International Journal of Eating Disorders最新文献

{"title":"Momentary Associations Across Specific Affective States and Dysregulated Eating Experiences Among Children and Adolescents With Loss of Control Eating Symptoms.","authors":"Caroline Christian, Victoria Bell, J Graham Thomas, Alissa A Haedt-Matt, Scott G Engel, Chantelle N Hart, Jared M Saletin, Stephanie P Goldstein, Claire E Cusack, Andrea B Goldschmidt","doi":"10.1002/eat.24356","DOIUrl":"https://doi.org/10.1002/eat.24356","url":null,"abstract":"<p><strong>Objective: </strong>Dysregulated eating is common among youth and is associated with trait-level negative affect and emotion regulation difficulties. Despite the transient nature of affect, momentary associations among affect and eating behavior are unclear, which limits development of more impactful treatment tools, such as \"just-in-time\" intervention approaches (JITAI). The current study (N = 62) drew from two ecological momentary assessment (EMA) studies involving children and adolescents who endorsed loss of control (LOC) eating symptoms during a two-week assessment period.</p><p><strong>Method: </strong>Intensive time series network analysis tested concurrent and prospective relationships across six specific affective states (i.e., upset, guilty, scared, tired, excited, attentive) and four eating-related experiences (e.g., LOC, overeating, hunger, craving) in real time. Additionally, we repeated these models within demographic subgroups of the sample based on age, race, and sex.</p><p><strong>Results: </strong>In the full-sample models, contemporaneously assessed guilt was associated with craving and LOC eating, and tiredness was associated with LOC eating. In the prospective analysis, tiredness was negatively predicted by LOC eating and positively predicted by overeating at the previous timepoint, and attentiveness positively predicted craving. Differences in affect-eating relationships were identified across teens and preteens as well as male and female participants.</p><p><strong>Discussion: </strong>These results suggest that specific affective states are associated with dysregulated eating-related experiences in real time among youth, and associations may differ depending on demographic characteristics. Findings may be used to inform the development and tailoring of momentary interventions.</p>","PeriodicalId":51067,"journal":{"name":"International Journal of Eating Disorders","volume":" ","pages":""},"PeriodicalIF":4.7,"publicationDate":"2024-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142848395","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}

{"title":"A US-Based Consensus on Diagnostic Overlap and Distinction for Pediatric Feeding Disorder and Avoidant/Restrictive Food Intake Disorder.","authors":"Hayley H Estrem, Jaclyn L Pederson, Pamela Dodrill, Cuyler Romeo, Kelsey Thompson, Jennifer J Thomas, Nancy Zucker, Richard Noel, Hana Zickgraf, Jessie Menzel, Colleen T Lukens, Praveen S Goday, Sarah MacLaughlin, William G Sharp","doi":"10.1002/eat.24349","DOIUrl":"https://doi.org/10.1002/eat.24349","url":null,"abstract":"<p><strong>Objective: </strong>As diagnoses covering dysfunctional feeding and eating in pediatrics, avoidant/restrictive food intake disorder (ARFID) and pediatric feeding disorder (PFD) contain inherent areas of overlap in their diagnostic criteria. Areas of overlap include criteria regarding nutritional consequences associated with feeding/eating dysfunction and shared emphasis on possible psychosocial impairment associated with restricted food intake. Complicating the differential diagnosis process is a lack of guidance regarding when the two conditions occur independently, co-qualify, and/or transition into the other. Feeding Matters' Research Initiatives Task Force planned and hosted a PFD-ARFID consensus meeting, with the aim of reaching a consensus regarding diagnostic clarity on PFD and ARFID.</p><p><strong>Method: </strong>Criteria for participation focused on US residents who either: (a) served as an author on the ARFID workgroup or PFD consensus papers, or (b) provided community representation via board or committee roles. The consensus process followed three stages: prework, the meeting, and post-work/writing. Twelve participants were present for the meeting, with 14 involved in pre- and post-work/writing.</p><p><strong>Results: </strong>The final panel included four psychologists representing the ARFID community and seven multidisciplinary members representing PFD's four domains (medical, nutrition, skill, and psychosocial) plus a Zero-to-Three community representative and two representatives from Feeding Matters. Results yielded 10 consensus statements and visuals to support the consensus statements.</p><p><strong>Discussion: </strong>The consensus process and results underscore an ongoing need to improve diagnostic systems and reinforce calls for strengthening healthcare expertise for both PFD and ARFID. Community-based participatory research is recommended to advance both diagnoses and reduce ambiguity in practice settings.</p>","PeriodicalId":51067,"journal":{"name":"International Journal of Eating Disorders","volume":" ","pages":""},"PeriodicalIF":4.7,"publicationDate":"2024-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142830794","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}

{"title":"Predictors of Outcome in Cognitive-Behavioral Therapy for Avoidant/Restrictive Food Intake Disorder.","authors":"Lilian P Palmer, P Evelyna Kambanis, Casey M Stern, Setareh M Rossman, Christopher J Mancuso, Alexandrea M Andrea, Helen Burton-Murray, Kendra R Becker, Lauren Breithaupt, Cathryn Freid, Elisa Asanza, Elizabeth A Lawson, Kamryn T Eddy, Jennifer J Thomas","doi":"10.1002/eat.24345","DOIUrl":"https://doi.org/10.1002/eat.24345","url":null,"abstract":"<p><strong>Objective: </strong>Cognitive-behavioral therapy for avoidant/restrictive food intake disorder (ARFID; CBT-AR) shows promise in improving clinical outcomes in children/adolescents and adults. We aimed to identify predictors of outcomes in CBT-AR. We hypothesized that younger age, non-underweight status, and presence of the fear of aversive consequences profile of ARFID would predict greater likelihood of remission post-treatment, and that presence of the lack of interest in eating/food and sensory sensitivity profiles would predict greater likelihood of persistence post-treatment. We included sex as an exploratory predictor.</p><p><strong>Method: </strong>Individuals (N = 94, ages 10-55 years) were offered 20-30 outpatient sessions of CBT-AR. We collected clinical and demographic data at pre-treatment, and remission status at post-treatment.</p><p><strong>Results: </strong>Consistent with our hypothesis, presence (versus absence) of the fear profile predicted an almost three-fold increased likelihood of remission. Presence of the sensory profile, lack of interest profile, age, weight status, and sex were not predictors of ARFID outcome.</p><p><strong>Discussion: </strong>The fear of aversive consequences profile of ARFID may be more amenable to treatment with CBT-AR. This is the first study to identify predictors of treatment outcome following CBT-AR. Randomized controlled trials are needed to confirm these findings and examine moderators.</p>","PeriodicalId":51067,"journal":{"name":"International Journal of Eating Disorders","volume":" ","pages":""},"PeriodicalIF":4.7,"publicationDate":"2024-12-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142829974","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}

{"title":"Operational Police Stress Is Associated With Disordered Eating in Police Officers.","authors":"Baiyu Qi, Ya-Ke Wu","doi":"10.1002/eat.24353","DOIUrl":"https://doi.org/10.1002/eat.24353","url":null,"abstract":"<p><strong>Objective: </strong>Police officers are under high operational stress and are at high risk for stress-related mental health disturbances. However, little research has investigated disordered eating in this population. In this study, we compared disordered eating symptoms between male and female police officers, examined the association between operational police stress and disordered eating symptoms, and explored body mass index (BMI) and sex as potential moderators of these associations.</p><p><strong>Method: </strong>The participants consisted of 476 police officers from North Carolina, United States. Operational police stress was assessed using the Operational Police Stress Questionnaire, and disordered eating symptoms were assessed using the Eating Pathology Symptoms Inventory. Weight and height were measured by trained staff.</p><p><strong>Results: </strong>Compared with female officers (n = 149), male officers (n = 325) scored significantly higher on binge eating, excessive exercise, muscle building, and negative attitudes toward obesity, and lower on body dissatisfaction, cognitive restraint, restricting, and purging. After adjusting for BMI and sex, significant positive associations were found between operational police stress and all disordered eating symptom subscales, except for excessive exercise. No association was significantly moderated by BMI or sex.</p><p><strong>Discussion: </strong>Disordered eating is an understudied yet critical concern among stressed police officers, affecting both males and females. Targeted prevention and intervention strategies, such as regular screening during physical exams, could enable early detection of disordered eating symptoms in this high-stress occupation group.</p>","PeriodicalId":51067,"journal":{"name":"International Journal of Eating Disorders","volume":" ","pages":""},"PeriodicalIF":4.7,"publicationDate":"2024-12-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142824807","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}

{"title":"Dietary Restraint Fallacy.","authors":"Anita Jansen","doi":"10.1002/eat.24354","DOIUrl":"https://doi.org/10.1002/eat.24354","url":null,"abstract":"<p><p>For decades, the prevailing assumption in the field of eating disorders has been that dietary restraint causes weight gain and eating disorder symptoms, like binge eating. This belief resulted in widespread recommendations to reduce dietary restraint in treatments of eating disorders and obesity. However, recent findings by Grilo and Pittman (2024; International Journal of Eating Disorders xxx:xxxx-xxxx) contradict this view, showing reduced binge frequency and greater weight loss with increased rigid dietary restraint. This commentary critically evaluates the evidence supporting a causal link between dietary restraint and overeating, highlighting the limitations of longitudinal and observational studies and the misinterpretations of early laboratory research. Importantly, randomized controlled trials and experiments that directly manipulate calorie intake show that calorie restriction improves eating control and reduces eating disorder symptoms. Conceptual issues are discussed; self-reported dietary restraint is not an accurate reflection of actual calorie restriction. It is argued that cognitive processes like learned food cue reactivity, weak executive skills and increased reward sensitivity can explain tendencies to overeat. They are usually followed by attempts to restrain food intake-essentially reverse causality. It is further hypothesized that the eating of healthy whole foods while avoiding unhealthy ultra-processed foods, could benefit both the prevention and treatment of all eating and weight disorders.</p>","PeriodicalId":51067,"journal":{"name":"International Journal of Eating Disorders","volume":" ","pages":""},"PeriodicalIF":4.7,"publicationDate":"2024-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142820148","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}

{"title":"Behavioral Weight Loss Treatment Promotes Weight Loss by Increasing Eating Disorder Symptoms: A Response to Grilo & Pittman (2024).","authors":"Cheri A Levinson, Juan C Hernández, Luis E Sandoval-Araujo","doi":"10.1002/eat.24357","DOIUrl":"https://doi.org/10.1002/eat.24357","url":null,"abstract":"<p><p>We provide commentary on the Grilo and Pittman (2024). Exploring Dietary Restraint as a Mediator of Behavioral and Cognitive-Behavioral Treatments on Outcomes for Patients With Binge-Eating Disorder With Obesity article published in the International Journal of Eating Disorders. Grilo and Pittman show that weight loss in the Behavioral Weight Loss Treatment condition is mediated by an increase in rigid restraint, whereas binge eating is not mediated by rigid restraint. They conclude that this result is a positive outcome for patients with binge-eating disorder and shows that BWL is not harmful in this population. We argue that increasing rigid restraint equates to increasing eating disorder symptoms and is harmful in any population, but specifically in those with an already diagnosed eating disorder. In addition, we point out the major limitations of no follow-up data in the mediation report, no measurement of additional eating disorder symptoms that could represent diagnostic migration, and lack of inclusion of weight stigma as additional problems with the stated conclusions. We recommend that the field moves away from measurement of weight loss as an outcome in those with eating disorders and carefully consider what it means to increase restraint/restriction in eating disorder populations.</p>","PeriodicalId":51067,"journal":{"name":"International Journal of Eating Disorders","volume":" ","pages":""},"PeriodicalIF":4.7,"publicationDate":"2024-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142820141","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}

{"title":"Understanding Early Treatment Response in Brief CBT for Nonunderweight Eating Disorders: A Mixed Methods Study.","authors":"Dana Gatley, Verity Millar-Sarahs, Amy Brown, Faith Matcham, Cat Papastavrou Brooks","doi":"10.1002/eat.24350","DOIUrl":"https://doi.org/10.1002/eat.24350","url":null,"abstract":"<p><strong>Objective: </strong>Early change in eating disorder psychopathology is the most robust predictor of treatment outcomes in eating disorders. However, little is known about what predicts early change. Using mixed-methodology, this study explored predictors of early change in the first four sessions of 10-session cognitive behavioral therapy (CBT-T) for nonunderweight eating disorders.</p><p><strong>Method: </strong>Phase 1: interviews were conducted to explore CBT-T clinicians' perspectives on predictors of early change. Phase 2: robust multiple regressions were undertaken to examine whether any of five variables identified during interviews-diagnosis, wait time, therapeutic alliance, depression, and anxiety-were associated with early change in eating disorder psychopathology. Data were derived from outcome measures for service users (n = 107) receiving CBT-T in a community eating disorder service.</p><p><strong>Results: </strong>Phase 1: eight themes were identified: attitudes to making change, diagnosis, external mitigating circumstances, therapeutic alliance, therapist confidence, pretreatment variables, CBT-T format, and therapeutic suitability. Phase 2: no significant associations were found between the five predictor variables (diagnosis type, wait time, baseline depression, baseline anxiety, and therapeutic alliance) and early change in EDE-Q scores. These results have been certified as computationally reproducible by an independent statistician.</p><p><strong>Discussion: </strong>Qualitative findings identified several potential predictors of early change in eating disorder psychopathology in CBT-T, however, quantitative data contradicted qualitative findings, finding no significant association for any of the tested variables. Further research is required to clarify theses conflicting findings and to quantitatively explore the additional predictors highlighted during qualitative analysis.</p>","PeriodicalId":51067,"journal":{"name":"International Journal of Eating Disorders","volume":" ","pages":""},"PeriodicalIF":4.7,"publicationDate":"2024-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142820155","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}

{"title":"Issue Information: Editorial Board & Table of Contents","authors":"","doi":"10.1002/eat.24348","DOIUrl":"https://doi.org/10.1002/eat.24348","url":null,"abstract":"","PeriodicalId":51067,"journal":{"name":"International Journal of Eating Disorders","volume":"57 12","pages":"2319-2320"},"PeriodicalIF":4.7,"publicationDate":"2024-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/eat.24348","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142868111","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mental Health After COVID-19 Death-Related Loss in Individuals With Eating Disorders: A Multi-Country Nested Matched Case-Control Study.","authors":"Kayla Costello, Andreas Birgegård, Stina Borg, Laura M Thornton, Katherine A Thompson, Elin Hedlund, Christine M Peat, Rachel W Goode, Jet D Termorshuizen, Emma Forsén Mantilla, Eric F van Furth, Cynthia M Bulik, Hunna J Watson","doi":"10.1002/eat.24347","DOIUrl":"10.1002/eat.24347","url":null,"abstract":"<p><strong>Objective: </strong>The COVID-19 pandemic caused millions of deaths worldwide and significantly impacted people with eating disorders, exacerbating symptoms and limiting access to care. This study examined the association between COVID-19 death-related loss-defined as the death of a family member, friend, or acquaintance due to COVID-19-and mental health among people with preexisting eating disorders in the United States (US), the Netherlands, and Sweden.</p><p><strong>Method: </strong>Participants with a history of eating disorders completed a baseline survey early in the pandemic (US: N = 511; Netherlands: N = 510; Sweden: N = 982) and monthly (US, the Netherlands) or biannual (Sweden) follow-ups from April 2020 to May 2021. The surveys assessed pandemic impact on eating disorder-related behaviors and concerns, anxiety, depression, sleep disturbances, and COVID-19-related deaths. A matched nested case-control design was used to compare individuals experiencing a death-related loss with matched controls.</p><p><strong>Results: </strong>A substantial proportion experienced a COVID-19 death-related loss (US: 33%; Netherlands: 39%; Sweden: 17%). No significant differences were found between cases and controls on eating disorder, anxiety, depression, or sleep outcomes.</p><p><strong>Discussion: </strong>Despite the expected influence of COVID-19 death-related loss on mental health, our study found no significant association. Reactions to pandemics may be highly individual, and practitioners may want to consider broader losses-such as bereavement, missed educational experiences, relationship disruptions, financial instability, and employment challenges-when addressing patients' needs. Future research should continue to explore how death-related loss impacts eating disorder risk and progression.</p>","PeriodicalId":51067,"journal":{"name":"International Journal of Eating Disorders","volume":" ","pages":""},"PeriodicalIF":4.7,"publicationDate":"2024-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142787749","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}

{"title":"Further Validation for a Measure of Disordered Eating in an Independent Sample of Male and Female Elite Athletes: The Athletic Disordered Eating (ADE) Scale.","authors":"Scott J Fatt, Katarina Prnjak, Georgina L Buckley, Emma George, Phillipa Hay, Nikki Jeacocke, Deborah Mitchison","doi":"10.1002/eat.24344","DOIUrl":"https://doi.org/10.1002/eat.24344","url":null,"abstract":"<p><strong>Background: </strong>Elite athletes experience unique pressures and cognitions associated with disordered eating, which may not be appropriately captured by existing tools. The Athletic Disordered Eating (ADE) scale is a recently developed and first measure of disordered eating specifically developed and validated in current and former athletes. This study aimed to provide further validation for the ADE in an independent sample of elite athletes.</p><p><strong>Method: </strong>Participants were 237 elite athletes (M_Age = 26.1, SD_Age = 8.6; 75.9% female; 73.0% current athletes) participating in various sports across Australia and the United States. Participants completed an online survey including the ADE, demographic questions, and other measures of eating disorder symptoms (Eating Disorder Examination-Questionnaire Short-form, Clinical Impairment Assessment), and related constructs. Twenty-five athletes also completed a clinical interview to determine eating disorder caseness.</p><p><strong>Results: </strong>The four-factor structure of the ADE from the original validation was confirmed. Further, the ADE demonstrated adequate measurement invariance across male and female current and former athletes; internal consistency for the total score and each subscale; convergent and discriminant validity; and criterion-related validity-with a score of 40 balancing sensitivity and specificity against other scales with established cut-offs for a likely eating disorder. The high-risk cut-off (ADE ≥ 33) had high sensitivity but low specificity in identifying eating disorder cases, as confirmed by the clinical interview.</p><p><strong>Discussion: </strong>The ADE is a low-time-burden screening tool for disordered eating, validated in independent samples of diverse athletes. It should be considered for future use in screening, early identification, and monitoring treatment progress in elite athletes.</p>","PeriodicalId":51067,"journal":{"name":"International Journal of Eating Disorders","volume":" ","pages":""},"PeriodicalIF":4.7,"publicationDate":"2024-12-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142781859","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}