Eating Disorders最新文献_第9页

Expressed emotion and early treatment response in family-based treatment for adolescent anorexia nervosa. 青少年神经性厌食症家庭治疗中的情绪表达和早期治疗反应。

IF 3.3 3区医学

Eating Disorders Pub Date : 2024-03-01 Epub Date: 2023-11-09 DOI: 10.1080/10640266.2023.2277054

Cara Bohon, Katie Flanagan, Hannah Welch, Renee D Rienecke, Daniel Le Grange, James Lock

{"title":"Expressed emotion and early treatment response in family-based treatment for adolescent anorexia nervosa.","authors":"Cara Bohon, Katie Flanagan, Hannah Welch, Renee D Rienecke, Daniel Le Grange, James Lock","doi":"10.1080/10640266.2023.2277054","DOIUrl":"10.1080/10640266.2023.2277054","url":null,"abstract":"This study examined the effect of pre-treatment levels of parental expressed emotion (EE) on early treatment response for adolescent anorexia nervosa (AN). Data were collected from 121 adolescents, ages 12-18, who met DSM-IV criteria for AN excluding the amenorrhea criterion, and their parents. Participants were randomized to family-based treatment (FBT) or adolescent-focused therapy (AFT). To examine the effects of different thresholds of EE, we used two different levels of EE in analyses. Results demonstrated that adolescents who had at least one parent with elevated EE indicated by a lower threshold (i.e. even mild levels) at baseline were less likely to achieve an early treatment response, suggesting that EE might interfere with treatment success from the start of treatment. When high EE was defined by a higher threshold, these effects were no longer significant, regardless of treatment type (FBT or AFT). These findings suggest that adolescents with AN may be more sensitive to EE than other mental illnesses, such that lower thresholds of EE impact the speed with which they are able to reduce symptoms and gain weight in treatment. It may be necessary to target parental EE prior to or early in treatment or pivot to parent-focused treatment to change the trajectory of treatment response. Future research is needed to explore ways parental EE can be reduced.","PeriodicalId":48835,"journal":{"name":"Eating Disorders","volume":" ","pages":"153-168"},"PeriodicalIF":3.3,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71523054","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}

引用次数: 0

Difficulties in interpersonal regulation of emotion in relation to disordered eating. 与饮食失调有关的人际情绪调节困难。

IF 3.3 3区医学

Eating Disorders Pub Date : 2024-03-01 Epub Date: 2023-11-15 DOI: 10.1080/10640266.2023.2277048

Dominic M Denning, Clara G DeFontes, Elijah Lawrence, Elinor E Waite, Katherine L Dixon-Gordon

{"title":"Difficulties in interpersonal regulation of emotion in relation to disordered eating.","authors":"Dominic M Denning, Clara G DeFontes, Elijah Lawrence, Elinor E Waite, Katherine L Dixon-Gordon","doi":"10.1080/10640266.2023.2277048","DOIUrl":"10.1080/10640266.2023.2277048","url":null,"abstract":"Eating disorders (EDs) are associated with emotion regulation difficulties. However, most studies have examined intrapersonal emotion regulation difficulties and strategies without consideration of interpersonal emotion regulation (IER). Thus, it remains unknown whether intrinsic IER (i.e., how people regulate their emotions through others) is associated with disordered eating. The present study examined whether putatively maladaptive IER strategies such as reassurance seeking and venting were associated with ED cognitions, behaviors, and symptom severity. Additionally, we examined whether IER strategy use varied as a function of probable ED diagnosis. A sample of 181 college students (Mage = 20.01 years, SD = 2.18) from a large northeastern university completed self-report measures of disordered eating, IER strategies, and intrapersonal emotion regulation difficulties. As predicted, reassurance seeking was associated with most ED symptomatology and ED symptom severity except for fasting frequency. Venting was only associated with body dissatisfaction. Associations between reassurance seeking and ED symptom severity and excessive exercise frequency remained significant even after controlling for sex and intrapersonal emotion regulation strategies. Finally, participants with a probable ED diagnosis reported greater reassurance seeking but not venting compared to nonprobable ED cases. These findings highlight the important associations between IER strategy use and disordered eating, namely, reassurance seeking. Additional research is needed to examine the associations between IER strategy use and disordered eating longitudinally.","PeriodicalId":48835,"journal":{"name":"Eating Disorders","volume":" ","pages":"140-152"},"PeriodicalIF":3.3,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"107592568","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}

引用次数: 0

The relationship between non-purging compensatory behaviors, clinical severity, and treatment outcomes in adults with binge-spectrum eating disorders. 暴饮暴食症成人患者的非清理补偿行为、临床严重程度和治疗效果之间的关系。

IF 3.3 3区医学

Eating Disorders Pub Date : 2024-03-01 Epub Date: 2024-01-07 DOI: 10.1080/10640266.2023.2293504

M L Wilkinson, E K Presseller, E W Lampe, C Trainor, R Sinex, S M Manasse, A S Juarascio

{"title":"The relationship between non-purging compensatory behaviors, clinical severity, and treatment outcomes in adults with binge-spectrum eating disorders.","authors":"M L Wilkinson, E K Presseller, E W Lampe, C Trainor, R Sinex, S M Manasse, A S Juarascio","doi":"10.1080/10640266.2023.2293504","DOIUrl":"10.1080/10640266.2023.2293504","url":null,"abstract":"Non-purging compensatory behaviors (NPCB; e.g. driven exercise, fasting, other extreme behaviors) are a subcategory of compensatory behaviors typically characterized as infrequent and less severe. Limited prior research has studied NPCB despite their increasing prevalence among adults with binge-spectrum eating disorders (B-ED). More research is needed to understand the types of NPCB present among B-ED and the association between NPCB, clinical severity, and treatment outcomes. Secondary analyses were conducted among 155 adults with B-ED in cognitive-behavioral (CBT)-based clinical trials. At baseline and post-treatment, clinical interviews of eating pathology assessed binge eating frequency, purging compensatory behavior frequency, and global eating pathology. The following NPCB were also assessed: driven exercise, 24-h fasting, 8+ waking hours of compensatory fasting, chewing and spitting, and other extreme weight control behaviors. Participants engaging in NPCB reported higher global eating pathology than those not engaging in NPCB. Frequency of chewing and spitting and 24-h fasting significantly decreased over treatment. Engagement in NPCB at baseline did not predict CBT outcomes. The current study highlights the prevalence and clinical severity of NPCB in B-ED but offers promising results regarding the potential for CBT to improve these behaviors. More research is needed on other extreme weight control behaviors reported qualitatively in our sample and on the maintenance of improvements in non-purging behaviors after CBT.","PeriodicalId":48835,"journal":{"name":"Eating Disorders","volume":" ","pages":"212-222"},"PeriodicalIF":3.3,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10922548/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139378613","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}

引用次数: 0

The prevalence of disordered eating in outpatient general psychiatry settings in publicly insured populations: a case series. 公共保险人群门诊普通精神病学环境中饮食紊乱的患病率：一系列病例。

IF 3.3 3区医学

Eating Disorders Pub Date : 2024-03-01 Epub Date: 2023-11-07 DOI: 10.1080/10640266.2023.2277055

Cassandra E Friedlich, Hyoungjin Park, Christina J Duval, Talene Keshishian, Stuart B Murray

{"title":"The prevalence of disordered eating in outpatient general psychiatry settings in publicly insured populations: a case series.","authors":"Cassandra E Friedlich, Hyoungjin Park, Christina J Duval, Talene Keshishian, Stuart B Murray","doi":"10.1080/10640266.2023.2277055","DOIUrl":"10.1080/10640266.2023.2277055","url":null,"abstract":"There is a dearth of research assessing the prevalence of eating disorders in publicly insured populations. While evidence shows that eating disorders affect people of all racial, ethnic, and socioeconomic backgrounds, research has neglected to focus on the rate at which they occur among those who have public health insurance. The present study indexes the prevalence of clinically significant disordered eating in a case series of 165 adults in a publicly insured sample at an outpatient general psychiatry clinic in Los Angeles, California. Results illustrate that 46 (27.8%) participants screened positive for clinically significant disordered eating with no significant differences relating to age or gender in those who screened positive versus those who did not (p > .05). This markedly elevated frequency of disordered eating presentations underscores the need for improved clinician training and education around disordered eating and eating disorder assessment as a whole. In addition, there is a critical need to study publicly insured populations so as to mitigate stereotypes about who has eating disorders and improve the likelihood of diagnosis and care.","PeriodicalId":48835,"journal":{"name":"Eating Disorders","volume":" ","pages":"169-177"},"PeriodicalIF":3.3,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71487793","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}

引用次数: 0

Ayahuasca ceremony leaders' perspectives on special considerations for eating disorders. 阿亚瓦斯卡仪式领导人对饮食失调特殊考虑的看法。

IF 3.3 3区医学

Eating Disorders Pub Date : 2024-03-01 Epub Date: 2023-11-09 DOI: 10.1080/10640266.2023.2271201

Meris Williams, Annie Kingston Miller, Adele Lafrance

{"title":"Ayahuasca ceremony leaders' perspectives on special considerations for eating disorders.","authors":"Meris Williams, Annie Kingston Miller, Adele Lafrance","doi":"10.1080/10640266.2023.2271201","DOIUrl":"10.1080/10640266.2023.2271201","url":null,"abstract":"Eating disorders (EDs) are difficult conditions to resolve, necessitating novel treatments. Ayahuasca, a psychedelic plant medicine originating in Indigenous Amazonian communities, is being investigated. Aspects of ceremonial ayahuasca use (purging, dietary restrictions) appear similar to ED behaviors, raising questions about ayahuasca's suitability as an intervention for individuals with EDs. This study explored the perspectives of ayahuasca ceremony leaders on these and other considerations for ceremonial ayahuasca drinking among individuals with EDs. A qualitative content analysis of interviews was undertaken with 15 ayahuasca ceremony leaders, the majority of whom were from the West/Global North. Screening for EDs, purging and dietary restrictions, potential risks and dangers, and complementarity with conventional ED treatment emerged as categories. The findings offer ideas, including careful screening and extra support, to promote safe and beneficial ceremony experiences for ceremony participants with EDs. More research is needed to clarify the impacts of ceremony-related purging and preparatory diets. To evolve conventional models of treatment, the ED field could consider Indigenous approaches to mental health whereby ayahuasca ceremony leaders and ED researchers and clinicians collaborate in a decolonizing, bidirectional bridging process between Western and Indigenous paradigms of healing.","PeriodicalId":48835,"journal":{"name":"Eating Disorders","volume":" ","pages":"120-139"},"PeriodicalIF":3.3,"publicationDate":"2024-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71523020","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}

引用次数: 0

Virtually possible: strategies for using telehealth in eating disorder treatment learned from the COVID-19 pandemic. 几乎可能：从新冠肺炎大流行中学习到的在饮食失调治疗中使用远程医疗的策略。

IF 3.3 3区医学

Eating Disorders Pub Date : 2024-03-01 Epub Date: 2023-09-29 DOI: 10.1080/10640266.2023.2261762

Catherine Cook-Cottone, Jennifer A Harriger, Tracy L Tylka, Nichole L Wood-Barcalow

引用次数: 0

Preliminary associations of body weight, weight bias, and dietary restriction with eating disorder diagnosis in women experiencing food insecurity 食物无保障妇女的体重、体重偏差和饮食限制与饮食失调诊断的初步关联

IF 3.3 3区医学

Eating Disorders Pub Date : 2024-02-25 DOI: 10.1080/10640266.2024.2322322

Heather A. Davis, Meredith Kells, Anna Gabrielle G. Patarinski, Jennifer E. Wildes

引用次数: 0

How to assess eating disorder severity in males?The DSM-5 severity index versus severity based on drive for thinness. 如何评估男性饮食失调的严重程度？DSM-5严重性指数与基于驱动器的严重性对比，以实现纤薄。

IF 3.3 3区医学

Eating Disorders Pub Date : 2024-01-02 Epub Date: 2023-12-27 DOI: 10.1080/10640266.2023.2259682

Isabel Krug, An Binh Dang, Isabel Sánchez, Roser Granero, Zaida Agüera, Anahi Gaspar-Perez, Susana Jimenez-Murcia, Fernando Fernandez-Aranda

{"title":"How to assess eating disorder severity in males?The DSM-5 severity index versus severity based on drive for thinness.","authors":"Isabel Krug, An Binh Dang, Isabel Sánchez, Roser Granero, Zaida Agüera, Anahi Gaspar-Perez, Susana Jimenez-Murcia, Fernando Fernandez-Aranda","doi":"10.1080/10640266.2023.2259682","DOIUrl":"10.1080/10640266.2023.2259682","url":null,"abstract":"Using a male eating disorder (ED) sample, this study assessed the clinical utility of the Diagnostic and Statistical Manual of Mental Disorders-5 (DSM-5) severity indices for males with anorexia nervosa (AN) and bulimia nervosa (BN) and compared it to an alternative transdiagnostic severity categorisation based on drive for thinness (DT). The participants included 143 males with an ED (60 [42.0%] AN and 83 [58.0%] BN) diagnosis, who were classified using these two severity classifications. The different severity categories were then compared based on ED symptoms, general psychopathology, and personality traits. Our results revealed that the DSM-5 \"mild\" and DT \"low\" severity categories were most prevalent in the AN and BN male patients. Clinically significant findings were strongest for the DT categorisation for both AN and BN. The current findings provide initial support for an alternative transdiagnostic DT severity classification for males that may be more clinically meaningful than the DSM-5 severity indices.","PeriodicalId":48835,"journal":{"name":"Eating Disorders","volume":" ","pages":"81-97"},"PeriodicalIF":3.3,"publicationDate":"2024-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41161072","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}

引用次数: 0

Accuracy of estimating self and other body size among adolescent girls with anorexia nervosa. 神经性厌食症少女估计自己和他人身体尺寸的准确性。

IF 3.3 3区医学

Eating Disorders Pub Date : 2024-01-02 Epub Date: 2023-08-20 DOI: 10.1080/10640266.2023.2243425

Maria Teresa Plana, Itziar Flamarique, Laia Julià, Elisabet Tasa-Vinyals, Bárbara Citoler, Cristina Díaz, Elena Moreno, Susana Andrés-Perpiñá, Esteban Martínez, Luisa Lázaro, Josefina Castro-Fornieles

{"title":"Accuracy of estimating self and other body size among adolescent girls with anorexia nervosa.","authors":"Maria Teresa Plana, Itziar Flamarique, Laia Julià, Elisabet Tasa-Vinyals, Bárbara Citoler, Cristina Díaz, Elena Moreno, Susana Andrés-Perpiñá, Esteban Martínez, Luisa Lázaro, Josefina Castro-Fornieles","doi":"10.1080/10640266.2023.2243425","DOIUrl":"10.1080/10640266.2023.2243425","url":null,"abstract":"This study aimed to analyze body size estimates of others by patients with anorexia nervosa (AN) and to identify any differences with the perception of their own body size. Adolescent females (age, 13-17 years) were enrolled into AN (n = 30) and control(n = 23) groups. The Subjective Body Dimensions Apparatus (SBDA) was used to evaluate body size estimates for oneself (self-estimation) and others (other-estimation). Participants also completed questionnaires assessing eating disorders and depressive symptoms. The AN and control groups scored significantly higher in self-estimation than in other-estimation. However, the AN group showed higher self-estimation scores than the control group for all the body parts and for the global silhouette (p < .001). Patients with more severe eating disorder symptomatology showed more distorted self-estimation (p < .05). No statistically significant differences were found in the other-estimation scores between the groups (p = .714), indicating that AN and control patients estimate the body sizes of others similarly. Eating disorder symptomatology correlates with self-estimation scores but not with other-estimation scores in adolescents with AN. No correlations existed between clinical symptomatology and other-estimation.","PeriodicalId":48835,"journal":{"name":"Eating Disorders","volume":" ","pages":"29-42"},"PeriodicalIF":3.3,"publicationDate":"2024-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10034104","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}

引用次数: 0

Family-based treatment (FBT) for loss of control (LOC) eating in youth: Current knowledge and future directions. 以家庭为基础的青少年饮食失控治疗(FBT):当前知识和未来方向

IF 3 3区医学

Eating Disorders Pub Date : 2024-01-02 Epub Date: 2023-06-25 DOI: 10.1080/10640266.2023.2229091

Brittany E Matheson, Cara Bohon, Daniel Le Grange, James D Lock

{"title":"Family-based treatment (FBT) for loss of control (LOC) eating in youth: Current knowledge and future directions.","authors":"Brittany E Matheson, Cara Bohon, Daniel Le Grange, James D Lock","doi":"10.1080/10640266.2023.2229091","DOIUrl":"10.1080/10640266.2023.2229091","url":null,"abstract":"Loss of control (LOC) eating in youth is a common disordered eating behavior and associated with negative health and psychological sequalae. Family-based treatment (FBT) is an efficacious treatment for adolescent anorexia nervosa and bulimia nervosa (BN) but has not been formally evaluated for adolescents with LOC eating. This study is a secondary data analysis from a randomized controlled clinical trial (NCT00879151) testing FBT for 12-18-year-olds with BN. Data were reanalyzed to examine outcomes for LOC eating episodes, regardless of episode size. Abstinence rates, defined as zero LOC eating episodes (objective or subjective binge episodes) in the previous month, were calculated at the end-of-treatment (EOT), 6-month, and 12-month follow-up time points. Among 51 adolescent participants (M + SD: 15.94 + 1.53 y; 92% female; 23.5% Hispanic; 76.5% Caucasian), FBT significantly reduced LOC eating episodes, with 49% achieving LOC eating abstinence at EOT. At 6-month follow-up, 41% achieved LOC eating abstinence. Of those providing 12-month follow-up data, 73% achieved abstinence. This preliminary exploration suggests that FBT may be effective for youth with LOC eating, regardless of episode size. Additional research is needed to replicate these findings and extend treatments with developmental adaptations for younger children with LOC eating.","PeriodicalId":48835,"journal":{"name":"Eating Disorders","volume":"1 1","pages":"1-12"},"PeriodicalIF":3.0,"publicationDate":"2024-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10753090/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41333412","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}

引用次数: 0