Eating Disorders最新文献

The impact of patient weight on US mental health providers' diagnosis of bulimia nervosa.

IF 3 3区医学

Eating Disorders Pub Date : 2025-02-16 DOI: 10.1080/10640266.2025.2465153

Dakota L Leget, Rebecca L Pearl

{"title":"The impact of patient weight on US mental health providers' diagnosis of bulimia nervosa.","authors":"Dakota L Leget, Rebecca L Pearl","doi":"10.1080/10640266.2025.2465153","DOIUrl":"https://doi.org/10.1080/10640266.2025.2465153","url":null,"abstract":"This study examined how patient weight influences mental health providers' diagnosis of bulimia nervosa (BN). US mental health providers (N = 200) from PsychologyToday.com and professional listservs participated in an online experiment, reading vignettes about patients with major depressive disorder (MDD) and BN with the compensatory behavior of excessive exercise. For the BN vignette, participants were randomized to read about a patient whose weight status was described as \"healthy weight\" or \"obesity.\" Participants reported their diagnoses, confidence, treatment recommendations, and perceived symptom severity. Only 27% of participants accurately diagnosed BN, with 38% of participants instead diagnosing binge eating disorder. There were no significant differences between weight conditions in diagnostic accuracy, confidence, or treatment recommendations for the BN vignette (ps > .05). However, symptoms within the BN vignette were perceived as more severe in the \"obesity\" condition compared to the \"healthy weight\" condition (M = 5.08 ± 0.80 vs. M = 4.72 ± 0.99 on a 1-7 scale, p = .005). Within-subjects analyses revealed that participants were more accurate and confident in diagnosing MDD than BN (ps < .01). These findings suggest poor detection of BN among mental health providers when patients present with healthy or higher weights. Providers may benefit from improved training for detecting BN when excessive exercise is used as the primary compensatory behavior.","PeriodicalId":48835,"journal":{"name":"Eating Disorders","volume":" ","pages":"1-16"},"PeriodicalIF":3.0,"publicationDate":"2025-02-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143434187","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}

引用次数: 0

The impact of incorporating an eating disorder screening tool and an eating disorder diagnostic workshop in outpatient general psychiatry settings in publicly insured populations: a case series.

IF 3 3区医学

Eating Disorders Pub Date : 2025-02-11 DOI: 10.1080/10640266.2025.2459972

Stuart B Murray, Cassandra E Friedlich, Talene Kesheshian

{"title":"The impact of incorporating an eating disorder screening tool and an eating disorder diagnostic workshop in outpatient general psychiatry settings in publicly insured populations: a case series.","authors":"Stuart B Murray, Cassandra E Friedlich, Talene Kesheshian","doi":"10.1080/10640266.2025.2459972","DOIUrl":"https://doi.org/10.1080/10640266.2025.2459972","url":null,"abstract":"With an elevated prevalence of disordered eating in low-income settings, efforts to optimize the detection of eating disorders (EDs) in such settings are necessary. A significant barrier relates to the scarcity of training for clinicians not working in specialized ED settings. This manuscript assessed the impact of an ED screening tool and an ED assessment workshop upon the detection of EDs in publicly insured psychiatry settings. Leveraging a case series design to assess 165 consecutive adult patients in outpatient psychiatry settings, we indexed the prevalence of ED diagnoses rendered by psychiatrists when assessing patients (i) without prior knowledge of ED symptoms, (ii) after being made aware of patient scores from an ED screening measure, and (iii) after undergoing an ED assessment workshop, and being made aware of patient screening scores. While 27% of the sample reported clinically significant ED symptoms on the screening measure, ED diagnoses were only rendered in 2% of the sample when psychiatrists were not made aware of ED symptoms prior to assessment. In contrast, incorporating a screening tool altered the rates of ED diagnoses, with 18% of the sample receiving an ED diagnosis. Moreover, the combinatorial introduction of both the ED screening measure and an ED assessment workshop further altered diagnostic practice-with this resulting in ED diagnoses in 27% of the sample. The findings suggest that ED screening and training workshops can have significant impacts on diagnostic accuracy and, with little cost, can provide patients with diagnoses that would otherwise go undetected.","PeriodicalId":48835,"journal":{"name":"Eating Disorders","volume":" ","pages":"1-10"},"PeriodicalIF":3.0,"publicationDate":"2025-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143400552","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}

引用次数: 0

Level of family involvement as a predictor of outcome in eating disorder patients with and without provisional PTSD during residential treatment.

IF 3 3区医学

Eating Disorders Pub Date : 2025-02-04 DOI: 10.1080/10640266.2025.2460290

Timothy D Brewerton, Giulia Suro, Ismael Gavidia, Molly M Perlman

{"title":"Level of family involvement as a predictor of outcome in eating disorder patients with and without provisional PTSD during residential treatment.","authors":"Timothy D Brewerton, Giulia Suro, Ismael Gavidia, Molly M Perlman","doi":"10.1080/10640266.2025.2460290","DOIUrl":"https://doi.org/10.1080/10640266.2025.2460290","url":null,"abstract":"Objective: Family involvement (FI) in the treatment of eating disorders (EDs) is critical for children/adolescents, yet its role during residential treatment (RT) in adults is uncharted. PTSD may play a role in influencing FI but is also unexplored.Method: We examined the role of FI in 2786 ED patients (89% F) admitted to RT with and without provisional PTSD. At discharge, staff rated the degree of FI as follows: 1) Not at all; 2) Slightly/somewhat; 3) Very much/extremely. Changes in ED, depression, anxiety, PTSD, and quality of life measures from admission to discharge were examined via multivariate analyses of covariance using degree of FI as an independent variable and age, gender, admission BMI, age of ED onset, and baseline symptom levels as covariates.Results: Patients with the highest FI were the youngest, had the lowest BMIs and the oldest ages of ED onset. Rates of provisional PTSD were greatest in individuals with no FI and least in those with the highest FI. Those with no FI did significantly worse on all measures than those with higher levels of FI.Conclusion: FI is an important component in ED treatment of adults in RT and is especially needed in patients with PTSD.","PeriodicalId":48835,"journal":{"name":"Eating Disorders","volume":" ","pages":"1-15"},"PeriodicalIF":3.0,"publicationDate":"2025-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143191075","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}

引用次数: 0

An evaluation of lived experience email peer support for young people with eating disorders.

IF 3 3区医学

Eating Disorders Pub Date : 2025-02-03 DOI: 10.1080/10640266.2025.2459974

Fiona Duffy, Imogen Peebles, Sarah J Taylor, Sophie Brassill, Beth Hughes, Helen Sharpe

{"title":"An evaluation of lived experience email peer support for young people with eating disorders.","authors":"Fiona Duffy, Imogen Peebles, Sarah J Taylor, Sophie Brassill, Beth Hughes, Helen Sharpe","doi":"10.1080/10640266.2025.2459974","DOIUrl":"https://doi.org/10.1080/10640266.2025.2459974","url":null,"abstract":"Peer support is where individuals with the same shared experience provide mutual support. Using a non-controlled repeated measure design, this study evaluates initial efficacy of one-to-one email peer support. Young people with an eating disorder were matched with a recovered volunteer befriender, for up to one year, providing 1-3 email contacts a week. All participants completed measures (self-esteem, self-efficacy, wellbeing) at start of service, two and four-month intervals for recipients (n = 92) and peer befrienders (n = 86) respectively, and at end of service. Recipients also completed measures of social connectedness, impact of eating disorder, and goal-based outcomes. Multilevel mixed-effects linear regression models indicated significant improvements across all outcomes for recipients by 4 months, apart from self-esteem, and improvements self-efficacy, eating disorder impact and goal-based outcomes maintained at end of service. Peer befrienders did not show changes in self-esteem or self-efficacy, but there was a small significant reduction in wellbeing. The study provides evidence for email peer support for young people with eating disorders and highlights the need for robust support for befriending roles.","PeriodicalId":48835,"journal":{"name":"Eating Disorders","volume":" ","pages":"1-11"},"PeriodicalIF":3.0,"publicationDate":"2025-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143123932","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}

引用次数: 0

Eating disorder treatment experiences among racially/ethnically minoritized samples.

IF 3 3区医学

Eating Disorders Pub Date : 2025-01-24 DOI: 10.1080/10640266.2025.2452690

Sarah Song, Kailey E Roberts, Pete Franz, Julia Lange, Aspen Martin, Margaret Sala

{"title":"Eating disorder treatment experiences among racially/ethnically minoritized samples.","authors":"Sarah Song, Kailey E Roberts, Pete Franz, Julia Lange, Aspen Martin, Margaret Sala","doi":"10.1080/10640266.2025.2452690","DOIUrl":"https://doi.org/10.1080/10640266.2025.2452690","url":null,"abstract":"Although eating disorders (EDs) affect individuals of all races and ethnicities, racially/ethnically minoritized individuals are less likely to receive ED treatment than White individuals. The present study aimed to compare ED treatment experiences in a sample of racially/ethnically minoritized individuals vs. White participants. As a secondary aim, we explored how acculturation and mental health stigma factors were associated with treatment experiences. We recruited 41 White and 27 racially/ethnically minoritized individuals with a history of EDs (with all racially/ethnically minoritized individuals having to be categorized into one group due to limited power to conduct analyses across groups). Participants completed an assessment of their treatment experiences, ratings of the helpfulness of each treatment, self-reported barriers to treatments, their level of acculturation, and their tolerance towards stigma. We found that racially/ethnically minoritized participants reported receiving a significantly lower total number of ED treatments than White participants. Second, racially/ethnically minoritized participants were significantly less likely to seek out inpatient and day treatment/partial hospitalization than White participants. Third, racially/ethnically minoritized rated nutritionists and residential treatment as significantly less helpful than White participants. Fourth, racially/ethnically minoritized participants identified the lack of cultural competence among providers as a significantly more substantial barrier to treatment than White participants. Finally, among racially/ethnically minoritized participants, higher immersion in dominant society correlated positively with perceived helpfulness of ED treatment. These insights can guide the development of targeted interventions aimed at mitigating treatment barriers and enhancing treatment outcomes for racially/ethnically minoritized individuals affected by EDs.","PeriodicalId":48835,"journal":{"name":"Eating Disorders","volume":" ","pages":"1-18"},"PeriodicalIF":3.0,"publicationDate":"2025-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143034676","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}

引用次数: 0

Concurrent delivery of written exposure therapy for posttraumatic stress disorder treatment in an intensive eating disorder program: a case series. 同时提供书面暴露疗法治疗创伤后应激障碍强化饮食失调项目：一个病例系列。

IF 3 3区医学

Eating Disorders Pub Date : 2025-01-18 DOI: 10.1080/10640266.2025.2453258

Aaron R Keshen, Nami Trappenberg, Sara Bartel, Anastasia Harris, Victoria Taylor, Jenna Whitney, Susan Gamberg, Colby Price, Kathryn Trottier

引用次数: 0

Examining eating pathology and psychosocial functioning across subjective eating disorder recovery stages in sexual and gender minority individuals. 在性少数和性别少数个体的主观饮食失调恢复阶段检查饮食病理学和心理社会功能。

IF 3 3区医学

Eating Disorders Pub Date : 2025-01-17 DOI: 10.1080/10640266.2025.2452663

Matthew F Murray, Alexander Broekhuijse, Kelly A Romano, Jennifer E Wildes, Alissa A Haedt-Matt

{"title":"Examining eating pathology and psychosocial functioning across subjective eating disorder recovery stages in sexual and gender minority individuals.","authors":"Matthew F Murray, Alexander Broekhuijse, Kelly A Romano, Jennifer E Wildes, Alissa A Haedt-Matt","doi":"10.1080/10640266.2025.2452663","DOIUrl":"https://doi.org/10.1080/10640266.2025.2452663","url":null,"abstract":"Subjective eating disorder (ED) recovery has important clinical relevance. However, studies have focused on the perspectives of cisgender heterosexual individuals, which is notable given that sexual and gender minority (SGM) people often describe feelings misrepresented by prevailing ED conceptualizations. We examined eating pathology and psychosocial functioning across subjective recovery stages in SGM individuals (N = 196). Analyses of variance tested differences between active ED (n = 106, 54.1%), partial recovery (n = 82, 41.8%), and full recovery (n = 8, 4.1%) groups. Groups differed in body dissatisfaction, binge eating, restricting, clinical impairment, autonomy, environmental mastery, and self-acceptance. Most differences were observed between the full recovery and active ED groups and the full recovery and partial recovery groups, such that subjectively higher levels of ED recovery were generally associated with lower transdiagnostic ED symptoms and better psychosocial functioning. Clinical profiles appear similar between SGM and cisgender heterosexual individuals across subjective ED recovery stages.","PeriodicalId":48835,"journal":{"name":"Eating Disorders","volume":" ","pages":"1-8"},"PeriodicalIF":3.0,"publicationDate":"2025-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143014512","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}

引用次数: 0

Pride and body image among transgender and nonbinary adults: the mediating role of body appreciation between gender identity pride and intuitive eating. 变性和非二元成人的自豪感与身体形象：身体欣赏在性别认同自豪感与直觉饮食之间的中介作用。

IF 3 3区医学

Eating Disorders Pub Date : 2025-01-01 Epub Date: 2024-06-10 DOI: 10.1080/10640266.2024.2365519

Zachary A Soulliard, Thomas P Le, Vic Yamasaki

{"title":"Pride and body image among transgender and nonbinary adults: the mediating role of body appreciation between gender identity pride and intuitive eating.","authors":"Zachary A Soulliard, Thomas P Le, Vic Yamasaki","doi":"10.1080/10640266.2024.2365519","DOIUrl":"10.1080/10640266.2024.2365519","url":null,"abstract":"Studies exploring disordered eating among transgender and nonbinary populations have primarily focused on minority stressors with a dearth of research examining the role of gender identity pride on body appreciation and intuitive eating. To address this gap in the literature, the present study, comprised of 148 transgender and nonbinary adults (Mage = 24.68, SD = 6.64), tested the associations among gender identity pride, body appreciation, and intuitive eating, controlling for demographics and minority stress variables. The study also tested body appreciation as a mediator in the cross-sectional association between gender identity pride and intuitive eating. Regression models indicated that greater gender identity pride was significantly associated with greater body appreciation, but not intuitive eating. Greater body appreciation was a significant mediator in the positive association between gender identity pride and intuitive eating. Findings support the significant role and relevance of examining gender identity pride as related to body appreciation and intuitive eating. Future research may determine the causal impact of gender identity pride on body image and eating behaviors in transgender and nonbinary populations. Clinicians may consider the positive role of gender identity pride when addressing body image and eating behaviors with their transgender and nonbinary clients.","PeriodicalId":48835,"journal":{"name":"Eating Disorders","volume":" ","pages":"60-77"},"PeriodicalIF":3.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141297077","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}

引用次数: 0

Experiences of discrimination in healthcare settings, trust in providers and disordered eating behaviors in LGBTQ+ college students. LGBTQ+ 大学生在医疗环境中遭受歧视的经历、对医疗服务提供者的信任以及饮食失调行为。

IF 3 3区医学

Eating Disorders Pub Date : 2025-01-01 Epub Date: 2024-10-23 DOI: 10.1080/10640266.2024.2416343

Taryn Henning, Madison Weinstock, Suzanne E Mazzeo, An Pham

{"title":"Experiences of discrimination in healthcare settings, trust in providers and disordered eating behaviors in LGBTQ+ college students.","authors":"Taryn Henning, Madison Weinstock, Suzanne E Mazzeo, An Pham","doi":"10.1080/10640266.2024.2416343","DOIUrl":"10.1080/10640266.2024.2416343","url":null,"abstract":"Lesbian, gay, bisexual, transgender, and queer (LGBTQ+) individuals report more experiences of healthcare discrimination and disordered eating behaviors (DEBs), and less trust in physicians than their cisgender and heterosexual counterparts. Although research supports a link between discrimination and DEBs among LGBTQ+ populations, few studies have specifically investigated healthcare discrimination and DEBs in this population. This study examined whether LGBTQ+ status moderated the relation between negative healthcare experiences and DEBs in undergraduates. Undergraduates (n = 322) from a Southeastern (United States) university completed measures of healthcare discrimination, trust in physicians, and DEBs. Analyses investigated whether LGBTQ+ status moderated the relation between healthcare discrimination and DEBs; trust in physicians and DEBs. LGBTQ+ individuals (35% of sample), reported less trust in physicians (p < .001), and more body dissatisfaction (p = .007) and shape/weight overvaluation (p = .008). Among all undergraduates, experiences of healthcare discrimination were associated with higher body dissatisfaction (p = .003) and shape/weight overvaluation (p = .008). Less trust in physicians was associated with greater shape/weight overvaluation (p = .005). LGBTQ+ status did not moderate either relation. It is important to reduce healthcare discrimination and foster patient-provider trust for all young adults. Future research should examine factors influencing patient-provider trust among LGBTQ+ individuals.","PeriodicalId":48835,"journal":{"name":"Eating Disorders","volume":" ","pages":"120-137"},"PeriodicalIF":3.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142511062","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}

引用次数: 0

"There is a paywall to my happiness": the influence of socioeconomic determinants on transgender and gender diverse young adults' experiences with eating disorders. "我的幸福有一道付费墙"：社会经济决定因素对变性和性别多元化年轻人饮食失调经历的影响。

IF 3 3区医学

Eating Disorders Pub Date : 2025-01-01 Epub Date: 2024-08-05 DOI: 10.1080/10640266.2024.2381908

Jerel P Calzo, Jack Andrzejewski, Catalina Torres, Scout Silverstein, Ethan Lopez, Allegra R Gordon

{"title":"\"There is a paywall to my happiness\": the influence of socioeconomic determinants on transgender and gender diverse young adults' experiences with eating disorders.","authors":"Jerel P Calzo, Jack Andrzejewski, Catalina Torres, Scout Silverstein, Ethan Lopez, Allegra R Gordon","doi":"10.1080/10640266.2024.2381908","DOIUrl":"10.1080/10640266.2024.2381908","url":null,"abstract":"Transgender and gender diverse (TGD) young adults experience elevated risk for eating disorders (ED), partially due to cissexist discrimination and victimization; less is understood about how socioeconomic determinants contribute to their ED risk. Qualitative data collected from 66 TGD young adults (18-30 years old; 29% self-identified as transgender women, 29% as transgender men, 39% as nonbinary people, and 3% as another gender identity (e.g., māhū)) in eight asynchronous online focus groups explored how socioeconomic determinants in conjunction with other dimensions of identity and lived experience shape disordered eating behavior (DEB) and ED risk. Participants described how economic barriers-including poverty and dependency on others (e.g. parents for health insurance)-and challenges produced by insurance and healthcare systems impeded healthcare access to the detriment of their overall mental health and risk for ED. In addition, participants shared different ways they leveraged financial resources to cope with stress, sometimes in ways that impelled disordered eating behaviors. Finally, participants described how poverty, socioeconomic advantage and disadvantage, and classism compound other systems of oppression (e.g. racism, ableism, weight bias) to adversely impact their general health and ED risk.","PeriodicalId":48835,"journal":{"name":"Eating Disorders","volume":" ","pages":"100-119"},"PeriodicalIF":3.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11735290/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141894688","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}

引用次数: 0