Journal of Eating Disorders最新文献

{"title":"Avoidant restrictive food intake disorder (ARFID) in Swedish preschool children: a screening study.","authors":"Lisa Dinkler, Katarzyna Brimo, Helena Holmäng, Kahoko Yasumitsu-Lovell, Ralf Kuja-Halkola, Anne-Katrin Kantzer, Zerina Omanovic, Narufumi Suganuma, Masamitsu Eitoku, Mikiya Fujieda, Elisabeth Fernell, Per Möllborg, Rachel Bryant-Waugh, Christopher Gillberg, Maria Råstam","doi":"10.1186/s40337-025-01369-w","DOIUrl":"10.1186/s40337-025-01369-w","url":null,"abstract":"<p><strong>Background: </strong>Despite its common early onset, little is known about the prevalence and clinical presentation of avoidant restrictive food intake disorder (ARFID) in very young children, hindering early identification and intervention. Differentiating ARFID from normative selective eating is particularly challenging, yet validated parent-reported screening tools are lacking. This study aimed to estimate the point prevalence and describe the clinical characteristics of ARFID in preschoolers. It also evaluated the psychometric properties of the parent-reported ARFID-Brief Screener by assessing its agreement with a diagnostic interview for ARFID.</p><p><strong>Methods: </strong>Parents of 645 children (50.5% male, mean age 3.2 years) completed the ARFID-Brief Screener and a neurodevelopmental screener during 2.5- and 4-year routine check-ups at 21 child health centers in West Sweden. Parents of all screen-positive and of randomly selected screen-negative children were invited to a follow-up diagnostic interview via phone. Additional clinical data were extracted from health records.</p><p><strong>Results: </strong>Of the 42 children (6.5%) who screened positive for ARFID, 29 were followed up via diagnostic interview, and 21 received an ARFID diagnosis, yielding a positive predictive value of 72%. Negative predictive value, sensitivity, specificity, and overall accuracy of the ARFID-Brief Screener were 94%, 91%, 79%, and 84%, respectively. The estimated point prevalence of ARFID was 5.9%. All diagnosed children exhibited both sensory-based avoidance and low interest in eating. Only 13.5% met ARFID criteria based on weight- or nutrition-related impairment (DSM-5 Criteria A1-A3). Two fifths (39.1%) of children with ARFID exhibited early language delays compared to 13.5% of children without ARFID. More extensive neurodevelopmental problems were associated with greater ARFID severity and with higher scores on the sensory and concern profiles.</p><p><strong>Conclusions: </strong>ARFID is not uncommon among preschoolers, though prevalence may be slightly overestimated in this study. It is primarily characterized by sensory-based avoidance and low interest in eating, and by psychosocial impairment instead of physical health consequences, underscoring the need to assess impact beyond weight, growth, and nutrition. Early neurodevelopmental difficulties are overrepresented, highlighting their relevance for early detection and intervention. The ARFID-Brief Screener demonstrated promising psychometric properties and may be a valuable tool for routine screening, though follow-up assessments remain necessary to confirm a diagnoses.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":"13 1","pages":"179"},"PeriodicalIF":4.5,"publicationDate":"2025-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12363052/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144876030","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":"Experiences of menstrual health and amenorrhoea in eating disorder inpatient units in England: a subgroup analysis from a lived experience led, qualitative study.","authors":"Hat Porter","doi":"10.1186/s40337-025-01266-2","DOIUrl":"10.1186/s40337-025-01266-2","url":null,"abstract":"<p><strong>Background: </strong>Although no longer specified within the diagnostic criteria for anorexia nervosa, the prevalence of menstrual disturbances among patients with eating disorders is well-documented. However, there is limited research examining patient experiences of amenorrhoea and eating disorders, or addressing how the topic is approached by eating disorder services. This article presents a subgroup analysis of a survivor-led qualitative study, which examined experiences of menstrual health in psychiatric inpatient settings. The study's main findings remain relevant to eating disorder services, however, this article presents an additional subgroup analysis which identified two themes from participants with experience of inpatient eating disorder services.</p><p><strong>Methods: </strong>Thematic analysis was used to analyse qualitative data generated through questionnaires with staff and people with lived experience of inpatient settings and interviews with people with lived experience. An additional subgroup analysis was conducted to further explore the experiences which were specific to the eating disorder context.</p><p><strong>Results: </strong>Three interviewees, 13 lived experience and two staff questionnaire respondents had experience related to eating disorder services. Eating disorder services were reported to place significant emphasis on the menstrual cycle as a marker of health, informing patient meal plans and weight targets. However, the emotional impact of managing the return of menstruation, and its significance within the context of their eating disorder, was not adequately addressed. Invasive practices of forcing patients to display used menstrual products to staff, as evidence of their menstruation, were reported.</p><p><strong>Conclusions: </strong>The menstrual cycle is an important consideration in the treatment of patients with eating disorders, however, this should extend beyond monitoring the presence or absence of menstrual cycles to consider a more holistic perspective of menstrual health. This should include provision of information; how menstrual and gynaecological conditions may interact with someone's eating disorder; and addressing psychological and emotional needs related to menstruation in eating disorder treatment and recovery. Further research is needed to understand these experiences in greater depth.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":"13 1","pages":"177"},"PeriodicalIF":4.5,"publicationDate":"2025-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12355866/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144859815","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 ruling relations of eating disorder treatment in Ontario.","authors":"Sarah Costantini, Carla Rice","doi":"10.1186/s40337-025-01362-3","DOIUrl":"10.1186/s40337-025-01362-3","url":null,"abstract":"<p><strong>Background: </strong>Despite nearly 50 years of calls for change, service users in eating disorder (ED) treatment too often continue to experience care as controlling under time-limited directive models, requiring compliance/adherence to rules that uphold a specific form of recovery. Recently the Government of Ontario released new quality standards for ED treatment, which promise to alter how the system operates. This has occurred against a backdrop of an unprecedented surge in the volume of people with EDs seeking help following the onset of the COVID-19 pandemic which has deepened the strain on an already under-resourced treatment system. As such, we contend there is a need to explore how clinicians do carework in treatment spaces to better understand what organizational, procedural, and discursive factors coordinate/ regulate their capacities to care in the current moment and explore what new pathways might be forged. Taking an Institutional Ethnography (IE) approach, our study explores the ruling relations coordinating clinicians' carework in Ontario inpatient, day-patient, and live-in ED treatment programs.</p><p><strong>Methods: </strong>Methods included in-depth interviews with six clinicians and textual analysis of core documents informing or directing treatment. Clinicians included one psychiatrist, two dieticians, one psychologist, one social worker, and one psychotherapist. Our analysis drew from accepted IE analytic procedures, and included indexing, mapping, and writing accounts.</p><p><strong>Findings: </strong>Our IE identifies a tension experienced by clinicians, particularly in publicly-funded treatment between their desire to practice collaborative care and the demand to enforce stringent mandates in an environment dominated by highly standardized, time-limited treatment directives that seek to ration care. We explicate how the discourses of care-as-cure and gold standard (evidence-based) treatment coordinate clinician's carework in moments of treatment non-adherence, as they operate through practices of informal coercion and the broader politics of evidence-based research.</p><p><strong>Conclusions: </strong>As the first IE in the ED field, our work traces connections between practice, texts, and institutional discourses in a novel way, adding compelling findings to the limited Canadian ED treatment literature and the urgent need for change. Our IE findings underscore the need to de-centre biometrics and recentre relationality by developing alternative care pathways that attend to the diversity of service user needs and address gaps in care.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":"13 1","pages":"176"},"PeriodicalIF":4.5,"publicationDate":"2025-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12351851/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144856766","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 effects of parenting styles on eating concerns in patients with eating disorders: the mediating role of self-compassion.","authors":"Jingjing Yang, Jinyan Wu, Linlin Zhu, Chao Chen, JinRui Zhou, Lei Yang, Xueni Li, Yunai Su, Qingmei Kong, Tianmei Si","doi":"10.1186/s40337-025-01371-2","DOIUrl":"10.1186/s40337-025-01371-2","url":null,"abstract":"<p><strong>Background: </strong>Eating concerns are core symptoms of eating disorders (EDs). Attachment theory assists in understanding the underlying psychological mechanisms behind eating concerns and suggests that the relationship between eating concerns and parenting styles may be connected through patients' self-compassion. Consequently, the present study aims to investigate the relationship between parenting styles and eating concerns, along with the mediating role of self-compassion.</p><p><strong>Methods: </strong>This cross-sectional study enrolled 177 female patients diagnosed with EDs. Eating concerns were assessed via the Eating Concerns subscale of the Eating Disorder Examination Questionnaire 6.0 (EDE-Q 6.0). Parenting styles were evaluated via the short-form Egna Minnen av Barndoms Uppfostran for Chinese (s-EMBU-C). Self-compassion was measured via the Self-Compassion Scale (SCS). Spearman correlation analysis explored relationships among the dimensions of maternal and paternal parenting styles (i.e., emotional warmth, rejection, overprotection), self-compassion, and eating concerns. Based on these results, mediation analysis was conducted, with self-compassion as mediator.</p><p><strong>Results: </strong>Correlation analysis indicated eating concerns positively correlated with paternal overprotection. For maternal parenting styles, eating concerns positively correlated with rejection and overprotection, but negatively with emotional warmth. Eating concerns negatively correlated with self-compassion. Mediation analysis revealed that self-compassion fully mediated the relationships between eating concerns and four specific parenting styles: paternal overprotection, maternal rejection, maternal overprotection, and maternal emotional warmth.</p><p><strong>Conclusion: </strong>Our results indicate distinct associations between maternal and paternal parenting styles and eating concerns, with self-compassion functioning as a full mediator. These findings may expand understanding of links between early attachment-related experiences and EDs by clarifying parental roles and identifying self-compassion as a explanatory factor, highlighting value in addressing these via family-based therapy and fostering self-compassion in ED interventions.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":"13 1","pages":"175"},"PeriodicalIF":4.5,"publicationDate":"2025-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12351796/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144849437","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":"\"Prevalence of disordered eating and eating disorders among Norwegian university students before and after the COVID-19 pandemic, 2018 and 202.: The SHoT study.\"","authors":"Lisa Marie Jacobsen, Gørill Haugan, Gina Dimitropoulos, Amelia Austin, Børge Sivertsen, Tonje Braaten, Ottar Bjerkeset","doi":"10.1186/s40337-025-01370-3","DOIUrl":"10.1186/s40337-025-01370-3","url":null,"abstract":"<p><strong>Objective: </strong>The prevalence of eating disorders (EDs) is increasing, but little is known about their trends among university students, particularly following COVID-19. This study examines prevalence in EDs and disordered eating (DE) symptoms among students in 2018 and 2022, focusing on gender and socio-demographic disparities.</p><p><strong>Methods: </strong>Data were drawn from the Students' Health and Well-being Study (SHoT) in 2018 (n = 50 054) and 2022 (n = 59 544), a large-scale Norwegian survey covering full-time university students aged 18-36. Participants completed self-report measures assessing symptoms of DE (EDS scale) and ED diagnoses, socio-demographic variables, lifestyle, gender identity and financial status. Statistical analyses included logistic regression to assess associations between factors known to be linked to DE and EDs, chi-square tests for group comparisons, and t-tests for continuous variables.</p><p><strong>Results: </strong>From 2018 to 2022, the prevalence of self-reported EDs increased among females (3.5% in 2018 and 4.5% in 2022) and males (0.4% in 2018 and 0.6% in 2022), while gender-diverse students exhibited the overall highest ED rates (around 10% in both surveys). Anorexia nervosa remained the most common ED among females. Daily/almost daily exercise, financial difficulties, loneliness, and living alone were closely linked to EDs, odds ratios (ORs) ranging from 1.3 to 3.7 in females. Similar patterns were seen for female DE cases. Although numbers were low, financial difficulties and particularly loneliness indicated higher risk for DE and any EDs among males.</p><p><strong>Discussion: </strong>The findings suggest a relative rise in ED prevalence among students after the COVID-19 pandemic, while DE symptoms and -cases only changed minimally. These findings highlight the need for enhanced awareness and student mental health services, particularly for gender-diverse individuals, and to improve early detection and intervention strategies among those facing financial hardship and loneliness.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":"13 1","pages":"173"},"PeriodicalIF":4.5,"publicationDate":"2025-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12341137/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144838310","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":"Trends and description of inpatient admissions for eating disorders among children and adolescents in Ireland: 2018-2022.","authors":"Harriet Lovett, Claire Casey, Antoinette Daly, Ena Lynn, David J O Driscoll, Michelle Clifford","doi":"10.1186/s40337-025-01372-1","DOIUrl":"10.1186/s40337-025-01372-1","url":null,"abstract":"<p><strong>Background: </strong>International data suggests that the incidence of and health service need for eating disorder care is increasing. People affected by eating disorders (ED) may require a mixture of acute medical care and psychiatric care during their treatment and recovery.</p><p><strong>Objective: </strong>To examine the medical and psychiatric admission profiles of children and adolescents (under 18-year-olds) with a diagnosis of an ED between 2018 and 2022 in Ireland.</p><p><strong>Method: </strong>Data relating to under 18-year-olds from the Hospital In-Patient Enquiry (HIPE) system, the National Psychiatric Inpatient Reporting System (NPIRS) and the Child and Adolescent Mental Health Services (CAMHS) community ED teams from 2018 to 2022 were retrospectively analysed.</p><p><strong>Results: </strong>There were 1573 inpatient admissions due to eating disorders between 2018 and 2022. The majority of admissions were to acute medical hospitals (76%; 1203). Throughout the study period, the average episode-based ED admission rate was 52.9 per 100,000 of 10-18-year-olds in the population. Anorexia Nervosa was the most common eating disorder diagnosis to psychiatric hospitals accounting for nine-in-ten admissions (anorexia nervosa 87%; 321 and atypical anorexia 4%; 15). There has been a 121% increase in the number of inpatient admissions (acute medical hospitals and inpatient psychiatric hospitals data combined) with an ED diagnosis over the 5-year study period. Between 2018 and 2022, there were 902 referrals to the two specialist community ED teams. 18% of under 18-year-olds diagnosed with an eating disorder by community ED services result in inpatient admission.</p><p><strong>Conclusions: </strong>Additional funding and capacity for eating disorder services in both inpatient and community settings is required to meet Ireland's current and future need if observed trends continue.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":"13 1","pages":"174"},"PeriodicalIF":4.5,"publicationDate":"2025-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12344931/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144838311","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":"Positive attitudes toward physical activity and eating disorders in university students: the moderating role of gender.","authors":"Sinan Uğraş, Barış Mergan, Mehmet Akif Yücekaya, Ahmet Enes Sağın, Fatih Ateş, Emrah Aykora","doi":"10.1186/s40337-025-01363-2","DOIUrl":"10.1186/s40337-025-01363-2","url":null,"abstract":"<p><strong>Background: </strong>Eating disorders affect both male and female populations worldwide. Previous studies suggest that attitudes toward physical activity may play a key role in their development. Understanding this relationship is essential for designing effective prevention and treatment strategies. In this study, \"positive attitudes toward physical activity\" refer to motivational and affective dispositions, such as valuing, enjoying, and being willing to engage in physical activity. The study aimed to explore the effects of such attitudes on various subdimensions of eating disorders, as well as the moderating role of gender in these associations.</p><p><strong>Methods: </strong>University students from different regions of Türkiye participated in the study (n = 609; age M = 21.0, SD = 1.95). The gender distribution was 49.9% females and 50.1% males. The gender distribution was 49.9% females (n = 304) and 50.1% males (n = 305). Data were collected with the Physical Activity Attitude Scale for Children and Adolescents and the Eating Disorder Scale-Short Form (EDE-Q-13). SEM and Jamovi MedMod moderation tests were used to analyze the data.</p><p><strong>Results: </strong>Positive attitudes toward physical activity did not significantly predict eating restraint (β=-0.0865, z=-1.94, p >.05) or shape/weight over-evaluation (β=-0.0836, z=-1.87, p >.05). However, they were significantly and inversely associated with body dissatisfaction (β = -0.1788, z = -3.87, p <.001), bingeing (β = -0.3201, z = -6.75, p <.001), and purging (β = -0.4591, z = -9.58, p <.001). Based on the positive and significant result of the PAPA ✻ gender interaction (B = 0.387, p <.05), gender appears to play a moderating role in the associations between physical activity attitudes and eating disorder symptoms.</p><p><strong>Conclusions: </strong>Our results indicated that while positive attitudes toward physical activity did not significantly influence eating restraint, shape or weight overevaluation, they might have suppressive effects on body dissatisfaction, bingeing, and purging. Additionally, positive attitudes toward physical activity affected female and male participants differently. These findings may inform health promotion and physical activity interventions in university settings.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":"13 1","pages":"171"},"PeriodicalIF":4.5,"publicationDate":"2025-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12337409/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144822960","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":"Co-occurrence between eating disorder symptoms and addictive behaviors among adult women: a controlled analysis.","authors":"Yasuo Murayama, Aiko Ohya","doi":"10.1186/s40337-025-01361-4","DOIUrl":"10.1186/s40337-025-01361-4","url":null,"abstract":"<p><strong>Background: </strong>While associations between abnormal eating behaviors and attitudes (AEBs) and addictive behaviors have been explored, existing research does not adequately control for confounding variables, leaving the possibility of spurious correlations. Therefore, this study aims to provide clearer insights by examining the relationships between anorexic and bulimic symptoms (i.e., drive for thinness and binge eating) and specific addictive behaviors, while controlling for psychological distress and multiple addictive behaviors.</p><p><strong>Methods: </strong>Using a sample of 2,000 adult women, the participants self-reported their drive for thinness, binge eating, psychological distress, alcohol misuse, problematic internet use, compulsive shopping, and problem gambling.</p><p><strong>Results: </strong>Multiple regression analyses revealed that the drive for thinness was positively and negatively associated with alcohol misuse and compulsive shopping, and problem gambling, respectively. Binge eating was positively linked to problematic internet use and compulsive shopping. However, the effect sizes of these associations ranged from very small to small.</p><p><strong>Conclusion: </strong>While the strength of the associations between AEBs and addictive behaviors among adult women, as reported in previous research, may reflect spurious correlations, the co-occurrence of different types of AEBs appears to be far more pronounced.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":"13 1","pages":"172"},"PeriodicalIF":4.5,"publicationDate":"2025-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12341197/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144822885","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":"Mechanisms of an inhibitory control training to reduce binge eating behaviours: study protocol of the randomized controlled proof-of-principle MIND BINGES trial.","authors":"Sebastian M Max, Katrin E Giel, Christian Plewnia, Simone Weller, Andreas J Fallgatter, Veronika Lossa, Stephan Zipfel, Kathrin Schag","doi":"10.1186/s40337-025-01358-z","DOIUrl":"10.1186/s40337-025-01358-z","url":null,"abstract":"<p><p>Current guidelines recommend psychotherapy as first-line treatment for eating disorders. Many individuals with eating disorders characterized by binge eating episodes benefit from psychotherapy. However, a substantial subgroup does not achieve abstinence from binge eating. Bulimia Nervosa (BN) and Binge eating disorder (BED), along with other Specified/Unspecified Feeding or Eating Disorders (OSFED/UFED) with regular binge eating behaviour can be clustered on a continuum of eating disorders which is characterized by elevated impulsivity. Elevated impulsivity, and especially decreased inhibitory control, seem to be key factors in developing and maintaining binge eating behaviour. To target and modify these proposed underlying altered processes of binge eating, cognitive training approaches promise to achieve an amelioration of eating disorder-related psychopathology. Feedback is thought to play a crucial role in cognitive training approaches to increase learning and maintain motivation but its exact role has not been examined yet. MIND BINGES is a prospective, randomized controlled proof-of-principle trial investigating a food-modified inhibitory control training (ICT) and in particular the role of feedback on each individual's performance. 63 patients with regular binge eating (BN, BED, OSFED, UFED) will be randomly assigned to receive either ICT with feedback after each session, ICT without feedback, or be assigned to a waitlist-control group (WL). The ICT is based on an antisaccade paradigm consisting of six training sessions over the course of two weeks. As the role of individual feedback provided to patients is unclear, the core aims are to investigate: (1) whether ICT without feedback is non-inferior to ICT with feedback in reducing binge eating episodes, and (2) whether ICT without feedback is superior to WL in reducing binge eating episodes. Thus, the primary endpoint is binge eating frequency in terms of changes in binge eating episodes four and 12 weeks after ICT/WL termination compared to baseline. Secondary outcomes include eating disorder psychopathology, general psychopathology, inhibitory control capacities, impulsivity, quality of life, self-esteem, and self-efficacy. Lastly, regression analyses will be conducted to explore the impact of secondary outcomes on the likelihood of a positive treatment effect. The results of the present trial will help to disentangle different elements of ICT, in particular the role of feedback. Based on the secondary outcomes, this trial might contribute to a better understanding of pathways and underlying mechanisms of an ICT. In sum, this helps developing possible individually tailored and effective treatment approaches for individuals suffering from regular binge eating. Findings might also inform cognitive trainings targeting symptoms of other mental health disorders.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":"13 1","pages":"170"},"PeriodicalIF":4.5,"publicationDate":"2025-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12329953/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144800592","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":"Assessment of food addiction and its contribution to eating disorders and body mass index in the general population.","authors":"Or Avraham, Roni Aviram Fridman, Danit Rivkah Shahar, Sigal Tepper","doi":"10.1186/s40337-025-01346-3","DOIUrl":"10.1186/s40337-025-01346-3","url":null,"abstract":"<p><strong>Background: </strong>The modified Yale Food Addiction Scale (mYFAS) was developed to quantify food addiction (FA) symptoms and their level of severity. This study aims to study FA in Israel by validating the Hebrew version of the mYFAS, assess FA prevalence, and test its contribution to eating disorder symptoms and obesity in an Israeli adult sample.</p><p><strong>Methods: </strong>The Hebrew mYFAS (mYFAS-HEB) was translated and back-checked for accuracy. For validation, we used eating disorder, eating behavior, and depressive symptom questionnaires. We collected data regarding participants' demographics, body mass index (BMI), and dietary consumption. Reliability was tested via a test-retest method. Confirmatory factor analysis (CFA), internal reliability assessments, and correlational analyses were also conducted, and hierarchical regression models were used to test the unique contribution of FA symptoms to eating disorders and BMI.</p><p><strong>Results: </strong>Among the 364 participants, the prevalence of FA was 12%. FA symptoms were correlated significantly with all the other measures, particularly bingeing and uncontrolled eating. Reliability testing yielded a Cronbach's α of 0.88 and a Kuder-Richardson 20 coefficient of 0.81. CFA supported a two-factor structure, and standardized factor loadings confirmed the validity of the mYFAS-HEB. FA symptoms demonstrated a distinct and significant association with both eating disorder symptoms and BMI that was not explained by other measured variables.</p><p><strong>Conclusions: </strong>Our findings suggest that food addiction (FA) is relatively prevalent in Israel, linked to eating disorder symptoms and higher BMI, and can be reliably assessed using the mYFAS-HEB.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":"13 1","pages":"168"},"PeriodicalIF":4.5,"publicationDate":"2025-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12329949/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144795902","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}