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International Journal of Eating Disorders

Saniha H Makhzoumi, Colleen C Schreyer, Jennifer L Hansen, Lori A Laddaran, Graham W Redgrave, Angela S Guarda
OBJECTIVE: Information on nutritional rehabilitation for underweight patients with avoidant/restrictive food intake disorder (ARFID) is scarce. This study characterized hospitalized youth with ARFID treated in an inpatient (IP)-partial hospitalization behavioral eating disorders (EDs) program employing an exclusively meal-based rapid refeeding protocol and compared weight restoration outcomes to those of patients with anorexia nervosa (AN). METHOD: Data from retrospective chart review of consecutive underweight admissions (N = 275; age 11-26 years) with ARFID (n = 27) were compared to those with AN (n = 248) on clinical features, reason for discharge, and weight restoration variables...
February 19, 2019: International Journal of Eating Disorders
Jason M Nagata, Jennifer L Carlson, Neville H Golden, Jin Long, Stuart B Murray, Rebecka Peebles
OBJECTIVE: To compare bone mineral density (BMD) and body composition among adolescents: (a) with atypical anorexia nervosa (AAN) versus anorexia nervosa (AN) and (b) those with and without a prior history of overweight. METHOD: Electronic medical records of patients 9-20 years with AN or AAN who underwent dual-energy x-ray absorptiometry scans were retrospectively reviewed and analyzed. RESULTS: A total of 286 adolescents with AN or AAN were included...
February 16, 2019: International Journal of Eating Disorders
Kara A Christensen
Emotional feeding is an interpersonal emotion regulation strategy wherein people provide food to others as a means of influencing the recipient's emotional response. Parental emotional feeding has been linked to higher levels of emotional eating in children and adolescents using cross-sectional, retrospective, and prospective designs; however, there is little research on emotional feeding as a developmental risk factor for emotional eating and binge-eating behaviors in adolescence and adulthood. This Idea Worth Researching article explores the rationale for studying emotional feeding as a lifespan construct and its potential implications for understanding eating disorder pathology...
February 15, 2019: International Journal of Eating Disorders
Kathryn R Fox, Shirley B Wang, Chelsea Boccagno, Ann F Haynos, Evan Kleiman, Jill M Hooley
OBJECTIVE: Eating disordered (ED) behaviors (i.e., binge eating, compensatory behaviors, restrictive eating) and nonsuicidal self-injury (NSSI; intentional and nonsuicidal self-harm) are highly comorbid and share several similarities, including consequent pain and physical damage. However, whereas NSSI is considered direct self-harm, ED behaviors are considered indirect self-harm. These distinctions stem from theoretical understanding that NSSI is enacted to cause physical harm in the moment, whereas ED behaviors are enacted for other reasons, with consequent physical harm occurring downstream of the behaviors...
February 15, 2019: International Journal of Eating Disorders
Ellen E Fitzsimmons-Craft, Katherine N Balantekin, Andrea K Graham, Lauren Smolar, Dan Park, Claire Mysko, Burkhardt Funk, C Barr Taylor, Denise E Wilfley
OBJECTIVE: The treatment gap between those who need and those who receive care for eating disorders is wide. Scaling a validated, online screener that makes individuals aware of the significance of their symptoms/behaviors is a crucial first step for increasing access to care. The objective of the current study was to determine the reach of disseminating an online eating disorder screener in partnership with the National Eating Disorders Association (NEDA), as well to examine the probable eating disorder diagnostic and risk breakdown of adult respondents...
February 13, 2019: International Journal of Eating Disorders
Kamryn T Eddy, Stephanie G Harshman, Kendra R Becker, Elana Bern, Rachel Bryant-Waugh, Anja Hilbert, Debra K Katzman, Elizabeth A Lawson, Laurie D Manzo, Jessie Menzel, Nadia Micali, Rollyn Ornstein, Sarah Sally, Sharon P Serinsky, William Sharp, Kathryn Stubbs, B Timothy Walsh, Hana Zickgraf, Nancy Zucker, Jennifer J Thomas
OBJECTIVE: Since its introduction to the psychiatric nomenclature in 2013, research on avoidant/restrictive food intake disorder (ARFID) has proliferated highlighting lack of clarity in how ARFID is defined. METHOD: In September 2018, a small multi-disciplinary pool of international experts in feeding disorder and eating disorder clinical practice and research convened as the Radcliffe ARFID workgroup to consider operationalization of DSM-5 ARFID diagnostic criteria to guide research in this disorder...
February 13, 2019: International Journal of Eating Disorders
Thomas J Weigel, Shirley B Wang, Jennifer J Thomas, Kamryn T Eddy, Casey Pierce, Mary C Zanarini, Garrett Fitzmaurice, Alisa Busch
OBJECTIVE: We examined whether eating disorder (ED) outcome trajectories during residential treatment differed for patients screening positive for comorbid borderline personality disorder (BPD) and/or substance use disorders (SUDs) than those who do not. METHOD: We examined data from patients in a residential ED treatment program. Patients completed validated self-report surveys to screen for SUDs and BPD on admission, and the ED Examination-Questionnaire (EDE-Q) on admission and every 2 weeks until discharge (N = 479 females)...
February 11, 2019: International Journal of Eating Disorders
C R André Lange, Hanna Ekedahl Fjertorp, Riitta Holmer, Elin Wijk, Ulf Wallin
OBJECTIVE: To compare long term outcome between childhood-onset Anorexia Nervosa (AN) and low-weight Avoidant/Restrictive Food Intake Disorder (ARFID) in regard to psychiatric diagnoses, social and occupational functioning. METHOD: A consecutive series of 56 children originally treated for low-weight restrictive eating disorder (ED) were followed up after a mean of 15.9 years. ARFID-diagnoses were assigned retrospectively. RESULTS: Thirty-seven patients originally had AN and 19 patients were diagnosed retrospectively with ARFID...
February 11, 2019: International Journal of Eating Disorders
Jessica I Hoskins, Lauren Blood, Holly R Stokes, Madeleine Tatham, Glenn Waller, Hannah Turner
OBJECTIVE: Although it is important to analyze the effectiveness of new therapies, it is also necessary to consider how patients experience them. This is particularly important if we are to maximize treatment acceptability and reduce attrition. This study examined patient experiences of a new 10-session cognitive-behavioral therapy (CBT-T), using a qualitative approach. METHOD: The sample was 17 patients with a diagnosis of bulimia nervosa who had received CBT-T (including treatment completers and non-completers) within the previous 2 years...
February 11, 2019: International Journal of Eating Disorders
Hilde Krom, Liesbeth van der Sluijs Veer, Suzanne van Zundert, Marie-Anne Otten, Marc Benninga, Lotte Haverman, Angelika Kindermann
OBJECTIVE: The aim of this study was to compare health related quality of life (HRQOL) in infants and children with avoidant restrictive food intake disorder (ARFID) to healthy and chronically ill controls. METHOD: A cross-sectional study was conducted in children who meet ARFID criteria at our tertiary care pediatric feeding clinic (September 2014 to July 2016). Before consultation, parents of patients (n = 100) were asked to complete questionnaires to determine HRQOL: the TNO-AZL Preschool Children Quality of Life (0-5 years), and "Pediatric Quality of Life Inventory" (6-7 and 8-10 years)...
February 7, 2019: International Journal of Eating Disorders
Claudia Sparti, Damian Santomauro, Tegan Cruwys, Philip Burgess, Meredith Harris
OBJECTIVE: To estimate the prevalence of disordered eating (DE) among Australian adolescents and examine associations with clinical mental health problems, problems with functioning, and help received. METHOD: We analyzed data from the Young Minds Matter survey (n = 2,298, 13-17 years). We derived an index of DE severity with four levels: (1) no DE; (2) subclinical DE; (3) suspected eating disorder; and (4) lifetime eating disorder diagnosis. RESULTS: In 2013-2014, 31...
February 7, 2019: International Journal of Eating Disorders
Melissa Kimber, Jill R McTavish, Jennifer Couturier, Daniel Le Grange, James Lock, Harriet L MacMillan
INTRODUCTION: This study describes practitioner strategies, perceptions, experiences with identifying and responding to child emotional abuse (CEA) and child exposure to intimate partner violence (CEIPV) when providing Family-Based Treatment (FBT) to children and adolescents with eating disorders. METHOD: Using qualitative interpretive description, this study recruited a purposeful sample of practitioners (N = 30, 90% female) implementing FBT for adolescent eating disorders...
February 6, 2019: International Journal of Eating Disorders
Monika A Waszczuk, Trine Waaktaar, Thalia C Eley, Svenn Torgersen
OBJECTIVE: The role of common and symptom-specific genetic and environmental influences in maintaining eating disorder symptoms across development remains unclear. This study investigates the continuity and change of etiological influences on drive for thinness, bulimia, and body dissatisfaction symptoms and their co-occurrence, across adolescence and emerging adulthood. METHOD: In total, 2,629 adolescent twins (mean age = 15.20, SD = 1.95) reported eating disorders symptoms across three waves of data collection...
February 6, 2019: International Journal of Eating Disorders
Selma Øverland Lie, Øyvind Rø, Lasse Bang
OBJECTIVE: Involvement in bullying and teasing has been associated with adverse health outcomes, including eating disorders (EDs). The purpose of this systematic review and meta-analysis was to examine the association between bullying/teasing and EDs. METHOD: A systematic search was conducted. We included research articles that examined the association between bullying/teasing (victimization and perpetration) and EDs. Studies were required to compare ED cases with a reference group...
February 1, 2019: International Journal of Eating Disorders
Katrina D'Souza Walsh, Laura Davies, Hayley Pluckwell, Holly Huffinley, Glenn Waller
OBJECTIVE: This study examined clinicians' views of the roles of two elements of cognitive behavioral therapy (CBT) in explaining treatment outcomes-CBT techniques and the therapeutic alliance. METHOD: Ninety-eight clinicians who reported delivering CBT for eating disorders completed measures addressing their beliefs about what is effective in CBT, their use of specific techniques, and their own anxiety levels. RESULTS: Clinicians substantially overestimated the role of both therapeutic techniques and the alliance in explaining treatment outcomes in CBT...
February 1, 2019: International Journal of Eating Disorders
Melissa Lieberman, Melissa E Houser, Anne-Pier Voyer, Shelley Grady, Debra K Katzman
OBJECTIVE: The purpose of this study was to examine the medical and psychological characteristics of children under the age of 13 years with avoidant restrictive food intake disorder (ARFID) and anorexia nervosa (AN) from a Canadian tertiary care pediatric eating disorders program. METHOD: Participants included 106 children assessed between 2013 and 2017 using the Diagnostic and Statistical Manual for Mental Disorders, 5th edition (DSM-5). Data were collected through clinical interviews, psychometric questionnaires, and chart review...
February 1, 2019: International Journal of Eating Disorders
Katherine A Thompson, Anna M Bardone-Cone
OBJECTIVE: Eating disorders are present among middle-aged women, yet most eating disorder knowledge comes from adolescents and young adults. There is arguably a need for research specific to middle-aged women and eating pathology. One biological factor that may contribute to eating disorder symptoms and is unique to middle-aged women is menopause, given the changes in body shape and weight that direct women's bodies away from the young, thin beauty standard. METHOD: This study explored group differences in disordered eating and body image by menopausal status...
January 31, 2019: International Journal of Eating Disorders
Simona Calugi, Riccardo Dalle Grave
OBJECTIVE: To ascertain the role of baseline measures of body-image concern (BIC) in changes in body mass index (BMI) centile and psychopathological outcomes associated with intensive enhanced cognitive behavioral therapy (CBT-E) in adolescents with anorexia nervosa (AN). METHOD: The BMI centile of 62 adolescent patients with AN was recorded at four time-points over 12 months, and Eating Disorder Examination interview (EDE) and Brief Symptom Inventory (BSI) scores, were recorded at admission and discharge from CBT-E...
January 31, 2019: International Journal of Eating Disorders
Megumi M Iyar, Daniel W Cox, David Kealy, Suja Srikameswaran, Josie Geller
OBJECTIVE: While stage of change has been shown to be a robust predictor of eating disorder treatment outcome, little attention has been paid to the role of confidence. This study sought to better understand the role of confidence and the possible interaction it may have with stage of change in promoting eating disorder symptom change. METHOD: Participants were adult women in inpatient treatment for eating disorders. They completed measures of motivation for change, which assessed precontemplation, action, confidence and internality (changing for oneself vs...
January 30, 2019: International Journal of Eating Disorders
Sasha Gorrell, Lisa Hail, Kathryn Kinasz, Lindsey Bruett, Sarah Forsberg, Kevin Delucchi, James Lock, Daniel Le Grange
OBJECTIVE: This study tested clinical utility of the DSM-5 severity specifier for bulimia nervosa (BN) in predicting treatment response among adolescents (N = 110) within a randomized clinical trial of two psychosocial treatments. METHOD: Analyses grouped individuals meeting criteria for BN diagnosis by baseline severity, per DSM-5. Associations among baseline severity classification and BN behavior (i.e., binge eating and compensatory behavior) and eating disorder examination (EDE) Global scores at end-of-treatment (EOT), 6- and 12-month follow-up were examined...
January 30, 2019: International Journal of Eating Disorders
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