The current clinical approach to feeding and eating disorders aimed to increase personalization of management

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

---

Short- and long-term effects of Covid-19 pandemic on health care system for individuals with eating disorders

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

Published: March 14, 2024

Introduction The Covid-19 pandemic and its consequences have negatively impacted the incidence of EDs, determining a substantial burden on patients, caregivers healthcare systems world-wide. This literature review aims to investigate short- long-term effects care provider systems, exploring possibility “rethinking” ED programs. Methods Records were systematically (following PRISMA guidelines) identified through PubMed, Google Scholar Scopus searching. Results led an abrupt increase in pediatric adolescent visits hospital admissions. Despite decline second-year post-onset, absolute visit volumes remained elevated relative pre-pandemic levels. Barriers access specialist emerged, including socio-economic status lack public outpatient services. Consequently, this situation has prompted providers explore innovative bridge plans multidisciplinary telehealth solutions face such challenges. Discussion Challenges insurance shifts, treatment disruptions discharge planning underscore need for comprehensive strategies care. Overall, our findings highlight importance adopting approaches, implementing location-specific plans, integrating effectively address evolving challenges posed by enhance efficiency

Language: Английский

---

eBEfree: Combining Psychoeducation, Mindfulness, and Self‐Compassion in an App‐Based Psychological Intervention to Manage Binge‐Eating Symptoms: A Randomized Controlled Trial

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

Published: March 29, 2025

To develop and test the effectiveness of eBEfree program, a 12-session app-based version previously tested psychological intervention (BEfree) that combines psycho-education, self-compassion, mindfulness, Acceptance Commitment Therapy to reduce binge-eating symptoms. Two-hundred participants with recurrent elevated symptoms higher body weight were enrolled in remote parallel-group randomized trial, which 142 completed initial assessment (70 group). The end-of-treatment follow-up assessments conducted 12 weeks after 26 end treatment, respectively. Intention-to-treat (ITT) analyzes undertaken using frequentist linear mixed models Bayesian hierarchical effectiveness. 43 (waitlist control) 29 (intervention) assessment, showing high attrition rate (51%). ITT showed program be associated significant reduction binge eating symptomatology from baseline (β = -9.49, ρ < 0.0001, g -1.17), 26-weeks -6.01, 0.04, -1.08). At end-of-treatment, was also decrease mass index depression symptomatology, as well an improvement dimensions self-criticism mindfulness. More than 80% rated quality positive helpful. This trial suggests potential benefits help individuals manage more effectively, weight, improve well-being mental health. should confirmed future larger trials. Treating (BE) comorbidities might challenging for health services. Digital interventions can valuable resource people current (eBEfree program) BE strategies promote Clinicaltrials.gov: NCT04101032 ("eBEfree-an ICT Adaptation BEfree").

Language: Английский

---

Validation and Psychometric Properties of the Chinese Version of the Binge Eating Scale in Young Adults

Psychology Research and Behavior Management, Journal Year: 2024, Volume and Issue: Volume 17, P. 1611 - 1624

Published: April 1, 2024

Background: Although structured clinical interviews are considered the gold standard for assessing binge eating disorder (BED), self-administered Binge Eating Scale (BES) has been widely used as a screening tool BED in research. However, psychometric properties of BES among Chinese young adults remain unclear. This study aimed to examine validity version with large sample. Methods: A total 2182 adult college students were tested using Simplified (SCBES), 7-Item Binge-Eating Disorder Screener (BEDS-7), Zung Self-Rating Depression (SDS), Generalized Anxiety (GAD-7), and Dual-Modes Self-Control (DMSC). The frequency objective binge-eating episodes was measure severity. Validity reliability SCBES assessed through multiple analyses, along item analysis. Results: data revealed that demonstrated reasonable validity. Cronbach's α value 0.813, one-month test–retest 0.835. exploratory factor analysis (EFA) extracted three first-order factors, which explained 53.82% variance. confirmatory (CFA) confirmed three-factor model (ie, Binge-eating behaviors, Lack control, Negative affects related overeating), good fit. also excellent concurrent criterion validity, significantly correlating BEDS-7 ( r= 0.760– 0.782, p < 0.001). Gender, body mass index, depression, anxiety, impulsivity, self-control associated score SCBES. Conclusion: sound exhibited cross-cultural adaptability adults, novel fitting best. scale could serve useful identifying severity behaviors youths. Keywords: eating, properties,

Language: Английский

---

The COVID-19 Pandemic Increased the Risk of Eating Disorders and Emotional Eating Symptoms: A Review of the Current Clinical Evidence

COVID, Journal Year: 2024, Volume and Issue: 4(11), P. 1704 - 1718

Published: Oct. 28, 2024

Background: There has been recent evidence to suggest that people who suffer from eating disorders (EDs) or other behavior disturbances, such as emotional (EE), are particularly vulnerable post-COVID-19. This narrative literature review aims comprehensively analyze and scrutinize the existing clinical studies regarding effects of COVID-19 pandemic on with EDs EE. Moreover, due pandemic, it is very important find out whether a person’s state may lead them wrongly confront their food consumption. Methods: A thorough search several databases (PubMed, Scopus, Web Science, Public Library Google Scholar, CINAHL Complete, PsycINFO, Academic Search Complete) was performed identify available published between 2020 2024 using relevant keywords. Results: substantial exerted negative persons suffering EDs, including those symptomatic, in remission, an EE behavior. Characteristically, diagnosed anorexia nervosa (AN), bulimia (BN), binge disorder (BED) showed considerable symptomatic worsening after first wave pandemic. Clinical investigating have also clearly demonstrated mood disturbances negatively affected behaviors. These shown were at greater risk development progression during Conclusion: The seems significant deleterious effect history related frequency dysfunctional behaviors, thus decreasing therapeutic intervention efficiency well disturbed behaviors In this aspect, further strongly recommended investigate exact explore potential long-term complications post-pandemic period. strategies policies should be applied provide special healthcare for group patients.

Language: Английский

---

Unveiling Lived Experiences: Exploring the Health and Lifestyle Effects of COVID-19 on Healthcare Workers

Nutrients, Journal Year: 2023, Volume and Issue: 15(23), P. 4857 - 4857

Published: Nov. 21, 2023

The COVID-19 pandemic brought about significant life disruptions among healthcare workers (HCWs), including changes in weight, eating habits, and physical activity. This qualitative study sought to evaluate the initial longitudinal effects of health habits HCWs throughout pandemic. Data were collected through Qualtrics surveys at three points over a 2-year period with questions asking participants (n = 234) describe whether they experienced behaviors, activity why believe these occurred. open-ended responses analyzed following summative content analysis approach. Four key themes emerged: (1) problematic patterns (2) activity, (3) alterations work environment schedule, (4) declines mental health. Respondent reflections highlight immediate long-term pandemic-related on weight status for some, attributed routines habits. Other reported "reset" or indicated their may have been initially disrupted but normalized improved time span. Findings underscore need strategies that support workers.

Language: Английский

---

Screening, Diagnosis, and Treatment of Patients with Binge Eating Disorder and Obesity: What the Endocrinologist Needs to Know

Endocrines, Journal Year: 2024, Volume and Issue: 5(1), P. 87 - 101

Published: Feb. 5, 2024

Binge eating disorder (BED) is the most common categorized in DSM-V, but it often not diagnosed patients with obesity because can be difficult to detect these who have altered patterns. In this narrative review, we highlighted recent findings screening, diagnosis, and treatment of BED obesity. The results our search showed that many are obese, people do binge behavior. diagnostic assessment patients, important evaluate only clinical nutritional status presence medical comorbidities, also psychological signs symptoms related psychiatric comorbidities define appropriate diagnosis consequent level treatment. Well-tolerated drugs action on both body weight binges useful as a second-line complement cognitive behavioral therapy (CBT). Specific guidelines needed obtain consensus recommendations approaching bariatric surgery, taking into account reduction data, behaviors. Identification for targeting individuals at high risk obesity, adverse metabolic patterns, cardiovascular disease. challenge achieve lasting loss concomitant

Language: Английский

---

Binge eating as an emotional response to the Covid-19 pandemic: A sequential mediation model via the impact of events and social anxiety

Research Square (Research Square), Journal Year: 2024, Volume and Issue: unknown

Published: June 18, 2024

Background The long-lasting consequences of the COVID-19 pandemic on psychological well-being young people have become an emerging research topic, which still raises several questions for post-pandemic interventions at individual and community levels. This investigated relationship between life events occurrence binge eating behaviors in adults, hypothesizing indirect effects emotional impact social anxiety. Methods Data collection was conducted November December 2021 Italy, involving 286 adults aged 18 to 30 years (Mage = 20.20; SDage 2.43; 69.6% women) who completed online anonymous survey. Participants reported pandemic-related stressors experienced last year (i.e., adverse events; number days quarantine), these experiences previous week intrusive thoughts; avoidance thoughts), anxiety symptoms, frequency episodes. A serial mediation model tested line with hypotheses. Results Both quarantine were significantly positively related via sequential (1) thoughts (2) Conclusion Our findings provide support youths’ mental health, cascade anxiety, eating, interesting implications research, practice, public health policies.

Language: Английский

---

Body Weight and Food/Eating-Related Behaviors During the COVID-19 Pandemic or Other Traumatic or Stressful Life Events

Nutrients, Journal Year: 2024, Volume and Issue: 16(21), P. 3701 - 3701

Published: Oct. 30, 2024

The COVID-19 pandemic has been a pivotal event, reshaping many aspects of daily life and public health across the globe [...].

Language: Английский

---

Binge eating as an emotional response to the COVID-19 pandemic: a sequential mediation model via the impact of events and social anxiety

Journal of Eating Disorders, Journal Year: 2024, Volume and Issue: 12(1)

Published: Dec. 23, 2024

The long-lasting consequences of the COVID-19 pandemic on psychological well-being young people have become an emerging research topic, which still raises several questions for post-pandemic interventions at individual and community levels. This investigated relationship between life events occurrence binge eating behaviors in adults, hypothesizing indirect effects emotional impact social anxiety. Data collection was conducted November December 2021 Italy, involving 286 university students aged 18 to 30 years (Mage = 20.20; SDage 2.43; 69.6% women) who completed online anonymous survey. Participants reported pandemic-related stressors experienced last year (i.e., adverse events; number days quarantine), these experiences previous week intrusive thoughts; avoidance thoughts), anxiety symptoms, frequency episodes. A serial mediation model tested line with hypotheses. Both quarantine were significantly positively related via sequential (1) thoughts (2) Our findings provide support adults' mental health, cascade anxiety, eating. study has interesting research, practice, public health policies implications. explores people's one following outbreak. Specifically, we administered questionnaires living Italy. Two investigated: spent during past year, amount caused by pandemic. Among (i.e. thoughts, about pandemic), symptoms withdrawal fear negative evaluations), incontrollable overeating episodes). Some conditions, such as prolonged isolation contagion, might triggered vulnerable individuals, been a dysfunctional response feelings. results confirmed that higher had individuals' well-being. they led more intrusive, undesired, pandemic, turn increased sequentially contributed explaining frequent These indications researchers, professionals, policymakers.

Language: Английский

---