Eating disorders in men—an underestimated problem, an unseen need

Deutsches Ärzteblatt international, Год журнала: 2024, Номер unknown

Опубликована: Фев. 1, 2024

Eating disorders are seen mainly as a problem affecting women, not just by the public at large, but also in specialized circles. Although it is true that more women than men suffer from all types of eating disorder, pertinent reviews have clearly shown they do indeed occur men, and available evidence on matter limited. The stigmatization with makes harder for these relevant professionals, to recognize symptoms seek or provide help.

Язык: Английский

---

Autism, ADHD, and Their Traits in Adults With Bulimia Nervosa and Binge Eating Disorder: A Scoping Review

European Eating Disorders Review, Год журнала: 2025, Номер unknown

Опубликована: Янв. 26, 2025

ABSTRACT Objective This review maps existing literature on the prevalence of autism and ADHD in adult patients with Bulimia Nervosa (BN) Binge Eating Disorder (BED); patient stakeholder perspectives this comorbidity; clinical differences population; potential treatment adaptations or adjunct therapies. is aim to inform future research priorities improve practice. Method As pre‐registered, following PRISMA guidelines, six databases (Embase, MEDLINE via Ovid, PsycINFO, Web Science, CENTRAL, Scopus) were searched for studies regarding and/or (diagnosed, probable, traits) BN BED. Screening data extraction conducted twice independently each record. Results Twenty‐nine included, 25,416 participants, mostly women (69.3%). Thirteen suggested are more common BED than non‐ED populations. One study explored expert BED, while 15 considered options, mainly medications. Conclusion highlights a need experiences, differences, non‐medical options Autistic/ADHD Findings suggest these conditions commonly co‐occur but remain under‐explored terms patient‐centred interventions outcomes.

Язык: Английский

---

Reimagining eating disorder spaces: a qualitative study exploring Māori experiences of accessing treatment for eating disorders in Aotearoa New Zealand

Journal of Eating Disorders, Год журнала: 2023, Номер 11(1)

Опубликована: Фев. 15, 2023

Abstract Background Health, illness, and the body are conceptualized within cultural context of a society. The values belief systems society, including media portrayals, shape how health illness present. Traditionally, Western portrayals eating disorders have been prioritized over above Indigenous realities. This paper explores lived experiences Māori with their whānau (family/support system) to identify enablers barriers accessing specialist services for in New Zealand. Method Kaupapa research methodology was used ensure supported advancement. Fifteen semi-structured interviews were completed participants including; those an disorder diagnosis (anorexia nervosa, bulimia binge disorder), and/or whānau. Structural, descriptive, pattern coding undertaken thematic analysis. Low’s spatializing culture framework interpret findings. Results Two overarching themes identified systemic social treatment disorders. first theme, space, that described material settings. theme critiqued services, idiosyncratic use assessment methods, inaccessible service locations, limited number beds available mental services. second place, referred meaning given interactions created space. Participants privileging non-Māori experiences, this makes place space exclusion Other included shame stigma, while family support self-advocacy. Conclusion More education is needed working primary settings about diversity enable them look beyond stereotype what looks like, take seriously concerns whaiora who present disordered concerns. There also need thorough early referral benefits intervention enabled Māori. Attention these findings will Graphical

Язык: Английский

---

Guided self-help for Bulimia Nervosa: A comparison of individual and group provision

Clinical Psychology Forum, Год журнала: 2025, Номер 1(383), С. 19 - 27

Опубликована: Янв. 16, 2025

This service evaluation explores the implementation of Guided Self-Help (GSH), first line recommended treatment for Bulimia Nervosa, in both individual and group formats, an NHS community eating disorder service. The study aimed to examine effectiveness GSH, compare this across modalities, explore therapy experience participants. N=23 participants engaged n=38 treatment. Three outcome measures (EDE-Q, CIA PHQ-9) were administered pre- post-treatment. For post-intervention scores significantly improved on all measures. In comparison, modality was found be more effective those with extensive depressive symptoms. suggested that GSH interventions are effective, supporting within services. It may depression symptoms would benefit a greater extent from intervention.

Язык: Английский

---

Eating disorders, dentistry, and the need for shared learning: a lived experience commentary on Gidlund et al.

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

Опубликована: Фев. 18, 2025

This Commentary builds upon the findings of Gidlund et al.'s study on oral health experiences women in remission from eating disorders. By exploring nuanced and deeply embodied dimensions disorders, their also highlight intersectional challenges faced by individuals when accessing dental care, including stigma, shame, ambivalence about treatment. Drawing lived experience examples published research, this aims to add existing evidence demonstrating need for a more integrated, patient-centred approach both disorders treatment, advocating harm-reduction strategies prevent minimise damage during active illness alongside inclusive conceptualisations illness, recovery. Recommendations are made adopt non-stigmatising language, expand demographic diversity co-produce research treatment provision people with experience. The bidirectional relationship between disorder symptoms requires creation greater collaboration dentistry ED providers, where shared learning co-produced training can improve care pathways address systemic gaps knowledge

Язык: Английский

---

Doctors need more education to tackle the rising tide of eating disorders

BMJ, Год журнала: 2025, Номер unknown, С. r407 - r407

Опубликована: Фев. 28, 2025

As a doctor with lived experience of an eating disorder, I know that there is huge amount we can do to educate ourselves better about disorders improve patient care and experiences, writes Eleanor Morris

Язык: Английский

---

Gender Differences in Treatment Outcomes for Eating Disorders: A Case-Matched, Retrospective Pre–Post Comparison

Nutrients, Год журнала: 2022, Номер 14(11), С. 2240 - 2240

Опубликована: Май 27, 2022

Eating disorders (EDs) are increasingly emerging as a health risk in men, yet men remain underrepresented ED research, including interventional trials. This underrepresentation of may have facilitated the development women-centered treatments that result suboptimal outcomes for men. The present study retrospectively compared pre- vs. post-treatment between age-, diagnosis-, and length-of-treatment-matched samples n = 200 women with Anorexia Nervosa (AN), Bulimia (BN), Binge Disorder (BED), or Not Otherwise Specified (EDNOS), treated same setting during period, using measurements. Compared to women, AN showed marked improvements weight gains treatment well ED-specific cognitions general psychopathology. Likewise, BED loss BED; psychopathology were comparable this case. For BN EDNOS, weight, cognitions, remained largely women. Implications discussed.

Язык: Английский

---

Factor structure of the Eating Disorder Examination-Questionnaire (EDE-Q) in adult men with eating disorders

Journal of Eating Disorders, Год журнала: 2023, Номер 11(1)

Опубликована: Март 6, 2023

Abstract Background Previous investigations on the Eating Disorder Examination-Questionnaire (EDE-Q) factor structures in men have been restricted to non-clinical settings, limiting conclusions about factorial validity with eating disorders (ED). This study aimed examine structure of German EDE-Q a clinical group adult diagnosed ED. Methods ED symptoms were assessed using validated version EDE-Q. Exploratory analysis (EFA) principal-axis factoring based polychoric correlations was conducted for full sample ( N = 188) Varimax-Rotation Kaiser-Normalization. Results Horn’s parallel suggested five-factor solution an explained variance 68%. The EFA factors labeled “Restraint” (items 1, 3–6), “Body Dissatisfaction” 25–28), “Weight Concern” 10–12, 20), “Preoccupation” 7 and 8), “Importance” 22 23). Items 2, 9, 19, 21, 24 excluded due low communalities. Conclusions Factors associated body concerns dissatisfaction are not fully represented could be differences ideals men, e.g., underestimation role musculature. Consequently, it may useful apply 17-item presented here

Язык: Английский

---

Characterising illness stages and recovery trajectories of eating disorders in young people via remote measurement technology (STORY): a multi-centre prospective cohort study protocol

BMC Psychiatry, Год журнала: 2024, Номер 24(1)

Опубликована: Май 30, 2024

Eating disorders (EDs) are serious, often chronic, conditions associated with pronounced morbidity, mortality, and dysfunction increasingly affecting young people worldwide. Illness progression, stages recovery trajectories of EDs still poorly characterised. The STORY study dynamically longitudinally assesses different (restricting; bingeing/bulimic presentations) illness durations (earlier; later stages) compared to healthy controls. Remote measurement technology (RMT) active passive sensing is used advance understanding the heterogeneity earlier more progressed clinical presentations predictors or relapse.

Язык: Английский

---

Eating Disorder and Autism Collaborative project outline: promoting eating disorder research embedded in a neurodiversity-affirming culture

BJPsych Bulletin, Год журнала: 2024, Номер unknown, С. 1 - 6

Опубликована: Авг. 8, 2024

EDAC (Eating Disorders and Autism Collaborative) is an innovative project aiming to increase research capacity by supporting collaboration in the fields of eating disorders autism. comprises four integrated workstreams co-produce interdisciplinary research, directed Autistic individuals with lived experience disorders. Workstream 1 will outline best collaborative practices, informing network. 2 use arts-based methodologies set priorities, emphasis on perspectives underrepresented groups. 3 support collaborations develop research. Finally, workstream 4 maximise knowledge mobilisation aim reducing barriers rapid incorporation into policy clinical practice. A core embed a neurodiversity-affirming culture within disorder development new generation researchers conducting meaningful potential improve outcomes.

Язык: Английский

---