Journal of Eating Disorders最新文献

{"title":"Parents' experiences of caring for a child with an eating disorder: the impact of financial challenges.","authors":"Hannah Shaw, Nadia Ranceva, Dawn Langdon","doi":"10.1186/s40337-025-01278-y","DOIUrl":"10.1186/s40337-025-01278-y","url":null,"abstract":"<p><strong>Background: </strong>Research has highlighted significant challenges associated with caring for a child or adolescent with an eating disorder, and that the impacts on the family are both long-standing and widespread. Within the literature, parents have reported that all aspects of their lives were affected, including their occupational functioning and financial situation. This study explored parents' experiences of the challenges associated with caring for a child with an eating disorder, focusing on the financial implications and the effect of these on the family and treatment.</p><p><strong>Methods: </strong>Using the exploratory descriptive qualitative approach, semi-structured interviews were completed with 12 parents recruited from a child and adolescent eating disorder service. Interview transcripts were analysed using reflexive thematic analysis.</p><p><strong>Results: </strong>The overarching theme generated was Life is completely different living with the eating disorder. The analysis process yielded nine sub-themes, which were grouped into three main themes: (1) Financial costs, (2) Financial impact on us, and (3) Things that helped. Parents reported significant interrelated psychosocial and economic impacts, which were exacerbated by their child's resistance to treatment, an unpredictable course of illness, and a lack of understanding about eating disorders at a societal level.</p><p><strong>Conclusions: </strong>The findings suggest financial pressures exacerbate the significant caregiver burden and, without adequate financial support, some families struggle to afford essential treatment costs, both of which can impede recovery. Thus, services must address the financial implications and each family's unique situation throughout the assessment and treatment process. Services can mitigate burdens for parents by tailoring support to families' needs, offering foodbank vouchers, providing information on benefits, and assisting with reclaiming parking and public transport costs. Further research is required to assess the extent of the financial burden and its impact on treatment, and to determine which individuals are most affected.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":"13 1","pages":"209"},"PeriodicalIF":4.5,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12465469/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145179444","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":"What is day programme treatment for anorexia nervosa really like? Part 2: A reflexive thematic analysis of feedback from caregivers.","authors":"Lucinda J Gledhill, Chiara Calissano, Jasmin Turner, Charlotte Watson, Mima Simic, Julian Baudinet","doi":"10.1186/s40337-025-01312-z","DOIUrl":"10.1186/s40337-025-01312-z","url":null,"abstract":"<p><strong>Background: </strong>A significant proportion of young people do not respond to NICE recommended treatment for anorexia nervosa: Family Therapy (FT-AN). Evidence is building for the effectiveness of day programmes as an alternative to inpatient admissions for young people whom traditional community treatment has not benefited. One day programme that has been found to be effective is the Intensive Treatment Programme (ITP) of the Maudsley Centre for Child & Adolescent Eating Disorders in London, UK. However, limited data are available on how caregivers of young people attending experience such a day programme.</p><p><strong>Method: </strong>Anonymous feedback was completed via online survey by 64 caregivers over a 5-year period (2018-2023) on discharge from ITP.</p><p><strong>Results: </strong>Five main themes emerged: (1) Clarity and consistency are key; (2) Skills and practical support; (3) Collaborative relationships; (4) Layers of change; (5) It wasn't all great.</p><p><strong>Conclusions: </strong>Expanding our understanding of caregiver experiences is important given the FT-AN model holds expectations that \"the family is needed as a resource\" and that caregivers should \"take a lead in managing their child's eating\". It is hoped that increased understanding will lead to services continuing to improve the support they provide.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":"13 1","pages":"207"},"PeriodicalIF":4.5,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12465200/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145179400","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 presentation of REDs in ultra endurance sport: a review.","authors":"Jill Colangelo, Alexander Smith, Keely Henninger, Anna Buadze, Michael Liebrenz","doi":"10.1186/s40337-025-01381-0","DOIUrl":"10.1186/s40337-025-01381-0","url":null,"abstract":"","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":"13 1","pages":"210"},"PeriodicalIF":4.5,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12465470/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145179428","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":"Boys don't try? Gendered stigma specifically reduces help-seeking for disordered eating in men, but not women.","authors":"Martin S Lehe, Georg Halbeisen, Vanessa C Juergensen, Luisa Sabel, Sabine Steins-Loeber, Georgios Paslakis","doi":"10.1186/s40337-025-01407-7","DOIUrl":"10.1186/s40337-025-01407-7","url":null,"abstract":"<p><strong>Background: </strong>Eating disorders (EDs) affect individuals across all genders, but men remain underrepresented in ED treatment settings. Stigma related to EDs in men may impede help-seeking, particularly for symptoms that deviate from traditional masculine ideals. This study investigates whether stigma-related perceptions of EDs in men specifically moderate the association between disordered eating symptoms and help-seeking intentions in men, i.e., whether there is a gender-specific component of ED stigma.</p><p><strong>Methods: </strong>In a cross-sectional survey, n = 242 men and n = 249 women completed questionnaires on various disordered eating symptoms (\"traditional\" thinness-oriented, muscularity-oriented, orthorexic, and avoidant/restrictive eating behaviors), stigma-related perceptions of EDs in men, and help-seeking intentions. Moderator analyses were conducted by gender to explore interactions between symptom severity and stigma in predicting help-seeking intentions.</p><p><strong>Results: </strong>Help-seeking intentions increased with the severity of disordered eating symptoms in both men and women, except for avoidant/restrictive eating behavior in both genders and muscularity-oriented symptoms in men. Stigma-related perceptions of EDs in men moderated the association between symptoms and help-seeking intentions in men, which was exclusively the case for \"feminized\" ED symptoms (i.e., thinness and weight concerns). No moderation effects were observed for other symptom domains or among women.</p><p><strong>Conclusions: </strong>Results support the notion of a gender-specific role of stigma in men's help-seeking behaviors for EDs. Such stigma, which seems to be related to \"feminized\" ED symptoms, may contribute to men's reluctance to seek help for EDs. These findings emphasize the need for interventions tailored to reduce stigma, particularly regarding men's experiences of EDs, to support equal access to healthcare.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":"13 1","pages":"204"},"PeriodicalIF":4.5,"publicationDate":"2025-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12442273/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145082211","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":"Embracing embodied movement in eating disorder recovery: matters arising from Bongiorno and Heaner (2025).","authors":"James Downs, Hannah Hickinbotham, Eric Pothen","doi":"10.1186/s40337-025-01402-y","DOIUrl":"10.1186/s40337-025-01402-y","url":null,"abstract":"<p><p>This Matters Arising builds upon Bongiorno and Heaner's (2025) narrative review of resistance training in eating disorder recovery. The authors expand the discussion by situating resistance training within a wider spectrum of embodied movement practices, such as yoga, dance, and group-based activity. Drawing on lived experience, current literature, and embodiment theory, this piece emphasises the therapeutic value of movement that enhances interoceptive awareness, emotional regulation, and body connection. The authors highlight alexithymia and interoceptive disruption as transdiagnostic features of eating disorders, suggesting that safe, intentional movement can address these challenges and support psychological as well as physical recovery. They also raise critical concerns about abstinence-based exercise approaches and advocate for co-produced, trauma-informed, and intersectionally inclusive interventions. Recognising the diversity of eating disorder presentations and identities, they call for participatory research methods and tailored movement strategies that prioritise safety, autonomy, and long-term wellbeing. The paper concludes by encouraging researchers and clinicians to view movement not as an optional adjunct, but as a potentially central component of recovery, particularly when embedded within equitable, person-centred care.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":"13 1","pages":"203"},"PeriodicalIF":4.5,"publicationDate":"2025-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12434917/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145070826","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":"Barriers and facilitators to treatment in severe and enduring eating disorders: a mixed-methods study of access, engagement, and lived experience.","authors":"Gabriel Lubieniecki, Isabella McGrath, Gemma Sharp","doi":"10.1186/s40337-025-01393-w","DOIUrl":"10.1186/s40337-025-01393-w","url":null,"abstract":"<p><strong>Objective: </strong>An estimated 20 to 30% of individuals with eating disorders (EDs) experience protracted illness trajectories, often referred to as severe and enduring eating disorders (SEED). Research examining the systemic, relational, and experiential factors that influence access to and engagement with care in this population remains limited. This mixed-methods study aimed to explore the structural, clinical, and interpersonal barriers and facilitators shaping treatment experiences among individuals with longstanding EDs.</p><p><strong>Method: </strong>An explanatory sequential mixed-methods design was employed with 41 participants. Stage One involved an online survey assessing demographic characteristics, diagnostic history, treatment exposure, and symptom severity, with descriptive statistics used to characterise the sample. Stage Two comprised of in-depth semi-structured interviews exploring lived experiences of treatment access and engagement. Qualitative data were analysed using reflexive thematic analysis informed by transcendental phenomenology.</p><p><strong>Results: </strong>All participants reported an illness duration of seven years or more, with heterogeneity observed in diagnostic profiles, overall duration of illness, self-reported recovery stage, and treatment exposure. Two higher-order qualitative themes were identified; \"Barriers to Care\" included diagnostic and conceptual exclusion, weight-based bias, systemic access constraints, coercive practices, and misalignment between treatment models and patient needs. \"Facilitators of Engagement and Recovery\" comprised compassionate, individualised, and trauma-informed care, peer connection, and the integration of lived experience and advocacy.</p><p><strong>Discussion: </strong>Individuals with SEED are a diverse population who report frequent exposure to structural, relational, and treatment-related barriers, while also identifying salient facilitators that support therapeutic engagement and recovery. Findings from this exploratory study suggest that more responsive, inclusive, and person-centred models of care may help address the complex needs of individuals with SEED. Trauma-informed and neurodiversity-affirming approaches, particularly those that integrate lived experience, may help mitigate the systemic and clinical barriers identified across both access and treatment contexts.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":"13 1","pages":"202"},"PeriodicalIF":4.5,"publicationDate":"2025-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12427117/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145055965","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":"Tendencies of eating disordered behaviours in male content creators: a social media analysis.","authors":"Alina Schmitt, Marius Frenser, Tobias Fischer","doi":"10.1186/s40337-025-01395-8","DOIUrl":"10.1186/s40337-025-01395-8","url":null,"abstract":"<p><p>Eating disorders are primarily associated with women and an obsession with thinness. Recent research and social media content show that men are also concerned about their body image, striving for a muscular and athletic physique. To investigate eating disorder tendencies among male content creators with a mesomorphic body type (N = 26), a social media analysis was conducted on Instagram and TikTok over four weeks. Published content and profiles were screened using ICD-11 diagnostic criteria for anorexia nervosa, which were then adapted to take account of gender differences. A total of 2,985 posts were recorded, of which 69% were classified as relevant to diet, exercise and body content. Six content creators (23%) met the ICD-11 diagnostic criteria for anorexia nervosa, while gender-specific adaptations identified 15 individuals (58%) with tendencies toward an eating disorder. The profile analysis shows that gender-specific adaptation of the diagnostic criteria with regard to the pursuit of muscularity can facilitate the additional recognition of eating disorder-related behaviours in males. Male children and adolescents should be educated at an early stage to avoid critical behaviour patterns and the internalisation of utopian beauty ideals.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":"13 1","pages":"201"},"PeriodicalIF":4.5,"publicationDate":"2025-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12418650/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145031032","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":"Why psychedelic-assisted therapy studies in eating disorders risk missing the mark on outcomes: a phenomenological psychopathology perspective.","authors":"Elena Koning, Riccardo Miceli McMillan, Aaron Keshen, Phillipa Hay, Anthony Vincent Fernandez, Jack Reynolds, Stephen Touyz","doi":"10.1186/s40337-025-01394-9","DOIUrl":"10.1186/s40337-025-01394-9","url":null,"abstract":"<p><p>Psychedelic-assisted therapy (PAT) is an emerging intervention in psychiatry, for which there is preliminary evidence for effectiveness in eating disorders (EDs). The subjective psychedelic experience is considered an important driver of positive outcomes following PAT; however, conventional study design approaches often overlook many of the nuances inherent to the experience. Consequently, considerable information is lost between the first-person account and its scientific interpretation and documentation. Phenomenology-a philosophical and empirical approach to studying lived experience-offers tools to assess and understand the experiential mechanisms of PAT. This commentary advances the case for a phenomenological approach to PAT research in EDs, focusing on key domains of experience that underlie both ED psychopathology and psychedelic experiences, including embodiment, intersubjectivity, affectivity, temporality, spatiality and selfhood. We define and outline these phenomenological domains of EDs and psychedelic experiences and critically examine current measurement approaches. Following, we provide specific research recommendations, including phenomenologically grounded qualitative research and microphenomenology (i.e., the assessment of short-lived, pre-conscious experiences), to more fully capture psychedelic experiences and determine their significance for ED outcomes. The application of phenomenology to the PAT study design may contribute to a better understanding of how individuals experience PAT and generate testable hypotheses to advance psychedelic interventions.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":"13 1","pages":"200"},"PeriodicalIF":4.5,"publicationDate":"2025-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12406483/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144974879","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":"Self-harm in individuals who experience binge eating disorder: A systematic review and meta-analysis.","authors":"Elana Moore, Caroline Clements, Emily Flattery, Anam Bhutta, Peter Taylor","doi":"10.1186/s40337-025-01379-8","DOIUrl":"10.1186/s40337-025-01379-8","url":null,"abstract":"<p><strong>Background: </strong>Binge Eating Disorder (BED) and self-harm often co-occur and cause great distress. BED is often poorly understood and under-represented in research, despite high prevalence. It is unclear how self-harm in BED populations compares to rates of self-harm in other eating disorder populations or control groups. A systematic review and meta-analysis were undertaken with the aim of investigating how often self-harm occurs along with BED compared to other eating disorders and control groups.</p><p><strong>Method: </strong>The protocol for this review was pre-registered (PROSPERO reference: CRD42023466201). Online databases, PsycINFO, MEDLINE and Web of Science, were searched using key terms relating to BED and self-harm, for publications dating up to February 2025. Inclusion criteria were studies that measured BED and self-harm. Titles, abstracts and full texts were screened by independent screeners. Sixteen studies were identified. Meta-analyses were completed to determine the odds of self-harm in BED groups compared to other eating disorders and non-clinical control groups. Risk of bias and publication bias were assessed.</p><p><strong>Results: </strong>There was no difference in rate of self-harm between people experiencing BED compared to those experiencing Anorexia Nervosa (Odds Ratio [OR] = 0.7, 95% Confidence Interval [CI] = 0.4-1.2) or Other Specified Feeding and Eating Disorders (OR = 0.7, 95% CI = 0.4-1.0). Self-harm was 1.6 times more likely in BED groups compared to non-clinical controls (OR = 1.6, 95% CI = 1.0-2.5), and almost half as likely compared to Bulimia Nervosa groups (OR = 0.6, 95% CI = 0.4-0.8).</p><p><strong>Conclusions: </strong>BED is associated with a higher prevalence of self-harm compared to non-clinical populations and should be approached similarly to other eating disorders in this regard. Increased awareness of the potential for self-harm in BED groups is vital to ensure interventions for eating disorders integrate self-harm prevention. Further research is required in non-western communities and across sexes and gender identities.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":"13 1","pages":"198"},"PeriodicalIF":4.5,"publicationDate":"2025-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12406376/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144974918","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":"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}