International Journal of Eating Disorders最新文献

A Pilot Study of "Help for Overcoming Problem Eating" (HOPE): A Single Session Intervention for College Students With Binge-Spectrum Eating Disorders.

IF 4.7 2区医学

International Journal of Eating Disorders Pub Date : 2025-02-27 DOI: 10.1002/eat.24404

Sonakshi Negi, Kelsie T Forbush

{"title":"A Pilot Study of \"Help for Overcoming Problem Eating\" (HOPE): A Single Session Intervention for College Students With Binge-Spectrum Eating Disorders.","authors":"Sonakshi Negi, Kelsie T Forbush","doi":"10.1002/eat.24404","DOIUrl":"https://doi.org/10.1002/eat.24404","url":null,"abstract":"Introduction: Eating disorders (EDs) are common among university students, yet most students with EDs do not have access to ED-related care on their campuses.Objective: The goal of this study was to test the initial acceptability and feasibility of Help for Overcoming Problem Eating (HOPE), the first digital single-session intervention designed to reduce binge eating for college students with non-low-weight binge-spectrum EDs.Method: Seventy-five university students with non-low-weight binge-spectrum EDs completed HOPE and answered questions about the acceptability and user perceptions of the program following completion. They also completed baseline, 1-week, and 4-week follow-up questionnaires assessing ED symptoms.Results: Of the eligible participants (N = 190), 70.52% (n = 134) consented to the study, 42.63% (n = 81) started HOPE, and 39.47% (n = 75) completed HOPE. Descriptive statistics showed that HOPE was highly acceptable, with a scaled mean overall acceptability score of 4.35 out of 5. Paired Sample t-tests showed that there were significant reductions in binge eating (p < 0.001, 1-week d = 0.86, 4-week d = 0.98), restricting (p < 0.001, 1-week d = 0.52, 4-week d = 0.41), and cognitive restraint (p < 0.001, 1-week d = 0.63, 4-week d = 0.87) following HOPE completion.Discussion: Results demonstrated the acceptability and preliminary efficacy of HOPE for those who completed the intervention. Further testing in a randomized controlled trial design is warranted. Although the current findings provided promising pilot feasibility data, additional research is needed to identify reasons for attrition/nonparticipation to reduce barriers for study completion.","PeriodicalId":51067,"journal":{"name":"International Journal of Eating Disorders","volume":" ","pages":""},"PeriodicalIF":4.7,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143517412","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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

Adolescent Patient Perspectives on Family-Based Treatment: A Pilot Study.

IF 4.7 2区医学

International Journal of Eating Disorders Pub Date : 2025-02-25 DOI: 10.1002/eat.24403

Catherine Gao, Catherine R Drury, Simar Singh, Daniel Le Grange, Sasha Gorrell

{"title":"Adolescent Patient Perspectives on Family-Based Treatment: A Pilot Study.","authors":"Catherine Gao, Catherine R Drury, Simar Singh, Daniel Le Grange, Sasha Gorrell","doi":"10.1002/eat.24403","DOIUrl":"https://doi.org/10.1002/eat.24403","url":null,"abstract":"Objective: Family-based treatment (FBT) is the recommended first-line treatment for adolescent eating disorders (EDs), yet evidence suggests it is effective for only 50% of youth. Ambivalence about initiating treatment and/or recovery predicts treatment nonresponse for youth with other psychiatric disorders and may also contribute to poor FBT outcomes. Thus, understanding patient perspectives on FBT is essential to mitigating challenges to treatment acceptance, with great potential for improving treatment efficacy.Methods: A qualitative, inductive approach was used to develop hypotheses about adolescents' perspectives on FBT and patient-perceived facilitators of ED recovery. Semi-structured interview data were analyzed using a grounded theory methodology.Results: Interviewees (N = 10) expressed ambivalence toward FBT-particularly its use of parental empowerment and pragmatic focus on weight recovery. Many participants stated that FBT was effective, necessary for recovery, and improved relationships with caregivers; however, some reported that a perceived lack of agency and sidelining of psychosocial distress and family conflict negatively impacted their treatment engagement. Regarding ED recovery, participants reported a preference for cognitive/emotional aspects of recovery and framed recovery as an ongoing or lifelong process. Peer support was identified as an important facilitator of behavior change.Discussion: Findings support addressing adolescent concerns (e.g., psychosocial well-being, agency, connection with peers, and family relationships) within the FBT framework. Results may inform future FBT implementation and adaptation and suggest the need for continued investigation of the treatment experience from multiple perspectives (i.e., patients, family members, and clinicians).","PeriodicalId":51067,"journal":{"name":"International Journal of Eating Disorders","volume":" ","pages":""},"PeriodicalIF":4.7,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143505833","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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

Issue Information: Editorial Board & Table of Contents

IF 4.7 2区医学

International Journal of Eating Disorders Pub Date : 2025-02-25 DOI: 10.1002/eat.24396

引用次数: 0

Reviewer Acknowledgement for International Journal of Eating Disorders

IF 4.7 2区医学

International Journal of Eating Disorders Pub Date : 2025-02-25 DOI: 10.1002/eat.24395

引用次数: 0

Toward a Specific and Descriptive Definition of Avoidant/Restrictive Food Intake Disorder: A Proposal for Updated Diagnostic Criteria.

IF 4.7 2区医学

International Journal of Eating Disorders Pub Date : 2025-02-25 DOI: 10.1002/eat.24383

Hana F Zickgraf, Samuel R Cares, Rachel A Schwartz, Courtney E Breiner, Nicole M Stettler

{"title":"Toward a Specific and Descriptive Definition of Avoidant/Restrictive Food Intake Disorder: A Proposal for Updated Diagnostic Criteria.","authors":"Hana F Zickgraf, Samuel R Cares, Rachel A Schwartz, Courtney E Breiner, Nicole M Stettler","doi":"10.1002/eat.24383","DOIUrl":"https://doi.org/10.1002/eat.24383","url":null,"abstract":"The diagnostic criteria for avoidant/restrictive food intake disorder (ARFID) have been the source of confusion since its introduction to the DSM in 2013. In the current state, ARFID is diagnosed based on impairment, with no requirement that a specific pattern of behavioral or cognitive/affective symptoms be present. In this paper, we make the case for more positive etiologically based criteria for ARFID wherein Criterion A defines the psychopathology of ARFID. We propose a framework for DSM criteria involving food avoidance that is maintained by beliefs/hedonic reactions that are temporally close to and realistically/functionally associated with a specific food or eating occasion, characterized by one or more of the following expected aversive responses: disgust/distaste, anhedonia/uncomfortable fullness, and acute fear/panic. Our proposed Criterion B retains the four manifestations of impairment in the current definition as necessary, but not sufficient, for the ARFID diagnosis. When both Criteria A and B are met, our revised Criteria D (ARFID vs. other restrictive eating disorders) and E (ARFID vs. other medical/psychiatric conditions) state that ARFID should be diagnosed regardless of co-occurring/comorbid conditions. We discuss how this positive definition of ARFID would impact clinical diagnosis and subsequent treatment, with specific considerations for differential diagnosis between ARFID and other eating disorders, other forms of psychopathology, and relevant medical conditions. Additionally, we discuss how it might enhance research opportunities by providing increasingly homogeneous samples through which researchers could better understand the etiological mechanisms of ARFID.","PeriodicalId":51067,"journal":{"name":"International Journal of Eating Disorders","volume":" ","pages":""},"PeriodicalIF":4.7,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143494741","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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

Frequency and Predictors of Shape/Weight Concerns and Objective Binge Eating in Avoidant/Restrictive Food Intake Disorder (ARFID).

IF 4.7 2区医学

International Journal of Eating Disorders Pub Date : 2025-02-24 DOI: 10.1002/eat.24398

P Evelyna Kambanis, Lilian P Palmer, Grace Jhe, Iman McPherson, Haley Graver, Abigail G Dalton, Chunni Ji, Elisa Asanza, Lauren Shabazian, Ashley Dunford, Lauren Breithaupt, Melissa Freizinger, Kamryn T Eddy, Madhusmita Misra, Nadia Micali, Laura Holsen, Elizabeth A Lawson, Kendra R Becker, Jennifer J Thomas

{"title":"Frequency and Predictors of Shape/Weight Concerns and Objective Binge Eating in Avoidant/Restrictive Food Intake Disorder (ARFID).","authors":"P Evelyna Kambanis, Lilian P Palmer, Grace Jhe, Iman McPherson, Haley Graver, Abigail G Dalton, Chunni Ji, Elisa Asanza, Lauren Shabazian, Ashley Dunford, Lauren Breithaupt, Melissa Freizinger, Kamryn T Eddy, Madhusmita Misra, Nadia Micali, Laura Holsen, Elizabeth A Lawson, Kendra R Becker, Jennifer J Thomas","doi":"10.1002/eat.24398","DOIUrl":"https://doi.org/10.1002/eat.24398","url":null,"abstract":"Objective: DSM-5 prohibits the diagnosis of avoidant/restrictive food intake disorder (ARFID) in the context of clinically significant shape/weight concerns. However, emerging data suggest that ARFID and shape/weight concerns may co-occur, and DSM-5-TR now permits comorbid binge-eating disorder alongside ARFID. We compared shape/weight concerns in adults with ARFID to healthy controls (HCs) and nonclinical norms; assessed the frequency of clinical-level shape/weight concerns and past-month objective binge episodes (OBE); and identified ARFID characteristics linked to elevated shape/weight concerns and OBEs. We hypothesized that individuals with ARFID would exhibit lower shape/weight concerns than HCs and nonclinical norms, that none would exhibit clinical-level shape/weight concerns, and that higher weight would predict greater shape/weight concerns. Our examination of OBEs was exploratory.Method: Participants with ARFID (N = 83) and HCs (N = 41) completed the Eating Disorder Examination-Questionnaire (EDE-Q).Results: Adults with ARFID scored significantly higher than HCs but significantly lower than nonclinical norms on shape/weight concerns. Two percent exhibited clinical-level shape/weight concerns, and 15% reported past-month OBEs. Higher weight uniquely predicted shape/weight concerns.Discussion: Shape/weight concerns are lower in ARFID than in the general population, and a small proportion of adults with ARFID-particularly those at higher weights-may experience clinical-level shape/weight concerns and OBEs.","PeriodicalId":51067,"journal":{"name":"International Journal of Eating Disorders","volume":" ","pages":""},"PeriodicalIF":4.7,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143484666","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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

A Useful and Timely Proposal to Amend Diagnostic Criteria for ARFID: Commentary on Zickgraf et al. (2025).

IF 4.7 2区医学

International Journal of Eating Disorders Pub Date : 2025-02-22 DOI: 10.1002/eat.24399

Evelyn Attia, B Timothy Walsh

引用次数: 0

An Important Springboard Toward Establishing Diagnostic Connection Between Avoidant Restrictive Food Intake Disorder and Pediatric Feeding Disorder.

IF 4.7 2区医学

International Journal of Eating Disorders Pub Date : 2025-02-14 DOI: 10.1002/eat.24393

William G Sharp, Jaclyn L Pederson

{"title":"An Important Springboard Toward Establishing Diagnostic Connection Between Avoidant Restrictive Food Intake Disorder and Pediatric Feeding Disorder.","authors":"William G Sharp, Jaclyn L Pederson","doi":"10.1002/eat.24393","DOIUrl":"https://doi.org/10.1002/eat.24393","url":null,"abstract":"Diagnostic ambiguity has surrounded the two primary diagnoses for dysfunctional feeding and eating in pediatric populations-that is, pediatric feeding disorder (PFD) and avoidant restrictive food intake disorder (ARFID). Recent expert consensus emphasized the need for diagnostic refinement to enhance understanding and improve clinical and research activities for both conditions. With the proposed revision of ARFID, Zickgraf and colleagues provide a research grounded springboard for beginning the revision process. The proposal centers upon a new Criterion A that emphasizes ARFID as a disorder driven by a negative, temporally proximate association with eating/food involving three distinct, yet potentially co-occurring responses of disgust/distaste, anhedonia/uncomfortable fullness, and acute fear/panic. In this commentary, we consider the potential benefits of the proposed framework from the PFD perspective and identify three additional areas-DSM text revisions, benefits of a shared feeding and eating disorder diagnosis, and a call for education and advocacy to complement future revisions-for further consideration during work to improve PFD and ARFID diagnostic systems.","PeriodicalId":51067,"journal":{"name":"International Journal of Eating Disorders","volume":" ","pages":""},"PeriodicalIF":4.7,"publicationDate":"2025-02-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143416209","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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

Next Steps in Use of the Eating Disorder Examination and Related Eating Disorder Assessments: A Call for Consensus.

IF 4.7 2区医学

International Journal of Eating Disorders Pub Date : 2025-02-12 DOI: 10.1002/eat.24378

Erin E Reilly, Sasha Gorrell, Danielle A N Chapa, Catherine R Drury, Erin Stalvey, Andrea B Goldschmidt, Daniel Le Grange

{"title":"Next Steps in Use of the Eating Disorder Examination and Related Eating Disorder Assessments: A Call for Consensus.","authors":"Erin E Reilly, Sasha Gorrell, Danielle A N Chapa, Catherine R Drury, Erin Stalvey, Andrea B Goldschmidt, Daniel Le Grange","doi":"10.1002/eat.24378","DOIUrl":"https://doi.org/10.1002/eat.24378","url":null,"abstract":"Objective: Since its publication almost 35 years ago, the Eating Disorder Examination (EDE) and its companion paper-and-pencil self-report-the Eating Disorder Examination-Questionnaire (EDE-Q)-have remained some of the most widely used and studied tools for the assessment of eating disorder symptoms. Widespread use of the EDE has persisted despite notable limitations of the measure, while other assessment tools developed in the decades since have been inconsistently adopted, both of which may have consequences for accumulation and replication of knowledge within the field.Method: In the current forum, we propose that common critiques of the EDE are representative of larger issues that face the subfield of ED assessment. Therefore, we propose that larger efforts focused on (a) developing decision-making frameworks for assessment evaluation and selection, (b) alignment in flexibly adapting measurements for use in different contexts, and (c) consensus in reporting on assessment implementation and alteration should be paired with and could effectively inform more pragmatic revision of tools like the EDE.Results: We outline a range of recommendations through which the field can address issues related to lack of consensus in assessment-related decision-making, inconsistency in measure administration and scoring, and inadequate reporting on assessment practices in peer-reviewed journals.Discussion: In sum, we propose that undertaking planful research regarding current use of the EDE and facilitating field-wide discussion regarding innovation in measure selection and administration can facilitate needed improvement in assessment rigor, data sharing, and inclusiveness within the field.","PeriodicalId":51067,"journal":{"name":"International Journal of Eating Disorders","volume":" ","pages":""},"PeriodicalIF":4.7,"publicationDate":"2025-02-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143400687","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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

Program-Led and Focused Psychological Interventions.

IF 4.7 2区医学

International Journal of Eating Disorders Pub Date : 2025-02-10 DOI: 10.1002/eat.24392

Tracey D Wade

引用次数: 0