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}
Eating DisordersPub Date : 2024-05-22DOI: 10.1080/10640266.2024.2357942
Emily K Presseller, Sophie R Abber, Elizabeth W Lampe, Adrienne S Juarascio
{"title":"A preliminary study of latent trajectories of change in dietary restraint during CBT-E for bulimia-spectrum eating disorders and their associations with treatment response.","authors":"Emily K Presseller, Sophie R Abber, Elizabeth W Lampe, Adrienne S Juarascio","doi":"10.1080/10640266.2024.2357942","DOIUrl":"10.1080/10640266.2024.2357942","url":null,"abstract":"<p><strong>Objective: </strong>Dietary restraint is a primary target of CBT-E. However, little research has examined how specific types of dietary restraint change during CBT-E for bulimia-spectrum eating disorders (BN-EDs) or the association between changes in dietary restraint and treatment response. This study examined latent trajectories of change in eating enough, eating a range of macronutrients, and following dietary rules during CBT-E for BN-EDs and the relationships between these trajectories and pre- to post-treatment change in BN symptoms and remission.</p><p><strong>Method: </strong>Participants were 56 adults with BN-EDs who received 16 sessions of CBT-E and completed the Eating Disorder Examination and ecological momentary assessments (EMA) of eating behaviors and BN symptoms. Latent growth mixture modeling identified trajectories of change in dietary restraint, which were compared on pre- to post-treatment BN symptom change and remission.</p><p><strong>Results: </strong>Three trajectories of change were identified for eating enough, eating a range of macronutrients, and food rules. Trajectories of change in eating enough were differentially associated with pre- to post-treatment change in BN symptoms, and trajectories of change in eating a range of macronutrients and food rules were differentially associated with remission.</p><p><strong>Conclusions: </strong>CBT-E yields heterogeneous trajectories of change in dietary restraint, which are associated with treatment response.</p>","PeriodicalId":48835,"journal":{"name":"Eating Disorders","volume":" ","pages":"1-18"},"PeriodicalIF":3.0,"publicationDate":"2024-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11582077/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141082128","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 : 2024-05-13DOI: 10.1080/10640266.2024.2353414
Minsun Lee
{"title":"The protective role of positive body image on the associations between body objectification, disordered eating symptoms, and depression among Korean women.","authors":"Minsun Lee","doi":"10.1080/10640266.2024.2353414","DOIUrl":"https://doi.org/10.1080/10640266.2024.2353414","url":null,"abstract":"<p><p>Despite a significant amount of research theoretically demonstrating the benefits of positive body image, limited studies have empirically examined its protective role over women's body concerns and behaviors. Based on the objectification theory, this study explored whether the associations between body objectification, disordered eating symptoms, and depression are moderated by positive body image. We considered four specific constructs of positive body image using the Body Positive Scale (BP Scale) which includes BP-Feeling, BP-Acceptance-even if, BP-Response, and BP-Conceptualization. We conducted moderated mediation analysis using PROCESS model on data from an online survey completed by 400 Korean women ages 20-64 years. The results showed that the associations between body objectification and disordered eating symptoms were not significant at high levels of BP-Feeling and BP-Acceptance-even if. The results also revealed that indirect associations between body objectification and depression via disordered eating symptoms were not significant at high levels of BP-Feeling and BP-Acceptance-even if. While the overall results suggest the protective role of positive body image against disordered eating and depression, this study further provides specific information on positive body image that should be included in the prevention and treatment of disordered eating.</p>","PeriodicalId":48835,"journal":{"name":"Eating Disorders","volume":" ","pages":"1-19"},"PeriodicalIF":3.3,"publicationDate":"2024-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140913381","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 : 2024-05-13DOI: 10.1080/10640266.2024.2352991
Adriana C Labarta, Kimberly F Colvin, Kelly Emelianchik-Key, Carman S Gill
{"title":"Examining transdiagnostic factors among religious and spiritual individuals with comorbid eating disorders and post-traumatic stress disorders.","authors":"Adriana C Labarta, Kimberly F Colvin, Kelly Emelianchik-Key, Carman S Gill","doi":"10.1080/10640266.2024.2352991","DOIUrl":"https://doi.org/10.1080/10640266.2024.2352991","url":null,"abstract":"<p><p>Eating disorders (EDs) have a harmful impact on the lives of millions of individuals in the United States. Research indicates that comorbid trauma could negatively impact treatment outcomes, reinforcing ED symptomology. Transdiagnostic approaches underscore experiential avoidance as a maintaining factor for EDs and other comorbid concerns, while mindfulness and adaptive coping help disrupt avoidance of emotional experiences. In addition to treatment approaches, clinicians must consider cultural identity factors, such as religion and spirituality (R/S), to engage in culturally responsive treatment. In the present study, we examined transdiagnostic factors in a clinical sample of 1153 individuals with comorbid EDs and post-traumatic stress disorder (99.6% of the sample), specifically considering differences between those who identified as religious, spiritual, or neither. Using a one-way analysis of variance, we found statistically significant differences in ED symptomology and adaptive coping scores across groups. Conversely, we found no statistically significant differences in mindfulness and experiential avoidance scores across groups. Despite the small effect sizes, these preliminary findings add to the existing body of research on R/S using a transdiagnostic framework, supporting the integration of spirituality into ED treatment to promote adaptive coping. Future research is needed to address the study's limitations, such as exploring adaptive coping styles that may further explain these relationships.</p>","PeriodicalId":48835,"journal":{"name":"Eating Disorders","volume":" ","pages":"1-17"},"PeriodicalIF":3.3,"publicationDate":"2024-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140913378","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 : 2024-05-06DOI: 10.1080/10640266.2024.2346681
Paul T Bartone, Kimberly H Tripp
{"title":"Stress, hardiness and eating disorder symptoms in military academy cadets.","authors":"Paul T Bartone, Kimberly H Tripp","doi":"10.1080/10640266.2024.2346681","DOIUrl":"https://doi.org/10.1080/10640266.2024.2346681","url":null,"abstract":"<p><p>Eating disorders are a persistent and debilitating problem, especially among college age men and women. This problem is exacerbated in occupations such as the military, where maintenance of strict standards regarding weight, fitness and appearance is important for job retention and promotion. Also, previous research confirms that stress is a contributing element to eating disorders. It is thus important to identify factors that may assist individuals to remain resilient and avoid stress-related health and eating difficulties. The present study utilizes historical data to examine the impact of stress on health and eating disorder symptoms in a representative sample of West Point military academy cadets, while testing the role of gender and hardiness as stress moderators in this relation. A survey containing measures of stress, hardiness and eating disorders symptoms was completed by 387 cadets in the fall and spring of 2000-2001. Moderation effects were tested with advanced conditional process analysis procedures developed recently by Hayes (2022). Results show that hardiness was a significant moderator, with cadets low in hardiness showing increased eating disorder symptoms and more general health symptoms. While gender was not a significant moderator with respect to eating disorder symptoms, it was significant for general health symptoms; female cadets showed more stress-related health symptoms than their male counterparts. These results suggest that eating disorder symptoms in military academy cadets and college students more generally may be reduced through programs aimed at developing hardiness attitudes and stress coping approaches.</p>","PeriodicalId":48835,"journal":{"name":"Eating Disorders","volume":" ","pages":"1-24"},"PeriodicalIF":3.3,"publicationDate":"2024-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140873288","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 : 2024-05-02DOI: 10.1080/10640266.2024.2346372
Tom Price, Theoni Apostolopoulou, Kezia Jones
{"title":"Virtually delivered cognitive behavioural therapy for avoidant restrictive food intake disorder (CBT-AR): a case study in an adult with elevated autistic traits.","authors":"Tom Price, Theoni Apostolopoulou, Kezia Jones","doi":"10.1080/10640266.2024.2346372","DOIUrl":"https://doi.org/10.1080/10640266.2024.2346372","url":null,"abstract":"<p><p>Cognitive Behavioural Therapy for Avoidant and Restrictive Food Intake Disorder (CBT-AR; ARIFD) is a psychological treatment that targets many of the core symptoms of ARFID. Although a growing literature supports the efficacy of behavioural interventions for paediatric feeding and eating disorders, including ARFID, the applicability of these methods to adults remains undetermined. Telehealth delivery of CBT-AR in adults with autism has yet to be tested. With this study, we conduct a preliminary evaluation of CBT-AR delivered virtually to a 26-year-old white British female, with mixed ARFID and elevated autistic traits. She attended 23 remote CBT-AR sessions facilitated through a dedicated telehealth platform. Adjustments were made to accommodate her lived experience of neurodiversity. Using a pre-post treatment design, changes on measures of subjective goal attainment, eating-related and general psychosocial impairment, general anxiety, and depression were evaluated. Following treatment, the participant had made significant progress towards personally meaningful goals, with improvements observed in nutritional intake, general well-being, and reductions in eating-related psychosocial impairment and general anxiety. The results offer preliminary insights into acceptability and efficacy of virtual CBT-AR for neurodiverse individuals.</p>","PeriodicalId":48835,"journal":{"name":"Eating Disorders","volume":" ","pages":"1-21"},"PeriodicalIF":3.3,"publicationDate":"2024-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140867929","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 : 2024-05-01Epub Date: 2024-05-09DOI: 10.1080/10640266.2024.2345995
Michael P Levine
{"title":"Prevention of eating disorders: 2023 in review.","authors":"Michael P Levine","doi":"10.1080/10640266.2024.2345995","DOIUrl":"10.1080/10640266.2024.2345995","url":null,"abstract":"<p><p>This review of 16 prevention-related publications in <i>Eating Disorders</i> during 2022 is framed by three models: (1) Mental Health Intervention Spectrum: health promotion → types of prevention → case identification/referral → treatment; (2) the prevention cycle: rationale and theory, shaped by critical reviews → clarifying risk and protective factors → program innovation and feasibility studies → efficacy and effectiveness research → program dissemination; and (3) definitions of and links between disordered eating (DE) and eating disorders (EDs). Seven articles fell into the category of prevention rationale (including screening studies) and relevant reviews, while nine articles addressed correlates of/risk factors (RFs) for various aspects of DE and EDs. One implication of the 16 articles reviewed is that RF research toward construction of selective and indicated prevention programs for an expanding array of diverse at-risk groups needs to address, from a nuanced, intersectional framework, a broad range of factors beyond negative body image and internalization of beauty ideals. Another implication is that, to expand and improve current and forthcoming prevention programs, and to shape effective advocacy for prevention-oriented social policy, the field in general and <i>Eating Disorders</i> in particular need more scholarship in the form of critical reviews and meta-analyses; protective factor research; prevention program development and multi-stage evaluation; and case studies of multi-step activism at the local, state (province, region), and national levels.</p>","PeriodicalId":48835,"journal":{"name":"Eating Disorders","volume":" ","pages":"223-246"},"PeriodicalIF":3.3,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140892547","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":"Does embedding pediatric eating disorder treatment in primary care bridge the access gap?","authors":"Jocelyn Lebow, Marcie Billings, Angela Mattke, Paige Partain, Janna Gewirtz O'Brien, Cassandra Narr, Renee Breland, Robert M Jacobson, Katharine Loeb, Leslie Sim","doi":"10.1080/10640266.2023.2299592","DOIUrl":"10.1080/10640266.2023.2299592","url":null,"abstract":"<p><p>Given the numerous barriers to accessing child and adolescent eating disorder treatment, there is a need for innovation in how this care is delivered. Primary care-based eating disorder treatment has established proof-of-concept, yet it is unclear whether this model can bridge the treatment-access gap. This retrospective chart review study compared demographic and illness characteristics of 106 adolescents (M age = 15.1 years) SD = 1.8 consecutively evaluated in a primary care-based eating disorder clinic with 103 adolescent patients (M age = 15.2 years) SD = 2.2 seen consecutively in a specialty eating disorder clinic at the same medical center. Relative to adolescents in specialty care, those in the primary care group presented at a significantly higher BMI percentile, had less weight suppression, a shorter illness duration, lower rates of amenorrhea and lower scores on the EDE-Q Dietary Restraint subscale. In addition, more patients in the primary care group identified as non-white and had government/public assistance insurance compared to those in the specialty group. The results suggest that, compared to traditional specialty care clinics, embedded eating disorder treatment in primary care may reach a more racially and socioeconomically diverse group of adolescents when they are earlier in the course of their illness. Future research determining the relative effectiveness of this model as compared to interventions delivered in specialty care is needed.</p>","PeriodicalId":48835,"journal":{"name":"Eating Disorders","volume":" ","pages":"283-296"},"PeriodicalIF":3.3,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139418395","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 : 2024-05-01Epub Date: 2024-05-06DOI: 10.1080/10640266.2024.2347699
Catherine Cook-Cottone, Leslie Karwoski Anderson
{"title":"Eating disorders: the journal of treatment and prevention 2023 year in review statement from the editors celebrating 30 years and a commitment to lived experience inclusion.","authors":"Catherine Cook-Cottone, Leslie Karwoski Anderson","doi":"10.1080/10640266.2024.2347699","DOIUrl":"10.1080/10640266.2024.2347699","url":null,"abstract":"","PeriodicalId":48835,"journal":{"name":"Eating Disorders","volume":" ","pages":"247-253"},"PeriodicalIF":3.3,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140867805","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}