International Journal of Eating Disorders最新文献

{"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}

{"title":"On the Road to Somewhere: Commentary on Breiner et al., Matheson et al., and Palmer et al.","authors":"Glenn Waller","doi":"10.1002/eat.24402","DOIUrl":"https://doi.org/10.1002/eat.24402","url":null,"abstract":"<p><p>This commentary considers the contribution of three papers (Breiner et al., Matheson et al., and Palmer et al.) that explore very different approaches to the treatment of Avoidant/Restrictive Food Intake Disorder (ARFID). Comparison is made with the development over time of psychological therapies for other eating disorders and how we need to be open to different possible approaches so that we can eventually find our way to the best treatment(s) in the field of ARFID. Following that, summaries of each paper are given, including consideration of their different methodologies, measures, samples, and treatment outcomes. There are also suggestions for future research that expand on the authors' ideas. The literature is clearly still very disparate, as one might expect at this early stage in the development of treatments for the range of ARFID presentations. However, these papers are all valuable pointers as to where the treatment literature on ARFID might be going in the long term.</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":"143587965","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":"Body Checking Behaviors Among Boys and Men With Muscle Dysmorphia, Anorexia Nervosa, and Atypical Anorexia Nervosa.","authors":"Kyle T Ganson, Alexander Testa, Rachel F Rodgers, Stuart B Murray, Jason M Nagata","doi":"10.1002/eat.24410","DOIUrl":"https://doi.org/10.1002/eat.24410","url":null,"abstract":"<p><strong>Objectives: </strong>First, to compare body checking behaviors among boys and men with probable muscle dysmorphia or probable anorexia nervosa/atypical anorexia nervosa vs. those with neither. Second, to determine whether there is a difference in body checking behaviors between boys and men with probable muscle dysmorphia vs. probable anorexia nervosa/atypical anorexia nervosa.</p><p><strong>Methods: </strong>Data from The Study of Boys and Men (N = 1153), a sample of boys and men ages 15-35 from Canada and the United States, were analyzed. Multiple linear regression analyses were used to determine the association between muscle dysmorphia and anorexia nervosa/atypical anorexia nervosa and Male Body Checking Questionnaire (MBCQ) total score and subscale scores. Post hoc Wald tests were used to compare MBCQ scores between participants with probable muscle dysmorphia vs. those with probable anorexia nervosa/atypical anorexia nervosa.</p><p><strong>Results: </strong>Participants with probable muscle dysmorphia or probable anorexia nervosa/atypical anorexia nervosa had higher scores on the MBCQ compared to those who had neither condition in both unadjusted and adjusted analyses. No significant differences were found in MBCQ scores between those with probable muscle dysmorphia and probable anorexia nervosa/atypical anorexia nervosa.</p><p><strong>Discussion: </strong>This study provides additional evidence that body checking behaviors are similar between boys and men with probable muscle dysmorphia and probable anorexia nervosa/atypical anorexia nervosa, highlighting the clinical and theoretical overlap between these conditions among boys and men. Assessment and treatment of muscle dysmorphia and anorexia nervosa/atypical anorexia nervosa should include body checking behaviors, specifically those focused on muscularity and leanness.</p>","PeriodicalId":51067,"journal":{"name":"International Journal of Eating Disorders","volume":" ","pages":""},"PeriodicalIF":4.7,"publicationDate":"2025-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143587901","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":"Food Insecurity Predicts Excessive Exercise, Dietary Restriction, Cognitive Restraint, and Purging, but Not Binge Eating, in College Students Across 3 Months.","authors":"Jacqueline A Kosmas, Mariella Garza, Meredith Kells, Samantha L Hahn, Heather A Davis","doi":"10.1002/eat.24401","DOIUrl":"https://doi.org/10.1002/eat.24401","url":null,"abstract":"<p><strong>Objectives: </strong>College students are at elevated risk for both food insecurity and eating disorder (ED) symptoms. Prior literature supports cross-sectional associations between food insecurity and ED symptoms, including binge eating, purging (e.g., diuretic and laxative misuse, self-induced vomiting), and dietary restriction. However, less is known about the temporal relation, particularly among college students.</p><p><strong>Methods: </strong>We tested associations between food insecurity and cognitive restraint, binge eating, dietary restriction, purging, and excessive exercise across one college semester (three months). College students [N = 259; mean (SD) age = 19.22 (1.23)] were recruited to complete the Eating Pathology Symptoms Inventory (EPSI) and the 30-day version of the United States Department of Agriculture Adult Food Security Survey Module in August (baseline) and November (follow-up). We conducted five multiple regression models to examine baseline food insecurity as a predictor of each EPSI subscale score of interest, adjusting for baseline EPSI score, sociodemographic characteristics, and body mass index.</p><p><strong>Results: </strong>Baseline food insecurity significantly predicted greater cognitive restraint (β = 0.12, p < 0.05), dietary restriction (β = 0.18, p < 0.001), excessive exercise (β = 0.15, p < 0.01), and purging (β = 0.14, p < 0.05) at follow-up, adjusting for baseline levels, sociodemographic characteristics, and body mass index. Baseline food insecurity did not predict binge eating at follow-up when the baseline level, body mass index, and sociodemographic characteristics were considered.</p><p><strong>Discussion: </strong>Experiencing food insecurity may contribute to the development or exacerbation of excessive exercise, dietary restriction, cognitive restraint, and purging among college students. Findings highlight the potential need for food insecurity interventions to include support for disordered eating.</p>","PeriodicalId":51067,"journal":{"name":"International Journal of Eating Disorders","volume":" ","pages":""},"PeriodicalIF":4.7,"publicationDate":"2025-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143574598","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":"Cross-Cultural Validation of the Binge Eating Disorder Screener-7 (BEDS-7) Across 42 Countries.","authors":"Ateret Gewirtz-Meydan, Zohar Spivak-Lavi, Shane W Kraus, Léna Nagy, Mónika Koós, Zsolt Demetrovics, Marc N Potenza, Rafael Ballester-Arnal, Dominik Batthyány, Sophie Bergeron, Joël Billieux, Peer Briken, Julius Burkauskas, Georgina Cárdenas-López, Joana Carvalho, Jesús Castro-Calvo, Lijun Chen, Giacomo Ciocca, Ornella Corazza, Rita I Csako, David P Fernandez, Elaine F Fernandez, Hironobu Fujiwara, Johannes Fuss, Roman Gabrhelík, Biljana Gjoneska, Mateusz Gola, Joshua B Grubbs, Hashim T Hashim, Md Saiful Islam, Mustafa Ismail, Martha C Jiménez-Martínez, Tanja Jurin, Ondrej Kalina, Verena Klein, András Költő, Chih-Ting Lee, Sang-Kyu Lee, Karol Lewczuk, Chung-Ying Lin, Christine Lochner, Silvia López-Alvarado, Kateřina Lukavská, Percy Mayta-Tristán, Dan J Miller, Oľga Orosová, Gábor Orosz, Hyein Chang, Kyeongwoo Park, Fernando P Ponce, Gonzalo R Quintana, Gabriel C Quintero Garzola, Jano Ramos-Diaz, Kévin Rigaud, Ann Rousseau, Marco De Tubino Scanavino, Marion K Schulmeyer, Pratap Sharan, Mami Shibata, Sheikh Shoib, Vera Sigre-Leirós, Luke Sniewski, Ognen Spasovski, Vesta Steibliene, Dan J Stein, Julian Strizek, Berk C Ünsal, Marie-Pier Vaillancourt-Morel, Marie Claire Van Hout, Beáta Bőthe","doi":"10.1002/eat.24365","DOIUrl":"https://doi.org/10.1002/eat.24365","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to evaluate the reliability and validity of the Binge Eating Disorder Screener-7 (BEDS-7) across 42 countries and 26 languages, assessing its reliability and validity as a screening tool for binge-eating disorder (BED) in diverse cultural contexts. Specifically, it sought to enhance early recognition of BED symptoms in primary care settings globally, contributing to a standardized framework for assessing BED.</p><p><strong>Method: </strong>The International Sex Survey, a cross-sectional online study, was conducted in 42 countries and 26 languages. A diverse community sample of 82,243 participants, aged 18 years or older, completed the BEDS-7 and measures of sexuality, mental health, substance use, and sociodemographic characteristics. Confirmatory factor analyses and tests of measurement invariance were employed to evaluate the reliability and validity of the BEDS-7 across languages, countries, genders, and sexual orientations.</p><p><strong>Results: </strong>The BEDS-7 demonstrated scalar factorial invariance across languages and countries, indicating consistent factor loadings and item intercepts. In contrast, the screener showed residual invariance across gender and sexual orientation groups, supporting its robustness across these demographics. Kruskal-Wallis tests revealed significant differences in BED symptoms across languages, countries, genders, and sexual orientations, with the highest BED scores observed among queer, pansexual, and gender-diverse individuals. The BEDS-7 also demonstrated adequate reliability (Cronbach's alpha > 0.80) and moderate criterion validity.</p><p><strong>Discussion: </strong>The findings provide further evidence of the reliability and validity of the BEDS-7 as a potential screening tool for identifying probable cases of BED globally, facilitating early intervention in primary care settings.</p>","PeriodicalId":51067,"journal":{"name":"International Journal of Eating Disorders","volume":" ","pages":""},"PeriodicalIF":4.7,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143558590","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":"Affective Trajectories of Binge Eating, Purging, and Exercise Among Sexual Minority Men.","authors":"E A Harris, E K Moeck, S Griffiths","doi":"10.1002/eat.24406","DOIUrl":"https://doi.org/10.1002/eat.24406","url":null,"abstract":"<p><strong>Objective: </strong>In the context of eating disorders, the negative reinforcement model states that binge eating and purging reduce negative affect. Expanding on prior work mostly conducted with women, this study examines affective trajectories surrounding binge eating, purging, and exercise among sexual minority men.</p><p><strong>Method: </strong>We conducted a 7-day experience sampling study with a community sample of 529 sexual minority men. Participants received eight daily surveys assessing positive and negative affect, binge eating, purging, and exercise. We assessed affective trajectories pre- and post-behavior using multilevel polynomial regression models.</p><p><strong>Results: </strong>Across 7 days, 37% of participants binged, 10% purged, and 70% exercised at least once. Before binge eating and purging, negative affect increased and positive affect decreased, indicating worsening mood. After binge eating and purging, negative affect decreased, indicating improved mood. Positive affect increased post-binge but did not change post-purge. Results were consistent on binge-only and purge-only days (i.e., no co-occurrences of binge eating, purging, or exercise on the same day). Exercise followed a different pattern: before exercise, negative affect did not change, and positive affect increased. After exercise, negative affect increased and positive affect decreased, indicating worsening mood. However, negative affect did not increase after exercise-only occasions.</p><p><strong>Discussion: </strong>These findings support the negative reinforcement model of binge eating and purging among sexual minority men. Surprisingly, exercise was not consistently associated with changes in negative affect and dampened positive affect. These findings suggest clinicians should incorporate affect regulation training in treating binge eating and purging to support sexual minority men navigate stressors.</p>","PeriodicalId":51067,"journal":{"name":"International Journal of Eating Disorders","volume":" ","pages":""},"PeriodicalIF":4.7,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143558557","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":"Metacognitive Interpersonal Therapy-Eating Disorders (MIT-ED) Versus CBT-E for Adults: A Proof-of-Concept Randomized Controlled Trial.","authors":"Gloria Fioravanti, Angus MacBeth, Raffaele Popolo, Francesca Travagnin, Martina Nicolis, Giancarlo Dimaggio","doi":"10.1002/eat.24408","DOIUrl":"https://doi.org/10.1002/eat.24408","url":null,"abstract":"<p><strong>Objective: </strong>There is an urgent need for psychological therapies in Eating Disorders (ED) that target both eating disorder symptoms and broader aspects of psychological functioning, such as personality disorder (PD) features. We integrated Metacognitive Interpersonal Therapy, developed for treating PDs, with existing CBT techniques for eating disorders (MIT-ED). This psychotherapy targets aspects of ED that are not included in the transdiagnostic CBT-E model, specifically poor metacognition and interpersonal schemas.</p><p><strong>Method: </strong>A proof-of-concept randomized clinical trial (RCT) recruited 21 individuals with non-underweight ED (Bulimia Nervosa, Binge Eating Disorder and ED Not Otherwise Specified) to 20 individual psychotherapy sessions of MIT-ED or CBT-E. Outcomes addressed ED-related characteristics and PD diagnosis. Measures were taken at baseline, 10 sessions, 20 sessions, and 3 months after treatment completion.</p><p><strong>Results: </strong>MIT-ED had excellent retention to treatment with 1 drop-out compared to 6 for CBT-E. Descriptive analyses using completer analyses (n = 14) indicated that both MIT-ED and CBT-E resulted in reduced ED symptoms, impairment, and binge eating, and improved ED-related attitudes, although there was no difference between treatment arms. MIT-ED achieved more remissions from PD diagnosis.</p><p><strong>Discussion: </strong>MIT-ED appeared to be a promising effective treatment for non-underweight ED. If replicated in larger samples, it would offer an alternative approach to enhancing recovery in ED.</p>","PeriodicalId":51067,"journal":{"name":"International Journal of Eating Disorders","volume":" ","pages":""},"PeriodicalIF":4.7,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143558715","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":"Toward Integrated Treatment for Co-Occurring Borderline Personality Disorder and Eating Disorders: A Clinician Perspective.","authors":"Charlotte Cunningham, Jillian H Broadbear, Janani Rajaram, Sathya Rao, Richard Newton, Roslyn Galligan","doi":"10.1002/eat.24397","DOIUrl":"https://doi.org/10.1002/eat.24397","url":null,"abstract":"<p><strong>Objective: </strong>It is common practice in Australia for co-occurring borderline personality disorder (BPD) and eating disorders (ED) to be treated separately. The objective of this research was to review features these disorders share, evidence-based approaches used for treating these disorders in isolation, clinicians' experiences of delivering treatment for co-occurring BPD and ED, and finally to explore integrated approaches to treating this dual diagnosis.</p><p><strong>Method: </strong>A qualitative approach was used to examine interview transcripts of 10 clinicians employed at specialist outpatient services for severe BPD or severe ED. Interview transcripts were analyzed using thematic analysis.</p><p><strong>Results: </strong>Nominated features shared by BPD and ED were emotion dysregulation, impulsivity, and interpersonal difficulties. Clinicians endorsed a range of therapeutic approaches for this dual diagnosis patient group, as well as an eclectic approach utilizing a combination of treatment features. Most clinicians proposed an ideal program duration of 6-12 months, with group and individually focused therapy complementing one another to address underlying behavioural drivers and confer lasting clinical benefits.</p><p><strong>Discussion: </strong>This study distills the importance of adopting integrated treatments for people with this dual diagnosis to optimize treatment outcomes. Future research could include soliciting client perspectives on using an integrated treatment approach for this dual diagnosis and trials of this approach to assess acceptability, feasibility, and longer-term outcomes.</p><p><strong>Public significance statement: </strong>This study highlights the merit of concurrently addressing the complex interplay between EDs and BPD via an integrated treatment approach. Streamlining the therapeutic approach can address underlying features of these disorders, improve clinical formulation, and optimize patient outcomes.</p>","PeriodicalId":51067,"journal":{"name":"International Journal of Eating Disorders","volume":" ","pages":""},"PeriodicalIF":4.7,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143544302","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":"Mental Health Impacts of Self-Help Interventions for the Treatment and Prevention of Eating Disorders. A Meta-Analysis.","authors":"Jake Linardon, Hannah K Jarman, Claudia Liu, Cleo Anderson, Zoe McClure, Mariel Messer","doi":"10.1002/eat.24405","DOIUrl":"https://doi.org/10.1002/eat.24405","url":null,"abstract":"<p><strong>Objective: </strong>Self-help programs are recommended as a first step in the management of eating disorders. Yet, whether self-help interventions have broader mental health benefits beyond symptom and risk reduction remains unclear. As randomized controlled trials (RCTs) also assess general mental health secondary to eating disorder symptoms, we conducted a meta-analysis to investigate whether and to what extent pure self-help interventions for eating disorders produce improvements in these secondary outcomes.</p><p><strong>Method: </strong>Twenty-seven RCTs of pure self-help interventions for the prevention or treatment of eating disorders were included. Mean age ranged from 16 to 46 years. Most self-help interventions were based on cognitive-behavioral therapy. Most interventions were delivered via digital means (Internet, apps, etc.). Random effects meta-analyses were conducted on six outcomes: depression, anxiety, general distress, quality of life, self-esteem, and psychosocial impairment. Analyses were stratified based on pre-selected (at risk/symptomatic) and clinical samples.</p><p><strong>Results: </strong>For pre-selected samples (k = 18), significant pooled effects favoring self-help over controls were observed for depression (g = 0.24), anxiety (g = 0.23), distress (g = 0.23) and self-esteem (g = 0.18). Effects remained robust when adjusting for risk of bias. Non-significant effects were observed for quality of life and impairment. Crucially, > 80% of trials on pre-selected samples delivered a waitlist control. For clinical samples (k = 9), significant pooled effects favoring self-help were found for distress (g = 0.39), impairment (g = 0.39), and quality of life (g = 0.29), although these results should be interpreted with caution as the number of studies was low.</p><p><strong>Conclusion: </strong>Self-help interventions produce small improvements in those mental health symptoms that are typically comorbid with eating disorders.</p>","PeriodicalId":51067,"journal":{"name":"International Journal of Eating Disorders","volume":" ","pages":""},"PeriodicalIF":4.7,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143544203","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Pilot Study of \"Help for Overcoming Problem Eating\" (HOPE): A Single Session Intervention for College Students With Binge-Spectrum Eating Disorders.","authors":"Sonakshi Negi, Kelsie T Forbush","doi":"10.1002/eat.24404","DOIUrl":"https://doi.org/10.1002/eat.24404","url":null,"abstract":"<p><strong>Introduction: </strong>Eating disorders (EDs) are common among university students, yet most students with EDs do not have access to ED-related care on their campuses.</p><p><strong>Objective: </strong>The goal of this study was to test the initial acceptability and feasibility of Help for Overcoming Problem Eating (HOPE), the first digital single-session intervention designed to reduce binge eating for college students with non-low-weight binge-spectrum EDs.</p><p><strong>Method: </strong>Seventy-five university students with non-low-weight binge-spectrum EDs completed HOPE and answered questions about the acceptability and user perceptions of the program following completion. They also completed baseline, 1-week, and 4-week follow-up questionnaires assessing ED symptoms.</p><p><strong>Results: </strong>Of the eligible participants (N = 190), 70.52% (n = 134) consented to the study, 42.63% (n = 81) started HOPE, and 39.47% (n = 75) completed HOPE. Descriptive statistics showed that HOPE was highly acceptable, with a scaled mean overall acceptability score of 4.35 out of 5. Paired Sample t-tests showed that there were significant reductions in binge eating (p < 0.001, 1-week d = 0.86, 4-week d = 0.98), restricting (p < 0.001, 1-week d = 0.52, 4-week d = 0.41), and cognitive restraint (p < 0.001, 1-week d = 0.63, 4-week d = 0.87) following HOPE completion.</p><p><strong>Discussion: </strong>Results demonstrated the acceptability and preliminary efficacy of HOPE for those who completed the intervention. Further testing in a randomized controlled trial design is warranted. Although the current findings provided promising pilot feasibility data, additional research is needed to identify reasons for attrition/nonparticipation to reduce barriers for study completion.</p>","PeriodicalId":51067,"journal":{"name":"International Journal of Eating Disorders","volume":" ","pages":""},"PeriodicalIF":4.7,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143517412","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}