A systematic review of sociodemographic reporting and representation in eating disorder psychotherapy treatment trials in the United States

International Journal of Eating Disorders, Год журнала: 2022, Номер 55(4), С. 423 - 454

Опубликована: Март 14, 2022

Abstract Objective Eating disorders (EDs) were once conceptualized as primarily affecting affluent, White women, a misconception that informed research and practice for many years. Abundant evidence now discredits this stereotype, but it is unclear if prevailing “evidence‐based” treatments have been evaluated in samples representative of the diversity individuals affected by EDs. Our goal was to evaluate reporting, inclusion, analysis sociodemographic variables ED psychotherapeutic treatment randomized controlled trials (RCTs) US through 2020. Methods We conducted systematic review RCTs examined reporting inclusion gender identity, age, race/ethnicity, sexual orientation, socioeconomic status (SES) enrolled participants, well recruitment methods, power analyses, discussion limitations generalizability. Results search yielded 58 studies meeting criteria dating back 1985. Reporting at times incomplete, absent, or centered on racial/gender majority group. No reported diverse men people color underrepresented generally, with differences noted across diagnoses. A minority papers considered analyses acknowledged related sample characteristics. Some progress made decades, increasingly providing full racial ethnic data, more included over time. Although improved somewhat, appeared stall last decade. Discussion summarize findings, consider context challenges RCT researchers, offer suggestions journal editors, reviewers improving representation, analytic practices. Public Significance Randomized eating disorder are race/ethnicity information SES inconsistent orientation absent. women still comprise overwhelming few color, no gender‐diverse individuals. Findings underscore need improve increase representation ensure evidence‐based effective within groups.

Язык: Английский

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A Systematic Review of Participant Diversity in Psychedelic-Assisted Psychotherapy Trials

Psychiatry Research, Год журнала: 2025, Номер 345, С. 116359 - 116359

Опубликована: Янв. 11, 2025

Язык: Английский

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Structural validity of the Eating Disorder Examination—Questionnaire: A systematic review

International Journal of Eating Disorders, Год журнала: 2022, Номер 55(8), С. 1012 - 1030

Опубликована: Май 3, 2022

Abstract Objective The main aim was to perform a systematic literature review of studies investigating the factor structure Eating Disorder Examination‐Questionnaire (EDE‐Q), widely used measure eating pathology. Secondary aims were summarize quality reporting latent variable (factor) analyses in these and support for different solutions. Method Literature identified through Scopus, Medline, PsycInfo, ProQuest databases published up February 23, 2022 outreach via an international listserv. All English analysis EDE‐Q included with few restrictions. Sixty including 63,389 participants met inclusion criteria. Results originally proposed four‐factor solution received little empirical support, although alternative models have been robustly evaluated. Items assessing shape weight concerns frequently coalesce solutions, suggesting that constructs are closely related. Investigations brief versions produced more consistent findings, measures, particularly seven‐item version, might be useful alternatives full version. Quality reasonable, important methodological elements often reported. Discussion findings relevance practitioners researchers, “original” should reconsidered use version is encouraged. Public Significance Self‐report questionnaires assessment disordered eating. current study found there consensus about common psychopathology. There brief, seven‐item, dietary restraint, body dissatisfaction, overvaluation shape.

Язык: Английский

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

Annual Review of Clinical Psychology, Год журнала: 2024, Номер 20(1), С. 97 - 123

Опубликована: Янв. 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.

Язык: Английский

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Discordant conceptualisations of eating disorder recovery and their influence on the construct of terminality

Journal of Eating Disorders, Год журнала: 2024, Номер 12(1)

Опубликована: Июнь 3, 2024

Abstract Eating disorders (EDs) are complex, multifaceted conditions that significantly impact quality-of-life, often co-occur with multiple medical and psychiatric diagnoses, associated a high risk of sequelae mortality. Fortunately, many people recover even after decades illness, although there different conceptualisations recovery understandings how is experienced. Differences in these influence categorisations ED experiences (e.g., longstanding vs. short-duration EDs), prognoses, recommended treatment pathways, research into outcomes. Within recent years, the proposal ‘terminal’ illness stage for subset individuals anorexia nervosa arguments prescription end-of-life pathways such has ignited debate. Semantic choices influential care, it critical to consider power dynamics outcomes ‘staging’ discourse. Conceptually, ‘terminality’ interrelates recovery, efficacy available treatments, iatrogenic harm, complex co-occurring as well functions an individual’s eating disorder, personal symbolic meanings individual may hold regarding suffering, self-starvation, death, health life. Our authorship represents wide range lived living EDs, treatment, ranging from severe EDs meet descriptors variety definitions ‘recovery’. have given rise shared motivation analyse existing discourses terminality found literature policy, shape conceptualisations, beliefs, actions healthcare systems seek serve them.

Язык: 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, Год журнала: 2023, Номер 10(2), С. 146 - 154

Опубликована: Янв. 23, 2023

Язык: Английский

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Multiple marginalization, discrimination, and disordered eating among youth aged 10–11

International Journal of Eating Disorders, Год журнала: 2024, Номер 57(8), С. 1783 - 1790

Опубликована: Апрель 4, 2024

Abstract Objective Although rates of weight discrimination are on‐par with racial, ethnic, and gender discrimination, comparatively less work has examined impacts weight‐based in youth, including on disordered eating. Knowing whether experiences youth multiply‐marginalized identities, associated eating could identify vulnerable inform intervention efforts. Method Youth ( N = 11,875) ages 10–11 were recruited through the Adolescent Brain Cognitive Development (ABCD) study. Logistic regressions using cross‐sectional data (weight, perceived sexual orientation, race/ethnicity, national origin) (binge‐eating, vomiting, weight‐gain fear, self‐worth). Models included age, sex, parental income, degree elevated weight. Raked poststratification weights used. Results Rates (6.2%) similar to race/ethnicity (4.4%) orientation (4.5%). Weight‐based was more reporting multiple had significantly increased compared who did not report discrimination. Discussion is common likely be multiply marginalized experience These findings suggest a critical target prevent treat disorders. Public Significance Experiences contribute poorer health; however, relatively understudied. Data from large sample showed that reported experiencing types odds each additional type Together, this suggests disorders, especially youth.

Язык: Английский

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Prevalence of Disordered Eating Behaviors Among Sexual and Gender Minority Youth Varies at the Intersection of Gender Identity and Race/Ethnicity

International Journal of Eating Disorders, Год журнала: 2025, Номер unknown

Опубликована: Янв. 6, 2025

Prior work has documented inequities in disordered eating behavior (DEB) prevalence across gender identity, race, and ethnicity, yet often ignored the fact that individuals belong to multiple social groups simultaneously. The present study assessed DEB at intersection of identity race/ethnicity. sample included n = 10,287 adolescents (68% gender-diverse, 33% belonging marginalized racial/ethnic groups). Past-year dietary restriction, self-induced vomiting, diet pill use, binge was assessed. Data were analyzed with multilevel analysis individual heterogeneity discriminatory accuracy (MAIHDA). MAIHDA nests within strata defined by all combinations race/ethnicity (a proxy for exposure structural (cis)sexism racism). allows comparison outcome identifies disproportionately high or low prevalence. Hispanic gender-nonconforming youth had a DEBs: restricting 67.1% (95% CI [62.1%-72.2%]), vomiting 25.9% [21.6%-31.0%]), 46.0% [40.2%-51.4%]). For outcomes, least one stratum prevalence; outcomes except prevalence, indicative intersectional interactions between among varies substantially race/ethnicity, highest those groups. Future research is needed on drivers DEBs.

Язык: Английский

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Eating disorders in minority ethnic populations in Australia, Canada, Aotearoa New Zealand and the UK: a scoping review

Journal of Eating Disorders, Год журнала: 2025, Номер 13(1)

Опубликована: Янв. 14, 2025

Abstract Background Historically, eating disorder (ED) research has largely focused on White girls and women, with minority ethnic populations underrepresented. Most exploring EDs in been conducted the United States (US). The aim of this scoping review, first its kind, was to systematically examine disordered among Australia, Canada, Aotearoa New Zealand Kingdom (UK), four countries shared sociocultural healthcare characteristics. An inequity lens applied highlight gaps research, access, treatment experiences. Method Five databases (Medline, Embase, PsycINFO, CINHAL Web Science) were searched up March 7, 2024. Two independent reviewers screened titles abstracts full texts against eligibility criteria resulting inclusion 87 records (76 peer-reviewed articles 11 theses). Included studies charted according their focus, study design, sample characteristics findings, a particular focus placed prevalence, access experience. Results majority identified UK (61%, 53 studies). There notable lack investigating assessment, diagnosis intervention. Methodologies varied, though most utilised cross-sectional survey designs. samples non-clinical, exclusively or predominantly adolescents young adults. Asian frequently studied group. Understanding prevalence experience amongst groups limited. Conclusion is need for further addressing inequities ED service experiences Indigenous groups, especially Canada Zealand. Improved ethnicity data collection culturally sensitive approaches are essential. Recommendations future clinical practice provided.

Язык: Английский

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Eating Disorders in Bangladesh: A Narrative Review

Health Science Reports, Год журнала: 2025, Номер 8(3)

Опубликована: Март 1, 2025

Eating disorders are complex psychiatric illnesses mostly prominent in Western countries. Little has been researched about these countries like Bangladesh. The purpose of this narrative review was to summarize the studies on eating Bangladesh, focusing rates and associated factors. A search performed PubMed, Scopus, Google, Google Scholar, BanglaJOL February 20, 2024, identify available After considering inclusion exclusion criteria, 10 articles were included review. Studies published between 2015 2023 with a sample size ranging from 196 4076. All conducted among university students used screening tools assess where majority utilized Attitudes Test-26. rate at risk varies 20.4% 38%. Sociocultural factors, age, sex, academic attainment, marital status, family income, smoking, nutritional anxiety, depression, internet addiction, high religious practice, previous cosmetic surgery, binge drinking disorder risk. However, all focused single population group, no nationwide or research involving community populations clinical samples identified. Although there an increase Bangladesh since 2015, community-based using diagnostic warranted. Adaptation development culture sensitive instruments could be important necessity along enduring collaboration researchers, stakeholders, clinicians.

Язык: Английский

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