Eating DisordersPub Date : 2026-08-23DOI: 10.1080/10640266.2026.2718478
Grégoire Baudin, Arnaud Bagdasarian, Aurélien Ribadier, Wissam El Hage, Sébastien Guillaume, Nicolas Ballon, Servane Barrault, Paul Brunault
{"title":"Exploring the dissociation-binge eating relationship in eating disorders: a scoping review.","authors":"Grégoire Baudin, Arnaud Bagdasarian, Aurélien Ribadier, Wissam El Hage, Sébastien Guillaume, Nicolas Ballon, Servane Barrault, Paul Brunault","doi":"10.1080/10640266.2026.2718478","DOIUrl":"https://doi.org/10.1080/10640266.2026.2718478","url":null,"abstract":"<p><p>Binge eating (BE) is a core symptom across multiple eating disorders (ED), yet differences in dissociative experiences between ED subtypes-and the psychological processes linking them-remain insufficiently understood. This scoping review synthesized evidence on the association between dissociation and BE in ED populations, focusing on ED diagnosis, symptom severity, potential confounders, and underlying mechanisms. Following PRISMA ScR guidelines, we searched five databases (CINAHL, EMBASE, PsycINFO, PubMed, and Web of Science) on July 23, 2025. Two independent reviewers screened and selected empirical and theoretical studies on dissociation and BE in clinical ED samples. Data extraction included study characteristics, settings, measures, and reported associations. Thirty studies (23 empirical, 7 theoretical) met the inclusion criteria. Most empirical work reported significantly higher dissociation scores in EDs featuring BE compared with healthy controls, with positive correlations between dissociation and BE symptoms, but inconsistent associations with compensatory behaviors. Within ED subtypes, restricting type anorexia nervosa consistently showed lower dissociation than binge eating/purging anorexia, bulimia nervosa, and binge-eating disorders. Dissociation was a significant mediator of the relationship between trauma and BE. Dissociation was associated with BE, independently of the intensity of negative affects before BE. Theoretical literature outlined four principal models explaining the dissociation-BE link. Current evidence suggests that dissociation is more specifically related to BE than to compensatory behaviors, potentially acting as a mediator between trauma and eating behavior. Despite some limits (heterogeneity in diagnostic criteria, self‑report measures, predominance of cross‑sectional designs), integrating dissociation into the comprehensive models of BE may inform assessment and intervention.</p>","PeriodicalId":48835,"journal":{"name":"Eating Disorders","volume":" ","pages":"1-39"},"PeriodicalIF":3.5,"publicationDate":"2026-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148809186","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 : 2026-08-23DOI: 10.1080/10640266.2026.2720535
Marissa Adams, Anita Federici
{"title":"When diagnosis limits possibility: ethical concerns regarding terminality constructs in eating disorders.","authors":"Marissa Adams, Anita Federici","doi":"10.1080/10640266.2026.2720535","DOIUrl":"https://doi.org/10.1080/10640266.2026.2720535","url":null,"abstract":"<p><p>Recent debates regarding assisted death in eating disorders have intensified alongside increasing use of constructs such as severe and enduring anorexia nervosa (SE-AN), severe and enduring eating disorder (SEED), and terminal anorexia nervosa (T-AN), none of which are formally recognized diagnostic entities. While these terms are intended by some clinicians to acknowledge profound suffering and longstanding illness, we argue they may also shape illness identity, influence expectations regarding prognosis, and contribute to perceptions of treatment futility within under-resourced systems. Rather than reflecting discrete clinical entities, these constructs may inadvertently transform systemic limitations into assumptions about individual recovery potential. We further examine how such assumptions intersect with ethical debates surrounding assisted death, particularly in the context of inconsistent mental-capacity assessment, treatment inequities, and limited access to adapted care. Drawing on clinical expertise, research scholarship, and lived experience, we propose a middle ground that acknowledges chronic suffering while rejecting assumptions of terminality, emphasizing integrated, trauma-informed, neurodiversity-affirming, and recovery-oriented treatment.</p>","PeriodicalId":48835,"journal":{"name":"Eating Disorders","volume":" ","pages":"1-12"},"PeriodicalIF":3.5,"publicationDate":"2026-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148809147","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 : 2026-08-19DOI: 10.1080/10640266.2026.2718803
Angela Shehu, Aya Sameer, Marwa Khalil, Christa Deban, Carrie J Wild, Asef R Hoque, Neli Ragina
{"title":"Maternal bulimia nervosa and pregnancy outcomes: a systematic review of obstetric and neonatal risks.","authors":"Angela Shehu, Aya Sameer, Marwa Khalil, Christa Deban, Carrie J Wild, Asef R Hoque, Neli Ragina","doi":"10.1080/10640266.2026.2718803","DOIUrl":"https://doi.org/10.1080/10640266.2026.2718803","url":null,"abstract":"<p><p>Maternal bulimia nervosa (BN) poses unique challenges during pregnancy. This review aims to synthesize current evidence on the effects of maternal BN on pregnancy, delivery, and neonatal outcomes. A systematic review was conducted of literature published between 2004 and 2024 through PubMed, Cochrane Library, Scopus, and PsycINFO (ProQuest) databases. There was limited and inconsistent evidence amongst the articles showing an increased risk of preeclampsia, gestational diabetes, gestational hypertension, cesarean delivery, LGA, and miscarriage in women with BN. There was mixed evidence of an increased risk of preterm birth in women with BN. No reports found a significant difference in SGA between the two groups. This review highlights critical inconsistencies in the literature showing the effects of maternal BN on pregnancy, delivery, and neonatal outcomes.</p>","PeriodicalId":48835,"journal":{"name":"Eating Disorders","volume":" ","pages":"1-17"},"PeriodicalIF":3.5,"publicationDate":"2026-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148800241","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 : 2026-08-19DOI: 10.1080/10640266.2026.2719850
Meghan B Krupp, Paul R King, Bethany A H Crawford, Laura J Buchholz, Reza N Sahlan
{"title":"Disordered eating: understanding the nature of eating behavior documentation in women veterans' mental health care.","authors":"Meghan B Krupp, Paul R King, Bethany A H Crawford, Laura J Buchholz, Reza N Sahlan","doi":"10.1080/10640266.2026.2719850","DOIUrl":"https://doi.org/10.1080/10640266.2026.2719850","url":null,"abstract":"<p><p>Characterize the presence and nature of disordered eating behavior documentation in women veterans' mental health (MH) services. Retrospective chart review. A subset of MH progress notes was reviewed from participants in a research study on self-reported disordered eating behaviors. Notes were reviewed and coded to establish the frequency and context in which disordered eating was addressed within MH services. Two-hundred twenty-two unique notes were reviewed across 28 patients. 19.8% of notes across 16 patients included documentation of disordered eating behaviors. Documentation most frequently referenced routine, non-specific questions related to medication/medical conditions, and patient-initiated prompts. Documentation of disordered eating behaviors appeared infrequent across MH appointments. When charted, notes typically referenced medication side effects or other medical conditions (e.g. flu) as opposed to linkage with disordered eating or MH symptoms. Disordered eating behaviors may be an important area of clinical query, in particular among patients with known comorbidities.</p>","PeriodicalId":48835,"journal":{"name":"Eating Disorders","volume":" ","pages":"1-12"},"PeriodicalIF":3.5,"publicationDate":"2026-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148800321","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 : 2026-08-18DOI: 10.1080/10640266.2026.2719843
Sonay Cumalı Arslan, F Elif Ergüney Okumuş
{"title":"Behind the 'Social mask': a phenomenological study of loneliness and social disconnection in women with Eating disorders.","authors":"Sonay Cumalı Arslan, F Elif Ergüney Okumuş","doi":"10.1080/10640266.2026.2719843","DOIUrl":"https://doi.org/10.1080/10640266.2026.2719843","url":null,"abstract":"<p><p>Eating disorders (EDs) are chronic psychiatric conditions characterized by significant impairments in psychosocial functioning. This study utilizes an interpretative phenomenological analysis (IPA) to explore the lived experiences of social functioning and loneliness among women diagnosed with Eating Disorders (<i>n</i> = 8). Semi-structured interviews focused on early interpersonal patterns, experiences of social interactions, and the role of social support in recovery. Four superordinate themes emerged: <i>Roots of Impaired Social Functioning</i>, highlighting adverse childhood experiences; <i>The Worsening Spiral</i>, describing the reliance on a social mask and perceived lack of family care; <i>The Self-Perpetuating Cycle of Loneliness</i>, where isolation acts as a catalyst for symptom escalation; and <i>Reconnecting and Recovering</i>, emphasizing the healing role of sustained social support. Findings illustrate that social disconnection is not merely a byproduct but an active mechanism maintaining ED chronicity. Loneliness and the strategic use of a social mask reinforce withdrawal, while meaningful reconnections facilitate symptom reduction. These results underscore the necessity of integrating relational, interpersonal and trauma focus into ED treatment frameworks to break the vicious cycle of loneliness.</p>","PeriodicalId":48835,"journal":{"name":"Eating Disorders","volume":" ","pages":"1-19"},"PeriodicalIF":3.5,"publicationDate":"2026-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148800235","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 : 2026-08-16DOI: 10.1080/10640266.2026.2716232
Filiz Mercantepe, Busra Karahan, Bayram Kizilkaya, Serpil Ciftel, Nilifer Gürbüzer
{"title":"Clinical and metabolic implications of night eating syndrome in patients with type 1 and type 2 diabetes.","authors":"Filiz Mercantepe, Busra Karahan, Bayram Kizilkaya, Serpil Ciftel, Nilifer Gürbüzer","doi":"10.1080/10640266.2026.2716232","DOIUrl":"https://doi.org/10.1080/10640266.2026.2716232","url":null,"abstract":"<p><p>Night Eating Syndrome (NES) is an eating disorder associated with circadian rhythm disruption, but its clinical relevance in metabolic diseases remains unclear. This study aimed to determine the prevalence of NES in individuals with type 1 and type 2 diabetes and to examine its associations with glycemic control and metabolic risk markers within each subtype. This cross-sectional study included 500 patients with diabetes (108 with type 1 and 392 with type 2). NES was assessed using the Night Eating Questionnaire (NEQ), with a score ≥ 25 indicating NES. Group comparisons, correlation analyses, and binary logistic regression were performed to identify factors independently associated with metabolic syndrome. The overall prevalence of NES was 23.2%, with no significant difference between type 1 and type 2 diabetes. In exploratory analyses conducted separately within each subtype, NEQ scores in type 1 diabetes showed weak positive correlations with fasting glucose and glycated hemoglobin (HbA1c), while in type 2 diabetes NEQ scores showed weak positive correlations with waist circumference, triglycerides, and the atherogenic index of plasma. In multivariable analysis, the NEQ score was independently associated with metabolic syndrome (odds ratio [OR] 1.08, 95% confidence interval [CI] 1.046-1.122). NES is common among individuals with diabetes and, in the overall diabetic population, is independently associated with metabolic syndrome. These findings suggest that NES may represent a clinically relevant metabolic phenotype in diabetes. Given the cross-sectional design, prospective studies are needed; however, early identification of NES may support a more comprehensive metabolic risk assessment.</p>","PeriodicalId":48835,"journal":{"name":"Eating Disorders","volume":" ","pages":"1-21"},"PeriodicalIF":3.5,"publicationDate":"2026-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148764068","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 : 2026-08-13DOI: 10.1080/10640266.2026.2717601
Adi Ziv, Dana Segal, Niv Segal, Liat Ashkenazi-Hoffnung
{"title":"Triiodothyronine as a marker for hemodynamic instability in adolescents with restrictive eating disorders.","authors":"Adi Ziv, Dana Segal, Niv Segal, Liat Ashkenazi-Hoffnung","doi":"10.1080/10640266.2026.2717601","DOIUrl":"10.1080/10640266.2026.2717601","url":null,"abstract":"<p><p>Instantaneous vital signs are affected by momentary confounding factors such as anxiety. This study evaluated serum triiodothyronine (T3) levels as a biomarker of hemodynamic instability in 249 adolescents presenting with restrictive eating disorders. Hemodynamic instability was defined as significant bradycardia [minimal heart rate (HR)<50 beats per minute] and/or hypotension [systolic/diastolic blood pressure (BP)<90 mmHg/<45 mmHg]. T3 levels were categorized as normal, low, or extremely low (>4.7, 3.5-4.7, <3.5 pmol/L, respectively). Adolescents with low (74, 30%) or extremely low (125, 50%) T3, as compared to those with normal levels, had significantly lower HR (<i>p</i> = .004), lower BP (<i>p</i> < .001), greater weight loss (<i>p</i> = .02), longer hospital stay (<i>p</i> = .01), and longer duration of amenorrhea (<i>p</i> = .01). T3 levels showed significant negative correlations with weight loss (<i>r</i> = -0.2, <i>p</i> = .004). As a biomarker less susceptible to acute confounding factors than vital signs, T3 may enhance clinical assessment and risk stratification at initial presentation.</p>","PeriodicalId":48835,"journal":{"name":"Eating Disorders","volume":" ","pages":"1-8"},"PeriodicalIF":3.5,"publicationDate":"2026-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148726937","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 : 2026-08-09DOI: 10.1080/10640266.2026.2713524
Dorthe Dalstrup Pauls, Loa Clausen, Kajsa Järvholm, Henrik Støvring, Jens Meldgaard Bruun
{"title":"Changes in appetitive traits and binge-eating following lifestyle intervention in 7-14-year-olds: a 3-year follow-up.","authors":"Dorthe Dalstrup Pauls, Loa Clausen, Kajsa Järvholm, Henrik Støvring, Jens Meldgaard Bruun","doi":"10.1080/10640266.2026.2713524","DOIUrl":"https://doi.org/10.1080/10640266.2026.2713524","url":null,"abstract":"<p><p>Lifestyle interventions tend to reduce disordered eating short-term in children, but little is known about long-term changes. This study aimed to investigate changes in appetitive traits and episodes of overeating and binge-eating up to three years after a 10-week multicomponent lifestyle camp in 7-14-year-olds. Participants were referred to the lifestyle camp due to overweight/obesity, and/or psychosocial challenges. The Children's Eating Behavior Questionnaire (CEBQ) and selected items from the Eating Disorder Examination Questionnaire (EDE-Q) were completed at baseline, after camp, and at one- and three-year follow-ups. The majority of participants (mean age 15.4 ± 1.3 years) were living with overweight (30%) or obesity (53%) at the three-year follow-up. Appetitive traits improved with sustained effect; however, the effects attenuated from post-treatment to the three-year follow-up. Compared to baseline (41%), a smaller proportion reported regular binge-eating at the three-year follow-up (14%), and only a small group of children reported new onset overeating and binge-eating during follow-up. In conclusion, the lifestyle camp setting is a safe and effective intervention that improves appetitive traits and reduces binge-eating over a three-year follow-up period. However, continued support may be needed to sustain improvements, and future studies should examine whether addressing disordered eating within childhood obesity treatment enhances long-term outcomes.</p>","PeriodicalId":48835,"journal":{"name":"Eating Disorders","volume":" ","pages":"1-20"},"PeriodicalIF":3.5,"publicationDate":"2026-08-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148698152","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 : 2026-07-29DOI: 10.1080/10640266.2026.2709604
Fiona Duffy, Saffron M Baldoza, Julian Baudinet, Ian Birch, Emma Broadhurst, Gina Dimitropoulos, Clare Ellison, Karri Gillespie-Smith, Rachel Loomes, Umairah Malik, Ellen Maloney, Lorraine Small, Kate Tchanturia, Iona Thomas Yates, Freya Nash, Amelia Austin
{"title":"Adapting eating disorder focused family therapy for Autistic children and young people with anorexia nervosa: evidence informed, co-produced clinical guidelines.","authors":"Fiona Duffy, Saffron M Baldoza, Julian Baudinet, Ian Birch, Emma Broadhurst, Gina Dimitropoulos, Clare Ellison, Karri Gillespie-Smith, Rachel Loomes, Umairah Malik, Ellen Maloney, Lorraine Small, Kate Tchanturia, Iona Thomas Yates, Freya Nash, Amelia Austin","doi":"10.1080/10640266.2026.2709604","DOIUrl":"https://doi.org/10.1080/10640266.2026.2709604","url":null,"abstract":"<p><p>Autistic children and young people receiving eating disorder focused family therapy (FT-ED) for anorexia nervosa (AN) are more likely than their non-Autistic peers to require longer and more intensive treatment. Qualitative evidence suggests that Autistic young people and their parents struggle with a perceived inflexible delivery of FT-ED that can be mis-attuned to autistic needs. Clinicians delivering this care report a lack of confidence when adapting FT-ED to this population, and there is limited guidance on how to do this. This paper describes evidence‑informed and coproduced guidelines, developed via a series of workshops with Autistic people with lived experience of an eating disorder, parents and carers, clinicians, researchers, and third‑sector representatives. The intention of these guidelines is to support clinicians in the adaptation of FT-ED for Autistic young people with AN and their families, with the aim of delivering more appropriate and effective care. Young people and their parents or carers may also find these guidelines helpful when advocating for autism-affirming care within FT-ED.</p>","PeriodicalId":48835,"journal":{"name":"Eating Disorders","volume":" ","pages":"1-17"},"PeriodicalIF":3.5,"publicationDate":"2026-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148622216","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 : 2026-07-10DOI: 10.1080/10640266.2026.2693932
Shakira K F Mohammed, Amelia Austin, Karen Degagne, Gina Dimitropoulos, Christopher Mushquash
{"title":"Early intervention in eating disorders with Indigenous youth: a qualitative exploration of clinician-perceived barriers and facilitators in Northwestern Ontario.","authors":"Shakira K F Mohammed, Amelia Austin, Karen Degagne, Gina Dimitropoulos, Christopher Mushquash","doi":"10.1080/10640266.2026.2693932","DOIUrl":"https://doi.org/10.1080/10640266.2026.2693932","url":null,"abstract":"<p><strong>Objective: </strong>The purpose of this program evaluation was 1) to report the demographic and clinical characteristics of Indigenous youth aged 15-24 with eating disorders (EDs) in Northwestern Ontario, Canada, and 2) to determine clinician-perceived facilitators and barriers to providing appropriate ED early intervention to Indigenous youth.</p><p><strong>Methods: </strong>A multimethod approach was used, collecting demographic and clinical data from 26 intake records at St. Joseph's Care Group in Thunder Bay, Ontario. Seven clinicians participated in semi-structured interviews to discuss barriers and facilitators to early intervention for EDs.</p><p><strong>Results: </strong>Patients were primarily female (80.8%), in high school (61.5%), and diagnosed with anorexia nervosa (53.8%). Clinicians identified barriers included limited access, lack of evidence for culturally appropriate interventions, and other youth-specific challenges (other mental health diagnoses, food insecurity, and human rights concerns). Facilitators included practice-based evidence (cultural experiences and practices, flexible approach to the delivery of interventions, awareness of biases, virtual services, and continuity of services), partnership with communities, knowledge translation, and systemic supports.</p><p><strong>Conclusion: </strong>Recommendations for ED early intervention for Indigenous youth in Northwestern Ontario: increased funding and research, partnerships with communities, specialized intervention guidelines, training and education for community members and clinicians, peer networks, and development of community resources.</p>","PeriodicalId":48835,"journal":{"name":"Eating Disorders","volume":" ","pages":"1-19"},"PeriodicalIF":3.5,"publicationDate":"2026-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148425647","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}