Experiences of being bullied have consistently been linked to body dissatisfaction. The present study aimed to investigate the longitudinal relationship between childhood bullying and body image outcomes in adolescents from two large UK-based cohorts. Analyses were conducted separately for marginalised groups to investigate unique risks.</p><p><strong>Methods: </strong>Data from the Avon Longitudinal Study of Parents and Children (ALSPAC, \"Children of the 90s\" born in 1991-1993) and the Millennium Cohort Study (MCS, including young people born in 2000-2002) were used. Childhood bullying was reported by N = 10,005 children at ages 5-11 (ALSPAC) and N = 10,950 children at 7-11 (MSC), while body dissatisfaction was self-reported at ages 10 and 14 (ALSPAC) and 11 and 14 (MSC).</p><p><strong>Results: </strong>Experiences of childhood bullying were consistently associated with poorer body image outcomes in adolescents. While the ALSPAC cohort showed primarily significant associations for girls, MCS data indicated significant associations for both girls and boys. Marginalised identities did not moderate effects, except for ethnicity in 14-year-old girls (MSC), indicating a weaker effect for ethnic minority girls.</p><p><strong>Conclusions: </strong>The present study provides further evidence for the role of childhood bullying experiences as a risk factor for body dissatisfaction in adolescents. Further research needs to investigate the role of intersectionality when exploring marginalised identities, as well as the unique role of appearance-based bullying on body dissatisfaction.</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/PMC13679007/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149221050","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":"The impact of standardized meal plans for patients hospitalized for anorexia nervosa.","authors":"Joshua Borus, Rachel Lockwood, Gabriela Vargas, Lisa Mancini, Ramy Yim, Sara Forman, Tracy Richmond","doi":"10.1186/s40337-026-01583-0","DOIUrl":"10.1186/s40337-026-01583-0","url":null,"abstract":"<p><strong>Introduction: </strong>Patients hospitalized with Restrictive Eating Disorders (REDs) often face heightened anxiety and challenges around meals. Inconsistent meal delivery and food choice complexity further complicate care. The study evaluated the tolerability of a standardized, no-choice meal plan by assessing nutritional supplement use via oral and nasogastric (NG) tube as proxies for meal completion.</p><p><strong>Methods: </strong>A quality improvement initiative at a pediatric hospital replaced patient-selected meals with a 7-day rotating standardized meal plan. Adolescent patients could exclude up to five \"dislike\" foods. Electronic medical record (EMR) data from 10 months pre- and 6 months post-implementation (n = 302) were analyzed for rates of supplement via oral and NG tube in the first week of hospitalization.</p><p><strong>Results: </strong>NG tube use decreased from 22% to 17% of patients and 11% to 6% of patient-days. Oral supplementation increased from 33% to 36% of patients and 18% to 19% patient-days. Changes were not statistically significant.</p><p><strong>Conclusion: </strong>The standardized meal plan was well tolerated. Future studies should assess psychological impacts and long-term outcomes of removing choice in meals.</p><p><strong>Implications and contribution: </strong>This brief provides initial evidence that a standardized meal plan in a hospital setting is well-tolerated and may provide benefits of reducing the psychological burden of choices for adolescents with REDs.</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/PMC13678982/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149220978","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":"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}

{"title":"Severe necrotizing sialometaplasia progressing to palatonasal fistula in a patient characterized by habitual self-induced vomiting: a case report.","authors":"Haruka Yamauchi, Ayaka Matsumoto, Akihiro Dohi, Yuta Inagawa, Shiro Suda","doi":"10.1186/s40337-026-01714-7","DOIUrl":"10.1186/s40337-026-01714-7","url":null,"abstract":"<p><strong>Background: </strong>Self-induced vomiting (SIV) in patients with eating disorders exposes the oral cavity to repeated chemical and mechanical insults, leading to various oral complications. Necrotizing sialometaplasia (NS) is one such complication; however, most cases resolve spontaneously and follow a benign course without requiring surgical intervention.</p><p><strong>Case presentation: </strong>A woman in her twenties with a long history of an eating disorder characterized by habitual SIV developed NS of the hard palate. Unlike the usual benign course, the lesion failed to heal spontaneously and progressed to a palatonasal fistula. Her clinical course was notable for several behavioral and clinical factors that may have contributed to sustained local irritation of the palatal tissues, such as persistent vomiting, smoking, and dental procedures requiring local anesthesia. Multidisciplinary psychiatric and dental management was provided throughout the clinical course. Since spontaneous closure of the fistula could not be expected, surgical repair was ultimately performed.</p><p><strong>Conclusions: </strong>Although NS associated with SIV in patients with eating disorders is usually benign and self-limiting, it can rarely progress to severe and irreversible oral complications such as a palatonasal fistula. Despite the fact that NS is not life-threatening, its severe progression can significantly impair quality of life. Accumulating clinical experience with such hidden complications may improve the quality of psychoeducation and advance the treatment of eating disorders.</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/PMC13678949/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149220988","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":"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":"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":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13663000/pdf/","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":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"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}