Journal of Eating Disorders最新文献

{"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}

{"title":"\"We might be making mistakes, but we're learning, we're trying, and we're listening\": embedding qualitative methods within the plan-do-study-act cycle to support the development of a pilot multidisciplinary ARFID pathway.","authors":"Maxine Byrne, Eva Eastman, Cat Papastavrou Brooks, Annie Stevenson, Natalie Wheelhouse, Sophie Webber, Lisa Bevis, Amy Brown","doi":"10.1186/s40337-026-01692-w","DOIUrl":"10.1186/s40337-026-01692-w","url":null,"abstract":"<p><strong>Background: </strong>Avoidant restrictive food intake disorder (ARFID) was introduced to the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) in 2013 and current guidelines recommend multidisciplinary care, however there are few evaluations of such pathways. This study aims to enhance the study stage of the plan-do-study-act (PDSA) cycle using qualitative methods to improve the development, refinement, and implementation of a novel pilot ARFID pathway in a community eating disorder service.</p><p><strong>Methods: </strong>Semi-structured interviews were conducted with 17 participants with experience of the pathway (7 service users:10 staff members) according to an interview schedule. Reflexive, codebook thematic analysis was used to analyse the interview data.</p><p><strong>Results: </strong>Gaps in understanding and treating ARFID were revealed, leading to feelings of uncertainty and frustration. The establishment of a specialist multidisciplinary team (MDT) improved knowledge and efficiency but created challenges related to team integration and resource allocation. Barriers for service user engagement and communication demonstrated the need for service user consultation and pathway co-creation.</p><p><strong>Conclusions: </strong>Service user consultation, treatment adaptations for neurodiversity and cross-service working were identified to improve the pathway as part of the act stage of the PDSA cycle. Future ARFID pathways should prioritise service user agency and access to multidisciplinary care and incorporate consultation from external eating disorder service, as well as lived experience experts.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":" ","pages":""},"PeriodicalIF":5.7,"publicationDate":"2026-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13563891/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148473416","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A case series evaluation of a schema therapy-coaching programme for carers of patients with moderate to severe anorexia nervosa: the CAREFREE programme.","authors":"Emma Mawdsley, Stacey McNicol, Alasdair C Rutherford, Lesley Symon, Debbie Smith, Hazel Elliott, Susan Simpson","doi":"10.1186/s40337-026-01704-9","DOIUrl":"https://doi.org/10.1186/s40337-026-01704-9","url":null,"abstract":"<p><strong>Background: </strong>Anorexia Nervosa (AN) can be a complex condition to treat, often complicated by high chronicity, complexity and comorbidity. Treatments for AN with comorbidity and complexity are limited, with carers having to take a large role in supporting these individuals. Carer distress can be high, impacting carer wellbeing and contributing to familial dynamics which can also perpetuate AN behaviours as a way of coping. This study evaluated a novel carers group, the CAREFREE programme, for the specific needs of carers of Moderate to Severe AN (MS-AN: adults with AN who have not responded to previous treatments, have a complex comorbidity, and/or complex aetiology), using schema therapy-focused coaching to improve carer distress and family functioning.</p><p><strong>Methods: </strong>A non-concurrent group case series design was employed. Outcome measures included carer distress, expressed emotion, family functioning and communication, mood, and attachment-related anxiety and avoidance. Outcomes were analysed at 4-timepoints, (i.e. pre-intervention, mid-point [6 weeks], post-intervention [12-weeks] and 3-month follow-up), using multi-level modelling.</p><p><strong>Results: </strong>53 carers commenced the programme in the study across 5 groups. Carer distress, expressed emotion, family functioning, mood and attachment-related avoidance significantly improved after the end of the group and remained significantly improved at follow-up. Attachment-anxiety did not lead to statistically significant changes, although a trend of improvement was seen.</p><p><strong>Conclusions: </strong>Preliminary evidence suggests improvements in carer wellbeing and family functioning following participation in the CAREFREE programme for carers of MS-AN. Attachment outcome measures that did not lead to statistically significant change may be related to the time-limited nature of the intervention and the group intervention itself, with greater change in attachment outcomes often requiring individualised and more intensive interventions. Future research is required to explore what impact this has on patient outcomes. Trial registration This study was registered with clinicaltrials.gov (ClinicalTrials.gov ID: NCT06624397).</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":" ","pages":""},"PeriodicalIF":5.7,"publicationDate":"2026-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148457350","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mental health interventions for carers of individuals with eating disorders: a systematic review of randomized controlled trials assessing efficacy on anxiety and depressive symptoms.","authors":"Ilaria Riboldi, Chiara Alessandra Capogrosso, Cristina Crocamo, Alessandro Chinello, Luigi Enrico Zappa, Francesco Bartoli, Giuseppe Carrà","doi":"10.1186/s40337-026-01705-8","DOIUrl":"10.1186/s40337-026-01705-8","url":null,"abstract":"<p><strong>Background: </strong>Carers of individuals with eating disorders (EDs) often experience high levels of psychological distress, which can lead to anxiety and depressive symptoms. While several interventions have been developed to support carers, the effectiveness on their mental health remains unclear.</p><p><strong>Methods: </strong>We performed a systematic review of randomized controlled trials (RCTs) assessing mental health interventions for carers of individuals with EDs, with anxiety and depressive symptoms defined as outcomes of interest. Searches were performed across major electronic databases up to 31 October 2025.</p><p><strong>Results: </strong>Twelve RCTs met the inclusion criteria. Structured narrative synthesis indicated that statistically significant effects were infrequent, outcome-specific, and generally small in magnitude. Interventions based on the Cognitive-Interpersonal Maintenance Model (CIMM) were the most frequently evaluated. However, only one trial demonstrated significant improvements in depressive symptoms (p = 0.010), with no significant effect on the Depression Anxiety Stress Scale (DASS-21) total scores (p = 0.06) or on the anxiety subscale (p = 0.50). In addition, Cognitive Behavioural Therapy (CBT)-based interventions showed some promising effects on the Hospital Anxiety and Depression Scale (HADS) total score (p = 0.033), but these results were not consistently replicated across guided and unguided formats. Among the other approaches, a video-based skills-training intervention produced a measurable reduction in carer distress, but this effect was observed only when combined with professional support (p = 0.030). Overall, interventions incorporating professional or peer support appeared more promising than fully self-directed approaches, although direct comparisons between guided and unguided formats did not consistently show statistically significant differences. Quality assessment showed at least an average standard of quality for all the included trials.</p><p><strong>Conclusions: </strong>Interventions for carers of individuals with EDs are conceptually well-founded, yet current evidence provides only limited support for their effectiveness in reducing anxiety and depressive symptoms. Future research should prioritize interventions that combine more structured mental health strategies with guided self-help programmes and workshops, providing tailored support to address the various needs of carers.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":" ","pages":""},"PeriodicalIF":5.7,"publicationDate":"2026-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13647608/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148438564","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Creating a hospital-based nutrition pathway for adults: evaluation of implementation in two United States hospital-systems.","authors":"Helen Liljenwall, Elissa H Patterson, Stephanie Van Decker, Natalie Prohaska, John Hunter, Elizabeth O G Hoffman, Susan G Burgess, Sheila Shanmugan, Jeylan Close, Rebecka Peebles","doi":"10.1186/s40337-026-01708-5","DOIUrl":"10.1186/s40337-026-01708-5","url":null,"abstract":"<p><strong>Background: </strong>Since the COVID-19 pandemic there has been a rise in the incidence and severity of eating disorders (ED). The Hospital of the University of Pennsylvania (HUP) and University of Michigan Hospital System (UMHS) have similarly seen a rise in the incidence and severity of patients admitted with eating disorders. Until 2023, no formal pathway existed for the treatment of malnutrition in adult patients with ED at either hospital system.</p><p><strong>Methods: </strong>The Consolidated Framework for Implementation Research (CFIR) was used by program leads at both HUP and UMHS for the identification of barriers and facilitators influencing the implementation of a treatment pathway for adult patients with eating disorders admitted to the medical floors.</p><p><strong>Results: </strong>The pathways at UMHS and HUP were overall remarkably similar and many of the same barriers and facilitators impacting the implementation of the treatment pathways were identified within both programs. Both programs consist of care bundles involving structured, observed meals with daily calorie goals for patients, frequent electrolyte monitoring, and daily blind weights.</p><p><strong>Conclusions: </strong>These treatment pathways address the treatment of malnutrition in adults with eating disorders admitted to inpatient medical floors in general hospital settings with no prior history of eating disorder expertise, and both have been successfully implemented at HUP and UMHS thereby providing much-needed services for this patient population. The manuscript expands on existing literature by describing the facilitators and limitations of the implementation of an eating disorder protocol in a general adult hospital setting.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":" ","pages":""},"PeriodicalIF":5.7,"publicationDate":"2026-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13647593/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148449807","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The association between eating disorders and adolescent idiopathic scoliosis: a systematic review.","authors":"Dennis Gibson, Millie Plotkin, Marina Foster, Delaney Wesselink, Taylor Mannix","doi":"10.1186/s40337-026-01662-2","DOIUrl":"10.1186/s40337-026-01662-2","url":null,"abstract":"<p><strong>Objective: </strong>A plausible association between adolescent idiopathic scoliosis (AIS) and eating disorders (EDs) is suggested by the current research, although this potential relationship is poorly defined. This systematic review seeks to better understand the association between AIS and EDs.</p><p><strong>Methods: </strong>Medline, Embase, and Web of Science were searched for articles that assessed the combination of AIS and EDs.</p><p><strong>Results: </strong>Twelve articles were included in the final review. Six of the twelve studies were assessed as having serious risk of bias, and one was assessed to have moderate risk of bias. Three plausible associations are suggested from studies in this review: (1) individuals with AIS tend to have lower BMIs, (2) there is little evidence to suggest that individuals with AIS exhibit increased ED psychopathology, and (3) limited studies using sample cohorts of individuals diagnosed with EDs suggest an increased likelihood of also being diagnosed with AIS.</p><p><strong>Conclusion: </strong>Additional longitudinal research in the ED population is needed to better understand the association between EDs and AIS and whether EDs confer increased risk to develop AIS.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":" ","pages":""},"PeriodicalIF":5.7,"publicationDate":"2026-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13643980/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148425511","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Trauma subgroups among individuals with eating disorders: a latent profile analysis.","authors":"Sinead Day, Nora Trompeter, Mandy Goldstein, Megan Bray, Phillipa Hay, Gabriella Heruc, Marion Roberts, Deborah Mitchison","doi":"10.1186/s40337-026-01688-6","DOIUrl":"10.1186/s40337-026-01688-6","url":null,"abstract":"<p><strong>Objective: </strong>Trauma-related symptoms are known to be highly prevalent in eating disorder (ED) populations but there has been limited research on complex post-traumatic stress disorder (CPTSD). The current study used latent profile analysis to examine trauma-related subgroups among clients with EDs and associations with ED severity and other outcomes.</p><p><strong>Methods: </strong>Participants (N = 378) attending residential, day program, and outpatient ED services completed measures of ED symptoms, body mass index (BMI), ED-related impairment, depression, anxiety, and trauma-related symptoms (based on ICD-11 PTSD and CPTSD criteria, and dissociation) at admission.</p><p><strong>Results: </strong>Latent profile analysis identified four trauma profiles: 1) high disturbances in self-organisation (DSO), 2) CPTSD (high on both PTSD and DSO symptoms, and severe dissociation), 3) general distress (moderate outcomes across all domains), and 4) no/mild trauma-related symptoms. After adjusting for level of care, profiles significantly differed on all outcomes except BMI, ED diagnosis, and objective binges. Groups 1 and 2 reported more severe ED and comorbid symptoms than groups 3 and 4, with group 2 also being more severe than group 1 on total ED psychopathology, eating concerns, purging, and anxiety.</p><p><strong>Discussion: </strong>Findings support previous research on the high prevalence of trauma-related symptoms in EDs, with DSO symptoms (unique to CPTSD) appearing to drive much of the association with ED symptom severity. ED services may benefit from targeted use of trauma-focused therapies for individuals presenting with high DSO symptoms, both in the presence and absence of severe PTSD symptomatology.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":" ","pages":""},"PeriodicalIF":5.7,"publicationDate":"2026-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13637438/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148425550","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":"Adapting family-based therapy for anorexia nervosa to an inpatient setting: staff experiences and perspectives.","authors":"Jan-Vegard Nilsen","doi":"10.1186/s40337-026-01706-7","DOIUrl":"10.1186/s40337-026-01706-7","url":null,"abstract":"<p><strong>Background: </strong>Family-based therapy is an outpatient treatment model strongly recommended as a first-line intervention for adolescents with anorexia nervosa. A central feature of the model is the active involvement of parents in meal support and in the treatment process as a whole. Although outpatient Family-based therapy is effective for many families, a substantial proportion of young people require inpatient treatment. While several specialized inpatient units have adopted core principles from outpatient Family-based therapy, empirical knowledge about how these adaptations are experienced by inpatient staff remains limited. The aim of the present study was therefore to explore inpatient staff's experiences of working in accordance with core principles of family-based therapy within a specialized inpatient setting.</p><p><strong>Methods: </strong>The study employed an exploratory qualitative design. Data consisted of two focus group interviews with fourteen healthcare staff from a specialized inpatient unit and were analyzed using reflexive thematic analysis.</p><p><strong>Results: </strong>An overarching theme was generated: The core principles function as a dynamic compass in clinical work. Three main themes were generated: (1) Unifying around a shared professional language provides multiple advantages; (2) The treatment model increases awareness of the helper's responsibility and therapeutic position; and (3) Adaptations are always necessary in an inpatient context.</p><p><strong>Conclusions: </strong>From the perspective of inpatient staff, the core principles of outpatient family-based therapy can be meaningfully adapted to an inpatient setting. The model appears to function as a guiding and flexible framework for therapeutic work, supporting professional coherence while allowing for necessary local adaptations. These findings highlight the potential value of principle-driven, family-based approaches within inpatient treatment for adolescents with anorexia nervosa.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":" ","pages":""},"PeriodicalIF":5.7,"publicationDate":"2026-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13637316/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148425534","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}