40,720 results match your criteria eating disorder


Change in normative eating self-efficacy is associated with six-month weight restoration following inpatient treatment for anorexia nervosa.

Eat Behav 2021 May 8;42:101518. Epub 2021 May 8.

Department of Psychiatry and Behavioral Sciences, Johns Hopkins School of Medicine, Baltimore, MD, United States of America.

Anorexia nervosa (AN) is a disorder characterized by rigid and restrictive eating behaviors, resulting in significantly low body weight. While specialized behavioral intensive treatment programs can reliably support individuals with AN to normalize eating and weight control behaviors and achieve weight restoration, prognostic factors predicting relapse following treatment are unclear. We examined whether changes in (i) normative eating self-efficacy, (ii) body image self-efficacy, (iii) drive for thinness, and (iv) body dissatisfaction from inpatient admission to six-month follow-up were associated with weight restoration status at program discharge and at six-month follow-up. Read More

View Article and Full-Text PDF

Altered White Matter Connectivity in Young Acutely Underweight Patients With Anorexia Nervosa.

J Am Acad Child Adolesc Psychiatry 2021 May 8. Epub 2021 May 8.

Division of Psychological and Social Medicine and Developmental Neurosciences, Faculty of Medicine, Technische Universität Dresden, Dresden, Germany; Eating Disorder Treatment and Research Center, Faculty of Medicine, Technische Universität Dresden, Dresden, Germany. Electronic address:

Objective: Reductions of gray matter volume and cortical thickness in anorexia nervosa (AN) are well documented. However, findings regarding the integrity of white matter (WM) as studied via diffusion weighted imaging (DWI) are remarkably heterogeneous and WM connectivity has only been examined in small samples using a limited number of regions of interest. The present study investigated whole-brain WM connectivity for the first time in a large sample of acutely underweight patients with AN. Read More

View Article and Full-Text PDF

Eating and Psychiatric Disorders Are Independent Risk Factors for Rumination Syndrome.

J Clin Gastroenterol 2021 Mar 12. Epub 2021 Mar 12.

*Division of Gastroenterology, Hepatology, and Endoscopy ‡Department of Medicine, Brigham and Women's Hospital †Harvard Medical School, Boston, MA.

Goal: The goal of this study was to evaluate whether a history of eating disorders (EDs) or psychiatric disorders (PDs) are risk factors for rumination syndrome (RS).

Background: RS is a disorder of gut-brain interaction characterized by an effortless postprandial retrograde flow of ingested contents. Disorder of gut-brain interactions have been associated with psychiatric and behavioral comorbidities. Read More

View Article and Full-Text PDF

What's Happened to Italian Adolescents During the COVID-19 Pandemic? A Preliminary Study on Symptoms, Problematic Social Media Usage, and Attachment: Relationships and Differences With Pre-pandemic Peers.

Front Psychiatry 2021 27;12:590543. Epub 2021 Apr 27.

Department of Education Sciences, School of Social Sciences, University of Genoa, Genoa, Italy.

Italian adolescents were confined at home for 3 months due to the COVID-19 pandemic, which exposed them to feelings of fear, uncertainty, and loneliness that may have increased their vulnerability to emotional-behavioral symptoms (e.g., anxiety) and binge-eating attitudes. Read More

View Article and Full-Text PDF

Anxiety is associated with appetitive traits in university students during the COVID-19 pandemic.

Nutr J 2021 May 13;20(1):45. Epub 2021 May 13.

College of Education & Human Sciences, University of New Mexico, Albuquerque, NM, 87131, USA.

Background: COVID-19 has impacted mental health globally, however, associations between anxiety and appetitive traits during the pandemic are unreported. This study evaluated anxiety symptom severity and associations with appetitive traits in students at a large public University in the U.S. Read More

View Article and Full-Text PDF

Elevated C-Reactive Protein in Patients With Depression, Independent of Genetic, Health, and Psychosocial Factors: Results From the UK Biobank.

Am J Psychiatry 2021 May 14:appiajp202020060947. Epub 2021 May 14.

Department of Psychological Medicine, Institute of Psychiatry, Psychology and Neuroscience (Pitharouli, Hotopf, Pariante), and Social, Genetic and Developmental Psychiatry Centre (Pitharouli, Hagenaars, Glanville, Coleman, Lewis), King's College London, London; National Institute for Health Research, Maudsley Biomedical Research Centre, South London and Maudsley National Health Service Foundation Trust, London (Hotopf, Lewis, Pariante).

Objective: The authors investigated the pathways (genetic, environmental, lifestyle, medical) leading to inflammation in major depressive disorder using C-reactive protein (CRP), genetic, and phenotypic data from the UK Biobank.

Methods: This was a case-control study of 26,894 participants with a lifetime diagnosis of major depressive disorder from the Composite International Diagnostic Interview and 59,001 control subjects who reported no mental disorder and had not reported taking any antidepressant medication. Linear regression models of log CRP level were fitted to regress out the effects of age, sex, body mass index (BMI), and smoking and to test whether the polygenic risk score (PRS) for major depression was associated with log CRP level and whether the association between log CRP level and major depression remained after adjusting for early-life trauma, socioeconomic status, and self-reported health status. Read More

View Article and Full-Text PDF

A rare case of hypokalaemia and hypophosphataemia secondary to geophagia.

BMJ Case Rep 2021 May 12;14(5). Epub 2021 May 12.

Department of Medicine, Division Nephrology and Hypertension, University of Cape Town, Port Elizabeth, South Africa

We report a case of severe hypokalaemia and moderate hypophosphataemia from clay ingestion. A 60-year-old woman presented with flaccid paralysis. Investigations revealed a serum potassium level of 1. Read More

View Article and Full-Text PDF

Universal and Selective Interventions to Prevent Poor Mental Health Outcomes in Young People: Systematic Review and Meta-analysis.

Harv Rev Psychiatry 2021 May-Jun 01;29(3):196-215

From the Early Psychosis: Interventions and Clinical-Detection (EPIC) Laboratory, Department of Psychosis Studies, Institute of Psychiatry, Psychology & Neuroscience, King's College London (Drs. Salazar de Pablo, De Micheli, Catalan, Verdino, Di Maggio, Radua, Provenzani, Montealegre, Signorini, and Fusar-Poli, and Mr. Oliver); Departments of Child and Adolescent Psychiatry (Dr. Salazar de Pablo) and of Psychosis Studies (Drs. Bonoldi and Baccaredda Boy), Institute of Psychiatry, Psychology & Neuroscience, King's College London; Institute of Psychiatry and Mental Health. Department of Child and Adolescent Psychiatry, Hospital General Universitario Gregorio Marañón School of Medicine, Universidad Complutense, Instituto de Investigación Sanitaria Gregorio Marañón (IiSGM), CIBERSAM, Madrid (Drs. Salazar de Pablo and Arango); National Institute for Health Research, Maudsley Biomedical Research Centre, South London and Maudsley NHS Foundation Trust, London (Drs. De Micheli and Fusar-Poli); Department of Brain and Behavioral Sciences, University of Pavia (Drs. Di Maggio, Provenzani, Ruzzi, Calorio, Nosari, Di Marco, Famularo, Molteni, Filosi, Mensi, Balottin, Politi, and Fusar-Poli); Neurosciences Department, University of Padova (Dr. Solmi); Mental Health Department, Biocruces Bizkaia Health Research Institute, Basurto University Hospital, Facultad de Medicina y Odontología, Campus de Leioa, University of the Basque Country, UPV/EHU, Barakaldo, Bizkaia, Spain (Dr. Catalan); Department of Molecular and Developmental Medicine, Division of Psychiatry, University of Siena (Dr. Verdino); Imaging of Mood- and Anxiety-Related Disorders (IMARD) group, Institut d'Investigacions Biomèdiques August Pi i Sunyer (IDIBAPS), CIBERSAM, Barcelona (Dr. Radua); Department of Clinical Neuroscience, Centre for Psychiatric Research and Education, Karolinska Institutet, Stockholm (Dr. Radua); Scientific Institute for Research, Hospitalization and Healthcare (IRCCS) Mondino Foundation, Child and Adolescent Neuropsychiatric Unit (Dr. Mensi); Department of Paediatrics, Yonsei University College of Medicine, Seoul (Dr. Shin); Zucker Hillside Hospital, Department of Psychiatry, Northwell Health, Glen Oaks, NY (Dr. Correll); Department of Psychiatry and Molecular Medicine, Donald and Barbara Zucker School of Medicine at Hofstra/Northwell, Hempstead, NY (Dr. Correll); Center for Psychiatric Neuroscience, Feinstein Institute for Medical Research, Manhasset, NY (Dr. Correll); Department of Child and Adolescent Psychiatry, Charité Universitätsmedizin Berlin (Dr. Correll); OASIS service, South London and Maudsley NHS Foundation Trust, London (Dr. Fusar-Poli).

Background: Much is not known about the efficacy of interventions to prevent poor mental health outcomes in young people by targeting either the general population (universal prevention) or asymptomatic individuals with high risk of developing a mental disorder (selective prevention).

Methods: We conducted a PRISMA/MOOSE-compliant systematic review and meta-analysis of Web of Science to identify studies comparing post-test efficacy (effect size [ES]; Hedges' g) of universal or selective interventions for poor mental health outcomes versus control groups, in samples with mean age <35 years (PROSPERO: CRD42018102143). Measurements included random-effects models, I2 statistics, publication bias, meta-regression, sensitivity analyses, quality assessments, number needed to treat, and population impact number. Read More

View Article and Full-Text PDF

Systems genetic analysis of binge-like eating in a C57BL/6J x DBA/2J-F2 cross.

Genes Brain Behav 2021 May 12:e12751. Epub 2021 May 12.

Laboratory of Addiction Genetics, Department of Pharmacology and Experimental Therapeutics and Psychiatry, Boston University School of Medicine, Boston, MA, USA.

Binge eating is a heritable trait associated with eating disorders and refers to the rapid consumption of a large quantity of energy-dense food that is associated with loss of control and negative affect. Binge Eating Disorder is the most common eating disorder in the US; however, the genetic basis is unknown. We previously identified robust mouse inbred strain differences between C57BL/6J and DBA/2J in binge-like eating of sweetened palatable food in an intermittent access, conditioned place preference paradigm (PF-CPP). Read More

View Article and Full-Text PDF

Intuitive eating: associations with body weight status and eating attitudes in dietetic majors.

Eat Weight Disord 2021 May 12. Epub 2021 May 12.

Department of Nutrition and Dietetics, Faculty of Health Sciences, Erciyes University, Melikgazi, Kayseri, 38039, Turkey.

Purpose: Intuitive eating (IE), an adaptive eating pattern characterized by eating in response to physiological hunger and satiety cues, has been associated with positive psychosocial and physical health outcomes. This study aimed to determine associations between IE behavior with body weight status and eating attitudes in dietetic students and dietitians, who are a risky population for disordered eating and body dissatisfaction.

Methods: Participants (n = 785) completed a self-administered questionnaire which featured socio-demographic characteristics, the eating attitudes test 26, the three-factor eating questionnaire, and the intuitive eating scale-2 with four facets unconditional permission to eat (UPE), eating for physical rather than emotional reasons (EPR), reliance on hunger and satiety cues (RHSC) and body-food choice congruence (B-FCC). Read More

View Article and Full-Text PDF

Changes in unhealthy exercise in outpatient eating disorder treatment: examining emotion avoidance mechanisms.

Eat Weight Disord 2021 May 12. Epub 2021 May 12.

Ohio University, Athens, USA.

Unhealthy exercise (UE) is a common symptom of eating disorders (EDs) associated with elevated chronicity and relapse. Previous research suggests that UE serves an emotion regulation function, especially to reduce negative affect. UE may be especially prevalent among individuals with anorexia nervosa (AN), as UE and restrictive eating may be used to avoid unpleasant emotions. Read More

View Article and Full-Text PDF

Therapists' Experiences of Working with Ethnic Minority Females with Eating Disorders: A Qualitative Study.

Authors:
Natalie Kanakam

Cult Med Psychiatry 2021 May 12. Epub 2021 May 12.

South London and Maudsley Trust, NHS, London, UK.

Ethnic minority females are less likely to receive a diagnosis or treatment for an eating disorder (ED). This study captured the experiences of therapists who have worked with ethnic minority females to improve outcomes for this group. Twelve therapists in the United Kingdom, London were recruited for semi-structured interviews and thematic analysis was used to analyse the data. Read More

View Article and Full-Text PDF

Prevalence of Intestinal Parasites and Associated Factors Among Psychiatric Patients Attending Felege Hiwot Comprehensive Specialized Referral Hospital, Northwest Ethiopia.

Res Rep Trop Med 2021 4;12:51-61. Epub 2021 May 4.

Department of Medical Laboratory Science, Bahir Dar University, Bahir Dar, Ethiopia.

Background: Intestinal parasitic infections are among the major public health problems in resource-poor countries such as Ethiopia. Certain segments of the population such as psychiatric patients are believed to be at higher risk of infection because of their poor hygiene practices. However, information on the prevalence and contributing factors among psychiatric patients is limited in Ethiopia. Read More

View Article and Full-Text PDF

Parental income and mental disorders in children and adolescents: prospective register-based study.

Int J Epidemiol 2021 May 11. Epub 2021 May 11.

Norwegian Institute of Public Health, Oslo, Norway.

Background: Children with low-income parents have a higher risk of mental disorders, although it is unclear whether other parental characteristics or genetic confounding explain these associations and whether it is true for all mental disorders.

Methods: In this registry-based study of all children in Norway (n = 1 354 393) aged 5-17 years from 2008 to 2016, we examined whether parental income was associated with childhood diagnoses of mental disorders identified through national registries from primary healthcare, hospitalizations and specialist outpatient services.

Results: There were substantial differences in mental disorders by parental income, except for eating disorders in girls. Read More

View Article and Full-Text PDF

Marital quality over the life course and child well-being from childhood to early adolescence.

Dev Psychopathol 2021 May 11:1-14. Epub 2021 May 11.

School of Social Work, Brigham Young University, Provo, UT, USA.

Research on marital quality and child well-being is currently limited by its common use of geographically constrained, homogenous, and often cross-sectional (or at least temporally limited) samples. We build upon previous work showing multiple trajectories of marital quality and data from the National Longitudinal Survey of Youth-1979 (NLSY79) regarding mothers and their children (inclusive of ages 5-14). We examine how indicators of child well-being are linked to parental trajectories of marital quality (happiness, communication, and conflict). Read More

View Article and Full-Text PDF

Gastrointestinal symptomatology, diagnosis, and treatment history in patients with underweight avoidant/restrictive food intake disorder and anorexia nervosa: Impact on weight restoration in a meal-based behavioral treatment program.

Int J Eat Disord 2021 May 11. Epub 2021 May 11.

Department of Psychiatry and Behavioral Sciences, Johns Hopkins School of Medicine, Baltimore, Maryland, USA.

Objective: Gastrointestinal (GI) concerns are often presumed to complicate nutritional rehabilitation for restrictive eating disorders, yet their relationship to weight restoration outcomes is unclear. This retrospective chart review examined GI history and weight-related discharge outcomes in primarily adult, underweight inpatients with anorexia nervosa (AN, N = 107) or avoidant/restrictive food intake disorder (ARFID, N = 22) treated in a meal-based, behavioral eating disorder program.

Method: Lifetime GI symptomatology, diagnoses, diagnostic tests, and procedures were abstracted from medical records. Read More

View Article and Full-Text PDF

The drive for thinness: Towards a mechanistic understanding of avoidance behaviors in a non-clinical population.

Behav Res Ther 2021 May 4;142:103868. Epub 2021 May 4.

Laboratory of Biological Psychology, Faculty of Psychology and Educational Sciences, KU Leuven, Belgium; Leuven Brain Institute, KU Leuven, Belgium.

Fear of weight gain is a cardinal feature of eating disorders, including Anorexia Nervosa (AN). This fear motivates behaviors aimed at avoiding weight gain, such as restricting food intake. Of note, avoidance in AN is not confined to food-related items but extends to intense emotional states. Read More

View Article and Full-Text PDF

The validation of a Farsi version of the Clinical Impairment Assessment (F-CIA) among Iranian adolescent boys and girls.

Eat Weight Disord 2021 May 10. Epub 2021 May 10.

Department of Psychology, University of Western Ontario, 361 Windermere Road, London, ON, N6A 3K7, Canada.

Purpose: Although some studies have been conducted to examine general psychosocial impairment in Iran, there is no research to date on clinical impairment secondary to disordered eating in Iranian adolescents. The purpose of this study was to evaluate the Farsi version of the Clinical Impairment Assessment (F-CIA) among Iranian adolescents.

Methods: A total of 1112 adolescents (age = 15. Read More

View Article and Full-Text PDF

Contextualising Eating Disorder Concerns for Paediatric Obesity Treatment.

Curr Obes Rep 2021 May 10. Epub 2021 May 10.

Children's Hospital Westmead Clinical School, The University of Sydney, Westmead, Australia.

Purpose Of Review: Eating disorders are complex mental health conditions that share risk factors with obesity. This review outlines the context for concerns that paediatric obesity treatment presents a risk for eating disorder development.

Recent Findings: Most children and adolescents undergoing professionally supervised obesity treatment will have improvements or no change to eating disorder risk profiles. Read More

View Article and Full-Text PDF

A Qualitative Exploration of Sport and Social Pressures on Elite Athletes in Relation to Disordered Eating.

Front Psychol 2021 23;12:633490. Epub 2021 Apr 23.

University College London, London, United Kingdom.

Athletes are at increased risk of disordered eating compared to non-athletes. Inspired by previous investigation into quantitative work on an etiological model of disordered eating in athletes, the current study aimed to explore a problematic aspect of the model: athletes' lived experiences of social and sport pressures in relation to the onset of disordered eating and differing eating behaviors. Nine ( = 9) male and female athletes representing a range of endurance sports took part in semi-structured interviews. Read More

View Article and Full-Text PDF

Childhood traumatic events and loss of control eating in pregnancy: Findings from a community sample of women with overweight and obesity.

Eat Behav 2021 May 1:101513. Epub 2021 May 1.

University of Pittsburgh Medical Center, Department of Psychiatry, Pittsburgh, PA, USA.

Although eating disorder symptoms generally decrease in pregnancy, loss of control eating (LOC), defined by the consumption of food accompanied by a sense of being unable to control what or how much is eaten, often persists and may develop in pregnancy. Given that LOC is associated with higher weight status and psychological distress, it is important to understand factors associated with perinatal LOC. Although childhood traumatic events have been linked to LOC in non-pregnant women, the impact of such events on LOC in pregnancy is unknown. Read More

View Article and Full-Text PDF

Psychiatric disorders as risk factors for type 2 diabetes: an umbrella review of systematic reviews with and without meta-analyses.

Diabetes Res Clin Pract 2021 May 6:108855. Epub 2021 May 6.

Department of Psychology, University of Southern Denmark, Odense, Denmark; STENO Diabetes Centre Odense, Odense University Hospital, Odense, Denmark; School of Psychology, Deakin University, Geelong, Australia. Electronic address:

Having a psychiatric disorder may increase the risk of developing type 2 diabetes[T2D] and this umbrella review aims to determine whether people with a psychiatric disorder have an increased risk of developing T2D and to investigate potential underlying mechanisms. A literature search was performed to identify systematic reviews of longitudinal studies investigating different psychiatric disorders as risk factors for incident T2D in humans (≥18 years). A total of 8,612 abstracts were identified, 180 full-text articles were read, and 25 systematic reviews were included. Read More

View Article and Full-Text PDF

Differences in the Associations between Body Dissatisfaction and Eating Outcomes by Gender? A Lebanese Population Study.

Rev Epidemiol Sante Publique 2021 May 5. Epub 2021 May 5.

INSPECT-LB: Institut National de Santé Publique, Epidemiologie Clinique et Toxicologie, Beirut, Lebanon; Faculty of Medicine and Medical Sciences, Holy Spirit University of Kaslik (USEK), Jounieh, Lebanon. Electronic address:

Background: The objective of this study was to evaluate the impact of the interaction between body dissatisfaction and gender on eating disorders (restrained eating, binge eating, orthorexia nervosa, and emotional eating) among a sample of Lebanese adults.

Methods: This cross-sectional study, conducted between January and May 2018, enrolled 811 participants selected randomly from all Lebanese Mohafazat. The mean age of the participants was 27. Read More

View Article and Full-Text PDF

Rapid amelioration of anorexia nervosa in a male adolescent during metreleptin treatment including recovery from hypogonadotropic hypogonadism.

Eur Child Adolesc Psychiatry 2021 May 9. Epub 2021 May 9.

Department of Child and Adolescent Psychiatry, University Hospital Essen, University of Duisburg-Essen, Essen, Germany.

With this case report we support our medical hypothesis that metreleptin treatment ameliorates starvation related emotional, cognitive and behavioral symptomatology of anorexia nervosa (AN) and show for the first time strong effects in a male patient with AN. A 15.9 year old adolescent with severe AN of eight-month duration was treated off-label with metreleptin. Read More

View Article and Full-Text PDF

Are they too perfect to eat healthy? Association between eating disorder symptoms and perfectionism in adolescent rhythmic gymnasts.

Eat Behav 2021 May 1;41:101514. Epub 2021 May 1.

School of Physical Education & Sport Science, National & Kapodistrian University of Athens, Greece.

Objective: Eating disorders are associated with perfectionism in adults, but evidence is lacking in adolescent competitive athletes. This study examined eating disorder symptoms and perfectionism in a sample of 13-15 years old, adolescent rhythmic gymnasts.

Methods: Eighty-nine female rhythmic gymnasts (41 international and 48 recreational level gymnasts), completed the Eating Attitudes Tests 26 (EAT-26), the Sport Perfectionism Questionnaire (SPQ), the Social Desirability Scale (SDS) and provided information on their training. Read More

View Article and Full-Text PDF

A distinct parabrachial-to-lateral hypothalamus circuit for motivational suppression of feeding by nociception.

Sci Adv 2021 May 7;7(19). Epub 2021 May 7.

Singapore Bioimaging Consortium, Agency for Science, Technology and Research (A*STAR), 138667, Singapore.

The motivation to eat is not only shaped by nutrition but also competed by external stimuli including pain. How the mouse hypothalamus, the feeding regulation center, integrates nociceptive inputs to modulate feeding is unclear. Within the key nociception relay center parabrachial nucleus (PBN), we demonstrated that neurons projecting to the lateral hypothalamus (PBN) are nociceptive yet distinct from danger-encoding central amygdala-projecting (PBN) neurons. Read More

View Article and Full-Text PDF

Behavioural and Emotional Symptoms of Adolescents Consulting a Specialised Eating Disorders Programme.

Rev Colomb Psiquiatr 2021 May 4. Epub 2021 May 4.

Especialista en psiquiatría infantil y del adolescente, Docente de psiquiatría de la Universidad El Bosque, Bogotá, Colombia.

Introduction: Eating disorders (EDs) are complex conditions of multifactorial origin. Their main characteristic is excessive concern about body weight and shape, which causes great discomfort and physical problems and leads to a decrease in quality of life and alterations in the patient's functionality social environment. The objective of this study is to describe the emotional and behavioural symptoms of adolescents who consult a specialised ED programme in the city of Bogota. Read More

View Article and Full-Text PDF

Cognitive Behavioral Therapy for the Eating Disorders.

Annu Rev Clin Psychol 2021 May;17:417-438

Department of Psychiatry and Behavioral Sciences, Stanford University, Stanford, California 94305, USA; email:

Research findings strongly suggest that cognitive behavioral therapy for the eating disorders (CBT-ED) is more effective than other treatments for bulimia nervosa (BN) and for binge eating disorder (BED), although interpersonal psychotherapy appears to be equally effective for BED. Evidence for the effectiveness of CBT-ED for the persistent (adult) form of anorexia nervosa (AN) is insufficient at present and is essentially absent for AN in adolescents except for some evidence from uncontrolled trials. This article begins with an overview of the early studies in the development of CBT-ED that showed a similar effectiveness of other symptom-focused psychotherapies-a finding that was neglected at the time. Read More

View Article and Full-Text PDF

Selective Eating in Autism Spectrum Disorder Leading to Hair Color Change.

Pediatr Neurol 2021 Apr 2;120:1-2. Epub 2021 Apr 2.

Department of Pediatrics, Hokkaido University Graduate School of Medicine, Sapporo, Japan. Electronic address:

View Article and Full-Text PDF