International Journal of Eating Disorders最新文献

{"title":"Avoidant/Restrictive Food Intake Disorder Plus Eating Disorder Comorbidity: Are Two Diagnoses Better Than One?","authors":"Kamryn T Eddy, Sonakshi Negi","doi":"10.1002/eat.24417","DOIUrl":"https://doi.org/10.1002/eat.24417","url":null,"abstract":"<p><p>Zickgraf and colleagues propose an elegant revised framework for avoidant/restrictive food intake disorder that would recognize it as a diagnosis based on the presence of specific eating behaviors, and, importantly, allow for it to be diagnosed alongside other medical and psychiatric conditions, including other eating disorders. While likely to have good ecological validity, this radical proposal challenges the general conceptualization of ARFID as the eating disorder in which weight- and shape-concerns are not present. Here, we consider whether two diagnoses are indeed better than one, raising challenges we have observed in clinical and research practice. We offer an alternative hybrid categorical-dimensional framework for considering ARFID and co-occurring eating disorder symptoms and encourage a set of next steps for research in this nosological arena.</p>","PeriodicalId":51067,"journal":{"name":"International Journal of Eating Disorders","volume":" ","pages":""},"PeriodicalIF":4.7,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143659717","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":"Prospective Associations of Appearance-Related Teasing With Eating Disorder Psychopathology, Eating-Related Psychosocial Impairment, and Psychological Distress in Chinese Adults: Both Teasing Victimization and Perpetration Matter.","authors":"Jinbo He, Xi Chen, Wesley R Barnhart, Yuru Fu, Shuqi Cui, Zexuan Jiang, Shijia Wu, Jason M Nagata, Chun Chen","doi":"10.1002/eat.24419","DOIUrl":"https://doi.org/10.1002/eat.24419","url":null,"abstract":"<p><strong>Objective: </strong>This study examined prospective associations of weight and muscularity teasing, including both victimization and perpetration, with thinness- and muscularity-oriented eating disorder (ED) psychopathology, eating-related psychosocial impairment, and psychological distress.</p><p><strong>Method: </strong>An online sample of 799 Chinese adults (400 men and 399 women) participated in this longitudinal study with two waves of data collection at baseline (T1) and 6 months later (T2). Analyses were conducted separately by gender. Univariable and multivariable longitudinal analyses based on linear regressions were used to examine the prospective links between weight and muscularity teasing experiences at T1 and outcome variables at T2, adjusting for covariates and outcome variables at T1.</p><p><strong>Results: </strong>Univariable analyses revealed that, for both men and women, all teasing experiences at T1 (except for muscularity teasing perpetration in men) were prospectively associated with one or more outcome variables at T2. Multivariable analyses revealed that for men, weight and muscularity teasing victimization at T1 were independently linked to greater eating-related psychosocial impairment and/or psychological distress at T2. For women, weight teasing perpetration at T1 was independently linked to higher thinness-oriented ED psychopathology and greater psychological distress at T2.</p><p><strong>Discussion: </strong>Findings suggest that both victimization and perpetration of weight and muscularity teasing were prospectively associated with one or more outcome variables, including ED psychopathology, eating-related psychosocial impairment, and psychological distress. Future research and interventions should address both victimization and perpetration in appearance-related teasing to enhance our understanding and mitigate its adverse effects on eating behaviors and mental health.</p>","PeriodicalId":51067,"journal":{"name":"International Journal of Eating Disorders","volume":" ","pages":""},"PeriodicalIF":4.7,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143659726","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":"Family-Based Treatment for Primary Care: An Observational Study of a Community Sample of Youth With Restrictive Eating Disorders.","authors":"Jocelyn Lebow, Angela Mattke, Paige Partain, Marcie Billings, Jennifer Geske, Janna R Gewirtz O'Brien, Cassandra Narr, Renee Breland, Tammy Schmit, Daniel Le Grange, Katharine Loeb, Robert M Jacobson, Leslie Sim","doi":"10.1002/eat.24416","DOIUrl":"https://doi.org/10.1002/eat.24416","url":null,"abstract":"<p><strong>Objective: </strong>To examine the outcomes of a clinical sample of young patients with restrictive eating disorders who received Family-Based Treatment for Primary Care (FBT-PC).</p><p><strong>Methods: </strong>Participants were 134 youth (mean age = 15.7 years) and their caregiver(s). Participants and caregivers completed measures of eating disorder symptomatology, quality of life, and caregiver self-efficacy.</p><p><strong>Results: </strong>Of the 134 patients who received at least one session of FBT-PC, 55.9% completed treatment, 20.1% were followed until they began a higher level of care, and 23.8% were non-completers. Weekly measures for the full sample were evaluated using intention-to-treat analyses. Patient-reported scores on the ED-15 improved by -0.1 (SE = 0.02, F_(1,133)=26.4, p < 0.0001) per week, and caregivers' ratings of patient symptoms also improved by 0.85 (SE = 0.2, F_(1,133)=13.1, p = 0.0003) per week. Patient's BMI percentile increased by 1.25 points per week (SE = 0.14, F_(1,133) = 83.9, p < 0.0001). For patients who completed FBT-PC, eating disorder symptoms, per patient- (M = -1.43, p < 0.0001) and caregiver-report (M = -1.33 p < 0.0001) decreased significantly from baseline to end of treatment. Patient's quality of life increased significantly from baseline to end of treatment (M = 21.6, p < 0.0001) and caregivers showed significant increases in self-efficacy (M = 3.41, p < 0.0001, d = 0.856). At the end of treatment, 62.5% of patients with complete data met criteria for full research remission, and 44.6% met criteria for full clinical remission.</p><p><strong>Discussion: </strong>Findings provide preliminary support for FBT-PC as an effective treatment for youth with restrictive eating disorders. Additional research is needed to replicate these findings in other primary care settings and to understand the durability of treatment effects.</p>","PeriodicalId":51067,"journal":{"name":"International Journal of Eating Disorders","volume":" ","pages":""},"PeriodicalIF":4.7,"publicationDate":"2025-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143634953","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":"Momentary Mediational Associations Among Affect, Emotion Dysregulation, and Different Types of Loss of Control Eating Among Adults With Binge Eating Disorder.","authors":"Kelly A Romano, Carol B Peterson, Glen Forester, Joseph A Wonderlich, Stephen A Wonderlich, Scott E Engel, Ross D Crosby","doi":"10.1002/eat.24415","DOIUrl":"https://doi.org/10.1002/eat.24415","url":null,"abstract":"<p><strong>Objective: </strong>Few studies have directly assessed the mechanistic role of transdiagnostic self-regulatory factors that are theorized to promote core disinhibited disordered eating behaviors that characterize binge eating disorder (BED) in the natural environment, such as emotion dysregulation. The present study used ecological momentary assessment (EMA) to address this research gap by examining whether: (1) emotion dysregulation mediated associations between negative and positive affect and loss of control (LOC) eating at the within-person level; (2) these associations varied across distinct LOC eating dimensions.</p><p><strong>Method: </strong>Adults with BED (N = 107; M_age = 39.87, SD = 13.35) responded to six surveys per day for a 7-day EMA period. Multilevel structural equation models examined whether momentary emotion dysregulation mediated momentary associations between negative and positive affect, and different LOC eating outcomes (\"general\" [subjective experience of] LOC while eating; difficulties resisting eating; difficulties stopping eating after starting; feeling driven/compelled to eat; not paying attention to one's eating; feeling disconnected while eating [e.g., numb, zoned out]).</p><p><strong>Results: </strong>Experiencing a sequential worsening of negative affect and, in turn, emotion dysregulation over a day mapped onto higher levels of certain LOC eating outcomes (\"general\" LOC eating, difficulties resisting eating, driven/compelled to eat, disconnected while eating) but not others (difficulties stopping eating, not paying attention to one's eating). All momentary mediational pathways involving positive affect as a predictor were not significant.</p><p><strong>Discussion: </strong>These findings support emotion dysregulation as a mechanistic process that can precipitate certain types of LOC eating in daily life and may be leveraged to improve BED theory, research, and real-time interventions.</p>","PeriodicalId":51067,"journal":{"name":"International Journal of Eating Disorders","volume":" ","pages":""},"PeriodicalIF":4.7,"publicationDate":"2025-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143634954","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":"Prevalence, Phenotype, and Correlates of Avoidant/Restrictive Food Intake Disorder Symptoms in the Gulf Cooperation Council: An Underserved Region.","authors":"Bernou Melisse, Hassan Fakhri, Lynne Kennedy, Maria J Figueiras, Munirah Alshebali, Hala Abu Taha, Carine El Khazen, Dalal Alkazemi, Sandra Mulkens","doi":"10.1002/eat.24400","DOIUrl":"https://doi.org/10.1002/eat.24400","url":null,"abstract":"<p><strong>Introduction: </strong>Prevalence estimates and correlates of ARFID in non-Western samples are lacking. This study aims to estimate the prevalence of ARFID symptoms, identify its phenotypes, and explore its correlates in a community sample from the Gulf Cooperation Council (GCC).</p><p><strong>Method: </strong>Participants were parents of children aged 4-13 years (n = 87) and individuals of ≥ 14 years old (n = 433). They completed the Pica, ARFID, and Rumination Disorder Interview-ARFID-Questionnaire (PARDI-AR-Q), the Nine Item ARFID Screen (NIAS) and the Eating Disorder Examination-Questionnaire (EDE-Q). Multiple regression analyses were performed with body mass index or its standard deviation score, comorbid psychopathology, EDE-Q global score, sex, and age as independent variables; the dependent variable was ARFID psychopathology.</p><p><strong>Results: </strong>Among individuals not reporting eating disorder symptoms driven by overvaluation of shape and weight, the PARDI-AR-Q diagnostic prediction suggested that approximately 23.4% of those aged ≥ 14 exhibited ARFID symptoms. Based on the NIAS, sensory-based food avoidance was the most reported phenotype expression, with approximately 29.4% of children (4-13 years) and 12.8% of adolescents/adults (≥ 14-years) reporting ARFID symptoms. In adolescents and adults, ARFID psychopathology was positively associated with eating disorder pathology driven by overvaluation of shape and weight, with female sex and negatively associated with age.</p><p><strong>Discussion: </strong>This study is the first to identify a subset of individuals in GCC countries with ARFID symptoms across sexes and a broad age range, with sensory sensitivity as the most common symptom.</p>","PeriodicalId":51067,"journal":{"name":"International Journal of Eating Disorders","volume":" ","pages":""},"PeriodicalIF":4.7,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143626673","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":"Pitfalls and Strategies for Measuring Menopausal Stage in Eating Disorder Studies of Women in Midlife.","authors":"Kelly L Klump, Katharine N Thakkar, Kristen M Culbert","doi":"10.1002/eat.24414","DOIUrl":"10.1002/eat.24414","url":null,"abstract":"<p><strong>Objective: </strong>Researchers are increasingly interested in exploring the role of the menopausal transition in eating disorder risk. We recently embarked on studies of this critical life phase and encountered significant challenges in assessing menopausal status that limited our ability to test study hypotheses. This Research Forum describes these challenges and presents descriptive data on staging accuracy as well as recommendations for improving assessments that can advance research in this critical area of women's health.</p><p><strong>Method: </strong>Data come from 207 women (ages 40-58) assessed in an ongoing study from the MSU Twin Registry. Menopausal status (premenopause, perimenopause, postmenopause) was measured with the Perimenopause Evaluation Questionnaire assessing women's self-identified stage as well as the regularity of menstrual cycles and medical history. Staging accuracy was evaluated by comparing the self-identified stage with results from individual case analyses of questionnaire responses.</p><p><strong>Results: </strong>Many more women self-identified as premenopausal (62%), perimenopausal (27%), and postmenopausal (11%) than we identified in case analyses (20%, 7%, 8%, respectively). These discrepancies appeared to be due to women failing to account for medications or medical conditions that would cause premature cessation of menses and/or insufficient questionnaire items and information for staging women with complicated reproductive histories.</p><p><strong>Discussion: </strong>Findings highlight significant limitations of self-identified status or questionnaire responses alone in determining menopausal status. We provide recommendations for improving stage assessments, drawn from the challenges and lessons learned in our own studies, thereby allowing others to better explore this critical stage and advance women's health in our field.</p>","PeriodicalId":51067,"journal":{"name":"International Journal of Eating Disorders","volume":" ","pages":""},"PeriodicalIF":4.7,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143626669","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 Personalized Dynamics in Eating Disorders: A Dynamic Time Warp Analysis.","authors":"A E Dingemans, E J Giltay, P J Rohrbach, E F van Furth, M C T Slof-Op 't Landt","doi":"10.1002/eat.24407","DOIUrl":"https://doi.org/10.1002/eat.24407","url":null,"abstract":"<p><strong>Objective: </strong>To enhance our understanding of the processes of change and the interaction of symptoms, we applied a relatively novel method known as Dynamic Time Warp to data from low-threshold internet-based interventions directed at decreasing eating disorder (ED) symptoms and increasing help-seeking.</p><p><strong>Method: </strong>Utilizing data from the Featback study, we examined how various factors such as ED psychopathology, binge eating, vomiting, laxative use, BMI, anxiety, depression, self-efficacy, social support, well-being, and health-related quality of life interplayed over a period of 14 months among 355 individuals at six different time points. Moreover, we explored which symptoms exerted a significant temporal relationship on others (with high out-strength) and which were most affected by other symptoms (with high in-strength).</p><p><strong>Results: </strong>The sample included participants with different types of ED symptoms and high levels of severity. On a group level, we identified four dimensions with similar within-person trajectories: (1) Depression, anxiety, ED psychopathology, health-related quality of life, and self-rated health; (2) binge eating and vomiting; (3) self-efficacy and social support; (4) BMI, well-being, and laxative use. Directed analyses revealed that social support and anxiety had the highest significant out-strength (i.e., temporal lead), indicating their changes preceded those of other factors, while laxative use and well-being were among those that mostly lagged behind those of other items (with significant in-strength).</p><p><strong>Discussion: </strong>Depressive and anxiety symptom severity were strongly connected to ED severity. Social support may be an important factor to address first as it may drive other factors and symptoms in patients with EDs.</p>","PeriodicalId":51067,"journal":{"name":"International Journal of Eating Disorders","volume":" ","pages":""},"PeriodicalIF":4.7,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143617783","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":"The Association of Levels of Food Insecurity and Disordered Eating Behaviors Among Youth and Young Adults With Diabetes: The SEARCH for Diabetes in Youth Study.","authors":"Emmanuel F Julceus, Angela D Liese, Ali M Alfalki, Andrea D Brown, Catherine Pihoker, Pingping Qu, Faisal S Malik, Jessica C Jones-Smith, Scott Crow, Beth Loots, Beth A Reboussin, Lawrence M Dolan, Daria Igudesman, Katherine A Sauder, Allison L B Shapiro, Christine B Turley, Jason A Mendoza","doi":"10.1002/eat.24411","DOIUrl":"https://doi.org/10.1002/eat.24411","url":null,"abstract":"<p><strong>Objective: </strong>To examine the relationship between levels of household food insecurity and disordered eating behaviors (DEB) among youth and young adults with youth-onset type 1 (T1D) and type 2 diabetes (T2D).</p><p><strong>Method: </strong>We used cross-sectional data from the multicenter SEARCH for Diabetes in Youth Study (2015-2020). The Household Food Security Survey Module and the Diabetes Eating Problem Survey-Revised (DEPS-R) were utilized to measure household food insecurity and continuous scores for DEB. In each stratum of diabetes type, we evaluated the association of household food insecurity levels with DEB through linear regression adjusting for potential confounders.</p><p><strong>Results: </strong>Participants (n = 2669) were on average 21.5 ± 5.1 years old and had a mean diabetes duration of 11.2 ± 3.3 years; 54.2% were female, 64.0% non-Hispanic white, and respectively 12.9%, 11.1%, and 8.43% experienced marginal, low, and very low food security. The overall unadjusted mean DEPS-R score was 13.5 ± 9.5, with scores of 18.6 ± 11.8 and 21.1 ± 11.7 among T1D and T2D participants with very low food security, and scores of 11.5 ± 8.9 and 15.2 ± 8.8 among T1D and T2D participants with high food security. Compared to participants who reported high food security, adjusted DEPS-R scores among those with very low food security were 5.8 points (95% CI: 4.3, 7.4) and 6.6 points (95% CI: 3.3, 9.2) higher, respectively, in those with T1D (n = 2274) and T2D (n = 395). Less severe levels of household food insecurity showed similar associations with smaller effect sizes.</p><p><strong>Discussion: </strong>Addressing household food insecurity may decrease DEB and future adverse health outcomes for youth and young adults with diabetes.</p>","PeriodicalId":51067,"journal":{"name":"International Journal of Eating Disorders","volume":" ","pages":""},"PeriodicalIF":4.7,"publicationDate":"2025-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143607093","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":"How Not to Build a House of Cards.","authors":"Kyle De Young","doi":"10.1002/eat.24412","DOIUrl":"https://doi.org/10.1002/eat.24412","url":null,"abstract":"<p><p>Four recent papers on the measurement of avoidant/restrictive food intake disorder (ARFID) advanced the science in this area. Here, I provide relevant background information to aid readers in appreciating the contributions of these papers and context for considering the difficult but critical task of establishing that a measurement instrument does what we think it does. Each of the papers challenges us to question what we already know, what we are comfortable trusting, and what perspective is most useful to take when evaluating a new measure. For instance, did we learn that caregivers and their children disagree about what ARFID symptoms they experience, or did we learn that we assess ARFID differently between caregivers and their children? The implications of the answers to these questions are important. I end audaciously with a short list of recommendations that includes immensely useful resources, the inescapable necessity of theory to guide measure evaluation, how to describe the evaluation of measures and the evidence obtained, and the need to elevate the prominence of intraclass correlation coefficients and discriminative validity in the evaluation of measures.</p>","PeriodicalId":51067,"journal":{"name":"International Journal of Eating Disorders","volume":" ","pages":""},"PeriodicalIF":4.7,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143587908","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":"Health Economic Evaluation of Cognitive-Behavioral Therapy for Adolescents With Binge-Eating Disorder in Germany.","authors":"Nicolas Pardey, Ricarda Schmidt, Jan Zeidler, Anja Hilbert","doi":"10.1002/eat.24413","DOIUrl":"https://doi.org/10.1002/eat.24413","url":null,"abstract":"<p><strong>Objective: </strong>To determine the cost-effectiveness of cognitive-behavioral therapy (CBT) for adolescents with binge-eating disorder (BED), focusing on the costs per binge-free episode and per quality-adjusted life year (QALY) gained in comparison to a waitlist (WL) control group.</p><p><strong>Method: </strong>In the prospective, randomized superiority Binge-Eating Disorder in Adolescents (BEDA) trial, evaluating the efficacy of CBT with 20 individual sessions over 4 months versus WL, clinical and cost data were assessed at baseline and after 4 months. Missing values were imputed using multiple imputation techniques. The incremental cost-effectiveness ratio (ICER) was calculated. To reflect uncertainty, nonparametric bootstrapping was performed, and the results were presented in the form of cost-effectiveness acceptability curves (CEACs).</p><p><strong>Results: </strong>The study population consisted of 73 adolescents (82.2% female, mean age: 15.5 ± 2.6 years). Participants receiving CBT (n = 37) exhibited 4.7 more binge-free episodes (p = 0.0056) than the WL group (n = 36). The ICER was €46.70 for the gain of a binge-free episode and €128,861 for the gain of a QALY.</p><p><strong>Discussion: </strong>The probability of cost-effectiveness for achieving a binge-free episode is > 95% at a willingness-to-pay of €101. In terms of QALYs, CBT for BED may be a cost-effective intervention. A longer follow-up period may have yielded more favorable cost-effectiveness results.</p><p><strong>Trial registration: </strong>German Clinical Trials Register, https://www.drks.de, DRKS00000542.</p>","PeriodicalId":51067,"journal":{"name":"International Journal of Eating Disorders","volume":" ","pages":""},"PeriodicalIF":4.7,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143587907","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}