Hasan Ünver, Safiye Zeynep Tatlı, İbrahim Gündoğmuş, Hasan Karadağ, Kadir Özdel, Gamze Erzin
{"title":"Adaptation of the Barcelona Bipolar Eating Disorder Scale to Turkish and investigation of its validity and reliability.","authors":"Hasan Ünver, Safiye Zeynep Tatlı, İbrahim Gündoğmuş, Hasan Karadağ, Kadir Özdel, Gamze Erzin","doi":"10.1186/s40337-026-01649-z","DOIUrl":"10.1186/s40337-026-01649-z","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to evaluate the validity and reliability of the Turkish version of the Barcelona Bipolar Eating Disorder Scale (BEDS), which can facilitate screening for comorbid eating disorders (EDs) in bipolar disorder (BD) patients.</p><p><strong>Methods: </strong>A total of 100 BD patients and 129 healthy controls (HCs) were included in the study conducted at Ankara Etlik City Hospital Psychiatry Clinic. These patients were diagnosed according to the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5), and the Structured Clinical Interview for DSM-5 (SCID-5). Sociodemographic forms, the Turkish version of the BEDS, the Young Mania Rating Scale (YMRS), the Hamilton Depression Rating Scale (HAM-D), the Brief Psychiatric Rating Scale (BPRS), the Bulimic Investigatory Test, Edinburgh (BITE), and the Dutch Eating Behavior Questionnaire (DEBQ) were used to assess validity and reliability.</p><p><strong>Results: </strong>No statistically significant differences were found between the patient and control groups regarding the BITE and BEDS total scores. For the DEBQ, no significant group differences were observed in the total, restrained eating, or external eating scores, whereas the healthy control group had higher emotional eating scores. The correlation coefficient between each item and the total score ranged from 0.313 to 0.644. Cronbach's alpha for the scale was 0.821. The removal of any items from the original scale did not lead to an improvement in Cronbach's alpha. The BEDS score was found to be significantly correlated with the BITE score, DEBQ total score, emotional eating score, and external eating score (p < 0.001). There was no correlation between the BEDS score and the DEBQ restrictive eating subscale, YMRS, BPRS, or HAM-D scale scores.</p><p><strong>Conclusion: </strong>The Turkish version of the BEDS is a valid and reliable scale that can be used as an assessment tool in the evaluation of eating disorders in the Turkish BD population.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":" ","pages":""},"PeriodicalIF":5.7,"publicationDate":"2026-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13579822/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148340720","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}
Elizabeth Kumiko Parker, Michael R Kohn, Sophie Villar, Anita Stefoska-Needham
{"title":"Does renal function decline across multiple hospital admissions? An audit of adolescent and young adults hospitalised with a restrictive eating disorder.","authors":"Elizabeth Kumiko Parker, Michael R Kohn, Sophie Villar, Anita Stefoska-Needham","doi":"10.1186/s40337-026-01658-y","DOIUrl":"10.1186/s40337-026-01658-y","url":null,"abstract":"<p><strong>Background: </strong>Impaired renal function, as indicated by a decline in estimated glomerular-filtration-rate (eGFR), is inadequately investigated in individuals hospitalised with restrictive eating disorders. This study aims to investigate renal function across multiple admissions, as well as the clinical characteristics of this group.</p><p><strong>Methods: </strong>A five-year retrospective audit was conducted of adolescents and young adults admitted to a hospital in Sydney, Australia, with a restrictive eating disorder requiring multiple admissions for nutritional rehabilitation. eGFR was calculated from serum creatinine levels inputted into the Chronic Kidney Disease in Children Under 25 (CKiDU25) equation. A generalised linear-mixed-model was used to evaluate associations between eGFR and purging history, medical instability on admission, percentage mean BMI (%mBMI), protein intake in grams/kilogram/day, time from last admission, length-of-stay and admission number.</p><p><strong>Results: </strong>Analysis included 60 patients over 176 admissions, 93% female, mean age 17.1 ± 1.4 years, admission %mBMI 82.0 ± 9.1. The mean number of admissions was 2.9 ± 2.2, with average length-of-stay 22.7 ± 12.2 days, and discharge %mBMI 92.9 ± 7.4. Impaired renal function (eGFR < 90 ml/min/1.73m<sup>2</sup>) was identified in 36.4% of admissions, and in 2.8% of patients at discharge. Average protein intake increased from 2.2 ± 0.6 g/kg/day on admission to 3.0 ± 0.7 g/kg/day on discharge. Protein intake (9.587, p < 0.001), %mBMI (0.461, p < 0.001), length-of-stay (0.100, p < 0.001), and number of admissions (1.921, p < 0.001) was positively associated with eGFR. Lower eGFR levels were seen with medical instability (-3.113, p = 0.003) or greater between-readmission times (-0.010, p < 0.001). The relationship with purging history was not significant.</p><p><strong>Conclusions: </strong>Impaired renal function was evident in over one third of adolescent and young adults with restrictive eating disorders requiring multiple admissions and improved with nutritional rehabilitation. Findings of this study indicate that eGFR did not decline during the five-year period of observations in this study, however further research is needed to explore the outcomes of the small subgroup of patients who were discharged from hospital with persisting impaired renal function. Overall, eGFR may be a useful indicator of nutritional status and disease severity in patients hospitalised with restrictive eating disorders.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":" ","pages":""},"PeriodicalIF":5.7,"publicationDate":"2026-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13560277/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148333723","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":"Psychological and clinical associations of adverse childhood experiences in Chinese patients with eating disorders.","authors":"Xiao Zhang, Chao Chen, Xueni Li, Qingmei Kong, Peihua Song, Darong Zhang, Tianmei Si","doi":"10.1186/s40337-026-01689-5","DOIUrl":"10.1186/s40337-026-01689-5","url":null,"abstract":"<p><strong>Background: </strong>Eating disorders (EDs) are severe mental illnesses with significant morbidity and mortality. Adverse childhood experiences (ACEs) are recognized risk factors, but their specific impact across ED subtypes and the mediating psychological mechanisms require further elucidation.</p><p><strong>Methods: </strong>In this cross-sectional study (2008-2015), 970 outpatients with eating disorders (919 female) were assessed for adverse childhood experiences and clinical behaviors with the Eating Disorder Questionnaire, and for psychological traits with the Eating Disorder Inventory-1. This study used factorial ANOVA, Lasso regression, and mediation analysis to clarify the effects of ACEs and diagnostic subtypes, identify specific influencing factors, and explore the mediating role of psychological traits.</p><p><strong>Results: </strong>ACEs were nominally associated with most clinical behaviors except dieting; after correction, the most robust associations were observed for binge eating, laxative use, and several onset-age variables. Childhood emotional abuse most profoundly impacted psychological traits. The cumulative number of ACEs was associated with increased severity of psychological traits and a higher likelihood of clinical behaviors. Mediation analyses revealed that psychological traits significantly mediated the relationship between ACEs and clinical behaviors. For instance, ineffectiveness mediated the link from cumulative ACE count (mediation proportion = 0.481), \"criticism and blame\" (mediation proportion = 0.629), and \"abandonment threats\" (mediation proportion = 0.601) to binge eating.</p><p><strong>Conclusions: </strong>Childhood emotional abuse and cumulative ACEs significantly correlated with worsened psychological traits and clinical ED behaviors, with notable implications for binge-eating/purging symptoms. Several psychological traits showed substantial indirect associations between ACE exposure and clinical ED behaviors. These findings highlight the necessity of routine ACE assessment and trauma-informed interventions targeting these psychological vulnerabilities in ED treatment.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":" ","pages":""},"PeriodicalIF":5.7,"publicationDate":"2026-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13560438/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148333744","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}
Veronika Rysinova, Christine E Ramsey-Wade, Carolyn Trippick, Sanni Norweg
{"title":"User experience and perceived impact of the Eating Disorder Support App: a mixed-methods evaluation.","authors":"Veronika Rysinova, Christine E Ramsey-Wade, Carolyn Trippick, Sanni Norweg","doi":"10.1186/s40337-026-01655-1","DOIUrl":"10.1186/s40337-026-01655-1","url":null,"abstract":"<p><strong>Background: </strong>Mobile health (mHealth) interventions offer opportunities to improve access to safe, evidence-informed support for people affected by eating disorders (EDs). However, challenges remain around sustained engagement, inclusivity, and integration with care. The co-produced Eating Disorder Support App, developed by the Eating Disorder Health Integration Team (EDHIT) from Bristol Health Partners in the UK, aims to provide trusted, accessible information for individuals with lived experience, supporters, and healthcare professionals. This study examined user engagement, acceptability, and the perceived impact of the app on knowledge, confidence and support-seeking, while identifying opportunities for refinement.</p><p><strong>Methods: </strong>A mixed-methods evaluation was conducted using an online survey and follow-up semi-structured interviews. Sixteen participants (people with lived experience, supporters, and healthcare professionals) completed a survey assessing app use, usability, satisfaction, and perceived impact; four took part in qualitative interviews exploring experiences in depth. Quantitative data were analysed descriptively, and qualitative data were analysed using conventional qualitative content analysis.</p><p><strong>Results: </strong>Within this sample, participants reported high satisfaction with the app's accessibility, clarity, and non-judgemental tone, with the majority (93.8%) rating its overall quality as good or excellent. Survey findings indicated perceived improvements in knowledge, confidence, and intentions to seek or support help-seeking. Qualitative content analysis produced four overarching categories, with ten subcategories, providing further insight into how the app functioned as a trusted, accessible adjunct to care, supporting understanding, reassurance, and emotional safety. Participants also highlighted areas for improvement, including the need for greater personalisation, expanded multimedia content, and clearer navigation to manage initial information load. Overall, findings highlighted the app's perceived value, while identifying opportunities to enhance engagement and inclusivity.</p><p><strong>Conclusions: </strong>This evaluation suggests that the Eating Disorder Support App may be an acceptable and useful digital resource that complements clinical care and supports self-management. Future evaluations should include larger and more diverse samples, longitudinal follow-up, and assessment of clinical outcomes to strengthen the understanding of impact. Continued co-production and lived-experience involvement are likely to enhance inclusivity, relevance, and sustained engagement in digital ED support tools.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":" ","pages":""},"PeriodicalIF":5.7,"publicationDate":"2026-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13560362/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148319975","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":"Aberrant large- and mesoscale network segregation and integration in bulimia nervosa.","authors":"Peng Zhang, Lirong Tang, Weihua Li, Miao Wang, Yulong Jia, Fengxia Yu, Zhanjiang Li, Zhenchang Wang, Jiani Wang, Guowei Wu, Yiling Wang","doi":"10.1186/s40337-026-01671-1","DOIUrl":"10.1186/s40337-026-01671-1","url":null,"abstract":"<p><strong>Background: </strong>Growing evidence indicates that bulimia nervosa (BN) is more likely driven by network-level dysfunctions rather than abnormalities in isolated brain regions. However, previous studies focusing on specific regions or connectivity features have led to a limited understanding of the complexity and integrality of network in BN. This study aimed to investigate large- and mesoscale network alterations in BN from the perspective of network segregation and integration.</p><p><strong>Methods: </strong>Using resting-state functional magnetic resonance imaging data from 85 BN patients and 71 healthy controls (HCs) matched for age, sex, and education, we applied a graph-theoretic framework to analyze functional network architecture in BN. Specifically, we examined group differences in within- and between-system functional connectivity (FC) as well as system segregation at both the whole-brain and system levels. Associations between network measures and clinical features were further explored.</p><p><strong>Results: </strong>Compared with HCs, BN patients exhibited whole-brain reduced within- and between-system FC accompanied by increased system segregation. At the system level, patients showed increased between-system FC of the default mode network (DMN), control network and ventral attention network, along with decreased DMN system segregation. The increased integration of DMN with other systems was associated with higher Beck Depression Inventory (BDI-21) scores in BN patients.</p><p><strong>Conclusions: </strong>The neural mechanisms of BN involve an imbalance between network segregation and integration at both global and system levels, most pronounced within the DMN, whose alterations are associated with depression and disordered eating behavior. These findings may provide potential neural substrates for some core behavioral deficits in BN.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":" ","pages":""},"PeriodicalIF":5.7,"publicationDate":"2026-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13366929/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148310118","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}
Poppy Barrett, Cat Papastavrou Brooks, Sara McCluskey, Amy Brown
{"title":"A scoping review on weight loss injections and eating disorders: therapeutic impact, risks of misuse, and emerging harms.","authors":"Poppy Barrett, Cat Papastavrou Brooks, Sara McCluskey, Amy Brown","doi":"10.1186/s40337-026-01634-6","DOIUrl":"10.1186/s40337-026-01634-6","url":null,"abstract":"<p><strong>Aim: </strong>GLP-1 receptor and GIP agonists are widely used for weight loss in obesity, with strong evidence supporting their efficacy, and their potential positive impact on binge eating disorders. However, little is known about their use in individuals with eating disorders. Despite growing concerns, research exploring this intersection is limited, and clinical guidance is lacking.</p><p><strong>Objectives: </strong>This scoping review explores existing literature on weight loss injections in the context of eating disorder development and treatment to identify gaps and inform future practice.</p><p><strong>Methods: </strong>The scoping review searched six electronic databases (Embase, MEDLINE, PsycINFO, AMED, HMIC, and Emcare) in April 2025. Studies were eligible if they focused on the use of weight loss injections (GLP-1 receptor agonists), in individuals with current or past eating disorders, including all diagnoses. Both clinical and non-clinical settings were included, with no age or geographical restrictions.</p><p><strong>Results: </strong>A total of 80 records were identified through database searches. After title and abstract screening, 11 full-text articles were assessed for eligibility. Two papers were excluded due to the absence of empirical data, resulting in 9 studies being included in the final review.</p><p><strong>Conclusions: </strong>Overall, there is very limited evidence exploring the psychological impact of GLP-1 receptor agonists on individuals with eating disorders. While some findings suggest potential benefits for managing binge eating symptoms in populations with comorbid type 2 diabetes, there is a significant gap in our understanding of how these medications may influence disordered eating behaviours and body image concerns, particularly when used outside of weight-based indicators. Further research is essential to inform clinical guidelines.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":" ","pages":""},"PeriodicalIF":5.7,"publicationDate":"2026-06-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13491749/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148297056","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}
Víctor Siles-Guerrero, Rosa Natalia García-Pérez, María Novo-Rodríguez, Isabel Herrera-Montes, Cristina Novo-Rodríguez, Juan Manuel Guardia-Baena, Aida Elhadri-Egea, Martín López-de-la-Torre-Casares, Araceli Muñoz-Garach, Jose M Romero-Márquez
{"title":"Baseline phase angle is associated with morphofunctional status, length of stay, and hospitalization costs in severe anorexia nervosa: the EDIGRA study.","authors":"Víctor Siles-Guerrero, Rosa Natalia García-Pérez, María Novo-Rodríguez, Isabel Herrera-Montes, Cristina Novo-Rodríguez, Juan Manuel Guardia-Baena, Aida Elhadri-Egea, Martín López-de-la-Torre-Casares, Araceli Muñoz-Garach, Jose M Romero-Márquez","doi":"10.1186/s40337-026-01687-7","DOIUrl":"10.1186/s40337-026-01687-7","url":null,"abstract":"<p><strong>Background: </strong>Phase angle (PhA), derived from bioelectrical impedance analysis, reflects bioelectrical properties related to cellular mass and fluid distribution and has been proposed as a marker of malnutrition severity. However, its exploratory association with morphofunctional status and hospitalization-related outcomes in severe anorexia nervosa (AN) remains insufficiently characterized. This study aimed to explore whether baseline PhA is associated with morphofunctional status, length of stay, and inpatient costs in a specialized eating disorders unit.</p><p><strong>Methods: </strong>In this prospective cohort study, 42 female inpatients with severe AN or other specified feeding and eating disorder were assessed at admission. Patients were stratified into tertiles according to PhA. Anthropometry, body composition by bioelectrical impedance vector analysis (BIVA), intracellular and extracellular water distribution, handgrip strength, muscle and abdominal ultrasound parameters, biochemical markers, and length of stay were recorded. Hospitalization costs were estimated using standardized diagnosis-related group daily expenditure.</p><p><strong>Results: </strong>Mean PhA values were 4.0°, 4.7°, and 5.5° in the low, mid, and high tertiles, respectively. Importantly, total body weight did not differ significantly across tertiles. In contrast, body cell mass index increased progressively (5.2, 6.1, and 6.9 kg/m²). Higher PhA was associated with greater rectus femoris cross-sectional area (2.3 vs. 3.7 cm²) and higher handgrip strength (20.3 vs. 24.9 kg), consistent with more favorable muscle structure and function in unadjusted comparisons. Hydration profiles also differed: extracellular water proportion decreased (52.7% to 40.3%), while intracellular water increased (44.1% to 53.3%) across tertiles. Median length of stay declined from 58.4 to 41.3 days, with corresponding reductions in estimated hospitalization costs (€36,523 to €25,829), which should be interpreted descriptively because cost estimates were largely driven by hospitalization duration. ROC analysis showed modest discriminatory performance for prolonged hospitalization (AUC = 0.65; exploratory threshold: 4.5-4.6°).</p><p><strong>Conclusions: </strong>Baseline PhA was associated with differences in morphofunctional profiles and hospitalization trajectories despite similar body weight, suggesting that it may capture morphofunctional variability not reflected by anthropometry alone. Its associations with cellular mass, hydration distribution, muscle function, and length of stay suggest that PhA may provide complementary descriptive information within a broader clinical assessment. However, given the modest discriminative performance, sample size, and lack of multivariable adjustment, PhA should not be considered a standalone prognostic tool. Larger multicenter studies are needed to validate thresholds and formally test whether PhA provides incremental information beyond","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":" ","pages":""},"PeriodicalIF":5.7,"publicationDate":"2026-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13528107/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148284636","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":"Disordered eating behaviors, food insecurity and the COVID-19 pandemic among undergraduate students in the United States: a systematic review.","authors":"Bridget Murphy Hussain, Meredith Hannigan, Danielle Conklin, Mackenzie Gordon, Aletha Huckins, Audrey Beauvais","doi":"10.1186/s40337-026-01604-y","DOIUrl":"10.1186/s40337-026-01604-y","url":null,"abstract":"<p><strong>Background: </strong>Eating disorders are highly prevalent among undergraduate students at colleges and universities in the United States (US). These behaviors may be associated with food insecurity and the COVID-19 pandemic, as both represent stressors that may be difficult for young adults to independently manage and cope with, turning to maladaptive coping strategies that are characteristic of disordered eating. The aim of this systematic review was to understand the relationship between eating disorders, defined by DSM-5 criteria, and food insecurity among undergraduate college students in the US, with additional consideration for the effects of the COVID-19 pandemic.</p><p><strong>Methods: </strong>PubMed, Cochrane Library, Scopus, Global Health (Ovid), PsycInfo, Cumulative Index to Nursing and Allied Health Literature (CINAHL), and Psychology Database were searched from 2014 to 2024 to capture eating disorders as defined by the DSM-5 criteria, searching terms representing eating disorders, food insecurity, and COVID-19. Articles were screened independently by 2 researchers using inclusion criteria agreed upon by all authors.</p><p><strong>Results: </strong>Disordered eating was associated with food insecurity and changes in behavior due to the COVID-19 pandemic. All studies were cross sectional with the number of participants ranging from 98 to 1996. Due to heterogeneity in assessment tools used in studies pooling of data and direct comparison of findings was limited. While no study measured eating disorders, food insecurity, and COVID-19 together, studies did reveal that food insecurity and COVID-19 were both associated with emotional eating that may indicate a greater risk for binge eating disorder.</p><p><strong>Conclusions: </strong>While the overall data is limited, studies examining the effect of food insecurity or COVID-19 on undergraduate eating behaviors found that students experienced a significant increase in depressive and anxious symptoms contributing to disordered eating patterns. This may have a long-term impact on academic and health outcomes for young adults.</p><p><strong>Systematic review registration: </strong>PROSPERO registration number CRD42024577588.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":" ","pages":""},"PeriodicalIF":5.7,"publicationDate":"2026-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13548635/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148296992","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}
A A Janakiram, E Tombeur, H Schumacher, C Soroken, F Wieland, A Bryde Christensen, F Ehrler, N Micali
{"title":"Developing a web-based add-on intervention for parents of adolescents with anorexia nervosa: a mixed methods preliminary study.","authors":"A A Janakiram, E Tombeur, H Schumacher, C Soroken, F Wieland, A Bryde Christensen, F Ehrler, N Micali","doi":"10.1186/s40337-026-01570-5","DOIUrl":"10.1186/s40337-026-01570-5","url":null,"abstract":"<p><strong>Background: </strong>The aim of this study was to develop a web-based psycho-educational intervention for parents of adolescents with anorexia nervosa and carry out a mixed method evaluation of its acceptability and feasibility.</p><p><strong>Methods: </strong>After developing the intervention, we recruited parents from 19 families of adolescents with AN engaged in family-based therapy at an outpatient specialist center for eating disorders. Participants were given 6-month access to the intervention. Acceptability, feasibility, parental well-being and mental health, and family functioning were collected at baseline and again three months after baseline.</p><p><strong>Results: </strong>Among the 11 parents from families who participated and accessed the intervention, the majority rated the intervention as satisfying (median = 6, IQR = 5-7), and easy to use (median = 7, IQR = 6.5-8.3). Frequency of use was about once a month. No significant differences between baseline and follow-up were found for parental well-being and mental health. We observed an increase in parental self-efficacy with a large effect size (p = 0.07, rs = -0.52), suggesting a potentially meaningful association. Parents identified positive aspects of the intervention as ease of access, comprehensive content and a positive impact on their approach to their child's illness.</p><p><strong>Conclusions: </strong>This study suggests that an add-on digital intervention to family-based treatment for parents of adolescents with AN is acceptable and feasible. Satisfaction, ease of navigation, and finding answers to questions were positively rated. Web-based or computerized psychoeducation for parents can be a valuable addition to treatment for adolescent AN.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":" ","pages":""},"PeriodicalIF":5.7,"publicationDate":"2026-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13548620/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148296979","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}
Jiaxing Wang, Yukai Li, Chengjing Wu, Dongfang Wang
{"title":"Eating disorders among college students in China: prevalence, correlates, and its relationship with suicide risk.","authors":"Jiaxing Wang, Yukai Li, Chengjing Wu, Dongfang Wang","doi":"10.1186/s40337-026-01686-8","DOIUrl":"10.1186/s40337-026-01686-8","url":null,"abstract":"<p><strong>Background: </strong>Eating disorders (EDs) are prevalent among college students and may lead to severe consequences. This study aimed to examine the prevalence and correlates of EDs among Chinese college students and to investigate the relationship between EDs and suicide risk.</p><p><strong>Methods: </strong>A cross-sectional study was conducted among 18,578 Chinese college students between October 17 and 29, 2023. Participants completed questionnaires assessing demographic characteristics, EDs, depression, anxiety, and suicide risk. Logistic regression analyses were performed to identify factors associated with EDs in the total sample, as well as factors associated with suicide risk among participants with EDs.</p><p><strong>Results: </strong>The prevalence of EDs was 13.6% among Chinese college students. Multivariate logistic regression analysis revealed that body mass index, urban or town residence, left-behind experiences, maternal education at the senior high school level or above, depression, anxiety, suicidal ideation, and suicide attempts were independent correlates of EDs. Among participants with EDs, 19.5% reported suicidal ideation or suicide attempts. Variables such as age, left-behind experiences, chronic physical illness, family history of mental disorders, depression, and anxiety were independently associated with suicide risk.</p><p><strong>Conclusion: </strong>EDs are prevalent among college populations and are associated with suicide risk. Therefore, it is imperative to specifically monitor suicide risk among individuals with EDs. Intervention strategies should focus on co-occurring depressive and anxiety symptoms to decrease suicidality in affected individuals.</p>","PeriodicalId":48605,"journal":{"name":"Journal of Eating Disorders","volume":" ","pages":""},"PeriodicalIF":5.7,"publicationDate":"2026-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13536735/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148279334","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}