European Eating Disorders Review最新文献_第9页

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

What the Eye Sees, the Mind Rejects: Implicit Visual Processing of Food Images in Anorexia Nervosa 眼睛看到的，大脑拒绝：厌食症神经中食物图像的内隐视觉加工。

IF 3.4 2区心理学 Q1 PSYCHIATRY

European Eating Disorders Review

Pub Date : 2025-05-19 DOI: 10.1002/erv.3210

M. Dimakopoulou, T. Ciorli, M. Pyasik, C. Andriulli, F. Bevione, M. Martini, G. Abbate Daga, L. Pia

Objective

This study aims to explore the role of implicit visual processing in reinforcing maladaptive eating behaviours in Anorexia Nervosa-restricting subtype (AN-R), focussing on how high- and low-calorie food stimuli are processed at different stages.

Method

Thirty-two AN-R females and 36 healthy controls participated. Using a combination of novel paradigms in the field, the study employed: Breaking Continuous Flash Suppression (bCFS) for unconscious detection, Binocular Rivalry (BR) for perceptual dominance, and the Food Preference Approach-Avoidance Task (FP-AAT) for subconscious food associations.

Results

AN-R individuals exhibited prolonged perceptual dominance for high-calorie foods but simultaneously displayed stronger implicit avoidance tendencies towards these foods. Notably, the perceptual advantage correlated with heightened interoceptive awareness, while avoidance was linked to body dissatisfaction and difficulty tolerating bodily sensations. Conversely, healthy females showed the opposite pattern, implicitly approaching high-calorie foods while avoiding low-calorie foods, suggesting a more adaptive integration of food-related cues.

Conclusions

This study provides novel insights into the complex role of high-calorie foods in AN, highlighting whether and how different aspects of implicit visual processing influence eating behaviours, and underscoring the need for targeted interventions incorporating implicit cognitive mechanisms to address visual processing biases and support AN recovery.

目的：本研究旨在探讨内隐视觉加工在厌食症神经性限制亚型（AN-R）进食不良行为强化中的作用，重点研究高热量和低热量食物刺激在不同阶段的加工过程。方法：32名AN-R女性和36名健康对照。本研究采用打破连续闪光抑制（bCFS）作为无意识检测，双眼竞争（BR）作为感知优势，食物偏好趋近-回避任务（FP-AAT）作为潜意识食物联想。结果：AN-R个体对高热量食物表现出长期的感知优势，但同时对这些食物表现出更强的内隐回避倾向。值得注意的是，感知优势与增强的内感受意识相关，而回避与身体不满和难以忍受身体感觉有关。相反，健康的女性表现出相反的模式，隐性地接近高热量食物，同时避免低热量食物，这表明与食物相关的线索更具适应性整合。结论：本研究为高热量食物在AN中的复杂作用提供了新的见解，强调了内隐视觉加工的不同方面是否以及如何影响饮食行为，并强调了纳入内隐认知机制的有针对性干预措施的必要性，以解决视觉加工偏见并支持AN恢复。

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引用次数: 0

Noshing on Chocolate, I Can Do That: Increased Chocolate Consumption in the Chocolate-Modified Bogus Taste Test With Better and Not Worse Inhibitory Control 吃巧克力，我能做到：在抑制控制更好而不是更差的情况下，在巧克力修饰的假味道测试中增加巧克力摄入量。

IF 3.4 2区心理学 Q1 PSYCHIATRY

European Eating Disorders Review

Pub Date : 2025-05-19 DOI: 10.1002/erv.3206

Philipp A. Schroeder, Anton Ernst, Robert Wirth, Nils B. Kroemer, Jennifer Svaldi

Background

Chocolate is the most craved energy-dense food. Yet, most individuals can limit their chocolate consumption. Here, we investigate the cognitive mechanisms underlying chocolate consumption in a chocolate bogus taste test in a cross-sectional experimental design.

Method

High chocolate cravers abstained from chocolate for a week, followed by a virtual reality chocolate exposure with biometric trajectory recordings of their stopping responses and an ad-libitum bogus taste test of spontaneous chocolate intake. A single-target implicit association task and a computerised stop-signal task served as unstandardised control tasks 1–2 days before chocolate intake.

Results

Associations of parameters from all tasks with chocolate intake were small (|r| < 0.23). Elastic net models misestimated food intake by min. 160 kcal (generalisation: 180 kcal) and feature selection was only possible with L1 penalty. At the group level, participants showed a more controlled and delayed movement towards chocolate relative to neutral cues, evidenced by lower peak acceleration and peak velocity and faster stopping latency.

Discussion

The findings demonstrate the complex cognitive-behavioural underpinnings of food intake, food craving and abstinence.

背景：巧克力是人们最渴望的高能量食物。然而，大多数人都可以限制巧克力的摄入量。在这里，我们在横断面实验设计中研究巧克力虚假味道测试中巧克力消费的认知机制。方法：高巧克力渴望者在一周内不吃巧克力，然后进行虚拟现实巧克力暴露，记录他们停止反应的生物特征轨迹，并对自发摄入巧克力进行随意的虚假味觉测试。在巧克力摄入前1-2天，单目标内隐联想任务和计算机控制的停止信号任务作为非标准化控制任务。结果：所有任务的参数与巧克力摄入量的关联很小（b|或b|）讨论：研究结果证明了食物摄入、食物渴望和禁食的复杂认知行为基础。

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引用次数: 0

Effects of Obesity on the Relationship Between Eating Behaviours and Cognitive Emotion Regulation in Chinese College Students: A Network Analysis 肥胖对中国大学生饮食行为与认知情绪调节关系的影响：一个网络分析

IF 3.4 2区心理学 Q1 PSYCHIATRY

European Eating Disorders Review

Pub Date : 2025-05-13 DOI: 10.1002/erv.3207

Wei Jiang, Zhanbiao Shi, Xiang-Yang Zhang

Background

Maladaptive eating behaviours and cognitive emotion regulation strategies are prevalent in obese populations, both of which have complex aetiologies and interact with each other. This study aimed to examine the interaction between eating behaviours and cognitive emotion regulation strategies, conceptualising symptoms as variables that can directly interact with each other, and explore differences between obese and non-obese populations.

Methods

742 obese and 810 non-obese students were recruited from a university in northern China. Network analysis was used to characterise the network of eating behaviours and cognitive emotion regulation strategies of obese and non-obese students and then compared two network structures' differences.

Results

The network structures of obese and non-obese students differed in terms of the global strength of connections between network symptoms. In the network structure of obese students, the highest key bridge symptom was “catastrophizing”, and the association between “catastrophizing” and “hunger” was the primary bridging edge, which were different from the network structure of non-obese students.

Conclusions

Our results suggest that in the obese population, more attention should be paid to certain maladaptive cognitive emotion regulation strategies such as catastrophizing, which provides new perspectives for preventing or intervening in abnormal eating behaviours (e.g., binge eating) or eating disorders in the obese population.

背景：饮食不良行为和认知情绪调节策略在肥胖人群中普遍存在，两者的病因复杂且相互作用。本研究旨在研究饮食行为和认知情绪调节策略之间的相互作用，将症状概念化为可以直接相互作用的变量，并探索肥胖和非肥胖人群之间的差异。方法：选取北方某高校肥胖学生742人，非肥胖学生810人。采用网络分析对肥胖和非肥胖学生的饮食行为和认知情绪调节策略网络进行表征，并比较两种网络结构的差异。结果：肥胖与非肥胖学生的网络结构在网络症状的整体连接强度上存在差异。在肥胖学生的网络结构中，“灾变”是最高的关键桥梁症状，“灾变”与“饥饿”之间的关联是主要的桥边，这与非肥胖学生的网络结构不同。结论：我们的研究结果提示，在肥胖人群中，应更多地关注某些适应不良的认知情绪调节策略，如灾难化，这为预防或干预肥胖人群的异常饮食行为（如暴食）或饮食失调提供了新的视角。

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引用次数: 0

Family-Based Treatment in Higher Levels of Care: A Systematic Review and Meta-Analysis 基于家庭的高水平护理治疗：系统回顾和荟萃分析。

IF 3.4 2区心理学 Q1 PSYCHIATRY

European Eating Disorders Review

Pub Date : 2025-05-13 DOI: 10.1002/erv.3208

Samantha A. Everhart, Sohyun C. Han, Ramon Durazo-Arvizu

Objective

Family-Based Treatment (FBT) is the gold standard outpatient eating disorder treatment for children and adolescents with eating disorders. Especially within the past decade, higher levels of care (HLOC) programs including inpatient medical settings and partial hospitalisation programs have incorporated elements of FBT to improve the effectiveness of their treatments. The present study aimed to systematically review the state of the research on FBT adaptations in HLOC and describe the outcomes of those treatment programs.

Method

Articles were identified via a systematic search of three databases (PsycINFO, PubMed, Cochrane Database of Randomized Controlled Trials) according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses.

Results

Forty articles were identified including 35 studies and 5 programme descriptions, representing 17 inpatient and 23 partial hospitalisation and/or intensive outpatient programs. Thirty quantitative studies and five qualitative studies were included. Findings supported suitability and effectiveness of treatments in improving weight, eating disorder and mental health symptoms and family functioning.

Conclusions

Burgeoning research supports the effectiveness of FBT adapted to HLOC, with the most evidence for improving weight and eating disorder symptoms. The present review identifies further areas of research needed to expand on the current evidence, such as with controlled trials with sufficient follow-up data.

目的：以家庭为基础的治疗（FBT）是儿童和青少年进食障碍门诊治疗的金标准。特别是在过去十年中，包括住院医疗环境和部分住院方案在内的高级护理（HLOC）方案纳入了FBT的要素，以提高其治疗效果。本研究旨在系统回顾HLOC中FBT适应的研究现状，并描述这些治疗方案的结果。方法：通过系统检索三个数据库（PsycINFO、PubMed、Cochrane随机对照试验数据库），根据系统评价和meta分析的首选报告项目对文章进行识别。结果：40篇文章被确定，包括35项研究和5项方案描述，代表17名住院患者和23名部分住院和/或强化门诊患者。包括30项定量研究和5项定性研究。研究结果支持治疗在改善体重、饮食失调、精神健康症状和家庭功能方面的适用性和有效性。结论：快速发展的研究支持FBT适应HLOC的有效性，大多数证据表明可以改善体重和饮食失调症状。本综述确定了需要在现有证据基础上进行进一步研究的领域，例如有足够随访数据的对照试验。

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引用次数: 0

Combining Cognitive-Behaviour Therapy With Mindfulness Training in a Digital Intervention for Binge Eating Disorder: A Single-Session Pilot Trial 将认知行为疗法与正念训练相结合用于暴食症的数字干预：一项单期试点试验。

IF 3.4 2区心理学 Q1 PSYCHIATRY

European Eating Disorders Review

Pub Date : 2025-05-11 DOI: 10.1002/erv.3204

Margaret Sala, Corey R. Roos, Hedy Kober, Jonathan B. Bricker, Casey M. Stern, Joshua Plutchik, Maya John, Angela M. Haeny, Jonathan M. Feldman, Mihaela Aslan, Jennifer L. Hay, Evan M. Forman

Objective

Delivering a single-session treatment digitally can offer increased accessibility. We developed and tested a single-session digital intervention for binge-eating disorder (BED) combining cognitive behavioural therapy (CBT) and mindfulness training.

Method

English-speaking adults who met criteria for BED were recruited nationally. Participants completed a 60-min digital single-session intervention for BED. Our primary outcome was to evaluate initial acceptability (usability, overall satisfaction, engagement, visual appeal of content, understandability of programme material, desire to continue the programme, and overall helpfulness) and feasibility (intervention completion). We also evaluated changes in binge eating episodes, assessed via the Eating Disorder Examination Questionnaire (EDE-Q) objective binge eating episodes question, and eating disorder symptoms, assessed via the EDE-Q and Binge Eating Scale (BES). Acceptability measures were administered immediately after the completion of the digital module, while the BES and EDE-Q were administered at pre-treatment and at 1-month follow-up.

Results

All participants (N = 21) completed the intervention. Ratings for acceptability were excellent, with averages above a four on a five-point Likert scale on ratings for all dimensions. Participants reported large and significant decreases in binge eating episodes (d = 0.86) and BES scores (d = 0.91) as well as medium and significant decreases in global eating disorder symptoms at 1-month follow-up (d = 0.55).

Discussion

Results from this pilot suggest promising acceptability and feasibility for a single session of Mindful Courage for BED. This single session also appears to be preliminarily efficacious in reducing binge eating.

目的：提供数字化的单次治疗可以提高可及性。我们开发并测试了一种结合认知行为疗法（CBT）和正念训练的单次数字干预暴饮暴食症（BED）。方法：在全国范围内招募符合BED标准的英语成年人。参与者完成了60分钟的BED数字单次干预。我们的主要结果是评估最初的可接受性（可用性、总体满意度、参与度、内容的视觉吸引力、计划材料的可理解性、继续计划的愿望和总体的有用性）和可行性（干预完成）。我们还评估了暴食发作的变化，通过饮食失调检查问卷（ed - q）客观暴食发作问题进行评估，并通过ed - q和暴食量表（BES）评估饮食失调症状。在数字模块完成后立即进行可接受性测试，而在治疗前和随访1个月时进行BES和ed - q测试。结果：所有参与者（N = 21）均完成了干预。可接受性的评分非常好，在李克特量表的5分评分中，所有维度的平均评分都在4分以上。在1个月的随访中，参与者报告了暴食发作（d = 0.86）和BES评分（d = 0.91）的大幅显著减少，以及总体饮食失调症状的中度显著减少（d = 0.55）。讨论：该试验的结果表明，为BED提供一次正念勇气的可接受性和可行性。这一次治疗在减少暴饮暴食方面似乎也有初步的效果。

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引用次数: 0

Base Rates of Low Delis Kaplan Executive Function System Scores in Individuals With Anorexia Nervosa 神经性厌食症患者Delis Kaplan执行功能系统评分低的基本比率。

IF 3.4 2区心理学 Q1 PSYCHIATRY

European Eating Disorders Review

Pub Date : 2025-04-27 DOI: 10.1002/erv.3202

Jiana Schnabel, Kristin Stedal, Mark Rose, Betteke Maria van Noort, Lauren B. Alloy, C. Alix Timko

Objective

Inefficiencies in cognitive flexibility (CF) are a potential vulnerability trait for anorexia nervosa (AN). Yet, much of the research on CF in AN has been conducted in adult samples, with mixed results from research on adolescents. Knowledge of the prevalence of low scores on assessments can help avoid erroneous interpretations of test scores. The current study examined the prevalence of low scores on the Delis Kaplan Executive Function System (D-KEFS) in adolescents and adults with AN and adolescent healthy controls.

Method

We conducted a secondary analysis of D-KEFS data from 739 participants (552 adolescents with AN [aged 15.39 ± 1.91, 92% female], 69 adults with AN [aged 26.5 ± 6.1, 98.6% female], and 118 adolescent healthy controls [HC] [aged 15.09 ± 2.14, 98.3% female]).

Results

Low scores on the D-KEFS were common across all groups. Adults with AN exhibited the highest proportion of individuals with abnormally low scores, followed by adolescents with AN and adolescent HC. Adolescents with a higher proportion of low scores had a lower BMI z-score and longer length of illness.

Conclusions

Results highlight differences between adults and adolescents and lend support to the hypothesis that inefficiencies in flexibility are either a marker of persistent course or a scar of AN illness.

目的：认知柔韧性低下（CF）是神经性厌食症（AN）的潜在易感特征。然而，大部分关于AN中CF的研究都是在成人样本中进行的，对青少年的研究结果好坏参半。了解低分的普遍性有助于避免对考试成绩的错误解读。本研究调查了患有AN的青少年和成人以及青少年健康对照组中Delis Kaplan执行功能系统（D-KEFS）低分的流行程度。方法：我们对739名参与者的D-KEFS数据进行二次分析，其中552名AN青少年[年龄15.39±1.91,92%为女性]，69名AN成人[年龄26.5±6.1,98.6%为女性]，118名青少年健康对照[HC][年龄15.09±2.14,98.3%为女性]。结果：D-KEFS的低得分在所有组中都很常见。成人AN患者异常低分比例最高，其次是青少年AN和青少年HC。低分比例越高的青少年BMI z-score越低，患病时间越长。结论：结果突出了成人和青少年之间的差异，并支持了灵活性低下要么是持续病程的标志，要么是AN疾病的疤痕的假设。

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引用次数: 0

Neurobiology and Cognition in Girls at High-Risk of Eating Disorders: Exploring Imaging-Derived Trait Markers 进食障碍高危女孩的神经生物学和认知：探索成像衍生的特征标记。

IF 3.4 2区心理学 Q1 PSYCHIATRY

European Eating Disorders Review

Pub Date : 2025-04-24 DOI: 10.1002/erv.3203

E. Pappaianni, B. Borsarini, C. Berchio, S. Aicoboaie, S. V. Konstantopoulou, D. Van de ville, N. Micali

Background

Eating disorders (EDs) are serious psychiatric disorders characterized by impairments in neurocognition and altered brain structure. To date the majority of studies have investigated these in acutely ill or recovered individuals. Studying children at familial high risk (FHR) for psychiatric disorders allows investigating vulnerability traits or trait markers that may be present before disorder onset. Our study is the first one to examine executive function and brain structure in girls at FHR for ED (Anorexia Nervosa, Bulimia Nervosa, and Binge Eating Disorder) compared to controls (girls not at familial high risk - HC).

Methods

Forty-six (46) FHR girls (median age: 10.5 years, range: 9) and 50 HC girls (median age: 12 years, range: 8) completed a battery of neuropsychological tests assessing cognitive flexibility, inhibitory control, and working memory. Structural magnetic resonance imaging assessed grey matter volume (GMV) and cortical thickness (CT).

Results

Girls at FHR for ED performed a higher number of errors in a cognitive flexibility task compared to HC (β = 0.15, p < 0.05). They also had increased GMV in posterior regions such as the right supramarginal gyrus, middle occipital gyrus, and lingual/fusiform gyrus compared to HC (p < 0.05 cluster-level FWE-corrected), as well as increased CT in the left transverse pole (p < 0.001) and right posterior cingulate cortex (p < 0.05).

Conclusions

Girls at FHR show characteristic neurocognitive performance similar to that seen in individuals with ED, as well as differences in brain structure compared to HC. Our findings, together with previous evidence, highlight impairment in cognitive flexibility as a possible trait marker of ED. Further longitudinal studies are needed to confirm differences in GMV and CT identified in this study.

背景：进食障碍（EDs）是一种以神经认知障碍和大脑结构改变为特征的严重精神疾病。迄今为止，大多数研究都是在急性疾病或康复个体中进行的。研究精神疾病家族性高风险（FHR）儿童，可以调查在疾病发作前可能存在的脆弱性特征或特征标记。我们的研究是第一个检测患有ED（神经性厌食症、神经性贪食症和暴食症）的FHR女孩的执行功能和大脑结构，并将其与对照组（没有家族性高风险的女孩- HC）进行比较。方法：46（46）名FHR女孩（中位年龄：10.5岁，范围：9）和50名HC女孩（中位年龄：12岁，范围：8）完成了一系列神经心理测试，评估认知灵活性、抑制控制和工作记忆。结构磁共振成像评估灰质体积（GMV）和皮质厚度（CT）。结果：与HC相比，FHR组的ED女孩在认知灵活性任务中出现了更多的错误（β = 0.15, p）。结论：FHR组的女孩表现出与ED个体相似的特征神经认知表现，以及与HC相比的大脑结构差异。我们的研究结果以及之前的证据都强调了认知灵活性障碍可能是ED的一个特征标记。需要进一步的纵向研究来证实本研究中发现的GMV和CT的差异。

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引用次数: 0

Prevalence of Eating Disorders in Individuals With Schizophrenia Spectrum Disorder: A Systematic Review and Meta-Analysis 精神分裂症谱系障碍患者饮食失调的患病率：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 : 2025-04-19 DOI: 10.1002/erv.3199

Swastik Subhankar Sahu, Mahalaqua Nazli Khatib, Rekha MM, Mandeep Kaur, Girish Chandra Sharma, Puneet Sudan, K. Satyam Naidu, Rajesh Singh, Brajgopal Kushwaha, Tripti Desai, Muhammed Shabil, Sanjay Singh Chauhan, Lokesh Verma, Amritpal Sidhu, Rachana Mehta, Prakasini Satapathy, Sanjit Sah, Abhay M. Gaidhane, Ganesh Bushi

Background

Eating disorders (EDs) are significant comorbidities in individuals with schizophrenia spectrum disorders (SSDs), yet they are often under recognized. This systematic review and meta-analysis aimed to synthesise existing evidence on the prevalence of EDs in SSD populations and to explore potential moderators such as geographical location and diagnostic tools.

Methods

We conducted a systematic search of PubMed, Embase and Web of Science for studies reporting the prevalence of EDs in individuals with SSDs. Subgroup analyses examined the influence of geographical location and screening tools on prevalence estimates. Sensitivity analyses and a funnel plot were used to assess the robustness of the findings and potential publication bias.

Results

A total of 13 studies, comprising 1135 participants, were included in the review, with 12 studies contributing to the meta-analysis using R v4.4. The pooled prevalence of EDs in individuals with SSDs was 15.65% (95% CI: 8.04–28.26), with a prediction interval ranging from 1.62% to 67.66%. Subgroup analysis by geographical location revealed substantial variability, with prevalence estimates ranging from 5.88% in Southern Europe to 28.99% in the Middle East and North Africa. Studies using questionnaire-based tools reported a higher pooled prevalence (19.25%) compared to those employing DSM-based diagnostic criteria (11.90%). Significant heterogeneity was observed across studies (I² = 87%).

Conclusions

This study highlights the considerable prevalence of EDs in SSD populations, emphasising the need for early identification and integrated care. The variability in prevalence estimates suggests that geographical, cultural and methodological factors play an important role in the findings. Future research should focus on longitudinal studies, the development of standardized diagnostic tools, and the inclusion of underrepresented regions to enhance understanding and improve care for this vulnerable population.

背景：饮食失调（EDs）是精神分裂症谱系障碍（ssd）患者的重要合并症，但通常未得到充分认识。本系统综述和荟萃分析旨在综合SSD人群中ed患病率的现有证据，并探索地理位置和诊断工具等潜在的调节因素。方法：我们对PubMed、Embase和Web of Science进行了系统的检索，以报告ssd患者中ed患病率的研究。亚组分析检查了地理位置和筛查工具对患病率估计的影响。采用敏感性分析和漏斗图来评估研究结果的稳健性和潜在的发表偏倚。结果：共纳入13项研究，包括1135名参与者，其中12项研究使用R v4.4进行meta分析。ssd患者ed的总患病率为15.65% (95% CI: 8.04 ~ 28.26)，预测区间为1.62% ~ 67.66%。按地理位置进行的亚组分析显示出很大的差异，患病率估计从南欧的5.88%到中东和北非的28.99%不等。与使用dsm诊断标准的研究（11.90%）相比，使用基于问卷的工具的研究报告了更高的总患病率（19.25%）。研究间存在显著的异质性（I2 = 87%）。结论：本研究强调了急诊科在SSD人群中相当普遍，强调了早期识别和综合护理的必要性。患病率估计值的差异表明，地理、文化和方法因素在调查结果中发挥了重要作用。未来的研究应侧重于纵向研究、标准化诊断工具的开发以及纳入代表性不足的地区，以加强对这一弱势群体的了解和改善护理。

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引用次数: 0

The Prevalence of Excessive Exercise in Eating Disorders: A Systematic Review and Meta-Analysis 过度运动在饮食失调中的流行：系统回顾和荟萃分析。

IF 3.4 2区心理学 Q1 PSYCHIATRY

European Eating Disorders Review

Pub Date : 2025-04-19 DOI: 10.1002/erv.3194

Connor Campbell, Xander Greig, Jessica Griffiths, Devon Hashman, Thomas Sottile, Masanori Isobe, Anees Bahji, Gina Dimitropoulos, Dan Devoe

Objective

Individuals with eating disorders (EDs) often present with maladaptive behaviours such as excessive exercise (EE). The consequences of EE include physical injuries, increased risk of anxiety and depression, and impaired social functioning. No systematic reviews have been conducted on the prevalence of EE in EDs. This study aimed to assess the prevalence of EE in EDs and by ED type.

Method

An electronic database search of the peer-reviewed literature was conducted from inception to October 2024. Review eligibility was restricted to research studies reporting prevalence data for EE in individuals diagnosed with EDs.

Results

Fifty-six studies met the inclusion criteria (n = 21,518; mean age: 22.34 years). The current prevalence of EE in all EDs was 48%. Current prevalence was highest in AN (48%), followed by BN (45%), OSFED (38%), and BED (11%). The lifetime prevalence of EE in all EDs was 63%. Lifetime prevalence was highest in AN (72%), followed by BN (57%) and OSFED (21%).

Conclusions

Nearly half of individuals with an ED engage in EE. High heterogeneity across the included studies likely influenced the prevalence found in this study. Data suggest clinical screening and longitudinal monitoring of EE in those with EDs. Future research into early intervention and treatment for EE in those with EDs is recommended.

Trial Registration

PROSPERO: CRD42023464148; Open Science Framework: https://doi.org/10.17605/OSF.IO/MYVXW

目的：饮食失调（EDs）患者通常表现为过度运动（EE）等适应不良行为。情感表达的后果包括身体伤害，增加焦虑和抑郁的风险，以及社会功能受损。目前还没有对急症患者的情感表达率进行系统评价。本研究旨在评估ED和ED类型中情感表达的流行程度。方法：检索成立至2024年10月同行评议文献的电子数据库。审查资格仅限于报告被诊断为ed的个体的情感表达患病率数据的研究。结果：56项研究符合纳入标准(n = 21,518；平均年龄：22.34岁)。目前所有急诊科中情感表达的患病率为48%。目前AN患病率最高（48%），其次是BN（45%）、OSFED（38%）和BED（11%）。所有急诊科患者的EE终生患病率为63%。AN的终生患病率最高（72%），其次是BN（57%）和OSFED（21%）。结论：近一半的ED患者参与情感表达。纳入研究的高异质性可能影响了本研究中发现的患病率。数据表明，对急症患者进行临床筛查和情感表达的纵向监测。建议对ed患者的情感表达进行早期干预和治疗。试验注册：PROSPERO: CRD42023464148；开放科学框架：https://doi.org/10.17605/OSF.IO/MYVXW。

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引用次数: 0