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Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity最新文献

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Pre-operative body shape concerns moderate excess weight loss trajectory in bariatric surgery patients: a 2-year longitudinal study 减肥手术患者术前体形与适度超重的关系:一项为期两年的纵向研究
IF 2.9 3区 医学 Q1 Psychology Pub Date : 2024-04-24 DOI: 10.1007/s40519-024-01660-w
Oriana Moro, Umberto Albert, Elide Francesca De Caro, Silvia Palmisano, Manuela Mastronardi, Lisa Di Blas

Purpose

The main research aim was to inspect whether pre-operative body shape concerns and discomfort as Body Shape Questionnaire (BSQ) scores moderate post-operative weight loss trajectory in bariatric patients.

Methods

Two studies were conducted. Study 1 analyzed cross-sectional data and verified the structural validity of the 34-item BSQ questionnaire on a sample of 327 candidates for bariatric surgery. Study 2 examined longitudinal data, with objective Body Mass Index (BMI) recorded every 6 months, from surgery intervention on, with 5 measurement occasions, from 111 patients who initially completed BSQ as bariatric surgery candidates and then underwent periodic medical post-operative follow-ups, over 2 years.

Results

In Study 1, confirmatory factor analysis of a single-dimension model yielded acceptable fit indices and high internal consistency levels. Study 2 showed that post-operative excess BMI reduction trend was not linear and pre-operative BSQ scores moderated it, with a higher risk of weight regain in patients who initially were less concerned with their body shape.

Conclusions

The present findings support the structural validity of the BSQ questionnaire in bariatric candidates and call attention on the role of pre-operative body shape concerns on post-operative weight loss trajectories over 2 years, in accordance with a pathoplasty model. They suggest the need for systematic attention on perceived body image and psychological paths aimed to help bariatric patients regain positive attitudes towards their own body.

Level of evidence III, well-designed cohort

目的 研究的主要目的是了解减肥患者术前对体形的担忧和不适感是否会影响术后体重下降的轨迹。研究 1 分析了横断面数据,并在 327 个减肥手术候选人样本中验证了 34 项 BSQ 问卷的结构有效性。研究 2 检验了纵向数据,从手术干预开始,每 6 个月记录一次客观身体质量指数(BMI),共 5 次测量,这些数据来自 111 名最初填写 BSQ 的减肥手术候选患者,他们在 2 年内接受了定期的术后医疗随访。结果在研究 1 中,单维度模型的确认性因子分析得出了可接受的拟合指数和较高的内部一致性水平。研究 2 显示,术后超重体重指数的下降趋势不是线性的,而术前 BSQ 评分对其有调节作用,最初对体形不那么在意的患者体重反弹的风险较高。结论本研究结果支持 BSQ 问卷在减肥患者中的结构有效性,并呼吁根据病理整形模型,关注术前对体形的关注对术后 2 年体重减轻轨迹的作用。这些研究表明,有必要系统地关注身体形象感知和心理路径,以帮助减肥患者重新获得对自己身体的积极态度。
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引用次数: 0
The use and misuse of the SCOFF screening measure over two decades: a systematic literature review 二十年来 SCOFF 筛查措施的使用和滥用:系统文献综述
IF 2.9 3区 医学 Q1 Psychology Pub Date : 2024-04-23 DOI: 10.1007/s40519-024-01656-6
Amy Coop, Amelia Clark, John Morgan, Fiona Reid, J. Hubert Lacey

Purpose

The SCOFF questionnaire was designed as a simple, memorable screening tool to raise suspicion that a person might have an eating disorder. It is over 20 years since the creation of the SCOFF, during which time it has been widely used. Considering this, we wish to review the use of the SCOFF in peer-reviewed scientific journals, and to assess whether it is being used appropriately in the manner in which it was originally devised and tested.

Methods

The Preferred Reporting Items for a Systematic Review and Meta-analysis (PRISMA) guidelines were followed, and all search strategies and methods were determined before the onset of the study. PubMed and Wiley Online Library were searched using the terms SCOFF and eating. Two reviewers were involved in the reviewing process. Criteria for appropriate use of the SCOFF were formalised with the tool’s original authors.

Results

180 articles were included in the final review. 48 articles had used the SCOFF appropriately, 117 articles inappropriately and 15 articles had been mixed in the appropriateness of their use.

Conclusion

This systematic review highlights the inappropriate use of the SCOFF in diverse languages and settings. When used correctly the SCOFF has made a significant contribution to the understanding of eating disorders and its simplicity has been applauded and led to widespread use. However in over two-thirds of studies, the use of the SCOFF was inappropriate and the paper highlights how and in what way it was misused, Guidelines for the appropriate use of the SCOFF are stated. Future validation and avenues of research are suggested.

Level of evidence

Level I.

目的 SCOFF 问卷是作为一种简单、易记的筛查工具而设计的,用于怀疑某人可能患有饮食失调症。自 SCOFF 问卷问世以来,已有 20 多年的时间,在此期间,它一直被广泛使用。有鉴于此,我们希望对同行评议科学期刊中 "饮食失调筛查工具 "的使用情况进行回顾,并评估该工具是否按照其最初设计和测试的方式得到了恰当的使用。研究方法遵循 "系统综述和元分析的首选报告项目"(PRISMA)指南,并在研究开始前确定了所有的检索策略和方法。使用 SCOFF 和饮食这两个词对 PubMed 和 Wiley 在线图书馆进行了检索。两名审稿人参与了审稿过程。与该工具的原作者一起正式确定了适当使用 SCOFF 的标准。48 篇文章恰当地使用了 SCOFF,117 篇文章使用不当,15 篇文章使用的恰当性参差不齐。在正确使用的情况下,SCOFF 对了解进食障碍做出了重大贡献,其简易性受到了好评,并得到了广泛使用。然而,在超过三分之二的研究中,SCOFF 的使用是不恰当的,本文重点介绍了 SCOFF 如何以及以何种方式被滥用,并提出了适当使用 SCOFF 的指导原则。提出了未来的验证和研究途径。
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引用次数: 0
Downloading appetite? Investigating the role of parasocial relationship with favorite social media food influencer in followers’ disordered eating behaviors 下载食欲?研究与最喜爱的社交媒体美食影响者之间的寄生社会关系在粉丝饮食失调行为中的作用
IF 2.9 3区 医学 Q1 Psychology Pub Date : 2024-04-22 DOI: 10.1007/s40519-024-01658-4
Reza Shabahang, Sohee Kim, Xiuhan Chen, Mara S. Aruguete, Ágnes Zsila

Purpose

Although a number of investigations have been carried out on the marketing outcomes of parasocial relationships (PSR) with food influencers on social media, little attention has been paid to the potential contribution of these one-sided emotional bonds to followers’ eating attitudes and habits. Drawing on the Parasocial Theory, the role of parasocial attachment with food influencers was investigated in predicting eating disorders, food addiction, and grazing. To increase the accuracy of PSR measurement, a brief self-report scale was developed to gauge social media users’ feelings of mutual awareness, attention, and adjustment with their favorite food influencer at a distance through social media.

Methods

Participants were a convenience sample of 405 Iranian social media users (231women; Mage = 28.16, SDage = 9.40), who followed a favorite food influencer on social media.

Results

The 8-item Parasocial Relationship with Favorite Food Influencer Scale (PSRFFIS) revealed a unidimensional structure with excellent content and construct validity and internal consistency. Regarding gender differences, men showed stronger parasocial attachment to their favorite food influencers. Adjusting age, gender, and subjective social status as control variables, PSR with favorite food influencers partially contributed to the explanation of eating disorder symptom severity, food addiction, and grazing.

Conclusion

These findings show that PSR with favorite food influencers appears to be associated with followers’ craving for food, which, in turn, may contribute to maladaptive eating habits. This highlights media-related factors, such as PSR with food influencers, as potential drivers of dysfunctional eating habits in the digital age, particularly in countries like Iran where disordered eating is prevalent.

Level of evidence

Level V—based on cross-sectional data (correlational study; scale development)

目的 虽然已经开展了许多关于与社交媒体上的食品影响者之间的寄生社会关系(PSR)的营销结果的调查,但很少有人关注这些单方面的情感纽带对追随者的饮食态度和习惯的潜在贡献。根据 "寄生社会理论"(Parasocial Theory),我们研究了与食物影响者之间的寄生社会依恋关系在预测饮食失调、食物成瘾和放牧方面的作用。为了提高寄生社会依恋测量的准确性,研究人员开发了一个简短的自我报告量表,以测量社交媒体用户通过社交媒体与他们最喜爱的食物影响者在一定距离上的相互了解、关注和调整的感觉。结果 8 个项目的 "与最喜爱的食物影响者的寄生社会关系量表"(PSRFFIS)显示出单维结构,具有良好的内容效度、建构效度和内部一致性。在性别差异方面,男性对其最喜爱的食品影响者表现出更强的寄生关系。将年龄、性别和主观社会地位作为控制变量进行调整后,与最喜爱的食物影响者的寄生关系部分解释了进食障碍症状的严重程度、食物成瘾和放牧。这凸显了与媒体相关的因素,如与美食影响者的 PSR,是数字时代饮食习惯失调的潜在驱动因素,尤其是在伊朗这样饮食失调现象普遍的国家。
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引用次数: 0
A pilot feasibility and acceptability trial of an internet indicated prevention program for perfectionism to reduce eating disorder symptoms in adolescents 一项针对完美主义的互联网预防计划的可行性和可接受性试验,旨在减少青少年的饮食失调症状
IF 2.9 3区 医学 Q1 Psychology Pub Date : 2024-04-12 DOI: 10.1007/s40519-024-01654-8
Amy O’Brien, Rebecca Anderson, Trevor G. Mazzucchelli, Sarah Ure, Sarah J. Egan

Purpose

Perfectionism is a transdiagnostic risk factor for eating disorders. Treating perfectionism can reduce symptoms of eating disorders. No research has examined an indicated prevention trial using internet-based Cognitive-Behavioural Therapy for Perfectionism (ICBT-P) in adolescent girls at elevated risk for eating disorders. Our aim was to conduct a preliminary feasibility trial using a co-designed ICBT-P intervention. It was hypothesised that a higher proportion of participants in the ICBT-P condition would achieve reliable and clinically significant change on perfectionism, eating disorders, anxiety and depression, compared to waitlist control.

Methods

Twenty-one adolescent girls with elevated symptoms of eating disorders (M age = 16.14 years) were randomised to a 4-week online feasibility trial of a co-designed ICBT-P prevention program or waitlist control. Qualitative surveys were used to gain participant perspectives.

Results

The ICBT-P condition had a higher proportion of participants achieve reliable change and classified as recovered on perfectionism and symptoms of eating disorders and anxiety, compared to waitlist control. Qualitative findings indicated that 100% of participants found the program helpful.

Conclusion

The results indicate ICBT-P is a feasible and acceptable program for adolescent girls with elevated eating disorder symptoms. Future research is required to examine outcomes in a randomised controlled trial.

Level of evidence

Level III: Evidence obtained from well-designed cohort or case–control analytic studies.

Trial registration number

This trial was prospectively registered with Australian and New Zealand Clinical Trials Registry (ACTRN12620000951954P) on 23/09/2020.

目的 完美主义是饮食失调症的一个跨诊断风险因素。治疗完美主义可以减轻饮食失调的症状。目前还没有研究针对饮食失调风险较高的少女,使用基于互联网的完美主义认知行为疗法(ICBT-P)进行有针对性的预防试验。我们的目的是使用共同设计的 ICBT-P 干预方法进行初步可行性试验。方法21名饮食失调症状较重的少女(中位年龄=16.14岁)被随机分配到一个为期4周的在线可行性试验中,参加共同设计的ICBT-P预防计划或等待名单对照。结果与等待对照组相比,ICBT-P 条件下有更高比例的参与者实现了可靠的改变,并在完美主义、饮食失调症状和焦虑方面被归类为康复。定性研究结果表明,100% 的参与者都认为该项目很有帮助。结论研究结果表明,ICBT-P 是一项可行且可接受的项目,适用于饮食失调症状加重的少女。证据等级III级:从设计良好的队列或病例对照分析研究中获得的证据。试验登记号本试验于2020年9月23日在澳大利亚和新西兰临床试验登记处进行了前瞻性登记(ACTRN12620000951954P)。
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引用次数: 0
Neophobia, sensory experience and child's schemata contribute to food choices. 恐新症、感官体验和儿童图式对食物选择有影响。
IF 2.9 3区 医学 Q2 PSYCHIATRY Pub Date : 2024-04-08 DOI: 10.1007/s40519-024-01657-5
Viviana Finistrella, Nicoletta Gianni, Danilo Fintini, Deny Menghini, Silvia Amendola, Lorenzo Maria Donini, Melania Manco

Purpose: The aim of the present review is to analyze dynamic interactions between nutrigenomics, environmental cues, and parental influence, which can all lead to children's neophobic reactions and its persistence in time.

Methods: We reviewed studies available on electronic databases, conducted on children aged from birth to 18 years. We also considered official websites of Italian Institutions, providing advice on healthy eating during infancy.

Results: Modern day societies are faced with an eating paradox, which has severe and ever-growing implications for health. In face of a wider availability of healthy foods, individuals instead often choose processed foods high in fat, salt and sugar content. Economic reasons surely influence consumers' access to foods. However, there is mounting evidence that food choices depend on the interplay between social learning and genetic predispositions (e.g., individual eating traits and food schemata). Neophobia, the behavioral avoidance of new foods, represents an interesting trait, which can significantly influence children's food refusal. Early sensory experiences and negative cognitive schemata, in the context of primary caregiver-child interactions, importantly contribute to the priming of children's food rejection.

Conclusions: As neophobia strongly affects consumption of healthy foods, it will be relevant to rule definitively out its role in the genesis of maladaptive food choices and weight status in longitudinal studies tracking to adulthood and, in meanwhile, implement early in life effective social learning strategies, to reduce long-term effects of neophobia on dietary patterns and weight status.

Level of evidence: Level II, controlled trials without randomization.

目的:本综述旨在分析营养基因组学、环境线索和父母影响之间的动态相互作用,这些因素都可能导致儿童的恐新反应及其在一段时间内的持续性:我们查阅了电子数据库中针对出生至 18 岁儿童进行的研究。我们还研究了意大利各机构的官方网站,这些网站提供有关婴儿期健康饮食的建议:现代社会面临着一种饮食悖论,这种悖论对健康的影响日益严重。面对更多的健康食品,人们往往选择高脂肪、高盐分和高糖分的加工食品。经济原因肯定会影响消费者对食品的获取。然而,越来越多的证据表明,食物选择取决于社会学习和遗传倾向(如个人饮食特征和食物图式)之间的相互作用。新食物恐惧症(对新食物的行为回避)是一种有趣的特质,会对儿童拒绝食物产生重大影响。在主要照顾者与儿童互动的背景下,早期的感官体验和消极的认知图式对儿童拒绝食物有重要的诱导作用:由于恐新症严重影响健康食品的消费,因此在追踪至成年期的纵向研究中,明确排除恐新症在不良食物选择和体重状况中的作用,同时在生命早期实施有效的社会学习策略,以减少恐新症对饮食模式和体重状况的长期影响,将具有重要意义:证据等级:二级,无随机对照试验。
{"title":"Neophobia, sensory experience and child's schemata contribute to food choices.","authors":"Viviana Finistrella, Nicoletta Gianni, Danilo Fintini, Deny Menghini, Silvia Amendola, Lorenzo Maria Donini, Melania Manco","doi":"10.1007/s40519-024-01657-5","DOIUrl":"10.1007/s40519-024-01657-5","url":null,"abstract":"<p><strong>Purpose: </strong>The aim of the present review is to analyze dynamic interactions between nutrigenomics, environmental cues, and parental influence, which can all lead to children's neophobic reactions and its persistence in time.</p><p><strong>Methods: </strong>We reviewed studies available on electronic databases, conducted on children aged from birth to 18 years. We also considered official websites of Italian Institutions, providing advice on healthy eating during infancy.</p><p><strong>Results: </strong>Modern day societies are faced with an eating paradox, which has severe and ever-growing implications for health. In face of a wider availability of healthy foods, individuals instead often choose processed foods high in fat, salt and sugar content. Economic reasons surely influence consumers' access to foods. However, there is mounting evidence that food choices depend on the interplay between social learning and genetic predispositions (e.g., individual eating traits and food schemata). Neophobia, the behavioral avoidance of new foods, represents an interesting trait, which can significantly influence children's food refusal. Early sensory experiences and negative cognitive schemata, in the context of primary caregiver-child interactions, importantly contribute to the priming of children's food rejection.</p><p><strong>Conclusions: </strong>As neophobia strongly affects consumption of healthy foods, it will be relevant to rule definitively out its role in the genesis of maladaptive food choices and weight status in longitudinal studies tracking to adulthood and, in meanwhile, implement early in life effective social learning strategies, to reduce long-term effects of neophobia on dietary patterns and weight status.</p><p><strong>Level of evidence: </strong>Level II, controlled trials without randomization.</p>","PeriodicalId":11391,"journal":{"name":"Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity","volume":"29 1","pages":"25"},"PeriodicalIF":2.9,"publicationDate":"2024-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11001701/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140852103","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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
Factors predicting long-term weight maintenance in anorexia nervosa: a systematic review. 预测神经性厌食症患者体重长期保持的因素:系统综述。
IF 2.9 3区 医学 Q2 PSYCHIATRY Pub Date : 2024-04-06 DOI: 10.1007/s40519-024-01649-5
Lydia Maurel, Molly MacKean, J Hubert Lacey

Purpose: Eating disorder recovery is a poorly defined concept, with large variations among researchers' definitions. Weight maintenance is a key aspect of recovery that remains relatively underexplored in the literature. Understanding the role of weight maintenance may help guide the development of treatments. This paper aims to address this by (1) investigating the factors predicting long-term weight maintenance in anorexia nervosa (AN) patients; (2) exploring differences in predictive factors between adolescent and adult populations; and (3) exploring how weight maintenance is conceptualised in the literature.

Methods: We conducted a systematic review following PRISMA guidelines to address our research questions. Five databases were searched and filtered according to our exclusion criteria.

Results: From the search, 1059 studies were yielded, and 13 studies were included for review. A range of weight, biological and psychological factors were found to predict weight maintenance among these papers. BMI at admission and discharge from inpatient treatment was the most common predictor among the papers. Few studies investigated biological factors and mixed evidence was found for psychological factors. We found no observable differences between adult and adolescent populations. Finally, weight maintenance was defined and measured differently across studies.

Conclusion: This review's findings can help contribute to a well-rounded understanding of weight maintenance, and ultimately, of recovery. This can help support clinicians in tailoring interventions to improve long-term outcomes in AN. Future research should aim to replicate studies to better understand the relationship between the factors identified and weight maintenance.

Level i: Systematic review.

目的:进食障碍康复是一个定义不清的概念,不同研究者的定义存在很大差异。体重维持是康复的一个关键方面,但文献中对这一问题的研究相对较少。了解体重维持的作用有助于指导治疗方法的开发。本文旨在通过以下方法解决这一问题:(1)调查预测神经性厌食症(AN)患者长期体重维持的因素;(2)探索青少年和成年人之间预测因素的差异;(3)探索文献中如何对体重维持进行概念化:我们按照 PRISMA 指南进行了系统性综述,以解决我们的研究问题。我们搜索了五个数据库,并根据排除标准进行了筛选:结果:通过检索,我们获得了 1059 项研究,并纳入了 13 项研究进行综述。在这些论文中,我们发现一系列体重、生理和心理因素可预测体重维持情况。入院和出院时的体重指数是最常见的预测因素。很少有研究对生物因素进行调查,而对心理因素的调查则证据不一。我们没有发现成人和青少年之间存在明显的差异。最后,不同研究对体重维持的定义和测量方法也不尽相同:本综述的研究结果有助于全面了解体重维持以及最终的体重恢复。这有助于支持临床医生调整干预措施,以改善自闭症患者的长期疗效。未来的研究应以重复研究为目标,以更好地了解所发现的因素与体重维持之间的关系:系统综述。
{"title":"Factors predicting long-term weight maintenance in anorexia nervosa: a systematic review.","authors":"Lydia Maurel, Molly MacKean, J Hubert Lacey","doi":"10.1007/s40519-024-01649-5","DOIUrl":"10.1007/s40519-024-01649-5","url":null,"abstract":"<p><strong>Purpose: </strong>Eating disorder recovery is a poorly defined concept, with large variations among researchers' definitions. Weight maintenance is a key aspect of recovery that remains relatively underexplored in the literature. Understanding the role of weight maintenance may help guide the development of treatments. This paper aims to address this by (1) investigating the factors predicting long-term weight maintenance in anorexia nervosa (AN) patients; (2) exploring differences in predictive factors between adolescent and adult populations; and (3) exploring how weight maintenance is conceptualised in the literature.</p><p><strong>Methods: </strong>We conducted a systematic review following PRISMA guidelines to address our research questions. Five databases were searched and filtered according to our exclusion criteria.</p><p><strong>Results: </strong>From the search, 1059 studies were yielded, and 13 studies were included for review. A range of weight, biological and psychological factors were found to predict weight maintenance among these papers. BMI at admission and discharge from inpatient treatment was the most common predictor among the papers. Few studies investigated biological factors and mixed evidence was found for psychological factors. We found no observable differences between adult and adolescent populations. Finally, weight maintenance was defined and measured differently across studies.</p><p><strong>Conclusion: </strong>This review's findings can help contribute to a well-rounded understanding of weight maintenance, and ultimately, of recovery. This can help support clinicians in tailoring interventions to improve long-term outcomes in AN. Future research should aim to replicate studies to better understand the relationship between the factors identified and weight maintenance.</p><p><strong>Level i: </strong>Systematic review.</p>","PeriodicalId":11391,"journal":{"name":"Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity","volume":"29 1","pages":"24"},"PeriodicalIF":2.9,"publicationDate":"2024-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10998787/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140847761","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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
Assessing motivation for treatment in eating disorders: psychometric validation of the Italian version of the Autonomous and Controlled Motivation for Treatment Questionnaire (ACMTQ-ITA). 评估饮食失调症患者的治疗动机:意大利语版自主和受控治疗动机问卷(ACMTQ-ITA)的心理测量学验证。
IF 2.9 3区 医学 Q1 Psychology Pub Date : 2024-04-04 DOI: 10.1007/s40519-024-01653-9
Silvia Tempia Valenta, Matilde Rapezzi, Federica Marcolini, Maurizio Speciani, Gabriele Giordani, Chiara De Panfilis, Diana De Ronchi, Anna Rita Atti

Purpose: Treatment resistance is a significant challenge in addressing eating disorders (EDs). The Autonomous and Controlled Motivation for Treatment Questionnaire (ACMTQ) has been previously validated in ED populations to assess patients' motivation for treatment. This study aimed to validate the ACMTQ in the Italian language (ACMTQ-ITA) and evaluate its psychometric properties.

Methods: We recruited a clinical sample of adults aged 18 or older, diagnosed with EDs, proficient in the Italian language, and providing written informed consent. Participants with psychiatric comorbidities such as schizophrenia, bipolar disorder, and substance use disorder were excluded from the study. Validity of the ACMTQ-ITA was assessed using reliability analysis with Cronbach's α and McDonald's ω estimates, and Confirmatory Factor Analysis (CFA).

Results: Results from the reliability analysis confirmed the internal consistency of the Autonomous Motivation (AM) factor (α = 0.82, ω = 0.82), the Controlled Motivation (CM) factor (α = 0.76, ω = 0.77), and the ACMTQ-ITA overall score (α = 0.79). The CFA confirmed the two-factor solution (i.e., AM and CM) identified in the original validation of the ACMTQ (Comparative Fit Index = 0.92, Akaike Information Criterion = 3427.26, Bayesian Information Criterion = 3486.82; Root Mean Square Error of Approximation = 0.08, Standardized Root Mean Square Residual = 0.09).

Conclusion: The ACMTQ-ITA emerged as a valid and reliable tool for measuring motivation for treatment in individuals with EDs. Its implementation may facilitate the comprehension of treatment motivation, offering valuable clinical insights and implications for health management practices.

Level of evidence: Level V, descriptive studies.

目的:治疗阻力是应对饮食失调症(ED)的一大挑战。自主和受控治疗动机问卷(ACMTQ)曾在饮食失调人群中进行过验证,用于评估患者的治疗动机。本研究旨在验证意大利语的 ACMTQ(ACMTQ-ITA),并评估其心理计量特性:我们招募了年龄在 18 岁或 18 岁以上、被诊断患有 ED、精通意大利语并提供书面知情同意书的成年人作为临床样本。患有精神分裂症、双相情感障碍和药物使用障碍等精神疾病的参与者被排除在研究之外。研究人员使用Cronbach's α和McDonald's ω估计值进行信度分析,并使用确认性因子分析(CFA)评估了ACMTQ-ITA的有效性:信度分析结果证实了自主动机(AM)因子(α = 0.82,ω = 0.82)、受控动机(CM)因子(α = 0.76,ω = 0.77)和 ACMTQ-ITA 总分(α = 0.79)的内部一致性。CFA证实了ACMTQ最初验证中确定的双因素解决方案(即AM和CM)(比较拟合指数=0.92,阿凯克信息准则=3427.26,贝叶斯信息准则=3486.82;近似均方根误差=0.08,标准化均方根残差=0.09):ACMTQ-ITA是测量ED患者治疗动机的有效而可靠的工具。该工具的使用可促进对治疗动机的理解,为健康管理实践提供有价值的临床见解和影响:证据等级:V 级,描述性研究。
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引用次数: 0
From early relational experiences to non-suicidal self-injury in anorexia and bulimia nervosa: a structural equation model unraveling the role of impairments in interoception. 神经性厌食症和贪食症患者从早期关系经历到非自杀性自伤:结构方程模型揭示内感知障碍的作用。
IF 2.9 3区 医学 Q2 PSYCHIATRY Pub Date : 2024-03-25 DOI: 10.1007/s40519-024-01651-x
Lorenzo Lucherini Angeletti, Emanuele Cassioli, Livio Tarchi, Cristiano Dani, Marco Faldi, Rachele Martini, Valdo Ricca, Giovanni Castellini, Eleonora Rossi

Purpose: Individuals with anorexia nervosa (AN) and bulimia nervosa (BN) frequently exhibit Non-Suicidal Self-Injury (NSSI), yet their co-occurrence is still unclear. To address this issue, the aim of this study was to elucidate the role of impairments in interoception in explaining the NSSI phenomenon in AN and BN, providing an explanatory model that considers distal (insecure attachment/IA and traumatic childhood experiences/TCEs) and proximal (dissociation and emotional dysregulation) risk factors for NSSI.

Method: 130 patients with AN and BN were enrolled and administered self-report questionnaires to assess the intensity of NSSI behaviors, interoceptive deficits, IA, TCEs, emotional dysregulation and dissociative symptoms.

Results: Results from structural equation modeling revealed that impairments in interoception acted as crucial mediators between early negative relational experiences and factors that contribute to NSSI in AN and BN, particularly emotional dysregulation and dissociation. Precisely, both aspects of IA (anxiety and avoidance) and various forms of TCEs significantly exacerbated interoceptive deficits, which in turn are associated to the emergence of NSSI behaviors through the increase in levels of dissociation and emotional dysregulation.

Conclusions: The proposed model provided a novel explanation of the occurrence of NSSIs in patients with AN and BN by accounting for the significance of interoception.

Level of evidence: Level V-Cross-sectional observational study.

目的:神经性厌食症(AN)和神经性贪食症(BN)患者经常表现出非自杀性自伤(NSSI),但它们的共存性仍不清楚。为解决这一问题,本研究旨在阐明内感知障碍在解释神经性厌食症和神经性贪食症的非自杀性自伤现象中的作用,提供一个考虑到非自杀性自伤的远端(不安全依恋/内感知障碍和创伤性童年经历/TCEs)和近端(解离和情绪失调)风险因素的解释模型:方法:研究人员招募了130名自闭症和严重自闭症患者,对其进行自我报告问卷调查,以评估其NSSI行为的强度、内感知缺陷、IA、TCEs、情绪失调和分离症状:结构方程模型的结果显示,内感知障碍是早期负性亲情体验与导致自闭症和严重自闭症患者NSSI的因素(尤其是情绪失调和分离症状)之间的重要中介。准确地说,内感知(焦虑和回避)和各种形式的TCE都会显著加剧内感知缺陷,而内感知缺陷又会通过增加解离和情绪失调水平与NSSI行为的出现相关联:所提出的模型通过解释知觉障碍的重要性,为自闭症和心理障碍患者NSSI的发生提供了新的解释:证据等级:V级-横断面观察研究。
{"title":"From early relational experiences to non-suicidal self-injury in anorexia and bulimia nervosa: a structural equation model unraveling the role of impairments in interoception.","authors":"Lorenzo Lucherini Angeletti, Emanuele Cassioli, Livio Tarchi, Cristiano Dani, Marco Faldi, Rachele Martini, Valdo Ricca, Giovanni Castellini, Eleonora Rossi","doi":"10.1007/s40519-024-01651-x","DOIUrl":"10.1007/s40519-024-01651-x","url":null,"abstract":"<p><strong>Purpose: </strong>Individuals with anorexia nervosa (AN) and bulimia nervosa (BN) frequently exhibit Non-Suicidal Self-Injury (NSSI), yet their co-occurrence is still unclear. To address this issue, the aim of this study was to elucidate the role of impairments in interoception in explaining the NSSI phenomenon in AN and BN, providing an explanatory model that considers distal (insecure attachment/IA and traumatic childhood experiences/TCEs) and proximal (dissociation and emotional dysregulation) risk factors for NSSI.</p><p><strong>Method: </strong>130 patients with AN and BN were enrolled and administered self-report questionnaires to assess the intensity of NSSI behaviors, interoceptive deficits, IA, TCEs, emotional dysregulation and dissociative symptoms.</p><p><strong>Results: </strong>Results from structural equation modeling revealed that impairments in interoception acted as crucial mediators between early negative relational experiences and factors that contribute to NSSI in AN and BN, particularly emotional dysregulation and dissociation. Precisely, both aspects of IA (anxiety and avoidance) and various forms of TCEs significantly exacerbated interoceptive deficits, which in turn are associated to the emergence of NSSI behaviors through the increase in levels of dissociation and emotional dysregulation.</p><p><strong>Conclusions: </strong>The proposed model provided a novel explanation of the occurrence of NSSIs in patients with AN and BN by accounting for the significance of interoception.</p><p><strong>Level of evidence: </strong>Level V-Cross-sectional observational study.</p>","PeriodicalId":11391,"journal":{"name":"Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity","volume":"29 1","pages":"22"},"PeriodicalIF":2.9,"publicationDate":"2024-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10963569/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140287173","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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
Direct, indirect, and reciprocal associations between perfectionism, compulsive exercise and eating disorder pathology in adolescents with eating disorders. 患有饮食失调症的青少年的完美主义、强迫性运动和饮食失调病理学之间的直接、间接和相互关联。
IF 2.9 3区 医学 Q1 Psychology Pub Date : 2024-03-24 DOI: 10.1007/s40519-024-01650-y
Vinola Adams, Hunna J Watson, Trevor Mazzucchelli, Emily Jones, Thomas Callaghan, Elizabeth Bills, Sarah J Egan

Background: There is a strong association between perfectionism and eating disorders. In a cognitive-behavioural model of compulsive exercise it has been suggested there are reciprocal associations between perfectionism, eating disorder pathology, and compulsive exercise. No study has examined if there is an indirect association between perfectionism and compulsive exercise through eating disorder pathology, which would inform a preliminary understanding of the cognitive-behavioural model of compulsive exercise.

Methods: The sample included 301 adolescent females diagnosed with eating disorders (age M = 14.89, SD = 0.85, range 13-17). We tested models of direct and indirect associations of compulsive exercise in the relationship between perfectionism and eating disorder pathology, and direct and indirect associations of eating disorder pathology in the relationship between compulsive exercise and perfectionism.

Results: Perfectionism was directly associated with eating disorder pathology and compulsive exercise. Perfectionism was indirectly associated with eating disorder pathology through compulsive exercise. Perfectionism also had an indirect association with compulsive exercise through eating disorder pathology.

Discussion: The findings suggest it would be useful for future prospective research to examine the cognitive-behavioural model of compulsive exercise in adolescents with eating disorders. Compulsive exercise and perfectionism may be useful targets for future research to improve eating disorder treatment. Level of evidence Level V: Opinions of respected authorities, based on descriptive studies, narrative reviews, clinical experience, or reports of expert committees.

背景:完美主义与饮食失调之间有着密切的联系。在强迫性运动的认知行为模型中,完美主义、饮食失调病理学和强迫性运动之间存在相互关联。目前还没有研究探讨完美主义与强迫性运动之间是否存在通过饮食失调病理学而产生的间接关联,而这将有助于初步了解强迫性运动的认知行为模式:样本包括 301 名被诊断患有饮食失调症的青少年女性(年龄中位数 = 14.89,标准差 = 0.85,范围为 13-17 岁)。我们测试了强迫性运动与完美主义和饮食失调病理之间的直接和间接关联模型,以及强迫性运动与完美主义之间的直接和间接关联模型:结果:完美主义与饮食失调病理和强迫运动直接相关。完美主义通过强迫性运动与饮食失调病理学间接相关。完美主义还通过饮食失调病理学与强迫性运动间接相关:讨论:研究结果表明,在未来的前瞻性研究中,对进食障碍青少年强迫性运动的认知行为模式进行研究是有益的。强迫性运动和完美主义可能是未来研究的有用目标,有助于改善饮食失调症的治疗。证据等级 V级:权威人士的观点,基于描述性研究、叙述性综述、临床经验或专家委员会的报告。
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引用次数: 0
Families tackling adolescent anorexia nervosa: family wellbeing in family-based treatment or other interventions. A scoping review 应对青少年厌食症的家庭:基于家庭的治疗或其他干预措施中的家庭福祉。范围审查
IF 2.9 3区 医学 Q1 Psychology Pub Date : 2024-03-20 DOI: 10.1007/s40519-024-01641-z
Signe Holm Pedersen, Dorthe Andersen Waage, Nadia Micali, Mette Bentz

Abstract

Purpose

Family-based treatment (FBT) has contributed significantly to the treatment of anorexia nervosa (AN) in young people (YP). However, parents are concerned that FBT and the active role of parents in the task of refeeding may have a negative impact on family relations. The aim of the review is to assess whether families engaged in FBT for AN are more or less impacted in their family wellbeing and caregiver burden, compared to families with a YP diagnosed with AN, who are not undergoing treatment with FBT.

Method

Computerized searches across six databases complemented by a manual search resulted in 30 papers being included in the scoping review.

Results

The review identified 19 longitudinal studies on change in family wellbeing in families in FBT-like treatments, and 11 longitudinal studies on change in family wellbeing in treatment where parents are not in charge of refeeding. Only three randomized controlled studies directly compare FBT to treatment without parent-led refeeding.

Conclusion

The available research suggests no difference between intervention types regarding impact on family wellbeing. Approximately half of the studies find improvements in family wellbeing in both treatment with and without parent-led refeeding, while the same proportion find neither improvement nor deterioration. As parents play a pivotal role in FBT, there is a need for good quality studies to elucidate the impact of FBT on family wellbeing.

Level of evidence Level V: Opinions of authorities, based on descriptive studies, narrative reviews, clinical experience, or reports of expert committees.

摘要 目的 以家庭为基础的治疗(FBT)为治疗青少年厌食症(AN)做出了巨大贡献。然而,家长们担心家庭为基础的治疗以及家长在再喂养任务中的积极作用可能会对家庭关系产生负面影响。本综述旨在评估,与有确诊为厌食症的青少年但未接受 FBT 治疗的家庭相比,参与厌食症 FBT 治疗的家庭在家庭幸福和照顾者负担方面受到的影响是大还是小。 方法 在六个数据库中进行计算机检索,并辅以人工检索,最终将 30 篇论文纳入范围界定综述。 结果 该综述发现了 19 项关于类似 FBT 治疗的家庭中家庭幸福变化的纵向研究,以及 11 项关于父母不负责再喂养的治疗中家庭幸福变化的纵向研究。只有三项随机对照研究直接比较了家庭支持疗法和不由家长负责喂养的疗法。 结论 现有的研究表明,不同干预类型对家庭幸福的影响没有差异。约有一半的研究发现,在有家长主导的再喂养治疗和无家长主导的再喂养治疗中,家庭幸福都有所改善,而同样比例的研究发现,家庭幸福既没有改善,也没有恶化。由于父母在家庭支持疗法中发挥着关键作用,因此有必要开展高质量的研究,以阐明家庭支持疗法对家庭幸福的影响。证据等级 V 级:基于描述性研究、叙述性综述、临床经验或专家委员会报告的权威意见。
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Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity
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