World Psychiatry, Год журнала: 2025, Номер 24(1), С. 4 - 31
Опубликована: Янв. 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.
Язык: Английский
Процитировано
1Relationship between parental perfectionism and child’s disordered eating: mediating role of parental distress and validation of the arabic version of the eating disorders examination questionnaire-short-parent version (EDE-QS-P)
BMC Psychiatry, Год журнала: 2025, Номер 25(1)
Опубликована: Фев. 14, 2025
Eating disorders are an emerging global health crisis, with significant implications for both physical and psychological well-being. Disordered eating behaviors in childhood can serve as precursors to more severe if left untreated. Previous literature evidences a strong association between perfectionism, well parental control disorders, highlighting perfectionism factor the development maintenance of ED symptoms. Early intervention during this critical developmental period is essential address these risks, prevent progression clinical support healthier long-term outcomes children. This study aimed assess mediating role distress parents disordered As secondary objective, intended validate Arabic version Disorders Examination Questionnaire-Short Parent Version (EDE-QS-P). A diverse sample Lebanese children aged 6–11 years (N = 502; mean age 36.24 ± 8.29 years, 74.5% mothers) were recruited from schools, community centers, healthcare facilities into cross-sectional study. One parent per child completed all questionnaires, which assessed children, distress. The instruments used included Disorder (EDE-QS-P) eating, Big Three Perfectionism Scale - Short Form (BTPS-SF) Depression, Anxiety, Stress Scale-8 Items (DASS-8) SPSS software v.25 was statistical analysis. To examine structure EDE-QS-P, we conducted Confirmatory Factor Analysis (CFA) using AMOS v.28 software. mediation analysis PROCESS MACRO v.3.4 model 4. EDE-QS-P showed unidimensional structure, internal consistency reliability high convergent validity. Higher child's scores reported by fathers compared mothers (8.32 9.12 vs. 5.62 7.69, t (500) 3.01, p 0.003). Parental mediated (indirect effect: Beta 0.14; Boot SE 0.02; CI 0.11; 0.18). More significantly associated distress, higher eating. directly successfully validated Lebanon, confirming its validity assessing parental-reported Arab contexts. Elevated correlates increased suggests that providers should be alert signs provide appropriate interventions, such cognitive-behavioral therapy or stress management techniques, alleviate issues lower risk
Язык: Английский
Процитировано
1Emotional Eating Interventions for Adults Living With Overweight and Obesity: A Systematic Review and Meta‐Analysis of Behaviour Change Techniques
Journal of Human Nutrition and Dietetics, Год журнала: 2025, Номер 38(1)
Опубликована: Янв. 6, 2025
Abstract Background Emotional eating (EE) is a barrier to the long‐term success of weight loss interventions. Psychological interventions targeting EE have been shown reduce scores and (kg), though mechanisms remain unclear. This review meta‐analysis aimed identify specific behaviour change techniques (BCTs) associated with improved outcomes. Methods update extension, new studies extracted from searches CINAHL, PsycINFO, MEDLINE EMBASE 1 January 2022 31 April 2023. for adults BMI > 25 kg/m 2 were considered inclusion. Paper screening, extraction, BCT‐coding risk bias completed using Template Intervention Description Replication (TIDieR) checklist, Behaviour Change Taxonomy v1 (BCTTv1) Risk Bias2 (RoB2)/Risk Bias In Non‐randomised Studies (ROBINS‐I) tool. Narrative syntheses random effects multi‐level meta‐analyses conducted. Results total, 6729 participants included across 47 (13 identified in update). Forty‐two contributed pooled estimate impact on (SMD = −0.99 [95% CI: −0.73 −1.25], p < 0.001). Thirty‐two (−4.09 kg −2.76 −5.43 kg], Five BCTs related identity, values self‐regulation notable improvements both (‘incompatible beliefs’, ‘goal setting outcome’. ‘review outcome goals’, ‘feedback behaviour’ ‘pros/cons’). Conclusion Implementation evaluation highlighted are required. Weight management services should consider screening patients tailor individual needs.
Язык: Английский
Процитировано
0The Role of Body Image Perception on a Continuum from Dysfunctional to Healthy Eating Attitudes and Behaviors Among People Seeking Treatment
Journal of Clinical Medicine, Год журнала: 2025, Номер 14(2), С. 597 - 597
Опубликована: Янв. 17, 2025
Background: Body image disturbance has been associated with various health conditions and the potential to trigger development of unhealthy behaviors, including dysfunctional attitudes eating which may evolve into disorders. This study explores relationship between body variables-such as global self-worth, physical attractiveness-and continuum behaviors. Methods: A canonical correlation analysis was performed assess multivariate attitudinal perceptual variables a total 113 cases analyzed. Results: The findings indicate that intuitive positive (including self-worth attractiveness) are most strongly functional end continuum, while disordered behaviors dissatisfaction linked end. Conclusions: These results suggest interventions targeting emotional dimensions dissatisfaction, whether delivered in vivo or via virtual reality (e.g., weight exposure), facilitate shift toward healthier, more along continuum.
Язык: Английский
Процитировано
0The Global Prevalence of Eating Disorders in Children and Young People: A Systematic Review and Meta-Analysis
Опубликована: Янв. 1, 2025
Язык: Английский
Процитировано
0Obesity and Eating Disorders: A Balance of Interventions
IntechOpen eBooks, Год журнала: 2025, Номер unknown
Опубликована: Март 24, 2025
Eating disorders and obesity are part of a common spectrum, their comorbidity is increasing, leading to increased challenges in balancing often opposing treatments. This chapter reviews some the evidence around shared distinctive etiological pathways eating how they addressed treatment while focusing on two primary areas where conditions interact: body image behaviors. With regards image, this explores dissatisfaction obesity, as well impact weight stigma. The behaviors dieting also examined benefits loss managing physical associated with obesity. Lastly, summarizes implications between pharmacological psychological approaches relation loss, stigma, makes recommendations for best practice when treating individuals who present both.
Язык: Английский
Процитировано
0The Mediating Role of Self-Criticism in the Relationship Between Coaches’ Leadership Styles and Disordered Eating in Athletes
Nutrients, Год журнала: 2025, Номер 17(3), С. 427 - 427
Опубликована: Янв. 24, 2025
Background/Objectives: Athletes are particularly vulnerable to developing eating disorders, which can negatively impact both health and athletic performance. The coach–athlete relationship plays a central role in athletes’ development well-being. However, little is known about how coaches’ leadership styles relate self-criticism disordered eating. Therefore, this study aimed assess the between perceptions of their coach’s style own Methods: A total 150 athletes from team ball sports, aged 18 43 years (M = 25.0, SD 6.0), completed self-report measures. Results: 27.3% participants were at heightened risk 38.7% lacked access nutritional or psychological support within clubs. Significant positive associations found negative feedback eating, passive management Moreover, fully mediated these Additionally, vision, inspiration, individualization related decreased athletes. Conclusions: Coaches’ significantly health. This research has important implications for promoting healthier practices sports settings.
Язык: Английский
Процитировано
0A case for integrating self‐compassion interventions targeting shame and self‐criticism into eating disorder treatment: Commentary on Paranjothy and Wade
International Journal of Eating Disorders, Год журнала: 2024, Номер 57(8), С. 1642 - 1645
Опубликована: Апрель 17, 2024
Paranjothy and Wade's (2024) meta-analysis revealed that disordered eating was robustly consistently associated with greater self-criticism lower self-compassion across samples. It is well known even evidence-based treatments for disorders (EDs) do not produce long-lasting effects many patients. Additionally, it unclear whether existing "mainstream" ED effectively reduce shame increase self-compassion, when they intend to so. In this commentary, we assert findings should inform the integration of interventions within treatment. We argue shame, a related but distinct construct, be strongly considered as primary intervention target in seek self-compassion. hypothesize directly addressing bolstering at start treatment may foster higher engagement more durable effects. introduce potential adjunctive self-criticism, enhance alongside or treatments. Because are shared correlates EDs commonly co-occurring psychopathology, contend possibility transdiagnostic Shame, important targets explore future research.
Язык: Английский
Процитировано
1The ups and downs of self‐criticism and disordered eating: Complementing Paranjothy and Wade's (2024) analysis by considering both trait and state perspectives
International Journal of Eating Disorders, Год журнала: 2024, Номер 57(8), С. 1649 - 1652
Опубликована: Май 3, 2024
Paranjothy and Wade's (2024) meta-review reveals that individuals higher in the personality trait of self-criticism consistently experience more disordered eating than those lower trait. The clinical implications this are important they suggest current theoretical models practices field disorders should incorporate a greater focus on self-criticism. Building exciting contribution, we highlight conceptual, practical, empirical reasons why would benefit from supplementing research with investigations state We review showing levels vary not only between individuals, some people chronically self-critical others, but also within person, given individual enacting relatively during moments days others. then present emerging these periods higher-than-usual associated eating. Thus, emphasize need to explore factors give rise states daily life, preliminary findings topic. ways which within-person variations can complement advance case formulation, prevention, treatment disorders.
Язык: Английский
Процитировано
1A call to action for more rigorous research on compassion‐focused interventions for eating disorders:
International Journal of Eating Disorders, Год журнала: 2024, Номер 57(7), С. 1495 - 1498
Опубликована: Апрель 6, 2024
Abstract Paranjothy and Wade's (2024) meta‐analysis identifying relations between self‐criticism, self‐compassion, disordered eating prompted recommendations for augmenting existing front‐line interventions with compassion‐focused therapy (CFT) principles among self‐critical individuals. While in theory this sounds promising, the reality is that evidence supporting use of CFT disorders (EDs) limited. I argue before any clinical can made, more research needed to better understand utility CFT, as well what precise role self‐criticism self‐compassion play context intervention. In commentary, present three critical avenues future necessary achieve level understanding. These include: (1) moderators response trials so be safely delivered those likely benefit from approach avoided experience harm; (2) establishing mediators change we whether works through theory‐specific or common mechanisms; (3) testing causal impact intervention components knowledge on how most effectively trigger probable gathered. This commentary will ideally spark further discussion, collaboration, rigorous dedicated improving ED outcomes. Public Significance discusses importance towards enhancing understanding disorders. It calls response, mechanisms change, effective components.
Язык: Английский
Процитировано
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