{"title":"Body image distress and disordered eating among gay and straight men from Greece and Cyprus.","authors":"Marios Argyrides, Elly Anastasiades, Antonios Dakanalis, Stefani Rodosthenous","doi":"10.1080/10640266.2024.2349337","DOIUrl":"https://doi.org/10.1080/10640266.2024.2349337","url":null,"abstract":"<p><p>Sociocultural factors play a significant role in the development of body image distress and disordered eating behavior in diverse populations, including men. One group which seems to be at increased risk, is sexual minority men. However, these factors have rarely been studied outside of Western populations. The present study sought to explore these factors in Greek and Greek-Cypriot men. Greek and Greek-Cypriot men (<i>N</i> = 367; <i>n</i> = 162 gay; <i>n</i> = 205 straight) completed measures of sociocultural pressures, appearance comparisons, body dissatisfaction, body appreciation and disordered eating. Results indicated that gay men were more likely to have disordered eating habits than straight men. Additionally, gay men had significantly lower scores on measures of body-image related wellbeing (i.e. satisfaction and appreciation), and higher on measures of societal pressures and appearance-related comparisons, appearance-related anxiety and disordered eating. Greek and Greek-Cypriot gay men had lower levels of muscularity internalization than straight men. Our findings extend research on body image distress and disordered eating in gay and straight men to Greek and Greek-Cypriot populations.</p>","PeriodicalId":48835,"journal":{"name":"Eating Disorders","volume":"33 1","pages":"44-59"},"PeriodicalIF":3.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142984843","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 : 2025-01-01Epub Date: 2024-06-26DOI: 10.1080/10640266.2024.2371250
Scout Silverstein, Megan Hellner, Jessie Menzel
{"title":"Development of a gender-affirming care protocol in eating disorder treatment settings.","authors":"Scout Silverstein, Megan Hellner, Jessie Menzel","doi":"10.1080/10640266.2024.2371250","DOIUrl":"10.1080/10640266.2024.2371250","url":null,"abstract":"<p><p>Transgender and gender-expansive (TGE) individuals suffer from eating disorders (EDs) at disproportionate rates relative to their gender-conforming counterparts. While literature on EDs in TGE populations is growing and evolving, best practice guidelines are scant. A framework for providing gender-affirming care (GAC) in an ED treatment setting was developed by integrating findings from a focused literature review and insights from leading experts. Following synchronous and asynchronous training, the protocol was implemented in a virtual ED treatment setting with a national reach serving patients ages 6-24 years. This paper offers a summary of best practices and approaches for providing GAC in ED treatment settings. The use of GAC practices has the potential to address underlying issues and inequities in treatment delivery and outcomes. We encourage ED treatment providers to consider the adoption/adaptation of GAC best practices to more effectively meet the needs of TGE patients. More research is needed to better understand the influence of individual and collective GAC practices on specific ED treatment outcomes.</p>","PeriodicalId":48835,"journal":{"name":"Eating Disorders","volume":" ","pages":"160-176"},"PeriodicalIF":3.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141452002","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 : 2025-01-01Epub Date: 2024-08-06DOI: 10.1080/10640266.2024.2381319
Scout Silverstein, Tamara Santibañez
{"title":"A qualitative investigation of tattooing as an adaptive appearance investment: positive body image and eating disorder recovery in a predominantly transgender and gender expansive sample.","authors":"Scout Silverstein, Tamara Santibañez","doi":"10.1080/10640266.2024.2381319","DOIUrl":"10.1080/10640266.2024.2381319","url":null,"abstract":"<p><p>Tattooed individuals often express the positive effects of wearing body art toward improved self-image and confidence. This research builds on prior data exploring the positive effects of tattooing and investigates how tattoos impact one's relationship to eating disorder (ED) recovery and body image. We held three focus groups lasting 60 minutes each, recruiting participants via purposive snowball sampling (<i>n</i> = 15), with additional opportunities to respond to focus group prompts asynchronously. Eligible participants were individuals with lived experience of an ED, self-identified as being in recovery, had three or more tattoos, and spoke English. Participants predominantly held gender-expansive (<i>n</i> = 4 Non-Binary, <i>n</i> = 3 Genderqueer, <i>n</i> = 3 Cisgender Women, <i>n</i> = 3 Transgender, <i>n</i> = 2 Transmasculine, <i>n</i> = 2 Gender Non-Conforming, <i>n</i> = 2 Intersex, <i>n</i> = 1 Cisgender Man) and non-heterosexual identities. Focus groups were held between April 2021 and July 2023 and followed a semi-structured interview format. Primary analyses focused on participants' responses to open-ended prompts regarding how they understood the relationships between tattooing, body image, and ED recovery. Thematic analysis identified four core themes: Tattooing allowing for embodiment, tattooing allowing for recovery-oriented behaviors, tattooing enabling positive body image, and tattooing facilitating empowerment. An overarching message was that tattooing is a therapeutic and transformative process, allowing for self-determination. Participants indicated that tattooing can be experienced as a powerful mechanism for behavioral change and shifts in relationship to one's body. Participants expressed that tattooing can be an effective route towards both gender euphoria and body liberation, enhancing one's ability to maintain ED recovery.</p>","PeriodicalId":48835,"journal":{"name":"Eating Disorders","volume":" ","pages":"78-99"},"PeriodicalIF":3.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141894689","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 : 2024-12-27DOI: 10.1080/10640266.2024.2434355
Natalie Tamplin, Wei Lin Toh, Andrea Phillipou
{"title":"Self-objectification and eating disorder psychopathology in women: the mediating role of rumination.","authors":"Natalie Tamplin, Wei Lin Toh, Andrea Phillipou","doi":"10.1080/10640266.2024.2434355","DOIUrl":"https://doi.org/10.1080/10640266.2024.2434355","url":null,"abstract":"<p><p>Objectification theory posits that self-objectification can lead to disordered eating, with significant positive correlations between self-objectification and eating disorder (ED) psychopathology found in women in both clinical and non-clinical samples. Maladaptive rumination is another process frequently associated with EDs, but its relationship with self-objectification and ED psychopathology needs further investigation. Our aim was to conduct a preliminary test to investigate whether maladaptive rumination mediated the relationship between self-objectification and ED psychopathology in women. Data were collected online from a general community sample of 243 women. Correlation and mediation analyses were undertaken. Significant positive associations were found between rumination, self-objectification, and ED psychopathology. Rumination significantly mediated the relationship between self-objectification and ED psychopathology, accounting for 20.52% of the variance, suggesting that a greater tendency to ruminate may contribute to ED vulnerability in those with high self-objectification. These preliminary findings may inform assessment and formulation of women presenting with ED psychopathology in addition to supporting psychological interventions (e.g. CBT or acceptance-based approaches), which can target both self-objectification and rumination processes. Future research involving replication with clinical samples is warranted to corroborate the relationship between these constructs, their impact on ED psychopathology over time and to investigate their utility in assessment and treatment approaches.</p>","PeriodicalId":48835,"journal":{"name":"Eating Disorders","volume":" ","pages":"1-17"},"PeriodicalIF":3.0,"publicationDate":"2024-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142899370","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 : 2024-12-27DOI: 10.1080/10640266.2024.2433825
Kaixian Wang, Yifan Chen, Yunxi Zhong, Meiqi Wang, Xiaoying Su, Qixiu Li, Zhen Wei, Long Sun
{"title":"Global, regional, and national secular trends in the burden of anorexia nervosa, 1990-2019: a joinpoint and age-period-cohort analysis for the global burden of disease 2019.","authors":"Kaixian Wang, Yifan Chen, Yunxi Zhong, Meiqi Wang, Xiaoying Su, Qixiu Li, Zhen Wei, Long Sun","doi":"10.1080/10640266.2024.2433825","DOIUrl":"https://doi.org/10.1080/10640266.2024.2433825","url":null,"abstract":"<p><p>Anorexia nervosa (AN) is an eating disorder that is significantly associated with severely impaired physiological functions, multiple organ failure, and suicidal ideation. This study aims to estimate the global, regional, and national secular trends of AN burden based on Global Burden of Diseases (GBD) 2019 data. The pertinent data for AN were collected from the GBD Study 2019. The long-term trends of the burden of AN were analyzed in different Social Demographic Index (SDI) regions by Joinpoint regression, Age-Period-Cohort analysis, and the Estimated Annual Percentage Changes. This study found that the global burden of AN gradually increased over the past 30 years, with the highest burden remaining in high-income countries, but the biggest increasing trend was observed in Asian region. AN was more common in adolescents and young women, but it was growing rapidly in adolescents and young men. Disability-adjusted life years (DALYs) caused by AN was the highest in the age group of 15-24 years among all SDI levels. The risk of AN rapidly increased since the beginning of the twenty-first century apart from high SDI regions, and it was higher in later-born cohorts than the earlier ones in various SDI areas. Future studies could verify our findings by using individual-level data. Our findings could help policy makers around the world understand the burden of AN in their countries and develop appropriate health policies for prevention and early intervention for high-risk populations.</p>","PeriodicalId":48835,"journal":{"name":"Eating Disorders","volume":" ","pages":"1-23"},"PeriodicalIF":3.0,"publicationDate":"2024-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142899363","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":"Enhancing assessment for eating disorders: the impact of a podcast-based pre-treatment psychoeducation intervention.","authors":"Madeleine Tatham, Harriet Wells, Jessica Beard, Glenn Waller","doi":"10.1080/10640266.2024.2435691","DOIUrl":"https://doi.org/10.1080/10640266.2024.2435691","url":null,"abstract":"<p><p>This study reports the outcome of a low intensity pre-treatment intervention (a guided e-health podcast) for patients with anorexia nervosa and bulimia nervosa, delivered between assessment and the start of the full outpatient treatment programme. A case series design was used. A total of 254 patients at a specialist eating disorder service were offered a pre-treatment three-week psychoeducational intervention (Keeping Myself Safe; KMS), and 203 undertook the intervention. The intervention consisted of six podcasts (107 mins), an accompanying workbook, and a follow-up review appointment. Body Mass Index and Eating Disorder Examination-Questionnaire scores were taken at assessment, end of the KMS intervention (mean duration = 21.9 days) and start of treatment (mean = 79.8 days post KMS intervention). Generalised Linear Mixed Models were used to test main and interaction effects (diagnosis x time). There were improvements on most variables following the KMS intervention. The effects were more pronounced for patients with bulimia nervosa across several measures. Pre-treatment guided e-health psychoeducational interventions can be associated with early attitudinal and behavioural change in patients with bulimia nervosa and anorexia nervosa whilst on the waiting list for treatment. They allow greater, affordable accessibility to effective psychoeducation and enhance potential engagement. More research is required to investigate the longer-term impact on retention and outcome, particularly in anorexia nervosa.</p>","PeriodicalId":48835,"journal":{"name":"Eating Disorders","volume":" ","pages":"1-15"},"PeriodicalIF":3.0,"publicationDate":"2024-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142899324","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 : 2024-12-21DOI: 10.1080/10640266.2024.2441540
Emy Nimbley, Ellen Maloney, Karri Gillespie-Smith, Helen Sharpe, Kyle Buchan, Sarah Kettley, Jessica Bragg, Alison Shepherd, Becky Choat, Joseph Long, Isla Whateley, Ollie Booth, Julie-Anne Baker, Nix Renton, Emily Nuttal, Harriet Darley, Lin Fidgin, Laura Campbell, Tasha Suratwala, Casper Temple, Kayleigh MacDonald, Sammi Carden, Bryanna Lazich, Jess Kerr-Gaffney, Michelle Sader, Gordon Waiter, Kate Tchanturia, Fiona Duffy
{"title":"Conducting ethical, co-produced research with autistic individuals with an eating disorder: best practice guidelines.","authors":"Emy Nimbley, Ellen Maloney, Karri Gillespie-Smith, Helen Sharpe, Kyle Buchan, Sarah Kettley, Jessica Bragg, Alison Shepherd, Becky Choat, Joseph Long, Isla Whateley, Ollie Booth, Julie-Anne Baker, Nix Renton, Emily Nuttal, Harriet Darley, Lin Fidgin, Laura Campbell, Tasha Suratwala, Casper Temple, Kayleigh MacDonald, Sammi Carden, Bryanna Lazich, Jess Kerr-Gaffney, Michelle Sader, Gordon Waiter, Kate Tchanturia, Fiona Duffy","doi":"10.1080/10640266.2024.2441540","DOIUrl":"10.1080/10640266.2024.2441540","url":null,"abstract":"<p><p>There is a notable overlap between autism and eating disorders (EDs), and autistic individuals may experience poorer ED treatment outcomes than non-autistic peers. To make meaningful change in this field, it is imperative that we actively engage in co-production of research, however there are currently no guidelines to support co-production with autistic people with eating disorders. This paper reports on best practice guidelines that were co-produced across a series of workshops bringing together autistic people with EDs, researchers, clinicians, third-sector organisations, and parents/carers. The guidelines are intended to be used as a foundation for future co-produced autism and ED research. By creating a trusted, ethical co-production relationship, we hope to generate more clinically meaningful and translatable research.</p>","PeriodicalId":48835,"journal":{"name":"Eating Disorders","volume":" ","pages":"1-11"},"PeriodicalIF":3.0,"publicationDate":"2024-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142873229","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":"The effect of Acceptance and Commitment Therapy on perceived stress, rumination, and distress tolerance in women with Bulimia Nervosa.","authors":"Sasan Bavi, Farzaneh Heidari Soureshjani, Zeinab Ahmadi","doi":"10.1080/10640266.2024.2433816","DOIUrl":"https://doi.org/10.1080/10640266.2024.2433816","url":null,"abstract":"<p><p>This study aimed to evaluate the efficacy of Acceptance and Commitment Therapy (ACT) in mitigating perceived stress, rumination, and distress tolerance among women diagnosed with Bulimia Nervosa (BN) in Ahvaz, Iran. A quasi-experimental pre-test-post-test design with a control group was employed. The target population consisted of all female BN patients referred to the Ahvaz Binge Eaters Association between February and May 2022. Patients were definitively diagnosed with BN by a clinical specialist using a structured clinical interview adhering to DSM-5 criteria. From an initial pool of 91 patients, 50 were randomly selected for participation and subsequently assigned to either the experimental or control group, with each group comprising 25 individuals. Pre-test analysis revealed no significant group differences in perceived stress, rumination, or distress tolerance among women with BN. However, post-test scores indicated a significant decrease in both perceived stress and rumination within the experimental group compared to the control group (<i>p</i> < .01). Furthermore, the post-test analysis demonstrated that ACT intervention significantly improved distress tolerance in women with BN (<i>p</i> < .01). These findings suggest that ACT may be a promising therapeutic approach for alleviating psychological distress and enhancing emotional regulation in individuals grappling with BN.</p>","PeriodicalId":48835,"journal":{"name":"Eating Disorders","volume":" ","pages":"1-13"},"PeriodicalIF":3.0,"publicationDate":"2024-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142752024","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 : 2024-11-19DOI: 10.1080/10640266.2024.2420419
Andrea LaMarre, Lori Wozney, Nicole Obeid, Sonia Kumar, Shaleen Jones, Gina Dimitropoulos, Jennifer Couturier
{"title":"Peer mentors' experiences of delivering peer support for individuals with eating disorders: giving back and supporting processes of change.","authors":"Andrea LaMarre, Lori Wozney, Nicole Obeid, Sonia Kumar, Shaleen Jones, Gina Dimitropoulos, Jennifer Couturier","doi":"10.1080/10640266.2024.2420419","DOIUrl":"10.1080/10640266.2024.2420419","url":null,"abstract":"<p><p>Peer support is a promising approach to increasing hope, engagement, and connection for those with eating disorders (EDs). Emerging literature explores peer mentors' experiences of providing support, suggesting that mentors often benefit from providing peer support, particularly when well trained and supervised. We conducted semi-structured interviews or focus groups with 15 individuals providing peer support (one-on-one, group, or chat) to individuals with EDs. We identified 3 themes using reflexive thematic analysis (RTA) through a critical realist lens. Participants emphasized the importance of ongoing training and support to help them deliver high-quality peer support. They highlighted the importance of value-alignment in this work in terms of organizational valuing of lived experience and alignment with social justice. Participants reflected on how doing this work contributed to a sense of \"giving back\" and providing the kind of support they wished they had experienced. Providing peer support was described as emotion work; a challenging and rewarding experience for peer mentors. Findings carry implications for integrating peer support into the continuum of care for EDs, providing insight into approaches that can support peer support delivery in a way that promotes safety for those providing and receiving it.</p>","PeriodicalId":48835,"journal":{"name":"Eating Disorders","volume":" ","pages":"1-15"},"PeriodicalIF":3.0,"publicationDate":"2024-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142669540","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":"Absolute and relative outcomes of cognitive behavior therapy for eating disorders in adults: a meta-analysis.","authors":"Pim Cuijpers, Mathias Harrer, Clara Miguel, Aaron Keshen, Eirini Karyotaki, Jake Linardon","doi":"10.1080/10640266.2024.2421057","DOIUrl":"10.1080/10640266.2024.2421057","url":null,"abstract":"<p><p>Cognitive-behavioral therapy (CBT) is the best examined treatment for eating disorders. However, previous meta-analyses of cognitive-behavioral therapy have not examined absolute outcomes, which are important from a clinical perspective. We updated a meta-analysis and conducted new searches in PubMed, Embase, PsycINFO and CINAHL. We included randomized trials comparing CBT with control conditions in adults with a diagnosed eating disorder. We used random effects models in all analyses. We included 36 trials with 44 comparisons between CBT and controls (2,809 participants), 22 trials on binge eating disorder (BED), 11 on bulimia nervosa (BN), and three on anorexia nervosa and mixed disorders. The overall effect of CBT compared to controls was g = 0.88 (95% CI: 0.71; 1.04), with high heterogeneity (<i>I</i><sup><i>2</i></sup> = 74; 95% CI: 65; 81; PI: -0.06; 1.81) and no significant difference between BED and BN. Effects were smaller studies with low risk of bias. The absolute abstinence rate was 0.36 (95% CI: 0.31; 0.43) for CBT and 0.10 (95% CI: 0.08; 0.12) in controls. CBT is probably effective in the treatment of bulimia nervosa and binge-eating disorder, but there is also a large group of patients who do not respond sufficiently.</p>","PeriodicalId":48835,"journal":{"name":"Eating Disorders","volume":" ","pages":"1-22"},"PeriodicalIF":3.0,"publicationDate":"2024-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142607115","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}