Editor: Craig Johnson, PhD, CEDS, FAED
Co-Editors: Ovidio Bermudez, MD, FAAP, FSAHM, FAED, F.iaedp, CEDS,
Anne O'Melia, MS, MD, FAAP and Millie Plotkin, MLS
PhD, CEDS, FAED
Officer & Director,
Ovidio Bermudez, MD, FAAP, FSAHM, FAED, F.iaedp, CEDS, Medical Director C&A
MS, MD, FAAP
Medical Director of Adult Services on the Lowry Campus
Introduction to Eating Disorder Research Library
Welcome to Volume 2 of the Eating Disorder Research Library. The primary goal of this newsletter is to provide professionals, patients and families with an update of the most recent research on eating disorders. Each quarterly issue will provide a listing of all indexed research that has occurred in the previous three months with a quick link to an abstract of the article or full text. Articles are grouped by subject matter to facilitate easy access. We have also created a “Spotlight” section that provides brief reviews of some articles of particular interest. We hope that providing easy access to the basic research in the field will enhance greater use of evidence based information among professionals and greater awareness of the science of the field for patients and families.
Click any of these links to jump down the page to related content:
Ovideo Bermudez, MD, FAAP, FSAHM, F.iaedp, CEDS
Jocelyn Lebow, Leslie A. Sim & Erin C. Accurso
To cite this article: Jocelyn Lebow, Leslie A. Sim & Erin C. Accurso (2017): Is there clinical consensus in defining weight restoration for adolescents with anorexia nervosa?, Eating Disorders, DOI: 10.1080/10640266.2017.1388664 To link to this article: http://dx.doi.org/10.1080/10640266.2017.1388664
Advances in the treatment of adolescents with Anorexia Nervosa (AN) have included, for example, building a body of evidence to support family involvement as in Family-Based Therapy (FBT). At the core of any treatment modality have been weight restoration and weight normalization as important markers of treatment success and positive treatment outcome. However, the field has struggled with a lack of consensus in both terminology (ideal body weight, expected body weight, target weight in treatment, etc.) and methodology for establishing optimal weight. The lack of consensus in methodology is particularly important because it has implications for treatment variability and contributes to the research-practice gap. This study is the first to point out the absence of “evidence-based methods to establish weight targets” and the need for “empirical attention” to this matter.
Although the study had limitations, it provides an interesting review of the variety of methods used by clinicians to establish expected body weight (EBW) in treatment. Of the 113 clinicians surveyed, 82% reported that they use a measure of EBW in their practice. Forty percent (40%) of the respondents reported using individual growth curves to establish EBW. The remaining 60% reported using a variety of approaches including about 17% that outsourced the establishment of EBW to dieticians or physicians. A minority of clinicians included patient preference to determine EBW. Clinicians who practiced FBT were statistically least likely to include patient preference in their approach to establishing EBW. In addition to a lack of consensus in the method used in clinical practice, the use of data from individual growth curves has not been used in adolescent AN treatment studies. The current published practice recommendation to use an idiographic approach (based on an individual’s own historical growth pattern) does not meet the need in research studies of objectively operationalizing EBW. So the current state of affairs in establishing EBW in treatment demonstrates a significant gap between research and practice. The authors also point to the fact that without a standardized approach to EBW, assessing severity of illness, adequate level of care, adequate length of treatment and treatment progress may be impaired. This may also have implications for clinician’s ability to advocate for optimal care with third party payers.
Why is this important?
The methodological variability in establishing EBW in clinical practice was significant among the clinicians who participated in the study which implies that in different treatment settings or with different providers, patients and families may hear an inconsistent message about what an optimal weight to support sustained recovery may be for any given patient. This can be confusing at best and for some patients may provide fertile ground to cave in to their fear of weight gain. Weight recovery in the treatment of AN is difficult for patients to tolerate and accept even under ideal circumstances. Inconsistencies in weight expectations can only add to this difficulty.
The ability to have an evidenced-based approach to consistently establish EBW in treatment would be an important contribution to treatment advances, especially in children and adolescents in whom variables such as the impact of the malnutrition state on growth patterns or periods of stunted linear growth can make predicting an optimal weight to be achieved in a treatment episode particularly challenging. The authors did not make recommendations as to a best approach but did call for attention to this matter both from the research and clinical practice perspectives. This may be one of the holy grails in the treatment of children and adolescents with AN and should be an important part of the future research in the field of eating disorders.
Elizabeth Wasanaar, MD
Belak, L., Deliberto, T., Shear, M., SSean, & Attia, E. (2017). Inviting eating disorder patients to discuss the academic literature: a model program for psychoeducation. Journal of Eating Disorders, 5, 49.
Treatment and sustained recovery are challenging when treating a patient with an eating disorder. Beneficial and persistent change are noted when therapeutic interventions are combined with nutritional restoration. Psychoeducation, which has been shown to improve knowledge and attitudes towards treatment interventions, is often provided to patients as a compilation of evidence during treatment visits or through education modules. This paper presents a unique intervention of using a journal club format with the hypothesis that involving patients in critical thinking by reading and engaging with primary literature provides a different perspective on the realities of the disease and could lead to cognitive restructuring that influences treatment outcomes.
Patients were recruited to participate in a weekly “Psychoeducational Research Group” and provided a research article that reflected a current concern on the milieu. The group leader briefly presented the paper before leading a discussion of the paper. Group participants were reminded to be compassionate with themselves as they read challenging material and encouraged to raise questions and reactions. Each group had four primary goals: to present objective facts meant to challenge cognitive distortions, to improve insight by providing specific psychoeducation, to provide evidence on how medical complications can resolve with treatment, and to use evidence of determinants of long-term treatment outcomes to identify individual obstacles to recovery. Patients expressed mostly positive reactions to the group including feeling the group was helpful with challenging negative eating disordered thoughts and useful in working towards treatment goals.
This is an important and unique intervention for our patient population. Engaging patients by utilizing values like intelligence, curiosity, and desire for knowledge may make patients more available for critical assessment of their own disease and increase perseverance during the difficulties of treatment. Facilitating this type of discussion can create a neutral space that honors a patient’s ability to engage as a participant in the decision-making process rather than a passive recipient of interventions.
Ellen Astrachan-Fletcher, PhD, CEDS
Franko, D. L., Tabri, N., Keshaviah, A., Murray, H. B., Herzog, D. B., Thomas, J. J., . . . Eddy, K. T. (2017). Predictors of long-term recovery in anorexia nervosa and bulimia nervosa: data from a 22-year longitudinal study. Journal of Psychiatric Research, 96, 183-188.
Recovery from eating disorders is possible but predictors of long term recovery have not been well understood. If we could more clearly understand these predictors, important components of treatment might be developed to address issues to foster greater numbers of those in long term recovery.
Participants in the 22-year long longitudinal study were recruited from 1987-1991 from outpatient eating disorders services in the Boston area. Of the 228 surviving participants, 176 (100 dx with AN and 76 dx with Bulimia) were re-interviewed 20-25 years after the initial recruitment. The Longitudinal Interval Follow-up Evaluation was used to assess ED recovery. The strongest predictor of having a diagnosis of AN restricting type at the 22 year follow up was having a comorbid diagnosis of major depression at initial assessment. The second notably significant result of this longitudinal study is that having a higher BMI at initial interview predicted lower chances of being diagnosed with AN binge-purge type relative to being recovered, 22 years later. Finally, the results of this study showed that the only predictor that increased the chances of being diagnosed with Bulimia at the 22-year assessment was more weeks of active diagnosable bulimic symptoms during the study.
This information from a 22-year longitudinal study can be used to potentially help us focus treatment to address the factors that were found to be predictive of long term recovery. First, understanding that co morbid major depression can make it much more difficult to benefit from treatment and recover from anorexia, can help us to focus on developing treatments that simultaneously address the depression and the anorexic symptoms, such as Radically Open DBT which is a transdiagnostic treatment that addresses issues like perfectionism, inflexibility, and closed mindedness that is common in depression as well as in anorexia. In addition, the results regarding the higher BMI highlight that clinicians might need to encourage higher BMI’s in moving towards long term recovery. The authors do note a number of limitations such as lack of information about anxiety disorders and other psychiatric and medical comorbidities that require us to view the results as being tentative.
Millie Plotkin, MLS
Schaumberg, K., Welch, E., Breithaupt, L. E., Hubel, C., Baker, J. H., Munn-Chernoff, M. A., . . . Bulik, C. M. (2017). The science behind the Academy for Eating Disorders' Nine Truths About Eating Disorders. European Eating Disorders Review, 25(6), 432-450.
In 2014, Dr. Cynthia Bulik presented a talk titled “9 Eating Disorders Myths Busted” talk at the National Institute of Mental Health (NIMH) Alliance for Research Progress meeting. The following year, the Academy for Eating Disorders (AED) and several international advocacy organizations used this presentation as the basis for a document called “Nine Truths About Eating Disorders”: https://www.aedweb.org/learn/publications/nine-truths. The purpose of the Nine Truths is to combat ongoing stereotypes and misinformation about the causes and seriousness of eating disorders. This document has been translated into thirty languages for world-wide dissemination.
This article, coauthored by Dr. Bulik, presents a review of the research supporting the Nine Truths. Each Truth is broken down into smaller headings, with an overview of the relevant articles. They are then given “confidence ratings” (low, moderate, or high) based on the strength of the evidence. The authors also make suggestions for future research that may help to fill in the gaps of low confidence. A set of supplementary materials provide a more detailed analysis of the reference articles.
Why is this important?
Stigma and stereotypes present barriers to diagnosis and treatment throughout the mental health field. Patients and families often hesitate to reach out for help, for fear of being blamed and shamed for their illnesses. Inadequately trained health professionals may be relying on outdated ideas about who is affected by eating disorders, leading to delays in intervention. Fighting the still-prevalent myths with as an easy-to-understand set of statements helps to educate the public and policymakers. It is important to have evidence to back up these statements, especially when trying to educate those who may be skeptical or set in their archaic beliefs. In addition, recognizing that some of the evidence is not as strong as we would hope gives transparency to advocacy efforts and presents opportunities for further research.
Allan, E., Le Grange, D., Sawyer, S. M., McLean, L. A., & Hughes, E. K. (2018). Parental expressed emotion during two forms of family‐based treatment for adolescent anorexia nervosa. European Eating Disorders Review, 26(1), 46-52.
Belak, L., Deliberto, T., Shear, M., SSean, & Attia, E. (2017). Inviting eating disorder patients to discuss the academic literature: a model program for psychoeducation. Journal of Eating Disorders, 5, 49.
Beilharz, F. & Rossell, S. L. (2017). Treatment modifications and suggestions to address visual abnormalities in body dysmorphic disorder. Journal of Cognitive Psychotherapy, 31(4), 272-284.
Bello, N. T. & Yeomans, B. L. (2018). Safety of pharmacotherapy options for bulimia nervosa and binge eating disorder. Expert Opinion on Drug Safety, 17(1), 17-23.
Biddiscombe, R. J., Scanlan, J. N., Ross, J., Horsfield, S., Aradas, J., & Hart, S. (2017). Exploring the perceived usefulness of practical food groups in day treatment for individuals with eating disorders. Australian Occupational Therapy Journal. E-publication ahead of print.
Brewerton, T. D. & D'Agostino, M. (2017). Adjunctive use of olanzapine in the treatment of avoidant restrictive food intake disorder in children and adolescents in an eating disorders program. Journal of Child and Adolescent Psychopharmacology, 27(10), 920-922.
Brinchmann, B. S., Moe, C., Valvik, M. E., Balmbra, S., Lyngmo, S., & Skarbo, T. (2017). An Aristotelian view of therapists' practice in multifamily therapy for young adults with severe eating disorders. Nursing Ethics. E-publication ahead of print.
Castellini, G., Lelli, L., Corsi, E., Campone, B., Ciampi, E., Fisher, A. D., . . . Ricca, V. (2017). Role of sexuality in the outcome of anorexia nervosa and bulimia nervosa: a 3-year follow-up study. Psychotherapy and Psychosomatics, 86(6), 376-378.
Dalai, S. S., Adler, S., Najarian, T., & Safer, D. L. (2018). Study protocol and rationale for a randomized double-blinded crossover trial of phentermine-topiramate ER versus placebo to treat binge eating disorder and bulimia nervosa. Contemporary Clinical Trials, 64, 173–178.
de Oliveira, C., Colton, P., Cheng, J., Olmsted, M., & Kurdyak, P. (2017). The direct health care costs of eating disorders among hospitalized patients: A population‐based study. International Journal of Eating Disorders, 50(12), 1385-1393.
de Vos, J. A., LaMarre, A., Radstaak, M., Bijkerk, C. A., Bohlmeijer, E. T., & Westerhof, G. J. (2017). Identifying fundamental criteria for eating disorder recovery: a systematic review and qualitative meta-analysis. Journal of Eating Disorders, 5, 34.
de Zwaan, M., Herpertz, S., Zipfel, S., Svaldi, J., Friederich, H.-C., Schmidt, F., . . . Hilbert, A. (2017). Effect of internet-based guided self-help vs individual face-to-face treatment on full or subsyndromal binge eating disorder in overweight or obese patients: the INTERBED randomized clinical trial. JAMA Psychiatry, 74(10), 987-995.
Fink, K., Rhodes, P., Miskovic-Wheatley, J., Wallis, A., Touyz, S. W., Baudinet, J., & Madden, S. (2017). Exploring the effects of a family admissions program for adolescents with anorexia nervosa. Journal of Eating Disorders, 5, 51.
Franko, D. L., Tabri, N., Keshaviah, A., Murray, H. B., Herzog, D. B., Thomas, J. J., . . . Eddy, K. T. (2017). Predictors of long-term recovery in anorexia nervosa and bulimia nervosa: data from a 22-year longitudinal study. Journal of Psychiatric Research, 96, 183-188.
Geller, J., Iyar, M., Srikameswaran, S., Zelichowska, J., Zhou, Y., & Dunn, E. C. (2018). The relation between patient characteristics and their carers’ use of a directive versus collaborative support stance. International Journal of Eating Disorders, 51(1), 71-76.
Graap, H., Erim, Y., & Paslakis, G. (2017). The effect of dronabinol in a male patient with anorexia nervosa suffering from severe acute urge to be physically active. International Journal of Eating Disorders. E-publication ahead of print.
Halvorsen, I., Reas, D. L., Nilsen, J. V., & Rø, Ø. (2017). Naturalistic outcome of family‐based inpatient treatment for adolescents with anorexia nervosa. European Eating Disorders Review. E-publication ahead of print.
Hessler, J. B., Diedrich, A., Greetfeld, M., Schlegl, S., Schwartz, C., & Voderholzer, U. (2017). Weight suppression but not symptom improvement predicts weight gain during inpatient treatment for bulimia nervosa. European Eating Disorders Review. E-publication ahead of print.
Holmes, S., Drake, S., Odgers, K., & Wilson, J. (2017). Feminist approaches to anorexia nervosa: a qualitative study of a treatment group. Journal of Eating Disorders, 5, 36.
Hughes, E. K., Burton, C., Le Grange, D., & Sawyer, S. M. (2017). The participation of mothers, fathers, and siblings in family-based treatment for adolescent anorexia nervosa. Journal of Clinical Child and Adolescent Psychology. E-publication ahead of print.
Hung, Y.-N., Kuo, C.-J., Yang, S.-Y., Huang, M.-C., Chen, Y.-Y., Lin, S.-K., & Chen, K.-Y. (2017). Patterns of medical utilization before the first hospitalization for women with anorexia nervosa in Taiwan. Journal of Psychosomatic Research, 102, 1-7.
Iniesta Sepulveda, M., Nadeau, J. M., Whelan, M. K., Oiler, C. M., Ramos, A., Riemann, B. C., & Storch, E. A. (2017). Intensive family exposure-based cognitive-behavioral treatment for adolescents with anorexia nervosa. Psicothema, 29(4), 433-439.
Kim, S.-K., Annunziato, R. A., & Olatunji, B. O. (2017). Profile analysis of treatment effect changes in eating disorder indicators. International Journal of Methods in Psychiatric Research. E-publication ahead of print.
Kolar, D. R., Hammerle, F., Jenetzky, E., & Huss, M. (2017). Smartphone-Enhanced Low-Threshold Intervention for adolescents with Anorexia Nervosa (SELTIAN) waiting for outpatient psychotherapy: study protocol of a randomised controlled trial. BMJ Open, 7(10), e018049.
Kuipers, G. S., van Loenhout, Z., van der Ark, L. A., & Bekker, M. H. (2017). Is reduction of symptoms in eating disorder patients after 1 year of treatment related to attachment security and mentalization?. Eating Disorders. E-publication ahead of print.
Le, L. K. D., Barendregt, J. J., Hay, P., Sawyer, S. M., Hughes, E. K., & Mihalopoulos, C. (2017). The modeled cost‐effectiveness of family‐based and adolescent‐focused treatment for anorexia nervosa. International Journal of Eating Disorders, 50(12), 1356-1366.
Le, L. K.-D., Hay, P. J., & Mihalopoulos, C. (2017). A systematic review of cost-effectiveness studies of prevention and treatment for eating disorders. Australian and New Zealand Journal of Psychiatry. E-publication ahead of print.
Le, L. K. D., Hay, P., Wade, T., Touyz, S., & Mihalopoulos, C. (2017). The cost‐effectiveness of cognitive behavioral therapy for bulimia nervosa in the Australian context. International Journal of Eating Disorders, 50(12), 1367-1377.
Lebow, J., Sim, L. A., & Accurso, E. C. (2017). Is there clinical consensus in defining weight restoration for adolescents with anorexia nervosa?. Eating Disorders. E-publication ahead of print.
Levinson, C. A., Brosof, L. C., Ma, J., Fewell, L., & Lenze, E. J. (2017). Fear of food prospectively predicts drive for thinness in an eating disorder sample recently discharged from intensive treatment. Eating Behaviors, 27, 45-51.
Levinson, C. A., Brosof, L. C., Vanzhula, I. A., Bumberry, L., Zerwas, S., & Bulik, C. M. (2017). Perfectionism group treatment for eating disorders in an inpatient, partial hospitalization, and outpatient setting. European Eating Disorders Review, 25(6), 579-585.
Lewer, M., Kosfelder, J., Michalak, J., Schroeder, D., Nasrawi, N., & Vocks, S. (2017). Effects of a cognitive-behavioral exposure-based body image therapy for overweight females with binge eating disorder: a pilot study. Journal of Eating Disorders, 5, 43.
Linardon, J., Fairburn, C. G., Fitzsimmons-Craft, E. E., Wilfley, D. E., & Brennan, L. (2017). The empirical status of the third-wave behaviour therapies for the treatment of eating disorders: a systematic review. Clinical Psychology Review, 58, 125-140.
Linardon, J., Wade, T. D., de la Piedad Garcia, X., & Brennan, L. (2017). The efficacy of cognitive-behavioral therapy for eating disorders: a systematic review and meta-analysis. Journal of Consulting and Clinical Psychology, 85(11), 1080-1094.
Lock, J., Fitzpatrick, K. K., Agras, W. S., Weinbach, N., & Jo, B. (2018). Feasibility study combining art therapy or cognitive remediation therapy with family‐based treatment for adolescent anorexia nervosa. European Eating Disorders Review, 26(1), 62-68.
McArdle, S. (2017). Parents' experiences of health services for the treatment of eating disorders: a qualitative study. Journal of Mental Health. E-publication ahead of print.
Moessner, M., & Bauer, S. (2017). Maximizing the public health impact of eating disorder services: A simulation study. International Journal of Eating Disorders, 50(12), 1378-1384
Moriya, J., Kayano, M., & Yoshiuchi, K. (2017). Impact of a new medical network system on the efficiency of treatment for eating disorders in Japan: a retrospective observational study. Biopsychosocial Medicine, 11, 27.
Okamoto, Y., Miyake, Y., Nagasawa, I., & Shishida, K. (2017). A 10-year follow-up study of completers versus dropouts following treatment with an integrated cognitive-behavioral group therapy for eating disorders. Journal of Eating Disorders, 5, 52.
Pettersen, G., Sørdal, S., Rosenvinge, J. H., Skomakerstuen, T., Mathisen, T. F., & Sundgot-Borgen, J. (2017). How do women with eating disorders experience a new treatment combining guided physical exercise and dietary therapy? An interview study of women participating in a randomised controlled trial at the Norwegian School of Sport Sciences. BMJ Open, 7(12), e018588.
Quesnel, D. A., Libben, M., Oelke, N. D., Clark, M. I., Willis-Stewart, S., & Caperchione, C. M. (2017). Is abstinence really the best option?. Exploring the role of exercise in the treatment and management of eating disorders. Eating Disorders. E-publication ahead of print.
Ramjan, L. M., Fogarty, S., Nicholls, D., & Hay, P. J. (2017). Instilling hope for a brighter future: a mixed-method mentoring support program for individuals with and recovered from anorexia nervosa. Journal of Clinical Nursing. E-publication ahead of print.
Ramjan, L. M., Hay, P. J., & Fogarty, S. (2017). Benefits of a mentoring support program for individuals with an eating disorder: a proof of concept pilot program. BMC Research Notes, 10, 709.
Richards, I. L., Subar, A., Touyz, S., & Rhodes, P. Augmentative approaches in family‐based treatment for adolescents with restrictive eating disorders: a systematic review. European Eating Disorders Review. E-publication ahead of print.
Rienecke, R. D., & Richmond, R. L. (2017). Three-month follow-up in a family-based partial hospitalization program. Eating Disorders. E-publication ahead of print.
Russell, J., Maguire, S., Hunt, G. E., Kesby, A., Suraev, A., Stuart, J., . . . McGregor, I. S. (2017). Intranasal oxytocin in the treatment of anorexia nervosa: randomized controlled trial during re-feeding. Psychoneuroendocrinology, 87, 83-92.
Strand, M., Gustafsson, S. A., Bulik, C. M., & von Hausswolff-Juhlin, Y. (2017). Self-admission to inpatient treatment in psychiatry: lessons on implementation. BMC Psychiatry, 17, 343.
Thapliyal, P., Mitchison, D., Miller, C., Bowden, J., Alejandro González-Chica, D., Stocks, N., ... & Hay, P. (2017). Comparison of mental health treatment status and use of antidepressants in men and women with eating disorders. Eating Disorders. E-publication ahead of print.
Trunko, M. E., Schwartz, T. A., Berner, L. A., Cusack, A., Nakamura, T., Bailer, U. F., . . . Kaye, W. H. (2017). A pilot open series of lamotrigine in DBT-treated eating disorders characterized by significant affective dysregulation and poor impulse control. Borderline Personality Disorder and Emotion Dysregulation, 4, 21.
Turner, C. & Cadman, J. (2017). When adolescents feel ugly: cognitive behavioral therapy for body dysmorphic disorder in youth. Journal of Cognitive Psychotherapy, 31(4), 242-254.
Ung, E. M., Erichsen, C. B., Poulsen, S., Lau, M. E., Simonsen, S., & Davidsen, A. H. (2017). The association between interpersonal problems and treatment outcome in patients with eating disorders. Journal of Eating Disorders, 5, 53.
Walden, K., Manwaring, J., Blalock, D. V., Bishop, E., Duffy, A., & Johnson, C. (2017). Acceptance and psychological change at the higher levels of care: A naturalistic outcome study. Eating Disorders. E-publication ahead of print.
Wallis, A., Miskovic‐Wheatley, J., Madden, S., Rhodes, P., Crosby, R. D., Cao, L., & Touyz, S. (2018). Family functioning and relationship quality for adolescents in family‐based treatment with severe anorexia nervosa compared with non‐clinical adolescents. European Eating Disorders Review, 26(1), 29-37,
Wallis, A., Miskovic-Wheatley, J., Madden, S., Rhodes, P., Crosby, R. D., Cao, L., & Touyz, S. W. (2017). How does family functioning effect the outcome of family based treatment for adolescents with severe anorexia nervosa? Journal of Eating Disorders, 5, 55.
Watson, H. J., McLagan, N., Zerwas, S., Crosby, R. D., Levine, M. D., Runfola, C. D., . . . Crow, S. J. (2017). Cost-effectiveness of internet-based cognitive-behavioral treatment for bulimia nervosa: results of a randomized controlled trial. Journal of Clinical Psychiatry, 79(1).
Westmoreland, P., Johnson, C. L., Stafford, M., Martinez, R., & Mehler, P. S. (2017). Involuntary treatment of patients with life-threatening anorexia nervosa. Journal of the American Academy of Psychiatry and the Law, 45(4), 419-425.
Wisniewski, L., Hernandez, M. E. H., & Waller, G. (2018). Therapists' self-reported drift from dialectical behavior therapy techniques for eating disorders. Eating Behaviors, 28, 20-24.
Bang, L., Rø, Ø., & Endestad, T. (2018). Normal white matter microstructure in women long‐term recovered from anorexia nervosa: A diffusion tensor imaging study. International Journal of Eating Disorders, 51(1), 46-52.
Barron, L. J., Barron, R. F., Johnson, J. C. S., Wagner, I., Ward, C. J. B., Ward, S. R. B., . . . Ward, W. (2017). A retrospective analysis of biochemical and haematological parameters in patients with eating disorders. Journal of Eating Disorders, 5, 32.
Billeci, L., Brunori, E., Scardigli, S., Curzio, O., Calderoni, S., Maestro, S., & Morales, M. A. (2017). Excessive physical activity in young girls with restrictive-type anorexia nervosa: its role on cardiac structure and performance. Eating and Weight Disorders. E-publication ahead of print.
Brambilla, F., Santonastaso, P., Caregaro, L., & Favaro, A. (2017). Growth hormone and insulin-like growth factor 1 secretions in eating disorders: correlations with psychopathological aspects of the disorders. Psychiatry Research. E-publication ahead of print.
De Paoli, T., & Rogers, P. J. (2017). Disordered eating and insulin restriction in type 1 diabetes: A systematic review and testable model. Eating Disorders. E-publication ahead of print.
DerMarderosian, D., Chapman, H. A., Tortolani, C., & Willis, M. D. (2018). Medical considerations in children and adolescents with eating disorders. Child and Adolescent Psychiatric Clinics of North America, 27(1), 1-14.
Diaz-Marsa, M., Alberdi-Páramo, I., & Niell-Galmés, L. (2017). Nutritional supplements in eating disorders. Actas Espanolas de Psiquiatria, 45(Supplement), 26-36.
Drabkin, A., Rothman, M. S., Wassenaar, E., Mascolo, M., & Mehler, P. S. (2017). Assessment and clinical management of bone disease in adults with eating disorders: a review. Journal of Eating Disorders, 5, 42.
Garrido-Miguel, M., Torres-Costoso, A., Martínez-Andrés, M., Notario-Pacheco, B., Díez-Fernández, A., Álvarez-Bueno, C., ... & Martínez-Vizcaíno, V. The risk of eating disorders and bone health in young adults: the mediating role of body composition and fitness. Eating and Weight Disorders. E-publication ahead of print.
Ilzarbe, L., Fàbrega, M., Quintero, R., Bastidas, A., Pintor, L., Garcia-Campayo, J., . . . Ilzarbe, D. (2017). Inflammatory bowel disease and eating disorders: a systematized review of comorbidity. Journal of Psychosomatic Research, 102, 47-53.
Kärkkäinen, U., Mustelin, L., Raevuori, A., Kaprio, J., & Keski‐Rahkonen, A. (2018). Do disordered eating behaviours have long‐term health‐related consequences?. European Eating Disorders Review, 26(1), 22-28.
Keel, P. K., Eckel, L. A., Hildebrandt, B. A., Haedt‐Matt, A. A., Appelbaum, J., & Jimerson, D. C. (2018). Disturbance of gut satiety peptide in purging disorder. International Journal of Eating Disorders, 51(1), 53-61.
Lagowska, K., Kazmierczak, D., & Szymczak, K. (2017). Comparison of anthropometrical parameters and dietary habits of young women with and without menstrual disorders. Nutrition & Dietetics. E-publication ahead of print.
Lee, M., & Strand, M. (2017). Ehlers-Danlos syndrome in a young woman with anorexia nervosa and complex somatic symptoms. International Journal of Eating Disorders. E-publication ahead of print.
Lourenco, M., Azevedo, A., Brandao, I., & Gomes, P. S. (2017). Orofacial manifestations in outpatients with anorexia nervosa and bulimia nervosa focusing on the vomiting behavior. Clinical Oral Investigations. E-publication ahead of print.
Macdonald, P., Kan, C., Stadler, M., De Bernier, G. L., Hadjimichalis, A., Le Coguic, A. S., . . . Treasure, J. (2017). Research: educational and psychological aspects eating disorders in people with type 1 diabetes: experiential perspectives of both clients and healthcare professionals. Diabetic Medicine. E-publication ahead of print.
Middleman, A. B., Reed, S., & Curran, K. A. (2017). Delay in an eating disorder diagnosis: the reason was a "shox". Journal of Pediatric and Adolescent Gynecology. E-publication ahead of print.
Milano, W. & Capasso, A. (2017). Neuroendocrine and metabolic disorders in bulimia nervosa. Endocrine, Metabolic & Immune Disorders Drug Targets. E-publication ahead of print.
Morkl, S., Lackner, S., Muller, W., Gorkiewicz, G., Kashofer, K., Oberascher, A., . . . Holasek, S. (2017). Gut microbiota and body composition in anorexia nervosa inpatients in comparison to athletes, overweight, obese, and normal weight controls. International Journal of Eating Disorders, 50(12), 1421-1431.
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