Eating Disorders最新文献_第6页

Psychiatric comorbidity and severity in anorexia nervosa: a comparative study of the DSM-5, the ICD-11, and overvaluation of Weight/Shape severity ratings. 神经性厌食症的精神并发症和严重程度：DSM-5、ICD-11 和体重/体形严重程度评级高估的比较研究。

IF 3 3区医学

Eating Disorders Pub Date : 2024-09-01 Epub Date: 2024-05-06 DOI: 10.1080/10640266.2024.2346001

An Binh Dang, Litza Kiropoulos, David Castle, Zoe Jenkins, Andrea Phillipou, Susan Rossell, Isabel Krug

{"title":"Psychiatric comorbidity and severity in anorexia nervosa: a comparative study of the DSM-5, the ICD-11, and overvaluation of Weight/Shape severity ratings.","authors":"An Binh Dang, Litza Kiropoulos, David Castle, Zoe Jenkins, Andrea Phillipou, Susan Rossell, Isabel Krug","doi":"10.1080/10640266.2024.2346001","DOIUrl":"10.1080/10640266.2024.2346001","url":null,"abstract":"This study assessed the rate of a.) the total and b.) specific psychiatric comorbidities among the three severity ratings for Anorexia Nervosa (AN): DSM-5, ICD-11 and overvaluation of weight and shape (OWS). The sample comprised 312 treatment-seeking patients with AN (mean age = 26.9). Weight and height were taken at intake to calculate BMI, the foundation for the DSM-5 and ICD-11 severity indices. The EDE-Q was used to assess OWS, and the Mini International Neuropsychiatric Interview was conducted to assess psychiatric comorbidities. For the DSM-5, the mild severity group showed a higher total number of psychiatric comorbidities, especially for panic, social anxiety, generalised anxiety, and post-traumatic stress disorders compared to the severe and extremely severe groups. ICD-11 and OWS severity groups did not significantly differ in total comorbidities, except for major depressive disorder and obsessive-compulsive disorders being more prevalent in the \"significantly low BMI\" ICD-11 group. The high OWS group displayed a notably higher rate of major depressive disorder than the low OWS group. The study underscores inconsistent patterns across the three severity systems, emphasising the need to recognise the current limitations of the assessed severity classification systems in AN assessment and guiding treatment.","PeriodicalId":48835,"journal":{"name":"Eating Disorders","volume":" ","pages":"546-562"},"PeriodicalIF":3.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140867151","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

Disordered eating behaviors in gender-affirmative treatment seeking transgender people. 寻求性别肯定治疗的变性人的饮食紊乱行为。

IF 3 3区医学

Eating Disorders Pub Date : 2024-09-01 Epub Date: 2024-04-01 DOI: 10.1080/10640266.2024.2336277

Nazife Gamze Usta Sağlam, Kerem Zengin, Sadiga Osmanlı Shirolu, Cem Sulu, Mehmet Murat Kırpınar, Şenol Turan

{"title":"Disordered eating behaviors in gender-affirmative treatment seeking transgender people.","authors":"Nazife Gamze Usta Sağlam, Kerem Zengin, Sadiga Osmanlı Shirolu, Cem Sulu, Mehmet Murat Kırpınar, Şenol Turan","doi":"10.1080/10640266.2024.2336277","DOIUrl":"10.1080/10640266.2024.2336277","url":null,"abstract":"This study aimed to explore disordered eating behaviors in gender-affirming treatment (GAT)-seeking transgender (TG) adults and cisgender people, in addition to analyzing the association between gender dysphoria intensity, body mass index, and disordered eating behaviors. Data were collected from 132 GAT-seeking TG people with gender dysphoria who had never received GAT (91 TG men, 41 TG women), and 153 cisgender (99 cisgender men, 54 cisgender women) participants from Turkey. The Utrecht Gender Dysphoria Scale was used to evaluate the intensity of gender dysphoria. Eating Disorder Examination Questionnaire and Questionnaire on Eating and Weight Patterns-5 were utilized to assess disordered eating. There was no difference between TG women and TG men in terms of ED psychopathology. The most prominent characteristic in all four groups was shape concern, which was significantly higher in TG men and TG women when compared to cisgender men and cisgender women. Binge eating was notably more frequent in TG men and TG women compared to cisgender men, with 11% of the TG men and 7.3% of the TG women meeting the criteria for possible binge eating disorder. Screening for disordered eating behaviors, particularly binge eating, may be recommended in routine care for TG people.","PeriodicalId":48835,"journal":{"name":"Eating Disorders","volume":" ","pages":"509-524"},"PeriodicalIF":3.0,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140337329","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

Identifying mechanistic links between sleep disturbance and binge eating: the role of depressed mood. 确定睡眠障碍与暴饮暴食之间的机制联系：抑郁情绪的作用。

IF 3 3区医学

Eating Disorders Pub Date : 2024-08-26 DOI: 10.1080/10640266.2024.2394262

Elizabeth W Lampe, Alexandria Muench, Michael Perlis, Adrienne S Juarascio, Stephanie M Manasse

{"title":"Identifying mechanistic links between sleep disturbance and binge eating: the role of depressed mood.","authors":"Elizabeth W Lampe, Alexandria Muench, Michael Perlis, Adrienne S Juarascio, Stephanie M Manasse","doi":"10.1080/10640266.2024.2394262","DOIUrl":"https://doi.org/10.1080/10640266.2024.2394262","url":null,"abstract":"Global sleep disturbance is robustly linked with a subjective sense of loss-of-control over eating (LOC). Depressed mood has been proposed as a mechanism to explain the bi-directional relationship between sleep disturbance and LOC eating. The current study evaluated whether sleep disturbance indirectly affects LOC eating via depressed mood. Adults seeking treatment for a DSM-5 binge-spectrum eating disorder (e.g. bulimia nervosa, binge-eating disorder) were recruited (n = 79) and asked to complete self-report questionnaires assessing sleep disturbance and depression, and a semi-structured interview assessing LOC eating. Tests of indirect effects evaluated the effect of depressed mood on the association between global sleep disturbance and LOC frequency covarying for BMI and parent study. A significant indirect effect of depressed mood on the association between global sleep disturbance and frequency of LOC eating was identified (Est = 1.519, S.E. = 0.859, p = .033). The indirect effect of depressed mood on the association between sleep disturbance and LOC eating may indicate that depressed mood serves as a mechanistic link between sleep disturbance and LOC eating. The findings offer preliminary support for adjunctive treatments targeting both sleep disturbance and depressed mood for LOC eating. Future research should explore these pathways in a larger clinical sample.","PeriodicalId":48835,"journal":{"name":"Eating Disorders","volume":" ","pages":"1-12"},"PeriodicalIF":3.0,"publicationDate":"2024-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142074271","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

Losing, gaining, or staying the same: how do different weight change attempts relate to muscle dysmorphia and eating disorder symptoms across genders? 减肥、增重或保持不变：不同的体重变化尝试与不同性别的肌肉畸形和饮食失调症状有何关系？

IF 3 3区医学

Eating Disorders Pub Date : 2024-08-26 DOI: 10.1080/10640266.2024.2391208

Chloe White, Nelson Pang, Jason M Nagata, Shannon Zaitsoff, Kyle T Ganson

{"title":"Losing, gaining, or staying the same: how do different weight change attempts relate to muscle dysmorphia and eating disorder symptoms across genders?","authors":"Chloe White, Nelson Pang, Jason M Nagata, Shannon Zaitsoff, Kyle T Ganson","doi":"10.1080/10640266.2024.2391208","DOIUrl":"https://doi.org/10.1080/10640266.2024.2391208","url":null,"abstract":"Adolescents and young adults are at heightened risk for eating disorder (ED) and muscle dysmorphia (MD) symptoms; yet, these symptoms and their relationships to harmful behaviors may also vary by gender. Thus, this study examined: 1) the prevalence of attempts to lose, gain, or maintain the same weight across gender identities, 2) purposes of weight change attempts, and 3) relationships between weight change attempts and ED and MD symptoms across cisgender men, women, and transgender and gender expansive (TGE) youth. 940 adolescents and young adults (57.4% cisgender women, 33.8% cisgender men, 8.8% TGE) completed questionnaires about weight change attempts, ED and MD symptoms. Women and TGE individuals attempted to lose weight more often than men, while men attempted to gain weight more often. All genders endorsed weight loss and gain attempts for different purposes. Weight loss attempts related to ED symptoms and appearance intolerance, whereas weight gain attempts related to MD symptoms across genders. In women, all weight change attempts related to greater functional impairment due to exercise. Findings highlight the need for tailored interventions to address desires to change one's body and underscore the harmful effects of weight change attempts across genders.","PeriodicalId":48835,"journal":{"name":"Eating Disorders","volume":" ","pages":"1-17"},"PeriodicalIF":3.0,"publicationDate":"2024-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142074272","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

Severe and enduring anorexia nervosa and the proposed "Terminal anorexia" category: an expanded meta synthesis. 严重而持久的神经性厌食症和拟议的 "终末厌食症 "类别：扩大的元综合。

IF 3 3区医学

Eating Disorders Pub Date : 2024-08-04 DOI: 10.1080/10640266.2024.2379635

Laura Kiely, Janet Conti, Phillipa Hay

{"title":"Severe and enduring anorexia nervosa and the proposed \"Terminal anorexia\" category: an expanded meta synthesis.","authors":"Laura Kiely, Janet Conti, Phillipa Hay","doi":"10.1080/10640266.2024.2379635","DOIUrl":"https://doi.org/10.1080/10640266.2024.2379635","url":null,"abstract":"This updated meta-synthesis explores further dimensions of the lived experience of severe and enduring anorexia nervosa (SE-AN) since recent contention regarding proposed \"terminal anorexia nervosa (T-AN)\". The paper aims to update the original synthesis and to situate participant responses to the category of \"T-AN\". Thus, extending the proposed conceptualization of the SE-AN experience. A systematic search identified published scholarship (between August 2022 and July 2023), derived from five bibliographic databases. A comprehensive methodology combining Interpretative Phenomenological Analysis and a meta-ethnographic framework enabled the synthesis of meta-themes across 9 new studies. These meta-themes were mapped onto the primary synthesis to further develop upon the earlier LE conceptualization of SE-AN. Nine extracted papers expanded the voices to 447 people within 45 studies. All papers affirmed and enriched the previous themes, and a novel theme was generated from the recent papers. The new theme, \"walking on a knife's edge, caught between worlds\", informed an expanded conceptualization of SE-AN, termed the Web of Hope. Thus, demonstrating how participants held onto hope in the face of the SE-AN experience. Death, dying and \"terminality\", were notably absent in the 36 papers in the previous meta-synthesis. Since the proposal of the category of \"terminal anorexia\" in 2022, studies on the lived experience of SE-AN increasingly focused on how people hold onto hope alongside SE-AN. The findings further drive the field to reflect on therapeutic interventions, labelling and diagnosis, in the face of unknowns, on the premise of \"first, do no harm\".","PeriodicalId":48835,"journal":{"name":"Eating Disorders","volume":" ","pages":"1-32"},"PeriodicalIF":3.0,"publicationDate":"2024-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141890609","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

Disordered eating instruments in the pregnancy cohort: a systematic review update. 妊娠队列中的饮食紊乱工具：系统性回顾更新。

IF 3 3区医学

Eating Disorders Pub Date : 2024-08-02 DOI: 10.1080/10640266.2024.2386469

Juliette Stephens, Aleshia Ellis, Susan Roberts, Kerri Gillespie, Amy Bannatyne, Grace Branjerdporn

{"title":"Disordered eating instruments in the pregnancy cohort: a systematic review update.","authors":"Juliette Stephens, Aleshia Ellis, Susan Roberts, Kerri Gillespie, Amy Bannatyne, Grace Branjerdporn","doi":"10.1080/10640266.2024.2386469","DOIUrl":"https://doi.org/10.1080/10640266.2024.2386469","url":null,"abstract":"Pregnancy represents a crucial timepoint to screen for disordered eating due to the significant adverse impact on the woman and her infant. There has been an increased interest in disordered eating in pregnancy since the COVID-19 pandemic, which has disproportionately affected the mental health of pregnant women compared to the general population. This systematic review is an update to a previous review aiming to explore current psychometric evidence for any new pregnancy-specific instruments and other measures of disordered eating developed for non-pregnant populations. Systematic searches were conducted in PubMed, ProQuest, PsycInfo, CINAHL, Scopus, MEDLINE, and Embase from April 2019 to February 2024. A total of 20 citations met criteria for inclusion, with most studies of reasonable quality. Fourteen psychometric instruments were identified, including two new pregnancy-specific screening instruments. Overall, preliminary psychometric evidence for the PEBS, DEAPS, and EDE-PV was promising. There is an ongoing need for validation in different samples, study designs, settings, and administration methods are required. Similar to the original review on this topic, we did not find evidence to support a gold standard recommendation.","PeriodicalId":48835,"journal":{"name":"Eating Disorders","volume":" ","pages":"1-25"},"PeriodicalIF":3.0,"publicationDate":"2024-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141879692","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

Treatment adherence and nasogastric tube use in hospitalized youth with anorexia nervosa and premorbid overweight/obesity. 患有神经性厌食症和病前超重/肥胖症的住院青少年的治疗依从性和鼻胃管使用情况。

IF 3 3区医学

Eating Disorders Pub Date : 2024-07-26 DOI: 10.1080/10640266.2024.2379158

Katelyn Gordon, Grace Jhe, Richa Adhikari, Abigail Matthews, Melissa Freizinger, Tracy Richmond, Jessica A Lin

{"title":"Treatment adherence and nasogastric tube use in hospitalized youth with anorexia nervosa and premorbid overweight/obesity.","authors":"Katelyn Gordon, Grace Jhe, Richa Adhikari, Abigail Matthews, Melissa Freizinger, Tracy Richmond, Jessica A Lin","doi":"10.1080/10640266.2024.2379158","DOIUrl":"https://doi.org/10.1080/10640266.2024.2379158","url":null,"abstract":"Youth with restrictive-eating disorders (EDs) often experience significant distress and difficulty with treatment adherence during nutritional rehabilitation. This study assessed whether youth with restrictive EDs and premorbid overweight/obesity admitted for inpatient nutritional rehabilitation experience greater psychological distress and difficulty with treatment adherence than youth with premorbid BMI <85th percentile. A retrospective chart review examined 150 youth hospitalized for medical complications of restrictive EDs. Rates of nasogastric tube (NGT; used when youth could not complete meals), agitation medication use, and disposition recommendation were compared across premorbid BMI groups. Patients with premorbid overweight/obesity were three times more likely to require NGT feeds. These findings suggest greater challenges with nutritional rehabilitation, specifically consuming nutrition orally, in patients with premorbid overweight/obesity, highlighting the need for early and individualized psychological support for this vulnerable patient population.","PeriodicalId":48835,"journal":{"name":"Eating Disorders","volume":" ","pages":"1-9"},"PeriodicalIF":3.0,"publicationDate":"2024-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141761949","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

Weight stereotypes in eating disorder recognition. 饮食失调识别中的体重定型观念。

IF 3 3区医学

Eating Disorders Pub Date : 2024-07-20 DOI: 10.1080/10640266.2024.2380185

Melanie Kressel, Rachel Flamer, Lata K McGinn, Margaret Sala

{"title":"Weight stereotypes in eating disorder recognition.","authors":"Melanie Kressel, Rachel Flamer, Lata K McGinn, Margaret Sala","doi":"10.1080/10640266.2024.2380185","DOIUrl":"10.1080/10640266.2024.2380185","url":null,"abstract":"Objective: We investigated weight stereotypes in the recognition and referral of eating disorders (EDs) by assessing if recognition, health care referral, perceived acceptability, perceived distress, and perceived prevalence of an ED differ depending on the weight of the subject in the vignette.Method: Community participants (N = 180, age = 19-74) read three different vignettes describing three females with different EDs [anorexia nervosa/atypical anorexia nervosa (AN/AAN), bulimia nervosa (BN), binge eating disorder (BED)] and were randomized to three different experimental conditions concerning an individual with a different weight (overweight, normal, and underweight).Results: Across EDs, participants were more likely to recognize a problem, refer for treatment, and rate a higher perceived level of distress in the vignettes of overweight individuals than in the vignettes of normal weight individuals. For BED, a larger proportion of participants in the overweight condition classified the issue described in the vignette as a form of eating pathology compared to the normal weight condition.Discussion: These results highlight several weight stereotypes that exist in the recognition and health care referral of EDs. Future ED education and awareness programs should emphasize that EDs can occur in any individual, regardless of their weight.","PeriodicalId":48835,"journal":{"name":"Eating Disorders","volume":" ","pages":"1-20"},"PeriodicalIF":3.0,"publicationDate":"2024-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11743818/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141731524","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

An exploratory examination of delay discounting in women and girls diagnosed with an eating disorder. 对被诊断患有饮食失调症的妇女和女孩的延迟折扣进行探索性研究。

IF 3 3区医学

Eating Disorders Pub Date : 2024-07-17 DOI: 10.1080/10640266.2024.2379125

Marissa L Donahue, Mariah E Willis-Moore, Julie M Petersen, Amy L Odum, Michael E Levin, Josephine N Hannah, Tera Lensegrav-Benson, Benita Quakenbush, Michael P Twohig

{"title":"An exploratory examination of delay discounting in women and girls diagnosed with an eating disorder.","authors":"Marissa L Donahue, Mariah E Willis-Moore, Julie M Petersen, Amy L Odum, Michael E Levin, Josephine N Hannah, Tera Lensegrav-Benson, Benita Quakenbush, Michael P Twohig","doi":"10.1080/10640266.2024.2379125","DOIUrl":"https://doi.org/10.1080/10640266.2024.2379125","url":null,"abstract":"Those with eating disorders (EDs) characterized by purging behaviors tend to show more impulsivity than those diagnosed with restrictive eating, who tend to show more compulsivity. Impulsive choice (i.e. a type of impulsivity) is a common factor among eating disorders that is less understood. Delay discounting is a measure of choice impulsivity, examining the decrease in value of delayed outcomes. In this exploratory study, we examined associations between eating disorder type, age and delay discounting among patients at a residential ED treatment center (N = 178). Our findings showed that those diagnosed with bulimia nervosa had higher delay discounting (i.e. more impulsivity) at intake compared to anorexia nervosa, binge eating disorder, and other eating types but there were no significant differences. Those diagnosed with bulimia nervosa, as well as those with ARFID and unspecified ED showed a preference for delayed rewards at discharge, but there were no significant differences among ED types. Moderation analyses showed that age, ED type, nor the interaction did not significantly predict delay discounting at intake or discharge. To conclude, those with bulimia nervosa demonstrate less impulsive choice at discharge from a residential ED treatment center. However, additional research is needed given the variability of sample sizes in this study.","PeriodicalId":48835,"journal":{"name":"Eating Disorders","volume":" ","pages":"1-13"},"PeriodicalIF":3.0,"publicationDate":"2024-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141628119","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

Does hopelessness predict treatment outcomes in adults with binge-spectrum eating disorders? 无望感能否预测暴食症成人患者的治疗结果？

IF 3.3 3区医学

Eating Disorders Pub Date : 2024-07-01 Epub Date: 2024-02-09 DOI: 10.1080/10640266.2024.2312725

Ross M Sonnenblick, Megan L Wilkinson, Stephanie M Manasse, Adrienne S Juarascio

{"title":"Does hopelessness predict treatment outcomes in adults with binge-spectrum eating disorders?","authors":"Ross M Sonnenblick, Megan L Wilkinson, Stephanie M Manasse, Adrienne S Juarascio","doi":"10.1080/10640266.2024.2312725","DOIUrl":"10.1080/10640266.2024.2312725","url":null,"abstract":"Using data from 165 adult participants who enrolled in four studies of cognitive-behavioral therapy (CBT) for binge-spectrum eating disorders (EDs), this secondary analysis examined 1) whether pretreatment hopelessness predicted posttreatment eating pathology, loss-of-control (LOC) eating frequency, and purging frequency; 2) whether treatment had an indirect effect on those outcomes through change in hopelessness; and 3) whether treatment had an indirect effect on hopelessness through those ED measures. The Eating Disorder Examination was used to assess overall eating pathology, LOC frequency, and purging frequency. Hopelessness was measured with one item from the Beck Depression Inventory-II. Regression models showed that pretreatment hopelessness predicted posttreatment LOC eating frequency but not overall eating pathology or purging frequency. Single-group tests of indirect effects showed no effect of reduction in hopelessness on reduction in ED symptoms, but there was an effect of reduction in ED symptoms on reduction in hopelessness.","PeriodicalId":48835,"journal":{"name":"Eating Disorders","volume":" ","pages":"426-438"},"PeriodicalIF":3.3,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11178463/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139713250","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0