Article
Psychiatry
Jens Rohde, Alexander Obbarius, Barbara Voigt, Lea Sarrar, Silke Biesenthal-Matthes, Clara-Sophia Kind, Matthias Rose, Tobias Hofmann
Summary: This study systematically explored the differences in personality functioning and personality between anorexia nervosa subtypes (restricting type: AN-R; purging type: AN-P) and bulimia nervosa (BN) using three personality (functioning) constructs. The findings showed that AN-R patients displayed the highest levels of personality functioning, while BN patients showed the lowest levels. These findings can facilitate the development of stratified treatment approaches for eating disorders.
FRONTIERS IN PSYCHIATRY
(2023)
Article
Psychology, Clinical
Catiray Poiani-Cordella, Wei Lin Toh, Andrea Phillipou
Summary: Eating disorder clinicians/researchers (EDCR) have fewer dietary restraint and eating concerns, but poorer cognitive flexibility compared to general mental health clinicians/researchers (MHCR). Working in the ED field may be a protective factor against developing certain disordered eating behaviors.
Article
Nutrition & Dietetics
Georg Halbeisen, Karsten Braks, Thomas J. Huber, Georgios Paslakis
Summary: This study found that in the same treatment setting, male patients with anorexia showed significant improvements in symptoms, while male patients with BED experienced greater weight loss during treatment. For other eating disorders, the treatment outcomes between men and women were generally similar.
Article
Psychiatry
Martina M. Mensi, Chiara Rogantini, Livio Provenzi, Renato Borgatti
Summary: The study found that adolescent patients self-reported lower scores for behavioral problems compared to ratings by their mothers and fathers, which could be informative for clinical consultation and treatment.
PSYCHIATRY RESEARCH
(2021)
Article
Nutrition & Dietetics
Marta Tyszkiewicz-Nwafor, Katarzyna Jowik, Agata Dutkiewicz, Agata Krasinska, Natalia Pytlinska, Monika Dmitrzak-Weglarz, Marta Suminska, Agata Pruciak, Bogda Skowronska, Agnieszka Slopien
Summary: This study aimed to evaluate the serum levels of NPY and PYY in adolescents with anorexia nervosa and obesity, revealing lower NPY levels in AN and OB groups and higher PYY levels in the OB group. The severity of eating disorder symptoms predicted the concentration of NPY.
Article
Psychiatry
Geovanny Genaro Reivan Ortiz, Cristhian Javier Rivera Tapia, Braulio Andres Elizalde Martinez, Daniel Icaza
Summary: This study used a structural equation model to evaluate predictive variables of perfectionism in patients with Anorexia Nervosa, Bulimia Nervosa, and OCD, and found a significant correlation among these disorders.
FRONTIERS IN PSYCHIATRY
(2022)
Article
Psychology, Clinical
Julia Reichenberger, Rebekka Schnepper, Ann-Kathrin Arend, Anna Richard, Ulrich Voderholzer, Silke Naab, Jens Blechert
Summary: Different subtypes of eating disorders show variations in negative emotional and happiness eating patterns, with differences also observed in body mass index (BMI) and emotional eating. Restrictive and binge-purge anorexia nervosa patients reported lower negative emotional eating compared to other subtypes, while bulimia nervosa and binge-eating disorder patients showed higher negative emotional eating. Tailored psychotherapeutic interventions targeting specific emotional eating patterns may be beneficial for different subgroups of eating disorders.
INTERNATIONAL JOURNAL OF EATING DISORDERS
(2021)
Article
Psychology, Clinical
Karin Foerde, Janet E. Schebendach, Lauren Davis, Nathaniel Daw, B. Timothy Walsh, Daphna Shohamy, Joanna E. Steinglass
Summary: Restrictive eating is a central feature of anorexia nervosa (AN) and other eating disorders. This study examined the behavioral and neural mechanisms of restrictive eating among individuals with and without eating disorders. The findings showed that healthy individuals tended to choose high-fat foods, while patients with AN focused more on the healthiness of the food. Dorsal striatal activation associated with food choice was most pronounced among individuals with AN, and it was significantly associated with selecting fewer high-fat choices and lower caloric intake.
PSYCHOLOGICAL MEDICINE
(2022)
Article
Psychology, Clinical
Christina M. T. Schilder, Lot C. Sternheim, Emmeke Aarts, Annemarie A. van Elburg, Unna N. Danner
Summary: The study found that adolescents with eating disorders generally exhibit high academic performance, especially those in the most complex educational tracks. Self-oriented perfectionism contributed to educational achievement independently from intelligence.
INTERNATIONAL JOURNAL OF EATING DISORDERS
(2021)
Review
Pharmacology & Pharmacy
Riccardo Dalle Grave, Massimiliano Sartirana, Selvaggia Sermattei, Simona Calugi
Summary: Although family-based treatment is the leading recommended empiric treatment for adolescents with eating disorders, the separation of clinical services for adolescents and adults can create confusion for patients and their significant others. Enhanced cognitive-behavioral therapy (CBT-E) has been adapted for use in adolescents based on the observation that younger and older patients essentially share the same eating-disorder psychopathology.
CLINICAL THERAPEUTICS
(2021)
Article
Medicine, General & Internal
Gregory L. Hundemer, Anna Clarke, Ayub Akbari, Ann Bugeja, David Massicotte-Azarniouch, Greg Knoll, Daniel T. Myran, Peter Tanuseputro, Manish M. Sood
Summary: In this case-control study, individuals with eating disorders were more likely to have outpatient electrolyte abnormalities compared to matched controls. Unexplained electrolyte abnormalities may serve as markers for potential underlying eating disorders, indicating the need for screening.
Article
Psychology, Clinical
Lisa Dinkler, Mark J. Taylor, Maria Rastam, Nouchine Hadjikhani, Cynthia M. Bulik, Paul Lichtenstein, Christopher Gillberg, Sebastian Lundstrom
Summary: The study suggests that some eating disorders may be seen as extreme manifestations of continuously distributed features. Anorexia nervosa, however, seems to be more genetically distinct from other eating disorders in the general population.
PSYCHOLOGICAL MEDICINE
(2021)
Article
Nutrition & Dietetics
Rita Ramos, Ana Vaz, Tania F. Rodrigues, Ana Pinto-Bastos, Isabel Brandao, Antonio Neves, Eva Conceicao, Paulo P. P. Machado
Summary: This study aimed to assess differences in eating attitudes, impairment, and related psychopathology at treatment presentation for patients with Non-severe and enduring Anorexia Nervosa (illness duration of <7 years) and patients with severe and enduring Anorexia Nervosa (illness duration of 7 years or more). Significant differences were found in terms of eating pathology, depressive symptomatology, psychological distress, and emotion dysregulation when participants were classified into different groups based on illness duration and clinical impairment.
FRONTIERS IN NUTRITION
(2022)
Article
Clinical Neurology
Claire E. Cusack, Irina A. Vanzhula, Cheri A. Levinson
Summary: This study used network analysis to examine the structure of symptoms and somatic concerns in individuals with eating disorders (EDs). The results showed that heightened sensitivity to somatic concerns played a central role in the symptom network and may contribute to the maintenance of ED symptoms. The findings have implications for the assessment and treatment of EDs.
JOURNAL OF AFFECTIVE DISORDERS
(2022)
Review
Medicine, General & Internal
Kacper Nijakowski, Jakub Jankowski, Dawid Gruszczynski, Anna Surdacka
Summary: This systematic review found a relationship between eating disorders, particularly bulimia nervosa, and dental erosion. Individuals with bulimia nervosa were over 10 times more likely to experience tooth erosion, and self-induced vomiting increased the odds of tooth erosion by over 16 times.
JOURNAL OF CLINICAL MEDICINE
(2023)
Article
Geriatrics & Gerontology
Aida Brydon, Sunil Bhar, Colleen Doyle, Frances Batchelor, Harry Lovelock, Helen Almond, Leander Mitchell, Maja Nedeljkovic, Steven Savvas, Viviana Wuthrich
Summary: This study reveals that the mental health of Australian aged care residents and staff was negatively affected by the COVID-19 pandemic, with loneliness and anxiety being common responses. Both residents and staff require increased access to mental health support, including counseling services and staff training on how to respond to emotional needs.
CLINICAL GERONTOLOGIST
(2022)
Article
Psychiatry
Stephanie Miles, Maja Nedeljkovic, Philip Sumner, Andrea Phillipou
Summary: This study investigated the differences between self-report and neurocognitive assessments of cognitive flexibility in individuals with and without a history of anorexia nervosa. The results showed no significant correlation between self-report and neurocognitive assessments, suggesting that these measures may assess different aspects of cognitive flexibility. Negative mood and self-reported eating disorder symptoms were related to self-reported cognitive flexibility, but not to performance on neurocognitive tests.
COGNITIVE NEUROPSYCHIATRY
(2022)
Article
Geriatrics & Gerontology
Marita McCabe, Denny Meyer, David Mellor, Jessica Byers, Debra Osborne, Maja Nedeljkovic
Summary: This study finds that lack of organizational support is a key barrier in achieving consistent effectiveness of staff training programs in consumer directed care (CDC) and enhancing the quality of life (QoL) of residents. Full support for a CDC model of care from all levels in aged care organizations is crucial in optimizing outcomes for residents. Staff training in CDC and long-term culture change within nursing homes are necessary for translating training into practice.
JOURNAL OF GERONTOLOGICAL SOCIAL WORK
(2022)
Review
Psychology, Clinical
Caitlin A. Howlett, Michael A. Wewege, Carolyn Berryman, Annika Oldach, Elizabeth Jennings, Emily Moore, Emma L. Karran, Kimberley Szeto, Leander Pronk, Stephanie Miles, G. Lorimer Moseley
Summary: Based on a systematic review and meta-analysis, this study found no relationship between self-report and neuropsychological tests of cognitive flexibility, indicating that these two assessment approaches provide independent information. These findings have important implications for future research and clinical practice, suggesting the need to reconsider the constructs assessed by these assessment methods.
Article
Medicine, General & Internal
Stephanie Miles, Maja Nedeljkovic, Andrea Phillipou
Summary: Poor cognitive flexibility and clinical perfectionism are common features in anorexia nervosa (AN). This study found that women with AN reported significantly poorer cognitive flexibility and greater clinical perfectionism compared to community participants. Clinical perfectionism, but not self-reported cognitive flexibility, was found to significantly predict group membership. These preliminary findings suggest that clinical perfectionism may be a key feature of AN and accurately discriminate between individuals with and without AN.
JOURNAL OF CLINICAL MEDICINE
(2022)
Article
Psychiatry
Stephanie Miles, Andrea Phillipou, Philip Sumner, Maja Nedeljkovic
Summary: This study examined cognitive flexibility in individuals at different risk levels of anorexia nervosa (AN) and found that high-risk individuals self-reported poorer cognitive flexibility compared to other risk groups, but performance on neurocognitive tests was similar across groups. Participants with a lifetime diagnosis of AN also reported poorer cognitive flexibility.
JOURNAL OF PSYCHIATRIC RESEARCH
(2022)
Article
Psychology, Multidisciplinary
Kathleen de Boer, Chelsea Arnold, Jessica L. Mackelprang, Danielle Williamson, David Eckel, Maja Nedeljkovic
Summary: This study evaluated the effectiveness of Phase 1 of a phase-based intervention for women who have experienced complex trauma. The findings showed positive results in symptom improvement and participants perceived it as an empowering experience. The group modality created connections and a sense of shared experience among the women.
AUSTRALIAN PSYCHOLOGIST
(2023)
Review
Psychology, Multidisciplinary
Caitlin A. Howlett, Stephanie Miles, Carolyn Berryman, Andrea Phillipou, G. Lorimer Moseley
Summary: Cognitive flexibility is an important treatment target for psychological disorders, but the assessment of cognitive flexibility has been conflated and not empirically supported. This review explores how the conflation of self-report and neurocognitive assessments emerged from literature on eating disorders. It discusses the impact of this conflation and provides recommendations for assessing cognitive flexibility in research and clinical settings.
AUSTRALIAN JOURNAL OF PSYCHOLOGY
(2023)
Review
Psychology, Clinical
Phillipa Ann Huynh, Stephanie Miles, Kathleen de Boer, Denny Meyer, Maja Nedeljkovic
Summary: Some existing tools assessing orthorexia symptoms do not appear to adequately measure OC tendencies in ON, despite evidence that OC symptoms are present in the proposed disorder. More accurate tools to measure orthorexia tendencies need to be developed and/or validated based on updated and refined diagnostic criteria.
EUROPEAN EATING DISORDERS REVIEW
(2023)
Article
Psychology, Multidisciplinary
Chris Ludlow, Brenden Wardle, Maja Nedeljkovic
Summary: This study evaluated a theory-based intervention for pandemic-related psychopathology in adolescents. The findings showed a significant decrease in psychiatric symptoms and a reliable improvement in 60% of the participants.
AUSTRALIAN PSYCHOLOGIST
(2023)
