Redefining diagnostic parameters: the role of overvaluation of shape and weight in binge-eating disorder: a systematic review

Journal of Eating Disorders, Journal Year: 2025, Volume and Issue: 13(1)

Published: Jan. 17, 2025

Overvaluation of shape and weight is a critical component in understanding diagnosing eating disorders. While the transdiagnostic model states that overvaluation core pathology all disorders, this concept not criterion for binge-eating disorder. The lack recognition may lead to overlooking, consequently failure address construct during treatment. aim present review examine whether disorder it should be addressed treatment, therefore added as was registered International Prospective Register Systematic Reviews (registration number: CRD42024541433). PsycINFO, Web Science, PubMed (Medline), Google Scholar were used order systematically search literature by using list keywords related All N = 93 peer-reviewed studies published English from 1993 onwards. more severe among individuals with compared solely similar high BMI. In addition, levels comparable severity other named subtypes. positively associated psychiatric symptoms, risk factor onset binge adolescents predicted poorer treatment outcomes. It clear dropout Cognitive Behavior Therapy interventions. suggested consider including diagnosis Including DSM ICD prevent overlooking construct, potentially enhance However, diagnosis. Consequently, total examined. found psychopathology, diagnosed anorexia nervosa bulimia nervosa. There enough evidence include

Language: Английский

---

Food insecurity and binge‐eating disorder in early adolescence

International Journal of Eating Disorders, Journal Year: 2023, Volume and Issue: 56(6), P. 1233 - 1239

Published: April 4, 2023

Abstract Objective Food insecurity is defined as lack of consistent access to adequate food for healthy living. The objective this study was determine the associations between and binge‐eating disorder in a national cohort 9‐ 14‐year‐old children. Method We analyzed prospective data from Adolescent Brain Cognitive Development (ABCD) Study ( N = 10,035, 2016–2020). Logistic regression analyses estimated at baseline, year 1, or 2 (exposure) binge eating, subclinical (Other Specified Feeding Eating Disorder‐Binge‐Eating Disorder [OSFED‐BED]), (BED) (outcome) based on Kiddie Schedule Affective Disorders Schizophrenia (KSADS‐5) 2‐year follow‐up. Results prevalence 15.8%. At follow‐up, 1.71% sample received diagnosis BED OSFED‐BED, while 6.62% reported eating. associated with 1.67 higher odds OSFED‐BED (95% CI 1.04–2.69) 1.31 symptoms 1.01–1.71). Discussion early adolescence developing future OSFED‐BED. Clinicians may consider assessing eating adolescents provide support accessing appropriate resources. Public Significance Prior research has shown that disordered behaviors, including adulthood. This explored whether increases risk (BED). Targeted screening experiencing FI, vice versa, be warranted.

Language: Английский

---

“Early intervention isn't an option, it's a necessity”: learning from implementation facilitators and challenges from the rapid scaling of an early intervention eating disorders programme in England

Frontiers in Health Services, Journal Year: 2024, Volume and Issue: 3

Published: Jan. 18, 2024

Introduction The First Episode Rapid Early Intervention for Eating Disorders (FREED) service has shown promising outcomes young people with an eating disorder, leading to national scaling and implementation across England. Between 2020 2023, the of FREED was supported by Academic Health Science Networks (AHSNs), which are publicly funded organisations mission spread innovations at scale pace. This study aimed investigate views experiences AHSN programme leads on roll-out perceived sustainability model. Methods results Semi-structured interviews were conducted 13 AHSNs direct experience supporting FREED. Thematic analysis adopted using a critical realist approach. Initial sub-themes inductively generated then organised under seven larger themes representing domains Non-adoption, Abandonment, Challenges Scale-Up, Spread Sustainability (NASSS) framework. Each sub-theme classified as facilitator and/or barrier each theme/domain assessed its complexity (simple, complicated, complex). Data revealed 28 sub-themes, 10 identified facilitators, barriers, five both. Two classed simple, three two complex. Sub-themes ranged from illness-related complexities organisational pressures. Key facilitators included high-value proposition supportive network. barriers staffing issues factors that challenge early intervention. Discussion Participants described broad support but desired sustained investment continued provision improving fidelity. Future development areas raised participants enlarging evidence base intervention, increasing associated training opportunities, widening reach Results offer learning intervention in disorders new health initiatives.

Language: Английский

---

Perception of undergraduate emergency medical services students about mental health

Emergency Care Journal, Journal Year: 2025, Volume and Issue: unknown

Published: Jan. 15, 2025

Mental illness significantly impacts morbidity and mortality; however, research on paramedic students' perceptions attitudes toward individuals with mental health presentations is limite. The incidence of disorders in Saudi Arabia increasing, knowledge about them would enhance the ability paramedics to provide more help population. This study evaluates undergraduate emergency medical students before after completing a education block. We conducted quasi-experimental design for forth year who were enrolled block have been added King Saud bin Abdulaziz University Health Sciences asked partake pre- post-subject surveys. They requested share their perspectives through electronic questionnaires. With total 83 participants, averaging 21.33 years old, from three regions Arabia, we found significant differences following questions block: participants became comfortable managing issues (strongly agreeing increased 10.8% 36.1%). Moreover, psychosis violence changed (from disagreeing). Questions racism trauma showed increase strongly agreeing. majority agreed that neglect can cause 30.1% 63.9%). Lastly, exposure rape was associated (69.9%, P value <0.0001). Our positive shifts introducing not only improved understanding but also holds promise future offering empathetic care. Overall, underscores need continuous curricula better readiness addressing diverse population needs.

Language: Английский

---

Psychological Approaches for Eating Disorders: The Role of Body Image, Self-Esteem, and Quality of Life

IntechOpen eBooks, Journal Year: 2025, Volume and Issue: unknown

Published: March 21, 2025

Eating disorders (EDs), including anorexia nervosa (AN), bulimia (BN), and binge eating disorder (BED), are severe mental health conditions involving complex psychological, emotional, physical factors. This chapter explores Cognitive Behavioral Therapy (CBT) as a leading psychological treatment for EDs, focusing on its impact body image, self-esteem, quality of life (QoL). It also highlights the importance personalized integrated approaches in treating emphasizing need tailored interventions multidisciplinary care. CBT is highly effective BN BED, supported by evidence showing reductions eating, purging, restrictive behaviors, alongside improvements well-being QoL. Core techniques help individuals challenge maladaptive beliefs about image self-worth, regain control over habits, enhance social functioning. The reviews empirical supporting CBT’s mechanisms action. However, effectiveness AN limited, particularly adults, where Family-Based (FBT) has shown greater promise adolescents. Challenges implementation include therapeutic alliance, culturally sensitive adaptations, underutilization due to lack trained clinicians. global rise ED prevalence, driven sociocultural factors like Western media influence, urbanization, acculturation. calls ongoing research integration digital improve accessibility long-term outcomes. By addressing these gaps, other evidence-based treatments can evolve, offering hope improved recovery QoL affected debilitating disorders.

Language: Английский

---

Unveiling Trends, Demographic Differences, and the Importance of Public Health Surveillance: Exploring Unhealthy Weight Control Behaviors Among Arizona Youth

International Journal of Eating Disorders, Journal Year: 2025, Volume and Issue: unknown

Published: April 1, 2025

Disordered eating and unhealthy weight control behaviors (UWCBs) among United States teens are critical yet understudied public health issues, disproportionately affecting diverse demographic groups. This study examines trends in UWCBs Arizona youth from 2011 to 2021 documents differences by demographics perception. Data the 2011-2021 Youth Risk Behavior Survey (YRBS), a biennial survey conducted students grades 9-12 (N = 1181 2021), were analyzed, with focus on data. multi-year cross-sectional data include questions about perception, desire weight, engagement UWCBs. Logistic regressions then examine their associations. A notable increase was revealed (19.4%-29.1%), particularly post-2017. In 2021, 44.3% of girls 53.1% LGBQ+ (lesbian, gay, bisexual, questioning, other identities) reported Teens aspiring lose 9.6 times more likely engage than peers who did not change (OR 9.6, 95% CI [4.6-20.0]) after adjusting for body mass index. These findings underscore urgency comprehensive interventions mitigate need strategies addressing contributing factors populations.

Language: Английский

---

The impact of weight and race on perceptions of anorexia nervosa: a replication and extension of Varnado-Sullivan et al. (2020)

Eating and Weight Disorders - Studies on Anorexia Bulimia and Obesity, Journal Year: 2025, Volume and Issue: 30(1)

Published: April 30, 2025

Abstract Purpose This study examined how weight and race impact mental health stigma, perceived need for treatment, severity of anorexia nervosa We experimentally manipulated race, replicating extending Varnado-Sullivan et al. (Eat Weight Disord 25:601–608, 2020). Methods 336 participants were recruited from Prolific. Participants self-reported pre-existing exposure to attitudes regarding illness. randomly assigned read an vignette that (White or Black) (“underweight” “obese”). about the woman in (mental stigma), treatment condition literacy). hypothesized greater lower literacy would be present Black higher-weight vignettes, controlling covariates. Results Analyses found only significantly predicted literacy, stigma; did not predict stigma. A significant Race x interaction stigma two items. Conclusion Replicating (Varnado-Sullivan Eat 2020), we weight-based bias those with eating disorders, some interactions between on

Language: Английский

---

Clinical aspects of binge eating disorder: A cross-sectional mixed-methods study of binge eating disorder experts' perspectives

Frontiers in Psychiatry, Journal Year: 2023, Volume and Issue: 13

Published: Feb. 14, 2023

Introduction Research on binge eating disorder continues to evolve and advance our understanding of recurrent eating. Methods This mixed-methods, cross-sectional survey aimed collect information from experts in the field about clinical aspects adult pathology. Fourteen research care were identified based receipt relevant federal funding, PubMed-indexed publications, active practice field, leadership societies, and/or popular press distinction. Anonymously recorded semi-structured interviews analyzed by ≥2 investigators using reflexive thematic analysis quantification. Results Identified themes included: (1) obesity (100%); (2) intentional/voluntary or unintentional/involuntary food/eating restriction (3) negative affect, emotional dysregulation, urgency (4) diagnostic heterogeneity validity (71%); (5) paradigm shifts (29%); (6) gaps/future directives (29%). Discussion Overall, call for a better relationship between obesity, including need clarification around extent which two health issues are separate vs. related/overlapping. Experts also commonly endorse emotion dysregulation as important components pathology, aligns with common models conceptualization (e.g., dietary restraint theory emotion/affect regulation theory). A few spontaneously several who can have an (beyond anorexi-centric “thin, White, affluent, cis -gendered neurotypical female” stereotype), various factors that drive areas where classification may warrant future research. these results highlight continual advancement understand autonomous diagnosis.

Language: Английский

---

Web-based guided self-help cognitive behavioral therapy–enhanced versus treatment as usual for binge-eating disorder: a randomized controlled trial protocol

Frontiers in Psychiatry, Journal Year: 2024, Volume and Issue: 15

Published: Feb. 16, 2024

Binge-eating disorder (BED) is a psychiatric characterized by recurrent episodes of eating large amount food in discrete period time while experiencing loss control. Cognitive behavioral therapy-enhanced (CBT-E) recommended treatment for binge-eating and typically offered through 20 sessions. Although highly responsive to CBT-E, the cost treating these patients high. Therefore, it crucial evaluate efficacy low-intensity low-cost treatments that can be as first line widely disseminated. The proposed noninferiority randomized controlled trial aims determine web-based guided self-help CBT-E compared treatment-as-usual CBT-E. Guided will based on program stop binge eating, shorter duration lower intensity, require fewer therapist hours. Patients with (N = 180) randomly assigned receive or treatment-as-usual. Assessments take place at baseline, mid-treatment, end treatment, 20- 40-weeks post-treatment. Treatment measured examining reduction days previous 28 between baseline groups, margin (Δ) 1 day. Secondary outcomes include full remission, body shape dissatisfaction, therapeutic alliance, clinical impairment, health-related quality life, attrition, an economic evaluation assess cost-effectiveness cost-utility. moderators examined scores, demographic variables, mass index. It expected noninferior study directly compare economically If efficacy, disseminated used disorder. Dutch register number R21.016. has been approved Medical Research Ethics Committees United May 25th, 2021, case NL76368.100.21.

Language: Английский

---

Experiences of living with binge eating disorder and facilitators of recovery processes: a qualitative study

Journal of Eating Disorders, Journal Year: 2023, Volume and Issue: 11(1)

Published: Nov. 14, 2023

Binge eating disorder (BED) is the most prevalent worldwide. BED often associated with low quality of life and mental health problems. Given complexity disorder, recovery may be challenging. Since was only recently specified as a diagnostic category by World Health Organization (2021), little known about how patients experience living in everyday life. This study aimed to explore investigate factors perceived facilitating recovery.Individual interviews were conducted six rehabilitation programme for from BED. Interviews digitally verbally transcribed between December 2020 January 2021. The analysis based on Malterud's systematic text condensation.Being diagnosed could experienced relief. participants challenging addiction. They struggled self-image lack understanding others, resulting shame. Self-compassion social support friends family through participation important facilitators recovery.Participants self-esteem Being appreciated that issues related addressed during better understand Knowledge BED, well difficulties among members might help feel less ashamed their thus contribute increased self-compassion.We interviewed binge experiences which However, diagnosing knowledge healthcare professionals make it provide appropriate recover our participated Low others’ made individuals disorders. taking part recovery. indicates more members, are notable recovering

Language: Английский

---