Published: Jan. 1, 2024
Language: Английский
World Psychiatry, Journal Year: 2025, Volume and Issue: 24(1), P. 4 - 31
Published: Jan. 15, 2025
Feeding and eating disorders (FEDs) are a heterogeneous grouping of at the mind-body interface, with typical onset from childhood into emerging adulthood. They occur along spectrum disordered compensatory weight management behaviors, low to high body weight. Psychiatric comorbidities norm. In contrast other major psychiatric disorders, first-line treatments for FEDs mainly psychological and/or nutrition-focused, medications playing minor adjunctive role. Patients, carers clinicians all have identified personalization treatment as priority. Yet, FEDs, evidence base supporting this is limited. Importantly, related behaviors can serious physical consequences may put patient's life risk. these cases, immediate safety risk considerations least period need be prioritized over efforts care. This paper systematically reviews several key domains that relevant characterization individual patient FED aimed management. These include symptom profile, clinical subtypes, severity, staging, complications consequences, antecedent concomitant conditions, social functioning quality life, neurocognition, cognition emotion, dysfunctional cognitive schemata, personality traits, family history, early environmental exposures, recent stigma, protective factors. Where possible, validated assessment measures use in practice identified. The limitations current pointed out, possible directions future research highlighted. also novel approaches providing more fine-grained sophisticated ways personalize such those utilize neurobiological markers. We additionally outline remote measurement technologies designed delineate patients' illness recovery trajectories facilitate development intervention approaches.
Language: Английский
Citations
1
Journal of Eating Disorders, Journal Year: 2025, Volume and Issue: 13(1)
Published: Feb. 10, 2025
Language: Английский
Citations
1
Journal of Eating Disorders, Journal Year: 2024, Volume and Issue: 12(1)
Published: Jan. 2, 2024
Abstract Background Eating disorders (EDs) are severe mental illnesses associated with significant morbidity and mortality. EDs more prevalent among females adolescents. Limited research has investigated Canadian trends of ED hospitalizations prior to the COVID-19 pandemic, however during rates have increased. This study examined children youth in Canada from 2010 2022, by sex, age, province/territory, length stay, discharge disposition diagnosis. Methods Cases youth, ages 5 17 years, were identified using available ICD-10 codes Discharge Database 2010/11 2022/23 fiscal years. The this anorexia nervosa (F50.0), atypical (F50.1), bulimia (F50.2), other (F50.3, F50.8) unspecified (F50.9). Both cases total first-time examined. Descriptive statistics trend analyses performed. Results Between 2022/23, 18,740 hospitalized for an ED, 65.9% which hospitalizations. most frequent diagnosis was (51.3%). Females had significantly higher hospitalization compared males (66.7/100,000 vs. 5.9/100,000). Youth children. average age 14.7 Rates relatively stable pre-pandemic, pandemic (2020–2021), Interpretation pediatric increased suggesting that there may been limited access alternative care or became required hospitalization. emphasizes need continued surveillance monitor how evolve post-pandemic.
Language: Английский
Citations
5
International Journal of Eating Disorders, Journal Year: 2025, Volume and Issue: unknown
Published: Feb. 3, 2025
ABSTRACT Objective The COVID‐19 pandemic was associated with a significant rise in the incidence of anorexia nervosa (AN) and atypical (AAN), longer wait times reduced opportunities for in‐person medical services. How these changes affected clinical outcomes among adolescents newly diagnosed AN/AAN remains largely unknown. Methods We performed retrospective analysis standardized intake follow‐up data from pediatric eating disorder program to compare during pre‐pandemic (July/2017–December/2018) (July/2020–December/2021) periods. Clinical were collected at time diagnosis 1‐, 3‐, 6‐, 12‐month intervals. primary unscheduled AN/AAN‐related emergency department visits need hospitalization. Results Overall, 253 patients included (pre‐pandemic = 77; 176). By 12‐months following diagnosis, 18.8% (95% CI 13.3%–25.3%) had visits, compared 7.8% 2.9%–16.2%, p 0.03) those pre‐pandemic. Medical hospitalization required more frequently group (35.8%; 95% 28.7%–43.4%) (15.6%; 8.3%–25.6%, 0.001). Mean weight gain did not differ between groups (8.1 kg vs. 8.8 pandemic; 0.35) however mean target (2.7 4.4 months; 0.002). Conclusion Patients significantly hospitalizations took achieve than These findings suggest complicated treatment course pandemic.
Language: Английский
Citations
0
Eating Disorders, Journal Year: 2025, Volume and Issue: unknown, P. 1 - 20
Published: Feb. 21, 2025
This study examined demographic and military factors related to probability of hospitalization among military-affiliated adolescents young adults (AYA) with an eating disorder (ED) diagnosis. Participants were AYA (spouses not included), ages 10-26 years. De-identified data extracted from the Military Health System Data Repository 2016-2021. Kaplan-Meier risk estimates determined proportion participants a following their initial ED diagnosis across time. Cox proportional hazard models evaluated adjusted associations military-specific hospitalization. Of 7,705 diagnosis, approximately one in five (n = 1,569) had during period. Weight categories only recorded for 35% 2,675) participants. Adjusting other variables, was more likely for: 15-17 years old (versus age groups), females males), those underweight higher weights), who received care at civilian facilities directly within System), parent serving Navy Army). There no significant difference by Results indicate disparities EDs System. More research is needed understand access engagement ED-related healthcare AYA.
Language: Английский
Citations
0
Eating and Weight Disorders - Studies on Anorexia Bulimia and Obesity, Journal Year: 2025, Volume and Issue: 30(1)
Published: March 21, 2025
Abstract Purpose The aim of this study was to analyze data children and adolescents in Germany insured according legal requirements (statutorily insured) regarding epidemiology, comorbidities, care bulimia nervosa (BN) pre- vs. intra-COVID-19 pandemic. Methods is based on anonymized claims 10–17.9 years old statutorily from the InGef Berlin GmbH research database. database combines more than 50 statutory health insurances representative German population. Prevalence, (quarterly) incidence, comorbidities in- outpatient treatment BN (ICD-10: F50.2/F50.3) pre-COVID (01/2018-03/2020; N = 282,711) intra-COVID (04/2020-12/2021; 282,738) compared using descriptives χ 2 tests, Welch-tests interrupted time series analysis. analysis stratified by age groups (children: 10–13 years; adolescents: 14–17 years). Results Prevalence 0.09% 0.07% (OR 0.78 [0.65, 0.93]). After pandemic onset, a positive trend quarterly incidence among observed ( p .016). Outpatient visits general practitioners decreased 0.59 [0.35, 0.98]). Conclusion decline diagnosed treated cases could be attributed an increase unregistered due overburdened situation that emerged with onset COVID-19 Researchers healthcare providers need aware potential for backlash deterioration/chronification symptoms adolescents. Level evidence No level evidence.
Language: Английский
Citations
0
International Journal of Eating Disorders, Journal Year: 2025, Volume and Issue: unknown
Published: April 28, 2025
ABSTRACT Objective This study investigated post‐pandemic trends in the incidence of eating disorders (EDs) by comparing annual observed from January 1st, 2020, to December 31st, 2023, expected based on pre‐pandemic (2010–2019). Method Primary and auxiliary ICD‐10 diagnoses new‐onset ED cases were retrieved Norwegian Patient Registry which is a national register covering all specialized healthcare services Norway. Incidence rates (IRs) per 100,000 stratified age, sex, diagnosis: anorexia nervosa (AN; F50.0 + 50.1), bulimia (BN; F50.2 50.3), other EDs (F50.4–50.9). To assess impact COVID‐19 pandemic, linear regression models used estimate excess between 2020 2023. Results IRs for peaked 2021, with overall rate females being 45.5% higher than 2021 before declining an 19.4% The highest aged 15–19, followed 10–14 20–24 years. In IR 15–19 was 64.7% sharply 10.9% whereas ages remained approximately 30% expected. Increases particularly pronounced AN, while BN comparatively low, tracking declines. Conclusions New‐onset then declined 2022 despite remaining 10 years data. Future research should continue monitor incidence, community‐based studies are necessary replication.
Language: Английский
Citations
0
JAMA Pediatrics, Journal Year: 2024, Volume and Issue: 178(9), P. 879 - 879
Published: July 8, 2024
Hospitalizations for eating disorders rose dramatically during the COVID-19 pandemic. Public health restrictions, or stringency, are believed to have played a role in exacerbating disorders. Few studies of pandemic extended period when public stringency restrictions were lifted.
Language: Английский
Citations
3
European Psychiatry, Journal Year: 2024, Volume and Issue: 67(1)
Published: Jan. 1, 2024
Anorexia nervosa (AN) is a serious mental illness. One-third of people develop severe, enduring, illness, adversely impacting quality life with high health system costs. This study assessed the economic case for enhanced care adults newly diagnosed AN.
Language: Английский
Citations
2
European Child & Adolescent Psychiatry, Journal Year: 2024, Volume and Issue: 33(6), P. 2005 - 2009
Published: April 25, 2024
Language: Английский
Citations
1