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
The collateral effects of the COVID‐19 pandemic: A gender‐specific systematic review of disordered eating behaviour in the general population
European Eating Disorders Review,
Год журнала:
2024,
Номер
unknown
Опубликована: Окт. 22, 2024
Abstract
Objective
The
COVID‐19
pandemic
initiated
public
health
measures,
impacting
mental
and
exacerbating
disordered
eating
behaviours
(DEB).
This
study
aims
to
fill
gaps
in
understanding
DEB
the
general
population
during
pandemic,
emphasising
gender
dynamics
experiences
of
and/or
sexual
minority
(SGM)
individuals.
Method
A
systematic
literature
review
followed
PRISMA
guidelines
investigate
focusing
on
gender‐sensitive
analyses
SGM
populations.
Outcomes
from
included
studies
were
synthesised
identify
patterns
associations
related
DEB,
particularly
considering
experiences.
Results
Significant
with
observed,
women
consistently
exhibiting
higher
scores.
populations
also
showed
elevated
symptoms.
Longitudinal
indicated
changes
over
time,
some
decreases
observed
among
men.
Conclusions
underscores
significant
differences
symptom
levels.
Lockdown
measures
had
nuanced
impacts
varying
across
studies.
Various
factors
including
pandemic‐related
stressors
influenced
DEB.
Consideration
these
can
inform
tailored
interventions
for
population.
Overall,
enhances
our
how
intersects
pandemic's
impact
need
diverse
approaches
address
behaviours.
Язык: Английский
Long-term psychological implication of the COVID-19 pandemic: a network analysis among the Italian population
Current Psychology,
Год журнала:
2024,
Номер
unknown
Опубликована: Авг. 31, 2024
Abstract
The
enduring
psychological
impact
of
the
COVID-19
pandemic
is
a
subject
growing
concern.
Despite
existing
research
highlighting
immediate
challenges,
there
lack
comprehensive
studies
elucidating
specific
pathways
through
which
variables
contribute
to
pandemic’s
long-lasting
implications.
Through
network
analysis
approach,
we
aimed
investigate
mutual
relationships
and
associations
between
eating
disorder
symptoms,
guilt-
shame-proneness,
psychopathological
self-esteem,
defence
mechanisms,
mentalization
understand
how
they
might
interact
two
years
after
pandemic's
outbreak.
From
March
August
2022,
651
Italian
young
adults
(females
=
593,
91.1%)
aged
18
38
(
M
age
23.84,
SD
3.74)
were
recruited
online
completed
digital
booklet
self-report
questionnaires.
A
weighted,
undirected
graphical
LASSO
was
performed
structure
nodes.
stable
accurate
showed
that
most
interconnected
nodes
psychoticism,
interpersonal
sensitivity,
obsessive-compulsive
depression,
anxiety,
paranoid
ideation,
immature
defences,
suggesting
their
central
role
in
functioning.
Findings
emphasized
pandemic,
complex
interplay
dynamic
key
symptoms
mechanisms.
tested
also
provides
valuable
insights
for
developing
targeted
interventions
effective
strategies
address
post-pandemic
mental
health
challenges.
Язык: 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,
Год журнала:
2024,
Номер
12(1)
Опубликована: Дек. 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.
Язык: Английский
Anxiety symptoms and coping strategies used by older adults during COVID-19: A national e-study of linkages among and between them.
Research Square (Research Square),
Год журнала:
2024,
Номер
unknown
Опубликована: Янв. 19, 2024
Abstract
Background
During
the
COVID-19
pandemic
older
adults
experienced
a
variety
of
symptoms
anxiety.
They
employed
number
different
strategies
to
deal
with
these.
The
aim
this
study
was
create
blueprint
Canadians’
pandemic-related
anxiety
and
coping
strategies,
linkages
among
between
them.
Particular
attention
paid
identifying
most-pernicious
variables
that
might
facilitate
application
most
beneficial
strategies.
Methods
An
e-survey
conducted
1,327
Canadians
in
Summer
2022,
when
public
health
measures
were
lifting
across
Canada.
Anxiety
measured
using
Geriatric
Scale
−
10.
Participants
also
completed
Coping
Stress
personal
assessment
tool.
Network
analysis
permitted
us
examine
respondents’
self-reported
symptoms,
their
pernicious
cope
Results
Findings
revealed
troubling
trio
central
importance
our
respondents:
feelings
restlessness,
muscle
tension
having
no
control
over
lives.
Restless
my
life
particularly
because
they
explained
64–68%
variance
8
other
symptoms.
seemed
occur
through
trial
error.
Some
appeared
work
tandem
others
opposition
each
other.
Responders
remembering
resilience
staying
active
functioned
as
bridges
shielding
people
from
worry,
spurning
remedial
actions.
Discussion
This
provides
evidence
stable
predictable
network
containing
three
some
seemingly
working
opposition,
or
recovery
speak
complex
arduous
nature
mentally
healthy
work.
A
visual
representation
how
can
operate
help
better
understand
own
symptom
experiences.
Combining
two
networks
offers
what
within-person
look
like
teaching
tool
for
practitioners
program
developers;
could
gain
added
insight
into
experience.
Язык: Английский
COMPORTAMENTO ALIMENTAR E PERCEPÇÃO SUBJETIVA DE ESTRESSE EM ESTUDANTES UNIVERSITÁRIOS EM PERÍODO PANDÊMICO
DESAFIOS Revista Interdisciplinar da Universidade Federal do Tocantins,
Год журнала:
2024,
Номер
11(3)
Опубликована: Март 30, 2024
Tema
geral:
Ciências
biológicas
e
da
saúde.Objetivo:
Testar
a
relação
entre
comportamento
alimentar
percepção
subjetiva
de
estresse
em
estudantes
universitários
período
pandêmico.
Métodos:
Este
estudo
faz
parte
do
24-hour
Movement
Behavior
and
Metabolic
Syndrome
(24h-MESYN),
uma
coorte
prospectiva.
A
amostra
foi
195
graduação
(68,7%
mulheres;
44,6%
idade
21
25
anos;
65,8%
matriculados
um
curso
ciências
saúde;
24,5%
no
1º
ao
3º
semestre).
Os
dados
foram
coletados
durante
o
primeiro
semestre
2021
na
cidade
Imperatriz,
MA.
Coletamos
medidas
autorrelatadas
online
usando
Perceived
Stress
Scale
(14
itens)
Dutch
Eating
Questionnaire
(33
itens).
Avaliamos
escores
das
dimensões
positivo
negativo
como
exposições
(representando
autoeficácia
percebida
desamparo,
respectivamente)
ingestão
emocional,
restrição
externa
desfechos.
Nós
examinamos
as
associações
regressão
linear
multinível.
Resultados:
Não
observamos
associação
percebido
(domínio
negativo)
com
emocional
alimentar.
No
entanto,
após
ajuste
para
sexo
biológico
idade,
que
domínio
(β
=
0,02
[IC
95%:
0,006
0,04])
associou-se
externa.
Conclusão:
desamparo
esteve
associada
pandemia
COVID-19.
Palavras-chave:
Comportamento
Alimentar;
Estresse;
Pandemia;
Adultos.
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),
Год журнала:
2024,
Номер
unknown
Опубликована: Июнь 18, 2024
Abstract
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.
Язык: Английский
A systematic review on the role of therapist characteristics in the treatment of eating disorders
Research in Psychotherapy Psychopathology Process and Outcome,
Год журнала:
2024,
Номер
unknown
Опубликована: Июль 10, 2024
Treating
patients
with
eating
disorders
can
be
challenging
for
therapists,
as
it
requires
the
establishment
of
a
strong
therapeutic
relationship.
According
to
literature,
therapist
characteristics
may
influence
intervention
outcomes.
The
aim
this
systematic
review
was
identify
and
synthesize
existing
literature
on
interpersonal
that
could
affect
psychotherapy
relationship
or
outcomes
in
context
disorder
treatment
from
both
patients'
therapists'
perspectives.
We
conducted
search
using
electronic
databases
included
qualitative
quantitative
studies
1980
until
July
2023.
Out
1230
screened,
38
papers
met
inclusion
criteria
were
review.
results
indicate
reported
therapist's
warmth,
empathic
understanding,
supportive
attitude,
expertise
disorders,
self-disclosure
positive
characteristics.
Conversely,
lack
empathy,
judgmental
insufficient
negative
characteristics,
which
have
detrimental
impact
outcome.
Few
perceptions
their
own
personal
an
treatment.
Therapists
empathy
supportiveness,
optimism,
previous
experience
clinician
anxiety,
objectivity
therapists
felt
hinder
This
offers
initial
evidence
process
when
working
disorders.
Язык: Английский
The Multiple Challenges of Nutritional Microbiome Research During COVID-19—A Perspective and Results of a Single-Case Study
Nutrients,
Год журнала:
2024,
Номер
16(21), С. 3693 - 3693
Опубликована: Окт. 30, 2024
The
global
coronavirus
disease
2019
(COVID-19)
pandemic
has
affected
multiple
aspects
of
people's
lives,
which
may
also
influence
the
results
studies
conducted
during
this
period
across
diverse
research
domains.
This
particularly
includes
field
nutritional
science,
investigating
gut
microbiota
as
a
potential
mediator
in
association
between
dietary
intake
and
health-related
outcomes.
article
identifies
challenges
currently
facing
area
research,
points
out
solutions,
highlights
necessity
to
consider
range
issues
when
interpreting
trials
period.
Some
these
have
arisen
specifically
because
measures
implemented
interrupt
spread
small
acute
respiratory
syndrome
2
(SARS-CoV-2),
while
others
remain
relevant
beyond
pandemic.
Язык: Английский