Journal of Eating Disorders最新文献

{"title":"Engaging the adolescent patients in the treatment of eating disorders: strategies and procedures of enhanced cognitive behavior therapy.","authors":"Riccardo Dalle Grave, Simona Calugi","doi":"10.1186/s40337-025-01390-z","DOIUrl":"10.1186/s40337-025-01390-z","url":null,"abstract":"<p><strong>Background: </strong>Engaging adolescents in treatment for eating disorders presents a significant challenge due to the egosyntonic nature of these conditions and the ambivalence toward change.</p><p><strong>Main text: </strong>The adolescent version of Enhanced Cognitive Behavior Therapy (CBT-E) prioritizes active patient involvement to foster engagement and long-term commitment to recovery. This treatment employs a structured yet flexible approach to enhance patient engagement. Key strategies include adopting a supportive and collaborative stance, explaining the distinction between the disease model and the psychological CBT-E model, actively involving patients in the decision to change, agreeing on specific homework assignments between sessions, and engaging parents as supportive \"helpers.\" This engagement-focused approach encourages adolescents to take ownership of their recovery. By personalizing interventions and fostering adolescents' active role in understanding the psychological maintaining processes of their eating disorder, deciding to address them, and navigating the process of change, CBT-E empowers them to move toward recovery with increasing independence. Parental involvement is carefully structured to provide support without undermining the adolescent's sense of agency.</p><p><strong>Conclusions: </strong>Future research should further evaluate engagement-focused adaptations of CBT-E and their impact on long-term treatment outcomes.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":"13 1","pages":"199"},"PeriodicalIF":4.5,"publicationDate":"2025-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12406592/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144975215","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":"Reliability and validity of the Turkish version of the Salzburg emotional eating scale: a psychometric study.","authors":"Aysenur Gultekin, Cigdem Bozkir","doi":"10.1186/s40337-025-01359-y","DOIUrl":"10.1186/s40337-025-01359-y","url":null,"abstract":"<p><strong>Background: </strong>The Salzburg Emotional Eating Scale (SEES) measures emotional eating by evaluating responses to both positive and negative emotions. This study aimed to establish the reliability and validity of the Turkish version of the SEES (SEES-TR).</p><p><strong>Method: </strong>The SEES was translated into Turkish and back-translated into English. The translated version was reviewed by experts and pretested on a preliminary sample. The final version was administered to 303 participants from Namık Kemal University (mean age: 22.1 ± 4.8 years, 89.1% female). The data collected included demographic information and responses to the SEES and the Emotional Eating Subscale of the Dutch Eating Behavior Questionnaire (DEBQ). Reliability was assessed using Cronbach's alpha, McDonald's omega, and test-retest analyses. Validity was evaluated using exploratory and confirmatory factor analyses, along with content and face validity and convergent validity.</p><p><strong>Results: </strong>The SEES-TR demonstrated high internal consistency, with Cronbach's alpha values for the subscales ranged from 0.913 to 0.942, indicating excellent reliability. McDonald's omega values supported these findings. Test-retest reliability indicated stability over time. Exploratory factor analysis confirmed a four-factor structure consistent with the original SEES, corresponding to happiness, sadness, anger, and anxiety, further supported by confirmatory factor analysis. Content and face validity were established through expert reviews and pretesting. Significant positive correlations (r = 0.425-0.522, p < 0.01) between the SEES-TR subscales and the DEBQ Emotional Eating Subscale indicate strong convergent validity.</p><p><strong>Conclusion: </strong>The Turkish version of the Salzburg Emotional Eating Scale showed reliability and validity for assessing emotional eating behaviors in the Turkish population. This tool can be useful in both clinical and research settings to evaluate emotional eating in response to various emotional states.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":"13 1","pages":"197"},"PeriodicalIF":4.5,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12403919/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144974945","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 shift or a substitution? On naming, exclusion, and co-production in longstanding eating disorders: matters arising from Lubieniecki et al. (2025).","authors":"James Downs","doi":"10.1186/s40337-025-01375-y","DOIUrl":"10.1186/s40337-025-01375-y","url":null,"abstract":"<p><p>This Matters Arising piece responds to the article by Lubieniecki et al. (2025), which explores lived experience perspectives on the 'SEED' (Severe and Enduring Eating Disorder) classification. Written from the standpoint of someone with lived experience of a longstanding eating disorder and professional involvement in research, policy, and service development, the piece supports Lubieniecki et al.'s analysis of 'SEED' as both validating and restrictive. It extends their work by situating the classification within a broader landscape of psychiatric labelling associated with treatment exclusion. The limitations of replacing 'SEED' with alternative terminology alone are considered, with emphasis on the need for corresponding reforms to care pathways and their provision. The author highlights how diagnostic language can serve not only descriptive but also administrative and prognostic functions, often reflecting institutional constraints rather than individual need. The importance of co-produced approaches to diagnostic frameworks is also discussed, with emphasis on embedding lived experience throughout classificationand service design.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":"13 1","pages":"196"},"PeriodicalIF":4.5,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12398165/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144975051","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":"Effect of COVID-19 on frequency and severity of eating disorder admissions in a specialized pediatric inpatient unit.","authors":"Shamilka Seneviratne, Michelle Polich, Maya M Kumar, Tamara Maginot, Kyung E Rhee","doi":"10.1186/s40337-025-01385-w","DOIUrl":"10.1186/s40337-025-01385-w","url":null,"abstract":"<p><strong>Background: </strong>During the COVID-19 pandemic, youth experienced disruptions in their social development due to social distancing mandates. Research evaluating effects of isolation on adolescent mental health and eating disorders demonstrated increased ED visits during COVID. The goal of this study was to examine the effect of the COVID-19 pandemic on the number of eating disorder admissions at a large pediatric inpatient eating disorder unit and on illness severity.</p><p><strong>Methods: </strong>We conducted a retrospective chart review of patients admitted to a pediatric inpatient eating disorder unit from January 2019 through December 2021. Differences in number of admissions and patient characteristics were compared before and after the start of the COVID-19 stay-at-home mandate (i.e., \"outbreak\"). Interrupted time series analysis compared monthly admission trends pre- and post-outbreak. Logistic and linear regression models were created to evaluate differences in severity.</p><p><strong>Results: </strong>There were 143 patients admitted pre-outbreak and 314 patients admitted post-outbreak (84% female, 26.3% publicly insured, median age 15 years). There was a significant increase in the mean number of admissions per month post-outbreak (10.21, [SD 3.36] vs. 14.27 [SD 3.31], p < 0.01). Trends in admissions per month were stable prior to the COVID-19 outbreak (β₁ = -0.38, p = 0.07) and increased after the start of the outbreak (β₃ = 0.63, p < 0.01). Patients pre-outbreak had lower mean systolic blood pressures than post-outbreak (β = -1.90 [SE 0.82], p = 0.02). The odds of hypophosphatemia were lower post-outbreak (OR 0.42 [95% CI 0.21-0.81]).</p><p><strong>Conclusions: </strong>Clinical characteristics on admission were less severe post-outbreak. Closures of outpatient treatment programs may have led to lower acuity patients being hospitalized. Preserving access to robust outpatient eating disorder treatment may prevent this phenomenon during future public health crises.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":"13 1","pages":"194"},"PeriodicalIF":4.5,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12395816/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144975199","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":"Validation of the Lithuanian eating disorder examination-questionnaire (EDE-Q) in a community sample of young adults.","authors":"Asta Adler, Rima Breidokienė, Danguolė Čekuolienė, Rasa Barkauskienė","doi":"10.1186/s40337-025-01378-9","DOIUrl":"10.1186/s40337-025-01378-9","url":null,"abstract":"<p><strong>Objective: </strong>The Eating Disorder Examination Questionnaire (EDE-Q), originally validated in English-speaking women, has become a widely used tool for assessing eating pathology. However, its original factor structure has often failed to replicate in diverse populations. This study aimed to examine the factor structure and assess the measurement invariance of the EDE-Q 6.0 in a representative sample of young men and women in Lithuania.</p><p><strong>Method: </strong>The study included 800 participants aged 18-30 years, representing a demographically diverse sample of young adults in Lithuania. Confirmatory factor analysis (CFA) was conducted to validate the structure of the Eating Disorder Examination Questionnaire (EDE-Q 6.0) and establish a configural model. Measurement invariance was assessed across sexes. Convergent validity was evaluated using the Level of Personality Functioning Scale-Brief Form 2.0 and the Patient Health Questionnaire-4.</p><p><strong>Results: </strong>The original four-factor structure of the EDE-Q 6.0 was not supported. Instead, CFA indicated that a three-factor, seven-item model provided the best fit to the data (EDE-Q 7). The identified factors were Dietary Restraint, Shape/Weight Overvaluation, and Body Dissatisfaction. This model demonstrated excellent fit indices and measurement invariance across sexes. However, women reported significantly higher scores on all subscales compared to men. EDE-Q 7 exhibited adequate convergent validity, correlating with measures of personality functioning, anxiety, and depression.</p><p><strong>Discussion: </strong>The three-factor, 7-item measure is a brief, valid, and reliable measure of eating disorder psychopathology for Lithuanian young adults.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":"13 1","pages":"195"},"PeriodicalIF":4.5,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12398051/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144974902","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":"Social media use and roles of self-objectification, self-compassion and body image concerns: a systematic review.","authors":"Elisa Sarda, Claire El-Jor, Rebecca Shankland, Quentin Hallez, Dylan Patiram, Chloé Nguyen, Nolwenn Duflos, Yoann Durand, Gina Del Pozo, Pascale Ezan, Pierre Dechelotte, Rachel Rodgers, Valentin Flaudias","doi":"10.1186/s40337-025-01353-4","DOIUrl":"10.1186/s40337-025-01353-4","url":null,"abstract":"","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":"13 1","pages":"192"},"PeriodicalIF":4.5,"publicationDate":"2025-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12395811/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144974920","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 food addiction in obesity: a genetic perspective.","authors":"Elvira Anna Carbone, Marianna Rania, Federica Catalano, Ettore D'Onofrio, Renato de Filippis, Daria Quirino, Matteo Aloi, Marta Letizia Hribal, Teresa Vanessa Fiorentino, Cristina Segura-Garcia","doi":"10.1186/s40337-025-01387-8","DOIUrl":"10.1186/s40337-025-01387-8","url":null,"abstract":"","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":"13 1","pages":"191"},"PeriodicalIF":4.5,"publicationDate":"2025-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12392481/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144974871","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 credential did make a difference\": eating disorder treatment with ANZAED credentialed clinicians: carer perspectives.","authors":"Honor Sinclair, Janet Conti, Madalyn McCormack, Gabriella Heruc, Katarina Prnjak, Rebecca Barns, Phillipa Hay","doi":"10.1186/s40337-025-01383-y","DOIUrl":"10.1186/s40337-025-01383-y","url":null,"abstract":"<p><strong>Background: </strong>The Australia & New Zealand Academy for Eating Disorders (ANZAED) has developed the Credential that recognises the qualifications, knowledge and professional development training, including continuing professional development (CPD), that comprise the minimum standard for the safe and effective delivery of treatment for an eating disorder. The current study sought to explore whether the anticipated benefits have translated into positive eating disorder treatment experiences with credentialed clinicians from carers' perspectives.</p><p><strong>Methods: </strong>Thirteen carers of people living with an eating disorder (ED) were interviewed about their perceptions and experiences of ED treatment from clinicians awarded the ANZAED Eating Disorder Credential. Semi-structured interview transcripts were analysed with an inductive thematic analysis.</p><p><strong>Results: </strong>Three main themes with embedded subthemes were generated. Theme one explored treatment experiences prior to the launch of the Credential in November 2021. Theme two captured carers' attitudes and perceptions of the Credential, including perceived benefits, other priorities, and suggestions for further improvement. The final theme explored carers' treatment experiences with credentialed clinicians that were related to greater perceived knowledge and understanding and experiences of personalised therapeutic approaches to care.</p><p><strong>Conclusions: </strong>These findings hold important implications for future considerations of credentialing of ED clinicians and proposals for refinements of the ANZAED Eating Disorder Credential. Carers perceived the Credential to enhance quality of care and support, however, many noted that broader systemic issues were limiting its reach. Further efforts are needed to increase awareness and facilitate access to credentialed clinicians through key referral pathways.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":"13 Suppl 1","pages":"193"},"PeriodicalIF":4.5,"publicationDate":"2025-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12395635/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144974900","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":"Enhancing eating disorder content in the tertiary curricula of health disciplines in Australia.","authors":"Emma C Spiel, Genevieve Pepin, Leah Brennan, Phillipa Hay, Alexandra M Murray, Chris Basten, Mandy Goldstein, Deanne Harris, Rachel Simeone, Sarah Trobe, Christie J Bennett","doi":"10.1186/s40337-025-01380-1","DOIUrl":"10.1186/s40337-025-01380-1","url":null,"abstract":"<p><strong>Background: </strong>Eating disorders are increasing in prevalence and confer serious physical, emotional and social impacts on individuals, families, communities and systems. Tertiary education of health professionals is key to addressing these impacts. Yet, graduates of key health professions may not complete their studies with the necessary knowledge, skills and confidence to prevent, identify, refer and provide safe care within their role and scope of practice. This study reports on current eating disorder-focused teaching, and opportunities for improvements, within Australian tertiary training programs for key medical and allied health professional groups.</p><p><strong>Methods: </strong>Tertiary leaders and educators (n = 205) representing 42 Australian tertiary education institutions (universities and private education organizations) completed an online survey including questions that explored the relevance, importance, barriers and enablers of eating disorder-focused teaching.</p><p><strong>Results: </strong>Three quarters (76.1%) of participants indicated that students had the opportunity to learn about eating disorders within the current curriculum. Identification (54.1%) and treatment (46.3%) were most likely to be taught; prevention (31.2%) and psychological support (38.0%) were less likely to be taught. Most respondents (85.9%) reported that teaching about eating disorders, disordered eating and body image within their program was either important (23.9%) or very important (62.0%). Perceived challenges to enhancing content included a crowded curriculum, lack of appropriately skilled educators and lack of clarity regarding basic profession-specific competencies and when these should be taught. Potential facilitators include developing materials and networks for implementing best practice training, support of accreditation/professional bodies and use of lived experience educators.</p><p><strong>Conclusions: </strong>Most Australian healthcare educators consider eating disorders important and relevant to their curricula. However, there are limited time and practical opportunities for learning about eating disorders within current curricula. There is a need for guidance and resource development to help support educators to enhance eating disorder content in relevant curricula.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":"13 1","pages":"190"},"PeriodicalIF":4.5,"publicationDate":"2025-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12381995/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144975205","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":"Executive functioning difficulties in relation to food addiction, disordered eating attitudes, and metabolic syndrome markers among adolescents seeking obesity treatment: a cross-sectional analysis.","authors":"Sarper İçen, Yasemin Taş Torun, Esra Döğer, Hesna Gül","doi":"10.1186/s40337-025-01377-w","DOIUrl":"10.1186/s40337-025-01377-w","url":null,"abstract":"<p><strong>Background: </strong>Executive functioning (EF) difficulties may play a significant role in the vicious cycle of overeating and metabolic disturbances. We aimed to investigate the correlates of EF difficulties in terms of food addiction symptoms, eating attitudes, and metabolic syndrome markers among adolescents seeking obesity treatment.</p><p><strong>Methods: </strong>Thirty-five adolescents seeking obesity treatment were included. Executive functioning difficulties were assessed using both performance tasks (i.e. Stroop's task and Cancellation task) and parent reports on the Behavior Rating Inventory of Executive Function (BRIEF). Other measurements included adolescent self-reports of food addiction symptoms on the Yale Food Addiction Scale (YFAS) and eating attitudes on the Eating Attitudes Test-40 (EAT-40).</p><p><strong>Results: </strong>The mean total symptom score was 4.66 (± 1.45) on the YFAS. The most commonly endorsed symptoms were 'Repeated unsuccessful attempts to stop or decrease food consumption' in 94.3% (N = 32), 'Tolerance to the same amount of certain foods and consuming increasing amounts' in 80.0% (N = 28), and 'Continuing to eat despite knowing the negative consequences' in 77.1% (N = 27) of the sample. 48.6% of the adolescents with obesity (N = 17) met the criteria for diagnostic evaluation threshold according to YFAS, which was related to worse performance in Stroop Task and parent-reported difficulties in Emotional Control (p < .05 for both). Food addiction symptoms had differences in correlations with EF difficulties. \"Eating for longer durations and higher amounts than intended\" was related to difficulties in Emotional Control and Working Memory (p < .05 for both). \"Continuing to eat despite knowing the negative consequences\" was associated with difficulties in Shift, Emotional Control, Initiate, Plan/Organize, and Organization of Materials (p < .05 for all). Dieting was the only disordered eating attitude significantly correlated with EF difficulties. Specifically, less endorsement of dieting was correlated with difficulties in Inhibit and Working Memory (p < .05). Moreover, executive functioning difficulties were related to increased body mass index and waist circumference, in addition to worse metabolic parameters including fasting blood glucose, insulin, HOMA-IR, triglycerides, and blood pressure measurements.</p><p><strong>Conclusion: </strong>Our study points out that specific EF difficulties were related to food addiction symptoms, dieting, and metabolic syndrome markers among adolescents with obesity. Further studies are needed to with larger and more diverse samples.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":"13 1","pages":"183"},"PeriodicalIF":4.5,"publicationDate":"2025-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12376447/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144975187","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}