Eating DisordersPub Date : 2026-05-05DOI: 10.1080/10640266.2026.2669113
Neha J Goel, Peiyi Wang, Simar Singh, Shruti S Kinkel-Ram, Sonakshi Negi, Kimberly Yu, Valerie Z Wong, Sarah Johnson-Munguia, Nadia Craddock
{"title":"Rethinking the \"Asian\" identity in eating disorders research: a call to action.","authors":"Neha J Goel, Peiyi Wang, Simar Singh, Shruti S Kinkel-Ram, Sonakshi Negi, Kimberly Yu, Valerie Z Wong, Sarah Johnson-Munguia, Nadia Craddock","doi":"10.1080/10640266.2026.2669113","DOIUrl":"https://doi.org/10.1080/10640266.2026.2669113","url":null,"abstract":"<p><p>Despite descending from the largest continent in the world, people with Asian heritage are under-researched and underrepresented within the eating disorders (EDs) literature. Moreover, when Asian groups are included in ED research, they are usually subsumed into an amorphous \"Asian\" category. This conflation across subgroups critically impacts assessment, prevention, and treatment. In this paper, we present a call to action to disaggregate Asian subgroups in ED research and outline four concrete guidelines for how to collect, report, and discuss research involving Asian subgroups, namely: (1) reporting specific ethnic data (2) considering the cultural validity of ED assessments; (3) avoiding use of race and/or ethnicity as proxies for other cultural variables; and (4) collaboration with non-research stakeholders to improve Asian representation in research. These guidelines aim to shift the field toward a more nuanced and inclusive understanding of EDs, one that accounts for the vast variations within Asian communities.</p>","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":"147844897","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 : 2026-05-01Epub Date: 2025-03-14DOI: 10.1080/10640266.2025.2471213
Rylee Lusich, K Jean Forney, Helen Burton-Murray, Livia Guadagnoli, Tiffany Brown
{"title":"Associations between the Anxiety Sensitivity Index-3 subscales and eating pathology.","authors":"Rylee Lusich, K Jean Forney, Helen Burton-Murray, Livia Guadagnoli, Tiffany Brown","doi":"10.1080/10640266.2025.2471213","DOIUrl":"10.1080/10640266.2025.2471213","url":null,"abstract":"<p><strong>Objective: </strong>While prior research has found links between anxiety sensitivity (AS) and eating disorder (ED) symptoms, there has been limited research exploring how specific aspects of AS are related to specific dimensions of eating pathology. To inform candidate targets of specific aspects of AS in future interventions, the current study identified associations between AS and ED constructs in a sample of individuals with elevated eating pathology.</p><p><strong>Method: </strong><i>N</i> = 382 undergraduate students (89.3% White, 2.6% Hispanic/Latine) with elevated eating pathology completed surveys as part of a larger study. Participants completed the Anxiety Sensitivity Index-3 (ASI-3 subscales: Physical, Cognitive, and Social Concerns) and Eating Pathology Symptoms Inventory (EPSI).</p><p><strong>Results: </strong>Separate Bonferroni-corrected regression models were run for each EPSI subscale with covariates (age, BMI, and sex) included in step 1 and ASI-3 subscales in step 2. ASI Social was associated with EPSI Body Dissatisfaction (<i>p</i> < .001), and ASI Cognitive was significantly associated with Binge Eating, Purging, and Muscle Building (<i>p</i>s < .006), above and beyond other ASI subscales.</p><p><strong>Discussion: </strong>Results support that different aspects of AS are associated with different ED symptoms. Future research should explore these constructs longitudinally to inform potential targets for intervention.</p>","PeriodicalId":48835,"journal":{"name":"Eating Disorders","volume":" ","pages":"251-267"},"PeriodicalIF":3.5,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12353308/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143625052","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}
Eating DisordersPub Date : 2026-05-01Epub Date: 2025-02-27DOI: 10.1080/10640266.2025.2471220
Andrea Phillipou, Shannon Calvert, Kathleen de Boer, Dominic Dwyer, Kamryn T Eddy, Caroline Gao, Genevieve Pepin, Stephanie Miles, Erica Neill
{"title":"Lived experience-informed eating disorders research: an illustrative example.","authors":"Andrea Phillipou, Shannon Calvert, Kathleen de Boer, Dominic Dwyer, Kamryn T Eddy, Caroline Gao, Genevieve Pepin, Stephanie Miles, Erica Neill","doi":"10.1080/10640266.2025.2471220","DOIUrl":"10.1080/10640266.2025.2471220","url":null,"abstract":"<p><p>The mental health field, and more recently, the eating disorders field specifically, has witnessed a paradigm shift towards collaborative research which is conducted in partnership with individuals possessing lived and living experiences of mental health conditions (i.e. those with personal lived or living experience and those who are family, carers, or other supports). However, despite this shift, the challenge of engaging individuals with lived experiences in a manner that avoids tokenism, manages power imbalances, and ensures meaningful involvement persists. This paper aims to encourage those working in the eating disorders field to establish authentic, equitable partnerships with lived experience contributors. To provide clarity and to encourage researchers to engage in effective and authentic lived experience collaborations, this paper describes different types of lived experience involvement in research, using real-life examples from a study that is currently being established.</p>","PeriodicalId":48835,"journal":{"name":"Eating Disorders","volume":" ","pages":"281-292"},"PeriodicalIF":3.5,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143524229","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 : 2026-05-01Epub Date: 2025-03-03DOI: 10.1080/10640266.2025.2471218
Hanna Melles, Lotte Lemmens, Anita Jansen
{"title":"Intervention research in anorexia nervosa - a plea for single case experimental designs.","authors":"Hanna Melles, Lotte Lemmens, Anita Jansen","doi":"10.1080/10640266.2025.2471218","DOIUrl":"10.1080/10640266.2025.2471218","url":null,"abstract":"<p><p>Anorexia nervosa (AN) is a severe eating disorder and among the mental disorders with the highest mortality rate. To date, not much is known about its development and maintenance, and treatment outcomes are improvable. At the same time, research on psychological interventions for AN is a complicated endeavor, often characterized by small sample sizes and methodological heterogeneity, which impedes the comparison and evaluation of treatment outcomes. In this paper, several population-related, therapist-related and methodological challenges that may be encountered during research on psychological interventions for AN are discussed. The use of single case experimental designs (SCEDs), which could account for several of these challenges, is suggested as a complementary approach to current methods of assessing treatment efficacy. The use of SCEDs could be beneficial to the field, by contributing to the knowledge about AN and to the development and evaluation of better treatments, which are sorely needed.</p>","PeriodicalId":48835,"journal":{"name":"Eating Disorders","volume":" ","pages":"268-280"},"PeriodicalIF":3.5,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143544068","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 : 2026-05-01Epub Date: 2025-03-24DOI: 10.1080/10640266.2025.2471210
Emma Albertino Hobbs, Denise Michele Martz, Twila Wingrove, Lisa Ann Curtin
{"title":"In-person and cyber sexual violence are common in young women who have eating disordered symptoms.","authors":"Emma Albertino Hobbs, Denise Michele Martz, Twila Wingrove, Lisa Ann Curtin","doi":"10.1080/10640266.2025.2471210","DOIUrl":"10.1080/10640266.2025.2471210","url":null,"abstract":"<p><p>This study explored the relationship between eating disordered symptoms and in-person (ISV) and cyber sexual violence (CSV) by recruiting young women (<i>N</i> = 145) on Prolific with current eating disordered symptoms. Having experienced some sexual violence was ubiquitous (91.7%), and 73.8% of the participants had experienced both ISV plus CSV, suggesting that a history of polyvictimization is common in this population. The number of total types of polyvictimization was correlated with eating disordered symptom severity (EDE-Q-13). For each sub-categorical ISV and CSV type of violence, women were asked if it occurred before, during, or after their disordered eating began with 87% reporting ISV and CSV victimization preceded dysfunctional eating. This study documents the pervasiveness of sexual violence among women and links eating disordered symptom severity to multiple types of sexual violence experiences. Further, this study displays how sexual violence experiences occurred prior to eating dysfunction for most of these women with a victimization history. Given the rise in social media use allowing for more CSV, this is a timely study with eating disorder prevention and treatment implications using trauma-informed approaches.</p>","PeriodicalId":48835,"journal":{"name":"Eating Disorders","volume":" ","pages":"225-250"},"PeriodicalIF":3.5,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143694197","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 : 2026-05-01Epub Date: 2025-02-16DOI: 10.1080/10640266.2025.2465153
Dakota L Leget, Rebecca L Pearl
{"title":"The impact of patient weight on US mental health providers' diagnosis of bulimia nervosa.","authors":"Dakota L Leget, Rebecca L Pearl","doi":"10.1080/10640266.2025.2465153","DOIUrl":"10.1080/10640266.2025.2465153","url":null,"abstract":"<p><p>This study examined how patient weight influences mental health providers' diagnosis of bulimia nervosa (BN). US mental health providers (<i>N</i> = 200) from PsychologyToday.com and professional listservs participated in an online experiment, reading vignettes about patients with major depressive disorder (MDD) and BN with the compensatory behavior of excessive exercise. For the BN vignette, participants were randomized to read about a patient whose weight status was described as \"healthy weight\" or \"obesity.\" Participants reported their diagnoses, confidence, treatment recommendations, and perceived symptom severity. Only 27% of participants accurately diagnosed BN, with 38% of participants instead diagnosing binge eating disorder. There were no significant differences between weight conditions in diagnostic accuracy, confidence, or treatment recommendations for the BN vignette (<i>p</i>s > .05). However, symptoms within the BN vignette were perceived as more severe in the \"obesity\" condition compared to the \"healthy weight\" condition (<i>M</i> = 5.08 ± 0.80 vs. <i>M</i> = 4.72 ± 0.99 on a 1-7 scale, <i>p</i> = .005). Within-subjects analyses revealed that participants were more accurate and confident in diagnosing MDD than BN (<i>p</i>s < .01). These findings suggest poor detection of BN among mental health providers when patients present with healthy or higher weights. Providers may benefit from improved training for detecting BN when excessive exercise is used as the primary compensatory behavior.</p>","PeriodicalId":48835,"journal":{"name":"Eating Disorders","volume":" ","pages":"209-224"},"PeriodicalIF":3.5,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143434187","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 : 2026-05-01Epub Date: 2025-02-28DOI: 10.1080/10640266.2025.2471661
Hyun Jin Kim
{"title":"Importance of initial nutritional status in refeeding syndrome in children with anorexia nervosa.","authors":"Hyun Jin Kim","doi":"10.1080/10640266.2025.2471661","DOIUrl":"10.1080/10640266.2025.2471661","url":null,"abstract":"<p><p>Refeeding syndrome (RS) is defined as fluid and electrolyte shifts as a result of aggressive nutritional rehabilitation and these electrolyte imbalance can result in several cardiac complications. We aimed to evaluate the incidences of RS and hypercholesterolemia in children with anorexia nervosa (AN) and related factors for that. We retrospectively evaluated the medical records of 51 patients aged 10-18 years diagnosed with AN between January 2015 and May 2020. RS and hypercholesterolemia were seen in 21 (41.2%) and 39 (76.5%) of patients, respectively. Patients with RS had an older mean age (16.3 vs. 13.7 years, <i>p</i> = .021), lower body mass index (BMI) percentile on admission (0.1 vs. 1.6<sup>th</sup>, <i>p</i> = .023), and a higher degree of weight loss (16.5 vs. 12.7 kg, <i>p</i> = .005) than those without RS. Age (odds ratio [OR], 3.49; 95% confidence interval [CI], 0.913-8.790; <i>p</i> = .021), initial BMI percentile (OR, 0.55; 95% CI, 0.286-1.853; <i>p</i> = .036), and BMI z-score (OR, 0.56; 95% CI, 0.256-1.987; <i>p</i> = .045) were predictors of RS. For identifying occurrence of RS, the area under the curve for BMI was 0.679 and the optimal BMI cutoff value and was 11.8 kg/m<sup>2</sup>. RS and hypercholesterolemia were frequently observed in patients with AN, and low BMI percentile and older age were significantly associated with RS. Therefore, serum phosphate levels should be monitored more frequently in patients with severe malnutrition.</p>","PeriodicalId":48835,"journal":{"name":"Eating Disorders","volume":" ","pages":"293-303"},"PeriodicalIF":3.5,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143523553","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 : 2026-05-01Epub Date: 2025-03-13DOI: 10.1080/10640266.2025.2471709
Leslie A Sim, Jocelyn R Lebow, Stephen P H Whiteside
{"title":"Child and adolescent mental health therapists' use of family-based treatment for adolescent restrictive eating disorders.","authors":"Leslie A Sim, Jocelyn R Lebow, Stephen P H Whiteside","doi":"10.1080/10640266.2025.2471709","DOIUrl":"10.1080/10640266.2025.2471709","url":null,"abstract":"<p><p>In order to identify factors that may impede youth access to evidence-based treatment, the current study examined child and adolescent mental health therapists' use of Family-Based Treatment (FBT) and other psychotherapeutic approaches to treat adolescents with restrictive eating disorders. A sample of 91 therapists from a variety of backgrounds (e.g. social workers, doctoral-level psychologists, masters-level counselors, marriage and family therapists) completed a 74-item survey regarding their attitudes and beliefs about adolescent eating disorders and its treatment, as well as their use of FBT and other psychotherapeutic approaches. Only 5% of therapists indicated that they treat restrictive eating disorders and, of those who do provide care, few endorsed using FBT strategies. The majority of therapists reported using other psychotherapeutic approaches that may dilute the effect of FBT principles or may prove ineffective. Having more formal training in eating disorders was associated with FBT-consistent beliefs and the use of FBT strategies. Findings have implications for dissemination efforts that target common beliefs that can undermine the care of adolescent eating disorders. Finally, the field must consider disseminating treatments to general therapists in ways that are more accessible, such as a focus on basic over specialized competencies, and consider innovative approaches to engage other professionals in supporting families caring for young people with restrictive eating disorders.</p>","PeriodicalId":48835,"journal":{"name":"Eating Disorders","volume":" ","pages":"304-321"},"PeriodicalIF":3.5,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143625838","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 sense of making a difference\": staff experiences of residential treatment for eating disorders.","authors":"Rebekah Rankin, Janet Conti, Lucie Ramjan, Sinead Day, Deborah Mitchison, Kathy Tannous, Katherine Gill, Haider Mannan, Phillipa Hay","doi":"10.1080/10640266.2026.2663774","DOIUrl":"https://doi.org/10.1080/10640266.2026.2663774","url":null,"abstract":"<p><p>Residential facilities for eating disorders provide recovery-oriented care in less restrictive home-like treatment environments compared to traditional inpatient hospital treatments. These services also frequently integrate staff members with a lived experience of eating disorder recovery-lived experience practitioners-within their treatment frameworks. However, limited research has examined staff experiences of working in these settings. This study explores employee experiences of an Australian residential eating disorder facility using a fixed mixed-methods approach with an independent convergent parallel design. Sixty-five percent of employees consented to participation, with 50% identifying as lived experience practitioners. Findings highlight employees' strong sense of purpose and critical role as facilitators of recovery. Participant narratives positioned staff as, in the words of one participant, the <i>\"heart and soul\"</i> of the facility. While experiences were predominantly positive, employees also identified ideological challenges, including navigating tensions between standardised, phase-based treatment protocols, and person-centered, recovery-oriented care (e.g. adapting structured approaches to meet individual patient needs). Given the centrality of the clinician-patient relationship in treatment outcomes and the interconnection between staff wellbeing, patient safety, and care quality, further research is needed to explore how residential organizations can balance structured protocols with individualized care and employee wellbeing to sustain a skilled and resilient workforce.</p>","PeriodicalId":48835,"journal":{"name":"Eating Disorders","volume":" ","pages":"1-28"},"PeriodicalIF":3.5,"publicationDate":"2026-04-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147786510","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 : 2026-03-30DOI: 10.1080/10640266.2026.2647725
Timothy D Brewerton, Giulia Suro, Ismael Gavidia, Molly M Perlman
{"title":"Complex PTSD as defined by the PTSD checklist for DSM-5 (PCL-5) in patients with eating disorders.","authors":"Timothy D Brewerton, Giulia Suro, Ismael Gavidia, Molly M Perlman","doi":"10.1080/10640266.2026.2647725","DOIUrl":"https://doi.org/10.1080/10640266.2026.2647725","url":null,"abstract":"<p><p>Posttraumatic stress disorder (PTSD) is associated with eating disorders (EDs) and serves as a marker of higher severity and comorbidity. However, the role of complex PTSD (CPTSD) in EDs has been relatively unexplored. Recently, a PTSD Checklist for DSM-5 (PCL-5) total score ≥51 has been reported to be a reliable indicator of probable CPTSD. Participants were 2390 patients (91% female) admitted to residential treatment for a DSM-5 defined ED who gave written informed consent. Patients completed self-report assessments for symptoms of EDs, depression, state-trait anxiety, PTSD, and quality of life. Three trauma groups were compared based on PCL-5 total scores: 1) PCL-5 < 33 (no PTSD, <i>n</i> = 1104), 2) ≥33 and <51 (provisional PTSD, <i>n</i> = 651), and 3) ≥51 (probable CPTSD, <i>n</i> = 635). Groups were compared using multivariant analyses of variance with age, admission BMI, gender, race, and ED diagnosis as covariates. There were significant differences between trauma groups in all measures (<i>p</i> ≤ .001). Post-hoc comparisons revealed significant differences between all trauma groups for all assessments. Patients with probable CPTSD (27%) showed earliest ED onset and highest trauma dose and symptom severity followed by those with provisional PTSD (27%), then those with no PTSD (46%). Probable CPTSD occurred in 27% of patients with EDs and was associated with significantly greater ED-related psychopathology and younger age of ED onset compared to provisional PTSD and no PTSD groups. These results support the clinical utility of diagnosing probable CPTSD and emphasize the importance of thorough assessment procedures and integrated treatment approaches that address the full spectrum of trauma-related symptoms.</p>","PeriodicalId":48835,"journal":{"name":"Eating Disorders","volume":" ","pages":"1-16"},"PeriodicalIF":3.5,"publicationDate":"2026-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147576032","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}