International Journal of Eating Disorders最新文献

{"title":"Comparing Outcomes for Telehealth Versus In-Person Family-Based Treatment: A Retrospective Chart Review.","authors":"Catherine R Drury, Simar Singh, Michael Manzano, Sasha Gorrell, Erin E Reilly, Michelle Odette, Erin C Accurso, Leigh Brosof, Lindsey Bruett, Sarah Forsberg, Verena Haas, Lisa Hail, Kathryn M Huryk, Jessica Keyser, Rachel Kramer, Naomi Lynch, Stuart B Murray, Rachel M Radin, Justine Underhill, Kianna Zucker, Daniel Le Grange","doi":"10.1002/eat.24511","DOIUrl":"https://doi.org/10.1002/eat.24511","url":null,"abstract":"<p><strong>Objective: </strong>Telehealth services have become part of many eating disorder (ED) treatment settings; yet, few studies have examined the effectiveness of family-based treatment (FBT) delivered via telehealth. This study compared in-person and telehealth FBT in rates of weight restoration, treatment completion, and metrics of treatment progress, and explored potential moderators of these outcomes.</p><p><strong>Method: </strong>Retrospective chart review identified 169 adolescents (10-18 years) with restrictive EDs who received FBT in person before the COVID-19 pandemic (n = 92) or via telehealth during the pandemic (n = 77). Regression models examined the effect of FBT format, controlling for baseline percent of expected body weight (%EBW). Zip code-based geospatial analyses compared the distance each format reached.</p><p><strong>Results: </strong>Treatment format (in-person versus telehealth) did not predict whether patients were weight restored to ≥ 95% of EBW at the end of treatment (OR = 0.74) or completed treatment (ORs = 0.53-1.74). Older age predicted lower odds of treatment completion among in-person but not telehealth patients; there was no moderating effect of age on weight restoration or of baseline %EBW on either outcome. Patients who received FBT via telehealth were less likely to be early responders (i.e., gained 2.3 kg by session four; OR = 0.33). FBT format did not predict the number of sessions to 95% EBW (f² = 0.01), hospitalization frequency, or distance reached (d = 0.27).</p><p><strong>Discussion: </strong>Results suggest no significant differences between telehealth and in-person FBT in restoring weight or preventing hospitalization for adolescents with restrictive EDs, and support continued use of telehealth FBT to improve treatment accessibility and scalability. Additional research using a randomized design and ED psychopathology measures is needed.</p>","PeriodicalId":51067,"journal":{"name":"International Journal of Eating Disorders","volume":" ","pages":""},"PeriodicalIF":4.3,"publicationDate":"2025-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144735108","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":"Trajectories of Childhood Adversity and Eating Disorders in Adolescence.","authors":"Andrea Joensen, Leonie K Elsenburg, Else Marie Olsen, Claus Thorn Ekstrøm, Naja Hulvej Rod, Katrine Strandberg-Larsen","doi":"10.1002/eat.24514","DOIUrl":"https://doi.org/10.1002/eat.24514","url":null,"abstract":"<p><strong>Objective: </strong>Childhood adversities are linked to eating disorders (EDs), but their cumulative and evolving nature is often overlooked. This study employs a comprehensive measure of adversities, captured through trajectories across ages 0-9, to examine associations with (1) clinically diagnosed EDs at ages 10-18 and (2) a composite outcome of diagnosed and self-reported ED symptoms at age 18. Differences between diagnosed and non-diagnosed EDs were also assessed.</p><p><strong>Methods: </strong>Data from children born in Denmark between 1996 and 2003 (total population; N = 500,240) and participants in the 18-year follow-up of the Danish National Birth Cohort (DNBC-18; N = 43,687, 50% of those eligible for invitation) were used. Diagnosed EDs were identified through national registers, and non-diagnosed EDs through the DNBC-18. Adversities were grouped into three predefined dimensions: material deprivation, loss or threat of loss, and family dynamics. A group-based multi-trajectory model identified trajectories from ages 0-9. Associations were analyzed using quasi-Poisson and multinomial logistic regression.</p><p><strong>Results: </strong>Four trajectory groups were identified: low adversity (72.1%), material deprivation (18.0%), loss or threat of loss (5.5%), and high adversity (4.4%). < 1% had a diagnosed ED, while 2.5% had a non-diagnosed ED, both more common in females. While no overall associations were found in the total population, the high adversity group had a higher risk of eating disorders not otherwise specified (EDNOS) compared to the low adversity group (IRR = 1.58, 95% CI: 1.16-2.12). In the DNBC-18 analyses, a higher risk in the high adversity group compared to the low adversity group, was entirely driven by non-diagnosed EDs (RRR = 1.73, 95% CI: 1.37-2.20).</p><p><strong>Conclusion: </strong>Individuals exposed to high adversity had a higher risk of EDs, particularly non-diagnosed cases, highlighting a diagnostic gap shaped by differences in symptom recognition, help-seeking, and access to care.</p>","PeriodicalId":51067,"journal":{"name":"International Journal of Eating Disorders","volume":" ","pages":""},"PeriodicalIF":4.3,"publicationDate":"2025-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144735111","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":"Selective Eating and Sensory Sensitivity in Children With ADHD: A Comparative Study of ARFID Symptom Profiles","authors":"Meryem Kaşak,&nbsp;Hande Günal Okumuş,&nbsp;Yusuf Selman Çelik,&nbsp;Fatma Zehra Kırşan,&nbsp;Muhammed Coşkun,&nbsp;Yusuf Öztürk,&nbsp;Ayşegül Efe,&nbsp;Hakan Öğütlü","doi":"10.1002/eat.24512","DOIUrl":"10.1002/eat.24512","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>Selective eating is commonly observed in children with neurodevelopmental conditions, particularly Attention-Deficit/Hyperactivity Disorder (ADHD). However, the clinical overlap between ADHD and Avoidant/Restrictive Food Intake Disorder (ARFID)—and its potential relevance for assessment and intervention—remains underexplored. This study aimed to compare ARFID symptom profiles between children with ADHD and typically developing peers and to assess whether sensory sensitivity is associated with selective eating within the ADHD group.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>In this cross-sectional, case–control study, 231 children aged 6–12 years (138 with ADHD, 93 controls) were assessed using standardized parent-report questionnaires, including the Nine-Item ARFID Screen (NIAS), Conners' Parent Rating Scale (CPRS), Revised Child Anxiety and Depression Scale (RCADS), and Sensory Profile (SP). Hierarchical regression analyses were conducted to identify correlates of selective eating within the ADHD group, controlling for age and gender.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Children with ADHD exhibited significantly higher levels of ARFID-related picky eating and sensory processing difficulties, particularly within oral and multisensory domains. Within the ADHD group, selective eating was positively associated with ADHD symptom severity and negatively related to oral sensory sensitivity. Together, these factors explained 32.6% of the variance in picky eating scores.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Findings suggest that, beyond general sensory difficulties, oral sensory reactivity and ADHD symptom burden may be relevant correlates of selective eating in children with ADHD. These results should be interpreted cautiously, given the cross-sectional design and small sample size. Further longitudinal and mechanistic studies are warranted to understand better these associations and their implications for early screening and intervention.</p>\u0000 </section>\u0000 </div>","PeriodicalId":51067,"journal":{"name":"International Journal of Eating Disorders","volume":"58 10","pages":"1991-2002"},"PeriodicalIF":4.3,"publicationDate":"2025-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144735110","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":"Examining the Relationship Between Dysfunctional Exercise and Eating Disorder Pathology During and After Treatment Using a Bivariate Latent Change Score Approach.","authors":"Madeline Palermo, Roxanne Rockwell, Christina E Wierenga","doi":"10.1002/eat.24513","DOIUrl":"https://doi.org/10.1002/eat.24513","url":null,"abstract":"<p><strong>Objective: </strong>Research indicates that dysfunctional exercise and global eating disorder pathology are closely related. Dysfunctional exercise is associated with extended eating disorder hospitalization and exacerbated psychological and physical health impairments. Currently, there are no longitudinal investigations of the relationship between these two constructs both during and after eating disorder treatment. This study aimed to investigate the longitudinal relationship between dysfunctional exercise and global eating disorder pathology among a transdiagnostic sample of adolescents enrolled in a partial hospital/intensive outpatient eating disorder treatment program.</p><p><strong>Method: </strong>Participants included 359 adolescents (age M = 15.62; SD = 1.39; 292 female [84.1%] at Time 1) who completed assessments at five timepoints during and post treatment. A bivariate latent change score model was used to examine the bidirectional associations between dysfunctional exercise and global eating disorder pathology.</p><p><strong>Results: </strong>A dual coupling model indicated that the relationship between global eating disorder pathology and dysfunctional exercise is bidirectional. Specifically, higher levels of one variable at earlier time points are associated with diminished improvement in the other variable over time.</p><p><strong>Conclusions: </strong>Findings provide evidence of a reciprocal relationship between dysfunctional exercise and global eating disorder pathology in adolescents both during and after treatment. Higher levels of one construct at earlier time points were associated with less improvement in the other over time. However, this relationship may be influenced by shared severity in both domains, indicating a need for further investigation. Results highlight the importance of assessing and addressing dysfunctional exercise within eating disorder treatment, as failing to do so may hinder overall recovery.</p>","PeriodicalId":51067,"journal":{"name":"International Journal of Eating Disorders","volume":" ","pages":""},"PeriodicalIF":4.3,"publicationDate":"2025-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144735109","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":"Mind the Gaps: Revisiting the Validity, Consistency, and Scope of the Eating Disorder Examination. A Commentary on Reilly et al. (2025)","authors":"Ricarda Schmidt","doi":"10.1002/eat.24509","DOIUrl":"10.1002/eat.24509","url":null,"abstract":"<p>This commentary responds to Reilly et al.'s (2025) forum article and focuses primarily on Area of Focus #2: ensuring group-specific validity and adaptability of eating disorder assessment tools. Using the Eating Disorder Examination (EDE) as a case example, it is argued that psychometric flexibility must be accompanied by empirical accountability. Specifically, the commentary highlights the importance of testing measurement invariance (MI) to evaluate whether tools like the EDE function equivalently across different populations and time points. This is particularly relevant as the EDE or its self-report version (EDE-Q) are increasingly being used in populations for which they were not originally designed, for example, individuals with avoidant/restrictive food intake disorder or people of diverse gender identities. Additionally, the commentary discusses the need for harmonization between different versions of the instrument (EDE vs. EDE-Q), and calls for greater transparency in reporting and applying scoring conventions. A further consideration is the consistency of application across raters and research contexts, suggesting that interrater reliability should be examined more systematically across sites. Drawing on the metaphor of a long-serving but evolving vehicle, the commentary argues that modernization is necessary, but must not come at the cost of clinical depth or training relevance. Knowing how to drive remains essential, even when upgrading the vehicle.</p>","PeriodicalId":51067,"journal":{"name":"International Journal of Eating Disorders","volume":"58 10","pages":"1911-1914"},"PeriodicalIF":4.3,"publicationDate":"2025-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/eat.24509","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144692338","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":"Quality of Life Across the Anorexia Nervosa Spectrum: A Comparative Study of Current, Weight-Restored, and Healthy Individuals","authors":"Stephanie Miles,&nbsp;Erica Neill,&nbsp;Andrea Phillipou","doi":"10.1002/eat.24506","DOIUrl":"10.1002/eat.24506","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Anorexia nervosa (AN) is a serious mental illness that can greatly impact quality of life (QoL). While research suggests that health-related QoL is poor in current AN, limited studies have examined QoL in those recovering from AN. This study aimed to investigate health-related QoL in people with current AN, those weight-restored from AN, and healthy controls (HCs).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Participants were 15 women with current AN, 12 weight-restored women, and 15 HC women. Health-related QoL was assessed using the Assessment of Quality of Life (AQoL-8D). Group differences were analyzed using analyses of variance with a priori contrasts.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The current AN group scored significantly lower than the weight-restored AN and HC groups on the AQoL-8D subscales of independent living, mental health, happiness, relationships, and self-worth. The weight-restored AN group scored equivalently to HCs in QoL. No group differences were found for the pain subscale.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>Findings highlight the substantial impact of AN on QoL and the potential for QoL to improve with recovery, which could motivate treatment engagement.</p>\u0000 </section>\u0000 </div>","PeriodicalId":51067,"journal":{"name":"International Journal of Eating Disorders","volume":"58 10","pages":"2009-2014"},"PeriodicalIF":4.3,"publicationDate":"2025-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/eat.24506","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144977590","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":"Time Course of Electrocortical Processing of Food Stimuli in Adolescent Anorexia Nervosa","authors":"Julia Nannt,&nbsp;Ines Wolz,&nbsp;Jan Vagedes,&nbsp;Jennifer Svaldi","doi":"10.1002/eat.24510","DOIUrl":"10.1002/eat.24510","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>Anorexia nervosa (AN) typically manifests during adolescence and is linked to significant psychological and physical sequelae. A better understanding of the underlying maintenance mechanisms of adolescent AN is therefore crucial. Cognitive behavioral theories emphasize the influence of cognitive biases in the processing of disorder-relevant stimuli.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>The current study investigated attentional bias to high- and low-calorie food in female adolescents with AN (<i>n = 31</i>) and without AN (<i>n</i> = 35). An event-related potentials study utilizing prolonged stimulus presentation in an attention task was conducted.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Against our hypotheses, the results suggest an early avoidance of (i.e., reduced early posterior negativity) and an increased motivated attention (i.e., enhanced P300) towards high-calorie food in females with AN relative to controls.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>The automated early avoidance indicates a decline in the positive incentive value of high-calorie food, which signals a loss of the appetitive character of these foods. The increased top-down attention towards food may be due to an increased negative emotional salience activating aversive motivational systems.</p>\u0000 </section>\u0000 </div>","PeriodicalId":51067,"journal":{"name":"International Journal of Eating Disorders","volume":"58 10","pages":"1979-1990"},"PeriodicalIF":4.3,"publicationDate":"2025-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144660947","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 Effect of Experimentally Induced Cognitive Fatigue on Energy Intake Among Youth With and Without Recent Reported Dietary Restraint","authors":"Megan N. Parker,&nbsp;Marian Tanofsky-Kraff,&nbsp;Bess F. Bloomer,&nbsp;Jennifer Te-Vazquez,&nbsp;Praise E. Adekola,&nbsp;Ejike E. Nwosu,&nbsp;Julia Lazareva,&nbsp;Jeremiah L. Jones,&nbsp;Alexa Moore,&nbsp;Natasha A. Schvey,&nbsp;Sheila M. Brady,&nbsp;Shanna B. Yang,&nbsp;Sara A. Turner,&nbsp;Jack A. Yanovski,&nbsp;Nichole R. Kelly","doi":"10.1002/eat.24508","DOIUrl":"10.1002/eat.24508","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>Resource-based models of self-regulation posit that cognitive fatigue, or the depletion of cognitive resources, may be an impetus for self-regulatory difficulties, including overeating. Studies of adults indicate that cognitive fatigue may increase energy intake only among adults who report engaging in dietary restraint (DR). The current study examined if DR similarly moderates the effects of cognitive fatigue on energy intake in youth.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>Using a randomized crossover design, participants completed a two-hour cognitive fatigue and a non-fatigue control (i.e., watched movies) condition, on separate days within a 31-day period. Energy intake (kcal) was evaluated using a ~10,000 kcal buffet-style meal presented after each condition with the instructions to “Please eat until you are no longer hungry.” DR was assessed via the Eating Disorder Examination.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Participants included 98 youth (13.0 ± 2.56 years; BMI%ile 60.06 ± 29.01; 46.9% Female; 46.9% non-Hispanic White, 20.4% non-Hispanic Black, 12.2% non-Hispanic Asian; 20.4% endorsed engaging in any DR within the prior 28 days). After adjusting for height, fat mass (%), lean mass (kg), sex, race/ethnicity, visit order, and days between visits, the interaction of DR and experimental condition was associated with energy intake, <i>F</i>(1, 88) = 8.60, <i>p</i> = 0.004, <i>η</i>²_p = 0.089. Youth with DR had greater intake following the fatigue (vs. control) condition, but intake did not differ by condition among youth without DR.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>DR may weaken youth's efforts to regulate energy intake when cognitively fatigued. Studies utilizing more comprehensive measures of DR are needed to elucidate whether this association differs across DR phenotypes and in naturalistic environments.</p>\u0000 \u0000 <p><b>Trial Registration:</b> This study was pre-registered (https://clinicaltrials.gov/ct2/show/NCT02390765)</p>\u0000 </section>\u0000 </div>","PeriodicalId":51067,"journal":{"name":"International Journal of Eating Disorders","volume":"58 10","pages":"2003-2008"},"PeriodicalIF":4.3,"publicationDate":"2025-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144977617","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":"Psychobiological Exercise Response: A Pilot Investigation of a Laboratory Exercise Assessment Paradigm Among Young Women With Eating Disorders","authors":"Katherine Schaumberg,&nbsp;Mahathi Gavuji,&nbsp;Agatha A. Laboe,&nbsp;Lauren E. Pictor,&nbsp;Kevin M. Crombie,&nbsp;Sasha Gorrell","doi":"10.1002/eat.24496","DOIUrl":"10.1002/eat.24496","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>Compulsive exercise is a common feature of eating disorders (EDs) but understanding of factors that drive this symptom remains limited. This pilot trial evaluated psychobiological response to in-laboratory exercise among females (14–22 years) with and without restrictive eating pathology. We aimed to demonstrate the feasibility of two exercise assessment protocols and provide initial estimates of acute exercise effects on affect, body image, and circulating blood-based biomarkers (brain-derived neurotrophic factor [BDNF], cortisol, <i>N</i>-arachodonoylethanolamine [AEA], 2-arachidonoylglycerol [2-AG], leptin).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>Twenty females with restrictive EDs and 20 healthy controls completed three study visits, including two bouts of stationary cycling (30-min prescribed pace vs. ≤ 30-min self-paced) and two complementary periods of rest. During visits, participants also consumed a milkshake, self-reported state affect and body image, and participated in pre- and post-exercise blood draws.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Per established thresholds, both tasks were determined feasible and safe, with initial evidence of validity in eliciting affective and body image change. In both exercise conditions, the ED group experienced more positive (Cohen's <i>d</i> = 0.10–0.61) and less negative affect (Cohen's <i>d</i> = −0.72 – −0.22) compared to controls, along with greater positive body image shifts (Cohen's <i>d</i> = 0.20–0.66). Body image shifts in the ED group correlated with higher drive for muscularity and lower BMI.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>Findings suggest perceived effects of exercise on body weight/shape may reinforce exercise maintenance in the context of EDs.</p>\u0000 </section>\u0000 </div>","PeriodicalId":51067,"journal":{"name":"International Journal of Eating Disorders","volume":"58 10","pages":"2015-2026"},"PeriodicalIF":4.3,"publicationDate":"2025-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/eat.24496","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144627688","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Overlooked Burden of Atypical Anorexia Nervosa: Commentary on Melville et al. (2025)","authors":"Susan M. Byrne,&nbsp;Jessica McClelland,&nbsp;Anthea Fursland","doi":"10.1002/eat.24507","DOIUrl":"https://doi.org/10.1002/eat.24507","url":null,"abstract":"<p>Obesity and eating disorders (EDs) have historically been viewed as distinct conditions; however, emerging evidence suggests a significant overlap, particularly among individuals seeking obesity treatment. While binge-eating disorder (BED) is commonly identified in this population, restrictive EDs such as atypical anorexia nervosa (atypical AN) can go largely undetected. This paper comments on findings from Melville et al.'s systematic review of 85 studies assessing ED prevalence in adults with high Body Mass Index (BMI) seeking obesity treatment. We highlight the striking absence of atypical AN diagnoses despite substantial evidence supporting its prevalence in broader populations. We explore several reasons for this under-recognition, including the definitional ambiguities of atypical AN in the DSM-5, limitations of assessment tools that emphasize binge eating, and weight stigma that tends to mask restrictive eating as “normal” dieting. The implications are significant: failure to identify atypical AN may lead to delayed or inappropriate care and reinforce harmful stereotypes that restrictive EDs only affect underweight individuals. We argue for greater clinical vigilance, the refinement and clarification of diagnostic criteria and the development of validated tools for detecting atypical AN, particularly in higher-weight individuals. Clinicians, particularly those providing weight loss interventions, should be trained to identify restrictive eating irrespective of BMI and prioritize behaviors and psychological impairment over weight status. Recognizing atypical AN as a serious, underdiagnosed condition is critical to ensuring ethical, equitable and effective care across the weight spectrum, in both ED and weight-loss treatment settings.</p>","PeriodicalId":51067,"journal":{"name":"International Journal of Eating Disorders","volume":"58 10","pages":"1907-1910"},"PeriodicalIF":4.3,"publicationDate":"2025-07-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/eat.24507","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145230817","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}