Journal of Eating Disorders最新文献

{"title":"Binge eating as an emotional response to the COVID-19 pandemic: a sequential mediation model via the impact of events and social anxiety.","authors":"Dora Bianchi, Daniele Di Tata, Anna Di Norcia, Sara Pompili, Laura Maria Fatta, Fiorenzo Laghi","doi":"10.1186/s40337-024-01182-x","DOIUrl":"10.1186/s40337-024-01182-x","url":null,"abstract":"<p><strong>Background: </strong>The long-lasting consequences of the COVID-19 pandemic on the psychological well-being of young people have become an emerging research topic, which still raises several questions for post-pandemic interventions at the individual and community levels. This research investigated the relationship between COVID-19 pandemic life events and the occurrence of binge eating behaviors in emerging adults, hypothesizing indirect effects of the emotional impact of pandemic events and social anxiety.</p><p><strong>Methods: </strong>Data collection was conducted in November and December 2021 in Italy, involving 286 university students aged 18 to 30 years (M_age = 20.20; SD_age = 2.43; 69.6% women) who completed an online anonymous survey. Participants reported the pandemic-related stressors experienced in the last year (i.e., adverse life events; the number of days in quarantine), the long-lasting emotional impact of these experiences in the previous week (i.e., intrusive thoughts; avoidance of thoughts), social anxiety symptoms, and frequency of binge eating episodes. A serial mediation model was tested in line with the research hypotheses.</p><p><strong>Results: </strong>Both the number of days in quarantine and the pandemic adverse life events in the last year were significantly and positively related to binge eating via the sequential indirect effects of (1) intrusive thoughts and (2) social anxiety.</p><p><strong>Conclusion: </strong>Our findings provide support for the long-lasting effects of pandemic events and quarantine on emerging adults' mental health, with cascade effects on intrusive symptoms, social anxiety, and binge eating. The study has interesting research, practice, and public health policies implications.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":"12 1","pages":"209"},"PeriodicalIF":3.5,"publicationDate":"2024-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11667976/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142883475","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":"Clinical and genetic associations for night eating syndrome in a patient biobank.","authors":"Hannah Wilcox, Richa Saxena, John W Winkelman, Hassan S Dashti","doi":"10.1186/s40337-024-01180-z","DOIUrl":"10.1186/s40337-024-01180-z","url":null,"abstract":"<p><strong>Objective: </strong>Night eating syndrome (NES) is an eating disorder characterized by evening hyperphagia. Despite having a prevalence comparable to some other eating disorders, NES remains sparsely investigated and poorly characterized. The present study examined the phenotypic and genetic associations for NES in the clinical Mass General Brigham Biobank.</p><p><strong>Method: </strong>Cases of NES were identified through relevant billing codes for eating disorders (F50.89/F50.9) and subsequent chart review; patients likely without NES were set as controls. Other diagnoses were determined from billing codes and collapsed into one of 1,857 distinct phenotypes based on clinical similarity. NES associations with diagnoses were systematically conducted in phenome-wide association scans using logistic regression models with adjustments for age, sex, race, and ethnicity. Polygenic scores for six related traits, namely for anorexia nervosa, depression, insomnia, sleep apnea, obesity, and type 2 diabetes were tested for associations with NES among participants of European ancestry using adjusted logistic regression models.</p><p><strong>Results: </strong>Phenome-wide scans comparing patients with NES against controls (cases n = 88; controls n = 64,539) identified associations with 159 clinical diagnoses spanning 13 broad disease groups including endocrine/metabolic and digestive diseases. Notable associations were evident for bariatric surgery, vitamin D deficiency, sleep disorders (sleep apnea, insomnia, and restless legs syndrome), and attention deficit hyperactivity disorder. The polygenic scores for insomnia and obesity were associated with higher odds of NES (insomnia: odds ratio [OR], 1.24; 95% CI, 1.07, 1.43; obesity: 1.98; 95% CI, 1.71, 2.28).</p><p><strong>Discussion: </strong>Complementary phenome-wide and genetic exploratory analyses provided information on unique and shared features of NES, offering insights that may facilitate its precise definition, diagnosis, and the development of targeted therapeutic interventions.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":"12 1","pages":"211"},"PeriodicalIF":3.5,"publicationDate":"2024-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11668084/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142883477","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":"\"I'll do it on my own, but I'm never alone\"[1 p. 402]: lived experience and practitioner perspectives of autonomy in longstanding and severe eating disorder treatment and recovery-a rapid evidence review.","authors":"Freddy Burke, Maree Higgins, Maureen MacGinley","doi":"10.1186/s40337-024-01164-z","DOIUrl":"10.1186/s40337-024-01164-z","url":null,"abstract":"<p><strong>Purpose: </strong>To examine autonomy within treatment and recovery from longstanding and severe eating disorders (EDs).</p><p><strong>Background: </strong>The typically early age of onset, high incidence, and prolonged duration of EDs, has a high personal, relational, and financial burden for people who experience them. Current treatment practices rely on the exertion of external control and influence which has profound impacts on people living with EDs as well as the relationship and interactions between them and their treating professionals. Yet scant research focuses specifically on how people with EDs, especially longstanding and severe presentations, experience autonomy. Centring the lived experience voice is essential to deconstruct power imbalances and develop more effective recovery pathways.</p><p><strong>Methods: </strong>A Rapid Evidence Review answered the research question, How do people with longstanding and severe eating disorders experience autonomy and recovery? Five electronic databases, the International Journal of Eating Disorders, and topic-specific grey literature from 2000-2021 were systematically searched. Twenty articles met the inclusion criteria. All findings and primary lived experience quotations relevant to the review topic were extracted, charted, and analysed. Reflexive Thematic Analysis (Braun and Clarke in Qual Psychol 9:3-26, 2021; Braun and Clarke in Qual Res Psychol 3:77-101, 2006;) was undertaken to inform the key findings and discussion.</p><p><strong>Findings: </strong>The researchers identified four central themes that characterise the experience of autonomy in treatment and recovery for people with longstanding and severe EDs: Self versus ED, Self in Treatment, Self in Recovery, and Others in Relation to Self. Novel theoretical contributions to understanding longstanding and severe EDs include the 'Lack of Autonomy' Loop, 'Relational Autonomy' and the diversity of definitions of recovery.</p><p><strong>Discussion: </strong>This review highlights the critical role of autonomy in the treatment and recovery of individuals with longstanding and severe EDs. It underscores the importance of addressing past trauma and integrating trauma-focused therapy within ED treatment. The findings advocate for collaborative, tailored, and autonomy-supportive approaches that empower individuals to break the cycle of disempowerment and promote sustained recovery.</p><p><strong>Conclusion: </strong>The review highlights the need for conceptual and practice development to leverage desire-focused, relational approaches for effective healing and recovery.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":"12 1","pages":"208"},"PeriodicalIF":3.5,"publicationDate":"2024-12-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11665225/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142878296","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":"Delivering evidence-based treatment via telehealth for Anorexia Nervosa in rural health settings: a multi-site feasibility implementation study.","authors":"Ashlea Hambleton, Daniel Le Grange, Marcellinus Kim, Jane Miskovic-Wheatley, Stephen Touyz, Sarah Maguire","doi":"10.1186/s40337-024-01175-w","DOIUrl":"10.1186/s40337-024-01175-w","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Access to evidence-based treatments such as family-based therapy (FBT) is difficult for adolescents diagnosed with Anorexia Nervosa (AN) living in rural or regional areas due to a limited trained workforce, high staff turnover and inconsistent treatment fidelity. Telehealth offers a potential access solution by facilitating care irrespective of family or service location. The disruption to the health system caused by COVID-19 amplified an existing need and increased the use of telehealth to deliver FBT before its efficacy and safety was fully evaluated. This study aimed to evaluate the feasibility, acceptability and preliminary efficacy of telehealth-FBT delivered by community-based clinicians within rural services directly into the home to reduce the eating disorder symptoms of adolescents diagnosed with AN.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;A pre- and post-implementation multi-site case series delivered up to 20 sessions of telehealth-FBT to 28 adolescents (89.29% female, M = 14.68 ± 1.58 years) living in rural or regional Australia. The RE-AIM framework guided the evaluation, with Reach (treatment uptake and completion); Efficacy (change in weight, global eating disorder symptoms, and remission from baseline to end of treatment and six-month follow-up); Adoption (patient characteristics and drop out); Implementation (intervention fidelity) and Maintenance (outcomes and intervention during the follow-up period) used to assess the feasibility and preliminary efficacy of telehealth-FBT.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;There was a high level of interest in telehealth-FBT, with two-thirds of eligible families consenting to participate. Both treatment engagement and completion rates were over 60%, and treatment was delivered with acceptable fidelity. Twenty adolescents (71.43%) met the diagnostic criteria for AN (baseline 86.03%mBMI ± 7.14), and eight (28.57%) for Atypical AN (baseline 101.34%mBMI ± 8.28), with an overall mean duration of illness of 8.53 months (SD = 5.39, range 2-24 months). There was a significant increase in %mBMI at the end of treatment compared to the baseline (p = 0.007, 95%CI: 1.04-6.65), with over 68% of adolescents weight restored and 36.8% of these achieving both weight and psychological remission criteria. Weight remained significantly improved at six-month follow-up (p = 0.005, 95%CI: 1.57-8.65). Also, there was a decrease in adolescents' global eating disorder symptoms, as rated by their parents, at the end of treatment compared to the baseline of 0.735 (p = 0.028, 95%CI: 0.079-1.385).&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions: &lt;/strong&gt;Telehealth-FBT was feasibly implemented into rural services and delivered by community clinicians with reach, adoption, preliminary efficacy, and fidelity scores comparable to those reported by specialist studies.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Trial registration: &lt;/strong&gt;The study was conducted according to the HREC-approved protocol (HREC 2020/ETH00186) and registered with the Australian","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":"12 1","pages":"207"},"PeriodicalIF":3.5,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11661034/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142865921","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 core beliefs model of disordered eating: processes and pathways to eating disorder symptomatology.","authors":"Amaani H Hatoum, Amy L Burton, Maree J Abbott","doi":"10.1186/s40337-024-01167-w","DOIUrl":"10.1186/s40337-024-01167-w","url":null,"abstract":"<p><strong>Objective: </strong>At present there is no clear, cohesive, and comprehensive theoretical understanding of the role of core beliefs in the development of disordered eating. The present study aimed to develop and test a theoretical model outlining important processes and pathways from core beliefs to eating disorder (ED) behaviours. It also aimed to explore potential differences (or similarities) in contributions of four core belief dimensions to the development and maintenance of ED symptomatology.</p><p><strong>Method: </strong>Data were collected from a sample of 800 non-clinical participants. Path analysis was conducted to test general and multi-dimensional models. Indirect effects were calculated for all possible pathways from ED core beliefs to dietary restraint, objective binge eating, and compensatory behaviours.</p><p><strong>Results: </strong>The hypothesised model demonstrated poor to acceptable fit to the data. Modifications were made to the general model to improve fit, remove non-significant paths and add theoretically and statistically relevant paths. All indirect effects of possible pathways from core beliefs to ED behaviours were significant. A multi-dimensional version of the model was tested with four core belief dimensions. This model identified differences in pathways from each core belief dimension to ED symptoms.</p><p><strong>Discussion: </strong>This study extends the current understanding of the role of core beliefs in the development and maintenance of disordered eating, by building upon previous theoretical models and empirical literature. We present a general core beliefs model of disordered eating, and preliminary findings regarding differences in the processes and pathways from four key core belief dimensions to ED behaviours.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":"12 1","pages":"203"},"PeriodicalIF":3.5,"publicationDate":"2024-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11657716/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142856070","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 prevalence and symptom presentation of food addiction among Norwegian bariatric surgery patients: associations with depression, dysregulated eating, and postoperative weight loss.","authors":"Gro Walø-Syversen, Jon Kristinsson, Inger L Eribe, Øyvind Rø, Camilla Lindvall Dahlgren","doi":"10.1186/s40337-024-01170-1","DOIUrl":"10.1186/s40337-024-01170-1","url":null,"abstract":"<p><strong>Background: </strong>Pathological eating and addictive processes are linked to obesity. Food addiction (FA) involves hedonic eating of highly palatable foods, accompanied by addictive symptoms like craving, loss-of-control (LOC) eating, and withdrawal. The main objectives of this study were to assess FA prevalence and symptoms in bariatric surgery candidates, and its relationship with depression, dysregulated eating, and 1- year postoperative weight loss (WL).</p><p><strong>Methods: </strong>Data from 69 bariatric surgery patients (74% female, 26% male, ) were analysed. Self-report measures including Yale Food Addiction Scale (YFAS) 2.0, Eating Disorder Examination-Questionnaire (EDE-Q), Repetitive Eating Questionnaire [Rep(eat)-Q] and Hospital Anxiety and Depression Scale (HADS) were administered pre-surgery and at 1-year follow-up.</p><p><strong>Results: </strong>The mean preoperative YFAS symptom score was 2.2. (SD = 2.59). 16% of the sample met YFAS diagnostic criteria for FA. Top reported FA criteria were \"substance taken in larger amount than intended\" (33%), \"persisted desire or repeated unsuccessful attempts to quit\" (29%), and \"use in physically hazardous situations\" (23%). The YFAS symptom scores correlated significantly with the frequency of LOC binge eating, depression and repetitive eating scores, but showed no correlation with age or BMI. Preoperative YFAS symptom scores did not significantly predict % WL at 1-year follow-up.</p><p><strong>Conclusions: </strong>Our findings align with previous research, indicating that preoperative FA symptoms is unrelated to preoperative BMI and total %WL, but linked to eating pathology, such as LOC binge eating and grazing, as well as depression in bariatric surgery candidates.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":"12 1","pages":"206"},"PeriodicalIF":3.5,"publicationDate":"2024-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11658114/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142856175","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":"Can people with longstanding bulimia nervosa suffer from severe and enduring eating disorder? A qualitative study.","authors":"Paul H Robinson, Giulia Guidetti, Jessica Kasriel, Jomana Khawandanah, Maxine Hughes, Zeinab Hachem","doi":"10.1186/s40337-024-01161-2","DOIUrl":"10.1186/s40337-024-01161-2","url":null,"abstract":"<p><strong>Objectives: </strong>To interview a series of individuals with bulimia nervosa of longstanding to establish their symptoms and examine the suggestion, using qualitative analysis, that the term \"Severe and Enduring Bulimia Nervosa (SEED-BN)\" might be appropriate and helpful.</p><p><strong>Methods: </strong>12 participants with Bulimia Nervosa, one male, were interviewed with the help of an interview guide. Interviews were recorded and transcribed. Transcripts were analysed using Thematic Analysis.</p><p><strong>Results: </strong>Participants with Bulimia Nervosa described serious problems in many realms, especially social, psychological, family and relationships.</p><p><strong>Conclusions: </strong>Bulimia nervosa of long duration is associated with many serious symptoms. It seems likely that recognition of long-standing bulimia nervosa as a severe and enduring eating disorder could encourage clinicians and families to pay attention to the wide variety of problems suffered by this group. Further research is required to examine this proposal.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":"12 1","pages":"204"},"PeriodicalIF":3.5,"publicationDate":"2024-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11657262/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142856075","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":"Ngā Māuiui Kai: creating Indigenous Māori terms for eating disorders in Aotearoa New Zealand.","authors":"Gloria Fraser, Mau Te Rangimarie Clark, Bailey Mary Rose, Kacey Martin, Brittani Beavis, Michaela Pettie, Jennifer Jordan, Keri Opai","doi":"10.1186/s40337-024-01179-6","DOIUrl":"10.1186/s40337-024-01179-6","url":null,"abstract":"<p><strong>Background: </strong>Māori (the Indigenous people of Aotearoa New Zealand) report higher rates of eating disorders than non-Māori, but access treatment at lower rates. Diagnostic terms lacking in cultural relevance likely contribute to Māori exclusion in eating disorder spaces. Developing terms in te reo Māori (the Māori language) presents an opportunity to challenge eating disorder stereotypes and increase cultural safety in the eating disorder workforce.</p><p><strong>Methodology: </strong>Guided by a Māori worldview and the practice of wānanga (to meet, discuss, and think deeply about a topic), we present a Māori language glossary for eating disorders. The glossary is informed by expertise in te reo Māori, mātauranga Māori (the body of Māori knowledge), and eating disorders, and combines terms already in use with newly developed terms.</p><p><strong>Results: </strong>We propose an umbrella term for eating disorders (ngā māuiui kai), as well as terms for anorexia nervosa (māuiui whakatiki), bulimia nervosa (pukuruaki), binge eating disorder (māuiui kaihoro), and avoidant restrictive food intake disorder (karo kai, with three subtypes of low interest [arokore kai], sensory-based avoidance [āmaimai rongo kai], and concern about the consequences of eating [wehi-ā-kai]). We also propose terms for related concepts of body image difficulties (māuiui whakawā ata), perfectionism (māuiui kōtihitihi) and emotion dysregulation (kare-a-roto kōtitititi).</p><p><strong>Conclusion: </strong>This glossary is available for use by anyone looking for terms that come from a mana-enhancing (empowering, respectful, and strengths-based) Māori worldview. The kupu (words, terms) in this glossary are offered as possibilities for use, rather than as definitive or correct, in the hopes they will promote discussion about stigma, indigeneity, and language in the eating disorders field.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":"12 1","pages":"205"},"PeriodicalIF":3.5,"publicationDate":"2024-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11656721/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142856215","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 the outcomes of bariatric surgery with inhibitory control training, electrical brain stimulation and psychosocial aftercare: a pilot study protocol.","authors":"Sarah A Rösch, Lennart Wünsche, Carsten Thiele, Therese Reinstaller, Tino Zähle, Kathrin Schag, Katrin E Giel, Christian Plewnia, Johann Steiner, Florian Junne","doi":"10.1186/s40337-024-01160-3","DOIUrl":"10.1186/s40337-024-01160-3","url":null,"abstract":"<p><strong>Background: </strong>Notwithstanding the documented short- and long-term weight loss and remission of physical and mental diseases following bariatric surgery, a significant proportion of patients fail to respond (fully) to treatment in terms of physical and mental health improvement. Mounting evidence links food-specific impulsivity, prefrontal cortex (PFC) hypoactivity and disrupted hormone secretion in bariatric surgery candidates to poorer post-surgical health outcomes. Neuromodulatory treatments like transcranial direct current stimulation (tDCS) uniquely target these neurobehavioral impairments. We present a pilot study protocol offering tDCS combined with an inhibitory control training and a structured psychosocial intervention to patients after bariatric surgery.</p><p><strong>Methods: </strong>A total of N = 20 patients are randomized to 6 sessions of verum or sham tDCS over the PFC, combined with an individualized food-specific inhibitory control training and a structured psychosocial intervention within 18 months after bariatric surgery (t0). Beyond acceptability, feasibility and satisfaction of the intervention, effects of verum versus sham tDCS on food-specific impulsivity and on secondary outcomes quality of life, general impulsivity and psychopathology, food-related cravings, eating disorder psychopathology, weight trajectory and endocrine markers are assessed 4 weeks (t1) and 3 months after the intervention (t2).</p><p><strong>Discussion: </strong>Results will provide information on the potential of combining tDCS with an inhibitory control training and a structured psychosocial intervention to enhance physical and mental outcomes after bariatric surgery. The present study may guide the development of future research with regard to tDCS as a brain-based intervention and of future post-surgical clinical programs, paving the way for randomized-controlled trials in larger samples.</p><p><strong>Trial registration: </strong>The trial was prospectively registered on July 8, 2024, under the registration number DRKS00034620 in the German Clinical Trials Register ( https://drks.de/search/de/trial/DRKS00034620 ).</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":"12 1","pages":"202"},"PeriodicalIF":3.5,"publicationDate":"2024-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11626763/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142802808","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":"Invisible walls? Stigma-related perceptions are associated with reduced help-seeking intentions for disordered eating in men.","authors":"Martin S Lehe, Georg Halbeisen, Sabine Steins-Loeber, Georgios Paslakis","doi":"10.1186/s40337-024-01152-3","DOIUrl":"10.1186/s40337-024-01152-3","url":null,"abstract":"<p><strong>Background: </strong>Eating disorders (EDs) are increasingly prevalent in men, but men remain underrepresented across many ED-specific treatment settings. Based on the idea that persistent stereotypes, prejudice and discrimination, i.e., stigma against men with EDs, could impede help-seeking behaviors, the present study investigated whether stigma-related perceptions in men are associated with reduced help-seeking intentions for a broad range of disordered eating symptoms.</p><p><strong>Methods: </strong>N = 132 adult men participated in a cross-sectional online survey and completed questionnaires on ED psychopathology, muscle dysmorphia, orthorexic eating, stigma-related perceptions of EDs in men, and help-seeking intentions.</p><p><strong>Results: </strong>Moderator analyses showed that higher stigma-related perceptions were associated with reduced help-seeking intentions in response to increased ED symptom severity. However, this was only the case for traditionally \"feminized\" ED symptoms (related to thin-body ideals), but not for help-seeking with regard to muscularity-oriented, orthorexic, or avoidant/restrictive disordered eating.</p><p><strong>Conclusions: </strong>Stigma may reduce help-seeking intentions with regard to \"feminized\" ED symptoms. The present findings suggest that perceptions of EDs as \"women's diseases\" were associated with reduced help-seeking in men. Stigma towards men with EDs could thus be a possible barrier to help-seeking in men, highlighting the relevance of stigma-reducing interventions in clinical and community settings.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":"12 1","pages":"200"},"PeriodicalIF":3.5,"publicationDate":"2024-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11619332/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142781530","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}