Editor: Craig Johnson, PhD, CEDS, FAED
Co-Editors: Ovidio Bermudez, MD, FAAP, FSAHM, FAED, F.iaedp, CEDS,
Anne Marie O'Melia, MS, MD, FAAP and Millie Plotkin, MLS
PhD, CEDS, FAED
Ovidio Bermudez, MD, FAAP, FSAHM, FAED, F.iaedp, CEDS, Chief Clinical Education Officer
Anne Marie O'Melia,
MS, MD, FAAP
Chief Medical Officer
Introduction to Eating Disorder Research Library
Welcome to Volume 6 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:
Cibich, M. & Wade, T. D. (2019). Treating bulimia nervosa in the context of gender dysphoria using 10-session cognitive behavior therapy. International Journal of Eating Disorders, 52(5), 602-606.
Reviewed by Ileana Calinoiu, MD
Eating disorders (disordered eating behaviors) peak during the psychosocial developmental period of adolescence. Adolescence is also a critical developmental period for sexual orientation. Given the proximity of emergence of eating disorders and sexual orientation during this critical developmental stage, it is not surprising that eating disorders may disproportionately affect vulnerable youth, particularly sexual minority youth. Although body image distortion and disordered eating were considered to affect only a small subset of society, largely affluent females, they are now recognized to impact millions, including individuals along the sexual orientation and gender identity spectrum. However, most research on eating disorders and body image has focused on heterosexual, cisgender individuals. The limited amount of research on sexual minority adolescents and non-binary youth suggests associations between sexual orientation and gender identity and eating-related pathology.
The focus of this article is a case report by Australian authors Cibich and Wade (2019) describing the psychological treatment for bulimia nervosa of a 16-year old with co-occurring gender dysphoria who reported restricting his food intake and purging for approximately 1 year prior to therapy commencing.
The patient was born female and identified as male. At the time of treatment, he was living as a male (e.g., using a gender-neutral name, using male pronouns, and wearing masculine clothing) and without hormonal or surgical reassignment.
He described episodes of restricting his food intake during childhood in response to stress. The patient described “always” knowing he was male. When he was 15 years old, he began taking steps toward living as male. At the same time, his restricting progressed to binge-eating and self-induced vomiting. He also reported a history of suicidal ideation, with one failed suicide attempt as an adolescent.
During the assessment, he reported body dissatisfaction, particularly relating to his feminine body shape. He viewed restrictive eating as a means for de-emphasizing feminine fat distribution in the pursuit of a masculine physique, a motivation common but not ubiquitous among female to male patients with gender dysphoria who have an eating disorder (Ålgars, Alanko, Santtila, & Sandnabba, 2012; Duffy et al., 2016; Strandjord, Ng, & Rome, 2015).
In addition to gender dysphoria, additional diagnoses included Cannabis dependence in remission and unspecified Major Depressive Disorder.
Ten sessions of cognitive behavioral therapy for eating disorders (CBT-T) were conducted with accommodations for gender-specific body dissatisfaction.
Initial sessions focused on regulating the patient's food intake for nutritional adequacy. When this was established, sessions focused on using cognitive and behavioral strategies to challenge unhelpful beliefs about food and eating (i.e., behavioral experiments to test previously avoided food or food that appeared in the binge episodes), as well as body image concerns (i.e., survey to test beliefs such as “I am fat” and “I am ugly,” positivity logging, behavioral experiments to test perceived benefits of upward social comparison). The patient's beliefs relating to his feminine appearance (i.e., “I look feminine”), however, were not challenged using behavioral experiments. Instead, motivational interviewing techniques were introduced in session seven so that the patient sat with the discomfort of his feminine appearance without to engaging in eating disordered behaviors. These skills included reviewing the pros and cons, checking the facts and modified TIPP (Temperature, Intense exercise, Paced breathing and Paired muscle relaxation: Linehan, 2018). Intense exercise was not recommended to this patient given its potential for use as a compensatory behavior.
The patient eliminated binging and purging from the second treatment session and had maintained this at the 3-month follow-up. He increased the quantity and variety of foods he was eating, and in doing so challenged his beliefs that feared foods would lead to weight gain and bingeing. He reported that the feelings of shame associated with eating had reduced and this change was also reflected in an elimination of subjective binges. In relation to body image concerns, he successfully reduced the frequency he compared himself to masculine males (his desired ideal) and became less concerned with what others were thinking about his appearance. He also reported that he was more easily able to sit with the discomfort associated with his feminine body type.
Why is this important?
The existing literature suggests that LGBT youth are particularly vulnerable to eating disorders and body dissatisfaction. Because of this, medical providers should screen for disordered eating in LGBT youth and should know that effective treatments are available. Sexual minority males have greater body dissatisfaction, and more frequently report unhealthy weight control practices, disordered eating behaviors, and classic eating disorders. Transgender individuals are also at risk of eating disorders. Furthermore, disordered eating in LGBT and non-binary youth may be associated with poorer quality of life and mental health outcomes.
This case report suggests treatments already available for eating disorders may be suitable for this population with accommodations for gender-specific body dissatisfaction.
In addition, the case report draws attention to a growing topic of debate in the LGBTQ and eating disorders recovery circles centered around gender dysphoria, body dysmorphia and their relationship to clinical diagnoses of a mental health disorder. Even beyond the similarity in terms, there has been confusion over why one description (gender dysphoria) is not considered a mental health disorder, and the other (body dysmorphia) is. This confusion, even among medical professionals, can result in the further marginalization of an already marginalized population, transgender men and women. Understanding gender dysphoria is essential to helping this higher-risk community get the help they need because 7% female-to-male and 3% male-to-female individuals with gender dysphoria meet criteria for a comorbid eating disorder (Feder, Isserlin, Seale, Hammond & Norris, 2017), and the reported fears and difficulties of those with gender dysphoria seeking psychological treatment for eating disorders.
More research is needed to determine whether there are specific interventions or targets for sexual minority youth that may be most effective; for now, treatment should focus on therapies that have empiric support in generalized youth populations.
Kaplan, A. S. & Strober, M. (2019). Severe and enduring anorexia nervosa: can risk of persisting illness be identified, and prevented, in young patients? International Journal of Eating Disorders, 52(4), 478-480.
Review by Craig Johnson, PhD, CEDS, FAED
I have selected to review a Commentary that was recently published rather than a study for this addition of the EDRL. Increasing attention has been paid to the roughly 20% of patients with Anorexia Nervosa who remain Ill at 20 year follow up. It is worth noting that an average patient whose illness began at age 16 would be 36 years old at 20 year follow up…a relatively young person by most standards. The term “severe and enduring” (SEEDS) has been coined to refer to this group and a plethora of issues have surfaced about how to define the cohort and what the treatment implications are.
Kaplan and Strober address three of these questions in their thoughtful commentary.
Is it possible to identify, soon after the illness begins, those who will maintain a severe, enduring course? The authors response is brief and powerful: “In a word, no”. “The published research is limited, and the findings are in conflict”. So, there is meager evidence to identify those who will develop a more pernicious course of illness.
Could early intervention prevent the development of severe and enduring illness? The authors response: “Simply put, we just do not know what intervention, experienced early the illness course, with what qualities in the practitioner, possessing what range of clinical acumen, in concert with what life experiences and shifts in attitudes and motivation, will be the ultimate source of recovery”. So, we lack specific knowledge regarding what types of treatments, in what doses and at what levels of care deliver the best long-term outcomes.
How young is too young for considering a palliative approach to treatment in Anorexia Nervosa? The authors clarify that the term “palliative care” has been extended to include treatments that focus on enhancing quality of life rather than symptom-based treatment, i.e., full weight restoration/abstinence from binge/purge behavior/ abstinence from excessive exercise. This type of treatment is more aimed at managing the illness rather than curing the illness. The authors unambivalently declare that “they would never advise this paradigm for anyone under the age of majority”. After the age of majority, they emphasize that any consideration of more palliative care should require “seeking consultation from ethicists and persons sufficiently knowledgeable about the psychopathology, natural history, and treatment of AN to guarantee that the decision ultimately rendered honors the Hippocratic Oath: First, do no harm”. So, any decision to move to a more “palliative/harm reduction” model of care, which usually means having access to less frequent and intensive care, needs to be very thoughtfully evaluated including being vetted by some form of an ethics committee to safeguard the best interest of the patient.
Why is this Important?
I began my career of hospital-based treatment of ED in 1979. The 15 year old patients I was seeing then, are now 55 years old. My clinical experience is consistent with most of the long-term outcome studies, including that about 20% of these patients continue to struggle with their eating disorder and other comorbid symptoms 40 years later. We are currently unprepared for the surge in this ageing cohort of patients, particularly the increase in their overall health care needs as a result of decades of symptomatic behaviors. We do, however, have to be careful about the timing and extent of moderating care. Recent data suggests that a substantial number of patients will recover after 10 years of illness and I have personally experienced many patients achieving full recoveries after several decades of struggling. My search for predictors and commonalities among those who accomplished later life recoveries has remained inconclusive, also consistent with the existing evidence base. While we do need to be practical in evolving treatment strategies for patients with severe and enduring forms of the illnesses, I would like to urge caution in prematurely conveying “hopelessness” to patients and families. The lack of high-quality evidence and the exciting increase in our “brain based” understanding and treatment of these illnesses suggest that we should not “turn off the porch light too soon” with them.
Lydecker, J. A. & Grilo, C. M. (2019). Food insecurity and bulimia nervosa in the United States. International Journal of Eating Disorders, 52(6), 735-739.
Reviewed by Millie Plotkin, MLS
One of the common stereotypes about people with eating disorders is that patients are always part of middle- and upper-class socioeconomic groups. Perhaps this is due to issues of treatment access for those from low-income households. However, the issue of food insecurity has become a focus for researchers during the last few years. In 2017, Carolyn Black Becker et al. published a ground-breaking study showing that 503 adults in low-income households using a food bank had higher rates of binge eating and overall eating disorder pathology. Becker’s group replicated this study, with findings on 891 food bank clients published in Clinical Psychological Science. Early in 2019, Lydecker and Grilo were part of a group (Rasmussen et al.) that published a study on the correlation between food insecurity and risk for binge eating disorder.
In this current study, Lydecker and Grilo have turned their focus to risk for bulimia nervosa in the food insecure population. 873 American adults responded to an online survey in English or Spanish. The researcher used a USDA measure to assess the level of food insecurity and the Questionnaire on Eating and Weight Patterns-5 (QEWP-5) to assess eating disorder pathology. Results from the QEWP-% sorted 78 respondents into the bulimia nervosa (BN) study group. Within the BN study group, 28.2% of respondents had low food security and 25.6% had very low food security. These results closely match those of the earlier BED study group.
Why is this important?
Historically, low-income populations have been studied by obesity researchers, but not the eating disorders field. While the authors of this study are careful to point out that food insecurity is not necessarily the direct cause of binge eating or bulimic behaviors, restriction due to low food access could play a role. More research is needed for these marginalized groups who are often overlooked in prevention programs. Gathering more information could improve diagnosis and intervention rates, as well as public policy efforts.
Volume 7 Listing Recent Research
Adamson, J., Cardi, V., Kan, C., Harrison, A., Macdonald, P., & Treasure, J. (2019). Evaluation of a novel transition support intervention in an adult eating disorders service: ECHOMANTRA. International Review of Psychiatry, 31(4), 382-390.
Amodeo, G., Cuomo, A., Bolognesi, S., Goracci, A., Trusso, M. A., Piccinni, A., . . . Fagiolini, A. (2019). Pharmacotherapeutic strategies for treating binge eating disorder. Evidence from clinical trials and implications for clinical practice. Expert Opinion on Pharmacotherapy, 20(6), 679-690.
Andres-Perpiña, S., Plana, M. T., Flamarique, I., Romero, S., Borras, R., Julia, L., . . . Castro-Fornieles, J. (2019). Long-term outcome and psychiatric comorbidity of adolescent-onset anorexia nervosa. Clinical Child Psychology and Psychiatry. E-publication ahead of print.
Attia, E., Steinglass, J. E., Walsh, B. T., Wang, Y., Wu, P., Schreyer, C. C., . . . Marcus, M. D. (2019). Olanzapine versus placebo in adult outpatients with anorexia nervosa: a randomized clinical trial. American Journal of Psychiatry, 176(6), 449-456.
Bakland, M., Rosenvinge, J. H., Wynn, R., Sundgot-Borgen, J., Fostervold Mathisen, T., Liabo, K., ... & Pettersen, G. (2019). Patients’ views on a new treatment for Bulimia nervosa and binge eating disorder combining physical exercise and dietary therapy (the PED-t). A qualitative study. Eating Disorders. E-publication ahead of print.
Barney, J. L., Murray, H. B., Manasse, S. M., Dochat, C., & Juarascio, A. S. (2019). Mechanisms and moderators in mindfulness‐and acceptance‐based treatments for binge eating spectrum disorders: A systematic review. European Eating Disorders Review, 27(4), 352-380.
Beintner, I., Hütter, K., Gramatke, K., & Jacobi, C. (2019). Combining day treatment and outpatient treatment for eating disorders: findings from a naturalistic setting. Eating and Weight Disorders. E-publication ahead of print.
Beintner, I. & Jacobi, C. (2019). Internet-based aftercare for women with bulimia nervosa following inpatient treatment: the role of adherence. Internet Interventions, 15, 67-75.
Blanchet, C., Guillaume, S., Bat-Pitault, F., Carles, M.-E., Clarke, J. M., Dodin, V., . . . Godart, N. (2019). Medication in AN: a multidisciplinary overview of meta-analyses and systematic reviews. Journal of Clinical Medicine, 8(2), 278.
Boswell, J. F., Anderson, L. M., Oswald, J. M., Reilly, E. E., Gorrell, S., & Anderson, D. A. (2019). A preliminary naturalistic clinical case series study of the feasibility and impact of interoceptive exposure for eating disorders. Behaviour Research and Therapy, 117, 54-64.
Brockmeyer, T., Friederich, H. C., Küppers, C., Chowdhury, S., Harms, L., Simmonds, J., ... & Schmidt, U. (2019). Approach bias modification training in bulimia nervosa and binge‐eating disorder: A pilot randomized controlled trial. International Journal of Eating Disorders, 52(5), 520-529.
Cibich, M., & Wade, T. D. (2019). Treating bulimia nervosa in the context of gender dysphoria using 10‐session cognitive behavior therapy. International Journal of Eating Disorders, 52(5), 602-606.
Cox, A. E., & McMahon, A. K. (2019). Exploring changes in mindfulness and body appreciation during yoga participation. Body Image, 29, 118-121.
Craig, M., Waine, J., Wilson, S., & Waller, G. (2019). Optimizing treatment outcomes in adolescents with eating disorders: the potential role of cognitive behavioral therapy. International Journal of Eating Disorders, 52(5), 538-542.
Crucianelli, L., Serpell, L., Paloyelis, Y., Ricciardi, L., Robinson, P. H., Jenkinson, P. M., & Fotopoulou, A. (2019). The effect of intranasal oxytocin on the perception of affective touch and multisensory integration in anorexia nervosa: protocol for a double-blind placebo-controlled crossover study. BMJ Open, 9(3), e024913.
Davidson, A. R., Braham, S., Dasey, L., & Reidlinger, D. P. (2019). Physicians' perspectives on the treatment of patients with eating disorders in the acute setting. Journal of Eating Disorders, 7, 1.
Denison-Day, J., Muir, S., Newell, C., & Appleton, K. M. (2019). A web-based intervention (MotivATE) to increase attendance at an eating disorder service assessment appointment: Zelen randomized controlled trial. Journal of Medical Internet Research, 21(2), e11874.
D'Souza Walsh, K., Davies, L., Pluckwell, H., Huffinley, H., & Waller, G. (2019). Alliance, technique, both, or more? Clinicians' views on what works in cognitive‐behavioral therapy for eating disorders. International Journal of Eating Disorders, 52(3), 278-282.
Dumont, E., Jansen, A., Kroes, D., de Haan, E., & Mulkens, S. (2019). A new cognitive behavior therapy for adolescents with avoidant/restrictive food intake disorder in a day treatment setting: a clinical case series. International Journal of Eating Disorders, 52(4), 447-458.
Eichen, D. M., Strong, D. R., Rhee, K. E., Rock, C. L., Crow, S. J., Epstein, L. H., ... & Boutelle, K. N. (2019). Change in eating disorder symptoms following pediatric obesity treatment. International Journal of Eating Disorders, 52(3). 299-303.
Farrell, N. R., Brosof, L. C., Vanzhula, I. A., Christian, C., Bowie, O. R., & Levinson, C. A. (2019). Exploring mechanisms of action in exposure-based cognitive behavioral therapy for eating disorders: the role of eating-related fears and body-related safety behaviors. Behavior Therapy. E-publication ahead of print.
Foroughi, N., Zhu, K. C. Y., Smith, C., & Hay, P. J. (2019). The perceived therapeutic benefits of complementary medicine in eating disorders. Complementary Therapies in Medicine, 43, 176-180.
Fuller-Tyszkiewicz, M., Richardson, B., Lewis, V., Linardon, J., Mills, J., Juknaitis, K., . . . Krug, I. (2019). A randomized trial exploring mindfulness and gratitude exercises as eHealth-based micro-interventions for improving body satisfaction. Computers in Human Behavior, 95, 58-65.
Gorrell, S., Hail, L., Kinasz, K., Bruett, L., Forsberg, S., Delucchi, K., ... & Le Grange, D. (2019). A test of the DSM‐5 severity specifier for bulimia nervosa in adolescents: Can we anticipate clinical treatment outcomes?. International Journal of Eating Disorders, 52(2), 586-590.
Gorrell, S., Kinasz, K., Hail, L., Bruett, L., Forsberg, S., Lock, J., & Le Grange, D. (2019). Rituals and preoccupations associated with bulimia nervosa in adolescents: does motivation to change matter?. European Eating Disorders Review, 27(3), 323-328.
Halliwell, E., Dawson, K., & Burkey, S. (2019). A randomized experimental evaluation of a yoga-based body image intervention. Body Image, 28, 119-127.
Hay, P. J., Touyz, S. W., Claudino, A. l. M., Lujic, S., Smith, C., & Madden, S. (2019). Inpatient versus outpatient care, partial hospitalisation and waiting list for people with eating disorders. Cochrane Database of Systematic Reviews, 1, Cd010827.
Hernando, A., Pallás, R., Cebolla, A., García-Campayo, J., Hoogendoorn, C. J., & Roy, J. F. (2019). Mindfulness, rumination, and coping skills in young women with eating disorders: a comparative study with healthy controls. PLoS One, 14(3), e0213985.
Himmerich, H., Bentley, J., Lichtblau, N., Brennan, C., & Au, K. (2019). Facets of shared decision-making on drug treatment for adults with an eating disorder. International Review of Psychiatry, 31(4), 332-346.
Hoskins, J. I., Blood, L., Stokes, H. R., Tatham, M., Waller, G., & Turner, H. (2019). Patients' experiences of brief cognitive behavioral therapy for eating disorders: a qualitative investigation. International Journal of Eating Disorders, 52(5), 530-537.
Hughes, E. K., Sawyer, S. M., Accurso, E. C., Singh, S., & Le Grange, D. (2019). Predictors of early response in conjoint and separated models of family‐based treatment for adolescent anorexia nervosa. European Eating Disorders Review, 27(3), 283-294.
Iyar, M. M., Cox, D. W., Kealy, D., Srikameswaran, S., & Geller, J. (2019). Is stage of change enough? Confidence as a predictor of outcome in inpatient treatment for eating disorders. International Journal of Eating Disorders, 52(3), 283-291.
Katzman, D. K., Norris, M. L., & Zucker, N. L. (2019). Avoidant restrictive food intake disorder: first do no harm. International Journal of Eating Disorders. 52(4), 459-461.
Keshishian, A. C., Tabri, N., Becker, K., Franko, D. L., Herzog, D. B., Thomas, J. J., & Eddy, K. T. (2019). Eating disorder recovery is associated with absence of major depressive disorder and substance use disorders at 22-year longitudinal follow-up. Comprehensive Psychiatry, 90, 49-51.
Kinnaird, E., Norton, C., Stewart, C., & Tchanturia, K. (2019). Same behaviours, different reasons: what do patients with co-occurring anorexia and autism want from treatment? International Review of Psychiatry, 31(4), 308-317.
Kornstein, S. G., Bliss, C., Kando, J. C., & Madhoo, M. (2019). Clinical characteristics and treatment response to lisdexamfetamine dimesylate versus placebo in adults with binge eating disorder: analysis by gender and age. Journal of Clinical Psychiatry, 80(2).
Kothari, R., Barker, C., Pistrang, N., Rozental, A., Egan, S. J., Wade, T. D., . . . Shafran, R. (2019). A randomised controlled trial of guided internet-based cognitive behavioural therapy for perfectionism: effects on psychopathology and transdiagnostic processes. Journal of Behavior Therapy and Experimental Psychiatry, 64, 113-122.
Lange, C. R. A., Ekedahl, H. F., Holmer, R., Wijk, E., & Wallin, U. (2019). Long-term follow-up study of low-weight avoidant restrictive food intake disorder compared with childhood-onset anorexia nervosa: Psychiatric and occupational outcome in 56 patients. International Journal of Eating Disorders, 52(4), 435-438.
Lelli, L., Castellini, G., Cassioli, E., Monteleone, A. M., & Ricca, V. (2019). Cortisol levels before and after cognitive behavioural therapy in patients with eating disorders reporting childhood abuse: a follow-up study. Psychiatry Research, 275, 269-275.
Lenton-Brym, T., Rodrigues, A., Johnson, N., Couturier, J., & Toulany, A. (2019). A scoping review of the role of primary care providers and primary care-based interventions in the treatment of pediatric eating disorders. Eating Disorders. E-publication ahead of print.
Levinson, C. A., Sala, M., Murray, S., Ma, J., Rodebaugh, T. L., & Lenze, E. J. (2019). Diagnostic, clinical, and personality correlates of food anxiety during a food exposure in patients diagnosed with an eating disorder. Eating and Weight Disorders. E-publication ahead of print.
Lieberman, M., Houser, M. E., Voyer, A. P., Grady, S., & Katzman, D. K. (2019). Children with avoidant/restrictive food intake disorder and anorexia nervosa in a tertiary care pediatric eating disorder program: A comparative study. International Journal of Eating Disorders, 52(3), 239-245.
Linardon, J., Kothe, E. J., & Fuller‐Tyszkiewicz, M. (2019). Efficacy of psychotherapy for bulimia nervosa and binge‐eating disorder on self‐esteem improvement: Meta‐analysis. European Eating Disorders Review, 27(2), 109-123.
Lock, J., Sadeh‐Sharvit, S., & L'Insalata, A. Feasibility of conducting a randomized clinical trial using family‐based treatment for avoidant/restrictive food intake disorder. International Journal of Eating Disorders, 52(6), 746-751.
Makhzoumi, S. H., Schreyer, C. C., Hansen, J. L., Laddaran, L. A., Redgrave, G. W., & Guarda, A. S. (2019). Hospital course of underweight youth with ARFID treated with a meal‐based behavioral protocol in an inpatient‐partial hospitalization program for eating disorders. International Journal of Eating Disorders, 52(4), 428-434.
Manasse, S. M., Clark, K. E., Juarascio, A. S., & Forman, E. M. (2019). Developing more efficient, effective, and disseminable treatments for eating disorders: an overview of the multiphase optimization strategy. Eating and Weight Disorders. E-publication ahead of print.
Mattavelli, G., Gallucci, A., Schiena, G., D'Agostino, A., Sassetti, T., Bonora, S., ... & Sassaroli, S. Transcranial direct current stimulation modulates implicit attitudes towards food in eating disorders. International Journal of Eating Disorders, 52(5), 576-581.
Mitrofan, O., Petkova, H., Janssens, A., Kelly, J., Edwards, E., Nicholls, D. E., . . . Byford, S. (2019). Care experiences of young people with eating disorders and their parents: qualitative study. BJPsych Open, 5(1), e6.
Munsch, S., Wyssen, A., Vanhulst, P., Lalanne, D., Steinemann, S. T., & Tuch, A. (2019). Binge-eating disorder treatment goes online - feasibility, usability, and treatment outcome of an Internet-based treatment for binge-eating disorder: study protocol for a three-arm randomized controlled trial including an immediate treatment, a waitlist, and a placebo control group. Trials, 20, 128.
Murphy, K., Simonds, L. M., & Spokes, N. (2019). Disclosure in therapy by clients with eating difficulties: a Q-Methodology study. Eating Disorders. E-publication ahead of print.
Norris, S. C., Gleaves, D. H., & Hutchinson, A. D. (2019). Treatment outcome research of enhanced cognitive behaviour therapy for eating disorders: a systematic review with narrative and meta-analytic synthesis. Eating Disorders. E-publication ahead of print.
Peterson, C. M., Van Diest, A. M. K., Mara, C. A., & Matthews, A. (2019). Dialectical behavioral therapy skills group as an adjunct to family-based therapy in adolescents with restrictive eating disorders. Eating Disorders. E-publication ahead of print.
Plasencia, M., Sysko, R., Fink, K., & Hildebrandt, T. B. (2019). Applying the disgust conditioning model of food avoidance: a case study of acceptance-based interoceptive exposure. International Journal of Eating Disorders. 52(4), 473-477.
Resmark, G., Herpertz, S., Herpertz-Dahlmann, B., & Zeeck, A. (2019). Treatment of anorexia nervosa-new evidence-based guidelines. Journal of Clinical Medicine, 8(2), 153.
Rienecke, R. & Ebeling, M. (2019). Desired weight and treatment outcome among adolescents in a novel family-based partial hospitalization program. Psychiatry Research, 273, 149-152.
Rosewall, J. K., Beavan, A., Houlihan, C., Bates, S., Melhuish, L., Mountford, V., & Lacey, J. H. (2019). Evaluation of Teen BodyWise: A pilot study of a body image group adapted for adolescent inpatients with anorexia nervosa. Eating and Weight Disorders. E-publication ahead of print.
Ruzanska, U. A., & Warschburger, P. (2019). Intuitive eating mediates the relationship between self-regulation and BMI-results from a cross-sectional study in a community sample. Eating Behaviors, 33, 23-29.
Schyns, G., van den Akker, K., Roefs, A., Houben, K., & Jansen, A. (2019). Exposure therapy vs lifestyle intervention to reduce food cue reactivity and binge eating in obesity: a pilot study. Journal of Behavior Therapy and Experimental Psychiatry. E-publication ahead of print.
Sodersten, P., Brodin, U., Sjoberg, J., Zandian, M., & Bergh, C. (2019). Treatment outcomes for eating disorders in Sweden: data from the National Quality Registry. BMJ Open, 9(1), e024179.
Spencer, L., Schmidt-Hantke, J., Allen, K. L., Gordon, G., Potterton, R., Musiat, P., . . . Schmidt, U. (2018). A web-based intervention for carers of individuals with anorexia nervosa (We Can): trial protocol of a randomised controlled trial investigating the effectiveness of different levels of support. Internet Interventions, 16, 76-85.
Spotts-De Lazzer, A. & Muhlheim, L. S. (2019). Could your higher weight patient have atypical anorexia? Journal of Health Service Psychology, 45, 3-10.
Tantillo, M., Starr, T., & Kreipe, R. (2019). The recruitment and acceptability of a project ECHO® eating disorders clinic: a pilot study of telementoring for primary medical and behavioral health care practitioners. Eating Disorders. E-publication ahead of print.
Turner, H., Bryant-Waugh, R., Marshall, E., & Wood, F. (2019). Patient expectations, eating disorder severity and personality features: Impact on eating pathology in psychological therapy for eating disorders. Eating Behaviors, 32, 85-89.
Tylka, T. L., Calogero, R. M., & Daníelsdóttir, S. (2019). Intuitive eating is connected to self-reported weight stability in community women and men. Eating Disorders. E-publication ahead of print.
Volpe, U., Monteleone, A. M., Ricca, V., Corsi, E., Favaro, A., Santonastaso, P., ... & Balestrieri, M. (2019). Pathways to specialist care for eating disorders: An Italian multicentre study. European Eating Disorders Review, 27(3), 274-282.
Wasil, A., Venturo-Conerly, K., Shingleton, R., & Weisz, J. (2019). The motivating role of recovery self-disclosures from therapists and peers in eating disorder recovery: perspectives of recovered women. Psychotherapy, 56(2), 170-180.
Weigel, T. J., Wang, S. B., Thomas, J. J., Eddy, K. T., Pierce, C., Zanarini, M. C., ... & Busch, A. (2019). Residential eating disorder outcomes associated with screening positive for substance use disorder and borderline personality disorder. International Journal of Eating Disorders, 52(3), 309-313.
Wong, L., Goh, L. G., & Ramachandran, R. (2019). Family-based therapy for anorexia nervosa: results from a 7-year longitudinal Singapore study. Eating and Weight Disorders. E-publication ahead of print.
Wufong, E., Rhodes, P., & Conti, J. (2019). “We don’t really know what else we can do”: parent experiences when adolescent distress persists after the Maudsley and family-based therapies for anorexia nervosa. Journal of Eating Disorders, 7, 5.
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