Treatment of Eating Disorders: Current Status, Challenges, and Future Directions

Annual Review of Clinical Psychology, Journal Year: 2024, Volume and Issue: 20(1), P. 97 - 123

Published: Jan. 12, 2024

Specific psychological treatments have demonstrated efficacy and represent the first-line approaches recommended for anorexia nervosa, bulimia binge-eating disorder. Unfortunately, many patients, particularly those with do not derive sufficient benefit from existing treatments, better or alternative eating disorders are needed. Less progress has been made in developing pharmacologic options disorders. No medications approved nervosa exist, only one each exists disorder; available data indicate that most patients fail to medications. Longer combined generally enhanced outcomes. This review presents emerging findings more complex clinically relevant adaptive treatment designs, as they offer some clinical guidance may serve models future research.

Language: Английский

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The Relationship Between Obesity Status and Body Image Dissatisfaction on Gross Motor Skill Development and Cardiorespiratory Fitness in Children Aged 6–12 Years Old

International Journal of Environmental Research and Public Health, Journal Year: 2025, Volume and Issue: 22(3), P. 417 - 417

Published: March 12, 2025

The harmonious development of gross motor skills (GMSs) is vital for children, fostering their physical, cognitive, and socio-emotional growth. This study aimed to achieve three primary objectives: (1) establish standardized reference values all GMS tests conducted; (2) examine the impact overweight obesity on factors influencing GMSs cardiorespiratory fitness (CRF); (3) investigate relationship between CRF levels body image dissatisfaction among Canadian children from province Québec. encompassed 3144 aged 6 12 years (1535 boys 1609 girls) recruited 24 elementary schools situated in five urban areas. Anthropometric measurements included mass, height, mass index (BMI). Physical performance was assessed using a maximal aerobic power test tests, which comprised two segmental speed four agility static balance one simple reaction time test, coordination tests. Body perception were evaluated silhouette scale featuring sets nine drawings depicting spectrum shapes ranging very thin obese. Standardized normative established each test. demonstrated continuous improvement throughout childhood, albeit with deceleration progress during later developmental stages. At comparable age, generally outperformed girls demanding greater strength, speed, or endurance, whereas exhibited superior hand-foot tasks (p ≤ 0.05). However, remained equivalent sexes > significantly influenced by status. Children normal BMI compared obese counterparts, particularly requiring displacement Conversely, socioeconomic status no significant = 0.106), but it notable factor 6-8-year-old lower backgrounds 0.045). Obesity linked diminished performance, especially involving movement. These findings underscore importance early intervention strategies encourage an active lifestyle promote healthy composition children.

Language: Английский

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Outcomes of a Cluster Randomized Controlled Trial of the SoMe Social Media Literacy Program for Improving Body Image-Related Outcomes in Adolescent Boys and Girls

Nutrients, Journal Year: 2021, Volume and Issue: 13(11), P. 3825 - 3825

Published: Oct. 27, 2021

Although the negative effect of social media use among youth on body image and eating concerns has been established, few classroom-based resources that can decrease these effects through targeting literacy skills have developed. This study aimed to test efficacy SoMe, a image, dieting, wellbeing program for adolescents, cluster randomized controlled trial. Participants (n = 892; Mage 12.77, SD 0.74; range 11-15; 49.5% male) were by school 8) receive either weekly SoMe 483) or control sessions (lessons as usual; n 409) over 4 weeks in their classroom. completed surveys at four timepoints (baseline, 1-week post-intervention, 6- 12-month follow-up) assessing dissatisfaction, dietary restraint, strategies increase muscles (primary outcomes), self-esteem depressive symptoms (secondary internalization appearance ideals comparison (exploratory outcomes). Modest positive intervention found restraint 6-month follow-up girls but emerged boys. The findings provide only preliminary support intervention, suggest usefulness both identifying those who benefit most from universally delivered need refine maximize effects.

Language: Английский

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Mechanisms by which adverse childhood experiences, other traumas and PTSD influence the health and well-being of individuals with eating disorders throughout the life span

Journal of Eating Disorders, Journal Year: 2022, Volume and Issue: 10(1)

Published: Nov. 14, 2022

Abstract Background Multiple published sources from around the world have confirmed an association between array of adverse childhood experiences (ACEs) and other traumatic events with eating disorders (EDs) related outcomes, including higher morbidity mortality. Methods In keeping this Special Issue’s goals, narrative review focuses on ACEs pyramid its purported mechanisms through which child maltreatment forms violence toward human beings influence health well-being individuals who develop EDs throughout life span. Relevant literature posttraumatic stress disorder (PTSD) is highlighted when applicable. Results At every level pyramid, it shown that interact each these proclaimed escalating in a bidirectional manner contributes to predisposition, precipitation perpetuation medical psychiatric comorbidities, then predispose early death. The levels their interactions are discussed include contribution generational embodiment (genetics) historical trauma (epigenetics), social conditions local context, traumas themselves, resultant disrupted neurodevelopment, subsequent social, emotional cognitive impairment, adoption risk behaviors, development disease, disability problems, all resulting premature mortality by means fatal complications and/or suicide. Conclusions implications cascading, evolving, intertwined perspectives important for assessment treatment using trauma-informed care trauma-focused integrated approaches. This overview offers multiple opportunities at palliation prevention associated trauma-related conditions, PTSD.

Language: Английский

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Changes in the prevalence and sociodemographic correlates of eating disorder symptoms from 2013 to 2020 among a large national sample of U.S. young adults: A repeated cross‐sectional study

International Journal of Eating Disorders, Journal Year: 2022, Volume and Issue: 55(6), P. 776 - 789

Published: March 26, 2022

Abstract Objective The present study aimed to: (1) identify recent temporal changes in the prevalence of different cognitive and behavioral eating disorder (ED) symptoms, current probable EDs, lifetime ED diagnoses, mental healthcare use among college students across United States; (2) determine whether established disparities receiving have widened or narrowed over time for marginalized groups within this population. Method Participants included a large national sample U.S. ( N = 286,720) who completed repeated cross‐sectional Healthy Minds Study from 2013 to 2020. Descriptive statistics polynomial regressions quantified time‐trends participants' symptoms past 12‐month healthcare. Moderated examined based on sociodemographic characteristics. Results Individuals' engagement likelihoods exhibiting reporting (for individuals with EDs) therapy counseling 12‐months exhibited nonlinear increases Further, symptomatic individuals) differed BMIs gender, sexual, racial/ethnic identities (but not ages). In particular, higher those identified as male, bisexual, gay, lesbian, queer increasing pathology time. Discussion These findings provide important information that experienced burden may help guide prevention, treatment, research priorities. Public Significance Recent were young adults. Non‐linear adults overall BMIs, males,

Language: Английский

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A network approach can improve eating disorder conceptualization and treatment

Nature Reviews Psychology, Journal Year: 2022, Volume and Issue: 1(7), P. 419 - 430

Published: May 10, 2022

Language: Английский

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Untreatable or unable to treat? Creating more effective and accessible treatment for long-standing and severe eating disorders

The Lancet Psychiatry, Journal Year: 2023, Volume and Issue: 10(2), P. 146 - 154

Published: Jan. 23, 2023

Language: Английский

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Binge-Eating Disorder Interventions: Review, Current Status, and Implications

Current Obesity Reports, Journal Year: 2023, Volume and Issue: 12(3), P. 406 - 416

Published: July 13, 2023

Language: Английский

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International consensus on patient-centred outcomes in eating disorders

The Lancet Psychiatry, Journal Year: 2023, Volume and Issue: 10(12), P. 966 - 973

Published: Sept. 25, 2023

Language: Английский

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The 26-Item Eating Attitudes Test (EAT-26): Psychometric Properties and Factor Structure in Vegetarians and Vegans

Nutrients, Journal Year: 2023, Volume and Issue: 15(2), P. 297 - 297

Published: Jan. 6, 2023

The eating disorder screener, Eating Attitudes Test (EAT), has been used widely; however, its usability in specific dietary groups such as vegetarians and vegans remain unknown. Considering the rising popularity of vegetarianism veganism, current study aimed to assess psychometric properties theoretical assumptions 26-item EAT separate (n = 278), 580), omnivores 413). Confirmatory factor analysis four models from previous literature revealed inadequate fit data, with exception a 16-item four-factor model vegans. Further assessment original three-factor demonstrated poor properties. primarily test-retest reliability discovered this study, independent whether shortened version was used, raises concerns around utility stability EAT-26 Future research should potentially investigate novel ways measuring pathology these groups.

Language: Английский

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