Eating DisordersPub Date : 2024-07-01Epub Date: 2024-02-22DOI: 10.1080/10640266.2024.2306440
Julie M Petersen, Jennifer L Barney, Leila K Capel, Mercedes G Woolley, Tera Lensegrav-Benson, Benita Quakenbush-Roberts, Michael P Twohig
{"title":"Self-compassion and body image inflexibility as mediators of outcomes in a residential eating disorder sample.","authors":"Julie M Petersen, Jennifer L Barney, Leila K Capel, Mercedes G Woolley, Tera Lensegrav-Benson, Benita Quakenbush-Roberts, Michael P Twohig","doi":"10.1080/10640266.2024.2306440","DOIUrl":"10.1080/10640266.2024.2306440","url":null,"abstract":"<p><p>Eating disorders are serious mental health conditions that are accompanied by negative health outcomes, high mortality rates, impaired functioning, and comorbid mental health conditions. Despite many empirically supported interventions for eating disorders, it remains one of the most challenging mental disorders to treat, as individuals often struggle to maintain treatment gains. One method of improving our understanding of effective eating disorder treatment is to identify important processes of change to target during therapy. The aim of the current study was to test two candidate mediators of disordered eating symptom change during residential treatment: self-compassion and body image inflexibility. In the present study, women and adolescent girls (<i>N</i> = 132) completed a battery of measures, including eating disorder severity, self-compassion, and body image inflexibility, at admission to and discharge from a residential eating disorder facility. Our results indicated that changes in body image inflexibility and self-compassion, specifically self-judgment, were both mediators between ED symptom severity from pre- to post-treatment. These results have potential treatment implications, pointing to the possible importance of targeting body image inflexibility, self-judgment, and self-compassion while treating eating disorders.</p>","PeriodicalId":48835,"journal":{"name":"Eating Disorders","volume":" ","pages":"369-386"},"PeriodicalIF":3.3,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139933738","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 : 2024-07-01Epub Date: 2024-02-05DOI: 10.1080/10640266.2024.2310345
Orrin D Ware, Hannah Neukrug, Rachel W Goode
{"title":"Mental health facilities with eating disorder treatment programs and substance use disorder treatment in the United States.","authors":"Orrin D Ware, Hannah Neukrug, Rachel W Goode","doi":"10.1080/10640266.2024.2310345","DOIUrl":"10.1080/10640266.2024.2310345","url":null,"abstract":"<p><p>Eating disorders (EDs) and substance use disorders (SUDs) often co-occur. However, not all providers that treat persons with an ED provide SUD treatment. Using the National Mental Health Services Survey, this study examined 1,387 ED treatment providers in the U.S. Facilities were categorized according to whether they provided SUD treatment. Differences based on facilities' profit status, available treatment settings, payment options, and treatment services were examined. Most ED facilities in the sample offered SUD treatment services (67.2%). Differences in proportions of the facility type, availability of outpatient treatment, sliding fee scale payment option, whether the facility had a program for individuals with co-occurring mental health and SUD, couples/family therapy, dual disorders treatment, and if the facility provided telemedicine/telehealth were identified. Although most facilities in this sample offered SUD services, more should be done to increase such facilities' capacity to provide treatment for co-occurring ED and SUD nationwide.</p>","PeriodicalId":48835,"journal":{"name":"Eating Disorders","volume":" ","pages":"387-400"},"PeriodicalIF":3.3,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139693323","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 : 2024-07-01Epub Date: 2024-01-25DOI: 10.1080/10640266.2024.2306437
Marisa A Joel, Marita Cooper, Rebecka Peebles, Lindsey Albenberg, C Alix Timko
{"title":"Clinical characterization of Co-morbid autoimmune disease and eating disorders: a retrospective chart review.","authors":"Marisa A Joel, Marita Cooper, Rebecka Peebles, Lindsey Albenberg, C Alix Timko","doi":"10.1080/10640266.2024.2306437","DOIUrl":"10.1080/10640266.2024.2306437","url":null,"abstract":"<p><p>Research suggests a link between autoimmune illnesses (AI) and eating disorders (ED). We retrospectively reviewed charts of adolescent patients presenting for eating disorder treatment. We compared the presentation and treatment course for those with an ED and comorbid AI [with (GI-AI, <i>N</i> = 59) or without (non-GI, <i>N</i> = 21) gastrointestinal inflammation] with matched ED-only cases. The sample was overwhelmingly female, with an average age of 15.40. Weight gain trajectories differed across groups, with similar rates of weight gain between controls and non GI-AI cases and with a lower rate of weight gain for individuals with comorbid GI-AI. Over half (56%) of patients reported an AI diagnosis prior to ED; 38% reported an AI diagnosis following ED, and 6% reported ED and AI simultaneous diagnosis. On presentation, ED-only controls had higher rates of comorbid anxiety than cases in either AI group, while those with non-GI AI were more likely to report depression. Mean total GI symptoms, % goal weight at presentation, vital sign instability, and markers of refeeding syndrome did not differ across groups. Health care professionals treating patients with either condition should have a low threshold for asking additional questions to identify the presence of the other condition.</p>","PeriodicalId":48835,"journal":{"name":"Eating Disorders","volume":" ","pages":"353-368"},"PeriodicalIF":3.3,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139546438","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 : 2024-07-01Epub Date: 2024-02-20DOI: 10.1080/10640266.2024.2312636
Carly Lua Pershyn, Wendy Guyker, Elizabeth Schlant, Ashlye Borden, Chelsea Roff, Esther Ellyn Evelyn Estey, Catherine Cook-Cottone
{"title":"Eat Breathe Thrive: an interpretative phenomenological analysis of a yoga-based eating disorder intervention.","authors":"Carly Lua Pershyn, Wendy Guyker, Elizabeth Schlant, Ashlye Borden, Chelsea Roff, Esther Ellyn Evelyn Estey, Catherine Cook-Cottone","doi":"10.1080/10640266.2024.2312636","DOIUrl":"10.1080/10640266.2024.2312636","url":null,"abstract":"<p><p>A growing body of evidence suggests that yoga-based interventions might aid in the prevention and treatment of eating disorders. The current qualitative study used Interpretative Phenomenological Analysis (IPA) to analyze the nature and degree of impact of a yoga and mindfulness-based eating disorder prevention intervention Eat Breath Thrive (EBT). Data was collected via semi-structured interviews with 16 participants over the age of 18 who took part in the EBT program between 2018 and 2022. Using IPA methodology, and after several rounds of coding, emergent themes were interpreted and organized to develop a theoretical model explaining the mechanism of change experienced and described by EBT participants. The resulting model outlines an experiential progression from psychoeducation and skill development/practice to increased mindful awareness, and empowered state experiences which led to the following outcomes: independent positive action, self-initiated positive state experiences, and increased embodied well-being. Participants reported increased self-compassion and self-acceptance, with decreased emphasis on disordered eating behaviors. Qualitative data is necessary for understanding <i>why yoga works</i>, from an experiential perspective. This study adds to the new, and rapidly expanding body of research supporting the positive effects of yoga and mindfulness on the prevention and treatment of eating disorders.</p>","PeriodicalId":48835,"journal":{"name":"Eating Disorders","volume":" ","pages":"401-425"},"PeriodicalIF":3.3,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139913821","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 : 2024-07-01Epub Date: 2024-02-09DOI: 10.1080/10640266.2024.2306436
Bek Urban, Emil K Smith, Marissa Adams, Sam L Sharpe, Scout Silverstein
{"title":"Guidelines for research with transgender, gender diverse, and intersex individuals with eating disorders: recommendations from trans and intersex researchers.","authors":"Bek Urban, Emil K Smith, Marissa Adams, Sam L Sharpe, Scout Silverstein","doi":"10.1080/10640266.2024.2306436","DOIUrl":"10.1080/10640266.2024.2306436","url":null,"abstract":"<p><p>Further research is urgently needed to address the disproportionately high rates of eating disorders (EDs) among transgender, gender diverse, and intersex (TGDI) individuals in comparison to cisgender, endosex (non-intersex) populations. As TGDI advocates, academics, and clinicians with lived/living experience with EDs, we propose a set of recommendations to guide ethical research specifically about EDs and disordered eating behaviors in TGDI populations. The guidelines included here aim to educate non-TGDI researchers and support TGDI researchers seeking to carry out such research. Considerations for study design, planning, data collection, and dissemination are included.</p>","PeriodicalId":48835,"journal":{"name":"Eating Disorders","volume":" ","pages":"341-352"},"PeriodicalIF":3.3,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139708262","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":"A controlled trial assessing the acceptability and efficacy of a yoga-based eating disorder prevention program among division I athletes: Eat Breathe Thrive (EBT).","authors":"Catherine Cook-Cottone, Stephanie Rovig, Maya Cottone, Esther Ellyn Evelyn Estey, Wendy Guyker, Chelsea Roff","doi":"10.1080/10640266.2024.2313296","DOIUrl":"10.1080/10640266.2024.2313296","url":null,"abstract":"<p><strong>Objective: </strong>This study evaluated the acceptability and effectiveness of the Eat Breathe Thrive (EBT) program as an eating disorder prevention intervention among women collegiate athletes.</p><p><strong>Method: </strong>Change over time in eating disorder risk and competencies of positive embodiment were examined in 94 women (<i>n</i> = 48 EBT participants and <i>n</i> = 46 matched-controls) from one National Collegiate Athletic Association (NCAA) Division I-classified university in the United States. Eating disorder risk factors were measured using the Eating Disorder Examination Questionnaire (EDE-Q) and State Trait Anxiety Inventory (STAI). Aspects of positive embodiment were measured using the Multidimensional Assessment of Interoceptive Awareness (MAIA) and The Mindful Self-Care Scale (MSCS). Data were collected through participants' completion of online surveys across three time-points.</p><p><strong>Results: </strong>Repeated measures ANOVAS revealed EBT participants reported experiencing significantly less state anxiety and greater interoceptive body trusting over time relative to matched-controls. No other significant interactions were found. Respondents found the EBT program acceptable.</p><p><strong>Discussion: </strong>Acceptability and partial support for integrative, yoga-based, interventions targeting Division I student-athletes is indicated.</p>","PeriodicalId":48835,"journal":{"name":"Eating Disorders","volume":" ","pages":"439-457"},"PeriodicalIF":3.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139724613","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":"Disentangling cognitive flexibility: a model-based assessment of women with anorexia nervosa.","authors":"Eyal Heled, Bar Ben-Baruch Polevoi, Talma Kushnir, Eytan Gur, Rinat Brener-Yaacobi","doi":"10.1080/10640266.2024.2353427","DOIUrl":"https://doi.org/10.1080/10640266.2024.2353427","url":null,"abstract":"<p><p>Cognitive flexibility (CF) has been proposed as a potential trait marker in anorexia nervosa (AN), although findings have been inconsistent. To address this inconsistency, we applied a model that distinguishes between three subtypes of CF: task switching, switching sets, and stimulus-response mapping, which we then assessed using a paradigm-based task battery. The aim of the study was to investigate how AN is associated with these three CF subtypes. Thirty-three women with AN and 37 age- and education-matched controls performed a battery of computerized cognitive tasks to assess the three CF subtypes. Compared to the control group, individuals with AN exhibited poorer performance on the task switching and switching sets subtypes, as measured by response time switch cost, but not on the stimulus-response mapping subtype. No differences were found between the groups in response accuracy. Furthermore, switching sets as compared to the task switching and stimulus-response mapping subtypes was found to better explain the differences between the groups. These findings indicate a domain-specific impairment in CF among patients with AN, reflecting deficits observed in subtypes related to the disorder's characteristics, particularly that associated with visual perception. Therefore, CF impairment in AN should not be viewed dichotomously, but rather as a relative impairment that varies depending on the specific CF subtype.</p>","PeriodicalId":48835,"journal":{"name":"Eating Disorders","volume":" ","pages":"1-16"},"PeriodicalIF":3.0,"publicationDate":"2024-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141471720","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 : 2024-06-18DOI: 10.1080/10640266.2024.2368916
Anna C. Ciao, Tiffany A. Brown, Michael Levine
{"title":"Future directions for equity-centered body image and eating disorders prevention work","authors":"Anna C. Ciao, Tiffany A. Brown, Michael Levine","doi":"10.1080/10640266.2024.2368916","DOIUrl":"https://doi.org/10.1080/10640266.2024.2368916","url":null,"abstract":"This article concludes the special issue, Identifying and Closing the Gaps in the Prevention of Disordered Eating and Eating Disorders, by reflecting on some of the shared themes as the bases for g...","PeriodicalId":48835,"journal":{"name":"Eating Disorders","volume":"19 1","pages":""},"PeriodicalIF":3.3,"publicationDate":"2024-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141529893","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 : 2024-06-06DOI: 10.1080/10640266.2024.2358267
See Heng Yim
{"title":"Clinician bodies in eating disorder services: a commentary.","authors":"See Heng Yim","doi":"10.1080/10640266.2024.2358267","DOIUrl":"10.1080/10640266.2024.2358267","url":null,"abstract":"<p><p>This article discusses the important yet under-addressed issue of clinician bodies within eating disorder services. I would like to further the discussion on a particular correspondence in, where a professional who was perceived as dangerously thin was challenged and confronted by their colleagues in a work setting. This article will consider the issue from four perspectives, being the implications for the therapeutic relationship, how we approach biases and assumptions about weight and body size, ethical and legal issues, and how to manage lived experience. I argue for a more nuanced, considered approach towards professionals in the field before decisions are made to manage or confront them.</p>","PeriodicalId":48835,"journal":{"name":"Eating Disorders","volume":" ","pages":"1-9"},"PeriodicalIF":3.3,"publicationDate":"2024-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141285847","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 : 2024-05-26DOI: 10.1080/10640266.2024.2353475
Samantha C Holmes, Marisa K Norton, Nicole T Fogwell, Erica E Temes, Meagan M Carr, Dawn M Johnson
{"title":"The impact of intuitive eating on the association between posttraumatic stress disorder (PTSD) symptoms and disordered eating among women who have experienced intimate partner violence (IPV).","authors":"Samantha C Holmes, Marisa K Norton, Nicole T Fogwell, Erica E Temes, Meagan M Carr, Dawn M Johnson","doi":"10.1080/10640266.2024.2353475","DOIUrl":"https://doi.org/10.1080/10640266.2024.2353475","url":null,"abstract":"<p><strong>Objective: </strong>Trauma exposure is associated with disordered eating, with recent evidence suggesting PTSD symptoms may be a more proximal predictor. Intuitive eating is a well-established protective factor against disordered eating; however, no previous studies have assessed whether intuitive eating buffers the association between PTSD symptoms and disordered eating.</p><p><strong>Methods: </strong>Two hundred sixteen women who had experienced intimate partner violence (IPV) and were residing at a domestic violence shelter completed a survey. The current study assessed the moderating role of intuitive eating in the associations between PTSD symptoms and two types of disordered eating behaviors: binge eating and compensatory behaviors.</p><p><strong>Results: </strong>Intuitive eating did not moderate the association between PTSD symptoms and a dichotomous measure of binge eating (no binge eating vs. any binge eating). However, intuitive eating did moderate the association between PTSD symptoms and binge frequency, among participants endorsing any degree of binge eating, such that PTSD symptoms were significantly associated with binge frequency at low, but not moderate or high, levels of intuitive eating. Intuitive eating did not moderate the association between PTSD symptoms and compensatory behaviors.</p><p><strong>Discussion: </strong>Results suggest intuitive eating may be protective against binge eating frequency among women who have experienced IPV.</p>","PeriodicalId":48835,"journal":{"name":"Eating Disorders","volume":" ","pages":"1-17"},"PeriodicalIF":3.3,"publicationDate":"2024-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141154228","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}