International Journal of Eating Disorders最新文献

{"title":"Morning Momentary Appearance Dissatisfaction Predicts Daily Increases in Momentary Appearance-Focused Self-Concept Among Female University Students: An Experience Sampling Study.","authors":"Nassim Tabri, Rose Mosco, Sarah Enouy, Jennifer Quach","doi":"10.1002/eat.24553","DOIUrl":"https://doi.org/10.1002/eat.24553","url":null,"abstract":"<p><strong>Objective: </strong>Theory and research indicate that appearance-focused self-concept-the tendency to base one's self-worth and self-definition heavily on physical appearance-plays a key role in the development and maintenance of disordered eating in daily life. Herein, we examined whether momentary appearance dissatisfaction at the start of the day predicts steeper within-day increases in momentary appearance-focused self-concept.</p><p><strong>Method: </strong>Female undergraduate students (N = 61; M_age = 18.95, SD = 2.22) completed six momentary assessments per day for 14 days, measuring appearance-focused self-concept and appearance dissatisfaction-satisfaction. End-of-day surveys assessed daily dietary restraint. Latent growth curve models were used to examine within-day changes and test appearance dissatisfaction-satisfaction as a moderator.</p><p><strong>Results: </strong>Appearance-focused self-concept increased linearly from 9 a.m. to 3 PM (b = 0.05, z = 3.64, p < 0.001). Greater within-day increases in appearance-focused self-concept were associated with higher daily dietary restraint (b = 2.29, z = 3.22, p = 0.001). Appearance dissatisfaction-satisfaction at 9 a.m. moderated the trajectory (b = -0.03, z = -2.27, p = 0.02): appearance-focused self-concept increased on days when participants felt more appearance-dissatisfied at 9 a.m. (b = 0.08, z = 3.52, p < 0.001) but remained stable on days when they felt more appearance-satisfied at 9 a.m. (b = 0.02, z = 1.20, p = 0.23).</p><p><strong>Discussion: </strong>Findings suggest that morning-appearance dissatisfaction may set in motion increases in appearance-focused self-concept during the day. Findings highlight the importance of targeting appearance dissatisfaction in the morning to prevent the daily buildup of appearance concerns linked to disordered eating.</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":"145132567","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 Predict Treatment Drop Out in Adolescents and Young Adults With Eating Disorders.","authors":"David Lindenbach, Amelia Austin, Manya Singh, Abigail Trebilcock, Asmita Bhattarai, Gisele Marcoux, Gina Dimitropoulos","doi":"10.1002/eat.24558","DOIUrl":"https://doi.org/10.1002/eat.24558","url":null,"abstract":"<p><strong>Objective: </strong>Childhood adversity is associated with elevated risk of developing an eating disorder. The objective of the current study was to examine whether different types of childhood adversity, such as parental separation or abuse exposure, predicted treatment completion in a sample of adolescents and young adults with eating disorders.</p><p><strong>Method: </strong>A retrospective chart review was conducted at an eating disorders clinic in Calgary, Canada. Childhood adversity was measured using the adverse childhood experiences (ACEs) scale. Eating disorders diagnoses were determined by physicians following a comprehensive assessment. Logistic regressions were performed with ACEs as predictors of likelihood to complete treatment and including diagnoses and age as covariates.</p><p><strong>Results: </strong>Data were analyzed for 128 patients aged 11-24. Higher ACE scores were associated with a reduced likelihood of completing treatment before and after adjusting for diagnosis and age (adjusted odds ratio = 0.76). Examining individual ACE items, people were less likely to complete treatment if they were exposed to verbal abuse, physical abuse, emotional neglect, or if they witnessed intimate partner violence or substance abuse in the home. However, after adjusting for diagnosis, age, and other ACE exposures, no individual ACE was an independent predictor of treatment completion.</p><p><strong>Discussion: </strong>This study suggests that ACE exposure increases youth attrition from eating disorders treatment in a stepwise manner. Treatment programs for youth with eating disorders should focus additional effort on early intervention for youth who have dealt with childhood adversities, potentially by implementing trauma-informed practice into assessments and treatment.</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":"145132540","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 Relationship Between Therapeutic Alliance, Early Symptom Change, and Outcome Among In-Patients With Anorexia Nervosa.","authors":"Janina Werz, Brunna Tuschen-Caffier, Ulrich Voderholzer","doi":"10.1002/eat.24524","DOIUrl":"https://doi.org/10.1002/eat.24524","url":null,"abstract":"<p><strong>Objective: </strong>Therapeutic alliance (TA) is an important process variable, evidence suggesting its influence on treatment outcome across several mental disorders. Yet, its role in treating anorexia nervosa (AN) remains under-examined. Previous research has yielded heterogeneous results, indicating a complex relationship between TA, early change, and outcome, potentially depending on contributing factors like age. This relationship was examined in a sample of 173 adult and adolescent inpatients with AN treated in a specialized clinic.</p><p><strong>Method: </strong>Data were collected in weeks 2, 5, 9, and the week before discharge. Outcome was defined dimensionally (Eating Disorder Examination Questionnaire, Body Mass Index) and categorically (premature termination, weight status, remission status). Several potential influencing factors (e.g., duration of illness, previous therapy) were analyzed. The effect of TA on early change and outcome, and vice versa, was analyzed using regression analyses.</p><p><strong>Results: </strong>TA was positively associated with greater early weight gain and overall general symptom change. Later TA predicted premature termination and remission status. The latter effect ceased when early change was considered. The TA subscale \"task\" played the most important role. Early change in ED symptoms predicted better TA later in treatment.</p><p><strong>Discussion: </strong>In accordance with previous research, a complex bidirectional relationship between TA and outcome in AN patients was identified. The results indicate the importance of focusing on symptom improvement as well as establishing an agreement on therapeutic tasks. Future research should concentrate on the complexity and bidirectionality of TA and symptom change over the course of treatment, considering possible mediators.</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":"145132564","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":"DSOK-0011 Potentially Regulates Circadian Misalignment and Affects Gut Microbiota Composition in Activity-Based Anorexia Model.","authors":"Hiroki Kawai, Nanami Wada, Shinji Sakamoto, Kenji Miyazaki, Taro Kato, Yoshihiro Horiuchi, Hiroshi Kirii, Hoang Duy Nguyen, Kenji Hinotsu, Yoshio Ohya, Takahiro Asada, Akiyoshi Yokode, Yuko Okahisa, Haruko Miyazaki, Toshitaka Oohashi, Manabu Takaki","doi":"10.1002/eat.24557","DOIUrl":"https://doi.org/10.1002/eat.24557","url":null,"abstract":"<p><strong>Objective: </strong>Anorexia nervosa (AN) is a metabolic-psychiatric disorder characterized by severe weight loss, hypercortisolemia, and hypothalamic-pituitary-adrenal (HPA) axis activation. In this study, we investigated the effect of inhibiting cortisol regeneration via the enzyme 11β-hydroxysteroid dehydrogenase type 1 (11β-HSD1) on the pathophysiology of AN.</p><p><strong>Method: </strong>Female C57BL/6J mice underwent a 7-day activity-based anorexia (ABA) paradigm, involving 3 h daily feeding and free access to wheels, until 25% body weight loss or experiment completion. Mice were orally treated once daily with a potent 11β-HSD1 inhibitor, DSOK-0011, or vehicle. Body weight, food intake, and activity transitions were recorded; plasma corticosterone and cholesterol levels were measured using a fluorometric assay; gut microbiota were analyzed using 16S rRNA sequencing; and hippocampal glial cells were analyzed using immunohistochemistry.</p><p><strong>Results: </strong>DSOK-0011-treated mice exhibited a modest but significant increase in postprandial wheel-running activity compared to baseline (4-5 p.m., p = 0.018; 5-6 p.m., p = 0.043), whereas vehicle-treated mice showed higher preprandial activity (9-10 a.m., p = 0.0229). Gut microbiota analysis revealed increased alpha diversity in ABA mice, with a specific enrichment of the Lachnospiraceae family in the DSOK-0011 group. However, DSOK-0011 did not significantly affect body weight, food intake, corticosterone, and lipid levels, or hippocampal glial cell populations.</p><p><strong>Conclusion: </strong>Inhibition of 11β-HSD1 by DSOK-0011 was associated with microbiota alterations and subtle shifts in activity timing under energy-deficient conditions. These findings suggest that peripheral glucocorticoid metabolism may influence microbial and behavioral responses in the ABA model, although its metabolic impact appears limited in the acute phase.</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":"145132518","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 That the DSM-5-TR Eating Disorder Criteria Perform Differently Across Cisgender and Transgender or Gender Diverse Individuals Using the Eating Disorder Diagnostic Scale.","authors":"Anjali R Sharma, Angeline R Bottera, Sean Joo, Yiyang Chen, Emily E Like, Kelsie T Forbush","doi":"10.1002/eat.24554","DOIUrl":"https://doi.org/10.1002/eat.24554","url":null,"abstract":"<p><strong>Objective: </strong>Transgender and gender diverse (TGD) individuals demonstrate elevated risk for eating disorders (EDs) and ED symptoms compared to cisgender individuals. Rates of ED symptoms in TGD populations may be inaccurately estimated due to item bias or interpretation differences on assessments of ED diagnostic criteria. Differential item functioning (DIF) can indicate if individuals respond differently to assessment items at the same latent level of ED psychopathology. We aimed to assess for DIF in the ED diagnostic criteria, represented by items on the Eating Disorder Diagnostic Scale (EDDS), among cisgender men/women and TGD individuals. We expected small-to-moderate DIF between cisgender men/women. We hypothesized that items assessing body image, shape, and fear of fatness would demonstrate significant DIF with moderate-to-large effect sizes in TGD individuals relative to cisgender men/women.</p><p><strong>Method: </strong>College students identifying as cisgender men (n = 1240), cisgender women (n = 3750), and TGD individuals (n = 271) completed the EDDS. DIF was tested using likelihood ratio tests. The magnitude of the effect was estimated to identify moderate-to-large effects.</p><p><strong>Results: </strong>Results indicated large, significant response bias to items assessing weight concerns, psychosocial impairment, compensatory behavior frequency, and select binge-eating symptoms. Specifically, cisgender men and TGD individuals were significantly less likely to endorse these ED symptoms than cisgender women at the same latent level of ED psychopathology.</p><p><strong>Discussion: </strong>This study was the first to investigate DIF in an assessment of ED diagnostic criteria in TGD individuals. Our findings identified a need for unbiased assessments of ED diagnostic criteria to more accurately assess ED symptoms across gender groups.</p>","PeriodicalId":51067,"journal":{"name":"International Journal of Eating Disorders","volume":" ","pages":""},"PeriodicalIF":4.3,"publicationDate":"2025-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145126483","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":"Parenting Stress in Adolescent Anorexia Nervosa: Differential Stress in Mothers and Fathers During Inpatient Treatment.","authors":"V Stonawski, J Kutzner, S Büscher, A Hoyer, O Kratz, S Horndasch","doi":"10.1002/eat.24551","DOIUrl":"https://doi.org/10.1002/eat.24551","url":null,"abstract":"<p><strong>Objective: </strong>Anorexia nervosa (AN) is a severe psychiatric disorder that impacts both the adolescents themselves and their parents. Parenting stress is associated with impaired mental health of parents and poorer treatment outcomes for their children. Understanding the course of parenting stress during inpatient treatment and differences between mothers and fathers is important to improve AN treatment and (long term) outcome.</p><p><strong>Method: </strong>Within a longitudinal controlled design, parents of adolescents with AN are compared to healthy children (HC) at three time points during and after their daughters' inpatient treatment (T1 = admission, T2 = discharge/+4 months, T3 = 6-month follow-up) regarding parenting stress. Mothers (T1: AN n = 29, HC n = 25; T3 (after dropout): AN n = 11, HC n = 18) and fathers (T1: AN n = 25, HC n = 22; T3 (after dropout): AN n = 9, HC n = 13) rated their parenting stress via the German version of the Parenting Stress Index (PSI) and their own psychological symptoms via the Brief Symptom Inventory (BSI). Diverse individual, adolescent, AN- and treatment-associated characteristics were assessed and related to parenting stress.</p><p><strong>Results: </strong>Within the AN group, particularly at admission, parenting stress of mothers was higher compared to fathers. Mothers of adolescents with AN had higher, while fathers of adolescents with AN had lower parenting stress scores compared to those of HC at inpatient admission. During inpatient treatment, parenting stress decreased in mothers and increased in fathers of adolescents with AN, resulting in no differences after inpatient treatment. Comparing mothers and fathers directly showed higher scores in mothers compared to fathers in the AN group. Parental psychological symptoms predicted parenting stress, as opposed to child or treatment associated factors.</p><p><strong>Discussion: </strong>Parenting stress and the own psychological symptoms of parents should be considered explicitly in inpatient treatment of adolescents with AN. Furthermore, differences between mothers and fathers should be considered in future research and parent-focused interventions.</p>","PeriodicalId":51067,"journal":{"name":"International Journal of Eating Disorders","volume":" ","pages":""},"PeriodicalIF":4.3,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145082394","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":"Within-Person Changes in Daily Ovarian Hormone Levels Influence Genetic Effects on Emotional Eating in Women.","authors":"Megan E Mikhail, Kristen M Culbert, Pamela K Keel, S Alexandra Burt, Cheryl L Sisk, Alexander Johnson, Steven Boker, Micheal C Neale, Kelly L Klump","doi":"10.1002/eat.24545","DOIUrl":"https://doi.org/10.1002/eat.24545","url":null,"abstract":"<p><strong>Introduction: </strong>Ovarian hormones (i.e., estradiol, progesterone) show robust phenotypic associations with binge eating and related behaviors (e.g., emotional eating) in females. Recent research suggests these associations may be due to ovarian hormone effects on genetic and environmental influences on dysregulated eating. However, no research has yet examined how within-person fluctuations in hormone levels impact genetic/environmental influences on day-to-day changes in dysregulated eating from an individual's own mean. This omission is critical because phenotypic associations between ovarian hormones and dysregulated eating are strongest at a within-person level in adult women, suggesting potentially unique and important within-person effects.</p><p><strong>Method: </strong>Participants from same-sex female twin pairs (N = 468) from the MSU Twin Registry provided measures of ovarian hormones and emotional eating daily for 49 consecutive days. We used continuous twin moderation models to examine how within-person centered estradiol and progesterone impacted genetic/environmental influences on within-person shifts in emotional eating.</p><p><strong>Results: </strong>Within-person fluctuations in estradiol and progesterone significantly moderated genetic influences on within-person changes in emotional eating. Stronger genetic influences were observed when the ratio of within-person estradiol to progesterone was in the moderate range.</p><p><strong>Conclusion: </strong>Cyclic, within-person changes in ovarian hormones may contribute to phenotypic changes in dysregulated eating across the menstrual cycle by dynamically regulating expression of underlying genetic risk. Genetic influences may be particularly pronounced under the hormonal conditions characteristic of the mid-luteal phase (i.e., moderate estradiol and progesterone).</p>","PeriodicalId":51067,"journal":{"name":"International Journal of Eating Disorders","volume":" ","pages":""},"PeriodicalIF":4.3,"publicationDate":"2025-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145076620","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":"Optimizing a Digital Mindfulness-Based Intervention to Reduce Risk Factors for Disordered Eating: A Multiphase Optimization Strategy (MOST) Feasibility Trial.","authors":"Emma L Osborne, Ben Ainsworth, Nic Hooper, Paul Chadwick, Melissa J Atkinson","doi":"10.1002/eat.24546","DOIUrl":"https://doi.org/10.1002/eat.24546","url":null,"abstract":"<p><strong>Objective: </strong>Mindfulness-based interventions (MBIs) show promise in reducing risk factors for disordered eating. Digital delivery offers scalable reach, but effects vary and engagement is generally suboptimal-potentially due to the length, complexity, and variation in content. Identifying the most effective and engaging components is necessary to streamline interventions. Guided by the multiphase optimization strategy (MOST), this study assessed the feasibility of a factorial trial to evaluate whether including emotion regulation (ER) and self-compassion (SC) enhances the effects of decentred awareness and acceptance (DA + A, observing thoughts and feelings as separate from the self) in a digital MBI.</p><p><strong>Method: </strong>A 2 × 2 factorial design tested four intervention conditions. Each included DA + A content, with or without added ER and/or SC. Participants (N = 92, M = 21.1 years, range = 18-32) were randomized and given 3-weeks' access. Feasibility outcomes included recruitment, retention, data analysis, engagement, and acceptability. Intervention outcomes-weight and shape concerns, negative affect, mindfulness, ER, and SC-were assessed at baseline, postintervention, and 1-month follow-up.</p><p><strong>Results: </strong>Recruitment exceeded targets. Retention was acceptable (58% completed postintervention and 59% follow-up assessments). All planned analyses for the main trial were feasible. Engagement met preregistered criteria (77%-85% completed Module 1 across ER and SC conditions; mean of four modules). Acceptability was high (M = 4.28/5). Participants valued reminders and provided design suggestions.</p><p><strong>Discussion: </strong>Findings support progression to a fully powered optimization trial. This study demonstrates that MOST can be embedded within a pilot study, providing a foundation to develop more effective, engaging, and scalable interventions.</p>","PeriodicalId":51067,"journal":{"name":"International Journal of Eating Disorders","volume":" ","pages":""},"PeriodicalIF":4.3,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145071107","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":"Exposure to Online Harassment and Disordered Eating in Transgender and Gender-Diverse Young Adults.","authors":"Michelle Flesaker, Schuyler Bailar, Andy S L Tan, S Bryn Austin, Allegra R Gordon","doi":"10.1002/eat.24550","DOIUrl":"10.1002/eat.24550","url":null,"abstract":"<p><strong>Objective: </strong>To estimate the association between online harassment and same-day disordered eating among a sample of US-based transgender and/or gender diverse young adults.</p><p><strong>Method: </strong>Participants (n = 150) were US residents aged 18-25 years, English-speaking, and identified as transgender, nonbinary, and/or another gender different than that assigned at birth. We collected data between September 2022 and August 2023 using a 10-day daily diary design. Multilevel models were employed to estimate the association between any/no online harassment in the past-24 h and odds of same-day disordered eating behavior (overeating, binge eating, weight-controlling behavior, coping-related eating, and body dissatisfaction).</p><p><strong>Results: </strong>The sample included 1192 diaries (mean per participant = 7.95, range = 1, 9). Online harassment was associated with greater odds of same-day overeating (adjusted odds ratio, aOR = 3.38, 95% confidence interval, CI = 1.02, 9.17), binge eating (aOR = 15.09, 95% CI = 2.73, 83.43), and coping-related eating behavior (aOR = 4.07, 95% CI = 1.51, 10.93).</p><p><strong>Discussion: </strong>Experiencing online harassment was associated with higher odds of same-day disordered eating behavior in a sample of transgender and/or gender diverse young adults. Clinical and public health interventions must focus on improving safety in online environments and mitigating potential harms arising from negative digital interactions.</p>","PeriodicalId":51067,"journal":{"name":"International Journal of Eating Disorders","volume":" ","pages":""},"PeriodicalIF":4.3,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12453621/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145071168","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":"Insulin-Related Disordered Eating Behavior: Clarifying Terminology.","authors":"Amy Shelford, Paul E Jenkins, Kate Harvey","doi":"10.1002/eat.24548","DOIUrl":"https://doi.org/10.1002/eat.24548","url":null,"abstract":"<p><strong>Objectives: </strong>Consistent terminology for disordered eating behaviors relating to insulin manipulation is needed to consolidate and harmonize knowledge across research and practice. The aim of this study was to explore the terminology used to describe insulin-related disordered eating behaviors in people with type 1 diabetes and suggest consolidated terms to be used consistently going forward.</p><p><strong>Method: </strong>This study was conducted as part of a larger scoping review and offers analysis of terms used in the literature.</p><p><strong>Results: </strong>Across 201 primary and secondary sources, 19 different terms were identified, 11 of which related specifically to insulin restriction. Motivations for insulin manipulation were rarely defined.</p><p><strong>Discussion: </strong>Insulin-related disordered eating behavior is the proposed umbrella term to encompass all facets and directions of insulin manipulation, including insulin inflation and insulin restriction. Providing a consistent term for use in this field will consolidate evidence, facilitating a clear research direction and increasing the visibility of evidence to be used in practice recommendations and care pathways.</p>","PeriodicalId":51067,"journal":{"name":"International Journal of Eating Disorders","volume":" ","pages":""},"PeriodicalIF":4.3,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145076664","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}