European Eating Disorders Review最新文献_第8页

Efficacy of Adjunct Olanzapine Treatment in Adolescents With Anorexia Nervosa: A Comparison of Two Patient Cohorts 奥氮平辅助治疗青少年神经性厌食症的疗效：两组患者的比较。

IF 3.4 2区心理学 Q1 PSYCHIATRY

European Eating Disorders Review

Pub Date : 2025-07-09 DOI: 10.1002/erv.70009

Helene Krauss, Michael Zeiler, Dunja Mairhofer, Julia Klang, Julia Schwarzenberg, Michaela Mitterer, Gudrun Wagner, Maria Glüder, Karin Egberts, Manfred Gerlach, Andreas Karwautz

Background

Anorexia nervosa (AN) is a severe psychiatric disorder with high mortality, requiring innovative treatment strategies. Olanzapine (OLZ), an atypical antipsychotic, has demonstrated efficacy in promoting weight gain and reducing psychopathological symptoms in adults with AN. However, its efficacy and safety in adolescents remain insufficiently explored.

Objective

This study assessed the impact of adjunctive OLZ in adolescents with AN during inpatient care, focussing on weight gain, eating disorder pathology, and metabolic safety.

Methods

A naturalistic, prospective study compared two groups of adolescent inpatients with AN (n = 47 each), one receiving standard multidisciplinary care plus OLZ and one receiving standard care alone (Non-OLZ). Weekly weight gain as well as admission-to-discharge changes in body-mass-index, eating disorder symptoms, and metabolic markers were compared between the two cohorts.

Results

The OLZ group (∅ 9 mg/day) achieved greater weekly weight gain (0.898 vs. 0.677 kg, p = 0.004) compared to the Non-OLZ group. Both groups showed similar reductions in eating disorder pathology; however, improvements in body dissatisfaction were larger in the Non-OLZ group. Administration of OLZ was associated with significant prolactin level increases.

Conclusions

OLZ is a promising adjunctive treatment for adolescents in terms of supporting weight gain during inpatient care. However, psychological effects and possible metabolic risks warrant further study.

背景：神经性厌食症（AN）是一种严重的高死亡率精神疾病，需要创新的治疗策略。奥氮平（OLZ）是一种非典型抗精神病药，已被证明对an成人患者促进体重增加和减轻精神病理症状有效。然而，其在青少年中的有效性和安全性仍未得到充分探讨。目的：本研究评估了住院治疗期间辅助OLZ对AN青少年的影响，重点关注体重增加、饮食失调病理和代谢安全性。方法：一项自然的前瞻性研究比较了两组青少年AN住院患者（n = 47），一组接受标准的多学科治疗加OLZ，一组接受标准治疗（非OLZ）。比较两组患者每周体重增加以及入院至出院时体重指数、饮食失调症状和代谢指标的变化。结果：与非OLZ组相比，OLZ组（∅9 mg/day）周增重较大（0.898 vs 0.677 kg, p = 0.004）。两组的饮食失调病理都有相似的减少；然而，非olz组对身体不满的改善更大。服用OLZ与泌乳素水平显著升高相关。结论：OLZ在支持青少年住院期间体重增加方面是一种很有前景的辅助治疗方法。然而，心理影响和可能的代谢风险需要进一步研究。

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引用次数: 0

Examining the Effects of Ostracism and Overinclusion in the Eating Disorder Binge Spectrum: Evidence From a Controlled Cyberball Task 研究排斥和过度包容在饮食失调暴食谱系中的影响：来自受控网络球任务的证据。

IF 3.4 2区心理学 Q1 PSYCHIATRY

European Eating Disorders Review

Pub Date : 2025-07-03 DOI: 10.1002/erv.70007

Paolo Meneguzzo, Alberto De Mico, Enrico Collantoni, Valentina Meregalli, Elena Tenconi, Angela Favaro

Objective

Eating disorders (ED), including bulimia nervosa (BN) and binge eating disorder (BED), are characterised by dysfunctional eating behaviours and maladaptive emotional regulation tied to concerns about body image. This study investigates the emotional and cognitive impacts of social exclusion and overinclusion on individuals with ED using the Cyberball task, a computerised simulation of social interaction, to examine the role of early maladaptive schemas (EMS) in these responses.

Method

The sample included 124 women: 34 with BN, 26 with BED, and 64 controls, assigned to either an ostracism or overinclusion condition. Emotional responses were measured using PANAS before and after the Cyberball task, and EMS were assessed via the Young Schema Questionnaire. Mediation models were applied to explore EMS effects on emotional responses.

Results

Participants with ED showed unique emotional patterns compared to controls across both Cyberball conditions. In the overinclusion condition, controls experienced increased positive affect, whereas individuals with ED showed no significant change. During ostracism, ED participants reported reduced negative affect, suggesting complex reactions to social exclusion. EMS were found to mediate emotional responses, particularly in the overinclusion condition.

Discussion

The findings underscore the distinct social-cognitive and emotional effects of interpersonal interactions on individuals with BN and BED, emphasising the importance of addressing EMS and social cognition in treatment. Future research should focus on refining our understanding of social perception and emotional skills in ED populations, particularly within the bulimic spectrum.

目的：饮食失调（ED），包括神经性贪食症（BN）和暴食症（BED），其特征是与对身体形象的担忧相关的功能失调的饮食行为和不适应的情绪调节。本研究利用赛博球任务（一种计算机模拟社会互动的方法）调查了社会排斥和过度包容对ED患者的情感和认知影响，以检验早期适应不良图式（EMS）在这些反应中的作用。方法：样本包括124名女性：34名BN患者，26名BED患者和64名对照组，被分配为排斥或过度纳入条件。在赛博球任务前后使用PANAS测试情绪反应，并通过Young图式问卷评估EMS。采用中介模型探讨EMS对情绪反应的影响。结果：与控制组相比，ED参与者在两种情况下都表现出独特的情绪模式。在过度包容条件下，对照组的积极情绪有所增加，而ED患者的积极情绪没有显著变化。在被排斥期间，ED参与者报告的负面影响减少，表明对社会排斥的复杂反应。EMS可以调节情绪反应，特别是在过度包容条件下。讨论：研究结果强调了人际交往对BN和BED患者独特的社会认知和情感影响，强调了在治疗中处理EMS和社会认知的重要性。未来的研究应该集中在完善我们对ED人群的社会感知和情感技能的理解，特别是在贪食症谱系中。

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引用次数: 0

Alexithymia and Emotion Recognition Over the Treatment Course in Adolescents and Emerging Adults With Anorexia Nervosa 青少年及初显期神经性厌食症治疗过程中的述情障碍和情绪识别。

IF 3.4 2区心理学 Q1 PSYCHIATRY

European Eating Disorders Review

Pub Date : 2025-06-24 DOI: 10.1002/erv.70005

Michael Zeiler, Tanja Wittek, Stefanie Truttmann, Julia Klang, Konstantin Kopp, Helene Krauss, Ellen Auer-Welsbach, Susanne Ohmann, Petra Sackl-Pammer, Sonja Werneck-Rohrer, Ulrike Schmidt, Andreas Karwautz, Gudrun Wagner

Objective

To investigate longitudinal changes in alexithymia and emotion recognition among adolescents and emerging adults with anorexia nervosa (AN) and whether these domains can independently predict the long-term eating disorder (ED) outcome.

Method

Ninety-one female patients with AN (mean age: 16.2; 87.6% restrictive type) were included. Forty-five patients received the Maudsley Model Anorexia Nervosa Treatment (MANTRa) and 46 patients received psychotherapeutic treatment-as-usual (TAU). Alexithymia and facial emotion recognition were assessed at baseline and after 1 year. ED pathology was assessed at four time points (until 18-months follow-up).

Results

Alexithymia significantly improved until follow-up when controlled for weight change, with no significant difference between the MANTRa and TAU groups. There was no change in emotion recognition accuracy while we observed significant reductions in emotion recognition response times. Neither baseline alexithymia nor emotion recognition accuracy significantly predicted ED outcome when adjusted for illness severity psychiatric comorbidity. The effects of improvements in alexithymia on improvements in ED pathology were partly mediated by change in depression.

Conclusions

We recommend to routinely assess alexithymia in young people with AN. Therapeutic interventions helping patients to identify, differentiate, and describe their emotions should be intensified. Psychoeducational elements, expressive writing and group intervention components may be supportive.

目的：探讨青少年和初成人神经性厌食症（AN）患者述情障碍和情绪识别的纵向变化，以及这些领域是否能独立预测长期进食障碍（ED）的预后。方法：91例女性AN患者(平均年龄16.2岁；87.6%为限制性型)。45例患者采用莫兹利神经性厌食症治疗（Maudsley Model Anorexia Nervosa Treatment, MANTRa）， 46例患者采用常规心理治疗（TAU）。在基线和1年后评估述情障碍和面部情绪识别。ED病理在四个时间点进行评估（直到随访18个月）。结果：在控制体重变化后，述情障碍在随访前有明显改善，MANTRa组与TAU组之间无显著差异。情绪识别的准确性没有变化，但我们观察到情绪识别的反应时间显著减少。当调整疾病严重程度和精神合并症时，基线述情障碍和情绪识别准确性都不能显著预测ED的结果。述情障碍的改善对ED病理改善的影响部分是由抑郁症的改变介导的。结论：我们建议对AN患者的述情障碍进行常规评估。应加强帮助患者识别、区分和描述其情绪的治疗干预措施。心理教育因素、表达性写作和团体干预因素可能是支持性的。

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引用次数: 0

From Disordered Eating to Eating Competence: Exploring Transitions in Adolescent Eating Profiles and the Role of Identity, Embodiment, and Critical Eating Messages From Parents and Peers 从饮食失调到饮食能力：探索青少年饮食概况的转变以及来自父母和同伴的身份、体现和关键饮食信息的作用。

IF 3.4 2区心理学 Q1 PSYCHIATRY

European Eating Disorders Review

Pub Date : 2025-06-23 DOI: 10.1002/erv.70004

Lore Vankerckhoven, Laurence Claes, Elise Van Laere, Steven Eggermont, Koen Luyckx

Objective

Adolescence is a key period for the development of eating behaviours. To date, little attention has been paid to the development of positive eating behaviours during adolescence, and longitudinal research with such a holistic focus is lacking. To provide a better understanding of adolescent eating behaviours, this study examined patterns of stability and change in eating profiles among community youth. In addition, this study examined how these profiles and patterns were related to background, psychological, and contextual variables.

Method and Results

This longitudinal study with two timepoints included 608 adolescents and emerging adults at the first timepoint for the current analyses (T1: 64.3% female; M_age = 16.99; SD = 1.24; range = 14–21 years). Using latent transition analysis (LTA), three eating behaviour profiles emerged: a competent eating profile, a subclinical profile, and a clinical profile. Although most individuals in the competent eating and clinical profiles remained within their profile over time, individuals in the subclinical profile were more likely to progress toward greater eating competence or more severe eating disorder symptoms. Using multinomial logistic regression models; sex, adjusted BMI, identity, embodiment, and critical parent and peer eating messages appeared to be related to profile membership, whereas only age, sex, and adjusted BMI were related to transition patterns.

Conclusion

The present study informs theory and practice by identifying subgroups of adolescents who differ in their eating behaviours. In addition, these findings provide insight into which aspects are meaningfully related to stability and variability in eating behaviours, supporting the development of targeted interventions.

目的：青春期是饮食行为发展的关键时期。迄今为止，很少有人关注青春期积极饮食行为的发展，缺乏这样一个整体的纵向研究。为了更好地了解青少年的饮食行为，本研究考察了社区青少年饮食状况的稳定性和变化模式。此外，本研究还考察了这些概况和模式与背景、心理和上下文变量的关系。方法和结果：这项纵向研究有两个时间点，在当前分析的第一个时间点包括608名青少年和初成人(T1: 64.3%女性；法师= 16.99；sd = 1.24；范围= 14-21岁)。使用潜在转变分析（LTA），出现了三种饮食行为概况：胜任饮食概况，亚临床概况和临床概况。虽然大多数具有进食能力和临床特征的个体随着时间的推移保持在他们的特征范围内，但亚临床特征的个体更有可能向更强的进食能力或更严重的进食障碍症状发展。采用多项逻辑回归模型；性别、调整后的体重指数、身份、体现、父母和同伴的关键饮食信息似乎与概况成员有关，而只有年龄、性别和调整后的体重指数与过渡模式有关。结论：本研究通过确定不同饮食行为的青少年亚群，为理论和实践提供了信息。此外，这些发现提供了洞察哪些方面与饮食行为的稳定性和可变性有意义的关系，支持有针对性的干预措施的发展。

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引用次数: 0

Investigating Associations Between General and Disorder-Specific Reward and Suicidality in Anorexia Nervosa 神经性厌食症一般奖励和障碍特异性奖励与自杀之间的关系研究。

IF 3.4 2区心理学 Q1 PSYCHIATRY

European Eating Disorders Review

Pub Date : 2025-06-12 DOI: 10.1002/erv.70002

Soo-Eun Lee, Scott J. Crow, Ann F. Haynos

Objective

Altered reward processing is proposed to be central to the pathology of anorexia nervosa (AN). This study aimed to investigate how aspects of reward dysfunction relate to suicidal thoughts and behaviours (STBs) in AN.

Method

We compared responses on self-report measures of general (i.e., anticipatory, consummatory, and social reward) and disorder-specific (i.e., self-starvation reward) reward between individuals with AN with (AN + STBs; n = 28) or without (AN; n = 31) lifetime active STBs and healthy controls (HC; n = 32). Further, we examined whether interactions between general and disorder-specific reward dysfunction were associated with lifetime active STBs in AN.

Results

Compared to AN and HC groups, the AN + STBs group reported significantly lower anticipatory and social reward; both AN + STBs and AN groups reported higher self-starvation reward than HCs. When accounting for the effects of depression, group differences became non-significant for general rewards but remained significant for disorder-specific reward processing. The interaction between anticipatory and self-starvation reward was significantly associated with STB risk beyond the effects of depression: AN participants reporting high self-starvation reward were at elevated STB risk regardless of anticipatory reward levels, whereas those with low self-starvation reward showed increased STBs only when anticipatory reward was also low.

Conclusion

Our results suggest that the combination of general and disorder-specific reward processes may shape distinct suicidality risk profiles in AN.

目的：改变的奖励加工被认为是神经性厌食症（AN）病理的核心。本研究旨在探讨AN中奖励功能障碍与自杀念头和行为（STBs）的关系。方法：我们比较了AN + STBs患者自我报告的一般奖励（即预期奖励、圆满奖励和社会奖励）和障碍特异性奖励（即自我饥饿奖励）的反应；n = 28)或无(AN；n = 31)终生活动性性病患者和健康对照(HC；n = 32)。此外，我们研究了AN中一般和疾病特异性奖励功能障碍之间的相互作用是否与终生活动性STBs相关。结果：与AN和HC组相比，AN + STBs组的预期奖励和社会奖励显著降低；AN + stb组和AN组报告的自我饥饿奖励高于hc组。当考虑到抑郁的影响时，对于一般奖励，组间差异变得不显著，但对于特定障碍的奖励处理，组间差异仍然显著。预期奖励和自我饥饿奖励之间的相互作用与STB风险显著相关，而不仅仅是抑郁的影响：无论预期奖励水平如何，报告高自我饥饿奖励的AN参与者都有较高的STB风险，而那些自我饥饿奖励低的参与者只有在预期奖励也低的情况下才显示出增加的STB风险。结论：我们的研究结果表明，一般奖励过程和障碍特异性奖励过程的结合可能会形成AN中不同的自杀风险概况。

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引用次数: 0

A Commentary on the Increasing ARFID Referrals to a Tertiary Child and Adolescent NHS Specialist Feeding and Eating Disorder Service in the UK 越来越多的ARFID转介到第三儿童和青少年NHS专家喂养和饮食失调服务在英国的评论。

IF 3.4 2区心理学 Q1 PSYCHIATRY

European Eating Disorders Review

Pub Date : 2025-06-11 DOI: 10.1002/erv.70003

Danielle Lambert, Emma Willmott, Jo Cryer

Background

Avoidant restrictive food intake disorder (ARFID) was introduced as a diagnosis to our mental health diagnostic manuals in 2013. Referrals to a UK-based tertiary feeding and eating disorder service for feeding difficulties, including ARFID, increased by 37% since 2019.

Objective

This commentary discusses potential reasons for the increase observed in referrals for feeding difficulties, including ARFID presentations.

Main Discussion

We discuss several factors which may be contributing to the rise in referrals; a growing recognition of ARFID since its diagnostic introduction 10 years ago, the broad and inclusive diagnostic criteria for ARFID, the heterogeneous presentation of ARFID and its high co-occurrence of neurodevelopmental and mental health conditions, and a lack of established evidence-based interventions at present. We also consider broader contextual factors, including the possible impact of the COVID-19 pandemic, sociocultural changes in mealtime practices and food availability and increasing systemic pressures on services.

Conclusions and Implications

Understanding the multi factorial causes behind increased referrals is crucial for developing effective services that can manage the demands, are responsive to the needs of patients and provide appropriate and timely care for children and their families.

背景：回避性限制性食物摄入障碍（ARFID）于2013年被引入我们的心理健康诊断手册。自2019年以来，向英国三级喂养和饮食失调服务机构（包括ARFID）转诊的喂养困难人数增加了37%。目的：这篇评论讨论了在喂养困难的转诊中观察到的增加的潜在原因，包括ARFID的介绍。主要讨论：我们讨论了可能导致转诊增加的几个因素；ARFID自10年前引入诊断以来，越来越多的人认识到ARFID， ARFID的诊断标准广泛而包容，ARFID的异质表现及其神经发育和精神健康状况的高度共发，以及目前缺乏已建立的循证干预措施。我们还考虑了更广泛的背景因素，包括2019冠状病毒病大流行可能产生的影响、用餐习惯和食物供应方面的社会文化变化，以及服务业面临的系统性压力日益增加。结论和意义：了解转诊增加背后的多因素原因对于开发有效的服务至关重要，这些服务可以管理需求，响应患者的需求，并为儿童及其家庭提供适当和及时的护理。

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引用次数: 0

The Role of Social Media Usage in the Impact of Body Image on Disordered Eating Attitudes During the Third Trimester of Pregnancy 社交媒体的使用在身体形象对妊娠晚期饮食失调态度的影响中的作用。

IF 3.4 2区心理学 Q1 PSYCHIATRY

European Eating Disorders Review

Pub Date : 2025-06-03 DOI: 10.1002/erv.70001

Ebru Dığrak, İrfan Akkoç, Pelin Calpbinici

Objective

Social media use can negatively impact both physical and mental well-being by influencing aspects like body image and potentially leading to eating disorders. This issue is particularly significant during pregnancy, a time when maternal and foetal health are heavily influenced by nutrition. This study aims to examine how social media use affects the relationship between body image and disordered eating attitudes in the third trimester of pregnant women.

Method

A cross-sectional survey was conducted with a convenience sample of 368 pregnant women during their routine prenatal visits. Data collection occurred between May 2023 to May 2024, utilising the Social Media Use Integration Scale, the Disordered Eating Attitudes in Pregnancy Scale and the Body Image in Pregnancy Scale. The study's hypotheses were analysed using structural equation modelling.

Results

The study demonstrated significant positive correlations among body image perception, disordered eating attitudes, and social media use during the third trimester of pregnancy. Particularly, higher levels of social media use exacerbated the negative effects of body image perception on disordered eating attitudes. The overall model explained 29.21% of the variance in disordered eating attitudes, with social media use playing a significant moderating role.

Conclusion

These findings suggest that negative body image perceptions and social media use affect disordered eating attitudes in the third trimester of pregnant women. Furthermore, social media use serves as a significant moderator, increasing the negative effects of body image concerns. Healthcare providers should take into account the influence of social media on pregnant women’s body image and eating behaviours when developing intervention strategies. Implementing educational programs that promote a positive body image perception and enhance media literacy could be beneficial.

目的：社交媒体的使用会影响身体形象等方面，并可能导致饮食失调，从而对身心健康产生负面影响。这一问题在怀孕期间尤为重要，因为在这一时期，营养严重影响孕产妇和胎儿的健康。本研究旨在研究社交媒体的使用如何影响孕妇在妊娠晚期的身体形象和饮食失调态度之间的关系。方法：采用横断面调查法对368例孕妇进行常规产前检查。数据收集时间为2023年5月至2024年5月，使用社交媒体使用整合量表、孕期饮食失调态度量表和孕期身体形象量表。采用结构方程模型对研究假设进行了分析。结果：研究表明，在妊娠晚期，身体形象感知、饮食态度紊乱和社交媒体使用之间存在显著的正相关。特别是，较高水平的社交媒体使用加剧了身体形象感知对饮食失调态度的负面影响。整体模型解释了29.21%的饮食失调态度差异，社交媒体的使用起到了显著的调节作用。结论：这些研究结果表明，负面的身体形象认知和社交媒体的使用影响了妊娠晚期妇女的饮食失调态度。此外，社交媒体的使用起到了重要的调节作用，增加了对身体形象担忧的负面影响。医疗保健提供者在制定干预策略时应考虑到社交媒体对孕妇身体形象和饮食行为的影响。实施教育计划，促进积极的身体形象感知和提高媒体素养可能是有益的。

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引用次数: 0

Contextualising Physical Activity Levels in Patients With Anorexia Nervosa: A Systematic Review and Meta-Analysis 神经性厌食症患者的身体活动水平：一项系统综述和荟萃分析

IF 3.4 2区心理学 Q1 PSYCHIATRY

European Eating Disorders Review

Pub Date : 2025-05-24 DOI: 10.1002/erv.3205

Álex V. Pagador, Hugo Olmedillas, Danika A. Quesnel, Iván Cavero-Redondo, María Fernandez-del-Valle

Background and objective

Anorexia nervosa (AN) is a mental disorder most prevalent among adolescent females, with rising cases in younger and more culturally diverse populations. Unhealthy activity patterns are common and have been linked to increased relapse rates; however, data on objectively measured physical activity levels (PALs) in this population is scarce. This study aimed to examine PALs and sedentary time (ST) in patients with AN.

Methods

Following PRISMA guidelines, 16 studies met inclusion criteria (PICO strategy). Sensitivity and subgroup analyses by age and treatment phase were performed.

Results

Patients' mean age ranged from 12.6 to 36.2 years. Pooled mean ST was high (617.49 min/day). Light physical activity (LPA), moderate physical activity (MPA) and moderate-to-vigorous physical activity (MVPA) were higher in adult studies, while vigorous physical activity (VPA) was higher in adolescents. Steps were reported only in adult samples.

Conclusion

This is the first systematic review and meta-analysis assessing objectively measured PALs in AN patients. Findings reveal different PALs patterns by age-group, and insufficient data by treatment stage. These results identified a critical research gap essential for future development of targeted interventions and informed strategies to support recovery.

背景与目的：神经性厌食症（Anorexia neurovosa， AN）是一种常见于青春期女性的精神障碍，在年轻和文化多样化的人群中发病率呈上升趋势。不健康的活动模式很常见，与复发率增加有关；然而，这一人群中客观测量的身体活动水平（PALs）的数据很少。本研究旨在研究AN患者的PALs和久坐时间（ST）。方法：遵循PRISMA指南，16项研究符合纳入标准（PICO策略）。按年龄和治疗阶段进行敏感性和亚组分析。结果：患者平均年龄12.6 ~ 36.2岁。合并平均ST较高（617.49 min/day）。轻度体力活动（LPA）、中度体力活动（MPA）和中度至剧烈体力活动（MVPA）在成人研究中较高，而剧烈体力活动（VPA）在青少年研究中较高。仅在成人样本中报告了步骤。结论：这是第一个客观评估AN患者PALs的系统综述和荟萃分析。研究结果显示，不同年龄组的PALs模式不同，不同治疗阶段的数据不足。这些结果确定了一个关键的研究缺口，这对未来制定有针对性的干预措施和支持复苏的知情战略至关重要。

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引用次数: 0

Pre-Treatment Specialist Interventions Improve Parents' Self-Efficacy and Their Children's Eating Disorder Symptomology Before Commencing Outpatient Treatment 治疗前专家干预改善父母自我效能感和他们的孩子在门诊治疗前的饮食失调症状。

IF 3.4 2区心理学 Q1 PSYCHIATRY

European Eating Disorders Review

Pub Date : 2025-05-24 DOI: 10.1002/erv.3211

Morgan J. Sidari, Daniel Wilson, Salvatore Catania, Victoria Brown, Edith Nkwenty, Amy Davis, Penny Knight, Jacinda White, Sarah Maguire, Tania Withington

Background

Despite the severe and increasing burden of eating disorders (EDs) on children and adolescents, treatment services are typically only accessible after substantial waiting times. One strategy used to support families during the waitlist period is psychoeducation.

Objective

This pilot study aimed to evaluate the effectiveness of a 6-week pre-treatment psychoeducation and specialist medical management and group-based support programme for parents, targeting parental self-efficacy and preparedness for their child's upcoming treatment at an Australian specialist outpatient ED clinic.

Method

Waitlisted young people (197, mean age 14.55, SD = 1.70, 67% Anorexia Nervosa) and their parents (304) completed questionnaires assessing parents’ depression, anxiety and self-efficacy, and young people's depression, ED symptomology and BMI; these measures were completed pre- and post-programme and changes were assessed using multilevel models.

Results

Parents increased in self-efficacy, showed modest improvements in depression, and no significant change in anxiety. Young people showed significant improvements in global ED symptomology, BMI and depression.

Conclusions

Our findings suggest that a pre-treatment programme yields significant improvements in parental self-efficacy, which is key to effective treatment of EDs in young people. Additionally, modest but meaningful improvements to young people's weight and psychopathology are achievable before families commence an evidence-based outpatient treatment.

背景：尽管饮食失调（EDs）对儿童和青少年造成了严重且日益加重的负担，但通常只有在长时间等待后才能获得治疗服务。在等待名单期间支持家庭的一种策略是心理教育。目的：本试点研究旨在评估为期6周的治疗前心理教育、专科医疗管理和基于团体的父母支持计划的有效性，目标是父母的自我效能感和为孩子即将在澳大利亚专科门诊ED诊所接受治疗做好准备。方法：入选青少年（197例，平均年龄14.55岁，SD = 1.70，神经性厌食症67%）及其父母（304例）填写父母抑郁、焦虑、自我效能、青少年抑郁、ED症状、BMI问卷；这些措施在计划前后完成，并使用多层模型评估变化。结果：父母的自我效能感有所提高，抑郁有所改善，焦虑无明显变化。年轻人在ED症状、BMI和抑郁方面均有显著改善。结论：我们的研究结果表明，治疗前计划可以显著提高父母的自我效能感，这是有效治疗青少年ed的关键。此外，在家庭开始以证据为基础的门诊治疗之前，对年轻人的体重和精神病理的适度但有意义的改善是可以实现的。

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引用次数: 0

Association Between Nutrition Patterns and Metabolic and Psychological State Among Young Adults 青少年营养模式与代谢和心理状态的关系

IF 3.4 2区心理学 Q1 PSYCHIATRY

European Eating Disorders Review

Pub Date : 2025-05-22 DOI: 10.1002/erv.3209

Geovanny Genaro Reivan Ortiz, Roser Granero, María Pilar Aranda-Ramírez, María Alejandra Aguirre-Quezada

Background-Objectives

Obesity is an increasing global public health problem with severe correlated chronic diseases (physical and mental disorders). The aim of this study is to identify nutrient patterns among young adults who are overweight or obese based on their dietary intake, and to explore the associations between nutrient patterns and sociodemographic and clinical variables (anthropometric, cardiometabolic, and psychological).

Methods

A voluntary response (non-random) sample involving N = 188 overweight and obese university students (men and women, with a mean age of 20.8 years [SD = 2.6]) was recruited. Pregnancy, endocrine-genetic disorders, weight-loss diet and use of treatments that could affect endocrine parameters were defined as exclusion criteria.

Results

Three nutritional patterns were identified, that explained 69% of the total variance: (a) NP1, characterised by a high intake of minerals and vitamins; (b) NP2, characterised by a high intake of carbohydrates; and (c) NP3, characterised by a high intake of fats and sodium. Higher mean scores in NP1 were related to female gender (p = 0.015), while higher NP1 and NP2 levels were associated to divorced/separated marital status (p = 0.007 and p = 0.041, respectively). Path analysis revealed a direct relationship between being within metabolically unhealthy obesity (MUO) levels and higher levels of anxiety (standardised coefficient St.Coeff = 0.14, p = 0.049), depression (St.Coeff = 0.17, p = 0.014) and stress (St.Coeff = 0.13, p = 0.048). In addition, the metabolic risk profile (the classification into MUO vs. MHO) achieved a mediational link between the factor scores for NP1 and a worse psychological state.

Discussion

This study provides empirical knowledge to design more effective prevention and treatment plans for young adults who are overweight or obese, considering the impact nutritional patterns have on metabolic and psychopathological distress.

背景目的：肥胖是一个日益严重的全球公共卫生问题，伴有严重的相关慢性疾病（身体和精神障碍）。本研究的目的是根据饮食摄入确定超重或肥胖的年轻人的营养模式，并探讨营养模式与社会人口学和临床变量（人体测量学、心脏代谢学和心理学）之间的关系。方法：采用自愿响应（非随机）抽样，共纳入N = 188名超重和肥胖大学生（男女均有，平均年龄20.8岁[SD = 2.6]）。怀孕、内分泌遗传疾病、减肥饮食和使用可能影响内分泌参数的治疗被定义为排除标准。结果：确定了三种营养模式，解释了总方差的69%:(a) NP1，其特征是大量摄入矿物质和维生素；(b) NP2，特点是大量摄入碳水化合物；(c) NP3，其特点是高脂肪和高钠摄入量。较高的NP1平均得分与女性有关（p = 0.015），而较高的NP1和NP2水平与离婚或分居的婚姻状况有关（p = 0.007和p = 0.041）。通径分析显示，代谢不健康肥胖（MUO）水平与较高水平的焦虑（标准化系数St.Coeff = 0.14, p = 0.049）、抑郁（St.Coeff = 0.17, p = 0.014）和压力（St.Coeff = 0.13, p = 0.048）之间存在直接关系。此外，代谢风险谱（分为MUO和MHO）在NP1因子得分和更差的心理状态之间实现了中介联系。讨论：本研究为考虑营养模式对代谢和精神病理困扰的影响，为超重或肥胖的年轻人设计更有效的预防和治疗方案提供了经验知识。

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引用次数: 0