Eating DisordersPub Date : 2026-09-10DOI: 10.1080/10640266.2026.2731463
Amy McCulloch, Anita Jeh, Nisha Alex, David Ochando, Jessica Merrin
{"title":"Developing community nasogastric feeding provision for children and young people with restrictive eating disorders.","authors":"Amy McCulloch, Anita Jeh, Nisha Alex, David Ochando, Jessica Merrin","doi":"10.1080/10640266.2026.2731463","DOIUrl":"https://doi.org/10.1080/10640266.2026.2731463","url":null,"abstract":"<p><p>To share our findings from developing two novel service models for community nasogastric feeding in children and young people with eating disorders. Model 1 involved training parents/carers to administer NG feeding to their child at home and Model 2 is an outpatient NG feeding clinic. A retrospective case review examined clinical patient data and cost savings were calculated for Model 1 by comparing to the cost of an inpatient paediatric admission. Both models contributed to a reduction in hospital admission days, either via earlier discharge or admission avoidance. For the five patients treated using Model 1, there was a combined saving of 350 paediatric bed days and a projected net saving of £185,500. In model 2, five of the 13 patients avoided hospital admission. Two models for nasogastric feeding in the community have been developed and show promise in the management of restrictive eating disorders.</p>","PeriodicalId":48835,"journal":{"name":"Eating Disorders","volume":" ","pages":"1-9"},"PeriodicalIF":3.5,"publicationDate":"2026-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148931344","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}
{"title":"Psychometric properties of a Greek translation of the intuitive eating Scale-3 (IES-3) in adults from Greece.","authors":"Marios Argyrides, Christophe Maïano, Tracy L Tylka, Glygeria Reppa, Viren Swami","doi":"10.1080/10640266.2026.2731467","DOIUrl":"https://doi.org/10.1080/10640266.2026.2731467","url":null,"abstract":"<p><p>The Intuitive Eating Scale-3 (IES-3) is a new, 12-item measure of intuitive eating, which is recognised as a protective factor of disordered eating. Given its recency, there has been limited evaluation of the psychometric properties of the IES-3 in diverse national and linguistic contexts. Therefore, we report on the translation and psychometric evaluation of a novel Greek version of the IES-3 in Greek adults. A total of 1,138 women and 712 men completed the Greek IES-3 alongside additional measures selected to assess validity. Exploratory factor analysis with a first split-half subsample showed that the original 4-factor model fit the data well. In a second split-half subsample, a bifactor-exploratory structural equation model (B-ESEM) with a G-factor and four S-factors fit the data and demonstrated superior fit compared to alternative models. Across subsamples, the 4-factor and B-ESEM models demonstrated gender invariance and did not show measurement bias in terms of age and body mass index. Validity analyses revealed that intuitive eating was associated with higher positive body image and psychological well-being and lower disordered eating and psychological distress. These results indicate that the Greek IES-3 has robust psychometric properties.</p>","PeriodicalId":48835,"journal":{"name":"Eating Disorders","volume":" ","pages":"1-21"},"PeriodicalIF":3.5,"publicationDate":"2026-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148921540","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 : 2026-09-09DOI: 10.1080/10640266.2026.2731469
Honglei Gu, Yuhang Hu, Yiran Jia, Yufang Cheng, Jie Fang
{"title":"On-screen ideals and off-screen ordeals: a daily diary study of the bidirectional links between short-video media use and eating disorder symptoms in college students.","authors":"Honglei Gu, Yuhang Hu, Yiran Jia, Yufang Cheng, Jie Fang","doi":"10.1080/10640266.2026.2731469","DOIUrl":"https://doi.org/10.1080/10640266.2026.2731469","url":null,"abstract":"<p><p>With the rapid proliferation of short-video platforms, concerns about their impact on mental health-particularly eating disorders-have intensified. However, little is known about the bidirectional associations between short-video media use and eating disorder symptoms, or the emotional mechanisms underlying these links. Using an intensive longitudinal design, this study collected daily data over 21 consecutive days from 200 Chinese college students. Multilevel structural equation modeling (MSEM) was employed to examine reciprocal relationships between short-video media use and eating disorder symptoms, as well as the mediating role of negative emotions at both within-person and between-person levels. At the within-person level, short-video media use and eating disorder symptoms demonstrated a mutually reinforcing relationship, with negative emotions mediating this bidirectional association. At the between-person level, both constructs indirectly predicted one another through negative emotions, although direct effects were nonsignificant. These findings suggest a potential self-reinforcing cycle between short-video media use and eating disorder symptoms, highlight the important mediating role of negative emotions, and demonstrate the methodological value of a 21-day daily diary design for capturing the bidirectional associations between these constructs, with practical implications for promoting emotional regulation and healthier digital engagement among college students.</p>","PeriodicalId":48835,"journal":{"name":"Eating Disorders","volume":" ","pages":"1-17"},"PeriodicalIF":3.5,"publicationDate":"2026-09-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148921532","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 : 2026-09-01Epub Date: 2025-04-30DOI: 10.1080/10640266.2025.2498249
Emily M Bowers, Julie M Petersen, Tera Lensegrav-Benson, Benita Quakenbush, Michael P Twohig
{"title":"Outcomes and moderators of shame in residential treatment for eating disorders in females.","authors":"Emily M Bowers, Julie M Petersen, Tera Lensegrav-Benson, Benita Quakenbush, Michael P Twohig","doi":"10.1080/10640266.2025.2498249","DOIUrl":"10.1080/10640266.2025.2498249","url":null,"abstract":"<p><p>Shame is a painful, self-conscious emotion that is implicated in the onset and maintenance of eating disorders. However, there is a dearth of research examining shame outcomes in clinically acute eating disorder samples. The primary purpose of this study is to evaluate the outcomes and moderators of internal shame in female (adolescent and adult) residential patients diagnosed with a range of eating disorders. Participants (<i>N</i> = 176) were attending residential eating disorder treatment for eating disorders and were assessed for internal shame, self-esteem, eating disorder diagnosis, duration of eating disorder, body mass index, depression, and anxiety. Multilevel models were use to explore outcomes and moderators of shame from intake to discharge. Shame (g = 1.21) and self-esteem (g = -0.86) significantly improved from intake to discharge. Changes in shame were moderated by eating disorder diagnosis, BMI, depression, and anxiety, but not duration of eating disorder. These findings suggest that shame and self-esteem significantly improve during eating disorder residential treatment, with specific eating disorder diagnoses and baseline psychological characteristics moderating these changes. Future research is needed to replicate these findings in larger samples to further explore the mechanisms underlying changes in shame in eating disorder residential treatment.</p>","PeriodicalId":48835,"journal":{"name":"Eating Disorders","volume":" ","pages":"456-474"},"PeriodicalIF":3.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144021831","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 : 2026-09-01Epub Date: 2025-05-23DOI: 10.1080/10640266.2025.2501360
Cristina Carmona I Farrés, Mar Carceller-Sindreu, Leonor Patricia Gawron, Laia Arias, Sara Crivilles, Kevin Rodriguez-Clifford, Anna Soria, Maria J Portella
{"title":"Overcoming six decades of anorexia nervosa: a case of holistic treatment and recovery.","authors":"Cristina Carmona I Farrés, Mar Carceller-Sindreu, Leonor Patricia Gawron, Laia Arias, Sara Crivilles, Kevin Rodriguez-Clifford, Anna Soria, Maria J Portella","doi":"10.1080/10640266.2025.2501360","DOIUrl":"10.1080/10640266.2025.2501360","url":null,"abstract":"<p><p>This case study presents a 74-year-old woman with a 60-year history of anorexia nervosa (AN). Despite the long duration and severity of her illness, the patient achieved significant recovery through a multidisciplinary treatment approach. The treatment included a combination of nutritional therapy, psychotherapy, and pharmacotherapy, along with a strong emphasis on the patient's active involvement. Outcomes demonstrated substantial improvements in weight, mental health, and quality of life. This case highlights the importance of hope and perseverance in treating AN, even in cases considered difficult to manage. Findings suggest that an individualized and long-term approach, addressing both the physical and psychological aspects of the illness, may be crucial for achieving recovery in patients with chronic AN.</p>","PeriodicalId":48835,"journal":{"name":"Eating Disorders","volume":" ","pages":"475-486"},"PeriodicalIF":3.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144128959","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 : 2026-09-01Epub Date: 2025-06-23DOI: 10.1080/10640266.2025.2519901
Renee D Rienecke, Philip S Mehler, Kim Anderson
{"title":"Recruitment and retention in the concealed weighing arm of a pilot study comparing weighing methods in the treatment of adults with anorexia nervosa: lessons learned.","authors":"Renee D Rienecke, Philip S Mehler, Kim Anderson","doi":"10.1080/10640266.2025.2519901","DOIUrl":"10.1080/10640266.2025.2519901","url":null,"abstract":"<p><p>Empirically supported treatments for eating disorders (EDs) recommend weighing all patients regularly and sharing that weight with patients (i.e. open weighing). However, many ED treatment providers and programs practice blind, or concealed weighing, in which patients are weighed but not informed of their weight. This Last Word article presents the authors' experiences with recruitment and retention in the concealed weighing arm of a pilot study assessing open versus concealed weighing in a treatment program that is historically accustomed to practicing open weighing. Although clinician anxiety has been associated with the use of blind weighing, it may arise whenever clinicians use a weighing method with which they are less familiar. Careful training and support of all multidisciplinary team members and research study personnel is necessary in order to effectively assess the utility of these different weighing methods to determine whether one is associated with better treatment outcomes for patients.</p>","PeriodicalId":48835,"journal":{"name":"Eating Disorders","volume":" ","pages":"522-529"},"PeriodicalIF":3.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144477517","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 : 2026-09-01Epub Date: 2025-06-23DOI: 10.1080/10640266.2025.2519900
Orly Lavan, Amit Goldstein, Adi Bar Eyal, Avishag Shir, Tzophia Hammer, Adi Label, Nofar Valik, Roy Ratzon, Tamar Tahar, Silvana Fennig
{"title":"Waiting list intervention for adolescents with anorexia nervosa.","authors":"Orly Lavan, Amit Goldstein, Adi Bar Eyal, Avishag Shir, Tzophia Hammer, Adi Label, Nofar Valik, Roy Ratzon, Tamar Tahar, Silvana Fennig","doi":"10.1080/10640266.2025.2519900","DOIUrl":"10.1080/10640266.2025.2519900","url":null,"abstract":"<p><p>Anorexia nervosa requires early intervention for optimal treatment outcomes, yet extended waiting periods for specialized care often delay treatment, as occurred during the COVID-19 pandemic. This study evaluated the outcomes of a structured waiting-list intervention provided to adolescents awaiting entry into specialized eating disorder treatment. A retrospective analysis examined 56 adolescents (ages 10-18 years) who participated in the intervention between July 2020 and March 2022. The intervention included weekly nutritional monitoring and virtual psychoeducational support groups for parents. The study collected data on weight, BMI and treatment referral changes. Findings indicated that most patients remained clinically stable during the waiting period, and increases in weight and BMI were observed, particularly among those whose parents attended more group sessions. Additionally, 32% of participants had changes in treatment recommendations, and 23% were redirected to less intensive levels of care based on clinical assessment. In the absence of a control group, findings should be interpreted as associations rather than causal effects. While limited by its retrospective design, findings suggest that structured support during the wait period may help mitigate deterioration and reduce the need for more intensive treatment. This model may help manage demand in eating disorder services during resource-limited periods.</p>","PeriodicalId":48835,"journal":{"name":"Eating Disorders","volume":" ","pages":"504-521"},"PeriodicalIF":3.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144477519","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 : 2026-09-01Epub Date: 2025-06-26DOI: 10.1080/10640266.2025.2519902
Kathryn E Barber, Mercedes G Woolley, Francesca Knudsen, Tera Lensegrav-Benson, Benita Quakenbush, Michael P Twohig
{"title":"The prevalence and clinical correlates of body-focused repetitive behaviors in eating disorders.","authors":"Kathryn E Barber, Mercedes G Woolley, Francesca Knudsen, Tera Lensegrav-Benson, Benita Quakenbush, Michael P Twohig","doi":"10.1080/10640266.2025.2519902","DOIUrl":"10.1080/10640266.2025.2519902","url":null,"abstract":"<p><p>Body-focused repetitive behaviors (BFRBs) and eating disorders (EDs) involve persistent, self-directed behaviors causing distress and impairment. Despite similarities, the relationship between the two is understudied. We examined clinical and subclinical BFRB prevalence in individuals with EDs, tested associations with ED and obsessive-compulsive (OC) symptoms, and compared BFRB occurrence between ED subtypes. The sample included 95 female adults and adolescents in residential ED treatment (51% anorexia nervosa-restricting, 37% anorexia nervosa-binge-eating/purging, 9% bulimia nervosa, 3% other EDs). The Habit Questionnaire, Eating Disorder Examination Questionnaire, and Dimensional Obsessive-Compulsive Scale assessed BFRBs, ED symptoms, and OC symptoms, respectively. BFRBs were highly prevalent in the sample, with 37% meeting clinically significant levels and 31% displaying subclinical BFRBs. The most common clinically significant BFRBs were skin picking (28%), mouth chewing (10%), and hair pulling (9%). Higher ED and OC symptom severity were both associated with the presence of any presence of a co-occurring BFRB. BFRB prevalence did not differ between restricting and binge-eating/purging ED subtypes. Overall, co-occurring BFRBs were common in this residential ED sample, highlighting the need for routine screening. Both ED and OC symptom severity were uniquely related to BFRB occurrence. Future research should explore the underlying mechanisms to better understand the relationship between BFRBs and EDs.</p>","PeriodicalId":48835,"journal":{"name":"Eating Disorders","volume":" ","pages":"530-547"},"PeriodicalIF":3.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144498789","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 : 2026-09-01Epub Date: 2025-06-23DOI: 10.1080/10640266.2025.2518374
Rylee Lusich, Lauren Harris, Rachel Butler, April Smith, Cheri Levinson
{"title":"Improving the diagnosis of OSFED across clinical and research settings: the development of a diagnostic flowchart.","authors":"Rylee Lusich, Lauren Harris, Rachel Butler, April Smith, Cheri Levinson","doi":"10.1080/10640266.2025.2518374","DOIUrl":"10.1080/10640266.2025.2518374","url":null,"abstract":"<p><p>Other Specified Feeding and Eating Disorder (OSFED) has the highest prevalence of any eating disorder (ED), yet limited resources are available to help clinicians and researchers reliably differentiate between the different OSFED diagnoses. A tool capable of clarifying differences between OSFED subtypes and other EDs is needed to ensure that individuals receive accurate and specific diagnoses across clinical and research settings. To this end, the present report describes the development of a diagnostic flowchart developed for use in a research laboratory to allow research assistants without specialized training in EDs to make accurate and reliable diagnoses. We also provide guidelines for use of the flowchart alongside existing ED assessments and discuss evidence demonstrating its utility in improving interrater reliability among diagnostic raters, even those with minimal training. We envision this flowchart as an adaptable tool which will continue to be modified as the ED field works towards consensus definitions of OSFED diagnoses.</p>","PeriodicalId":48835,"journal":{"name":"Eating Disorders","volume":" ","pages":"487-503"},"PeriodicalIF":3.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12235728/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144477516","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}
Eating DisordersPub Date : 2026-09-01Epub Date: 2025-05-05DOI: 10.1080/10640266.2025.2498247
Gülsüm Zekiye Tuncer, Metin Tuncer
{"title":"The effect of eHealth-based guided self help interventions for binge eating disorder : a meta-analysis of randomized controlled trials.","authors":"Gülsüm Zekiye Tuncer, Metin Tuncer","doi":"10.1080/10640266.2025.2498247","DOIUrl":"10.1080/10640266.2025.2498247","url":null,"abstract":"<p><p>With rapid technological advancements, eHealth-based guided self-help interventions have become accessible, flexible, cost-effective, and stigma-reducing treatment options for binge eating disorder (BED). This meta-analysis evaluated the effectiveness of these interventions in individuals diagnosed with BED or showing BED symptoms, based on eight randomized controlled trials with 1,575 participants. Intervention length varied between a single session to four months. Six studies focused solely on web-based guided self-help interventions, one study implemented a hybrid approach combining face-to-face and online components, and another study employed two distinct online guided self-help methods. The interventions included psychoeducational modules, therapist feedback, online behavior monitoring, and self-assessments. eHealth-based guided self-help significantly reduced binge eating psychopathology (SMD: 0.53; 95% CI: 0.20-0.86) and objective binge eating (OBE) days (SMD: 0.49; 95% CI: 0.12-0.85) compared to controls. These interventions offer effective solutions for individuals facing barriers to traditional treatment access.</p>","PeriodicalId":48835,"journal":{"name":"Eating Disorders","volume":" ","pages":"433-455"},"PeriodicalIF":3.5,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144035362","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}