Eating DisordersPub Date : 2024-11-01Epub Date: 2024-06-24DOI: 10.1080/10640266.2024.2366546
Rachel F Rodgers, Allegra R Gordon, Natasha L Burke, Anna Ciao
{"title":"Parents and caregivers as key players in the prevention and identification of body image concerns and eating disorders among early adolescents.","authors":"Rachel F Rodgers, Allegra R Gordon, Natasha L Burke, Anna Ciao","doi":"10.1080/10640266.2024.2366546","DOIUrl":"10.1080/10640266.2024.2366546","url":null,"abstract":"<p><p>Early adolescence (ages 11-14 years) is a key period for the emergence of body image and eating concerns, and early identification and access to treatment are imperative for positive outcomes. Despite research identifying this critical developmental period, few prevention resources are available for early adolescents. Parents are key players for this age group and important socializing agents. As such, they are well positioned to help youth access resources or support where needed. However, programs to position and involve parents as interventionists are lacking. Our aims are two-fold. First, we review the evidence for the effectiveness of parents as body image interventionists and the existing data regarding parental needs. Second, we provide directions for future research and outline a framework for empowering parents as interventionists, identifying key domains in which parents may play a role in addressing body image and eating concerns among early adolescents. Based on the extent literature, these domains include facilitating engagement with or co-utilizing intervention content to decrease body image and eating concerns in at-risk children, which may also help to increase parents' effectiveness in their efforts to support youth. In addition, parents may deliver content to decrease or reverse risk-factors and early symptoms, or disrupt the early disorder phase of illness. To date, parents constitute an underutilized resource in eating disorder and disordered eating prevention, and efforts should be made to increase the evidence-based strategies to leverage their relationship with at-risk children.</p>","PeriodicalId":48835,"journal":{"name":"Eating Disorders","volume":" ","pages":"703-726"},"PeriodicalIF":3.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141447365","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 : 2024-11-01Epub Date: 2024-03-21DOI: 10.1080/10640266.2024.2331391
Line Wisting, Severina Haugvik, Anne Louise Wennersberg, Trine Wiig Hage, Eric Stice, Marion P Olmsted, Ata Ghaderi, Cathrine Brunborg, Torild Skrivarhaug, Knut Dahl-Jørgensen, Øyvind Rø
{"title":"A pilot study of a virtually delivered dissonance-based eating disorder prevention program for young women with type 1 diabetes: within-subject changes over 6-month follow-up.","authors":"Line Wisting, Severina Haugvik, Anne Louise Wennersberg, Trine Wiig Hage, Eric Stice, Marion P Olmsted, Ata Ghaderi, Cathrine Brunborg, Torild Skrivarhaug, Knut Dahl-Jørgensen, Øyvind Rø","doi":"10.1080/10640266.2024.2331391","DOIUrl":"10.1080/10640266.2024.2331391","url":null,"abstract":"<p><strong>Introduction: </strong>In an uncontrolled study, we previously demonstrated the feasibility and preliminary efficacy of our virtual diabetes-specific version (<i>Diabetes Body Project</i>) of the eating disorder (ED) prevention program the <i>Body Project</i>. The aim of the current study was to evaluate further this program for women with type 1 diabetes (T1D) by assessing within-subject changes in outcomes from pretest over 6-month follow-up.</p><p><strong>Methods: </strong>Young women with T1D aged 16-35 years were invited to participate in <i>Diabetes Body Project</i> groups. A total of 35 participants were allocated to five <i>Diabetes Body Project</i> groups (six meetings over 6 weeks). Primary outcome measures included ED risk factors and symptoms, and secondary outcomes included three T1D-specific constructs previously found to be associated with ED pathology: glycemic control as measured by HbA1c level, diabetes distress, and illness perceptions.</p><p><strong>Results: </strong>Within-subject reductions, with medium-to-large effect sizes, were observed for the primary (ED pathology, body dissatisfaction, thin-ideal internalization, and appearance ideals and pressures) and secondary outcomes (within-condition Cohen's <i>d</i>s ranged from .34 to 1.70).</p><p><strong>Conclusion: </strong>The virtual <i>Diabetes Body Project</i> appears to be a promising intervention worthy of more rigorous evaluation. A randomized controlled trial with at least a 1-year follow-up is warranted to determine its efficacy compared to a control condition.</p>","PeriodicalId":48835,"journal":{"name":"Eating Disorders","volume":" ","pages":"686-702"},"PeriodicalIF":3.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140177331","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 : 2024-11-01Epub Date: 2024-06-23DOI: 10.1080/10640266.2024.2364523
Zali Yager
{"title":"Something, everything, and anything more than nothing: stories of school-based prevention of body image concerns and eating disorders in young people.","authors":"Zali Yager","doi":"10.1080/10640266.2024.2364523","DOIUrl":"10.1080/10640266.2024.2364523","url":null,"abstract":"<p><p>Much work has been done to promote the development of positive body image in schools. This paper aims to tell some stories from the past 35 years of work in this field that illuminate important issues in developing, evaluating, and disseminating programs, and in removing policies and practices that could trigger weight stigma and body shame or disordered eating attitudes and behaviours. The need for, goals of, and approaches to body image programs, problematic activities we have 'good enough' evidence to avoid, and next steps for advocacy, research, and action are explored as we celebrate how far we've come and have hope for the future.</p>","PeriodicalId":48835,"journal":{"name":"Eating Disorders","volume":" ","pages":"727-745"},"PeriodicalIF":3.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141443631","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 : 2024-11-01Epub Date: 2024-08-22DOI: 10.1080/10640266.2024.2394263
Laura Hooper, Jocelyn Lebow, Janna R Gewirtz O'Brien, Rebecca M Puhl, Dianne Neumark-Sztainer
{"title":"Partnerships with primary care providers: Opportunities to prevent eating disorders and mitigate their progression in young people.","authors":"Laura Hooper, Jocelyn Lebow, Janna R Gewirtz O'Brien, Rebecca M Puhl, Dianne Neumark-Sztainer","doi":"10.1080/10640266.2024.2394263","DOIUrl":"10.1080/10640266.2024.2394263","url":null,"abstract":"<p><p>Epidemiologic research has identified numerous interpersonal and individual risk factors for and warning signs of emerging eating disorders in adolescents. These findings have informed public health prevention and treatment strategies, including translation of findings to clinical recommendations for primary care providers (PCPs). A next step in this translational work could include a comprehensive approach where PCPs are seen as partners in efforts to improve population health outcomes. PCPs have great potential to implement high-yield interventions that prevent or attenuate the course of adolescent eating disorders. To illustrate this potential, we present a case that highlights missed opportunities for a PCP to prevent, detect, and intervene during a patient's developing eating disorder. We then relate the case to two emerging research programs that utilize PCP partnerships: one trains PCPs in Strengths-Based Adolescent Healthcare to improve eating disorder prevention; the other adapts Family-Based Treatment for primary care to improve early access to evidence-based treatment. In addition to these promising areas of research, efforts are needed to widen requirements for eating disorder curricula in medical training programs and to address weight stigma in primary care. Together these efforts will help PCPs become effective partners in the prevention and treatment of eating disorders.</p>","PeriodicalId":48835,"journal":{"name":"Eating Disorders","volume":" ","pages":"746-762"},"PeriodicalIF":3.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142019275","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 : 2024-11-01Epub Date: 2024-06-03DOI: 10.1080/10640266.2024.2360256
Eva Trujillo-ChiVacuan, Bertha Winterman-Hemilson, Emilio J Compte, Guadalupe Rodríguez, Marisol Perez, Carolyn Black Becker
{"title":"Adaptation and implementation of body project as a universal body image program in Mexico and Latin America.","authors":"Eva Trujillo-ChiVacuan, Bertha Winterman-Hemilson, Emilio J Compte, Guadalupe Rodríguez, Marisol Perez, Carolyn Black Becker","doi":"10.1080/10640266.2024.2360256","DOIUrl":"10.1080/10640266.2024.2360256","url":null,"abstract":"<p><p>The Body Project (BP) intervention for body image issues is supported by extensive efficacy and effectiveness research, most of which has been conducted in the United States. The BP uses cognitive dissonance to help participants critique the ideal appearance through written, verbal, and behavioral exercises. This reduces the internalization of the appearance ideal, which in turn decreases body dissatisfaction symptoms and, in some individuals, the onset of eating disorders. To broadly implement this program in Mexico and Latin America, Comenzar de Nuevo (CdN), a non-profit organization for eating disorder treatment, partnered with the Body Project Collaborative in 2014. Together, they created a training and implementation infrastructure. This paper explores the adaptation of BP and its implementation in Mexico and Latin America. We used sustainable business, marketing, and educational models to fulfill CdN's mission to reduce eating disorder risk factors, including weight stigma, in the Latin American region. By integrating strategies to combat weight stigma within our program delivery, we strive to contribute to a more inclusive and supportive environment. We trained master trainers, regular trainers, and/or group facilitators from Argentina, Bolivia, Colombia, Costa Rica, Chile, Dominican Republic, El Salvador, Guatemala, Mexico, Panama, and Spain; and implemented the BP in 15 public schools supported by sponsorship programs. This paper provides crucial lessons learned, future directions, and implications for dissemination and implementation efforts in this region of the world.</p>","PeriodicalId":48835,"journal":{"name":"Eating Disorders","volume":" ","pages":"644-665"},"PeriodicalIF":3.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141200880","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 : 2024-11-01Epub Date: 2024-02-20DOI: 10.1080/10640266.2024.2319946
Jordan C Alvarez, Dominic M Denning, Jorge Castro Lebron, Veronica Ho, Sabrina Chen, Tiffany A Brown
{"title":"Differential effects of community involvement on eating disorder prevention outcomes in sexual minority men.","authors":"Jordan C Alvarez, Dominic M Denning, Jorge Castro Lebron, Veronica Ho, Sabrina Chen, Tiffany A Brown","doi":"10.1080/10640266.2024.2319946","DOIUrl":"10.1080/10640266.2024.2319946","url":null,"abstract":"<p><p>Prior research has been conflicted on whether gay community involvement serves as a risk or protective factor for body image and eating disorders (EDs) in sexual minority men (SMM), perhaps given that prior research has examined community involvement unidimensionally. The present study examined whether non-appearance-based (\"social activism\") and appearance-based (\"going out/nightlife\") community involvement differentially predicted ED prevention outcomes in SMM. SMM (<i>N</i> = 73) enrolled in a randomized controlled trial of an ED prevention program completed measures of community involvement, drive for muscularity, body dissatisfaction, and bulimic symptoms at pre-intervention, post-intervention, and 1-month follow-up. \"Social activism\" community involvement moderated intervention effects for drive for muscularity and body dissatisfaction scores, but not bulimic symptoms, such that those who placed higher importance on social activism demonstrated expected improvements, while those who placed lower importance on social activism did not exhibit expected improvements. \"Going out/nightlife\" community involvement did not moderate intervention outcomes; however, greater importance of going out/nightlife was associated with increased body dissatisfaction. Findings support that the impact of community involvement on body image and ED risk for SMM may be nuanced. Encouraging community involvement through activism could help enhance ED prevention efforts for SMM.</p>","PeriodicalId":48835,"journal":{"name":"Eating Disorders","volume":" ","pages":"782-797"},"PeriodicalIF":3.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139906673","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 : 2024-11-01Epub Date: 2024-03-14DOI: 10.1080/10640266.2024.2328402
Summer Pascual, Alyssa Martini, Jessica Gambito, Casper Gemar, Emilee Bell, Kevin Delucio, Anna C Ciao
{"title":"Developing a justice-focused body image program for U.S. middle schoolers: a school-based community-engaged research process.","authors":"Summer Pascual, Alyssa Martini, Jessica Gambito, Casper Gemar, Emilee Bell, Kevin Delucio, Anna C Ciao","doi":"10.1080/10640266.2024.2328402","DOIUrl":"10.1080/10640266.2024.2328402","url":null,"abstract":"<p><p>We describe a community-engaged research process to co-create and implement an evidence-informed, diversity-focused body image program for early adolescents. Our team included middle school staff, students, and teachers, and university faculty and students. Team members had a diverse range of intersecting cis- and transgender, racial, sexuality, and disability identities. Specific steps to the research process included: (1) establishing team leads at each site to maintain a collaborative and non-hierarchical team structure; (2) bi-weekly advisory team meetings to establish program needs and discuss curriculum and implementation options; (3) a year-long youth co-design process to generate content ideas, pilot pieces of programming, and incorporate youth leadership through an equity lens; (4) inclusive program writing from members of socially marginalized groups; (5) program piloting to solicit feedback from teachers, facilitators, and students; and (6) collaboratively incorporating feedback. The resulting 8-session (6 hours total) <i>Body Justice Project</i> has both dissonance-based and media literacy foundations, with topics related to cultural appearance ideals, diet culture and non-diet nutrition, media and appearance pressure, and body autonomy. It is designed for in-class delivery to middle school students by trained college and youth co-facilitator teams. We emphasize guiding principles and lessons learned, along with next steps in implementation.</p>","PeriodicalId":48835,"journal":{"name":"Eating Disorders","volume":" ","pages":"623-643"},"PeriodicalIF":3.0,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140133008","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 : 2024-10-28DOI: 10.1080/10640266.2024.2421047
Maria Karapatsia, Chara Tzavara, Ioannis Michopoulos, Fragiskos Gonidakis
{"title":"Online dialectical behavior therapy for binge eating disorder: an open trial.","authors":"Maria Karapatsia, Chara Tzavara, Ioannis Michopoulos, Fragiskos Gonidakis","doi":"10.1080/10640266.2024.2421047","DOIUrl":"https://doi.org/10.1080/10640266.2024.2421047","url":null,"abstract":"<p><p>The purpose of the present study was to examine the efficacy of online Dialectical Behavior Therapy for Binge Eating Disorder (DBT-BED) in reducing eating psychopathology and investigate the factors that influence the severity and frequency of binge eating. Seventy-three individuals seeking treatment for BED participated in 20 two-hour group sessions. Participants completed the Emotional Eating Scale (EES), Binge Eating Scale (BES), and Eating Disorder Examination Questionnaire (EDE-Q) before and after the treatment and at three- and six-month follow-ups. Results from 58 participants were analyzed. The study results indicated a significant decrease in objective binge eating (OBE) days, as well as in all EES, BES, and EDE-Q subscales (except the Restraint subscale), and global EDE-Q score at the end of treatment and follow-ups. Moreover, the Body Mass Index (BMI) reduced at the end of treatment and during the follow-up period. Except for the Restraint subscale, more OBE days were linked with higher EES, BES, and EDE-Q scores. Overall, the study suggests that online DBT-BED is an effective approach to treating Binge Eating Disorder (BED) for individuals who cannot receive in-person therapy. Further research is necessary to compare the efficacy of online DBT-BED with other interventions.</p>","PeriodicalId":48835,"journal":{"name":"Eating Disorders","volume":" ","pages":"1-18"},"PeriodicalIF":3.0,"publicationDate":"2024-10-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142523440","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 : 2024-10-27DOI: 10.1080/10640266.2024.2418157
David Branford, Anne Webster, Teresa Randon, David Gill, Kirsten Peebles
{"title":"Psychotropic medication prescribed for children and young people with eating disorders in mental health in-patient services: a quality improvement programme.","authors":"David Branford, Anne Webster, Teresa Randon, David Gill, Kirsten Peebles","doi":"10.1080/10640266.2024.2418157","DOIUrl":"https://doi.org/10.1080/10640266.2024.2418157","url":null,"abstract":"<p><p>The aims of this quality improvement programme were to enable providers of mental health in-patient services for children and young people in England to review their prescribing practice alongside the views and experiences of children, young people and their parent carers. Three online tools were developed. First was a medication census tool to be completed by provider clinicians to capture prescribing practices around psychotropic medication. The two other online tools were questionnaires that provided an opportunity for inpatient children and young people and their parent carers to express their views of the medication. 193 children and young people had a primary diagnosis of eating disorders. Antidepressants were the most widely prescribed (56%), followed by antipsychotics (41%), benzodiazepines, and antihistamines as sedatives (18%) and hypnotics (11%). Of those receiving regular psychotropic medications, 67% were prescribed two or more. Both the children and young people and their parent carers expressed concerns about the high level of psychotropic medication, the number of prn administrations, the number of psychotropic medications prescribed and the extent of side effects. Psychotropic medications are widely prescribed both on a regular and on a prn basis for children and young people with eating disorders in mental health in-patient services.</p>","PeriodicalId":48835,"journal":{"name":"Eating Disorders","volume":" ","pages":"1-16"},"PeriodicalIF":3.0,"publicationDate":"2024-10-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142511063","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 : 2024-10-20DOI: 10.1080/10640266.2024.2411476
Laura Lapadat, Angela Gao, Ege Bicaker, Sarah E Racine
{"title":"Examining the roles of reward sensitivity and difficulties in emotion regulation in relation to low-restraint binge eating.","authors":"Laura Lapadat, Angela Gao, Ege Bicaker, Sarah E Racine","doi":"10.1080/10640266.2024.2411476","DOIUrl":"https://doi.org/10.1080/10640266.2024.2411476","url":null,"abstract":"<p><p>Leading treatments for binge eating target dietary restraint, but up to 35% of the people with binge eating report low restraint. This study examined the roles of reward sensitivity and emotion dysregulation in relation to low-restraint binge eating. Women with binge eating (low-restraint: <i>n</i> = 22; high-restraint: <i>n</i> = 69) and controls (<i>n</i> = 49) completed self-report measures of generalized reward sensitivity and emotion dysregulation and a picture-viewing task assessing craving and pleasure for high-calorie food. As expected, food-related craving and emotion dysregulation were greater in the clinical than in the control group, but no differences emerged between high- and low-restraint binge eating groups. However, correlational analyses found that, within the clinical group, the number of restraint days related to greater anticipatory sensitivity for generalized rewards and lower pleasure ratings of food. Results suggest that emotion dysregulation characterizes both high- and low-restraint binge eating. As self-reported food liking was linked with lower restraint, greater enjoyment of palatable foods may uniquely contribute to low-restraint binge eating. Increasing emphasis on emotion regulation and food-related reward sensitivity may enhance treatment outcomes for individuals with low-restraint binge eating.</p>","PeriodicalId":48835,"journal":{"name":"Eating Disorders","volume":" ","pages":"1-16"},"PeriodicalIF":3.0,"publicationDate":"2024-10-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142478447","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}