Eating Disorders最新文献_第6页

Weight concern in women in drug treatment: A shared motivational factor for substance use and eating pathology. 药物治疗中女性的体重问题：药物使用和饮食病理的共同动机因素。

IF 3.5 3区医学

Eating Disorders Pub Date : 2026-06-03 DOI: 10.1080/10640266.2026.2680102

Cortney S Warren, Anne R Lindsay, Najat Elgeberi, Nichol Heleman

{"title":"Weight concern in women in drug treatment: A shared motivational factor for substance use and eating pathology.","authors":"Cortney S Warren, Anne R Lindsay, Najat Elgeberi, Nichol Heleman","doi":"10.1080/10640266.2026.2680102","DOIUrl":"https://doi.org/10.1080/10640266.2026.2680102","url":null,"abstract":"Although research suggests high rates of comorbidity between eating and substance use disorders, relatively few studies examine weight concern and its relationship to both substance use and eating pathology in women in drug treatment settings. This study explored these relationships in a clinical sample of 1,533 women in outpatient and residential treatment for substance use. Results revealed that 12.3% had a lifetime eating disorder diagnosis and 21% reported eating pathology without a formal diagnosis. About 44% strongly agreed that they started using substances for weight loss purposes and more than half were concerned about weight gain in recovery (59%). The most commonly endorsed appearance-related motivations for drug use were \"drugs make me feel attractive\" (59%) and \"drugs help me stay thin\" (53%). Concern about weight gain in treatment was positively correlated with weight-related substance use motivation, body dissatisfaction, binge eating, and general eating pathology. Regression analyses indicated that as motivation to use drugs for weight loss increased so did the severity of body dissatisfaction and binge eating. These findings suggest that conceptualizing weight concern as a multidiagnostic factor that can motivate, maintain or trigger both substance use and eating pathology would benefit many women in drug treatment.","PeriodicalId":48835,"journal":{"name":"Eating Disorders","volume":" ","pages":"1-17"},"PeriodicalIF":3.5,"publicationDate":"2026-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148151420","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Self-concept clarity and eating pathology: a systematic review of associations with disordered eating symptoms. 自我概念清晰与饮食病理：与饮食失调症状相关的系统综述。

IF 3.5 3区医学

Eating Disorders Pub Date : 2026-05-25 DOI: 10.1080/10640266.2026.2677623

Lorenzo Antichi, Elisa Rabarbari, Osmano Oasi, Giuseppe Riva

{"title":"Self-concept clarity and eating pathology: a systematic review of associations with disordered eating symptoms.","authors":"Lorenzo Antichi, Elisa Rabarbari, Osmano Oasi, Giuseppe Riva","doi":"10.1080/10640266.2026.2677623","DOIUrl":"https://doi.org/10.1080/10640266.2026.2677623","url":null,"abstract":"Self-concept clarity (SCC) refers to the degree to which the self-concept is well defined, internally consistent, and temporally stable, and has been theorized as a vulnerability factor in the development and maintenance of eating disorders (EDs). This systematic review examined the association between SCC, related aspects of identity functioning, and ED symptoms. Peer-reviewed quantitative studies in English, conducted in clinical, at-risk, or community samples, that measured SCC/identity and ED symptoms were included (while qualitative studies, theoretical studies, reviews, case reports, and grey literature were excluded). The search was conducted using PubMed, PsycINFO, Scopus, and Web of Science, supplemented by citation tracking and screening of reference lists. The risk of bias was assessed using the AXIS tool, and the results were summarized narratively due to heterogeneity, which precluded a meta-analysis. A total of 23 studies were included. Lower SCC and poorer identity functioning were consistently associated with higher levels of ED symptoms. Moreover, some longitudinal studies provided preliminary support for bidirectional associations between identity functioning and specific ED symptoms (particularly bulimia and body dissatisfaction). The association between SCC and ED symptoms was frequently mediated by thin-ideal internalization, social comparison, perfectionism, and emotional dysregulation. In conclusion, the results supported the hypothesis that SCC deficits and identity disturbances represent vulnerability mechanisms in ED onset and maintenance, highlighting the importance of interventions targeting self and identity functioning.","PeriodicalId":48835,"journal":{"name":"Eating Disorders","volume":" ","pages":"1-29"},"PeriodicalIF":3.5,"publicationDate":"2026-05-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148018409","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

From an integrative perspective: the role of inhibitory processes in non-clinical disordered eating behaviors. 从综合的角度：抑制过程在非临床饮食失调行为中的作用。

IF 3.5 3区医学

Eating Disorders Pub Date : 2026-05-19 DOI: 10.1080/10640266.2026.2675548

Manon Saeys, Helen Tobback, Kris Baetens, Laurence Claes, Natacha Deroost

{"title":"From an integrative perspective: the role of inhibitory processes in non-clinical disordered eating behaviors.","authors":"Manon Saeys, Helen Tobback, Kris Baetens, Laurence Claes, Natacha Deroost","doi":"10.1080/10640266.2026.2675548","DOIUrl":"https://doi.org/10.1080/10640266.2026.2675548","url":null,"abstract":"Prior research in clinical eating disorder populations suggests that altered inhibition-underactive and overactive-contribute to overeating/purging and restrictive eating, respectively. However, it remains unclear whether these alterations manifest at non-clinical levels, which is particularly important from a preventive perspective. Currently, research in non-clinical DEBs is fairly limited, generally relying on small samples and restrictive DEB. This study examined behavioral (reactive and proactive) and dispositional (Behavioral Approach/Inhibition Systems (BIS/BAS), Effortful Control (EC)) measures of inhibition among different non-clinical DEBs in a large sample of adults (N = 425), classified into a restrictive (n = 80), binge-eating/purging (n = 173), and comparison (n = 172) group. Participants completed two inhibition tasks (Stop-Signal Task, Go/NoGo Task) and self-report questionnaires (BIS/BAS scales, EC scale). Results revealed that individuals with restrictive DEB exhibited increased proactive inhibition, whereas no significant differences were observed for reactive inhibition. No behavioral differences were found for the binge-eating/purging group, though they reported lower self-reported EC. Elevated BIS levels were observed in both DEB groups relative to comparisons. These findings provide preliminary support for inhibitory alterations among non-clinical DEBs and highlight the potential utility of assessing and targeting inhibitory processes in future longitudinal research as part of a broader preventive framework for DEBs.","PeriodicalId":48835,"journal":{"name":"Eating Disorders","volume":" ","pages":"1-18"},"PeriodicalIF":3.5,"publicationDate":"2026-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147976499","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Validity of nutrition-related outcome measures in eating disorder treatment: a scoping review. 饮食失调治疗中营养相关结果测量的有效性：范围综述。

IF 3.5 3区医学

Eating Disorders Pub Date : 2026-05-18 DOI: 10.1080/10640266.2026.2669112

Lauren Pearson, Amy Kirkegaard, Jennifer Crowley, Kylie Matthews-Rensch, Lauren Ball

{"title":"Validity of nutrition-related outcome measures in eating disorder treatment: a scoping review.","authors":"Lauren Pearson, Amy Kirkegaard, Jennifer Crowley, Kylie Matthews-Rensch, Lauren Ball","doi":"10.1080/10640266.2026.2669112","DOIUrl":"10.1080/10640266.2026.2669112","url":null,"abstract":"This scoping review aimed to identify nutrition-related outcome measures used in experimental eating disorder studies and synthesise evidence on their validity. Five databases were searched for experimental studies reporting nutrition-related outcome measures in eating disorder treatment, published between January 1990 and February 2025. Data on outcome measures, their context and validity were extracted and synthesised according to alignment with the Nutrition Care Process, a framework used by dietitians. A supplementary search identified additional evidence on the validity of each measure. Sixty studies were included. Most were randomised controlled trials (n = 39) focusing on anorexia nervosa (n = 18) or binge eating disorder (n = 18). Fifty outcome measures may indicate nutrition-related change, though used and defined inconsistently. One tool addressed all Nutrition Care Process categories and 52% (n = 26) demonstrated evidence of validity. No validated tools were explicitly designed to assess nutrition-related outcomes. The development and validation of a nutrition-specific outcome tool is a priority.","PeriodicalId":48835,"journal":{"name":"Eating Disorders","volume":" ","pages":"1-31"},"PeriodicalIF":3.5,"publicationDate":"2026-05-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147965012","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Hospital-at-home programmes targeting adolescents with eating disorders: a scoping review. 针对饮食失调青少年的居家医院方案：范围审查。

IF 3.5 3区医学

Eating Disorders Pub Date : 2026-05-14 DOI: 10.1080/10640266.2026.2672042

Birgitte Nørgaard, Simone McNee Mogensen, Signe Vogn Bakken Hansen, Mette Lindholm B Amlund, Charlotte Overgaard

{"title":"Hospital-at-home programmes targeting adolescents with eating disorders: a scoping review.","authors":"Birgitte Nørgaard, Simone McNee Mogensen, Signe Vogn Bakken Hansen, Mette Lindholm B Amlund, Charlotte Overgaard","doi":"10.1080/10640266.2026.2672042","DOIUrl":"https://doi.org/10.1080/10640266.2026.2672042","url":null,"abstract":"Hospital-at-home (HaH) programmes are emerging as alternatives to inpatient care for adolescents with eating disorders (EDs). The objective of this scoping review was to identify and map the existing evidence on HaH programmes targeting adolescents with EDs in vulnerable positions. Systematic searches were conducted on the MEDLINE, Embase, and CINAHL for studies describing HaH programmes targeting adolescents (aged between 10 and 19) suffering from EDs. Eight studies met the inclusion criteria. Data are reported descriptively and narratively. Despite an overall focus on EDs, all studies included adolescents with anorexia nervosa. HaH programmes were generally associated with improved BMI, symptom severity, quality of life, and motivation to change, as well as decreased admission or readmission rates. HaH programmes targeting adolescents with EDs (here, anorexia nervosa) showed positive outcomes compared to typical treatment in terms of improved BMI, symptom severity, quality of life, and motivation to change, alongside reduced admission or readmission rates.","PeriodicalId":48835,"journal":{"name":"Eating Disorders","volume":" ","pages":"1-21"},"PeriodicalIF":3.5,"publicationDate":"2026-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147943240","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Examining the impacts of nonsuicidal self-injury on eating disorder treatment. 研究非自杀性自伤对饮食失调治疗的影响。

IF 3.5 3区医学

Eating Disorders Pub Date : 2026-05-13 DOI: 10.1080/10640266.2026.2670591

Carli Mastronardi, Christina A Osorio, Jason J Washburn

引用次数: 0

Examining the effects of a transdiagnostic treatment model on anxiety sensitivity, experiential avoidance, and mindfulness in Black, Indigenous, and People of Color with eating disorders. 研究跨诊断治疗模式对黑人、原住民和有色人种饮食失调患者焦虑敏感性、经验回避和正念的影响。

IF 3.5 3区医学

Eating Disorders Pub Date : 2026-05-13 DOI: 10.1080/10640266.2026.2670593

Adriana C Labarta, Kelly Emelianchik-Key, Michael DeDonno, Carman S Gill

{"title":"Examining the effects of a transdiagnostic treatment model on anxiety sensitivity, experiential avoidance, and mindfulness in Black, Indigenous, and People of Color with eating disorders.","authors":"Adriana C Labarta, Kelly Emelianchik-Key, Michael DeDonno, Carman S Gill","doi":"10.1080/10640266.2026.2670593","DOIUrl":"https://doi.org/10.1080/10640266.2026.2670593","url":null,"abstract":"Black, Indigenous, and People of Color (BIPOC) experience eating disorder (ED) symptoms at rates consistent with non-Hispanic White individuals. Yet, there remains a lack of evidence-based treatment and outcomes research for BIPOC with EDs. Transdiagnostic approaches can address symptoms related to EDs and co-occurring mental health conditions by targeting underlying factors that present across emotional disorders. The purpose of the study was to examine the long-term effects of the Unified Treatment Model for Eating Disorders and Comorbidity (UTM) on transdiagnostic factors, specifically anxiety sensitivity, experiential avoidance, and mindfulness, in BIPOC with EDs. The sample included 470 BIPOC clients who received the UTM in residential ED treatment. Using repeated measures ANOVA, we examined changes in core transdiagnostic mechanisms using the Anxiety Sensitivity Index (ASI), Brief Experiential Avoidance Questionnaire (BEAQ), and Southampton Mindfulness Questionnaire (SMQ) to determine treatment differences during treatment admission, discharge, and six months post-discharge. Results revealed statistically significant differences in ASI, BEAQ, and SMQ scores from admission to discharge, with treatment progress maintained between discharge and six-month follow-up. The UTM represents a promising treatment approach for BIPOC in residential ED treatment, targeting core transdiagnostic mechanisms across emotional disorders. Clinical implications are discussed, including culturally responsive conceptualization and treatment, as well as recommendations for future research.","PeriodicalId":48835,"journal":{"name":"Eating Disorders","volume":" ","pages":"1-18"},"PeriodicalIF":3.5,"publicationDate":"2026-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147934735","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

On hold: the psychological impact of prolonged waitlists for eating disorder treatment. 等待：长时间等待进食障碍治疗的心理影响。

IF 3.5 3区医学

Eating Disorders Pub Date : 2026-05-08 DOI: 10.1080/10640266.2026.2648818

Rosie Blackburn, Kate E Tonta, Katharina Targowski, Lauren J Breen, Peter M McEvoy

{"title":"On hold: the psychological impact of prolonged waitlists for eating disorder treatment.","authors":"Rosie Blackburn, Kate E Tonta, Katharina Targowski, Lauren J Breen, Peter M McEvoy","doi":"10.1080/10640266.2026.2648818","DOIUrl":"https://doi.org/10.1080/10640266.2026.2648818","url":null,"abstract":"Prolonged waitlists for eating disorder (ED) treatment are a growing concern in Australia, with limited access to specialised services contributing to delays in care. Despite increasing awareness of these systemic barriers, little is known about the lived experience of adults awaiting psychological treatment for EDs. This study explored the psychological and emotional impacts of being on a waitlist and the coping strategies individuals employ during this time. Fourteen females (M = 27.1 years) who were currently, or had recently been, on a waitlist for ED treatment in Australia participated in semi-structured interviews. Data were analysed using reflexive thematic analysis within a critical-realist framework. Participants described feeling deprioritised, not \"sick enough\", and that the waitlist itself contributed to symptom escalation. Four key themes were generated: living in limbo, reflecting uncertainty and disempowerment; incubation period, describing exacerbation of ED symptoms and psychological distress; reliance on other support, illustrating variable use of formal and informal networks; and alternative coping mechanisms, highlighting the use of previously learned strategies. Findings suggest that prolonged waiting can intensify distress, entrench ED behaviours, and undermine recovery motivation. Enhancing communication, interim support, and structured self-help may help mitigate these harms and improve service responses during the waitlist period.","PeriodicalId":48835,"journal":{"name":"Eating Disorders","volume":" ","pages":"1-17"},"PeriodicalIF":3.5,"publicationDate":"2026-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147844919","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Predictors of treatment outcome in a residential program for binge-eating spectrum disorders. 暴食谱系障碍住院治疗项目治疗结果的预测因素。

IF 3.5 3区医学

Eating Disorders Pub Date : 2026-05-08 DOI: 10.1080/10640266.2026.2670595

Sophie R Abber, Marie Campione, Nikhila S Udupa, Min Eun Jeon, Dan V Blalock, Craig Johnson, Renee D Rienecke, Philip S Mehler, Alan Duffy, Maryrose Bauschka, Jamie Manwaring, Thomas E Joiner

{"title":"Predictors of treatment outcome in a residential program for binge-eating spectrum disorders.","authors":"Sophie R Abber, Marie Campione, Nikhila S Udupa, Min Eun Jeon, Dan V Blalock, Craig Johnson, Renee D Rienecke, Philip S Mehler, Alan Duffy, Maryrose Bauschka, Jamie Manwaring, Thomas E Joiner","doi":"10.1080/10640266.2026.2670595","DOIUrl":"https://doi.org/10.1080/10640266.2026.2670595","url":null,"abstract":"Higher-level-of-care eating disorder (ED) treatment programs are often designed specifically for individuals with restrictive EDs, and those with binge-eating spectrum disorders (BESD) have different needs. The present study sought to understand predictors of outcome in a residential treatment program designed specifically for BESD. Ninety-nine participants (81% female, 80% White, Mage = 34) admitted to a residential program designed specifically for BESD completed assessments at admission, discharge, 6-month follow-up, and 12-month follow-up. We examined ED-related and comorbid symptom predictors of binge eating severity at discharge and follow-up. In multivariate regression models, cognitive restraint, depression, anxiety, and trauma symptoms significantly predicted binge eating severity at discharge, but at 12-month follow-up, only depression and trauma symptoms remained significant predictors. Individuals with lower cognitive restraint and comorbid symptoms may benefit more from this type of treatment. Further tailoring BESD residential treatment to provide additional skills for managing cognitive restraint and comorbid symptoms may be warranted.","PeriodicalId":48835,"journal":{"name":"Eating Disorders","volume":" ","pages":"1-9"},"PeriodicalIF":3.5,"publicationDate":"2026-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147844887","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Beyond cognitive primacy in eating disorder treatment integrating neurodiversity, chronic invalidation, and multidiagnostic realities: a commentary on Murphy et al. (2025). 超越饮食失调治疗的认知首要性，整合神经多样性、慢性无效和多诊断现实：对Murphy等人（2025）的评论。

IF 3.5 3区医学

Eating Disorders Pub Date : 2026-05-05 DOI: 10.1080/10640266.2026.2669109

Anita Federici, Marissa Adams, James Downs

{"title":"Beyond cognitive primacy in eating disorder treatment integrating neurodiversity, chronic invalidation, and multidiagnostic realities: a commentary on Murphy et al. (2025).","authors":"Anita Federici, Marissa Adams, James Downs","doi":"10.1080/10640266.2026.2669109","DOIUrl":"https://doi.org/10.1080/10640266.2026.2669109","url":null,"abstract":"Enhanced cognitive behaviour therapy (CBT-E) remains a cornerstone of evidence-based treatment for eating disorders (EDs). While effective for many individuals, its conceptual and procedural scope may not fully capture the clinical realities of some autistic, neurodivergent, multidiagnostic, and treatment-experienced populations. Drawing on recent research and clinical experience, we describe how ED behaviours in these groups are often shaped by sensory and interoceptive processes, neurobiological threat responses, chronic invalidation, trauma histories, and difficulties with emotional and interpersonal regulation that may operate alongside, or independently of, weight and shape concerns. When such mechanisms are under-specified, behaviour is more likely to be misinterpreted as resistance or non-compliance, and lived experience may lack uptake within dominant treatment frameworks. The challenge for the field is not to replace CBT-E, but to recognise the limits of any single model and to develop integrative treatment architectures that incorporate neurobiological, biosocial, and contextual determinants of behaviour. Using Multidiagnostic Eating Disorders-Dialectical Behavior Therapy (MED-DBT) an adaptation of DBT designed for individuals with eating disorders and co-occurring high-risk and regulatory difficulties, as an illustrative example, we outline a dialectical approach that supports epistemic humility, reduces misinterpretation, and promotes more inclusive and effective care for individuals least well served by existing models.","PeriodicalId":48835,"journal":{"name":"Eating Disorders","volume":" ","pages":"1-12"},"PeriodicalIF":3.5,"publicationDate":"2026-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147844854","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0