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}
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":3.0,"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}