The importance of terminology, lived experience inclusion and scientific discussion regarding end-of-life care in anorexia nervosa: a response to Gaudiani et al.
AbstractWhether or not to define ‘terminal anorexia nervosa’ has been a hotly debated topic in the eating disorders field recently. Being able to have open scientific debate on important topics such as this is essential for the progress of our field—but needs to be undertaken respectfully, allowing all perspectives to be hear d. My personal perspective on this topic comes from being a researcher who sees individuals with anorexia nervosa (AN) across all stages of illness and recovery, as well as having had a loved one die from AN. Although I disagree with the terminology of ‘terminal AN’ and believe that establis...
Source: Journal of Eating Disorders - August 25, 2023 Category: Eating Disorders & Weight Management Source Type: research

Cross-cultural adaptation and psychometric properties of the Italian version of the Orthorexia Nervosa Inventory (ONI)
ConclusionsOverall, the present study provides evidence for the satisfactory psychometric properties of the ONI  in the Italian context, endorsing its use in both clinical and research settings. (Source: Journal of Eating Disorders)
Source: Journal of Eating Disorders - August 24, 2023 Category: Eating Disorders & Weight Management Source Type: research

Psychometric properties of an Arabic translation of the Nine Item Avoidant/Restrictive Food Intake Disorder Screen (NIAS) in a community sample of adults
ConclusionFindings provided evidence that the Arabic NIAS is a short, valid and reliable self-report measure to screen for ARFID symptoms. In light of these findings, we recommend its use for clinical and research purposes among Arabic-speaking adults. (Source: Journal of Eating Disorders)
Source: Journal of Eating Disorders - August 23, 2023 Category: Eating Disorders & Weight Management Source Type: research

Functions of disordered eating behaviors: a qualitative analysis of the lived experience and clinician perspectives
ConclusionsDifferences in participant responses, particularly regarding the relevance of alleviating shape and weight concerns as an DE behavior function, highlight the importance of individualized conceptualizations of DE behavior functions for any given client. (Source: Journal of Eating Disorders)
Source: Journal of Eating Disorders - August 21, 2023 Category: Eating Disorders & Weight Management Source Type: research

Investigation of brain iron in anorexia nervosa, a quantitative susceptibility mapping study
ConclusionsThis study did not find evidence of altered brain iron in AN compared to healthy individuals. However, the correlations between clinical variables and QSM suggest a link between brain iron and weight status or biological processes in AN, which warrants further investigation. (Source: Journal of Eating Disorders)
Source: Journal of Eating Disorders - August 21, 2023 Category: Eating Disorders & Weight Management Source Type: research

Neural effects of deep brain stimulation on reward and loss anticipation and food viewing in anorexia nervosa: a pilot study
ConclusionThe results showed a difference in the response of reward-related brain areas post-DBS. This supports the hypotheses that the reward circuitry is involved in the pathogenesis of AN and that DBS affects responsivity of reward-related brain areas.Trial registration Registered in the Netherlands Trial Register (https://www.trialregister.nl/trial/3322): NL3322 (NTR3469). (Source: Journal of Eating Disorders)
Source: Journal of Eating Disorders - August 21, 2023 Category: Eating Disorders & Weight Management Source Type: research

Racial discrimination is associated with binge-eating disorder in early adolescents: a cross-sectional analysis
ConclusionsChildren and adolescents who have experienced racial/ethnic discrimination, particularly when discrimination was perpetuated by other students, have higher odds of having binge-eating behaviors and diagnoses. Clinicians may consider screening for racial discrimination and providing anti-racist, trauma-informed care when evaluating and treating patients for BED. (Source: Journal of Eating Disorders)
Source: Journal of Eating Disorders - August 17, 2023 Category: Eating Disorders & Weight Management Source Type: research

The development of co-designed parent-supported cognitive behaviour therapy for perfectionism in adolescents with eating disorders: initial feasibility and acceptability
ConclusionsParent-supported CBT-P-ED appears to be feasible. Future research is now required in a randomised controlled trial. (Source: Journal of Eating Disorders)
Source: Journal of Eating Disorders - August 17, 2023 Category: Eating Disorders & Weight Management Source Type: research

Hospitalization patterns for adolescents with eating disorders during COVID-19
ConclusionIn addition to clinical factors, we found that admission during COVID-19, boarding, and public insurance were associated with increased LOS among patients with EDs. There is a need for greater availability of ED treatment centers to care for patients with EDs after medical stabilization. (Source: Journal of Eating Disorders)
Source: Journal of Eating Disorders - August 16, 2023 Category: Eating Disorders & Weight Management Source Type: research

Economic costs for outpatient treatment of eating disorders in Japan
ConclusionsThis study clarifies the economic costs of treating outpatients with eating disorders in Japan. The medical reimbursement points per interview minute were lower in Psychosomatic Medicine departments than in Psychiatry departments, while there were no apparent differences in the treatment outcomes. Addressing this issue is necessary to provide an adequate healthcare system for patients with eating disorders in Japan. (Source: Journal of Eating Disorders)
Source: Journal of Eating Disorders - August 14, 2023 Category: Eating Disorders & Weight Management Source Type: research

Home treatment as an add-on to family-based treatment for adolescents with anorexia nervosa compared with standard family-based treatment and home-based stress reduction training: study protocol for a randomized clinical trial
This study is registered at ClinicalTrials.gov (NCT05418075). (Source: Journal of Eating Disorders)
Source: Journal of Eating Disorders - August 14, 2023 Category: Eating Disorders & Weight Management Source Type: research

Exploring tailored virtual emotion regulation approaches for individuals with emotional eating
ConclusionsFuture studies should identify tailored online exercises in emotion regulation skills in more detail and explore the contexts in which they are most effective in a personalized virtual coach virtual coach to be developed for individuals with emotional eating. Given the high dropout rate, more emphasis should be given to a proper presentation of the exercises, as well as more explanation of their usefulness and how to perform them. (Source: Journal of Eating Disorders)
Source: Journal of Eating Disorders - August 12, 2023 Category: Eating Disorders & Weight Management Source Type: research

Experiences of a  virtual day program for adolescents with eating disorders: a qualitative analysis of benefits and barriers
ConclusionThis qualitative study suggests that there are many barriers to effective implementation of virtual day programs. However, the virtual DTP program offers increased accessibility to patients during a period of a health pandemic and to patients in rural/remote areas with limited treatment options. Suggestions provided by participants in this study, such as increased family involvement, frequency of in person check-ins and increased number of meals supported by the program, may help to improve outcomes in virtual day treatment programs. (Source: Journal of Eating Disorders)
Source: Journal of Eating Disorders - August 10, 2023 Category: Eating Disorders & Weight Management Source Type: research

Opportunities to advance research, intervention, and policy on stigma, eating disorders, and body image
(Source: Journal of Eating Disorders)
Source: Journal of Eating Disorders - August 8, 2023 Category: Eating Disorders & Weight Management Source Type: research

The relationship between exercise addiction, eating disorders, and insecure attachment styles among recreational exercisers
ConclusionsThese results imply that the anxious attachment regulation strategy is highly associated with body image concerns. Furthermore, individuals characterized by avoidance attachment manifest regulation strategies through excessive exercise. Scholars and practitioners could use these results to examine dispositional risk factors for insecure attachment styles and to assess specific pathologies among the population of recreational exercisers. The study also discusses limitations, future directions, and implications in detail. (Source: Journal of Eating Disorders)
Source: Journal of Eating Disorders - August 7, 2023 Category: Eating Disorders & Weight Management Source Type: research