Eating DisordersPub Date : 2024-01-02Epub Date: 2023-08-03DOI: 10.1080/10640266.2023.2241266
Jamie L Manwaring, Dan V Blalock, Renee D Rienecke, Daniel Le Grange, Philip S Mehler
{"title":"A descriptive study of treatment-seeking adults with avoidant/restrictive food intake disorder at residential and inpatient levels of care.","authors":"Jamie L Manwaring, Dan V Blalock, Renee D Rienecke, Daniel Le Grange, Philip S Mehler","doi":"10.1080/10640266.2023.2241266","DOIUrl":"10.1080/10640266.2023.2241266","url":null,"abstract":"<p><p>Most research on avoidant/restrictive food intake disorder (ARFID) has been with children and adolescents, while the limited research on adults with ARFID has been in the domain of outpatient treatment. This descriptive study sought to explore psychological characteristics (<i>N</i> = 45; measured with self-report questionnaires) and physiological characteristics (<i>N</i> = 66; e.g. vital signs, bloodwork) at admission for 66 adults with ARFID seeking residential and inpatient levels of care. While adults with ARFID presented with significant food restriction as well as mild depressive symptoms, high anxiety symptoms, and impaired quality of life, patients presented with mostly normal physiology, except for low bone density, and trivial abnormalities in serum creatinine and hepatic enzymes. Patients in this sample were most likely to endorse fear of aversive consequences, especially those for whom ARFID symptoms had first arisen in adulthood. These results note the psychological impairment and relative physiological normalcy of treatment-seeking adults with ARFID at the outset of residential and inpatient treatment, identifying future treatment and outcome research priorities in this understudied population.</p>","PeriodicalId":48835,"journal":{"name":"Eating Disorders","volume":" ","pages":"13-28"},"PeriodicalIF":3.3,"publicationDate":"2024-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9927795","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}
Eating DisordersPub Date : 2023-12-14DOI: 10.1080/10640266.2023.2293502
Catiray Poiani-Cordella, Wei Lin Toh, Andrea Phillipou
{"title":"Eating behaviours and personality characteristics of clinicians and researchers working in eating disorders","authors":"Catiray Poiani-Cordella, Wei Lin Toh, Andrea Phillipou","doi":"10.1080/10640266.2023.2293502","DOIUrl":"https://doi.org/10.1080/10640266.2023.2293502","url":null,"abstract":"Disturbances in eating behaviours and differences in personality characteristics, such as perfectionism, cognitive flexibility, and obsessive-compulsive behaviours, are commonly reported in individ...","PeriodicalId":48835,"journal":{"name":"Eating Disorders","volume":"13 1","pages":""},"PeriodicalIF":3.3,"publicationDate":"2023-12-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138631591","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}
Eating DisordersPub Date : 2023-12-13DOI: 10.1080/10640266.2023.2293597
Naomi G. Hill, Sophie R. Abber, Pamela K. Keel
{"title":"The role of sexual assault history and PTSD in responses to food intake among women with bulimic-spectrum eating disorders","authors":"Naomi G. Hill, Sophie R. Abber, Pamela K. Keel","doi":"10.1080/10640266.2023.2293597","DOIUrl":"https://doi.org/10.1080/10640266.2023.2293597","url":null,"abstract":"Sexual abuse or assault (SA) history is associated with eating disorder severity and psychiatric comorbidity, including post-traumatic stress disorder (PTSD). Beyond persistent alterations in mood ...","PeriodicalId":48835,"journal":{"name":"Eating Disorders","volume":"22 1","pages":""},"PeriodicalIF":3.3,"publicationDate":"2023-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138631232","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}
Eating DisordersPub Date : 2023-11-02Epub Date: 2023-05-16DOI: 10.1080/10640266.2023.2206753
Juliana M Tesselaar, Rebecca R Mendoza, Jaclyn A Siegel, Connor I Elbe, Nicolas S Caravelli, Jennifer DeJesus, Margo Fenton, Brianna S Victoria, Aaron J Blashill
{"title":"A qualitative analysis of relationship advice from the perspective of people living with and recovering from eating disorders while in diverse romantic relationships.","authors":"Juliana M Tesselaar, Rebecca R Mendoza, Jaclyn A Siegel, Connor I Elbe, Nicolas S Caravelli, Jennifer DeJesus, Margo Fenton, Brianna S Victoria, Aaron J Blashill","doi":"10.1080/10640266.2023.2206753","DOIUrl":"10.1080/10640266.2023.2206753","url":null,"abstract":"<p><p>Eating disorders (EDs) have adverse consequences across life domains, ranging from physical health to interpersonal relationships. While research suggests that romantic partners have the potential to support ED recovery, partners to those with EDs often report feeling confused and helpless in the face of the condition. The extant literature on EDs in relationships centers on the experiences of cisgender, heterosexual women. The present study aimed to garner a more comprehensive understanding of the types of support people with EDs believe are most helpful from romantic partners by analyzing relationship advice from a diverse group of individuals with EDs who were in romantic relationships. As part of a larger study on romantic relationships in ED recovery, we analyzed responses to the question, \"If you had to give one piece of advice to someone who learns that their partner has an ED, what would it be?\" Through Consensual Qualitative Research-Modified, we identified 29 themes, which we grouped into 7 domains: Foster Open Communication, Create an Environment of Emotional Intimacy, Let Your Partner Guide You, Educate Yourself, Be Compassionate with Yourself, Use Caution when Discussing Food and Bodies, and a Miscellaneous domain. These findings highlight the importance of patience, flexibility, psychoeducation, and self-compassion for individuals working to support their partner's ED recovery, and can inform future couples-based treatments and interventions for EDs.</p>","PeriodicalId":48835,"journal":{"name":"Eating Disorders","volume":" ","pages":"632-650"},"PeriodicalIF":3.3,"publicationDate":"2023-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9841073","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}
Eating DisordersPub Date : 2023-11-02Epub Date: 2023-04-09DOI: 10.1080/10640266.2023.2201024
Thomas P Le, Lily Jin, Naru Kang
{"title":"Sexual, gendered, and internalized racism's associations with disordered eating among sexual minority Asian American men: Emotional eating as mediator.","authors":"Thomas P Le, Lily Jin, Naru Kang","doi":"10.1080/10640266.2023.2201024","DOIUrl":"10.1080/10640266.2023.2201024","url":null,"abstract":"<p><p>Research related to disordered eating among sexual minority Asian American men is scarce. Thus, the present study utilized an intersectional framework to examine how three different forms of racism (i.e. sexual racism, gendered racism, and internalized racism) are associated with disordered eating among sexual minority Asian American men, as well as the mediating role of emotional eating. A cross-sectional survey containing the study's measures of interest were administered to participants. The final sample consisted of 180 sexual minority Asian American men. Both sexual racism and internalized racism were positively associated with disordered eating whereas gendered racism was not associated with disordered eating Emotional eating mediated the association between internalized racism and disordered eating, though it did not mediate the association between sexual racism and disordered eating. Researchers and practitioners are encouraged to utilize an intersectional framework that takes into account multiple forms of racism, especially sexual racism and internalized racism, when considering this underrepresented population's disordered eating. Results also demonstrate the importance of addressing racism in eating disorder prevention efforts among sexual minority Asian American men.</p>","PeriodicalId":48835,"journal":{"name":"Eating Disorders","volume":" ","pages":"533-552"},"PeriodicalIF":3.3,"publicationDate":"2023-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9633821","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}
Eating DisordersPub Date : 2023-11-02Epub Date: 2023-04-17DOI: 10.1080/10640266.2023.2201995
Jacqueline Lim, Jacinda White, Tania Withington, Salvatore Catania, Daniel Wilson, Penny Knight, Bronwyn Rees, Christel Middeldorp, Govind Krishnamoorthy
{"title":"Family-based treatment takes longer for adolescents with mental health comorbidities: findings from a community mental health service.","authors":"Jacqueline Lim, Jacinda White, Tania Withington, Salvatore Catania, Daniel Wilson, Penny Knight, Bronwyn Rees, Christel Middeldorp, Govind Krishnamoorthy","doi":"10.1080/10640266.2023.2201995","DOIUrl":"10.1080/10640266.2023.2201995","url":null,"abstract":"<p><p>Children and adolescents diagnosed with an eating disorder often meet the diagnosis of another mental health disorder. In addition to eating disorders, individuals with comorbid disorders have higher suicide rates and more severe and chronic eating disorder symptoms. The present research aimed to investigate the influence of comorbid conditions on the treatment outcomes of children and adolescents that attended a public community mental health service. It was hypothesised that the patients with comorbidities would have a more extended treatment duration, slower rates of weight restoration, more hospital admissions for medical compromise, and poorer functioning than those without comorbidities. Data from 78 past patients at the Eating Disorder Program in Queensland, Australia, were analysed. Patients with comorbidities demonstrated similar recovery rates to those without comorbidities. However, those with comorbid conditions had longer episodes of treatment. The study's results support using Family Based Treatment for patients with and without comorbidities. The implications of the findings for public mental health services and directions for future research are discussed.</p>","PeriodicalId":48835,"journal":{"name":"Eating Disorders","volume":" ","pages":"588-609"},"PeriodicalIF":3.3,"publicationDate":"2023-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9310825","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}
Eating DisordersPub Date : 2023-11-02Epub Date: 2023-04-20DOI: 10.1080/10640266.2023.2201993
Tatiana Richard-Kassar, Luci A Martin, Kristina M Post, Stephanie Goldsmith
{"title":"Understanding drift in the treatment of eating disorders using a mixed-methods approach.","authors":"Tatiana Richard-Kassar, Luci A Martin, Kristina M Post, Stephanie Goldsmith","doi":"10.1080/10640266.2023.2201993","DOIUrl":"10.1080/10640266.2023.2201993","url":null,"abstract":"<p><p>Despite strong empirical support for treatments of eating disorders, research has demonstrated a trend of clinicians deviating from protocols outlined in empirically supported manuals. The present study used a convergent mixed-methods design to understand clinicians' use of and drift from empirically supported treatments in a sample of 114 licensed clinicians in the US who had substantial experience (i.e. one-third of caseload) working with patients with eating disorders and training in cognitive-behavioral therapy (CBT), family-based therapy (FBT), and/or interpersonal therapy (IPT) for eating disorders. Results revealed that 63.7-76.3% of clinicians drift from empirically supported treatments and 71.8% were aware they deviated from empirically supported treatments. Qualitative analyses identified client differences (57.2%) to be the primary reason why clinicians drift, with less participants describing therapist factors (20.4%), treatment shortcomings (12.6%), treatment setting (11.7%), logistic constraints (4.9%) and family factors (4.9%) as reasons why they drift. These findings suggest that drift for most clinicians may be better explained under the umbrella of evidence-based practice. Clinicians also identified a number of ways in which treatment and access to treatment can be improved. This broadened understanding of the use of empirically supported treatments within evidence-based practice may serve to help bridge the gap between research and practice.</p>","PeriodicalId":48835,"journal":{"name":"Eating Disorders","volume":" ","pages":"573-587"},"PeriodicalIF":3.3,"publicationDate":"2023-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9390455","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}
Eating DisordersPub Date : 2023-09-03DOI: 10.1080/10640266.2023.2191488
Elizabeth A Velkoff, Tiffany A Brown, Walter H Kaye, Christina E Wierenga
{"title":"Using clinical cutoff scores on the eating disorder examination-questionnaire to evaluate eating disorder symptoms during and after naturalistic intensive treatment.","authors":"Elizabeth A Velkoff, Tiffany A Brown, Walter H Kaye, Christina E Wierenga","doi":"10.1080/10640266.2023.2191488","DOIUrl":"https://doi.org/10.1080/10640266.2023.2191488","url":null,"abstract":"<p><p>Clinical cutoff scores for self-report measures provide a means of evaluating clinically significant pathology during and after treatment. A cutoff of 2.8 on the Eating Disorder Examination-Questionnaire (EDE-Q) has been recommended to screen for eating disorders (ED). We used this cutoff to assess ED symptoms in adolescents (<i>n</i> = 444) and adults (<i>n</i> = 592) through ED treatment and follow-up. Most patients scored above 2.8 at intake (adolescents 67%, <i>M</i> = 3.21; adults 78%, <i>M</i> = 4.20) and below 2.8 at discharge (adolescents 65%, <i>M</i> = 1.87; adults 66%, <i>M</i> = 2.67), with gains often maintained through follow-up (40% of adolescents and 35% of adults at 12-month follow-up). EDE-Q scores were higher in adults than adolescents and in patients with binge/purge disorders. Results suggest a cutoff of 2.8 on the EDE-Q effectively tracks ED symptom improvement through treatment and discharge. This supports the need for the development of culture-specific and empirically developed clinical cutoffs and their widespread use to evaluate program effectiveness.</p>","PeriodicalId":48835,"journal":{"name":"Eating Disorders","volume":"31 5","pages":"464-478"},"PeriodicalIF":3.3,"publicationDate":"2023-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10299296","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}
Eating DisordersPub Date : 2023-09-03DOI: 10.1080/10640266.2023.2190973
Jake Linardon
{"title":"Investigating longitudinal bidirectional associations between appearance comparisons to fitspiration content on Instagram, positive and negative body image, and dietary restraint.","authors":"Jake Linardon","doi":"10.1080/10640266.2023.2190973","DOIUrl":"https://doi.org/10.1080/10640266.2023.2190973","url":null,"abstract":"<p><p>This study tested whether appearance comparisons to fitspiration images on Instagram are reciprocally associated with positive body image, negative body image, and dietary restraint. Adult women were invited to complete study measures at the baseline (<i>n</i> = 3039), 4-month (<i>n</i> = 1453), and 8-month (<i>n</i> = 1329) follow-up. Cross-lagged panel analyses were computed to test hypothesized bidirectional relationships using full information maximum likelihood to handle missing data. Results identified a unidirectional relationship between positive body image and fitspiration comparisons: higher positive body image (body appreciation) predicted lower fitspiration comparisons at each time-point. Evidence for bidirectional associations between fitspiration comparisons, negative body image and dietary restraint was also found. Higher negative body image and dietary restraint predicted greater fitspiration comparisons, and higher fitspiration comparisons predicted greater negative body image and dietary restraint. The findings identify factors associated with appearance-related fitspiration comparisons. Social media literacy programs may benefit from addressing comparisons to fitspiration content depicted on Instagram.</p>","PeriodicalId":48835,"journal":{"name":"Eating Disorders","volume":"31 5","pages":"450-463"},"PeriodicalIF":3.3,"publicationDate":"2023-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10317462","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}
Eating DisordersPub Date : 2023-09-03DOI: 10.1080/10640266.2023.2188005
Faith M Doney, Jonathan Lee, Ani Sarkisyan, Emilio J Compte, Jason M Nagata, Eric R Pedersen, Stuart B Murray
{"title":"Eating disorder risk among college sorority and fraternity members within the United States.","authors":"Faith M Doney, Jonathan Lee, Ani Sarkisyan, Emilio J Compte, Jason M Nagata, Eric R Pedersen, Stuart B Murray","doi":"10.1080/10640266.2023.2188005","DOIUrl":"https://doi.org/10.1080/10640266.2023.2188005","url":null,"abstract":"<p><p>Eating disorder (ED) risk is elevated among college populations in the United States. However, current research assessing the relative risk of ED symptomatology within Greek life has been mixed. We aimed to assess whether Greek Life Affiliation (GA) was associated with a greater risk for ED among college students in the United States as measured on the SCOFF questionnaire. Data were extracted from the Healthy Minds Study, which surveyed 44,785 American college students across 79 schools. The survey asked about GA, Greek life housing, and included the SCOFF questionnaire. This study utilized multiple logistic regressions and chi-square analyses (<i>n</i> = 44785) to analyze the data. GA failed to predict ED-risk in both women (aOR = 0.98 [95% CI = 0.90, 1.06]) and men (aOR = 1.07 [95% CI = 0.92, 1.24]). Similarly, among female [aOR = 1.00 [95% CI = 0.46, 2.12]) and male participants (aOR = 1.06 [95% CI = 0.59, 1.98]), sorority/fraternity housing also failed to predict ED-risk. Greek Life Affiliation is not associated with greater ED-risk among US college students.</p>","PeriodicalId":48835,"journal":{"name":"Eating Disorders","volume":"31 5","pages":"440-449"},"PeriodicalIF":3.3,"publicationDate":"2023-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10317468","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}