Eating Disorders最新文献_第2页

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

LGBTQ+ outpatients present to eating disorder treatment earlier and with more severe depressive symptoms than cisgender heterosexual peers. 与同性异性患者相比，LGBTQ+门诊患者接受饮食失调治疗的时间更早，抑郁症状也更严重。

IF 3 3区医学

Eating Disorders Pub Date : 2025-03-01 Epub Date: 2024-04-30 DOI: 10.1080/10640266.2024.2347750

Matthew F Murray, Heather A Davis, Jennifer E Wildes

{"title":"LGBTQ+ outpatients present to eating disorder treatment earlier and with more severe depressive symptoms than cisgender heterosexual peers.","authors":"Matthew F Murray, Heather A Davis, Jennifer E Wildes","doi":"10.1080/10640266.2024.2347750","DOIUrl":"10.1080/10640266.2024.2347750","url":null,"abstract":"Community evidence indicates high eating disorder (ED) and comorbid symptom severity among LGBTQ+ compared to cisgender heterosexual (CH) individuals. Little is known about such disparities in ED treatment samples, especially in outpatient treatment. We aimed to descriptively characterize and investigate baseline group differences in symptom severity between LGBTQ+ and CH ED outpatients at treatment intake. Data from 60 (22.3%) LGBTQ+ and 209 (77.7%) CH ED outpatients were used to examine: (1) demographic and diagnostic differences; (2) differences in ED, depressive, and emotion dysregulation symptoms. Objectives were tested using Fisher-Freeman-Halton exact and independent samples t-tests, and analyses of covariance adjusted for age and diagnosis, respectively. Most LGBTQ+ outpatients were bisexual (55.2%), and 6.5% identified as transgender and non-binary. LGBTQ+ outpatients presented to treatment at younger ages (Mean Difference [MD] = -3.39, p = .016) and reported more severe depressive symptoms (MD = 5.73, p = .004) than CH patients, but endorsed similar ED symptom and emotion dysregulation severity. Groups did not differ in other demographic or diagnostic characteristics. LGBTQ+ individuals may develop more severe depression and similarly severe EDs at earlier ages but seek outpatient care sooner than CH peers. Managing depressive symptoms may be particularly important for LGBTQ+ ED patients.","PeriodicalId":48835,"journal":{"name":"Eating Disorders","volume":" ","pages":"276-290"},"PeriodicalIF":3.0,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11522020/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140868624","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

Importance of initial nutritional status in refeeding syndrome in children with anorexia nervosa.

IF 3 3区医学

Eating Disorders Pub Date : 2025-02-28 DOI: 10.1080/10640266.2025.2471661

Hyun Jin Kim

{"title":"Importance of initial nutritional status in refeeding syndrome in children with anorexia nervosa.","authors":"Hyun Jin Kim","doi":"10.1080/10640266.2025.2471661","DOIUrl":"https://doi.org/10.1080/10640266.2025.2471661","url":null,"abstract":"Refeeding syndrome (RS) is defined as fluid and electrolyte shifts as a result of aggressive nutritional rehabilitation and these electrolyte imbalance can result in several cardiac complications. We aimed to evaluate the incidences of RS and hypercholesterolemia in children with anorexia nervosa (AN) and related factors for that. We retrospectively evaluated the medical records of 51 patients aged 10-18 years diagnosed with AN between January 2015 and May 2020. RS and hypercholesterolemia were seen in 21 (41.2%) and 39 (76.5%) of patients, respectively. Patients with RS had an older mean age (16.3 vs. 13.7 years, p = .021), lower body mass index (BMI) percentile on admission (0.1 vs. 1.6th, p = .023), and a higher degree of weight loss (16.5 vs. 12.7 kg, p = .005) than those without RS. Age (odds ratio [OR], 3.49; 95% confidence interval [CI], 0.913-8.790; p = .021), initial BMI percentile (OR, 0.55; 95% CI, 0.286-1.853; p = .036), and BMI z-score (OR, 0.56; 95% CI, 0.256-1.987; p = .045) were predictors of RS. For identifying occurrence of RS, the area under the curve for BMI was 0.679 and the optimal BMI cutoff value and was 11.8 kg/m2. RS and hypercholesterolemia were frequently observed in patients with AN, and low BMI percentile and older age were significantly associated with RS. Therefore, serum phosphate levels should be monitored more frequently in patients with severe malnutrition.","PeriodicalId":48835,"journal":{"name":"Eating Disorders","volume":" ","pages":"1-11"},"PeriodicalIF":3.0,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143523553","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

Lived experience-informed eating disorders research: an illustrative example.

IF 3 3区医学

Eating Disorders Pub Date : 2025-02-27 DOI: 10.1080/10640266.2025.2471220

Andrea Phillipou, Shannon Calvert, Kathleen de Boer, Dominic Dwyer, Kamryn T Eddy, Caroline Gao, Genevieve Pepin, Stephanie Miles, Erica Neill

引用次数: 0

The intersection of trauma and eating disorders: evaluating cognitive processing therapy through qualitative analysis.

IF 3 3区医学

Eating Disorders Pub Date : 2025-02-26 DOI: 10.1080/10640266.2025.2465145

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

{"title":"The intersection of trauma and eating disorders: evaluating cognitive processing therapy through qualitative analysis.","authors":"Giulia Suro, Ismael Gavidia, Natalie Tyran, Molly M Perlman, Timothy D Brewerton","doi":"10.1080/10640266.2025.2465145","DOIUrl":"https://doi.org/10.1080/10640266.2025.2465145","url":null,"abstract":"Quantitative research has demonstrated that many individuals with eating disorders (EDs) present with PTSD (ED-PTSD). Cognitive processing therapy (CPT) has been integrated into the overall treatment for ED-PTSD, but qualitative data on the effectiveness of this approach is lacking. Ten patients with ED-PTSD completed 12 sessions of CPT during residential treatment (RT). After sessions 1 and 11, patients wrote an \"impact statement\" clarifying their beliefs about why their trauma occurred and how it has impacted their life. Two coders using MAXQDA2020 software evaluated these statements using a structured coding protocol to assess changes in trauma-related cognitions over time. Analyses of these cognitive changes demonstrated shifts in the appraisal process regarding why trauma occurred from stances of self-blame to external fault. Exploratory analyses also indicated that perceptions of control and safety were associated with a greater frequency of reference to EDs and body image. Qualitative findings demonstrated that trauma-related cognitions became more realistic and adaptive following CPT as evidenced by a significant reduction in assimilated and overaccommodated cognitions, and an increase in accommodated cognitions. Last, there was a notable shift in perceived responsibility for trauma and improvements in control and safety in relation to EDs.","PeriodicalId":48835,"journal":{"name":"Eating Disorders","volume":" ","pages":"1-17"},"PeriodicalIF":3.0,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143505250","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

Factors associated with probability of inpatient hospitalization in military-affiliated adolescents and young adults with eating disorders.

IF 3 3区医学

Eating Disorders Pub Date : 2025-02-21 DOI: 10.1080/10640266.2025.2459971

Katherine A Thompson, Viviana Bauman, Jason M Lavender, Marian Tanofsky-Kraff, Jennifer A Thornton, Natasha A Schvey, Rachel Moyer, Kevin W Sunderland, Wendy Funk, Rick Brydum, Veronika Pav, David A Klein

{"title":"Factors associated with probability of inpatient hospitalization in military-affiliated adolescents and young adults with eating disorders.","authors":"Katherine A Thompson, Viviana Bauman, Jason M Lavender, Marian Tanofsky-Kraff, Jennifer A Thornton, Natasha A Schvey, Rachel Moyer, Kevin W Sunderland, Wendy Funk, Rick Brydum, Veronika Pav, David A Klein","doi":"10.1080/10640266.2025.2459971","DOIUrl":"https://doi.org/10.1080/10640266.2025.2459971","url":null,"abstract":"This study examined demographic and military factors related to probability of hospitalization among military-affiliated adolescents and young adults (AYA) with an eating disorder (ED) diagnosis. Participants were military-affiliated AYA (spouses not included), ages 10-26 years. De-identified data were extracted from the Military Health System Data Repository from 2016-2021. Kaplan-Meier risk estimates determined the proportion of participants with a hospitalization following their initial ED diagnosis across time. Cox proportional hazard models evaluated adjusted associations of demographic and military-specific factors with probability of hospitalization. Of 7,705 participants with an ED diagnosis, approximately one in five (n = 1,569) had a hospitalization during the study period. Weight categories were only recorded for 35% (n = 2,675) of participants. Adjusting for other variables, hospitalization was more likely for: participants 15-17 years old (versus other age groups), females (versus males), those with underweight (versus higher weights), those who received care at civilian facilities (versus directly within the Military Health System), and those with a parent serving in the Navy (versus the Army). There was no significant difference by ED diagnosis. Results indicate disparities related to hospitalization among AYA with EDs within the Military Health System. More research is needed to understand access to and engagement with ED-related healthcare among military-affiliated AYA.","PeriodicalId":48835,"journal":{"name":"Eating Disorders","volume":" ","pages":"1-20"},"PeriodicalIF":3.0,"publicationDate":"2025-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143469721","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 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