Eating DisordersPub Date : 2024-05-01Epub Date: 2024-01-30DOI: 10.1080/10640266.2024.2306429
Carol B Peterson, Elise Weber, Leslie Sim
{"title":"Optimizing treatment environments for trait sensitivity in eating disorders.","authors":"Carol B Peterson, Elise Weber, Leslie Sim","doi":"10.1080/10640266.2024.2306429","DOIUrl":"10.1080/10640266.2024.2306429","url":null,"abstract":"<p><p>Research has identified trait sensitivity as a potential risk factor and treatment target of eating disorders. Conceptualizations of trait sensitivity have depicted individuals with high and low trait sensitivity metaphorically as <i>orchids</i> and <i>dandelions</i>, highlighting their responsiveness to environmental conditions and associated outcomes. While <i>orchids</i> require careful tending to survive, with such care, they emerge extraordinary. In contrast, <i>dandelions</i> can survive a broad range of environmental conditions. Within a scientific framework, trait sensitivity can be conceptualized as neurobiologically-based, with heightened sensory, interoceptive, interpersonal, and emotional processing. While trait sensitivity may increase susceptibility to eating disorders, when therapists view these traits through the lens of environmental responsiveness, they can facilitate their client's inherent resilience and potential. Incorporating a model of trait sensitivity into eating disorders treatment using psychoeducation, modifying environmental stimuli, and selecting optimal interventions has the potential to increase treatment engagement, deepen therapeutic collaboration, and improve outcomes.</p>","PeriodicalId":48835,"journal":{"name":"Eating Disorders","volume":" ","pages":"325-339"},"PeriodicalIF":3.3,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139643202","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: 2024-05-13DOI: 10.1080/10640266.2024.2349352
Julianna Gorder, Danielle T Gonzales, Stuart B Murray
{"title":"Updates in the treatment of eating disorders in 2023: a year in review in <i>eating disorders: the Journal of treatment & Prevention</i>.","authors":"Julianna Gorder, Danielle T Gonzales, Stuart B Murray","doi":"10.1080/10640266.2024.2349352","DOIUrl":"10.1080/10640266.2024.2349352","url":null,"abstract":"<p><p>Empirical evidence is unequivocal in illustrating that the majority of patients with eating disorders will not fully recover during treatment. To that end, the need for optimized treatment approaches and improved patient outcomes cannot be overstated. While empirical efforts are underway to optimize outcomes, this article reviews treatment-related research findings published in <i>Eating Disorders: The Journal of Treatment & Preventi</i>on during 2023. Importantly, this review encapsulates research addressing (i) between-session patient behaviors, (ii) the integration of technology into treatment approaches, (iii) methods to augment emotional regulation in the context of eating disorder treatment, (iv) methods to measure progress, and potentially risk markers for patient dropout, during treatment, (v) optimizing treatment approaches for inpatient settings, and (vi) augmenting family therapy-based approaches. Incorporating novel technological advances may be critical in enhancing the scalability of eating disorder treatments, since treatment uptake remains an ongoing challenge for the field. Moreover, expanding the scope of non-outpatient eating disorder treatment settings, while ensuring fidelity to theoretical models developed in outpatient settings, is critical as treatment is effectively administer across the spectrum of levels of patient care.</p>","PeriodicalId":48835,"journal":{"name":"Eating Disorders","volume":" ","pages":"254-265"},"PeriodicalIF":3.3,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140913384","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: 2024-01-22DOI: 10.1080/10640266.2024.2303536
Caitlin A Clague, Janet Conti, Phillipa Hay
{"title":"Outcomes and associated clinical features of people with eating disorders participating in residential treatment facilities: a scoping review.","authors":"Caitlin A Clague, Janet Conti, Phillipa Hay","doi":"10.1080/10640266.2024.2303536","DOIUrl":"10.1080/10640266.2024.2303536","url":null,"abstract":"<p><p>Residential treatment programs for eating disorders (EDs) have gained popularity in recent years, expanding beyond the United States to countries such as Canada, Italy, and the United Kingdom. These programs offer a \"home-like\" environment where individuals reside for several weeks or months, emphasising both physical restoration and psychological recovery. This scoping review aimed to provide an update since the most recent reviews on the literature regarding outcomes of residential treatment programs for EDs and to explore clinical features that were associated with these outcomes. Methods used followed the Joanna Briggs Institute guidelines for scoping reviews. A systematic search of electronic databases was conducted, and 12 studies met the inclusion criteria. All studies reported improvements in various outcomes from admission to discharge, including changes in eating psychopathology, weight restoration, depression, anxiety, and quality of life. Additionally, three studies reported positive outcomes at intervals after discharge and three predictive factors (self-compassion, personality organisation, and resistance to emotional vulnerability) were reported in a small number of studies. While residential treatment facilities consistently showed positive outcomes, the review highlights the need for randomised controlled studies to establish the efficacy of these programs for EDs. Future research should include controlled studies comparing residential facilities to other treatment settings and incorporate long-term follow-up outcomes and further studies of emergent predictive factors identified in this review.</p>","PeriodicalId":48835,"journal":{"name":"Eating Disorders","volume":" ","pages":"297-324"},"PeriodicalIF":3.3,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139522159","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 : 2024-04-30DOI: 10.1080/10640266.2024.2347750
Matthew F Murray, Heather A Davis, Jennifer E Wildes
{"title":"LGBTQ+ outpatients present to eating disorder treatment earlier and with more severe depressive symptoms than cisgender heterosexual peers.","authors":"Matthew F Murray, Heather A Davis, Jennifer E Wildes","doi":"10.1080/10640266.2024.2347750","DOIUrl":"10.1080/10640266.2024.2347750","url":null,"abstract":"<p><p>Community evidence indicates high eating disorder (ED) and comorbid symptom severity among LGBTQ+ compared to cisgender heterosexual (CH) individuals. Little is known about such disparities in ED treatment samples, especially in outpatient treatment. We aimed to descriptively characterize and investigate baseline group differences in symptom severity between LGBTQ+ and CH ED outpatients at treatment intake. Data from 60 (22.3%) LGBTQ+ and 209 (77.7%) CH ED outpatients were used to examine: (1) demographic and diagnostic differences; (2) differences in ED, depressive, and emotion dysregulation symptoms. Objectives were tested using Fisher-Freeman-Halton exact and independent samples t-tests, and analyses of covariance adjusted for age and diagnosis, respectively. Most LGBTQ+ outpatients were bisexual (55.2%), and 6.5% identified as transgender and non-binary. LGBTQ+ outpatients presented to treatment at younger ages (<i>Mean Difference [MD]</i> = -3.39, <i>p</i> = .016) and reported more severe depressive symptoms (<i>MD</i> = 5.73, <i>p</i> = .004) than CH patients, but endorsed similar ED symptom and emotion dysregulation severity. Groups did not differ in other demographic or diagnostic characteristics. LGBTQ+ individuals may develop more severe depression and similarly severe EDs at earlier ages but seek outpatient care sooner than CH peers. Managing depressive symptoms may be particularly important for LGBTQ+ ED patients.</p>","PeriodicalId":48835,"journal":{"name":"Eating Disorders","volume":" ","pages":"1-15"},"PeriodicalIF":3.0,"publicationDate":"2024-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11522020/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140868624","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 : 2024-04-28DOI: 10.1080/10640266.2024.2346373
Aleece Katan, Allison C. Kelly, Josie Geller
{"title":"Self-compassion promotes positive mental health in women with anorexia nervosa: A two-week daily diary study","authors":"Aleece Katan, Allison C. Kelly, Josie Geller","doi":"10.1080/10640266.2024.2346373","DOIUrl":"https://doi.org/10.1080/10640266.2024.2346373","url":null,"abstract":"Despite the importance of positive mental health, little is known about its facilitators in people with eating disorders (EDs). Drawing on past research, we hypothesized that self-compassion might ...","PeriodicalId":48835,"journal":{"name":"Eating Disorders","volume":"25 1","pages":""},"PeriodicalIF":3.3,"publicationDate":"2024-04-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140831566","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 : 2024-04-14DOI: 10.1080/10640266.2024.2336274
Michael P. Levine, Anna Ciao, Tiffany Brown
{"title":"Introduction to the special issue of Eating Disorders: Identifying and closing the gaps in the prevention of disordered eating and eating disorders","authors":"Michael P. Levine, Anna Ciao, Tiffany Brown","doi":"10.1080/10640266.2024.2336274","DOIUrl":"https://doi.org/10.1080/10640266.2024.2336274","url":null,"abstract":"Published in Eating Disorders: The Journal of Treatment & Prevention (Ahead of Print, 2024)","PeriodicalId":48835,"journal":{"name":"Eating Disorders","volume":"35 1","pages":""},"PeriodicalIF":3.3,"publicationDate":"2024-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140561862","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 : 2024-04-09DOI: 10.1080/10640266.2024.2336278
Megan Hellner, Dori Steinberg, Jessica Baker, Kelly Cai, Dave Freestone
{"title":"Dietary interventions in family-based treatment for eating disorders: results of a randomized comparative effectiveness study","authors":"Megan Hellner, Dori Steinberg, Jessica Baker, Kelly Cai, Dave Freestone","doi":"10.1080/10640266.2024.2336278","DOIUrl":"https://doi.org/10.1080/10640266.2024.2336278","url":null,"abstract":"Family-based treatment (FBT) is a first-line treatment for adolescents with eating disorders (ED’s) for which weight gain early in treatment and caregiver empowerment are predictive of success. A v...","PeriodicalId":48835,"journal":{"name":"Eating Disorders","volume":"25 1","pages":""},"PeriodicalIF":3.3,"publicationDate":"2024-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140561771","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 : 2024-04-08DOI: 10.1080/10640266.2024.2336700
Rachel F Rodgers, Siân A. McLean, Susan J. Paxton
{"title":"Enhancing understanding of social media literacy to better inform prevention of body image and eating disorders","authors":"Rachel F Rodgers, Siân A. McLean, Susan J. Paxton","doi":"10.1080/10640266.2024.2336700","DOIUrl":"https://doi.org/10.1080/10640266.2024.2336700","url":null,"abstract":"Research has revealed an important role for appearance-focused, and in particular photo-based, social media in the development of body image and eating pathology. Social media literacy is a multifa...","PeriodicalId":48835,"journal":{"name":"Eating Disorders","volume":"8 1","pages":""},"PeriodicalIF":3.3,"publicationDate":"2024-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140561917","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 : 2024-04-04DOI: 10.1080/10640266.2024.2337525
Sasha Gorrell, Christina M. Sanzari, Philippa S. Ziegenhardt, Josh Spell, Madelyn G. Johnson, Bridget Whitlow, Monika Saigal
{"title":"Preventing eating pathology among elite adolescent ballet dancers: a pilot trial of the Athlete Body Project","authors":"Sasha Gorrell, Christina M. Sanzari, Philippa S. Ziegenhardt, Josh Spell, Madelyn G. Johnson, Bridget Whitlow, Monika Saigal","doi":"10.1080/10640266.2024.2337525","DOIUrl":"https://doi.org/10.1080/10640266.2024.2337525","url":null,"abstract":"Adolescent ballet dancers are commonly recognized as aesthetic athletes who are at higher risk for body dissatisfaction, disordered eating, and eating disorders. Although athletic participation can...","PeriodicalId":48835,"journal":{"name":"Eating Disorders","volume":"42 1","pages":""},"PeriodicalIF":3.3,"publicationDate":"2024-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140561870","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 : 2024-03-01Epub Date: 2023-12-04DOI: 10.1080/10640266.2023.2288461
Renee D Rienecke, Dan V Blalock, Haley D Mills, Alan Duffy, Jamie Manwaring, Daniel Le Grange, Philip S Mehler, Susan McClanahan, Maryrose Bauschka, Craig Johnson
{"title":"An open trial for adults in a residential program for binge eating spectrum disorders.","authors":"Renee D Rienecke, Dan V Blalock, Haley D Mills, Alan Duffy, Jamie Manwaring, Daniel Le Grange, Philip S Mehler, Susan McClanahan, Maryrose Bauschka, Craig Johnson","doi":"10.1080/10640266.2023.2288461","DOIUrl":"10.1080/10640266.2023.2288461","url":null,"abstract":"<p><p>The current study assessed treatment outcome for 99 adult admissions to a residential program specifically designed for binge eating spectrum disorders (BESD). Participants completed self-report measures at admission, discharge, and 12-month follow-up and were asked to complete blood draws at admission and follow-up. Primary outcomes were eating behaviors; secondary outcomes included comorbid symptoms and physiological variables. Eating behaviors improved significantly from admission to follow-up, as did most comorbid symptoms and quality of life, despite no change in body mass index. Some variables displayed a curvilinear relationship, with some worsening of symptoms from discharge to follow-up, although scores at follow-up remained well below admission values. Participation in the treatment program was associated with reduced problematic eating and comorbid symptoms and increased quality of life up to one year after discharge. Findings from this study may encourage the development of similar residential treatment programs for BESD for those who have not responded to outpatient care or mixed milieu settings, and may prompt randomized studies testing similar treatments versus usual care.</p>","PeriodicalId":48835,"journal":{"name":"Eating Disorders","volume":" ","pages":"178-194"},"PeriodicalIF":3.3,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138479033","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}