INTERNATIONAL JOURNAL OF EATING DISORDERS

Four Decades of Psychological Treatment for Bulimia Nervosa and Binge-Eating Disorder: A Meta-Regression of Changes in Abstinence Rates Over Time
Messer M, Wade TD, Anderson C, Bolger T, Ng G, Bothe H and Linardon J
Earlier meta-analyses showing low rates of abstinence in treatments for bulimia nervosa (BN) and binge-eating disorder (BED) have spurred growing efforts to improve outcomes. In response, numerous trials have tested augmented, novel, or streamlined treatment protocols. However, it remains unclear whether these efforts have translated into improvements in meaningful abstinence outcomes. This meta-analysis provided updated estimates of abstinence and examined whether rates have changed over time.
Co-Occurring Weight- and/or Shape-Motivated Restriction in 5747 Adults With Probable Avoidant/Restrictive Food Intake Disorder
Hog L, MacDermod CM, White JP, Baker JH, Guintivano J, Johnson JS, Ortiz SN, Pisetsky EM, Micali N, Bulik CM, Thornton LM and Dinkler L
According to DSM-5-TR, avoidant/restrictive food intake disorder (ARFID) cannot be diagnosed alongside anorexia nervosa (AN), bulimia nervosa (BN), or any other body image disturbance. This does not accurately reflect real-world symptomatology and recent research, indicating the potential need to revise DSM-5-TR Criteria. We investigated the co-occurrence of weight- and/or shape-motivated restriction (WSR) in adults who screened positive for ARFID, providing evidence to inform such changes.
The Associations Between Vegetarian and Vegan Diets and Orthorexia Nervosa Symptoms in Adults: A Systematic Review and Meta-Analysis
Díaz-Goñi V, Bizzozero-Peroni B, Visier-Alfonso ME, Jiménez-López E, Fernández-Rodríguez R, López-Gil JF, Martins-de-Passos TO, González AD, Martínez-Vizcaíno V and Mesas AE
To synthesize the evidence on the associations between vegetarian and/or vegan diets (VVDs) and symptoms of orthorexia nervosa (ON) compared with omnivorous diets in the adult population.
Distinct Structural Alterations in Cortical and Subcortical Regions in Females With Acute Anorexia Nervosa: A Cross-Sectional MRI Study With BMI-Matched Healthy Controls
Wang Y, Wang Q, Chan RCK, Wang Y, Lei X, Qiu Q, He Q, Kang Q, Yue L, Wu M, Wang Z and Chen J
This study aimed to explore potential disease-specific and weight-related neurostructural alterations in patients with acute anorexia nervosa (AN).
Preliminary Investigation of a Focused Regular Eating Intervention to Address Problematic Restriction in the Context of Evidence-Based Personalized Treatment
Harris LM, Vanzhula IA, Hooper S and Levinson CA
Regular eating has never been rigorously evaluated as a standalone intervention for restriction. In this preliminary investigation, we evaluate changes in restriction observed during a focused regular eating module (NOURISH: Nutrition, Organization, and Understanding Restriction: Intervention for Sustainable Habits) in the context of evidence-based, personalized, modular eating disorder treatment.
Eating Disorder Risk and Diagnosis Among East Asian Youth in the United States: Findings From the Healthy Minds Study, 2020-2023
Gao C, Chung J, Xu A, Huang S, Cheng S, Xu W, Law MR, McGrail K, Sunderji N, Austin SB, Beccia AL and Raffoul A
To estimate the prevalence of probable eating disorders and self-reported eating disorder diagnoses among East Asian young adults aged 18-25 years across US colleges.
Trait-Level Factors May Moderate Associations Among Interpersonal Distress, Affect, and Loss of Control Eating: An Ecological Momentary Assessment Study of Higher Weight Youth
Bell VE, Chapa DAN, Scott L, Haedt-Matt A, Winograd DG, Harvie VB, Ruisseau GD and Goldschmidt AB
The interpersonal model of binge eating postulates that interpersonal distress (ID) leads to elevated negative affect (NA), which in turn promotes risk for binge eating. This model has received some support in young people, including within momentary study designs, but between-person factors that may modulate real-time associations among ID, NA, and dysregulated eating are unknown. This study aims to (1) replicate prior momentary research on the interpersonal model and (2) examine trait-level moderators that may impact observed momentary relationships.
Feasibility, Acceptability, and Preliminary Indicators of Effectiveness of Family-Based Treatment for Adolescents With Avoidant/Restrictive Food Intake Disorder in a Retrospective Clinical Cohort
Datta N, Ruiz Fischer MM, Gurcan H, Grammer AC, Boyce H, Matheson B and Lock JD
Describe the feasibility, acceptability and preliminary efficacy of family-based treatment for adolescents with avoidant/restrictive food intake disorders (FBT-ARFID) in a real-world clinical cohort. Explore differences between adolescents and younger children with ARFID using FBT-ARFID.
Expand Your Horizon: A Qualitative Analysis of How Adolescent Girls With an Eating Disorder Describe Their Body Functionality
Weiland S, Alleva JM and Glashouwer KA
Negative body image is thought to play an important role in the onset and maintenance of anorexia nervosa and bulimia nervosa. The intervention Expand Your Horizon (EYH), which is focused on increasing functionality appreciation, is being investigated as a potential approach for improving body image. This study investigated the themes that were identified when adolescent girls with an eating disorder are asked to describe their body functionality within the context of EYH.
Generative AI for Eating Disorders: Linguistic Comparison With Online Support and Qualitative Analysis of Harms
Yim SH, Yoo DW, Polymerou A, Liu Y and Saha K
Generative artificial intelligence (AI) has the potential to be used in supporting people with eating disorders (EDs), but this also presents certain risks. This study aimed at comparing the psycholinguistic attributes (language markers of cognitive, emotional, and social processes) and lexico-semantic characteristics (patterns of word choice and meaning in text), and assessing potential harms of AI responses versus human responses in online communities (OCs).
Dialectical Behavior Therapy and Cognitive Behavior Therapy in Individuals With Binge-Eating Disorder: What Works for Whom?
Lammers MW, Vroling MS, Crosby RD, Mares SHW, Hutschemaekers GJM and Van Strien T
To evaluate moderators and predictors of response to cognitive behavioral therapy (CBT) and dialectical behavior therapy (DBT) for binge-eating disorder (BED).
Systematic Review and Meta-Analysis of Mortality in Patients With Anorexia Nervosa
Lai ET, Lai B, Wong CS, Wong LY, Cheng KS, Cheng PC, Heidi Ka-Ying L, Tse G, Chan WC, Chang WC and Chung KF
Anorexia nervosa (AN) has one of the highest mortality rates among psychiatric disorders. This systematic review and meta-analysis examined the all-cause mortality of AN patients compared to the general population using the standardized mortality ratio (SMR).
Negative and Positive Body-Related Emotions Derived From Voice Recordings During a Mirror Task in Anorexia and Bulimia Nervosa: A Natural Language Processing Approach Using RoBERTa
Sadowski LM, Lalk C, Hofschröer V, Dietel FA, Tanck J, Rubel JA, Hartmann AS and Vocks S
Body dissatisfaction has been linked to negative and positive emotions. The validity of self-report methods to assess emotions in individuals with eating disorders is limited, prompting a shift towards methods like natural language processing to analyze speech content. Using artificial intelligence, this study aimed to identify specific body-related emotions elicited by looking at oneself in the mirror in individuals with eating disorders.
The Discrepancies Between Researchers and the Community When Identifying Intervention Targets for Eating Disorders
Pellizzer ML, Pennesi JL and Wade TD
To understand the discrepancies between people with lived experience, significant others, clinicians specializing in the treatment of eating disorders, and eating disorder researchers in the endorsement of transdiagnostic processes (mechanisms that are either a risk or maintaining factor across psychiatric disorders) hypothesized as being important to target in interventions for eating disorders. We examined processes of relevance to early intervention and treatment augmentation.
A Single-Session Digital Diet Culture Intervention: A Case Series Examining Immediate Impacts on Eating Disorder Pathology and Weight Stigma
Hoffer AL, Jordan AK, Bedard SP, Hynes Z, Johnson M and Levinson CA
Diet culture refers to the ubiquitous sociocultural system which conflates bodyweight with health, perpetuates myths about food and eating, and upholds a moral hierarchy of bodies derived from patriarchal, racist, and capitalist forms of domination. Diet culture promotes a hierarchy of bodies and weight-based moralism that can contribute to anti-fat bias and the development of eating disorders (EDs). Despite growing recognition of these harms, accessible interventions targeting diet culture beliefs remain limited. In this study, we evaluated a brief, single-session digital mental health intervention (DMHI) designed to challenge diet culture beliefs (e.g., fat = unhealthy).
Preliminary Evidence of the Association Between Binge Eating and Preeclampsia in Pregnant U.S. Military Active-Duty Service Women
Schrag R, Lavender JM, Mains A, Rioux S, Thorstad I, Sinkford Z, Thomas V, Klein DA, Haigney M, Tanofsky-Kraff M and Thompson KA
Binge eating is the most common disordered eating behavior among pregnant women. This study examined the association of binge-eating frequency with the presence of a self-reported current preeclampsia diagnosis in a sample of U.S. military active-duty Service women.
Generative AI and Eating Disorders: Exposing Stereotypes in Image Depictions and Setting a Research Agenda
Linardon J
As generative AI becomes more widely adopted for mental health support and information, concerns exist about its potential to depict psychiatric illnesses in stereotypical ways. This Spotlight investigates how ChatGPT-5 visually represents eating disorders and whether prompt-based manipulations can generate more inclusive outputs, with the goal of laying a roadmap for future research to ensure these technologies are applied in safe, ethical, and clinically responsive ways.
Shared Versus Unique Features of Neural Activation During Cognitive Flexibility Across Restrictive Eating Disorder Presentations
Romer AL, Breithaupt L, Slattery M, Petterway F, Lindman L, Scott J, Lauze M, Cravitz M, Poon Z, Seenivasa S, Naticchia S, Javaras KN, Alperovitz D, Thomas JJ, Lawson EA, Pizzagalli DA, Plessow F, Kumar P, Misra M and Eddy KT
Restrictive eating disorders (EDs), including anorexia nervosa (AN) and atypical AN (Atyp-AN), are often associated with cognitive rigidity that can impede treatment. The dorsolateral prefrontal cortex (dlPFC) plays a central role in cognitive control, but it remains unclear whether its activation during cognitive flexibility will differ across restrictive ED presentations.
Characterizing Emotional Inertia and Its Relation to Eating Disorder Behaviors in Patients Seeking Treatment for Binge-Spectrum Eating Disorders
Lampe EW, Velkoff EA and Manasse SM
Emotional inertia, the tendency for emotions to persist over time, has received little attention in relation to eating disorders (ED). However, emotional inertia may reflect poor emotion regulation and unresponsiveness to environmental cues, and individuals may use ED behaviors to distract from or escape persistent emotions. We aimed to characterize emotional inertia and its relationship with ED behavior frequency among adults with EDs.
Predictors of Treatment Outcome in an Early Intervention Eating Disorder Sample
Allen KL, Austin A, Flynn M, Glennon D, Mountford VA, Brown A, Franklin-Smith M, Jones WR, Brady G, Nunes N, Connan F, Mahony K, Serpell L and Schmidt U
To examine baseline predictors of treatment completion and clinical outcomes in 16 to 25-year-olds referred for early intervention for a recent-onset eating disorder (ED).
Rapid Intervention to Support Eating Issues (RISE) Program: Using Quality Improvement to Reduce Medical Hospitalization in Malnourished Youth
Calderoni M, Turner S, Heckert K, Snyder C, Cifra N, Peebles R, Foy K, Walsh J, Widders AO and Timko CA
Program-led and focused models may overcome structural barriers to accessing ED care, such as limited availability, for youth with EDs by prioritizing strategic, evidence-based care delivered through a structured approach. The Rapid Intervention to Support Eating Issues (RISE) pilot aimed to promote weight restoration and prevent hospitalization among malnourished adolescents at risk for hospitalization. We used a "home hospital" approach, integrating medical oversight, family-based treatment principles, and nutritional support via structured outpatient care.