European Eating Disorders Review最新文献_第5页

Network dynamics of self-compassion, anxiety, and depression during eating disorder therapy 饮食失调症治疗过程中自我同情、焦虑和抑郁的网络动力学。

IF 3.9 2区心理学 Q1 PSYCHIATRY

European Eating Disorders Review

Pub Date : 2024-07-14 DOI: 10.1002/erv.3121

Maren C. G. Kopland, KariAnne Vrabel, Margarita Slof-Op 't Landt, Asle Hoffart, Sverre Urnes Johnson, Erik J. Giltay

Background

Recovery processes during residential treatment for eating disorders, especially in patients with a history of maltreatment, are insufficiently understood. This study aimed to explore the temporal relationships among comorbid factors, including depression, anxiety, and self-compassion, with the influence of childhood maltreatment.

Method

Using Dynamic Time Warp (DTW), weekly scores from the Symptom Checklist-5, Eating Disorder Examination, and Self-Compassion Scale were analysed over 12 weeks. The study generated undirected and directed networks to identify influential symptoms in a transdiagnostic sample, comparing patients with and without childhood maltreatment.

Results

The study included 124 patients with eating disorders (ED) (97% women), mean age of 30.9 years (SD = 9.7, range 18–61 years). Diagnoses included anorexia nervosa (26%), bulimia nervosa (38%), and other specified feeding and eating disorders (36%). The directed DTW network showed that hopelessness, worrying, and restlessness had the highest out-strength, predicting changes in self-compassion and ED behaviour. In maltreatment cases, hopelessness and low acceptance predicted changes, while worry, restlessness, and nervousness were predictive in non-maltreatment cases.

Conclusion

Temporal network analyses suggest that a change in hopelessness, worrying, and restlessness drives symptom improvement in ED behaviour and the development of self-compassion during residential treatment. These processes vary between patients with and without a history of childhood maltreatment separately, indicating the need for further analyses.

背景：人们对饮食失调住院治疗期间的康复过程，尤其是有虐待史的患者的康复过程了解不足。本研究旨在探讨抑郁、焦虑和自我同情等合并因素与童年虐待影响之间的时间关系：方法：采用动态时间扭曲（DTW）技术，分析了12周内症状检查表-5、进食障碍检查和自我同情量表的每周得分。该研究生成了无定向和定向网络，以确定跨诊断样本中的影响症状，并对有和没有童年虐待经历的患者进行了比较：研究对象包括 124 名饮食失调症（ED）患者（97% 为女性），平均年龄为 30.9 岁（SD = 9.7，年龄范围为 18-61 岁）。诊断包括神经性厌食症（26%）、神经性贪食症（38%）和其他特定的进食和饮食失调症（36%）。定向 DTW 网络显示，绝望、担忧和不安的外强度最高，可预测自我同情和 ED 行为的变化。在虐待病例中，绝望和低接受度可预测变化，而在非虐待病例中，担忧、不安和紧张可预测变化：时间网络分析表明，在住院治疗期间，无望感、担忧和焦躁不安的变化推动了性急行为症状的改善和自我同情的发展。这些过程在有童年虐待史和无童年虐待史的患者之间分别存在差异，表明有必要进行进一步分析。

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引用次数: 0

Habitual behavioural control moderates the relation between daily perceived stress and purging 习惯性行为控制调节了日常感知压力与清食之间的关系。

IF 3.9 2区心理学 Q1 PSYCHIATRY

European Eating Disorders Review

Pub Date : 2024-07-12 DOI: 10.1002/erv.3126

Elizabeth N. Dougherty, Angeline R. Bottera, Matthew F. Murray, Adaora Ekwonu, Jennifer E. Wildes, Alissa A. Haedt-Matt

Objective

Evidence suggests that interpersonal stress plays a role in maintaining binge eating and purging (e.g., self-induced vomiting, misuse of laxatives). Stress is especially likely to promote engagement in maladaptive behaviour if the behaviour is habitual; therefore, individuals whose binge eating and/or purging are habitual may be particularly likely to engage in these behaviours in the context of interpersonal stress. We aimed to investigate this hypothesis in a sample of women with binge eating and/or purging using ecological momentary assessment (EMA).

Method

Women (N = 81) with binge-eating and/or purging symptoms completed a self-report measure assessing habit strength of binge eating and purging followed by a 14-day EMA protocol assessing daily perceived interpersonal stress and binge-eating and purging episodes.

Results

Habit strength of purging moderated the within-person effect of interpersonal stress on purging frequency, such that higher daily stress was associated with greater same-day purging frequency when purging was more habitual. Contrary to expectations, the interactive effect of habit strength of binge eating and daily interpersonal stress on same-day binge-eating frequency was non-significant.

Conclusions

Findings suggest that individuals with habitual purging may be vulnerable to engaging in purging when they are experiencing high levels of interpersonal stress.

目的：有证据表明，人际压力在维持暴饮暴食和清除行为（如自我诱导呕吐、滥用泻药）方面起着一定的作用。如果行为是习惯性的，压力就特别有可能促使人们做出不适应行为；因此，习惯性暴饮暴食和/或清食的人在人际压力的背景下可能特别容易做出这些行为。我们的目的是利用生态瞬间评估（EMA）在暴食和/或暴食女性样本中研究这一假设：方法：有暴食和/或清食症状的女性（81 人）完成一项自我报告测量，评估暴食和清食的习惯强度，然后进行为期 14 天的 EMA 方案，评估每天感知到的人际压力以及暴食和清食发作情况：清食习惯的强度调节了人际压力对清食频率的人内效应，因此，当清食习惯较强时，较高的日常压力与较高的当日清食频率相关。与预期相反，暴食习惯强度和日常人际压力对当天暴食频率的交互影响并不显著：研究结果表明，习惯性清食的人在经历高水平的人际压力时可能容易进行清食。

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引用次数: 0

Exploring neurocognitive features in adolescents and young adults with anorexia nervosa: Evidence from a longitudinal study 探索神经性厌食症青少年的神经认知特征：一项纵向研究的证据。

IF 3.9 2区心理学 Q1 PSYCHIATRY

European Eating Disorders Review

Pub Date : 2024-07-12 DOI: 10.1002/erv.3127

Tanja Wittek, Michael Zeiler, Stefanie Truttmann, Julia Philipp, Konstantin Kopp, Helene Krauss, Ellen Auer-Welsbach, Suanne Ohmann, Petra Sackl-Pammer, Sonja Werneck-Rohrer, Clarissa Laczkovics, Michaela Mitterer, Andrea Schneider, Leonie Kahlenberg, Ulrike Schmidt, Andreas Karwautz, Gudrun Wagner

Objective

We aimed to evaluate longitudinal changes in set-shifting and central coherence in a predominantly adolescent cohort with anorexia nervosa (AN) and to explore whether these factors predict long-term eating disorder outcomes.

Method

Ninety-two female patients with AN (mean age: 16.2, range: 13–21 years) completed neurocognitive tests (Rey Complex Figure Test, Adapted Version of the Wisconsin Card Sorting Test) before and after 12 months of psychotherapeutic treatment (n = 45 Maudsley AN Treatment, MANTRa; n = 47 standard psychotherapy; groups not randomised). Eating disorder severity was assessed at baseline, after 6, 12 and 18 months.

Results

Central coherence (indicated by an increase in the Rey Figure Style Index) and set-shifting (indicated by a reduction in the percentage of perseverative errors) significantly improved over the course of treatment, with similar outcomes across groups. Lower central coherence was associated with higher eating disorder severity. Individuals with lower baseline set-shifting ability tended to have worse eating disorder outcomes in the long-term. However, this trend did not reach statistical significance in a multilevel linear mixed model.

Conclusions

Neurocognitive difficulties in adolescents and young adults with AN can improve after treatment. Interventions specifically addressing flexibility in thinking and behaviour may contribute to treatment success.

目的我们的目的是评估以青少年为主的神经性厌食症（AN）患者在集合移动和中枢连贯性方面的纵向变化，并探讨这些因素是否能预测饮食失调的长期结果：92名女性厌食症患者（平均年龄：16.2岁，年龄范围：13-21岁）在接受心理治疗12个月前后完成了神经认知测试（Rey复杂图形测试、威斯康星卡片分类测试改编版）（n = 45人接受莫兹利厌食症治疗，MANTRa；n = 47人接受标准心理治疗；未随机分组）。饮食失调的严重程度在基线、6个月、12个月和18个月后进行评估：结果：在治疗过程中，中心一致性（以雷伊图形风格指数的增加为标志）和集合转移（以持久性错误百分比的减少为标志）得到了显著改善，各组的结果相似。中心一致性较低与饮食失调严重程度较高有关。基线集合转移能力较低的个体，其进食障碍的长期结果往往较差。然而，在多层次线性混合模型中，这一趋势并未达到统计学意义：结论：青少年厌食症患者的神经认知困难在治疗后可以得到改善。专门针对思维和行为灵活性的干预措施可能有助于治疗的成功。

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引用次数: 0

Behaviourally assessed negative urgency is uniquely associated with binge-eating frequency 通过行为评估得出的消极紧迫感与暴饮暴食频率有独特的关联。

IF 3.9 2区心理学 Q1 PSYCHIATRY

European Eating Disorders Review

Pub Date : 2024-07-08 DOI: 10.1002/erv.3124

Glen Forester, Joseph A. Wonderlich, Angeline R. Bottera, Elizabeth N. Dougherty, Maya Day, Carolyn M. Pearson, Carol B. Peterson, Lisa M. Anderson

Objective

Binge eating appears to be associated with impulsivity, especially in response to negative affect (i.e., negative urgency). However, negative urgency is typically assessed via self-report, which captures only some aspects of urgency and may be subject to bias. Few studies have examined impulsivity following experimental manipulations of affect in binge-eating samples.

Method

In the present study, individuals who engage in regular binge eating completed a behavioural impulsivity (go/no-go) task with high- and low-calorie food stimuli, once following negative affect induction and once following neutral affect induction.

Results

Greater behavioural impulsivity to high-calorie food cues while in a negative (and not a neutral) affective state was associated with more frequent binge-eating behaviour. Further, this behavioural measure of negative urgency uniquely accounted for variance in binge-eating frequency when controlling for self-reported negative urgency, suggesting that behavioural measures may be a useful complement to self-report measures.

Discussion

These findings provide novel and compelling evidence for the relationship between negative urgency and binge eating, highlighting negative urgency as a potentially important target for intervention.

目的：暴饮暴食似乎与冲动有关，尤其是对负面情绪的反应（即负面紧迫感）。然而，负面紧迫感通常是通过自我报告来评估的，这种方法只能捕捉到紧迫感的某些方面，而且可能存在偏差。很少有研究对暴饮暴食样本进行实验性情感操作后的冲动性进行研究：在本研究中，经常暴饮暴食的人在高热量和低热量食物刺激下分别完成了一次负面情绪诱导和一次中性情绪诱导后的行为冲动（去/不去）任务：结果：在消极（而非中性）情绪状态下，对高热量食物线索的行为冲动性越大，暴饮暴食行为越频繁。此外，在控制自我报告的负面紧迫感的情况下，这种负面紧迫感的行为测量方法独特地解释了暴饮暴食频率的差异，这表明行为测量方法可能是对自我报告测量方法的有益补充：这些研究结果为负性紧迫感与暴饮暴食之间的关系提供了新颖且令人信服的证据，突出表明负性紧迫感可能是一个重要的干预目标。

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引用次数: 0

Chatbot aimed to promote mental health services use for eating disorders following online screening: Comment 聊天机器人旨在通过在线筛查促进饮食失调患者使用心理健康服务：评论。

IF 3.9 2区心理学 Q1 PSYCHIATRY

European Eating Disorders Review

Pub Date : 2024-07-04 DOI: 10.1002/erv.3123

Hinpetch Daungsupawong, Viroj Wiwanitkit

引用次数: 0

Effectiveness of the Maudsley Model of Anorexia Nervosa Treatment for Adults: A systematic review 莫兹利成人厌食症治疗模式的有效性：系统回顾。

IF 3.9 2区心理学 Q1 PSYCHIATRY

European Eating Disorders Review

Pub Date : 2024-07-03 DOI: 10.1002/erv.3122

Sheila Fernández García, Yolanda Quiles Marcos

Background

Maudsley Model of Anorexia nervosa (AN) Treatment for Adults (MANTRA) is recommended by NICE for the treatment of adults with AN. However, despite this fact, the approach remains relatively understudied. The aim of this study was to systematically update the research evidence regarding the use of the MANTRA in the treatment of Eating Disorders (ED).

Method

The databases used were Web of Science, Scopus, and PsycInfo, including studies up to 31 May 2023. PRISMA guidelines were followed, and Cochrane tools were used to assess the risk of bias. The search focused on identifying published articles that discussed the usefulness of MANTRA as a component of treatment for ED, following PICO criteria.

Results

Nine studies spanning the period from 2011 to 2023 were included. Findings suggested that MANTRA was effective in improving body mass index (BMI), eating symptomatology and emotional state. There were generally no significant differences compared to other treatment conditions. Limitations to interpreting this systematic review include the methodological quality of included studies and the elevated risk of bias.

Conclusions

This review was the first to examine the effectiveness of MANTRA. The results indicate that MANTRA has shown effectiveness similar to other treatments for adults AN patients in addressing key clinical variables. It has been used in different populations (adolescents, males, inpatients) and formats (group, online) However, more research is needed to determine its effectiveness.

背景：莫兹利成人厌食症治疗模式（MANTRA）被 NICE 推荐用于治疗成人厌食症。然而，尽管如此，对该方法的研究仍然相对不足。本研究旨在系统地更新有关使用 MANTRA 治疗进食障碍（ED）的研究证据：所使用的数据库为 Web of Science、Scopus 和 PsycInfo，包括截至 2023 年 5 月 31 日的研究。检索遵循 PRISMA 准则，并使用 Cochrane 工具评估偏倚风险。检索的重点是按照 PICO 标准，识别讨论 MANTRA 作为 ED 治疗组成部分的有用性的已发表文章：结果：共纳入九项研究，时间跨度为 2011 年至 2023 年。研究结果表明，MANTRA 能有效改善体重指数（BMI）、进食症状和情绪状态。与其他治疗条件相比，总体上没有明显差异。本系统综述的局限性包括纳入研究的方法质量和偏倚风险较高：本综述首次研究了 MANTRA 的有效性。结果表明，MANTRA在解决关键临床变量方面的有效性与其他治疗方法类似。MANTRA 已在不同人群（青少年、男性、住院病人）和形式（小组、在线）中使用过，但要确定其有效性，还需要进行更多的研究。

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引用次数: 0

Social cognition and bulimic symptoms in male undergraduate students: The conditional effect of emotion dysregulation 男大学生的社会认知与暴食症状：情绪失调的条件效应。

IF 3.9 2区心理学 Q1 PSYCHIATRY

European Eating Disorders Review

Pub Date : 2024-06-27 DOI: 10.1002/erv.3120

Mun Yee Kwan, Dorian Dodd

Objective

Research demonstrates associations between poor social cognition and eating disorder (ED) pathology. Moreover, research shows that individuals with EDs struggle with emotion regulation. The present study replicates and extends the literature on social cognition and ED pathology, which previously focused largely on symptoms of anorexia nervosa among women while the present study focuses on symptoms of bulimia nervosa among undergraduate men. Further, this study tests the hypothesis that better emotion regulation mitigates the association between social cognition and ED pathology.

Methods

At a single timepoint, undergraduate males (n = 520) completed a series of questionnaires, and a task assessing mentalising, a key element of social cognition.

Results

Consistent with hypotheses, bulimic symptoms were associated with worse mentalising and worse self-reported emotion regulation. Moreover, the association between mentalising and bulimic symptomatology was conditional on emotion regulation, such that it was strongest among those with more difficulties regulating their emotions.

Conclusion

Results are consistent with existing theories that highlight an interplay between interpersonal (e.g., mentalisation) and intrapersonal (e.g., affective functioning) factors in relation to ED symptomatology. Among undergraduate males, bulimic symptoms were associated with worse mentalisation. However, a good ability to regulate emotions interrupted this association.

目的：研究表明，不良的社会认知与饮食失调（ED）病理之间存在关联。此外，研究还表明，进食障碍患者在情绪调节方面存在困难。本研究复制并扩展了有关社会认知和进食障碍病理的文献，以前的研究主要集中在女性神经性厌食症的症状上，而本研究则集中在本科男性神经性贪食症的症状上。此外，本研究还检验了一个假设，即更好的情绪调节可以减轻社会认知与性欲障碍病理之间的关联：在一个时间点上，本科男生（n = 520）完成了一系列问卷调查，以及一项评估心智化（社会认知的一个关键要素）的任务：结果：与假设一致，暴食症状与较差的心理化和较差的自我情绪调节有关。此外，心理化与暴食症状之间的联系取决于情绪调节，因此在情绪调节困难的人群中，心理化与暴食症状之间的联系最强：结论：研究结果与现有理论一致，这些理论强调了人际（如精神化）和人内（如情感功能）因素之间的相互作用与暴食症状的关系。在本科男生中，暴食症状与较差的心智化有关。然而，良好的情绪调节能力会打断这种关联。

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引用次数: 0

Response to a comment on: Rates and correlates of study enrolment and use of a chatbot aimed to promote mental health services use for eating disorders following online screening 对以下评论的回应在线筛查后，旨在促进饮食失调症患者使用心理健康服务的聊天机器人的研究注册和使用率及相关因素。

IF 3.9 2区心理学 Q1 PSYCHIATRY

European Eating Disorders Review

Pub Date : 2024-06-25 DOI: 10.1002/erv.3119

Laura D’Adamo, Anne Claire Grammer, Gavin N. Rackoff, Jillian Shah, Marie-Laure Firebaugh, C. Barr Taylor, Denise E. Wilfley, Ellen E. Fitzsimmons-Craft

引用次数: 0

The experiences of a therapeutic relationship between dietitians and patients in UK eating disorder treatment: A qualitative study 英国饮食失调治疗中营养师与患者之间治疗关系的体验：定性研究。

IF 3.9 2区心理学 Q1 PSYCHIATRY

European Eating Disorders Review

Pub Date : 2024-06-18 DOI: 10.1002/erv.3117

Nicole Robertson, Luke Davies

Objective

Dietitians have a central role in eating disorder (ED) treatment, however few studies exist investigating therapeutic aspects of dietetic care and factors influencing the dietitian-patient relationship. To address the gap, this study aimed to use a qualitative description approach to explore the experiences of delivering and receiving dietetic care in ED treatment in the UK.

Method

Semi-structured interviews were conducted with 6 specialist ED dietitians and focus groups with 11 recovered ED patients. Interviews were transcribed and inductive thematic analysis was performed to identify key themes describing the data.

Results

Six key themes were generated: (1) Building trust, (2) Appropriate timing, (3) Adapting, (4) Dietitians as experts, (5) Boundaries, and (6) Difficult relationships. Participants highlighted the importance of building trust and considering nutritional risk and readiness in treatment approach. Patients expressed a desire for dietitians to have experience in EDs, facilitating understanding of their illness. However, dietitians identified the nature of EDs making their role challenging at times.

Discussion

This study described various factors affecting dietetic care in EDs and provided a valuable insight into patients' perceptions of treatment. The findings support advancements in ED dietitians' knowledge and understanding, helping to enhance quality of care.

目的：营养师在饮食失调症（ED）治疗中发挥着核心作用，但很少有研究调查营养师护理的治疗方面以及影响营养师与患者关系的因素。为填补这一空白，本研究旨在采用定性描述的方法，探讨英国饮食失调症治疗中提供和接受饮食护理的经验：方法：对 6 名专业急诊科营养师进行了半结构化访谈，并对 11 名急诊科康复患者进行了焦点小组讨论。对访谈内容进行转录，并进行归纳主题分析，以确定描述数据的关键主题：产生了六个关键主题：(1) 建立信任；(2) 适当的时机；(3) 适应；(4) 作为专家的营养师；(5) 边界；(6) 困难的关系。与会者强调了建立信任以及在治疗方法中考虑营养风险和准备情况的重要性。患者表示希望营养师有在急诊室工作的经验，以便于理解他们的病情。然而，营养师发现 ED 的性质使他们的角色有时具有挑战性：本研究描述了影响急诊室营养师护理的各种因素，并就患者对治疗的看法提供了宝贵的见解。研究结果支持了急诊室营养师知识和理解能力的进步，有助于提高护理质量。

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引用次数: 0

Fathers' impact on outcomes in the treatment of eating disorders: A scoping review 父亲对饮食失调症治疗结果的影响：范围综述。

IF 3.9 2区心理学 Q1 PSYCHIATRY

European Eating Disorders Review

Pub Date : 2024-06-15 DOI: 10.1002/erv.3118

Leanna Isserlin, Noah M. P. Spector, Abigail H. M. Bradley, Nuray Kanbur, Catherine Bouchard, Rishi Kapur, Kyle T. Ganson

Objective

Male caregivers' participation in eating disorder (ED) treatment for their affected children is less consistent than female caregivers', with unclear effects. To clarify the impact, this scoping review examined literature on male caregiver involvement in ED treatment, focusing on its impact on fathers, treatment processes, and their affected children.

Methods

A search encompassing English and French peer-reviewed articles from 1990 to 2022 was conducted. Studies distinguishing between mothers and fathers, addressing Diagnostic and Statistical Manual of Mental Disorders or International Classification of Diseases ED diagnoses, and involving active interventions were included. From 1651 initially identified articles, 251 were retained after abstract and title review, and 45 met all criteria.

Results

Documented outcomes indicated fathers' engagement in ED treatment improved their well-being and family functioning, but these gains were not consistently tied to treatment outcomes. Father attendance, improved caregiving skills, and their expectations of treatment correlated with better outcomes for their affected child.

Conclusions

Father involvement in ED treatment remains under-explored. This review emphasises fathers' positive impact while highlighting the need to better understand the link with overall patient outcomes. We call for proactive exploration of how to surmount barriers to fathers' involvement and ensure that paternal contributions are optimised in ED treatment alongside those of female caregivers.

目的：与女性护理者相比，男性护理者参与饮食失调症（ED）治疗对其患病子女的影响并不明显。为了澄清其影响，本范围综述研究了男性照顾者参与进食障碍治疗的文献，重点关注其对父亲、治疗过程及其受影响子女的影响：方法：我们检索了 1990 年至 2022 年期间的英文和法文同行评审文章。这些研究对母亲和父亲进行了区分，涉及《精神疾病诊断与统计手册》或《国际疾病分类》中的 ED 诊断，并包含积极的干预措施。从最初确定的 1651 篇文章中，经过摘要和标题审查后保留了 251 篇，其中 45 篇符合所有标准：记录的结果表明，父亲参与 ED 治疗改善了他们的福祉和家庭功能，但这些收益与治疗结果并不一致。父亲的出席率、护理技能的提高以及他们对治疗的期望与患儿的治疗效果相关：父亲参与 ED 治疗的情况仍未得到充分探讨。本综述在强调父亲的积极影响的同时，也强调了更好地了解父亲与患者总体治疗效果之间联系的必要性。我们呼吁积极探索如何克服父亲参与治疗的障碍，并确保父亲在 ED 治疗中与女性护理人员一起做出最佳贡献。

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引用次数: 0