Articles

Examining a staging model for anorexia nervosa: empirical exploration of a four stage model of severity

An illness staging model for anorexia nervosa (AN) has received increasing attention, but assessing the merits of this concept is dependent on empirically examining a model in clinical samples. Building on pre...

Authors: Sarah Maguire, Lois J. Surgenor, Daniel Le Grange, Hubert Lacey, Ross D. Crosby, Scott G. Engel, Kirsty M. Fromholtz, Bryony Bamford and Stephen Touyz

Development and validation of makeup and sexualized clothing questionnaires

Body acceptance programs on college campuses indicated that collegiate women often report feeling pressure to dress in a sexualized manner, and use makeup to enhance beauty. Currently, no quantitative measures...

Authors: Haylie Smith, Marisol Perez, Michael R. Sladek, Carolyn Black Becker, Tara K. Ohrt and Amanda B. Bruening

Development of guidelines for giving community presentations about eating disorders: a Delphi study

Concerns exist around how to talk about eating disorders (EDs) due to evidence that suggests discussing ED symptoms and behaviours may cause or worsen symptoms in vulnerable people. Using expert consensus, we ...

Authors: Joanna Rachel Doley, Laura Merilyn Hart, Arthur Anthony Stukas, Amy Joanna Morgan, Danielle Lisa Rowlands and Susan Jessica Paxton

The association between interpersonal problems and treatment outcome in patients with eating disorders

Interpersonal problems are thought to play an essential role in the development and maintenance of eating disorders. The aim of the current study was to investigate whether a specific interpersonal profile cou...

Authors: Elise Meyn Ung, Cecilie Birkmose Erichsen, Stig Poulsen, Marianne Engelbrecht Lau, Sebastian Simonsen and Annika Helgadóttir Davidsen

A 10-year follow-up study of completers versus dropouts following treatment with an integrated cognitive-behavioral group therapy for eating disorders

Cognitive-behavioral therapy (CBT) has been recommended for the treatment of eating disorders, and group therapy is known to have certain advantages over individual therapy. The aim of the current study was to...

Authors: Yuri Okamoto, Yoshie Miyake, Ichie Nagasawa and Kazuhiro Shishida

Exploring the effects of a family admissions program for adolescents with anorexia nervosa

This study investigated patient experience in a Family Admissions Program (FAP) – a pilot treatment program for adolescents with Anorexia Nervosa at the Children’s Hospital, Westmead. Based on Maudsley Family ...

Authors: Keren Fink, Paul Rhodes, Jane Miskovic-Wheatley, Andrew Wallis, Stephen Touyz, Julian Baudinet and Sloane Madden

An evaluation of the predictive validity of the URICA and ANSOCQ scales for weight gain in adults with AN in an outpatient eating disorders program: a prospective cohort study

The Transtheoretical Model (TTM) which focuses on stage of change has been the main conceptual model used in understanding the lack of motivation to change in patients with Anorexia Nervosa (AN). Whilst there ...

Authors: Jessica Green, Andrea Philipou, David Castle, Leonardo Cistullo and Richard Newton

Feminist approaches to Anorexia Nervosa: a qualitative study of a treatment group

Eating disorders (EDs) are now often approached as biopsychosocial problems. But it has been suggested by scholars interested in sociocultural factors that all is not equal within this biospsychosocial framewo...

Authors: Su Holmes, Sarah Drake, Kelsey Odgers and Jon Wilson

Inviting eating disorder patients to discuss the academic literature: a model program for psychoeducation

Psychoeducation initiatives in which patients read primary scientific literature have not yet been studied as a treatment intervention for eating disorders. In this paper, we discuss and evaluate the acceptabi...

Authors: Lauren Belak, Tara Deliberto, Matthew Shear, Sean Kerrigan and Evelyn Attia

Identifying fundamental criteria for eating disorder recovery: a systematic review and qualitative meta-analysis

Outcome studies for eating disorders regularly measure pathology change or remission as the only outcome. Researchers, patients and recovered individuals highlight the importance of using additional criteria f...

Authors: Jan Alexander de Vos, Andrea LaMarre, Mirjam Radstaak, Charlotte Ariane Bijkerk, Ernst T. Bohlmeijer and Gerben J. Westerhof

Erratum to: Evaluation of a multiprofessional, nonsurgical obesity treatment program: which parameters indicated life style changes and weight loss?

Authors: Irena Pjanic, Roland Müller, Markus Laimer, Niels Hagenbuch, Kurt Laederach and Zeno Stanga

Book review: beyond a shadow of a diet

Authors: Jessica Bailes

Eating behaviour disorders among adolescents in a middle school in Dongfanghong, China

Disordered eating behaviours (DEB) are significant public health challenges among adolescents. DEB are prevalent among Chinese young people and replication epidemiological studies in DEB are needed due to ongo...

Authors: Tingting Feng and Dawit Shawel Abebe

Perceptions of eating disorder diagnoses and body image issues in four male cases in Singapore

Despite the increasing number of patients presenting for treatment, little is still known about male eating disorders cases. The current study presents four male eating disorder cases presented to our speciali...

Authors: Evelyn Boon, Kelly Ann Zainal and Stephen W. Touyz

An exploratory study of creativity and eating disorders

We examined whether cognitive rigidity associated with having an eating disorder generalized to creativity.

Authors: Bruce D. Burns, Yichelle Zhang, Mareike Wieth and Stephen Touyz

The role of personality in body image dissatisfaction and disordered eating: discrepancies between men and women

Body image and disordered eating research has focused mostly on the female experience. The present study examined gender differences in the relationship between personality, disordered eating, and body image d...

Authors: L. P. MacNeill, L. A. Best and L. L. Davis

Sport practice, physical structure, and body image among university students

The aim of this study was to estimate body image perception in undergraduate students, and to investigate its associations with weight status, abdominal obesity, muscularity, gender and sport.

Authors: Stefania Toselli and Federico Spiga

A retrospective analysis of biochemical and haematological parameters in patients with eating disorders

The objective of the study was to determine whether levels of biochemical and haematological parameters in patients with eating disorders (EDs) varied from the general population. Whilst dietary restrictions c...

Authors: Leanne J. Barron, Robert F. Barron, Jeremy C. S. Johnson, Ingrid Wagner, Cameron J. B. Ward, Shannon R. B. Ward, Faye M. Barron and Warren K. Ward

A content analysis of thinspiration, fitspiration, and bonespiration imagery on social media

On social media, images such as thinspiration, fitspiration, and bonespiration, are shared to inspire certain body ideals. Previous research has demonstrated that exposure to these groups of content is associa...

Authors: Catherine Victoria Talbot, Jeffrey Gavin, Tommy van Steen and Yvette Morey

Food avoidance and restriction in adults: a cross-sectional pilot study comparing patients from an immunology clinic to a general practice

With the introduction of avoidant/restrictive food intake disorder (ARFID) in the Diagnostic and Statistical Manual – fifth edition, there is an increased need to understand the prevalence and pattern of food ...

Authors: Michael Fitzgerald and Brad Frankum

Themes arising in clinical consultation for therapists implementing family-based treatment for adolescents with anorexia nervosa: a qualitative study

Our study aims to explore and describe themes arising in sessions of clinical consultation with therapists implementing Family-Based Treatment (FBT) for adolescents with Anorexia Nervosa (AN). There is current...

Authors: J. Couturier, J. Lock, M. Kimber, G. McVey, M. Barwick, A. Niccols, C. Webb, S. Findlay and T. Woodford

Predicting intolerance of uncertainty in individuals with eating disorder symptoms

Intolerance of Uncertainty (IU) is recognized for its contribution to various psychopathologies, in particular anxiety and depression. Studies highlight the relevance of IU for Eating Disorders (EDs) however, ...

Authors: Lot C. Sternheim, Martin Fisher, Amy Harrison and Rosamond Watling

The stigma of clean dieting and orthorexia nervosa

Although the stigma of eating disorders such as anorexia has been well established, little is known about the social consequences of “clean dieting” and orthorexia nervosa. In two studies, we examined the soci...

Authors: Suzanne M. Nevin and Lenny R. Vartanian

The coexistence of psychiatric and gastrointestinal problems in children with restrictive eating in a nationwide Swedish twin study

Restrictive eating problems are rare in children but overrepresented in those with neurodevelopmental problems. Comorbidities decrease wellbeing in affected individuals but research in the area is relatively s...

Authors: Jakob Täljemark, Maria Råstam, Paul Lichtenstein, Henrik Anckarsäter and Nóra Kerekes

HAPIFED: a Healthy APproach to weIght management and Food in Eating Disorders: a case series and manual development

There is a high prevalence of overweight or obesity in people with eating disorders. However, therapies for eating disorders, namely binge eating disorder and bulimia nervosa, do not address weight management....

Authors: Felipe Q. da Luz, Jessica Swinbourne, Amanda Sainsbury, Stephen Touyz, Marly Palavras, Angelica Claudino and Phillipa Hay

Comparative efficacy of pharmacological and non-pharmacological interventions for the acute treatment of adult outpatients with anorexia nervosa: study protocol for the systematic review and network meta-analysis of individual data

Outpatient treatment studies of anorexia nervosa (AN) are notoriously hard to conduct given the ambivalence of the patient group and high drop-out rates. It is therefore not surprising that previous meta-analy...

Authors: Tracey D. Wade, Janet Treasure, Ulrike Schmidt, Christopher G. Fairburn, Susan Byrne, Stephan Zipfel and Andrea Cipriani

Relational containment: exploring the effect of family-based treatment for anorexia on familial relationships

The aim of this research was to investigate the process of familial relationship change for adolescents with anorexia nervosa and their parents, who participated in Family-Based Treatment (FBT).

Authors: Andrew Wallis, Paul Rhodes, Lisa Dawson, Jane Miskovic-Wheatley, Sloane Madden and Stephen Touyz

Is the neglect of exercise in anorexia nervosa research a case of “running out” of ideas or do we need to take a “LEAP” of faith into the future?

Authors: Stephen Touyz, Phillipa Hay and Melissa Noetel

Letter to the editor: health professionals’ attitudes toward individuals with eating disorders: who do we think they are?

Health professionals are not immune to stigmatizing attitudes and stereotypes found in society-at-large. Along with patients and their loved ones, treatment providers are important stakeholders – and gatekeepe...

Authors: Deborah Lynn Reas, Kjersti Solhaug Gulliksen, Johanna Levallius and Rasmus Isomaa

The 14^th century religious women Margery Kempe and Catherine of Siena can still teach us lessons about eating disorders today

Women today more commonly suffer the morbidity and mortality of eating disorders. Looking through the dual prisms of historical accounts and modern theory the authors examined the meaning of eating disturbance...

Authors: Isabella Sukkar, Madeleine Gagan and Warren Kealy-Bateman

Burden and health-related quality of life of eating disorders, including Avoidant/Restrictive Food Intake Disorder (ARFID), in the Australian population

Little is known about the epidemiology and health related quality of life (HRQoL) of the new DSM-5 diagnoses, Binge Eating Disorder (BED) and Avoidant/Restrictive Food Intake Disorder (ARFID) in the Australian...

Authors: Phillipa Hay, Deborah Mitchison, Abraham Ernesto Lopez Collado, David Alejandro González-Chica, Nigel Stocks and Stephen Touyz

What happens after treatment? A systematic review of relapse, remission, and recovery in anorexia nervosa

Relapse after treatment for anorexia nervosa (AN) is a significant clinical problem. Given the level of chronicity, morbidity, and mortality experienced by this population, it is imperative to understand the d...

Authors: Sahib S. Khalsa, Larissa C. Portnoff, Danyale McCurdy-McKinnon and Jamie D. Feusner

Factor analysis of the adolescent version of the Eating Disorders Examination Questionnaire (EDE-Q): results from Swedish general population and clinical samples

Although the Eating Disorder Examination Questionnaire (EDE-Q) is perhaps the single most widely used self-report measure of eating disorder (ED) symptoms, important questions remain about its validity and app...

Authors: Emma Forsén Mantilla, Andreas Birgegård and David Clinton

Evaluation of a multiprofessional, nonsurgical obesity treatment program: which parameters indicated life style changes and weight loss?

According to the current evidence, behavior modifications are an effective part of a non-surgical multiprofessional obesity treatment program (MOTP). The purpose of the present study was to report changes in w...

Authors: Irena Pjanic, Roland Müller, Markus Laimer, Niels Hagenbuch, Kurt Laederach and Zeno Stanga

Emaciated mannequins: a study of mannequin body size in high street fashion stores

There is concern that the body size of fashion store mannequins are too thin and promote unrealistic body ideals. To date there has been no systematic examination of the size of high street fashion store manne...

Authors: Eric Robinson and Paul Aveyard

A systematic review and narrative synthesis of interventions for uncomplicated obesity: weight loss, well-being and impact on eating disorders

Most weight loss research focuses on weight as the primary outcome, often to the exclusion of other physiological or psychological measures. This study aims to provide a holistic evaluation of the effects from...

Authors: Tina Peckmezian and Phillipa Hay

What’s that you’re eating? Social comparison and eating behavior

People seem to have a basic drive to assess the correctness of their opinions, abilities, and emotions. Without absolute indicators of these qualities, people rely on a comparison of themselves with others. So...

Authors: Janet Polivy

Does level of motivation for change impact post-treatment outcomes in the eating disorders? Protocol for a systematic review with quantitative analysis

Eating Disorders are highly prevalent and widespread mental health problems, with marked risk of chronicity and refractoriness to treatment. Affected individuals are hesitant to change their behaviours and the...

Authors: Jeanne Sansfaçon, Howard Steiger, Lise Gauvin, Émilie Fletcher and Mimi Israël

The social facilitation of eating or the facilitation of social eating?

People eat more when they eat in groups. Various explanations have been offered for this “social facilitation” of eating. We consider these explanations and find most of them wanting, especially insofar as the...

Authors: C. Peter Herman

Motivation to change, coping, and self-esteem in adolescent anorexia nervosa: a validation study of the Anorexia Nervosa Stages of Change Questionnaire (ANSOCQ)

Understanding motivation to change is a key issue in both the assessment and the treatment of eating disorders. Therefore, sound instruments assessing this construct are of great help to clinicians. Accordingl...

Authors: Dagmar Pauli, Marcel Aebi, Christa Winkler Metzke and Hans-Christoph Steinhausen

Body dissatisfaction, excessive exercise, and weight change strategies used by first-year undergraduate students: comparing health and physical education and other education students

Health and Physical Education (HPE) teachers are known to be under social-, personal-, and employment-related pressure to be and appear physically fit, and to use dangerous dieting and weight control practices...

Authors: Zali Yager, Tonia Gray, Christina Curry and Siân A. McLean

Now you see it, Now you don’t: compulsive exercise in adolescents with an eating disorder

Compulsive exercise (CE) has been proposed as significant in the etiology, development and maintenance of eating disorders (EDs), resulting in more severe and enduring pathology. However, few studies have inve...

Authors: Johanna Levallius, Christina Collin and Andreas Birgegård

Protective factors against disordered eating in family systems: a systematic review of research

This systematic review aims to identify and evaluate the literature investigating protective factors and eating disorders (EDs), to establish what is known about factors in family systems that could be conside...

Authors: Jasmin Langdon-Daly and Lucy Serpell

Adolescents with full or subthreshold anorexia nervosa in a naturalistic sample – characteristics and treatment outcome

Anorexia Nervosa (AN) destroys developmentally important early years of many young people and knowledge is insufficient regarding course, treatment outcome and prognosis. Only a few naturalistic studies have b...

Authors: Katarina Lindstedt, Lars Kjellin and Sanna Aila Gustafsson

A few steps closer to answering the unanswered questions about higher calorie refeeding

Authors: Andrea K. Garber

Outcomes of an inpatient medical nutritional rehabilitation protocol in children and adolescents with eating disorders

Medical stabilization through inpatient nutritional rehabilitation is often necessary for patients with eating disorders (EDs) but includes the inherent risk of refeeding syndrome. Here we describe our experie...

Authors: Rebecka Peebles, Andrew Lesser, Courtney Cheek Park, Kerri Heckert, C. Alix Timko, Eleni Lantzouni, Ronald Liebman and Laurel Weaver

Neurocognitive functions and social functioning in young females with recent-onset anorexia nervosa and recovered individuals

Young individuals with anorexia nervosa (AN) or recovered from AN display impairments of social function. To date, however, it is not clear whether they differ from controls with respect to neurocognitive perf...

Authors: Mette Bentz, Jens Richardt Moellegaard Jepsen, Gry Kjaersdam Telléus, Ulla Moslet, Tine Pedersen, Cynthia M. Bulik and Kerstin Jessica Plessen

A Sisyphean task: experiences of perfectionism in patients with eating disorders

Despite the theoretical links between eating disorders and perfectionism, the definition of perfectionism in practice is complicated. The present study explored descriptions and experiences of perfectionism de...

Authors: Suzanne Petersson, Per Johnsson and Kent-Inge Perseius

Reward and punishment sensitivity and disordered eating behaviors in men and women

Reward and punishment sensitivities have been identified as potential contributors to binge eating and compensatory behaviors, though few studies have examined gender differences in these behaviors.

Authors: Kalina T. Eneva, Susan Murray, Jared O’Garro-Moore, Angelina Yiu, Lauren B. Alloy, Nicole M. Avena and Eunice Y. Chen

Comparing effects: a reanalysis of two studies on season of birth bias in anorexia nervosa

Outcomes from studies on season of birth bias in eating disorders have been inconsistent. This inconsistency has been explained by differences in methodologies resulting in different types of effect sizes. The...

Authors: Eirin Winje, Anne-Kari Torgalsbøen, Cathrine Brunborg and Kristin Stedal