Daria Komarova, Kate Chambers, Una Foye, Tom Jewell
Objective
To systematically review the literature on clinicians' and patients' experiences of supported mealtimes in the treatment of anorexia nervosa.
Method
This systematic review was conducted in accordance with PRISMA guidelines and registered on PROSPERO (CRD42022372565). PsycINFO, MEDLINE and Embase were searched up to the 20th of November 2023 for qualitative articles investigating the perspectives of healthcare professionals and patients on clinician-supported meals across all clinical settings. Data were analysed using thematic synthesis. The Critical Appraisal Skills Programme was used to evaluate the quality of selected studies.
Results
This review comprised of 26 studies; eight concerned with the perspectives of clinicians only, 16 addressing patients' views, and two studies exploring the views of both groups. Experiences of both groups were generally negative, and three overlapping themes were identified: lack of consistency in care provided, high levels of negative emotions and an uncomfortable power dynamic.
Conclusions
This review suggests that supported mealtimes are experienced more positively by patients when rules are clear and consistently enforced, and when clinicians make informal conversation and supportive comments. Our findings highlight the need for best practice guidelines and clinician training to improve the delivery of supported mealtimes. Such guidelines and training should be coproduced in collaboration with patients and carers.
{"title":"Patient and clinician perspectives on supported mealtimes as part of anorexia nervosa treatment: A systematic review and qualitative synthesis","authors":"Daria Komarova, Kate Chambers, Una Foye, Tom Jewell","doi":"10.1002/erv.3081","DOIUrl":"10.1002/erv.3081","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>To systematically review the literature on clinicians' and patients' experiences of supported mealtimes in the treatment of anorexia nervosa.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>This systematic review was conducted in accordance with PRISMA guidelines and registered on PROSPERO (CRD42022372565). PsycINFO, MEDLINE and Embase were searched up to the 20<sup>th</sup> of November 2023 for qualitative articles investigating the perspectives of healthcare professionals and patients on clinician-supported meals across all clinical settings. Data were analysed using thematic synthesis. The Critical Appraisal Skills Programme was used to evaluate the quality of selected studies.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>This review comprised of 26 studies; eight concerned with the perspectives of clinicians only, 16 addressing patients' views, and two studies exploring the views of both groups. Experiences of both groups were generally negative, and three overlapping themes were identified: lack of consistency in care provided, high levels of negative emotions and an uncomfortable power dynamic.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>This review suggests that supported mealtimes are experienced more positively by patients when rules are clear and consistently enforced, and when clinicians make informal conversation and supportive comments. Our findings highlight the need for best practice guidelines and clinician training to improve the delivery of supported mealtimes. Such guidelines and training should be coproduced in collaboration with patients and carers.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48117,"journal":{"name":"European Eating Disorders Review","volume":"32 4","pages":"731-747"},"PeriodicalIF":5.3,"publicationDate":"2024-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/erv.3081","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140102602","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Zhen An, Kyung Hwa Kwag, Mirihae Kim, Jae-Won Yang, Jung-Joon Moon, Janet Treasure, Youl-Ri Kim
Objective
This study examined the effect of cognitive bias modification for interpretation (CBM-I) training in Korean women with eating disorders (EDs).
Method
Sixty-three women with EDs participated in the study. Participants were randomly assigned to the intervention group where they received six sessions of CBM-I training (n = 31) in addition to treatment-as-usual or were put on a waiting list (n = 32). Participants' interpretation and attention biases, emotion regulation, affect, and ED psychopathology were assessed at baseline, end-of-intervention (4 weeks), and follow-up (8 weeks).
Results
Participants who completed the CBM-I training displayed greater reductions in negative interpretation bias (Δη2 = 0.107) and emotion dysregulation (Δη2 = 0.085) with medium to large effect sizes compared to the control group, which were maintained from baseline to follow-up. Disengagement from negative faces and a focus on positive faces was found in the intervention group with a moderate effect size at the end-of-intervention (Δη2 = 0.090). Both intervention and control groups showed improvements in ED psychopathology. Baseline neuroticism was positively correlated with CBM-I effect.
Discussion
The results suggest that modifying interpretation bias towards ambiguous social stimuli might be an effective adjuvant treatment to reduce negative expectations of social situations and improve emotion regulation in women with bulimia nervosa and anorexia nervosa.
{"title":"The effect of training to target cognitive biases towards social rejection in eating disorders","authors":"Zhen An, Kyung Hwa Kwag, Mirihae Kim, Jae-Won Yang, Jung-Joon Moon, Janet Treasure, Youl-Ri Kim","doi":"10.1002/erv.3083","DOIUrl":"10.1002/erv.3083","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>This study examined the effect of cognitive bias modification for interpretation (CBM-I) training in Korean women with eating disorders (EDs).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>Sixty-three women with EDs participated in the study. Participants were randomly assigned to the intervention group where they received six sessions of CBM-I training (<i>n</i> = 31) in addition to treatment-as-usual or were put on a waiting list (<i>n</i> = 32). Participants' interpretation and attention biases, emotion regulation, affect, and ED psychopathology were assessed at baseline, end-of-intervention (4 weeks), and follow-up (8 weeks).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Participants who completed the CBM-I training displayed greater reductions in negative interpretation bias (<i>Δη</i><sup>2</sup> = 0.107) and emotion dysregulation (<i>Δη</i><sup>2</sup> = 0.085) with medium to large effect sizes compared to the control group, which were maintained from baseline to follow-up. Disengagement from negative faces and a focus on positive faces was found in the intervention group with a moderate effect size at the end-of-intervention (<i>Δη</i><sup>2</sup> = 0.090). Both intervention and control groups showed improvements in ED psychopathology. Baseline neuroticism was positively correlated with CBM-I effect.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>The results suggest that modifying interpretation bias towards ambiguous social stimuli might be an effective adjuvant treatment to reduce negative expectations of social situations and improve emotion regulation in women with bulimia nervosa and anorexia nervosa.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48117,"journal":{"name":"European Eating Disorders Review","volume":"32 4","pages":"718-730"},"PeriodicalIF":5.3,"publicationDate":"2024-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140066010","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Christina Ralph-Nearman, Kimberly D. Osborn, Rose Seoyoung Chang, Kathryn E. Barber
Eating disorders (ED) are serious psychiatric illnesses, with no everyday support to intervene on the high rates of relapse. Understanding physiological indices that can be measured by wearable sensor technologies may provide new momentary interventions for individuals with ED. This systematic review, searching large databases, synthesises studies investigating peripheral physiological (PP) indices commonly included in wearable wristbands (heart rate [HR], heart rate variability [HRV], electrodermal activity [EDA], peripheral skin temperature [PST], and acceleration) in ED. Inclusion criteria included: (a) full peer-reviewed empirical articles in English; (b) human participants with active ED; and (c) containing one of five wearable physiological measures. Kmet risk of bias was assessed. Ninety-four studies were included (Anorexia nervosa [AN; N = 4418], bulimia nervosa [BN; N = 916], binge eating disorder [BED; N = 1604], other specified feeding and eating disorders [OSFED; N = 424], and transdiagnostic [N = 47]). Participants with AN displayed lower HR and EDA and higher HRV compared to healthy individuals. Those with BN showed higher HRV, and lower EDA and PST compared to healthy individuals. Other ED and Transdiagnostic samples showed mixed results. PP differences are indicated through various assessments in ED, which may suggest diagnostic associations, although more studies are needed to validate observed patterns. Results suggest important therapeutic potential for PP in ED, and larger studies including diverse participants and diagnostic groups are needed to fully uncover their role in ED.
饮食失调症（ED）是一种严重的精神疾病，没有日常支持来干预高复发率。了解可穿戴传感器技术所能测量的生理指标，可为进食障碍患者提供新的即时干预措施。本系统性综述通过搜索大型数据库，对可穿戴腕带中常见的外周生理（PP）指数（心率[HR]、心率变异性[HRV]、皮电活动[EDA]、外周皮肤温度[PST]和加速度）进行了综合研究。纳入标准包括(a) 经同行评审的完整英文实证文章；(b) 有活动性 ED 的人类参与者；(c) 包含五种可穿戴生理测量指标之一。评估了Kmet偏倚风险。共纳入 94 项研究（神经性厌食症[AN; N = 4418]、神经性贪食症[BN; N = 916]、暴食症[BED; N = 1604]、其他特定喂养和进食障碍[OSFED; N = 424]以及跨诊断[N = 47]）。与健康人相比，AN患者的心率和EDA较低，心率变异较高。与健康人相比，BN 患者的心率变异更高，EDA 和 PST 更低。其他 ED 和跨诊断样本显示的结果不一。通过对 ED 的各种评估，可以看出 PP 的差异，这可能与诊断有关，但还需要更多的研究来验证观察到的模式。研究结果表明，PP 在 ED 中具有重要的治疗潜力，需要进行包括不同参与者和诊断群体在内的更大规模的研究，以全面揭示其在 ED 中的作用。
{"title":"Momentary physiological indices related to eating disorders: A systematic and methodological review","authors":"Christina Ralph-Nearman, Kimberly D. Osborn, Rose Seoyoung Chang, Kathryn E. Barber","doi":"10.1002/erv.3062","DOIUrl":"10.1002/erv.3062","url":null,"abstract":"<p>Eating disorders (ED) are serious psychiatric illnesses, with no everyday support to intervene on the high rates of relapse. Understanding physiological indices that can be measured by wearable sensor technologies may provide new momentary interventions for individuals with ED. This systematic review, searching large databases, synthesises studies investigating peripheral physiological (PP) indices commonly included in wearable wristbands (heart rate [HR], heart rate variability [HRV], electrodermal activity [EDA], peripheral skin temperature [PST], and acceleration) in ED. Inclusion criteria included: (a) full peer-reviewed empirical articles in English; (b) human participants with active ED; and (c) containing one of five wearable physiological measures. Kmet risk of bias was assessed. Ninety-four studies were included (Anorexia nervosa [AN; <i>N</i> = 4418], bulimia nervosa [BN; <i>N</i> = 916], binge eating disorder [BED; <i>N</i> = 1604], other specified feeding and eating disorders [OSFED; <i>N</i> = 424], and transdiagnostic [<i>N</i> = 47]). Participants with AN displayed lower HR and EDA and higher HRV compared to healthy individuals. Those with BN showed higher HRV, and lower EDA and PST compared to healthy individuals. Other ED and Transdiagnostic samples showed mixed results. PP differences are indicated through various assessments in ED, which may suggest diagnostic associations, although more studies are needed to validate observed patterns. Results suggest important therapeutic potential for PP in ED, and larger studies including diverse participants and diagnostic groups are needed to fully uncover their role in ED.</p>","PeriodicalId":48117,"journal":{"name":"European Eating Disorders Review","volume":"32 4","pages":"700-717"},"PeriodicalIF":5.3,"publicationDate":"2024-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140040677","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Phillip Aouad, Anna Janssen, Sally Corry, Karen Spielman, Veronica Gonzalez-Arce, Emma Bryant, Rachel Simeone, Tim Shaw, Sarah Maguire
<div> <section> <h3> Background</h3> <p>Over two-thirds of people present to their primary care physician (or general practitioner; GP) as a first point of contact for mental health concerns. However, eating disorders (EDs) are often not identified in a primary care setting. A significant barrier to early detection and intervention is lack of primary care physician training in EDs; compounded by the significant time commitments required for training by already time-poor general practitioners. The aim of the current study was to pilot and evaluate a microlearning programme that can be delivered to general practitioners with high workloads to help support patients with, or at risk of, developing an ED.</p> </section> <section> <h3> Methods</h3> <p>Fifty-one Australian general practitioners aged between 25-to-60 years old were recruited. Participants completed a baseline questionnaire to ascertain their experience working in general practice and with EDs. Participants then completed an online programme consisting of a series of 10 case studies (vignettes) delivered over a 6–10 week period related to various facets of ED care. Following conclusion of the programme, participants were asked to complete an evaluative questionnaire related to the content of the programme; perceived knowledge, confidence, willingness-to-treat, skill change; and their overall experience of microlearning.</p> </section> <section> <h3> Results</h3> <p>All 51 GPs completed the programme and reached completion criteria for all vignettes, 40 of whom completed the programme evaluation. Participants indicated improved skill, confidence, willingness-to-treat, and knowledge following the completion of the pilot programme. Almost all (97.5%; <i>n = </i>39) found microlearning to be an effective method to learn about EDs; with 87.5% (<i>n = </i>35) of participants reporting they felt able to apply what was learnt in practice. Qualitative feedback highlighted the benefit of microlearning's flexibility to train general practitioners to work with complex health presentations, specifically EDs.</p> </section> <section> <h3> Conclusions</h3> <p>Findings from the current study lend support to the use of microlearning in medical health professional training; notably around complex mental health concerns. Microlearning appears to be an acceptable and effective training method for GPs to learn about EDs. Given the significant time demands on GPs and the resulting challenges in designing appropriate training for this part of the workforce, this training method has promise. The pre-existing inter
{"title":"Educating primary care physicians about eating disorders: Pilot data from a microlearning programme","authors":"Phillip Aouad, Anna Janssen, Sally Corry, Karen Spielman, Veronica Gonzalez-Arce, Emma Bryant, Rachel Simeone, Tim Shaw, Sarah Maguire","doi":"10.1002/erv.3074","DOIUrl":"10.1002/erv.3074","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Over two-thirds of people present to their primary care physician (or general practitioner; GP) as a first point of contact for mental health concerns. However, eating disorders (EDs) are often not identified in a primary care setting. A significant barrier to early detection and intervention is lack of primary care physician training in EDs; compounded by the significant time commitments required for training by already time-poor general practitioners. The aim of the current study was to pilot and evaluate a microlearning programme that can be delivered to general practitioners with high workloads to help support patients with, or at risk of, developing an ED.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Fifty-one Australian general practitioners aged between 25-to-60 years old were recruited. Participants completed a baseline questionnaire to ascertain their experience working in general practice and with EDs. Participants then completed an online programme consisting of a series of 10 case studies (vignettes) delivered over a 6–10 week period related to various facets of ED care. Following conclusion of the programme, participants were asked to complete an evaluative questionnaire related to the content of the programme; perceived knowledge, confidence, willingness-to-treat, skill change; and their overall experience of microlearning.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>All 51 GPs completed the programme and reached completion criteria for all vignettes, 40 of whom completed the programme evaluation. Participants indicated improved skill, confidence, willingness-to-treat, and knowledge following the completion of the pilot programme. Almost all (97.5%; <i>n = </i>39) found microlearning to be an effective method to learn about EDs; with 87.5% (<i>n = </i>35) of participants reporting they felt able to apply what was learnt in practice. Qualitative feedback highlighted the benefit of microlearning's flexibility to train general practitioners to work with complex health presentations, specifically EDs.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Findings from the current study lend support to the use of microlearning in medical health professional training; notably around complex mental health concerns. Microlearning appears to be an acceptable and effective training method for GPs to learn about EDs. Given the significant time demands on GPs and the resulting challenges in designing appropriate training for this part of the workforce, this training method has promise. The pre-existing inter","PeriodicalId":48117,"journal":{"name":"European Eating Disorders Review","volume":"32 4","pages":"687-699"},"PeriodicalIF":5.3,"publicationDate":"2024-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/erv.3074","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139988014","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Melissa Hart, Stephen Hirneth, Jane Mendelson, Laura Jenkins, Kirrilly Pursey, Glenn Waller
Objective
Brief and accessible therapies for people with an eating disorder is an important health target. Ten-session cognitive behavioural therapy (CBT-T) is a brief treatment evaluated in people with a non-underweight eating disorder. This study aimed to evaluate the feasibility and preliminary effectiveness of CBT-T for young people in primary care.
Method
This cohort pilot study used group (adolescents vs. young adults) by time (over four time points) Generalised Linear Mixed Model analysis. Participants included 13–25-year-olds attending an early intervention mental health service, receiving 10 sessions of CBT-T. Feasibility was assessed using recruitment, retention and satisfaction. Eating and other pathology measures were administered at baseline, weeks four and 10, and 12-week follow-up.
Results
Of the 63 commencing treatment, 38 completed 10 CBT-T sessions (60%). Most (94%) reported high treatment satisfaction. Significant reductions in eating pathology, depression and stress were found. Age group did not yield differences in CBT-T outcome, with large to very large effect sizes across outcome variables. Anxiety was associated with attrition.
Conclusion
This study provides preliminary support for the use of CBT-T in primary care, across adolescence and early adulthood. Findings require replication in other clinical settings and comparison to other clinical approaches and control populations.
{"title":"Brief cognitive behavioural therapy for eating disorders symptomatology among a mixed sample of adolescents and young adults in primary care: A non-randomised feasibility and pilot study","authors":"Melissa Hart, Stephen Hirneth, Jane Mendelson, Laura Jenkins, Kirrilly Pursey, Glenn Waller","doi":"10.1002/erv.3075","DOIUrl":"10.1002/erv.3075","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>Brief and accessible therapies for people with an eating disorder is an important health target. Ten-session cognitive behavioural therapy (CBT-T) is a brief treatment evaluated in people with a non-underweight eating disorder. This study aimed to evaluate the feasibility and preliminary effectiveness of CBT-T for young people in primary care.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>This cohort pilot study used group (adolescents vs. young adults) by time (over four time points) Generalised Linear Mixed Model analysis. Participants included 13–25-year-olds attending an early intervention mental health service, receiving 10 sessions of CBT-T. Feasibility was assessed using recruitment, retention and satisfaction. Eating and other pathology measures were administered at baseline, weeks four and 10, and 12-week follow-up.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Of the 63 commencing treatment, 38 completed 10 CBT-T sessions (60%). Most (94%) reported high treatment satisfaction. Significant reductions in eating pathology, depression and stress were found. Age group did not yield differences in CBT-T outcome, with large to very large effect sizes across outcome variables. Anxiety was associated with attrition.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>This study provides preliminary support for the use of CBT-T in primary care, across adolescence and early adulthood. Findings require replication in other clinical settings and comparison to other clinical approaches and control populations.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48117,"journal":{"name":"European Eating Disorders Review","volume":"32 4","pages":"676-686"},"PeriodicalIF":5.3,"publicationDate":"2024-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/erv.3075","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139984224","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Julia Philipp, Claudia Franta, Michael Zeiler, Stefanie Truttmann, Tanja Wittek, Gabriele Schöfbeck, Dunja Mairhofer, Michaela Mitterer, Clarissa Laczkovics, Janet Treasure, Andreas F. K. Karwautz, Gudrun Wagner
Objective
“Supporting Carers of Children and Adolescents with Eating Disorders in Austria” (SUCCEAT), a skills training for parents, delivered via workshops (WS) or online modules (ONL), has been proven to be effective in terms of parental distress, caregiver skills, and adolescents' outcome. This study examined the adherence to and the acceptability and feasibility of SUCCEAT.
Method
One-hundred parents (86% mothers) of adolescents with anorexia nervosa participated in the 8-week training. Parents were assigned to the WS (n = 50) or ONL (n = 50) format using a quasi-randomised design. Adherence, acceptability, and feasibility were assessed using self-report questionnaires.
Results
Adherence to the sessions was high (66%–98%) for both groups. The usage of the material was comparable between the groups. However, in the WS group, participants actively approached the coaches (71.8% vs. 48.9% often/very often) or other parents (63% vs. 4.4% often/very often) more often. Perceived helpfulness was high in both groups, overall satisfaction and practicability were higher in the WS group.
Conclusions
Good adherence, acceptability, and feasibility were confirmed for both formats of SUCCEAT, with minimal advantages of the WS regarding satisfaction and contact with other parents and coaches. Thus, both formats can be recommended for implementation in clinical routine.
{"title":"Acceptability and feasibility of SUCCEAT, an intervention for parents of adolescents with anorexia nervosa","authors":"Julia Philipp, Claudia Franta, Michael Zeiler, Stefanie Truttmann, Tanja Wittek, Gabriele Schöfbeck, Dunja Mairhofer, Michaela Mitterer, Clarissa Laczkovics, Janet Treasure, Andreas F. K. Karwautz, Gudrun Wagner","doi":"10.1002/erv.3080","DOIUrl":"10.1002/erv.3080","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>“Supporting Carers of Children and Adolescents with Eating Disorders in Austria” (SUCCEAT), a skills training for parents, delivered via workshops (WS) or online modules (ONL), has been proven to be effective in terms of parental distress, caregiver skills, and adolescents' outcome. This study examined the adherence to and the acceptability and feasibility of SUCCEAT.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>One-hundred parents (86% mothers) of adolescents with anorexia nervosa participated in the 8-week training. Parents were assigned to the WS (<i>n</i> = 50) or ONL (<i>n</i> = 50) format using a quasi-randomised design. Adherence, acceptability, and feasibility were assessed using self-report questionnaires.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Adherence to the sessions was high (66%–98%) for both groups. The usage of the material was comparable between the groups. However, in the WS group, participants actively approached the coaches (71.8% vs. 48.9% often/very often) or other parents (63% vs. 4.4% often/very often) more often. Perceived helpfulness was high in both groups, overall satisfaction and practicability were higher in the WS group.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Good adherence, acceptability, and feasibility were confirmed for both formats of SUCCEAT, with minimal advantages of the WS regarding satisfaction and contact with other parents and coaches. Thus, both formats can be recommended for implementation in clinical routine.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48117,"journal":{"name":"European Eating Disorders Review","volume":"32 4","pages":"662-675"},"PeriodicalIF":5.3,"publicationDate":"2024-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/erv.3080","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139974041","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
<p>Praxedes DRS, Silva-Júnior AE, Macena ML, Oliveira AD, Cardoso KS, Nunes LO, Monteiro MB, Melo ISV, Gearhardt AN, Bueno NB. Prevalence of food addiction determined by the Yale Food Addiction Scale and associated factors: A systematic review with meta-analysis. <i>Eur Eat Disord Rev</i>. 2022; 30(2): 85–95. https://doi.org/10.1002/erv.2878</p><p>A letter by Dr. Meule (<span>2023</span>) indicated that some results in our paper regarding the prevalence of food addiction (FA) in samples with eating disorders are potentially wrong. Indeed, after a revision of our spreadsheet we were able to identify the mistake in the analysis involving studies that had subsamples with eating and weight disorders. Our mistake was that we had included in the analysis studies with subsamples with different conditions (e.g. individuals with binge eating, bulimia, anorexia) but the prevalence used to run the analysis was the prevalence of the whole sample from each study (and not from each subsample). Hence, some pooled prevalence arising from the analysis of these subsamples is wrong, and usually underestimated.</p><p>We undertook an extensive review in every single included study and conducted a new analysis of the data. Prevalence of FA in anorexia, binge eating and bulimia were wrong in our original paper and underestimated. Prevalence of FA in anorexia increased from 44% to 55%, in binge eating from 55% to 63%, and in bulimia from 48% to 84%. Regarding the prevalence of FA in other subsamples, especially in those with weight disorders, there were only minor changes: the prevalence of FA in obesity increased from 28% to 30% and in bariatric surgery from 29% to 31%. As a result of such increases, the prevalence of FA in ‘clinical samples’ as a whole also increased from 31% to 40%. The prevalence of FA in non-clinical samples was maintained (14%). All these findings may be seen in the new table below: </p><p>After the commentary by Dr. Meule and the new analysis, we decided to present the pooled prevalence of eating disorders without stratifying by clinical and non-clinical samples, since there were almost no studies with ‘non-clinical’ diagnosis of the eating disorders. Hence, the last paragraph of the paper in the 2.3 section ‘Data extraction’, readers should disregard the stratification of eating disorders studies in samples with clinical and non-clinical diagnosis.</p><p>Hence, some findings of our original publication are invalid: (a) the overall pooled prevalence in all studies is 24% and not 20%; (b) the prevalence in clinical samples is 40% and not 31%; (c) bulimia is the eating disorder with higher prevalence of FA (84%) followed by binge eating (63%) and anorexia (53%). On the other hand, some other findings are maintained, especially the pooled prevalence in non-clinical samples which was 14%.</p><p>We also have uploaded a new spreadsheet with all data used to generate the new analysis and to replace the supplementary file that was uploaded wi
{"title":"Correction to ‘Prevalence of food addiction determined by the Yale Food Addiction Scale and associated factors: A systematic review with meta-analysis’","authors":"","doi":"10.1002/erv.3078","DOIUrl":"10.1002/erv.3078","url":null,"abstract":"<p>Praxedes DRS, Silva-Júnior AE, Macena ML, Oliveira AD, Cardoso KS, Nunes LO, Monteiro MB, Melo ISV, Gearhardt AN, Bueno NB. Prevalence of food addiction determined by the Yale Food Addiction Scale and associated factors: A systematic review with meta-analysis. <i>Eur Eat Disord Rev</i>. 2022; 30(2): 85–95. https://doi.org/10.1002/erv.2878</p><p>A letter by Dr. Meule (<span>2023</span>) indicated that some results in our paper regarding the prevalence of food addiction (FA) in samples with eating disorders are potentially wrong. Indeed, after a revision of our spreadsheet we were able to identify the mistake in the analysis involving studies that had subsamples with eating and weight disorders. Our mistake was that we had included in the analysis studies with subsamples with different conditions (e.g. individuals with binge eating, bulimia, anorexia) but the prevalence used to run the analysis was the prevalence of the whole sample from each study (and not from each subsample). Hence, some pooled prevalence arising from the analysis of these subsamples is wrong, and usually underestimated.</p><p>We undertook an extensive review in every single included study and conducted a new analysis of the data. Prevalence of FA in anorexia, binge eating and bulimia were wrong in our original paper and underestimated. Prevalence of FA in anorexia increased from 44% to 55%, in binge eating from 55% to 63%, and in bulimia from 48% to 84%. Regarding the prevalence of FA in other subsamples, especially in those with weight disorders, there were only minor changes: the prevalence of FA in obesity increased from 28% to 30% and in bariatric surgery from 29% to 31%. As a result of such increases, the prevalence of FA in ‘clinical samples’ as a whole also increased from 31% to 40%. The prevalence of FA in non-clinical samples was maintained (14%). All these findings may be seen in the new table below:\u0000 </p><p>After the commentary by Dr. Meule and the new analysis, we decided to present the pooled prevalence of eating disorders without stratifying by clinical and non-clinical samples, since there were almost no studies with ‘non-clinical’ diagnosis of the eating disorders. Hence, the last paragraph of the paper in the 2.3 section ‘Data extraction’, readers should disregard the stratification of eating disorders studies in samples with clinical and non-clinical diagnosis.</p><p>Hence, some findings of our original publication are invalid: (a) the overall pooled prevalence in all studies is 24% and not 20%; (b) the prevalence in clinical samples is 40% and not 31%; (c) bulimia is the eating disorder with higher prevalence of FA (84%) followed by binge eating (63%) and anorexia (53%). On the other hand, some other findings are maintained, especially the pooled prevalence in non-clinical samples which was 14%.</p><p>We also have uploaded a new spreadsheet with all data used to generate the new analysis and to replace the supplementary file that was uploaded wi","PeriodicalId":48117,"journal":{"name":"European Eating Disorders Review","volume":"32 3","pages":"610-611"},"PeriodicalIF":5.3,"publicationDate":"2024-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/erv.3078","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139941031","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Anna Victoria Brieva-Toloza, Oliver Rumle Hovmand, Nadia Micali, Anne Bryde Christensen
Objective
Our study aimed to review the outcome measures/assessment instruments used and to assess their heterogeneity/homogeneity in eating disorders (EDs) randomised controlled trials.
Methods
APA PsycInfo, PubMed, and Embase were searched in December 2022 to identify studies published between and inclusive of January 2012 and December 2022. Inclusion/exclusion criteria were: (1) complete articles published in peer-reviewed scientific journals, which were: (2) randomised trials, (3) in a clinical setting (4) with human subjects, (5) with an ICD or DSM diagnosis of Anorexia Nervosa, Binge Eating Disorder, or Bulimia Nervosa. The selected papers also: (6) used one or more standardised instruments designed to measure one or more psychometric characteristics associated with ED as a primary or secondary outcome, as judged by the authors of this systematic review, and (7) were published in English or Danish.
Results
Ninety one articles were included, and a total of 196 outcome measures were collected.
Discussion
The diversity of outcome measures in ED trials hampers result comparability and data integration. We suggest creating a core outcome measure set using the Delphi method, including clinician and patient-reported ED assessments, along with relevant comorbidity scales.
{"title":"Let's get aligned! Developing a core outcome set for clinical trials in eating disorders","authors":"Anna Victoria Brieva-Toloza, Oliver Rumle Hovmand, Nadia Micali, Anne Bryde Christensen","doi":"10.1002/erv.3079","DOIUrl":"10.1002/erv.3079","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>Our study aimed to review the outcome measures/assessment instruments used and to assess their heterogeneity/homogeneity in eating disorders (EDs) randomised controlled trials.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>APA PsycInfo, PubMed, and Embase were searched in December 2022 to identify studies published between and inclusive of January 2012 and December 2022. Inclusion/exclusion criteria were: (1) complete articles published in peer-reviewed scientific journals, which were: (2) randomised trials, (3) in a clinical setting (4) with human subjects, (5) with an ICD or DSM diagnosis of Anorexia Nervosa, Binge Eating Disorder, or Bulimia Nervosa. The selected papers also: (6) used one or more standardised instruments designed to measure one or more psychometric characteristics associated with ED as a primary or secondary outcome, as judged by the authors of this systematic review, and (7) were published in English or Danish.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Ninety one articles were included, and a total of 196 outcome measures were collected.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>The diversity of outcome measures in ED trials hampers result comparability and data integration. We suggest creating a core outcome measure set using the Delphi method, including clinician and patient-reported ED assessments, along with relevant comorbidity scales.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48117,"journal":{"name":"European Eating Disorders Review","volume":"32 4","pages":"652-661"},"PeriodicalIF":5.3,"publicationDate":"2024-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/erv.3079","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139933639","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
There is debate surrounding how to differentiate between anorexia nervosa (AN) and atypical AN (atypAN) as diagnostic entities, and whether a distinction based on BMI is warranted. Better understanding eating disorder (ED) and emotional symptoms across atypAN and AN subtypes [AN-restricting (AN-R), AN-binge/purge (AN-BP)], with and without controlling for BMI, can elucidate how atypAN differs from AN subtypes and whether there is a basis for a BMI cut-off.
Methods
1810 female patients at an ED treatment centre completed intake surveys. ANCOVAs assessed differences across AN-R (n = 853), AN-BP (n = 726), and atypAN (n = 231) groups on ED, depressive, and anxiety symptoms, anxiety sensitivity, experiential avoidance, and mindfulness, with and without controlling for BMI.
Results
Relative to AN-R, atypAN and AN-BP groups endorsed significantly higher ED and depressive symptoms, anxiety sensitivity, experiential avoidance, and significantly lower mindfulness (all p < 0.001), but atypAN and AN-BP groups did not differ from one another. When controlling for BMI, all previously significant differences between atypAN and AN-R did not remain significant.
Conclusion
Individuals with atypAN who have a higher BMI experience more pronounced ED and emotional symptoms, suggesting that relying solely on BMI as a marker of illness severity may be problematic.
{"title":"Is there a basis for a weight cut-off point? A large-scale investigation of atypical anorexia and anorexia nervosa subtypes among patients at a residential treatment centre","authors":"Valerie Z. Wong, Michael R. Lowe","doi":"10.1002/erv.3077","DOIUrl":"10.1002/erv.3077","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>There is debate surrounding how to differentiate between anorexia nervosa (AN) and atypical AN (atypAN) as diagnostic entities, and whether a distinction based on BMI is warranted. Better understanding eating disorder (ED) and emotional symptoms across atypAN and AN subtypes [AN-restricting (AN-R), AN-binge/purge (AN-BP)], with and without controlling for BMI, can elucidate how atypAN differs from AN subtypes and whether there is a basis for a BMI cut-off.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>1810 female patients at an ED treatment centre completed intake surveys. ANCOVAs assessed differences across AN-R (<i>n</i> = 853), AN-BP (<i>n</i> = 726), and atypAN (<i>n</i> = 231) groups on ED, depressive, and anxiety symptoms, anxiety sensitivity, experiential avoidance, and mindfulness, with and without controlling for BMI.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Relative to AN-R, atypAN and AN-BP groups endorsed significantly higher ED and depressive symptoms, anxiety sensitivity, experiential avoidance, and significantly lower mindfulness (all <i>p</i> < 0.001), but atypAN and AN-BP groups did not differ from one another. When controlling for BMI, all previously significant differences between atypAN and AN-R did not remain significant.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Individuals with atypAN who have a higher BMI experience more pronounced ED and emotional symptoms, suggesting that relying solely on BMI as a marker of illness severity may be problematic.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48117,"journal":{"name":"European Eating Disorders Review","volume":"32 4","pages":"641-651"},"PeriodicalIF":5.3,"publicationDate":"2024-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139933638","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Disordered eating is common in pregnancy and associated with adverse health outcomes. Weight suppression (WS), the discrepancy between highest lifetime and current weight, is a robust predictor of loss of control (LOC) and binge eating and weight gain trajectories in clinical populations. This study explored the role of preconception WS as a predictor of disordered eating and weight gain in pregnancy.
Method
Pregnant individuals (n = 137) reported their highest, preconception, and current weights to calculate preconception WS, actual gestational weight gain (GWG), and deviations from recommended weight gain trajectories in pregnancy. Participants also completed the Prenatal Eating Behaviours Screening (PEBS) tool, a validated measure of disordered eating specifically in pregnancy.
Results
Preconception WS was a significant predictor of PEBS total scores [F(5, 122) = 2.70, p = 0.02, R2 = 0.10] and significantly and positively correlated with individual item scores quantifying restrictive eating behaviours. Preconception WS was not predictive of deviations from recommended GWG trajectories or LOC or binge eating frequency and did not interact with pre-pregnancy body mass index or GWG to predict eating disorder symptom severity.
Conclusions
Preconception WS was predictive of disordered eating, and specifically restrictive eating behaviours in pregnancy, and should be assessed as part of screening for eating disorder risk in pregnant individuals.
{"title":"Preconception weight suppression predicts eating disorder symptoms in pregnancy","authors":"Julia M. Hormes","doi":"10.1002/erv.3076","DOIUrl":"10.1002/erv.3076","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>Disordered eating is common in pregnancy and associated with adverse health outcomes. Weight suppression (WS), the discrepancy between highest lifetime and current weight, is a robust predictor of loss of control (LOC) and binge eating and weight gain trajectories in clinical populations. This study explored the role of preconception WS as a predictor of disordered eating and weight gain in pregnancy.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>Pregnant individuals (<i>n</i> = 137) reported their highest, preconception, and current weights to calculate preconception WS, actual gestational weight gain (GWG), and deviations from recommended weight gain trajectories in pregnancy. Participants also completed the Prenatal Eating Behaviours Screening (PEBS) tool, a validated measure of disordered eating specifically in pregnancy.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Preconception WS was a significant predictor of PEBS total scores [<i>F</i>(5, 122) = 2.70, <i>p</i> = 0.02, <i>R</i><sup>2</sup> = 0.10] and significantly and positively correlated with individual item scores quantifying restrictive eating behaviours. Preconception WS was not predictive of deviations from recommended GWG trajectories or LOC or binge eating frequency and did not interact with pre-pregnancy body mass index or GWG to predict eating disorder symptom severity.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Preconception WS was predictive of disordered eating, and specifically restrictive eating behaviours in pregnancy, and should be assessed as part of screening for eating disorder risk in pregnant individuals.</p>\u0000 </section>\u0000 </div>","PeriodicalId":48117,"journal":{"name":"European Eating Disorders Review","volume":"32 4","pages":"633-640"},"PeriodicalIF":5.3,"publicationDate":"2024-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139742359","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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