Eating Disorders最新文献

Prevention of eating disorders: 2024 in review.

IF 3 3区医学

Eating Disorders Pub Date : 2025-03-18 DOI: 10.1080/10640266.2025.2470473

Michael P Levine

{"title":"Prevention of eating disorders: 2024 in review.","authors":"Michael P Levine","doi":"10.1080/10640266.2025.2470473","DOIUrl":"https://doi.org/10.1080/10640266.2025.2470473","url":null,"abstract":"This review of 20 prevention-related publications in Eating Disorders during 2024 is framed by three models: (1) Mental Health Intervention Spectrum: health promotion ➔ types of prevention ➔ case identification/referral for treatment; (2) the prevention cycle: rationale and theory, shaped by critical reviews ➔ clarifying risk and protective factors ➔ program innovation and feasibility studies ➔ efficacy and effectiveness research ➔ program dissemination; and (3) definitions of and links between eating disorder psychopathology, disordered eating behavior, and eating disorders. Nine articles were in the category of prevention rationale (including screening studies) and gaps/shortcomings in the prevention field; three addressed correlates and putative risk factors for eating pathology; and eight articles involved creation, adaptation, or upscaling of programs: three pilot projects, one efficacy study, and four investigations of effectiveness. Seven implications for prevention improvement are presented. For example, because multidimensional sociocultural factors are of paramount importance to risk for the spectrum of disordered eating, all forms of prevention should be designed, from the outset, to establish and maintain non-hierarchical, participatory collaboration between academic researchers and inclusive groups of stakeholders. In this process, it is essential to include people (including academic researchers) whose voices are typically ignored (e.g. LGBTQ+ people of color, low income and unmarried working mothers, and adolescents of ages 11 through 14).","PeriodicalId":48835,"journal":{"name":"Eating Disorders","volume":" ","pages":"1-30"},"PeriodicalIF":3.0,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143659301","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

Associations between the Anxiety Sensitivity Index-3 subscales and eating pathology.

IF 3 3区医学

Eating Disorders Pub Date : 2025-03-14 DOI: 10.1080/10640266.2025.2471213

Rylee Lusich, K Jean Forney, Helen Burton-Murray, Livia Guadagnoli, Tiffany Brown

{"title":"Associations between the Anxiety Sensitivity Index-3 subscales and eating pathology.","authors":"Rylee Lusich, K Jean Forney, Helen Burton-Murray, Livia Guadagnoli, Tiffany Brown","doi":"10.1080/10640266.2025.2471213","DOIUrl":"https://doi.org/10.1080/10640266.2025.2471213","url":null,"abstract":"Objective: While prior research has found links between anxiety sensitivity (AS) and eating disorder (ED) symptoms, there has been limited research exploring how specific aspects of AS are related to specific dimensions of eating pathology. To inform candidate targets of specific aspects of AS in future interventions, the current study identified associations between AS and ED constructs in a sample of individuals with elevated eating pathology.Method: N = 382 undergraduate students (89.3% White, 2.6% Hispanic/Latine) with elevated eating pathology completed surveys as part of a larger study. Participants completed the Anxiety Sensitivity Index-3 (ASI-3 subscales: Physical, Cognitive, and Social Concerns) and Eating Pathology Symptoms Inventory (EPSI).Results: Separate Bonferroni-corrected regression models were run for each EPSI subscale with covariates (age, BMI, and sex) included in step 1 and ASI-3 subscales in step 2. ASI Social was associated with EPSI Body Dissatisfaction (p < .001), and ASI Cognitive was significantly associated with Binge Eating, Purging, and Muscle Building (ps < .006), above and beyond other ASI subscales.Discussion: Results support that different aspects of AS are associated with different ED symptoms. Future research should explore these constructs longitudinally to inform potential targets for intervention.","PeriodicalId":48835,"journal":{"name":"Eating Disorders","volume":" ","pages":"1-17"},"PeriodicalIF":3.0,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143625052","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

Child and adolescent mental health therapists' use of family-based treatment for adolescent restrictive eating disorders.

IF 3 3区医学

Eating Disorders Pub Date : 2025-03-13 DOI: 10.1080/10640266.2025.2471709

Leslie A Sim, Jocelyn R Lebow, Stephen P H Whiteside

{"title":"Child and adolescent mental health therapists' use of family-based treatment for adolescent restrictive eating disorders.","authors":"Leslie A Sim, Jocelyn R Lebow, Stephen P H Whiteside","doi":"10.1080/10640266.2025.2471709","DOIUrl":"https://doi.org/10.1080/10640266.2025.2471709","url":null,"abstract":"In order to identify factors that may impede youth access to evidence-based treatment, the current study examined child and adolescent mental health therapists' use of Family-Based Treatment (FBT) and other psychotherapeutic approaches to treat adolescents with restrictive eating disorders. A sample of 91 therapists from a variety of backgrounds (e.g. social workers, doctoral-level psychologists, masters-level counselors, marriage and family therapists) completed a 74-item survey regarding their attitudes and beliefs about adolescent eating disorders and its treatment, as well as their use of FBT and other psychotherapeutic approaches. Only 5% of therapists indicated that they treat restrictive eating disorders and, of those who do provide care, few endorsed using FBT strategies. The majority of therapists reported using other psychotherapeutic approaches that may dilute the effect of FBT principles or may prove ineffective. Having more formal training in eating disorders was associated with FBT-consistent beliefs and the use of FBT strategies. Findings have implications for dissemination efforts that target common beliefs that can undermine the care of adolescent eating disorders. Finally, the field must consider disseminating treatments to general therapists in ways that are more accessible, such as a focus on basic over specialized competencies, and consider innovative approaches to engage other professionals in supporting families caring for young people with restrictive eating disorders.","PeriodicalId":48835,"journal":{"name":"Eating Disorders","volume":" ","pages":"1-18"},"PeriodicalIF":3.0,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143625838","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

Virtual eating disorder support group utilization is associated with lower eating disorder symptoms and multiple types of social support. 虚拟饮食失调支持小组的使用与饮食失调症状的降低和多种类型的社会支持有关。

IF 3 3区医学

Eating Disorders Pub Date : 2025-03-13 DOI: 10.1080/10640266.2025.2477359

Matthew F Murray, Johanna S Kandel, Rachel Rifkin, Elizabeth N Dougherty, Joann Hendelman, Jennifer E Wildes, Alissa A Haedt-Matt

{"title":"Virtual eating disorder support group utilization is associated with lower eating disorder symptoms and multiple types of social support.","authors":"Matthew F Murray, Johanna S Kandel, Rachel Rifkin, Elizabeth N Dougherty, Joann Hendelman, Jennifer E Wildes, Alissa A Haedt-Matt","doi":"10.1080/10640266.2025.2477359","DOIUrl":"https://doi.org/10.1080/10640266.2025.2477359","url":null,"abstract":"Support groups are a promising resource, but eating disorder (ED) support group research is scarce. This study aimed to examine associations between support group utilization, psychosocial health, and ED symptoms to guide future research on this resource. Participants (N = 494) were sampled from virtual, clinician-moderated ED support groups. Benjamini-Hochberg-corrected partial correlations tested associations of past-month attendance and participation frequency with measures of psychosocial health and ED symptoms. Participants additionally completed descriptive questions regarding perceived support group benefits. Adjusting for past-month ED treatment, more frequent support group participation was positively related to social companionship and emotional and informational support. More frequent attendance was negatively related to body dissatisfaction, binge eating, purging, restricting, excessive exercise, and negative attitudes toward obesity, but these associations were no longer significant after adjusting for psychosocial health variables. Descriptively, one-third to one-half of participants reported various positive changes from support group utilization. Utilizing and participating in clinician-moderated ED support groups could provide a low-burden outlet for ED symptom management, which may be due to provision of social support. Prospective examination of observed associations is a critical next step to investigate outcomes directly and build a testable model of group processual factors.","PeriodicalId":48835,"journal":{"name":"Eating Disorders","volume":" ","pages":"1-16"},"PeriodicalIF":3.0,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143625984","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

Exploring clinician perspectives on the DSM-5 eating disorder severity ratings: a qualitative study.

IF 3 3区医学

Eating Disorders Pub Date : 2025-03-11 DOI: 10.1080/10640266.2025.2471711

An Dang, Haley Krik, Litza Kiropoulos, Isabel Krug

{"title":"Exploring clinician perspectives on the DSM-5 eating disorder severity ratings: a qualitative study.","authors":"An Dang, Haley Krik, Litza Kiropoulos, Isabel Krug","doi":"10.1080/10640266.2025.2471711","DOIUrl":"https://doi.org/10.1080/10640266.2025.2471711","url":null,"abstract":"The DSM-5 introduced severity ratings in 2013 for anorexia nervosa (AN), bulimia nervosa (BN), and binge-eating disorder (BED) based on BMI, compensatory behaviour frequency, and binge eating frequency, respectively. While several studies have assessed the validity of these ratings, little is known about their use in clinical practice. This study examined clinicians' use of DSM-5 severity ratings and their views on their clinical value. A sample of 38 clinicians (mean age = 38.5, 97.37% female) completed an online survey on the usage of DSM-5 severity ratings in clinical practice, and six participated in one-on-one interviews for further insights. Results showed that 60% of clinicians do not use these ratings. Qualitative findings obtained from both survey and one-on-one interviews found that clinicians perceive these ratings as invalidating, pathology-reinforcing, and lacking clinical relevance. However, some noted that these ratings can aid in triage and communication among clinicians in tertiary settings. This study highlights substantial concerns about the clinical utility of DSM-5 severity ratings for EDs, suggesting the need for a more comprehensive approach that considers broader psychological, medical, and cognitive indicators.","PeriodicalId":48835,"journal":{"name":"Eating Disorders","volume":" ","pages":"1-13"},"PeriodicalIF":3.0,"publicationDate":"2025-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143606837","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

Investigating the factor structure of the Eating Disorder Examination Questionnaire (EDE-Q) in a clinical sample of patients with eating disorders in Mexico.

IF 3 3区医学

Eating Disorders Pub Date : 2025-03-10 DOI: 10.1080/10640266.2025.2475264

Eva María Trujillo-ChiVacuán, Lorena Pérez, Karen Hutchinson-Segura, Esperanza Leal-Alanis, Paulina González-Garza, Anakaren Guzmán-Arámburo, Dilia Moreno-Saldívar, Anid Cortés-Morales, Emilio J Compte

{"title":"Investigating the factor structure of the Eating Disorder Examination Questionnaire (EDE-Q) in a clinical sample of patients with eating disorders in Mexico.","authors":"Eva María Trujillo-ChiVacuán, Lorena Pérez, Karen Hutchinson-Segura, Esperanza Leal-Alanis, Paulina González-Garza, Anakaren Guzmán-Arámburo, Dilia Moreno-Saldívar, Anid Cortés-Morales, Emilio J Compte","doi":"10.1080/10640266.2025.2475264","DOIUrl":"https://doi.org/10.1080/10640266.2025.2475264","url":null,"abstract":"Eating Disorders (EDs) in Mexicans have been associated with an elevated psychiatric comorbidity, highlighting the necessity for a reliable assessment tool. However, previous validations of the Eating Disorders Examination Questionnaire (EDE-Q) in Mexico yielded diverse results regarding its underlying factor structure, leading to uncertainty and complexity in understanding its latent models. This study will evaluate multiple previously proposed EDE-Q models in a sample of 173 patients with EDs undergoing various standard-of-care programs in Monterrey, Mexico. Through Confirmatory Factor Analysis, eight models were scrutinized. Different coefficients were considered to assess the internal consistency of the retained model. Concurrent and convergent validity were assessed using measures of EDs, body image, and clinical parameters. A brief 7-item 3-factor model demonstrated the optimal fit to the data. Internal consistency indices, including Cronbach's alpha, Omega and Spearman-Brown coefficients, exhibited adequate values. Concurrent and convergent validity were supported by significant associations with measures of ED, body appreciation, body dissatisfaction, clinical impairment, and depression. This study comprehensively assessed multiple EDE-Q models, identifying a brief 7-item 3-factor model, consistent with previous findings among Mexicans. The establishment of a robust EDE-Q model holds promise for enhancing EDs prevention, treatment, and research efforts in Mexico.","PeriodicalId":48835,"journal":{"name":"Eating Disorders","volume":" ","pages":"1-17"},"PeriodicalIF":3.0,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143598045","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

Intervention research in anorexia nervosa - a plea for single case experimental designs. 神经性厌食症的干预研究--呼吁采用单病例实验设计。

IF 3 3区医学

Eating Disorders Pub Date : 2025-03-03 DOI: 10.1080/10640266.2025.2471218

Hanna Melles, Lotte Lemmens, Anita Jansen

引用次数: 0

Stress, hardiness and eating disorder symptoms in military academy cadets. 军校学员的压力、耐受力和饮食失调症状。

IF 3 3区医学

Eating Disorders Pub Date : 2025-03-01 Epub Date: 2024-05-06 DOI: 10.1080/10640266.2024.2346681

Paul T Bartone, Kimberly H Tripp

{"title":"Stress, hardiness and eating disorder symptoms in military academy cadets.","authors":"Paul T Bartone, Kimberly H Tripp","doi":"10.1080/10640266.2024.2346681","DOIUrl":"10.1080/10640266.2024.2346681","url":null,"abstract":"Eating disorders are a persistent and debilitating problem, especially among college age men and women. This problem is exacerbated in occupations such as the military, where maintenance of strict standards regarding weight, fitness and appearance is important for job retention and promotion. Also, previous research confirms that stress is a contributing element to eating disorders. It is thus important to identify factors that may assist individuals to remain resilient and avoid stress-related health and eating difficulties. The present study utilizes historical data to examine the impact of stress on health and eating disorder symptoms in a representative sample of West Point military academy cadets, while testing the role of gender and hardiness as stress moderators in this relation. A survey containing measures of stress, hardiness and eating disorders symptoms was completed by 387 cadets in the fall and spring of 2000-2001. Moderation effects were tested with advanced conditional process analysis procedures developed recently by Hayes (2022). Results show that hardiness was a significant moderator, with cadets low in hardiness showing increased eating disorder symptoms and more general health symptoms. While gender was not a significant moderator with respect to eating disorder symptoms, it was significant for general health symptoms; female cadets showed more stress-related health symptoms than their male counterparts. These results suggest that eating disorder symptoms in military academy cadets and college students more generally may be reduced through programs aimed at developing hardiness attitudes and stress coping approaches.","PeriodicalId":48835,"journal":{"name":"Eating Disorders","volume":" ","pages":"214-237"},"PeriodicalIF":3.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140873288","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

Virtually delivered cognitive behavioural therapy for avoidant restrictive food intake disorder (CBT-AR): a case study in an adult with elevated autistic traits. 针对回避性限制性食物摄入障碍的虚拟认知行为疗法（CBT-AR）：一项针对自闭症特征明显的成年人的案例研究。

IF 3 3区医学

Eating Disorders Pub Date : 2025-03-01 Epub Date: 2024-05-02 DOI: 10.1080/10640266.2024.2346372

Tom Price, Theoni Apostolopoulou, Kezia Jones

{"title":"Virtually delivered cognitive behavioural therapy for avoidant restrictive food intake disorder (CBT-AR): a case study in an adult with elevated autistic traits.","authors":"Tom Price, Theoni Apostolopoulou, Kezia Jones","doi":"10.1080/10640266.2024.2346372","DOIUrl":"10.1080/10640266.2024.2346372","url":null,"abstract":"Cognitive Behavioural Therapy for Avoidant and Restrictive Food Intake Disorder (CBT-AR; ARIFD) is a psychological treatment that targets many of the core symptoms of ARFID. Although a growing literature supports the efficacy of behavioural interventions for paediatric feeding and eating disorders, including ARFID, the applicability of these methods to adults remains undetermined. Telehealth delivery of CBT-AR in adults with autism has yet to be tested. With this study, we conduct a preliminary evaluation of CBT-AR delivered virtually to a 26-year-old white British female, with mixed ARFID and elevated autistic traits. She attended 23 remote CBT-AR sessions facilitated through a dedicated telehealth platform. Adjustments were made to accommodate her lived experience of neurodiversity. Using a pre-post treatment design, changes on measures of subjective goal attainment, eating-related and general psychosocial impairment, general anxiety, and depression were evaluated. Following treatment, the participant had made significant progress towards personally meaningful goals, with improvements observed in nutritional intake, general well-being, and reductions in eating-related psychosocial impairment and general anxiety. The results offer preliminary insights into acceptability and efficacy of virtual CBT-AR for neurodiverse individuals.","PeriodicalId":48835,"journal":{"name":"Eating Disorders","volume":" ","pages":"177-197"},"PeriodicalIF":3.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140867929","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

Examining transdiagnostic factors among religious and spiritual individuals with comorbid eating disorders and post-traumatic stress disorders. 研究患有饮食失调症和创伤后应激障碍的宗教和精神人士的跨诊断因素。

IF 3 3区医学

Eating Disorders Pub Date : 2025-03-01 Epub Date: 2024-05-13 DOI: 10.1080/10640266.2024.2352991

Adriana C Labarta, Kimberly F Colvin, Kelly Emelianchik-Key, Carman S Gill

{"title":"Examining transdiagnostic factors among religious and spiritual individuals with comorbid eating disorders and post-traumatic stress disorders.","authors":"Adriana C Labarta, Kimberly F Colvin, Kelly Emelianchik-Key, Carman S Gill","doi":"10.1080/10640266.2024.2352991","DOIUrl":"10.1080/10640266.2024.2352991","url":null,"abstract":"Eating disorders (EDs) have a harmful impact on the lives of millions of individuals in the United States. Research indicates that comorbid trauma could negatively impact treatment outcomes, reinforcing ED symptomology. Transdiagnostic approaches underscore experiential avoidance as a maintaining factor for EDs and other comorbid concerns, while mindfulness and adaptive coping help disrupt avoidance of emotional experiences. In addition to treatment approaches, clinicians must consider cultural identity factors, such as religion and spirituality (R/S), to engage in culturally responsive treatment. In the present study, we examined transdiagnostic factors in a clinical sample of 1153 individuals with comorbid EDs and post-traumatic stress disorder (99.6% of the sample), specifically considering differences between those who identified as religious, spiritual, or neither. Using a one-way analysis of variance, we found statistically significant differences in ED symptomology and adaptive coping scores across groups. Conversely, we found no statistically significant differences in mindfulness and experiential avoidance scores across groups. Despite the small effect sizes, these preliminary findings add to the existing body of research on R/S using a transdiagnostic framework, supporting the integration of spirituality into ED treatment to promote adaptive coping. Future research is needed to address the study's limitations, such as exploring adaptive coping styles that may further explain these relationships.","PeriodicalId":48835,"journal":{"name":"Eating Disorders","volume":" ","pages":"291-307"},"PeriodicalIF":3.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140913378","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