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

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

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Partnerships with primary care providers: Opportunities to prevent eating disorders and mitigate their progression in young people

Eating Disorders, Год журнала: 2024, Номер 32(6), С. 746 - 762

Опубликована: Авг. 22, 2024

Epidemiologic research has identified numerous interpersonal and individual risk factors for warning signs of emerging eating disorders in adolescents. These findings have informed public health prevention treatment strategies, including translation to clinical recommendations primary care providers (PCPs). A next step this translational work could include a comprehensive approach where PCPs are seen as partners efforts improve population outcomes. great potential implement high-yield interventions that prevent or attenuate the course adolescent disorders. To illustrate potential, we present case highlights missed opportunities PCP prevent, detect, intervene during patient's developing disorder. We then relate two programs utilize partnerships: one trains Strengths-Based Adolescent Healthcare disorder prevention; other adapts Family-Based Treatment early access evidence-based treatment. In addition these promising areas research, needed widen requirements curricula medical training address weight stigma care. Together will help become effective

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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Prevention of eating disorders: 2024 in review

Eating Disorders, Год журнала: 2025, Номер unknown, С. 1 - 30

Опубликована: Март 18, 2025

This review of 20 prevention-related publications in Eating Disorders during 2024 is framed by three models: (1) Mental Health Intervention Spectrum: health promotion ➔ types prevention case identification/referral for treatment; (2) the cycle: rationale and theory, shaped critical reviews clarifying risk protective factors program innovation feasibility studies efficacy effectiveness research dissemination; (3) definitions links between eating disorder psychopathology, disordered behavior, disorders. Nine articles were category (including screening studies) gaps/shortcomings field; addressed correlates putative pathology; eight involved creation, adaptation, or upscaling programs: pilot projects, one study, four investigations effectiveness. Seven implications improvement are presented. For example, because multidimensional sociocultural paramount importance to spectrum eating, all forms should be designed, from outset, establish maintain non-hierarchical, participatory collaboration academic researchers inclusive groups stakeholders. In this process, it essential include people researchers) whose voices typically ignored (e.g. LGBTQ+ color, low income unmarried working mothers, adolescents ages 11 through 14).

Язык: Английский

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Next Steps in Use of the Eating Disorder Examination and Related Eating Disorder Assessments: A Call for Consensus

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

Опубликована: Фев. 12, 2025

ABSTRACT Objective Since its publication almost 35 years ago, the Eating Disorder Examination (EDE) and companion paper‐and‐pencil self‐report—the Examination‐Questionnaire (EDE‐Q)—have remained some of most widely used studied tools for assessment eating disorder symptoms. Widespread use EDE has persisted despite notable limitations measure, while other developed in decades since have been inconsistently adopted, both which may consequences accumulation replication knowledge within field. Method In current forum, we propose that common critiques are representative larger issues face subfield ED assessment. Therefore, efforts focused on (a) developing decision‐making frameworks evaluation selection, (b) alignment flexibly adapting measurements different contexts, (c) consensus reporting implementation alteration should be paired with could effectively inform more pragmatic revision like . Results We outline a range recommendations through field can address related to lack assessment‐related decision‐making, inconsistency measure administration scoring, inadequate practices peer‐reviewed journals. Discussion sum, undertaking planful research regarding facilitating field‐wide discussion innovation selection facilitate needed improvement rigor, data sharing, inclusiveness

Язык: Английский

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Introduction to the special issue of Eating Disorders : Identifying and closing the gaps in the prevention of disordered eating and eating disorders

Eating Disorders, Год журнала: 2024, Номер 32(6), С. 563 - 571

Опубликована: Апрель 14, 2024

Язык: Английский

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Future directions for equity-centered body image and eating disorders prevention work

Eating Disorders, Год журнала: 2024, Номер 32(6), С. 817 - 824

Опубликована: Июнь 18, 2024

This article concludes the special issue,

Язык: Английский

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Overcoming Barriers in Eating Disorder Care: Advances, Gaps, and Recommendations for Equitable Assessment and Treatment

Applied Physiology Nutrition and Metabolism, Год журнала: 2024, Номер 49(10), С. 1419 - 1425

Опубликована: Июль 5, 2024

This paper provides an overview of topics discussed by clinicians and researchers invited to speak at the Canadian Nutrition Society's Thematic Conference 2023, which was centered on advances in research practice assessment treatment disordered eating disorders. Presenters emphasized importance understanding how systemic factors such as racism, weight stigma, COVID-19 affect disorders, proposed strategies for addressing these inequities. In this paper, we provide actionable recommendations working with individuals disorders; professional development, cultural competence, equitable practices are discussed.

Язык: Английский

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Measuring Risk and Protective Factors for Eating and Body Image Concerns in LGBTGEQIAP+ Communities: An Instrument Development and Validation Study

International Journal for the Advancement of Counselling, Год журнала: 2024, Номер unknown

Опубликована: Июнь 3, 2024

Язык: Английский

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