International Journal of Eating Disorders最新文献

{"title":"Self-Reported Physical Activity Energy Expenditure in Patients With Anorexia Nervosa: A Cross-Sectional Analysis at Hospital Admission From the Study of Refeeding to Optimize iNpatient Gains.","authors":"Siena S Vendlinski, Sasha Gorrell, Amanda E Downey, Arjun S Mehta, Daniel Le Grange, Vanessa I Machen, Erin C Accurso, Sara M Buckelew, Cynthia J Kapphahn, Barbara A Moscicki, Neville H Golden, Andrea K Garber","doi":"10.1002/eat.24569","DOIUrl":"https://doi.org/10.1002/eat.24569","url":null,"abstract":"<p><strong>Objective: </strong>Elevated physical activity is a feature of anorexia nervosa (AN), often associated with poorer clinical outcomes. Less is known about how physical activity energy expenditure (PAEE) prior to hospital admission relates to illness severity at presentation.</p><p><strong>Method: </strong>Secondary data analysis of the Study of Refeeding to Optimize Inpatient Gains, a randomized controlled trial comparing inpatient refeeding approaches in AN and atypical AN. Upon admission, patients self-reported: physical activity (past 7 days), Eating Disorder Examination-Questionnaire (EDE-Q), anxiety (GAD-7), depression (PHQ-A), distress tolerance (DTS), and menstrual status. Medical instability (heart rate and systolic blood pressure, orthostasis, electrolyte abnormalities) was assessed. PAEE was calculated by multiplying the activity-specific Metabolic Equivalent of Task (MET, kcal/kg/h) by the number of hours per activity; weekly METs for all activities were summed and averaged to obtain mean METs/day, then multiplied by admission body weight (kg) to obtain PAEE (kcal/d). Regressions assessed the association of PAEE and admission variables.</p><p><strong>Results: </strong>Physical activity data were available for 91 of 116 patients (56% with AN, 95% female), with M (SD) age = 16.6 (2.5) years and %median Body Mass Index = 84.6 (11.4). Across 37 recorded activities, PAEE was 354 (319) kcal/day. Higher PAEE was associated with older age, longer duration of weight loss, higher eating restraint (EDE-Q; β = 0.17, p = 0.04), and anxiety (GAD-7; β = 0.57, p = 0.04), but not with markers of medical instability.</p><p><strong>Discussion: </strong>Patients with high PAEE may need additional psychological support for anxiety and eating disorder cognitions during hospital admission. Further research is needed to understand how pre-admission PAEE relates to long-term recovery.</p><p><strong>Public significance statement: </strong>Patients with anorexia nervosa (AN) and atypical AN often report increased physical activity (PA). The extent to which energy expended in PA impacts indices of illness severity in the acute phase of illness is less well understood, especially among those who are subsequently hospitalized. Findings suggest patients expending greater energy in PA prior to admission may benefit from additional support to manage higher anxiety and eating restraint while in hospital.</p><p><strong>Trial registration: </strong>ClinicalTrials.gov identifier: NCT02488109.</p>","PeriodicalId":51067,"journal":{"name":"International Journal of Eating Disorders","volume":" ","pages":""},"PeriodicalIF":4.3,"publicationDate":"2025-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145234025","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":"Supporting Individuals on Eating Disorder Waitlists Through App-Based Motivational Interviewing: A Qualitative Evaluation of a Program-Led Pilot Intervention.","authors":"Amané Halicki-Asakawa, Jill Gerlof, Emily Mayzes-Kotulla, Maya Libben","doi":"10.1002/eat.24561","DOIUrl":"https://doi.org/10.1002/eat.24561","url":null,"abstract":"<p><strong>Objective: </strong>Individuals with eating disorders (EDs) often face long wait times before receiving formal treatment, which can exacerbate distress and undermine motivation for recovery. Despite this risk, few structured interventions are available to support individuals during the pretreatment period. This qualitative study examined the feasibility, acceptability, and perceived utility of motivational interviewing (MI)-Coach: ED, a structured and focused program-led mobile app intervention grounded in MI, designed to support individuals with EDs while waitlisted for treatment.</p><p><strong>Methods: </strong>Semi-structured interviews were conducted with two interest-holder groups: individuals with lived ED experience (n = 14) who completed a 4-week pilot study and clinicians (n = 5) in ED treatment settings. Data were analyzed using framework analysis to integrate themes across groups.</p><p><strong>Results: </strong>Both groups described MI-Coach: ED as accessible, flexible, and relevant to recovery. Preliminary indications of clinical benefit in the lived-experience group were observed, including clarity surrounding reasons for change, more manageable near-term goals, and renewed motivation. Clinicians described similar motivational benefits for clients facing lengthy treatment delays. Both groups emphasized the importance of a supportive digital relationship and suggested accessibility improvements.</p><p><strong>Discussion: </strong>Findings support the feasibility and acceptability of MI-Coach: ED as a program-led digital tool for individuals awaiting ED treatment. The framework approach integrated cross-group themes and informed ongoing refinements to strengthen emotional safety, accessibility, and equitable use and will guide a future randomized controlled trial evaluating clinical impact and implementation.</p><p><strong>Public significance statement: </strong>People with eating disorders often wait a long time for treatment, leaving them feeling isolated and unmotivated. This study conducted interviews with people with eating disorders and clinicians to explore the value of MI-Coach: ED, a guided mobile app designed to support people during this waiting period. Feedback from both groups showed that the app was helpful, and suggestions are now shaping future improvements and research.</p>","PeriodicalId":51067,"journal":{"name":"International Journal of Eating Disorders","volume":" ","pages":""},"PeriodicalIF":4.3,"publicationDate":"2025-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145234058","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":"\"You Say Cognitive, I Say Cognitive\": Can Misinformation-Informed Interventions Help Reduce Risk for Disordered Eating in Youth?","authors":"Neophytos Georgiou, Mia L Pellizzer, Ryan P Balzan, Tracey D Wade","doi":"10.1002/eat.24552","DOIUrl":"https://doi.org/10.1002/eat.24552","url":null,"abstract":"<p><strong>Objective: </strong>This paper explores how cognitive models from misinformation research can enhance existing interventions for eating disorder (ED) risk, particularly in youth. We argue that frameworks developed to counter belief formation in misinformation offer a novel and underexplored avenue for intervening earlier in the pathway to disordered eating, particularly in environments saturated with persuasive -appearance- and -diet-related content that increase ED risk.</p><p><strong>Method: </strong>We suggest that cognitive mechanisms implicated in both ED vulnerability and susceptibility to misinformation offer overlapping targets for intervention. Drawing on both literatures, we outline how -misinformation-informed strategies such as prebunking, inoculation, and content evaluation tasks can serve as complementary, brief, digitally delivered interventions.</p><p><strong>Results: </strong>The integration of interventions tackling processing increasing ED risk with misinformation-informed approaches may be well-suited to reduce ED risk in young people who primarily use social media for appearance reasons. These may be more effective when placed within short-form, algorithm-driven social media environments where individuals encounter problematic content with limited clinical oversight.</p><p><strong>Discussion: </strong>Misinformation-informed strategies offer new cognitive leverage points that complement existing ED interventions. When adapted thoughtfully, these tools may serve as low-burden, scalable prevention approaches that extend support beyond the clinic and into the digital spaces where risk often emerges. We propose five concrete steps to explore this research stream.</p>","PeriodicalId":51067,"journal":{"name":"International Journal of Eating Disorders","volume":" ","pages":""},"PeriodicalIF":4.3,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145214358","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":"General and Symptom-Specific Illness Duration and Course as Predictors of Symptom Severity in Anorexia Nervosa.","authors":"Kira G Venables, Ariana R Bazzi, Abigail Smith, Soo-Eun Lee, Carol B Peterson, Ann F Haynos","doi":"10.1002/eat.24525","DOIUrl":"https://doi.org/10.1002/eat.24525","url":null,"abstract":"<p><strong>Objective: </strong>Illness duration has been examined as a predictor of anorexia nervosa (AN) outcomes to mixed results, yet is frequently used to make treatment and prognosis decisions. More specific metrics, such as prior illness course (e.g., continuous vs. intermittent symptoms) and symptom-specific duration or course, may more effectively predict concurrent and longitudinal outcomes.</p><p><strong>Method: </strong>Adults with acute or weight-restored AN (N = 75) completed a measure assessing duration and course (e.g., continuous, intermittent) of their eating disorder in general and of specific symptoms (low weight, restrictive eating, weight/shape preoccupation). Hierarchical linear regressions predicted the severity of each symptom (BMI, restrictive eating, shape concern, weight concern) at baseline and one-year follow-up from covariates (Step 1), general illness duration and course (Step 2), and symptom-specific duration and course (Step 3).</p><p><strong>Results: </strong>Cross-sectionally, symptom-specific predictors improved model fit for all outcomes (ps = < 0.001-0.043). A more continuous course of restrictive eating was associated with more frequent baseline restrictive eating (p = 0.002) and longer duration (p = 0.009) and a more continuous course (p < 0.001) of weight/shape preoccupation was associated with higher baseline shape concern. General illness duration and course did not predict symptom severity after accounting for symptom-specific factors. Longitudinally, no measure of illness or symptom duration or course predicted follow-up symptom severity.</p><p><strong>Conclusions: </strong>Courses of specific symptoms may be more meaningful symptom severity markers in AN than general illness duration or course, particularly for restriction and shape concern. Findings highlight the clinical utility of assessing symptom-specific chronicity and of interrupting eating disorder symptoms in treatment, given the impact of continuous symptom expression.</p>","PeriodicalId":51067,"journal":{"name":"International Journal of Eating Disorders","volume":" ","pages":""},"PeriodicalIF":4.3,"publicationDate":"2025-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145208315","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":"Detecting Eating Disorders From Social Media Content: What Has Been Done and Where Do We Go Next?","authors":"Laura D'Adamo, Jannah R Moussaoui, David Chu, Haley Graver, C Barr Taylor, Denise E Wilfley, Shiri Sadeh-Sharvit, Nicholas C Jacobson, Patricia Cavazos-Rehg, Stephanie M Manasse, Kristina Lerman, Ellen E Fitzsimmons-Craft","doi":"10.1002/eat.24565","DOIUrl":"https://doi.org/10.1002/eat.24565","url":null,"abstract":"<p><strong>Objective: </strong>Less than 20% of individuals with eating disorders (EDs) ever receive treatment, highlighting a need for scalable, innovative methods of identifying and providing support to individuals with ED symptoms. At the same time, ED-related content on social media (SM) platforms is pervasive, offering an opportunity to detect signals of ED symptoms from SM data. This paper examines how artificial intelligence (AI) and computational methods can be leveraged to detect ED symptoms from SM content and provide timely intervention.</p><p><strong>Method: </strong>We review SM-based ED detection methods researched to date, including content tags, topic modeling, and natural language processing. We also discuss critical next directions for this area, including opportunities to pair detection with digital interventions, and examine challenges in developing, evaluating, and implementing these tools. Finally, we offer recommendations for ED experts for guiding the development, evaluation, and deployment of robust detection systems.</p><p><strong>Results: </strong>Research supports the feasibility of harnessing SM data to identify individuals with ED symptoms and has begun exploring methods of pairing SM-based ED detection with interventions. Although SM platforms already use automated methods of detecting and moderating harmful content, these systems are not transparent and show room for improvement, highlighting the importance of ED experts' involvement in developing detection methods.</p><p><strong>Discussion: </strong>Leveraging SM data presents an unprecedented opportunity to identify and provide support to millions of individuals with ED symptoms. Research, interdisciplinary collaborations, and ethical safeguards can transform SM into a supportive resource for individuals with EDs.</p>","PeriodicalId":51067,"journal":{"name":"International Journal of Eating Disorders","volume":" ","pages":""},"PeriodicalIF":4.3,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145193218","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":"Greater Body Dissatisfaction at Admission Is Associated With Lower BMI at Discharge in Anorexia Nervosa: Predictive Validity of the Eating Pathology Symptoms Inventory.","authors":"Danielle A N Chapa, Marianna L Thomeczek, Brianne N Richson, Alan Duffy, Kara A Christensen Pacella, Kelsie T Forbush, Renee D Rienecke, Dan V Blalock, Sara R Gould, Victoria L Perko, Philip S Mehler","doi":"10.1002/eat.24560","DOIUrl":"https://doi.org/10.1002/eat.24560","url":null,"abstract":"<p><p>People with anorexia nervosa (AN) engage in dietary restriction and other weight loss behaviors that result in dangerously low body weight, leading to an increased risk for mortality and medical complications. Weight gain is one of the most important indicators of treatment progress and recovery for AN. There are limited predictors of weight gain for patients with AN, making it difficult for clinicians to anticipate which patients are likely to respond favorably to treatment. Thus, there is a need to identify additional, potentially modifiable predictors of weight gain within a higher level of care for AN. This study tested the predictive validity of the Eating Pathology Symptoms Inventory (EPSI) in adults receiving a higher level of care for AN (N = 340). We hypothesized that EPSI scores at treatment admission would predict body mass index (BMI) at discharge. Linear regression was used to identify predictors of discharge BMI. EPSI Body Dissatisfaction at admission (β = -0.043, p = 0.005) predicted BMI at discharge (controlling for admission BMI, length of stay, and level of care), such that individuals with greater body dissatisfaction at admission had lower BMIs at treatment discharge. Other EPSI scales did not predict BMI. Results supported the predictive validity of EPSI Body Dissatisfaction for discharge weight in adults receiving a higher level of care for AN. Patients who are more dissatisfied with their bodies, despite having a dangerously low BMI at admission, may be at risk for poorer treatment outcomes.</p>","PeriodicalId":51067,"journal":{"name":"International Journal of Eating Disorders","volume":" ","pages":""},"PeriodicalIF":4.3,"publicationDate":"2025-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145180198","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":"Parallel Increase in Childhood Anorexia Nervosa and Early Puberty During the COVID-19 Pandemic.","authors":"Beate Herpertz-Dahlmann, Astrid Dempfle, Stefan Eckardt, Josef Neulen, Kelly L Klump","doi":"10.1002/eat.24556","DOIUrl":"https://doi.org/10.1002/eat.24556","url":null,"abstract":"<p><strong>Objective: </strong>During the COVID-19 pandemic, an increase in anorexia nervosa (AN), specifically childhood AN, as well as in central precocious puberty (CPP) and early-onset puberty (EOP), was reported. The aim of this study was to explore whether there was a population-level association between increases in both disorders and to discuss possible underlying causes.</p><p><strong>Method: </strong>Data were retrieved from the largest health insurance institution in Germany comprising approximately 3.5 million children between 0 and 14 years for the years 2019-2023. All female cases with a diagnosis of AN/atypical AN and those with CPP/EOP according to ICD-10 were included. To investigate possible specificity of associations, we also examined associations with depressive disorders (DD) and anxiety disorders (AD).</p><p><strong>Results: </strong>Decreasing and increasing numbers of cases with EOP, CPP, and childhood AN/atypical AN showed a similar pattern during the COVID-19 pandemic. The number of diagnosed cases of AN/atypical AN combined with either CPP (Spearman's ρ = 0.45; p = 0.02), EOP (Spearman's ρ = 0.60; p = 0.003), or combined CPP/EOP (Spearman's ρ = 0.53; p = 0.008) in this time span was highly and significantly correlated. Associations with CPP/EOP were generally stronger for AN/atypical AN than for DD (Spearman's ρ = 0.45; p = 0.02) or AD (Spearman's ρ = 0.29; p = 0.11).</p><p><strong>Discussion: </strong>The highly increasing prevalence of childhood AN, EOP, and CCP may reflect pandemic-associated stress and lifestyle changes and/or their effects on reproductive functioning. Pre- and peripubertal girls seem to be especially vulnerable to these environmental stressors and might react with important physical and mental impairments.</p>","PeriodicalId":51067,"journal":{"name":"International Journal of Eating Disorders","volume":" ","pages":""},"PeriodicalIF":4.3,"publicationDate":"2025-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145180206","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 Dropout, Outcome, and Relapse in Web-Based Guided Self-Help Cognitive Behavioral Therapy-Enhanced Among Patients With Binge-Eating Disorder.","authors":"Bernou Melisse, Margo de Jonge, Elske van den Berg, Jack Dekker, Edwin de Beurs","doi":"10.1002/eat.24562","DOIUrl":"https://doi.org/10.1002/eat.24562","url":null,"abstract":"<p><strong>Introduction: </strong>The present study aims to examine predictors of dropout, treatment outcome, and relapse of web-based guided self-help cognitive behavior therapy-enhanced (CBT-E) for binge-eating disorder. Data were collected as part of a randomized controlled trial examining the efficacy of guided self-help CBT-E.</p><p><strong>Method: </strong>Logistic regression analyses were performed to predict dropout and relapse. Dropout was defined as premature termination of treatment and relapses as an increase in Eating Disorder Examination-Questionnaire (EDE-Q) global score ≥ 1 SD between end of treatment and follow-up. A multiple regression analysis was conducted to predict treatment outcome using residual change scores of the EDE-Q global score between baseline, end of treatment, and between baseline and 12-week follow-up. Evaluated predictors for dropout were demographics and the presence of comorbid psychopathology; for treatment outcome and relapse, EDE frequency of binge eating, and the shape and weight concern subscales, and the presence of comorbid psychopathology. Predictors were measured at baseline.</p><p><strong>Results: </strong>A total of 190 patients (90.3% female, age M = 39 years, SD = 13.3) completed the end-of-treatment assessments and 181 at follow-up. Dropout was predicted by non-Dutch ethnicity, male sex, and a lower education level. Comorbid psychopathology predicted poorer treatment outcomes at the end of treatment, but not at follow-up. No predictors of relapse were identified.</p><p><strong>Discussion: </strong>Comorbid psychopathology predicted less immediate benefit from treatment, but these patients show further improvement in the 12 weeks after treatment. Future research may show if culturally sensitive and tailored interventions reduce dropout rates among individuals from non-Dutch ethnicity, males, and lower-educated patients.</p>","PeriodicalId":51067,"journal":{"name":"International Journal of Eating Disorders","volume":" ","pages":""},"PeriodicalIF":4.3,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145151706","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":"Hoarding Symptoms in Eating Disorders: An Observational Cross-Sectional Study.","authors":"Avantika Kapadia, Laura M Thornton, Cynthia M Bulik, Hunna J Watson","doi":"10.1002/eat.24547","DOIUrl":"https://doi.org/10.1002/eat.24547","url":null,"abstract":"<p><strong>Objective: </strong>Hoarding behaviors have been reported in eating disorders (EDs), particularly those characterized by binge eating; however, research on this comorbidity is scarce. This cross-sectional observational study investigated hoarding symptoms in a community-based sample of individuals with lifetime ED diagnoses (N = 5927).</p><p><strong>Method: </strong>Participants were grouped by ED history: anorexia nervosa (AN) only, AN and another ED (AN Mixed), bulimia nervosa (BN) only, binge-eating disorder (BED) only, and both BN and BED (BN-BED). Hoarding symptoms were compared across these groups and to published data from cohorts with hoarding disorder (HD), obsessive-compulsive disorder (OCD), and nonclinical controls, using independent t tests. Logistic regression was used to examine the odds of screening positive for hoarding, and correlations assessed associations between hoarding and ED symptoms.</p><p><strong>Results: </strong>Hoarding symptoms were prominent across all ED groups. They were most prevalent in BN-BED and least prevalent in AN. The ED cohort showed lower hoarding symptoms than the HD cohort, but generally higher symptoms than the OCD cohorts. All ED groups showed significantly higher hoarding symptoms than one control cohort, with BN, BED, and BN-BED also exceeding a second control cohort. Positive correlations emerged between hoarding and ED symptoms.</p><p><strong>Discussion: </strong>Individuals with EDs, especially featuring binge eating as a core symptom, appear to be at higher risk for hoarding symptoms. Screening for hoarding in ED patients could be beneficial. Further research is needed to examine the potential co-occurrence of hoarding symptoms and EDs and explore factors that may contribute to this relationship.</p>","PeriodicalId":51067,"journal":{"name":"International Journal of Eating Disorders","volume":" ","pages":""},"PeriodicalIF":4.3,"publicationDate":"2025-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145132644","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":"Adverse Childhood Experiences and Disordered Eating Behaviors Among US Children: Untangling the Developmental Sex Differences.","authors":"Zékai Lu","doi":"10.1002/eat.24555","DOIUrl":"https://doi.org/10.1002/eat.24555","url":null,"abstract":"<p><strong>Objective: </strong>This study examined associations between adverse childhood experiences (ACEs) and heterogeneous disordered eating behaviors (DEBs) in a nationally representative sample of US children, investigating how sex and developmental stage jointly moderate these relationships.</p><p><strong>Method: </strong>Data from the 2022-2023 National Survey of Children's Health included 67,607 children aged 6-17 years (weighted N = 50,023,339), with information collected from caregivers. Latent class analysis identified DEB patterns. Multinomial logistic regression analyzed associations between both cumulative ACE scores and specific ACE types with DEB classes. Average marginal effects assessed how sex and developmental stage modified these associations.</p><p><strong>Results: </strong>Among participants, 44% had experienced at least one ACE. Four distinct DEB classes emerged: Minimal Disordered Eating (81.7%), Binge/Fasting Eating (7.3%), Picky/Restrictive Eating (8.9%), and Severe Mixed Dysregulation (2.1%). Cumulative ACE exposure showed significant relationships with all DEB subtypes. Each additional ACE increased the likelihood of Severe Mixed Dysregulation by 70% (RRR = 1.70, 95% CI [1.62, 1.75]). Economic hardship, household mental illness, and health discrimination showed significant positive associations across all DEB subtypes. Sex and developmental stage significantly moderated these associations: boys exhibited increasing ACE effects with developmental stage in the Binge/Fasting Eating group, while girls showed intensified ACE effects with increasing developmental stage in the Severe Mixed Dysregulation group, particularly for health discrimination.</p><p><strong>Discussion: </strong>Findings support the adoption of trauma-informed and developmentally sensitive approaches. Sex-specific patterns highlight the need for interventions that consider both sex and developmental stage, with particular attention to girls entering middle-late adolescence who demonstrate elevated vulnerability to developing eating dysregulation following ACE exposure.</p>","PeriodicalId":51067,"journal":{"name":"International Journal of Eating Disorders","volume":" ","pages":""},"PeriodicalIF":4.3,"publicationDate":"2025-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145132517","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}