Description of characteristics and outcomes of a cohort of patients with severe and enduring eating disorders (SE-ED)
DiscussionThe SE-ED patients in our sample began treatment years after the onset of symptoms, which may have led to their chronification. This emphasizes the importance of an early diagnosis in eating disorders. They presented with a high rate of physical complications and mental comorbidity. In the current sample, it was determined that patients with AN presented with higher rates of osteoporosis and hypogonadotropic hypogonadism than patients with BN.Level of evidenceLevel III: Evidence obtained from well-designed cohort or case –control analytic studies.Plain English summaryAt present, the criteria for severe and ...
Source: Journal of Eating Disorders - October 20, 2021 Category: Eating Disorders & Weight Management Source Type: research

Binge eating behavior in a sample of Lebanese Adolescents: Correlates and Binge Eating Scale validation
ConclusionThe Arabic Version of the BES scale seems to be a reliable tool to be used in Lebanese adolescents for the assessment of binge eating. More body dissatisfaction, lower self-esteem, increased depressive symptoms were associated with more binge eating. We hope this tool will be a reliable one to be used in epidemiological studies and research about eating behaviors/disorders.Plain English summaryThe results showed that higher body dissatisfaction, higher depression, vomiting to lose weight and starving to lose weight were significantly associated with more binge eating. Our study also showed that the Binge Eating S...
Source: Journal of Eating Disorders - October 20, 2021 Category: Eating Disorders & Weight Management Source Type: research

Binge eating among older women: prevalence rates and health correlates across three independent samples
AbstractBackgroundEmerging research indicates that binge eating (BE; consuming unusually large amounts of food in one siting while feeling a loss of control) is prevalent among older women. Yet, health correlates of BE in older adult populations are poorly understood. The original study aimed to investigate BE prevalence, frequency, and health correlates in a sample of older adult women. Based on results from this first study, we then sought to replicate findings in two additional samples of older adult women from separate studies.MethodUsing self-reported frequencies of BE from three separate samples of older women with v...
Source: Journal of Eating Disorders - October 19, 2021 Category: Eating Disorders & Weight Management Source Type: research

Food Attention Bias: appetite comes with eating
This study suggests that CR may decrease the attentional bias toward high-calorie food compared to other strategies in the general population and among people with high bulimia measures, in particular.Plain English summaryObesity has a negative impact on many aspects of life and much research is dedicated to trying to better understand behaviors concerning obesity. People are prone to focus their attention on things that are of importance to them, such as food. When people focus their attention on food, we call this Food Attention Bias (FAB). Cognitive reappraisal (CR) interventions involve the person's conscious cognitive...
Source: Journal of Eating Disorders - October 19, 2021 Category: Eating Disorders & Weight Management Source Type: research

A systematic review of cognitive behavior therapy and dialectical behavior therapy for adolescent eating disorders
ConclusionsCBT and DBT demonstrate promise as alternatives to family-based approaches for adolescent eating disorders. Adequately  powered trials to establish the effectiveness and efficacy of CBT and DBT are needed, particularly ones that compare these treatments against other leading approaches.Plain English summaryDespite high rates of relapse and likelihood for severe and enduring illness, there is a dearth of evidence-based treatment options for adolescents with eating disorders. Potentially viable but less well-studied treatments for adolescents with eating disorders include cognitive behavior therapy (CBT) and ...
Source: Journal of Eating Disorders - October 18, 2021 Category: Eating Disorders & Weight Management Source Type: research

Validation of the Arabic version of the Dusseldorf Orthorexia Scale (DOS) among Lebanese adolescents
ConclusionThe Arabic version of the DOS seems to be a structurally valid and internally consistent questionnaire measuring orthorexic eating behavior in a sample of Lebanese adolescents. This tool may be useful for psychologists, psychiatrists, dietitians and other clinicians in the assessment and the treatment of the multidimensional nature of ON. (Source: Journal of Eating Disorders)
Source: Journal of Eating Disorders - October 16, 2021 Category: Eating Disorders & Weight Management Source Type: research

Efficacy of post-inpatient aftercare treatments for anorexia nervosa: a systematic review of randomized controlled trials
ConclusionOnly a limited number of RCTs investigating aftercare interventions for patients with AN is available. There is no clear evidence favoring any one specific approach for post-inpatient aftercare in adult patients with AN. The field faces many challenges which generally affect intervention research in AN. A specific issue is how to increase uptake of and reduce dropout from aftercare interventions. This calls for better tailoring of interventions to patient needs and the integration of patient perspectives into treatment. Intensified research and care efforts are needed to address the problem of recurrent relapse a...
Source: Journal of Eating Disorders - October 15, 2021 Category: Eating Disorders & Weight Management Source Type: research

Externalizing your eating disorder: a qualitative interview study
ConclusionsFirst, there is considerable variation in the perceived relation between AN and identity. Second, an externalizing approach within treatment may lead to so called epistemic injustice. Awareness of these two facts is of importance for clinicians and the therapeutic relationship because that will help them to refrain from actions that can be perceived as epistemic injustice. (Source: Journal of Eating Disorders)
Source: Journal of Eating Disorders - October 15, 2021 Category: Eating Disorders & Weight Management Source Type: research

Supported online cognitive behavioural therapy for bulimia nervosa: a study protocol of a randomised controlled trial
This study will provide rigorous evidence on how to diversify treatment options for individuals with BN, ensuring more people with the illness can access evidence-based treatment.The study has been registered with the Australia New Zealand Clinical Trials Registry (ANZCTR Registration Number: ACTRN12619000123145p). Registered 22 January 2019,https://www.australianclinicaltrials.gov.au/anzctr/trial/ACTRN12619000123145. (Source: Journal of Eating Disorders)
Source: Journal of Eating Disorders - October 14, 2021 Category: Eating Disorders & Weight Management Source Type: research

Qualitative patient experiences from the Self-Blame and Perspective-Taking Intervention for eating disorders
ConclusionsAs a whole, patients valued the combination of psychosocial education with group experientials focused on social behavior. Positive feedback from the SBPI suggests that adjunctive treatments that target mental-wellness constructs indirectly related to ED pathology may be helpful by allowing patients to see themselves as separable from the illness.Trial registration ClinicalTrials.gov, NCT0487758. Registered 7 May 2021 —Retrospectively registered.https://clinicaltrials.gov/ct2/show/NCT04877158. (Source: Journal of Eating Disorders)
Source: Journal of Eating Disorders - October 14, 2021 Category: Eating Disorders & Weight Management Source Type: research

Managing the premenstrual body: a body mapping study of women ’s negotiation of premenstrual food cravings and exercise
ConclusionsThese findings emphasise the need to acknowledge changes in body management across the menstrual cycle, with implications for women ’s mental health and feelings about the self. Internalisation of pressures placed on women to manage their bodies through restrictive eating behaviours and rigorous exercise plays a role in women’s premenstrual body dissatisfaction and distress.Plain English summaryThe current study aimed to explore how women who feel negatively about their premenstrual bodies construct and experience premenstrual changes to eating and exercise practices. Outside of the premenstrual phas...
Source: Journal of Eating Disorders - October 9, 2021 Category: Eating Disorders & Weight Management Source Type: research

Exploring carer burden amongst those caring for a child or adolescent with an eating disorder during COVID-19
ConclusionThe COVID-19 pandemic poses a specific threat to the mental health of youth with EDs and their carers. Given the salient role families play in caring for youth with an ED, attending to carer burden is imperative. Supporting carers through all phases of their child ’s ED journey by offering adaptive and flexible supportive services which accommodate time constraints, geographic barriers and possible COVID-19 spread is essential. (Source: Journal of Eating Disorders)
Source: Journal of Eating Disorders - October 3, 2021 Category: Eating Disorders & Weight Management Source Type: research

Activity-based anorexia animal model: a review of the main neurobiological findings
ConclusionsThese findings are not sufficient to solve such a major enigma in neuroscience, still they could be used to design ad hoc further experimental investigation. The prospect is that, since treatment of AN is still challenging, the ABA model could be more effectively used to shed light on the complex AN neurobiological framework, thus supporting the future development of therapeutic strategies but also the identification of biomarkers and diagnostic tools.Plain English summaryAnorexia Nervosa (AN) is a severe eating disorder with a dramatic effect on many functions of our brain, such as attention, emotions, cognitio...
Source: Journal of Eating Disorders - October 2, 2021 Category: Eating Disorders & Weight Management Source Type: research

Emotional reactivity to binge food and erotic cues in women with bulimia nervosa symptoms
ConclusionsThe results highlight the negative emotional reactivity of individuals with elevated bulimic symptoms toward food cues, which could be related to the risk of progression to full bulimia nervosa and thereby addressed in prevention efforts. Results also point to the potential role of reactivity to erotic content, at least on a subjective level. Theoretical models of eating disorders should widen their conceptual scope to consider reactivity to a broader spectrum of primary reinforcers, which would have implications for cue exposure-based treatments.Plain English summaryWe examined appetitive and aversive cue respo...
Source: Journal of Eating Disorders - September 28, 2021 Category: Eating Disorders & Weight Management Source Type: research

A cross-sectional examination of the simultaneous association of four emotion regulation strategies with abnormal eating behaviours among women in Japan
ConclusionThese results suggest that brooding is related to the symptom levels of both eating disorders among women, whereas, the other ERSs are related to those of bulimic symptoms only. However, further research is required to clarify the causal relations between AEB and ERSs. (Source: Journal of Eating Disorders)
Source: Journal of Eating Disorders - September 28, 2021 Category: Eating Disorders & Weight Management Source Type: research

The implementation of large-scale health system reform in identification, access and treatment of eating disorders in Australia
ConclusionsIn the first five years of implementation there has been positive effects of the policy change and reform on all three service targets —emergency departments presentations, hospital admissions and community occasions of service as well as client hours. This paper describes the strategic process of policy and practice change, utilising well documented service design and change strategies and principles with relevance for strategic change within health systems in general. (Source: Journal of Eating Disorders)
Source: Journal of Eating Disorders - September 28, 2021 Category: Eating Disorders & Weight Management Source Type: research

Inpatients experiences about the impact of traumatic stress on eating behaviors: an exploratory focus group study
ConclusionTraumatic stress can impact eating behavior in several complex ways that over time may cause adverse health consequences. The results add to an important understanding of changes in eating behavior that might appear in people struggling to cope with the after effects of traumatic life experiences to the existing literature. To better understand the complexity of how traumatic experiences may impact eating behavior, this knowledge is important and useful for health professionals offering support to those who experience struggling with eating behavior after traumatic experiences. (Source: Journal of Eating Disorders)
Source: Journal of Eating Disorders - September 26, 2021 Category: Eating Disorders & Weight Management Source Type: research

Relationship between eating disorders and internalized problems in chilean adolescents
ConclusionsThere is a need to establish strategies in the school setting for detecting frequent symptomatology in adolescents with INTP and ED to achieve a timely and accessible intervention.Plain English SummarySince the symptomatology of ED is more prevalent in adolescents, this research evaluated relationships between ED and INTP in young people from Northern Chile. This research is relevant because the evidence on this topic in Chile is scarce and the relationships found could be the first research on the subject and serve to design an intervention plan at the school level in the medium and long terms. It is a non-expe...
Source: Journal of Eating Disorders - September 26, 2021 Category: Eating Disorders & Weight Management Source Type: research

Perceived weight gain and eating disorder symptoms among LGBTQ+  adults during the COVID-19 pandemic: a convergent mixed-method study
ConclusionsClinicians of diverse specialties should screen for eating disorder symptoms and actively engage patients in conversations about their COVID-19-related weight gain and eating behaviors, particularly with LGBTQ+  -identifying adults. (Source: Journal of Eating Disorders)
Source: Journal of Eating Disorders - September 16, 2021 Category: Eating Disorders & Weight Management Source Type: research

Translation of the Chinese version of the modified Yale Food Addiction Scale 2.0 and its validation among college students
ConclusionThe results indicate that the Chinese version of the mYFAS 2.0 has good reliability and validity, and that it can be considered a tool to evaluate the addictive eating behaviours of undergraduate students. (Source: Journal of Eating Disorders)
Source: Journal of Eating Disorders - September 16, 2021 Category: Eating Disorders & Weight Management Source Type: research

Pica behaviors in schizophrenia: a call for further research
AbstractPica as a scavenging behavior represents a serious health hazard to the care of patients with schizophrenia. Despite the rare comorbidity of pica eating disorder and schizophrenia, pica behaviors are relatively common in this group of patients (1.5% vs. 14.3%). The risk of multiple clinical problems such as electrolyte disturbances, intestinal obstruction, and heavy metal poisoning has made pica behaviors an important research topic in patients with schizophrenia. However, few studies have examined the etiology, mechanisms, and treatment of pica behaviors in schizophrenia. This letter is a call for further research...
Source: Journal of Eating Disorders - September 16, 2021 Category: Eating Disorders & Weight Management Source Type: research

Gender differences in symptom presentation and treatment outcome in children and youths with eating disorders
ConclusionsGender differences in eating pathology appeared at baseline, with trans youths reporting higher levels of eating pathology than cisgender youths, though no differences between cisgender males and females emerged at baseline for eating disorder symptom presentation. Contrary to expectations, there were no gender differences in measures of muscularity concerns. Males demonstrated greater eating disorder symptom improvements than females, suggesting that male adolescents may have better treatment outcomes than females in some domains. (Source: Journal of Eating Disorders)
Source: Journal of Eating Disorders - September 15, 2021 Category: Eating Disorders & Weight Management Source Type: research

The effect of group cognitive behavior therapy on Chinese patients with anorexia nervosa: an open label trial
ConclusionPreliminary findings from this open label trial suggest that G-CBT adapted from CBT-E is feasible in an outpatient setting and as effective as IOT in facilitating weight regain and reducing psychopathology in Chinese AN patients with little evidence for the superiority of either intervention.Trial registration: The current study was registered at clinical trials.gov on September 23, 2018 (registration number NCT03684239).Plain English summaryPeople with anorexia nervosa (AN) are known to be unmotivated for treatment and prone to relapse. Recovery from AN often needs intensive, long-term treatment from a specializ...
Source: Journal of Eating Disorders - September 15, 2021 Category: Eating Disorders & Weight Management Source Type: research

Early weight gain trajectories in first episode anorexia: predictors of outcome for emerging adults in outpatient treatment
ConclusionFirst episode cases of AN treated via FREED fit into four distinct early response trajectory classes. These may represent subtypes of first episode AN patients. Three of these four trajectories included patients with substantial improvements 1  year later. For those in the non-response trajectory class, treatment adjustments or augmentations could be considered earlier, i.e., at treatment session 12. (Source: Journal of Eating Disorders)
Source: Journal of Eating Disorders - September 14, 2021 Category: Eating Disorders & Weight Management Source Type: research

Temperament-based treatment for young adults with eating disorders: acceptability and initial efficacy of an intensive, multi-family, parent-involved treatment
ConclusionsYA-TBT-S is a feasible and acceptable adjunctive treatment for young adults with a broad range of ED diagnoses and may be a method for  involving parents in ED treatment in ways that are acceptable to both parents and YA. Further evaluation of efficacy is needed in larger samples, and to compare YA-TBT-S to other ED treatment approaches.Plain English summary Eating disorders are costly and dangerous psychiatric disorders that affect millions of individuals each year. Despite their risks and societal costs, currently available treatments are limited. This study examined the acceptability and efficacy of...
Source: Journal of Eating Disorders - September 8, 2021 Category: Eating Disorders & Weight Management Source Type: research

Yoga as adjunctive therapy in the treatment of people with anorexia nervosa: a Delphi study
ConclusionsIt is possible that yoga could be considered for inclusion in future guidelines if supported by empirical research. We conclude that there seems to be enough consensus that such further scientific investigation is warranted.Plain English summaryThis study aimed to explore expert opinion on the use of yoga as an adjunctive therapy in the management of anxiety, depression and over-exercise in individuals with Anorexia Nervosa (AN). Clinicians considered experts in the treatment of AN recruited internationally to form the panel (n = 18). Experts were asked about their understanding of the term yoga an...
Source: Journal of Eating Disorders - September 8, 2021 Category: Eating Disorders & Weight Management Source Type: research

Identification of high risk and early stage eating disorders: first validation of a digital screening tool
Conclusions and relevanceThe present study provides excellent initial support for the psychometric validity of the InsideOut Institute digital screening tool, which has the potential to streamline early intervention in the hopes of reducing current high morbidity and mortality. Further validation should be undertaken in known clinical populations.Plain English SummaryEating disorders are amongst the deadliest of all mental disorders, however detection and early intervention rates remain extremely low. The present study describes the initial psychometric validation of a novel digital screening tool (the InsideOut Institute ...
Source: Journal of Eating Disorders - September 6, 2021 Category: Eating Disorders & Weight Management Source Type: research

Structural brain differences in recovering and weight-recovered adult outpatient women with anorexia nervosa
ConclusionsMany regional structural differences were observed in the pwAN cohort with minimal differences in the wrAN cohort. These data support a treatment focus on achieving and sustaining full weight restoration to mitigate possible neurobiological sequela of AN. In addition, the regions showing cortical thinning are similar to structural changes reported elsewhere for suicide attempts, anxiety disorders, and autistic spectrum disorder. Understanding how brain structure and function are related to clinical symptoms expressed during the course of recovering from AN is needed. (Source: Journal of Eating Disorders)
Source: Journal of Eating Disorders - September 3, 2021 Category: Eating Disorders & Weight Management Source Type: research

Compulsive exercise and mental health challenges in fitness instructors; presence and interactions
ConclusionAbout one out of eleven instructors were above clinical CET cut-off, revealing symptoms of compulsive exercise. EDE-Q significantly contributed in a model explaining 43% of the variation of compulsive exercise. (Source: Journal of Eating Disorders)
Source: Journal of Eating Disorders - September 2, 2021 Category: Eating Disorders & Weight Management Source Type: research

Amateur ballet practicing, body image and eating behaviors: a comparative study of classical ballet dancers, gym users and sedentary women
ConclusionsData suggest that amateur classical ballet practicing is associated to better BI and fewer behaviors for ED in the studied population. The lower BMI in ballet dancers might explain these findings, and further studies should explore these associations. (Source: Journal of Eating Disorders)
Source: Journal of Eating Disorders - August 28, 2021 Category: Eating Disorders & Weight Management Source Type: research

The impact of COVID-19 on eating disorder referrals and admissions in Waikato, New Zealand
AbstractBackgroundSeveral countries have reported increased demand for eating disorder services during the COVID-19 pandemic, particularly for adolescents. Within New Zealand, anecdotal and media reports suggest similar changes but are limited in scope and detail. We assessed eating disorder service demand in the Waikato district in relation to the COVID-19 pandemic.MethodsWe retrospectively analysed records of eating disorder admissions and referrals for both children (
Source: Journal of Eating Disorders - August 28, 2021 Category: Eating Disorders & Weight Management Source Type: research

Challenging rigidity in Anorexia (treatment, training and supervision): questioning manual adherence in the face of complexity
ConclusionThe paper concludes with implications and considerations for future research, clinical guidelines, training and supervision, highlighting the need to consider the therapeutic relationship and processes alongside manual content to conduct best evidence-informed practice. (Source: Journal of Eating Disorders)
Source: Journal of Eating Disorders - August 21, 2021 Category: Eating Disorders & Weight Management Source Type: research

How and why does the disease progress? A qualitative investigation of the transition into long-standing anorexia nervosa
ConclusionsTogether with identifying key themes, the study provides insight into some possible reasons why current treatment models are failing to promote recovery. Future research examining the effectiveness of treatment that targets underlying causes and maintaining factors of the illness are suggested. Additional education for health professionals is also recommended in order to reduce the trauma that is currently being experienced by some patients with a long-standing illness. (Source: Journal of Eating Disorders)
Source: Journal of Eating Disorders - August 17, 2021 Category: Eating Disorders & Weight Management Source Type: research

Lived experience perspectives on labeling and defining long-standing anorexia nervosa
ConclusionsThe current study describes how individuals with a lived experience prefer to have the long-standing AN presentation labeled and defined. It is the hope of the authors that these insights will be adopted into any guidelines developed to ensure individuals most affected by this disorder have a voice and continue to be given the opportunity to contribute to topics related to their illness.Plain English summaryAnorexia nervosa (AN) is a complex illness that has been divided into stages based on the severity of symptoms. Little is known about the AN stage that persists over lengthy periods of time with research purs...
Source: Journal of Eating Disorders - August 14, 2021 Category: Eating Disorders & Weight Management Source Type: research

The association of obesity with eating disorders risk: online survey of a large cohort of Russian-speaking individuals seeking medical weight correction assistance
AbstractBackgroundEating Disorders pose a serious health risk to individuals. Often, eating disorder symptoms are overlooked when assessing obesity risk. The current cross-sectional study was focused on the search of association between disordered eating behaviors evaluated by Eating Attitudes Test 26 (EAT-26) and obesity in a large cohort of Russian-speaking adults seeking online assistance with medical weight correction.MethodsThe web-based cross-sectional study evaluated the data of online Eating Attitudes Test 26 (EAT-26) completed by 13,341 registered adult visitors of weight loss clinic website. The EAT-26 provides a...
Source: Journal of Eating Disorders - August 14, 2021 Category: Eating Disorders & Weight Management Source Type: research

The relation of orthorexia with lifestyle habits: Arabic versions of the Eating Habits Questionnaire and the Dusseldorf Orthorexia Scale
ConclusionOur results emphasize the idea that further attention should be paid to the multidimensional structure of orthorexia, as OrNe and HeOr present an opposite pattern of associations with healthy behaviors. An OrNe etiopathogenesis common to eating disorders can explain these differences. (Source: Journal of Eating Disorders)
Source: Journal of Eating Disorders - August 14, 2021 Category: Eating Disorders & Weight Management Source Type: research

Adaptation to family-based treatment for Medicaid-insured youth with anorexia nervosa in publicly-funded settings: Protocol for a mixed methods implementation scale-out pilot study
DiscussionLearning about clinician adaptations will advance knowledge about treatment of eating disorders in publicly-funded community clinics, which serve a racially/ethnically and socioeconomically diverse group of youth. This project is designed to accelerate FBT implementation in publicly-funded mental health systems, and inform service improvements for underserved youth with eating disorders. (Source: Journal of Eating Disorders)
Source: Journal of Eating Disorders - August 13, 2021 Category: Eating Disorders & Weight Management Source Type: research

A mixed methods exploratory evaluation of burnout in frontline staff implementing dialectical behavior therapy on a pediatric eating disorders unit
ConclusionQualitative data indicate that staff believe that DBT may hold promise in reducing burnout for pediatric frontline staff who treat children and adolescents with eating disorders. Further study is needed.Plain English summaryUnderstanding burnout is particularly important for nursing staff in inpatient and day hospital settings for eating disorders, as nursing staff generally have the most frequent patient contact; thought to be a risk factor for burnout. The reduction of burnout can prevent detrimental effects on job performance, personal well-being, and patient outcomes. Our exploratory study shows that frontlin...
Source: Journal of Eating Disorders - August 13, 2021 Category: Eating Disorders & Weight Management Source Type: research

Formulation in eating disorder focused family therapy: why, when and how?
This article outlines the use of formulation in family therapy for child and adolescent eating disorders, provides guidance on how to actively include formulation more throughout treatment and discusses why this might be useful. (Source: Journal of Eating Disorders)
Source: Journal of Eating Disorders - August 10, 2021 Category: Eating Disorders & Weight Management Source Type: research

Childhood onset exercise addiction or atypical anorexia nervosa during Covid-19: case report
ConclusionAccepting that AN may present atypically in pre-pubertal youth, it is important that clinicians maintain an open mind in youth presenting without goal directed weight loss. Although weight loss was significant in this case, it was due to an excessive exercise regime. This may have commenced as a coping strategy in response to Covid-19 restrictions but subsequently became excessive and impairing in nature. The collateral damage of Covid-19 mandated restrictions, aimed at containing the spread of the virus, are evident in this case. Clinicians need to be alert to potentially maladaptive coping strategies and unusua...
Source: Journal of Eating Disorders - August 9, 2021 Category: Eating Disorders & Weight Management Source Type: research

Hypokalemia in patients with anorexia nervosa during refeeding is associated with binge –purge behavior, lower body mass index, and hypoalbuminemia
ConclusionsLower body mass index, hypoalbuminemia, and binge –purge behavior might be used as indicators to guide clinical approaches for controlling serum potassium levels in patients with anorexia nervosa during refeeding.Plain English summaryHypokalemia, low levels of serum potassium, in patients with anorexia nervosa sometimes leads to life-threatening conditions. Thus, it is of great importance to predict the risk of hypokalemia in patients with anorexia nervosa during the refeeding period. Our study found that hypokalemia in patients with anorexia nervosa during refeeding is associated with a lower body mass in...
Source: Journal of Eating Disorders - August 6, 2021 Category: Eating Disorders & Weight Management Source Type: research

Anxiety, stress, and binge eating tendencies in adolescence: a prospective approach
AbstractBackgroundRecent years have witnessed an increasing prevalence of binge eating tendencies in adolescence —warranting a clearer understanding of their underlying predisposing and precipitating factors. The current study investigated whether the interaction between high levels of anxiety and stress predicted increased levels of binge eating tendencies in a prospective cohort of adolescents (N = 324).MethodsMeasurements were taken over three waves (M ages: 13.33, 14.48, 15.65) as part of the CogBIAS Longitudinal Study. Longitudinal associations between levels of anxiety and stress with binge eating...
Source: Journal of Eating Disorders - August 3, 2021 Category: Eating Disorders & Weight Management Source Type: research

Beyond difficulties in self-regulation: the role of identity integration and personality functioning in young  women with disordered eating behaviours
ConclusionBehavioural eating anomalies should be considered as epiphenomena secondary to a possible deeper issue that reflects difficulties related to identity integration and potential personality functioning. The clinical implications of these findings are discussed. (Source: Journal of Eating Disorders)
Source: Journal of Eating Disorders - July 31, 2021 Category: Eating Disorders & Weight Management Source Type: research

Parental experiences with their child ’s eating disorder treatment journey
ConclusionsSeveral barriers were identified by parents that interfered with treatment, including system-related challenges when accessing specialized eating disorder treatment, concerns about a lack of appropriate mental health support for their child, and difficulties with transitioning between community and tertiary level care. Negative emotions, including guilt and self-blame, were common early in the treatment journey. Themes of parental involvement throughout treatment, and parents taking charge of their child ’s recovery, emerged across interviews. The results of this study suggest the importance of early ident...
Source: Journal of Eating Disorders - July 27, 2021 Category: Eating Disorders & Weight Management Source Type: research

Life is different now – impacts of eating disorders on Carers in New Zealand: a qualitative study
ConclusionsThis research highlighted challenging and often exhausting impacts felt by carers due to their pivotal role in eating disorder treatment. Inadequate support for most carers in this sample has clear implications for families as well as service and funding providers. Further research should more fully investigate carer experience with different eating disorders to explore the type of support necessary to build capacity and resilience to reduce carer burden. (Source: Journal of Eating Disorders)
Source: Journal of Eating Disorders - July 23, 2021 Category: Eating Disorders & Weight Management Source Type: research

A systematic review of enteral feeding by nasogastric tube in young people with eating disorders
ConclusionsNG feeding is a safe and efficacious method of increasing total calorie intake by either supplementing oral intake or continuously. There are currently no direct comparisons between continuous, nocturnal or bolus regimes, which may be used to direct future treatment for YP with ED. (Source: Journal of Eating Disorders)
Source: Journal of Eating Disorders - July 22, 2021 Category: Eating Disorders & Weight Management Source Type: research

Chew and spit (CHSP) in bariatric patients: a case series
ConclusionsThe current study provides a starting point for the exploration of chew and spit as a pathological symptom of disordered eating in bariatric patients. It highlights the need to further explore chew and spit before and after weight-loss surgery. (Source: Journal of Eating Disorders)
Source: Journal of Eating Disorders - July 21, 2021 Category: Eating Disorders & Weight Management Source Type: research

Prevalence and demographic, substance use, and mental health correlates of fasting among U.S. college students
ConclusionsThe results from this study underscore both the high and increasing prevalence of fasting among a national sample of college students, as well as the substance use and mental health symptoms associated with this behavior. Healthcare professionals both on and off campus should consider screening for fasting behaviors among college students and provide appropriate intervention when needed. (Source: Journal of Eating Disorders)
Source: Journal of Eating Disorders - July 21, 2021 Category: Eating Disorders & Weight Management Source Type: research

Community norms of the Muscle Dysmorphic Disorder Inventory (MDDI) among gender minority populations
ConclusionsTransgender men reported higher Drive for Size, Functional Impairment, and Total MDDI scores compared to gender-expansive people and transgender women. These norms provide insights into the experience of MD symptoms among gender minorities and can aid researchers and clinicians in the interpretation of MDDI scores among gender minority populations. (Source: Journal of Eating Disorders)
Source: Journal of Eating Disorders - July 14, 2021 Category: Eating Disorders & Weight Management Source Type: research

Review of eating disorders and oxytocin receptor polymorphisms
ConclusionsIndividual OXTR SNP are unlikely in themselves to explain complex eating disorders but may affect the expression of and/or effectiveness of the OXTR. A growing body of G x E work is indicating that rs53576G homozygosity becomes disadvantageous for later mental health under early adverse conditions but further research to extend these findings to eating pathology is needed. The GWAS approach would benefit this area of knowledge. (Source: Journal of Eating Disorders)
Source: Journal of Eating Disorders - July 13, 2021 Category: Eating Disorders & Weight Management Source Type: research