International Journal of Eating Disorders最新文献

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Learning From Those Who Have Lived: A Scoping Review Exploring the Involvement of Lived Experience Co-Design in Eating Disorder Research Methodologies 从那些生活过的人那里学习:一项探索生活经验共同设计在饮食失调研究方法中的参与的范围审查。
IF 4.3 2区 医学
International Journal of Eating Disorders Pub Date : 2025-07-11 DOI: 10.1002/eat.24503
Jane Miskovic-Wheatley, Sabina Vatter, Shu Hwa Ong, Bronny Carroll, Stephen Touyz, Kristi Griffiths, Sarah Maguire
{"title":"Learning From Those Who Have Lived: A Scoping Review Exploring the Involvement of Lived Experience Co-Design in Eating Disorder Research Methodologies","authors":"Jane Miskovic-Wheatley,&nbsp;Sabina Vatter,&nbsp;Shu Hwa Ong,&nbsp;Bronny Carroll,&nbsp;Stephen Touyz,&nbsp;Kristi Griffiths,&nbsp;Sarah Maguire","doi":"10.1002/eat.24503","DOIUrl":"10.1002/eat.24503","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>There is a growing demand in health research and policy to meaningfully involve people with lived experience in co-creating research and treatment services, especially in eating disorders. Despite decades of research into risk, origin, onset, progression, and intervention, significant knowledge gaps remain. The aim of this review was to investigate evidence in the published literature of lived experience consideration and integration in eating disorder research methodology to date.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>A scoping review methodology was used to review research across six databases. Lived experience was engaged in research ideation, search strategy, and analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The search generated over 6553 articles with 76 meeting the inclusion criteria. There has been growth of lived experience research inclusion over the past 5 years, especially in the United Kingdom and Australia. There was a wide range of lived experience engagement from one-off opportunistic engagement to full project integration and substantial variety in methodological reporting, including terminology, detail, and knowledge-sharing to advance the field. Researcher reflexivity reporting was rare and lived experience descriptions were sometimes limited by methodology (such as anonymous surveys), compromising analysis of representativeness.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>While research incorporating lived experience is increasing, meaningful engagement varies widely, detailed methodological descriptions are lacking, and guidance on practical implementation is limited. Prioritizing time, resources, and trust-building in lived experience research and amplifying the value of seeking and reporting such efforts in grant calls and published research has the potential to address knowledge gaps and improve outcomes.</p>\u0000 </section>\u0000 </div>","PeriodicalId":51067,"journal":{"name":"International Journal of Eating Disorders","volume":"58 10","pages":"1833-1883"},"PeriodicalIF":4.3,"publicationDate":"2025-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/eat.24503","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144621138","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}
引用次数: 0
Cognitive-Behavioral Therapy and Lisdexamfetamine, Alone and Combined, for Binge-Eating Disorder: Secondary Outcomes of a Randomized Controlled Trial 认知行为疗法和利地苯他明单独或联合治疗暴食症:一项随机对照试验的次要结果。
IF 4.3 2区 医学
International Journal of Eating Disorders Pub Date : 2025-07-09 DOI: 10.1002/eat.24502
Carlos M. Grilo, Valentina Ivezaj, Sydney Yurkow, Cenk Tek, Ralitza Gueorguieva
{"title":"Cognitive-Behavioral Therapy and Lisdexamfetamine, Alone and Combined, for Binge-Eating Disorder: Secondary Outcomes of a Randomized Controlled Trial","authors":"Carlos M. Grilo,&nbsp;Valentina Ivezaj,&nbsp;Sydney Yurkow,&nbsp;Cenk Tek,&nbsp;Ralitza Gueorguieva","doi":"10.1002/eat.24502","DOIUrl":"10.1002/eat.24502","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>A 12-week randomized controlled trial (RCT) found cognitive-behavioral therapy (CBT), lisdexamfetamine (LDX), and combined CBT + LDX showed significant improvements in BED, with combined CBT + LDX being superior to the individual treatments. This report details the treatment effects on secondary outcomes comprising behavioral, psychological, and metabolic variables intended to build on the primary outcomes to broaden our understanding of BED treatment.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>RCT randomized <i>N</i> = 141 patients with BED to one of three 12-week treatments: CBT (<i>N</i> = 47), LDX (<i>N</i> = 47), or CBT + LDX (<i>N</i> = 47). 87.2% completed posttreatment assessments.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Mixed models revealed significant decreases in eating (food cravings and hedonic drive to eat palatable foods) and metabolic (cholesterol and triglycerides) variables in all treatments, with CBT + LDX having the largest reduction and significantly outperforming CBT and LDX. Overvaluation of shape/weight and impulsivity decreased significantly in all treatments but did not differ significantly between treatments. Delayed discounting did not change overall during treatment nor show an interaction with specific treatments.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Significant improvements in secondary outcomes in this RCT for BED suggest CBT and LDX, and particularly their combination, are associated with broad positive effects beyond their significant effects on binge eating. Future research should examine moderator/mediational effects of these variables on differential treatment responses in BED.</p>\u0000 \u0000 <p>Clinicaltrials.gov <b>Registration:</b> NCT03924193 (Cognitive-Behavioral and Pharmacologic (LDX) Treatment of Binge-Eating Disorder and Obesity: Acute Treatment).</p>\u0000 </section>\u0000 </div>","PeriodicalId":51067,"journal":{"name":"International Journal of Eating Disorders","volume":"58 10","pages":"1970-1978"},"PeriodicalIF":4.3,"publicationDate":"2025-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144592805","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}
引用次数: 0
The Growing Importance of Neuroscience-Based Research on Eating Disorders Commentary on Lee and Chi (2025) 以神经科学为基础的饮食失调研究的重要性日益增加评论李和Chi(2025)。
IF 4.3 2区 医学
International Journal of Eating Disorders Pub Date : 2025-07-09 DOI: 10.1002/eat.24504
Laura A. Berner, Sarah A. Stern, Joanna E. Steinglass, B. Timothy Walsh
{"title":"The Growing Importance of Neuroscience-Based Research on Eating Disorders Commentary on Lee and Chi (2025)","authors":"Laura A. Berner,&nbsp;Sarah A. Stern,&nbsp;Joanna E. Steinglass,&nbsp;B. Timothy Walsh","doi":"10.1002/eat.24504","DOIUrl":"10.1002/eat.24504","url":null,"abstract":"<div>\u0000 \u0000 <p>Lee and Chi analyze publication trends and research themes on eating disorders over the last five decades. Among the factors driving increased annual citations were publications in journals focused on neuroscience. This observation underscores a growing focus on the neurobiological basis of eating disorders. This commentary highlights a few features of this development and outlines several potentially fruitful areas for future neuroscience-based research.</p>\u0000 </div>","PeriodicalId":51067,"journal":{"name":"International Journal of Eating Disorders","volume":"58 10","pages":"1904-1906"},"PeriodicalIF":4.3,"publicationDate":"2025-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144592807","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}
引用次数: 0
Reimagining Public Engagement in Eating Disorders Research 重新构想公众参与饮食失调研究。
IF 4.3 2区 医学
International Journal of Eating Disorders Pub Date : 2025-07-09 DOI: 10.1002/eat.24500
Amelia Austin, Amanda Raffoul
{"title":"Reimagining Public Engagement in Eating Disorders Research","authors":"Amelia Austin,&nbsp;Amanda Raffoul","doi":"10.1002/eat.24500","DOIUrl":"10.1002/eat.24500","url":null,"abstract":"<p>A review and bibliometric analysis on the last five decades of eating disorders (EDs) research by Lee and Chi (2025) reports a generally weak connection between public attention and academic citations. The authors suggest a few potential reasons for this phenomenon, including that public interest may not reflect long-term scientific value. We use a public health policy perspective to offer an alternate argument: that public attention and engagement, alongside scientific rigor, are necessary to move the ED field forward and generate substantive policy change. We discuss how research topics that resonate with the public, such as less commonly represented EDs or EDs among under-represented populations, can lead to decreases in stigma and support the early identification of symptoms among the population. Drawing on the ideas of strategic science, we stress the importance of intentionally linking academic work to policy by conducting research that is relevant to decision-makers as well as the broader public, working within multi- and trans-disciplinary teams, and training researchers, especially those in early career positions, on how to conduct policy-relevant research. The synergism of public engagement with research and scientific impact can be a powerful force for moving the ED field forward.</p>","PeriodicalId":51067,"journal":{"name":"International Journal of Eating Disorders","volume":"58 10","pages":"1901-1903"},"PeriodicalIF":4.3,"publicationDate":"2025-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/eat.24500","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144592806","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}
引用次数: 0
Weighing in: Clinician and Patient Perspectives on Discussions of Expected Body Weights in Eating Disorder Treatment 权衡:临床医生和患者对饮食失调治疗中预期体重讨论的观点。
IF 4.3 2区 医学
International Journal of Eating Disorders Pub Date : 2025-07-07 DOI: 10.1002/eat.24501
Agatha A. Laboe, Ava Heyrman, Siena Vendlinski, Molly F. Steinhoff, Sophia Kreckler, Caitlyn Ruud, Kate Walsh, Daniel W. Grupe, James J. Li, Katherine Schaumberg
{"title":"Weighing in: Clinician and Patient Perspectives on Discussions of Expected Body Weights in Eating Disorder Treatment","authors":"Agatha A. Laboe,&nbsp;Ava Heyrman,&nbsp;Siena Vendlinski,&nbsp;Molly F. Steinhoff,&nbsp;Sophia Kreckler,&nbsp;Caitlyn Ruud,&nbsp;Kate Walsh,&nbsp;Daniel W. Grupe,&nbsp;James J. Li,&nbsp;Katherine Schaumberg","doi":"10.1002/eat.24501","DOIUrl":"10.1002/eat.24501","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>Clinicians often determine an “expected body weight” (EBW) for patients who have lost weight due to an eating disorder (ED). However, there is inconsistent guidance and limited empirical research on when, how, and why to discuss EBWs with patients. This study explores clinician and patient perspectives on discussions of EBWs.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>Semi-structured interviews were conducted with 24 multidisciplinary ED clinicians and 16 individuals with outpatient ED treatment experience in the past 6 months. Clinicians shared their experiences with and rationales for sharing EBWs with patients and patients' family members. Patients shared their experiences of being informed about their EBWs, factors influencing their comfort level discussing EBWs with clinicians, and perceived impact of these discussions on their recovery. Interviews were analyzed using reflexive thematic analysis with a critical realist lens.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Clinician and patient perspectives aligned regarding when, how, and why to hold these discussions. Both groups emphasized that these discussions should occur after patients have demonstrated engagement with recovery and underscored the importance of framing the EBW as one aspect of a holistic recovery. Additionally, clinicians and patients highlighted the potential therapeutic benefits of these discussions, while also acknowledging challenges relating to parental involvement and weight bias.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>Findings suggest that when discussions of EBWs are approached intentionally—accounting for timing, framing, and individual patient needs—clinicians and patients see potential therapeutic benefit. Future research can focus on developing evidence-based guidelines for sharing EBWs, addressing patient willingness to be informed of their EBW, weight bias, and parental involvement.</p>\u0000 </section>\u0000 </div>","PeriodicalId":51067,"journal":{"name":"International Journal of Eating Disorders","volume":"58 10","pages":"1957-1969"},"PeriodicalIF":4.3,"publicationDate":"2025-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12247145/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144576885","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}
引用次数: 0
Issue Information: Editorial Board & Table of Contents 发行信息:编委会和目录
IF 4.7 2区 医学
International Journal of Eating Disorders Pub Date : 2025-07-04 DOI: 10.1002/eat.24497
{"title":"Issue Information: Editorial Board & Table of Contents","authors":"","doi":"10.1002/eat.24497","DOIUrl":"https://doi.org/10.1002/eat.24497","url":null,"abstract":"","PeriodicalId":51067,"journal":{"name":"International Journal of Eating Disorders","volume":"58 7","pages":"1185-1186"},"PeriodicalIF":4.7,"publicationDate":"2025-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/eat.24497","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144551214","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}
引用次数: 0
The Incidence and Prevalence of Eating Disorders Between 1975 and 2024: A Commentary on Lee and Chi (2025) 1975年至2024年间饮食失调的发病率和患病率:对Lee和Chi(2025)的评论。
IF 4.3 2区 医学
International Journal of Eating Disorders Pub Date : 2025-07-02 DOI: 10.1002/eat.24495
Hans W. Hoek
{"title":"The Incidence and Prevalence of Eating Disorders Between 1975 and 2024: A Commentary on Lee and Chi (2025)","authors":"Hans W. Hoek","doi":"10.1002/eat.24495","DOIUrl":"10.1002/eat.24495","url":null,"abstract":"<p>Over the past five decades (1975–2024), research on eating disorders (EDs) has expanded significantly, as evidenced by the bibliometric analysis by Lee and Chi (2025). This growth reflects heightened public and academic interest, likely influenced by several key developments in the classification and epidemiology of EDs. The Diagnostic and Statistical Manual for Mental Disorders has progressively included more ED diagnoses, such as bulimia nervosa, binge-eating disorder (BED), and avoidant/restrictive food intake disorder (ARFID) between 1975 and 2024. Recognition of EDs among males and older individuals has improved, although these groups remain underrepresented in clinical settings and in research. Global studies indicate rising ED prevalence in Asian countries. While anorexia nervosa remains relatively rare in Latin America and Africa, bulimia nervosa and BED are also common disorders on these continents. Epidemiological data in the Netherlands suggest that, overall, ED incidence has not increased between 1975 and 2024; however, a notable exception is the significant increase in anorexia nervosa among 10- to 14-year-old girls. Emerging evidence indicates that since the onset of and during the COVID-19 pandemic, there has been a global rise in reported cases of EDs.</p>","PeriodicalId":51067,"journal":{"name":"International Journal of Eating Disorders","volume":"58 10","pages":"1893-1896"},"PeriodicalIF":4.3,"publicationDate":"2025-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/eat.24495","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144555648","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}
引用次数: 0
Fifty Years of Eating Disorder Research: Growth, Gaps, and Global Challenges 饮食失调研究五十年:发展、差距和全球挑战。
IF 4.3 2区 医学
International Journal of Eating Disorders Pub Date : 2025-07-02 DOI: 10.1002/eat.24499
Anja Hilbert
{"title":"Fifty Years of Eating Disorder Research: Growth, Gaps, and Global Challenges","authors":"Anja Hilbert","doi":"10.1002/eat.24499","DOIUrl":"10.1002/eat.24499","url":null,"abstract":"<p>The bibliometric study by Lee and Chi presents the most comprehensive analysis of eating disorder (ED) research publications to date, tracing publication trends, thematic developments, and the interplay between academic and public attention over the past five decades. The findings reveal a marked and sustained growth in ED-related publications since the early 2000s, reflecting the field's consolidation while also underscoring persistent imbalances. Notably, the analysis highlights the dominance of English-speaking countries in research output, the underrepresentation of lower-income regions, and the limited visibility of certain EDs and demographic groups. Network analyses of Medical Subject Headings' terms indicate thematic stability over time but also point to neglected areas of clinical relevance. Furthermore, the weak correlation between academic citations and public attention raises important questions about science communication and the alignment of scholarly impact with societal salience. To enhance global inclusivity and scientific relevance, it is proposed that publication barriers be removed, thematic scope broadened, and cross-disciplinary collaboration strengthened. Such strategies are essential to enable ED research to remain responsive to evolving clinical needs within culturally and demographically diverse populations amid an increasingly complex global landscape.</p>","PeriodicalId":51067,"journal":{"name":"International Journal of Eating Disorders","volume":"58 10","pages":"1897-1900"},"PeriodicalIF":4.3,"publicationDate":"2025-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/eat.24499","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144545940","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}
引用次数: 0
Delivering Brief Cognitive Behavioral Therapy (CBT-T) for Eating Disorders: Examining Real-World Outcomes of a Large-Scale Training Program 为饮食失调提供简短的认知行为疗法(CBT-T):检查大规模培训计划的实际结果。
IF 4.3 2区 医学
International Journal of Eating Disorders Pub Date : 2025-07-02 DOI: 10.1002/eat.24498
Laura Dixon, Colby Price, Sara Bartel, Anastasia Harris, Marika Schenkels, Toni Spinella, Abraham Nunes, Sarrah I. Ali, Glenn Waller, Jessica Wournell, Susan Gamberg, Aaron Keshen
{"title":"Delivering Brief Cognitive Behavioral Therapy (CBT-T) for Eating Disorders: Examining Real-World Outcomes of a Large-Scale Training Program","authors":"Laura Dixon,&nbsp;Colby Price,&nbsp;Sara Bartel,&nbsp;Anastasia Harris,&nbsp;Marika Schenkels,&nbsp;Toni Spinella,&nbsp;Abraham Nunes,&nbsp;Sarrah I. Ali,&nbsp;Glenn Waller,&nbsp;Jessica Wournell,&nbsp;Susan Gamberg,&nbsp;Aaron Keshen","doi":"10.1002/eat.24498","DOIUrl":"10.1002/eat.24498","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>Cognitive Behavioral Therapy-Ten (CBT-T) is a 10-session manualized eating disorder (ED) treatment protocol for nonunderweight EDs. CBT-T was developed to increase access to treatment and reduce wait times, as it can be delivered in half the time as existing CBT approaches for EDs. To improve access to treatment, the Nova Scotia Eating Disorder Provincial Service trained 36 clinicians through a 10-month CBT-T training program and offered CBT-T provincially. This study examines changes in ED psychopathology, binge eating, compensatory behaviors, anxiety, and depression in a transdiagnostic cohort of adult patients treated with CBT-T. Further, an exploratory analysis of predictors of treatment outcome was conducted.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A retrospective chart review was conducted on adults who began CBT-T between July 2022 and March 2024. Participants completed routine outcome measures per the CBT-T manual. Mixed-effects models examined symptom changes over time, along with predictors of treatment outcome, dropout, and extension.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>A total of 267 patients started CBT-T. Significant reductions in ED psychopathology, binge eating, and compensatory behaviors, anxiety, and depression were observed throughout treatment. Effect sizes were large to very large at the end of treatment for primary and secondary outcomes. Early change in ED psychopathology predicted better outcomes, whereas diagnoses of anorexia nervosa and atypical anorexia nervosa were associated with higher dropout rates.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>Findings support that CBT-T may be an effective, scalable treatment associated with significant symptom reductions corresponding to large effect sizes. Future research should explore adaptations to improve retention, especially for those with anorexia nervosa and atypical anorexia nervosa.</p>\u0000 </section>\u0000 </div>","PeriodicalId":51067,"journal":{"name":"International Journal of Eating Disorders","volume":"58 10","pages":"1946-1956"},"PeriodicalIF":4.3,"publicationDate":"2025-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/eat.24498","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144545939","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}
引用次数: 0
Pica in Childhood: Concurrent and Sequential Psychiatric Comorbidity 儿童异食癖:并发和顺序精神共病。
IF 4.3 2区 医学
International Journal of Eating Disorders Pub Date : 2025-06-27 DOI: 10.1002/eat.24491
Laura G. Rubino, Cynthia M. Bulik, Samuel J. R. A. Chawner, Nadia Micali
{"title":"Pica in Childhood: Concurrent and Sequential Psychiatric Comorbidity","authors":"Laura G. Rubino,&nbsp;Cynthia M. Bulik,&nbsp;Samuel J. R. A. Chawner,&nbsp;Nadia Micali","doi":"10.1002/eat.24491","DOIUrl":"10.1002/eat.24491","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>Pica is the persistent eating of nonnutritive, nonfood substances, and is associated with serious medical consequences. There has been a lack of research into the psychiatric comorbidities of pica, despite being important for informing clinical care. The current study examines psychiatric comorbidities of pica in childhood and the longitudinal relationship between childhood pica and adolescent eating disorders.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>We analyzed data from the Avon Longitudinal Study of Parents and Children study. Pica and psychopathology, assessed with the Development and Well-Being Assessment and the Strengths and Difficulties Questionnaire, were assessed at about 7- and 10-years of age, and reported eating disorders (EDs) at 14-, 16-, and 18-years of age. We conducted linear and logistic regression models, adjusting for covariates, to identify concurrent psychiatric comorbidities, as well as risk for later EDs. We conducted the Benjamini–Hochberg correction procedure to correct for multiple testing.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Pica (prevalence ranged from 0.33% to 2.33% dependent on age) was associated with increased odds of any psychiatric disorder and behavioral disorders in early childhood (OR = 7.30, <i>q</i> &lt; 0.001, and OR = 5.65, <i>q</i> &lt; 0.001, respectively) and mid-childhood (OR = 5.75, <i>q</i> &lt; 0.001, and OR = 10.66, <i>q</i> &lt; 0.001, respectively), and greater concurrent hyperactivity, conduct problems, peer problems, prosocial difficulties, and emotional difficulties (<i>q</i> &lt; 0.01 across analyses). We did not find evidence that pica presence increased odds for concurrent emotional disorders nor for later ED risk.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>The association between pica and psychiatric and behavioral disorders indicates a likely shared etiology. Our findings provide insight into the psychiatric characteristics of children with pica and highlight they may require complex behavioral support beyond their eating difficulties.</p>\u0000 </section>\u0000 </div>","PeriodicalId":51067,"journal":{"name":"International Journal of Eating Disorders","volume":"58 10","pages":"1936-1945"},"PeriodicalIF":4.3,"publicationDate":"2025-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12398950/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144509297","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}
引用次数: 0
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