{"title":"Disordered eating instruments in the pregnancy cohort: a systematic review update.","authors":"Juliette Stephens, Aleshia Ellis, Susan Roberts, Kerri Gillespie, Amy Bannatyne, Grace Branjerdporn","doi":"10.1080/10640266.2024.2386469","DOIUrl":"https://doi.org/10.1080/10640266.2024.2386469","url":null,"abstract":"<p><p>Pregnancy represents a crucial timepoint to screen for disordered eating due to the significant adverse impact on the woman and her infant. There has been an increased interest in disordered eating in pregnancy since the COVID-19 pandemic, which has disproportionately affected the mental health of pregnant women compared to the general population. This systematic review is an update to a previous review aiming to explore current psychometric evidence for any new pregnancy-specific instruments and other measures of disordered eating developed for non-pregnant populations. Systematic searches were conducted in PubMed, ProQuest, PsycInfo, CINAHL, Scopus, MEDLINE, and Embase from April 2019 to February 2024. A total of 20 citations met criteria for inclusion, with most studies of reasonable quality. Fourteen psychometric instruments were identified, including two new pregnancy-specific screening instruments. Overall, preliminary psychometric evidence for the PEBS, DEAPS, and EDE-PV was promising. There is an ongoing need for validation in different samples, study designs, settings, and administration methods are required. Similar to the original review on this topic, we did not find evidence to support a gold standard recommendation.</p>","PeriodicalId":48835,"journal":{"name":"Eating Disorders","volume":" ","pages":"1-25"},"PeriodicalIF":3.0,"publicationDate":"2024-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141879692","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 : 2024-07-26DOI: 10.1080/10640266.2024.2379158
Katelyn Gordon, Grace Jhe, Richa Adhikari, Abigail Matthews, Melissa Freizinger, Tracy Richmond, Jessica A Lin
{"title":"Treatment adherence and nasogastric tube use in hospitalized youth with anorexia nervosa and premorbid overweight/obesity.","authors":"Katelyn Gordon, Grace Jhe, Richa Adhikari, Abigail Matthews, Melissa Freizinger, Tracy Richmond, Jessica A Lin","doi":"10.1080/10640266.2024.2379158","DOIUrl":"https://doi.org/10.1080/10640266.2024.2379158","url":null,"abstract":"<p><p>Youth with restrictive-eating disorders (EDs) often experience significant distress and difficulty with treatment adherence during nutritional rehabilitation. This study assessed whether youth with restrictive EDs and premorbid overweight/obesity admitted for inpatient nutritional rehabilitation experience greater psychological distress and difficulty with treatment adherence than youth with premorbid BMI <85th percentile. A retrospective chart review examined 150 youth hospitalized for medical complications of restrictive EDs. Rates of nasogastric tube (NGT; used when youth could not complete meals), agitation medication use, and disposition recommendation were compared across premorbid BMI groups. Patients with premorbid overweight/obesity were three times more likely to require NGT feeds. These findings suggest greater challenges with nutritional rehabilitation, specifically consuming nutrition orally, in patients with premorbid overweight/obesity, highlighting the need for early and individualized psychological support for this vulnerable patient population.</p>","PeriodicalId":48835,"journal":{"name":"Eating Disorders","volume":" ","pages":"1-9"},"PeriodicalIF":3.0,"publicationDate":"2024-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141761949","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 : 2024-07-20DOI: 10.1080/10640266.2024.2380185
Melanie Kressel, Rachel Flamer, Lata K McGinn, Margaret Sala
{"title":"Weight stereotypes in eating disorder recognition.","authors":"Melanie Kressel, Rachel Flamer, Lata K McGinn, Margaret Sala","doi":"10.1080/10640266.2024.2380185","DOIUrl":"10.1080/10640266.2024.2380185","url":null,"abstract":"<p><strong>Objective: </strong>We investigated weight stereotypes in the recognition and referral of eating disorders (EDs) by assessing if recognition, health care referral, perceived acceptability, perceived distress, and perceived prevalence of an ED differ depending on the weight of the subject in the vignette.</p><p><strong>Method: </strong>Community participants (<i>N =</i> 180, age = 19-74) read three different vignettes describing three females with different EDs [anorexia nervosa/atypical anorexia nervosa (AN/AAN), bulimia nervosa (BN), binge eating disorder (BED)] and were randomized to three different experimental conditions concerning an individual with a different weight (overweight, normal, and underweight).</p><p><strong>Results: </strong>Across EDs, participants were more likely to recognize a problem, refer for treatment, and rate a higher perceived level of distress in the vignettes of overweight individuals than in the vignettes of normal weight individuals. For BED, a larger proportion of participants in the overweight condition classified the issue described in the vignette as a form of eating pathology compared to the normal weight condition.</p><p><strong>Discussion: </strong>These results highlight several weight stereotypes that exist in the recognition and health care referral of EDs. Future ED education and awareness programs should emphasize that EDs can occur in any individual, regardless of their weight.</p>","PeriodicalId":48835,"journal":{"name":"Eating Disorders","volume":" ","pages":"1-20"},"PeriodicalIF":3.0,"publicationDate":"2024-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11743818/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141731524","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 : 2024-07-17DOI: 10.1080/10640266.2024.2379125
Marissa L Donahue, Mariah E Willis-Moore, Julie M Petersen, Amy L Odum, Michael E Levin, Josephine N Hannah, Tera Lensegrav-Benson, Benita Quakenbush, Michael P Twohig
{"title":"An exploratory examination of delay discounting in women and girls diagnosed with an eating disorder.","authors":"Marissa L Donahue, Mariah E Willis-Moore, Julie M Petersen, Amy L Odum, Michael E Levin, Josephine N Hannah, Tera Lensegrav-Benson, Benita Quakenbush, Michael P Twohig","doi":"10.1080/10640266.2024.2379125","DOIUrl":"https://doi.org/10.1080/10640266.2024.2379125","url":null,"abstract":"<p><p>Those with eating disorders (EDs) characterized by purging behaviors tend to show more impulsivity than those diagnosed with restrictive eating, who tend to show more compulsivity. Impulsive choice (i.e. a type of impulsivity) is a common factor among eating disorders that is less understood. Delay discounting is a measure of choice impulsivity, examining the decrease in value of delayed outcomes. In this exploratory study, we examined associations between eating disorder type, age and delay discounting among patients at a residential ED treatment center (<i>N</i> = 178). Our findings showed that those diagnosed with bulimia nervosa had higher delay discounting (i.e. more impulsivity) at intake compared to anorexia nervosa, binge eating disorder, and other eating types but there were no significant differences. Those diagnosed with bulimia nervosa, as well as those with ARFID and unspecified ED showed a preference for delayed rewards at discharge, but there were no significant differences among ED types. Moderation analyses showed that age, ED type, nor the interaction did not significantly predict delay discounting at intake or discharge. To conclude, those with bulimia nervosa demonstrate less impulsive choice at discharge from a residential ED treatment center. However, additional research is needed given the variability of sample sizes in this study.</p>","PeriodicalId":48835,"journal":{"name":"Eating Disorders","volume":" ","pages":"1-13"},"PeriodicalIF":3.0,"publicationDate":"2024-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141628119","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: 10.1080/10640266.2024.2312725
Ross M Sonnenblick, Megan L Wilkinson, Stephanie M Manasse, Adrienne S Juarascio
{"title":"Does hopelessness predict treatment outcomes in adults with binge-spectrum eating disorders?","authors":"Ross M Sonnenblick, Megan L Wilkinson, Stephanie M Manasse, Adrienne S Juarascio","doi":"10.1080/10640266.2024.2312725","DOIUrl":"10.1080/10640266.2024.2312725","url":null,"abstract":"<p><p>Using data from 165 adult participants who enrolled in four studies of cognitive-behavioral therapy (CBT) for binge-spectrum eating disorders (EDs), this secondary analysis examined 1) whether pretreatment hopelessness predicted posttreatment eating pathology, loss-of-control (LOC) eating frequency, and purging frequency; 2) whether treatment had an indirect effect on those outcomes through change in hopelessness; and 3) whether treatment had an indirect effect on hopelessness through those ED measures. The Eating Disorder Examination was used to assess overall eating pathology, LOC frequency, and purging frequency. Hopelessness was measured with one item from the Beck Depression Inventory-II. Regression models showed that pretreatment hopelessness predicted posttreatment LOC eating frequency but not overall eating pathology or purging frequency. Single-group tests of indirect effects showed no effect of reduction in hopelessness on reduction in ED symptoms, but there was an effect of reduction in ED symptoms on reduction in hopelessness.</p>","PeriodicalId":48835,"journal":{"name":"Eating Disorders","volume":" ","pages":"426-438"},"PeriodicalIF":3.3,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11178463/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139713250","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 : 2024-07-01Epub 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}