International Journal of Eating Disorders最新文献

{"title":"The Prevalence of Eating Disorders and Disordered Eating in Adults Seeking Obesity Treatment: A Systematic Review With Meta-Analyses","authors":"Hannah Melville,&nbsp;Natalie B. Lister,&nbsp;Sol Libesman,&nbsp;Anna Lene Seidler,&nbsp;Hoi Yuk Cheng,&nbsp;Yuen Lam Kwan,&nbsp;Sarah P. Garnett,&nbsp;Louise A. Baur,&nbsp;Hiba Jebeile","doi":"10.1002/eat.24483","DOIUrl":"10.1002/eat.24483","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>To estimate the prevalence of eating disorders and disordered eating in adults seeking obesity treatment.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>Databases, MEDLINE, Embase, and PsycINFO, were searched to 20th March 2025. Studies reporting the prevalence of eating disorders or disordered eating at presentation to obesity treatment in adults (≥ 18 years) with overweight (BMI 25 to &lt; 30 kg/m²) or obesity (BMI ≥ 30 kg/m²), with ≥ 325 participants to ensure a representative sample, were included. A random-effects model was used to pool prevalence estimates of eating disorders and disordered eating.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>85 studies were included (<i>n</i> = 94,295, 75.9% female, median (IQR) age 44 (5) years, BMI 46 (10) kg/m²). When assessed by clinical interview, the pooled prevalence of binge-eating disorder (Diagnostic and Statistical Manual of Mental Disorders-5) was 14% (95% CI: 7 to 22, prediction interval [PI]%: 0 to 43, <i>k</i> = 10, <i>n</i> = 8534), and bulimia nervosa 1% (95% CI: 0 to 1, PI%: 0 to 2, <i>k</i> = 9, <i>n</i> = 9448, τ² = 0). When assessed using the Binge Eating Scale, the prevalence of self-reported moderate severity binge eating was 26% (95% CI: 23 to 28, PI%: 18 to 33, <i>k</i> = 12, <i>n</i> = 8113, τ² = 0.001) and severe binge eating was 12% (95% CI: 8 to 16, PI%: 0 to 31, <i>k</i> = 18, <i>n</i> = 12,136, τ² = 0.01).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>Obesity and eating disorders or disordered eating do co-occur. There was variability between studies and between the prevalence of eating disorders and disordered eating in adults presenting for obesity treatment. It is critical that clinicians are well resourced to effectively identify individuals with eating disorders and disordered eating and provide appropriate treatment pathways.</p>\u0000 </section>\u0000 </div>","PeriodicalId":51067,"journal":{"name":"International Journal of Eating Disorders","volume":"58 9","pages":"1644-1661"},"PeriodicalIF":4.3,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/eat.24483","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144259341","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":"Randomized Controlled Trial of Weight Management Versus Weight Management With Concurrent Cognitive-Behavioral Therapy for Binge-Eating Disorder in US Veterans With High Weight","authors":"Robin M. Masheb,&nbsp;Eugenia Buta,&nbsp;Jennifer L. Snow,&nbsp;Lindsay F. Munro,&nbsp;Mark Lawless,&nbsp;Erica A. Abel,&nbsp;Nicole E. McWain,&nbsp;Alison Marsh,&nbsp;Amanda Cary,&nbsp;Carlos M. Grilo,&nbsp;Susan D. Raffa,&nbsp;Christopher B. Ruser","doi":"10.1002/eat.24476","DOIUrl":"10.1002/eat.24476","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>To determine the effectiveness of adding a brief psychological eating-disorder treatment (CBT) to weight management for addressing DSM-5 binge-eating disorder (BED) in US military Veterans with high weight.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>One hundred and nine Veterans, with DSM-5 BED, seeking weight management services were randomly assigned to VA's Weight Management Program (MOVE!), or MOVE! plus a brief, clinician-led cognitive-behavioral therapy (MOVE! + CBT). Primary (eating disorder psychopathology and binge eating), secondary (mental health, quality of life, and eating- and appearance-related), and exploratory (weight) outcomes were analyzed with mixed-effects models for four timepoints (baseline, 3-month [post-treatment], and 9- and 15-month follow-ups).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>MOVE! + CBT reported significantly less overall eating disorder psychopathology compared to MOVE! at all post-randomization timepoints: difference at 3 months −0.18 (−0.3, −0.06, <i>p</i> = 0.003), 9 months −0.15 (−0.3, 0, <i>p</i> = 0.05), and 15 months −0.27 (−0.42, −0.12, <i>p</i> &lt; 0.001). There were no differences between groups in binge-eating frequency. MOVE! + CBT remission rates were 28% at 3 months, 42% at 9 months, and 27% at 15 months. MOVE! remission rates were 22% at 3 months, 26% at 9 months, and 20% at 15 months. MOVE! + CBT was superior at post-treatment through 15 months on eating-, weight-, and shape-related (<i>p</i>'s &lt; 0.05), but few other, secondary outcomes. A 5% weight loss ranged from 26% to 38% for MOVE! + CBT, and 17% to 33% for MOVE!.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>Weight management alone and with concurrent CBT resulted in significant improvements in BED. The addition of CBT enhanced some specific outcomes but not weight loss. Findings provide evidence-based clinical guidance and population-level impact for addressing BED in the context of high weight, especially among Veteran populations.</p>\u0000 \u0000 <p>\u0000 <b>Trial Registration:</b> Clinical Trial Registry Number: NCT03234881(Weight Loss Treatment for Veterans with Binge Eating)</p>\u0000 </section>\u0000 </div>","PeriodicalId":51067,"journal":{"name":"International Journal of Eating Disorders","volume":"58 9","pages":"1777-1792"},"PeriodicalIF":4.3,"publicationDate":"2025-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144250719","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":"Evidence of Altered Biobehavioral Threat Processes in Adolescents With Eating Disorders: A Scoping Review","authors":"Sasha Gorrell,&nbsp;Sapna Ramappa,&nbsp;Brianne Richson,&nbsp;Elizabeth Dougherty,&nbsp;Simar Singh,&nbsp;Kate Lindstrom,&nbsp;Maya Day,&nbsp;Emma Rasmussen,&nbsp;Lisa M. Anderson","doi":"10.1002/eat.24485","DOIUrl":"10.1002/eat.24485","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>Etiological models of eating disorders (EDs) suggest there is considerable overlap between anxiety and EDs. In particular, shared clinical features across these psychiatric diagnoses suggest that common threat processes (i.e., changes in affect, cognition, and physiology, or behavior in response to a feared stimulus) underlie their maintenance. Compared to anxiety disorders, however, less is known about the neurobiological bases of threat that may give rise to and maintain ED symptoms, particularly among adolescents. Addressing this knowledge gap will aid in informing future research and interventional efforts.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>We searched four online databases to review studies published through March 2025 comprising all potential types of assessment of biobehavioral activity associated with threat (e.g., neuroimaging, skin conductance) in clinical samples of adolescents with EDs.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>From 2546 articles identified, <i>N</i> = 19 studies met inclusion criteria. A majority of investigations employed functional neuroimaging to study adolescent girls with anorexia nervosa, compared with age-matched controls. We classified and synthesized evidence within categories of non-ED-specific threat (harm avoidance) or ED-specific threat (bodily- or food-related threat, or their combination). Most studies demonstrated altered ED-specific threat processing in adolescent girls with anorexia nervosa compared to controls, as well as associations between neural threat response and ED symptomology. The study focused on non-ED-specific threat found no noted differences in threat response in cases versus controls.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>Given the apparent relevance of threat processing in EDs, future inquiry is needed to resolve remaining questions and yield new insights with clinical relevance across transdiagnostic adolescent ED presentations.</p>\u0000 </section>\u0000 </div>","PeriodicalId":51067,"journal":{"name":"International Journal of Eating Disorders","volume":"58 9","pages":"1619-1643"},"PeriodicalIF":4.3,"publicationDate":"2025-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144250709","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":"Effects of Childhood Emotional Abuse on Treatment Outcome in Adolescent Inpatients With Anorexia Nervosa","authors":"Alessio Maria Monteleone,&nbsp;Marco Carfagno,&nbsp;Adrian Meule,&nbsp;Silke Naab,&nbsp;Giammarco Cascino,&nbsp;Ulrich Voderholzer,&nbsp;David R. Kolar","doi":"10.1002/eat.24484","DOIUrl":"10.1002/eat.24484","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>Although childhood maltreatment, especially emotional abuse, is strongly linked to the psychopathology of anorexia nervosa (AN), the impact of such a traumatic experience on treatment outcome is not clear. This study aimed to explore how emotional abuse affects change in psychopathology during treatment.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>Adolescents with AN (<i>n</i> = 331) completed the Childhood Trauma Questionnaire at admission to inpatient treatment and the Eating Disorder Inventory-2, Patient Health Questionnaire-9, Patient Health Questionnaire-15, and Generalized Anxiety Disorder-7 both at admission and at discharge. Relationships of emotional abuse with body mass index (BMI) and questionnaire scores at admission and at discharge were examined with percentage bend correlation coefficients. Changes in BMI and questionnaire scores from admission to discharge and whether these changes were moderated by emotional abuse were tested with robust mixed models.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Higher emotional abuse scores related to higher eating disorder, depressive, anxiety, and somatic symptoms but not to BMI at admission and at discharge. BMI increased and eating disorder, depressive, anxiety, and somatic symptoms decreased from admission to discharge but these changes were not moderated by emotional abuse scores.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>Emotional abuse did not affect treatment response during hospitalization for AN, but it was associated with heightened eating and general psychological symptom severity at both hospital admission and discharge. Clinicians are advised to investigate a history of emotional abuse in adolescents with AN and to consider emotional abuse not as a predictor of treatment resistance, but as a psychological scar that persists regardless of symptom severity.</p>\u0000 </section>\u0000 </div>","PeriodicalId":51067,"journal":{"name":"International Journal of Eating Disorders","volume":"58 9","pages":"1769-1776"},"PeriodicalIF":4.3,"publicationDate":"2025-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/eat.24484","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144235893","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":"EDE and EDE-Q: A Call for Field Wide International Collaboration When Revisiting a Classic, Commentary on Reilly et al. (2025)","authors":"Paulo P. P. Machado","doi":"10.1002/eat.24481","DOIUrl":"10.1002/eat.24481","url":null,"abstract":"<div>\u0000 \u0000 <p>In their 2025 article in the International Journal of Eating Disorders, Reilly, Gorrell, Chapa, Drury, Stalvey, Goldschmidt, and le Grange examine the widespread use of the Eating Disorder Examination (EDE) and its self-report version, the Eating Disorder Examination-Questionnaire (EDE-Q), in assessing eating disorder symptoms. While acknowledging the popularity of these instruments, the authors highlight important limitations—including restricted scope, psychometric shortcomings, and practical challenges such as inconsistent scoring practices and limited applicability across diverse populations. Rather than advocating for the development of entirely new measures, the authors propose building a field-wide consensus to refine existing tools and promote their broader and more consistent use. Reilly et al.'s paper is a timely and valuable contribution to ongoing conversations about assessment practices in the field. In this commentary, we extend their perspective by drawing on previous experiences in the field that support their call to action and suggest that future consensus efforts should built on international experience and collaboration, and ensure that lived experience voices are integral to the process.</p>\u0000 </div>","PeriodicalId":51067,"journal":{"name":"International Journal of Eating Disorders","volume":"58 9","pages":"1690-1692"},"PeriodicalIF":4.3,"publicationDate":"2025-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144227440","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":"Effects of Early Weight Trends on Residential Treatment Outcomes Among Adolescents With Anorexia Nervosa","authors":"Simar Singh,&nbsp;Sasha Gorrell,&nbsp;Catherine R. Drury,&nbsp;Alan Duffy,&nbsp;Philip S. Mehler,&nbsp;Kianna Zucker,&nbsp;Daniel Le Grange,&nbsp;Erin E. Reilly,&nbsp;Renee D. Rienecke","doi":"10.1002/eat.24480","DOIUrl":"10.1002/eat.24480","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Weight variability (WV), or daily-to-weekly fluctuations in weight, associates with increased eating pathology in adults with bulimia nervosa and greater weight gain across the developmental span in healthy controls, but few studies have explored these relations in adolescents with anorexia nervosa (AN). Given the importance of early weight gain during treatment for AN prognosis, WV could impact outcomes via effects on weight trends and related psychopathology. The current study examined whether WV and the slope of weight change predict eating disorder symptoms at the end of treatment (EOT) among adolescents with AN.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>Adolescents with AN (<i>N</i> = 284) receiving residential treatment completed the Eating Disorder Examination Questionnaire (EDE-Q) at admission and EOT. WV was calculated using the root-mean-squared-error of daily weights over the first 14 days of treatment. Linear regressions examined the effect of WV, slope of weight change over 14 days, and their interaction on percent expected body weight (%EBW) and EDE-Q scores at EOT.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>WV positively predicted EDE-Q Global Score (<i>p</i> = 0.033, <i>sr</i>\u0000 ^{\u0000 <i>2</i>\u0000} = 0.01), Shape Concern (<i>p</i> = 0.026, <i>sr</i>\u0000 ^{\u0000 <i>2</i>\u0000} = 0.01), and Weight Concern (<i>p</i> = 0.008, <i>sr</i>\u0000 ^{\u0000 <i>2</i>\u0000} = 0.02) at EOT. Neither WV nor the slope of weight change predicted %EBW at EOT (<i>p</i>s &gt; 0.05). The slope of weight change did not predict EDE-Q, nor did it moderate the relation between WV and any outcomes (<i>p</i>s &gt; 0.05).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Patients who experience greater weight fluctuations early in treatment may be more susceptible to elevated psychopathology at discharge. In light of few significant effects and small effect sizes, more research is needed to determine the putative role of early weight trends in adolescent AN outcomes.</p>\u0000 </section>\u0000 </div>","PeriodicalId":51067,"journal":{"name":"International Journal of Eating Disorders","volume":"58 9","pages":"1758-1768"},"PeriodicalIF":4.3,"publicationDate":"2025-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144227441","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.24478","DOIUrl":"https://doi.org/10.1002/eat.24478","url":null,"abstract":"","PeriodicalId":51067,"journal":{"name":"International Journal of Eating Disorders","volume":"58 6","pages":"999-1000"},"PeriodicalIF":4.7,"publicationDate":"2025-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/eat.24478","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144213960","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":"The Potential of Small Effects at the Right Time, on a Large Scale: Commentary on Linardon et al. (2025)","authors":"Ata Ghaderi","doi":"10.1002/eat.24472","DOIUrl":"10.1002/eat.24472","url":null,"abstract":"<p>The meta-analysis of self-help intervention for eating disorders (ED) by Linardon and colleagues showed significant, albeit small, effects favoring self-help over the control condition on depression, anxiety, distress, and self-esteem. Despite modest effect sizes, pure self-help offers the potential for high accessibility at low cost, which may lead to a meaningful impact on public health in terms of mental health symptoms that are often co-occurring with ED. There are opportunities to present and package pure self-help in more creative ways than what is currently available (e.g., by integrating brief instructional and experiential videos, infographics, storytelling, and compelling patient narratives). To fully harness the potential of pure self-help, disruptive innovations are necessary in both the packaging and delivery methods. These innovations can help to accommodate various needs, learning styles, and preferred delivery formats. A consortium dedicated to pure self-help for symptoms of ED and its prevention can play a vital role in testing, delivering, collecting big data, understanding moderators of outcomes, and facilitating adaptation and further development, thereby improving access to these interventions and leading to better mental health.</p>","PeriodicalId":51067,"journal":{"name":"International Journal of Eating Disorders","volume":"58 9","pages":"1686-1689"},"PeriodicalIF":4.3,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/eat.24472","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144175746","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":"Adapting Barlow's Unified Protocol for Transdiagnostic Treatment of Emotional Disorders in Overweight Adults: A Nonrandomized Controlled Feasibility Study","authors":"Leonor P. Gawron,&nbsp;Kevin Rodríguez Clifford,&nbsp;Alba Ramírez Guillén,&nbsp;Mar Carceller-Sindreu,&nbsp;Cristina Carmona Farrés,&nbsp;Caterina del Mar Bonnin,&nbsp;Maria J. Portella","doi":"10.1002/eat.24474","DOIUrl":"10.1002/eat.24474","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>To evaluate the feasibility and potential effectiveness of the Unified Protocol for Emotional Eating (UP-EE) in a group format.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>Fifty-seven participants exhibiting high to severe emotional eating (EE) were assigned to an 8-week group intervention or to a control group receiving treatment as usual (TAU). EE (measured with the Dutch Eating Behavior Questionnaire) was the primary outcome, while state anxiety (State–Trait Anxiety Inventory [STAI-S]), depression (Beck Depression Inventory [BDI-II]) and perceived stress (Perceived Stress Scale [PSS-14]) were the secondary measures, assessed at baseline and post-intervention, or 8 weeks later in the control group. Satisfaction was measured via the Client Satisfaction Questionnaire (CSQ-8). Effectiveness was estimated using a linear mixed-effects model.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The UP-EE received positive feedback and achieved an acceptable treatment retention. There were no significant differences regarding sociodemographic and clinical characteristics between groups.</p>\u0000 \u0000 <p>While both groups were not significantly different at the end of the intervention, the waitlist group worsened in anxiety, depression, and perceived stress, and showed only a slight improvement in EE. In contrast, the intervention group showed significant improvements across these variables, with a sharper decrease in EE. Results were consistent across both per-protocol and intention-to-treat analyses.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>A group UP-EE intervention is a feasible intervention. Future research should focus on a larger sample with a randomized controlled trial design and utilize measures of disordered eating to more clearly identify the superiority of the intervention over a comparison condition.</p>\u0000 </section>\u0000 </div>","PeriodicalId":51067,"journal":{"name":"International Journal of Eating Disorders","volume":"58 9","pages":"1747-1757"},"PeriodicalIF":4.3,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144144373","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":"PTSD and Complex PTSD in Residential Treatment for Eating Disorders: Moderating Effects on Symptom Severity and Outcome Trajectory","authors":"Sinead Day,&nbsp;Deborah Mitchison,&nbsp;W. Kathy Tannous,&nbsp;Phillipa Hay","doi":"10.1002/eat.24465","DOIUrl":"10.1002/eat.24465","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>Eating disorders (EDs) and symptoms of trauma commonly co-occur, yet research is limited on how trauma affects ED treatment outcomes. This is particularly true for complex post-traumatic stress disorder (CPTSD). Differentiating between the treatment impacts of PTSD and CPTSD (which includes both PTSD symptoms and disturbances in self-organization [DSO]) may help ED providers address this common comorbidity.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>The current study included 95 women (<i>M</i>\u0000 _{\u0000 <i>age</i>\u0000} <i>=</i> 26 years) with EDs (largely anorexia nervosa) who received residential treatment (<i>M</i> = 81 days). Participants completed measures of ED symptoms, anxiety, depression, body mass index (BMI), ED-specific health-related quality-of-life (ED-HRQoL) impairment, functional disability, and trauma symptoms at admission, week 4 of treatment, discharge, and 6 months post-discharge.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>All outcomes except BMI were more severe at admission and week 4 of treatment for individuals with comorbid trauma (based on probable CPTSD or exceeding the clinical threshold for PTSD and DSO symptom domains); however, these differences resolved by discharge and remained non-significant at follow-up. Some forms of comorbid trauma moderated outcome trajectories for anxiety, depression, and disability (but not ED symptoms), such that individuals with comorbid trauma showed slower improvement early in treatment, steeper improvement later in treatment, and greater resurgence after discharge.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>These findings highlight that PTSD and CPTSD symptom domains may be associated with more severe ED outcomes early in residential treatment that resolve by discharge, and may predict differential treatment response for secondary outcomes. Implications are discussed for clinical assessment and treatment of comorbid trauma-related disorders in residential care.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Trial Registration</h3>\u0000 \u0000 <p>The study was prospectively registered on the Australian and New Zealand Clinical Trials Registry in November 2021, registration number ACTRN12621001651875</p>\u0000 </section>\u0000 </div>","PeriodicalId":51067,"journal":{"name":"International Journal of Eating Disorders","volume":"58 9","pages":"1732-1746"},"PeriodicalIF":4.3,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/eat.24465","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144144352","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}