Eating disorders: the big issue

Schmidt, Ulrike; Adan, Roger A.H.; Böhm, Ilka; Campbell, Iain C.; Dingemans, Alexandra E.; Ehrlich, Stefan; Elzakkers, Isis F. F. M.; Favaro, Angela; Giel, Katrin Elisabeth; Harrison, Amy; Himmerich, Hubertus; Hoek, Hans W.; Herpertz‐Dahlmann, Beate; Kas, Martien; Seitz, Jochen; Smeets, Paul A.M.; Sternheim, Lot; Tenconi, Elena; Elburg, Annemarie van; Furth, Eric F. van; Zipfel, Stephan

doi:10.1016/s2215-0366(16)00081-x

Cited by 218 publications

(208 citation statements)

References 12 publications

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“…For instance, age is particularly important to consider given that EDs typically onset during adolescence and young adulthood (Schmidt et al, 2016). Adolescence is an especially important period for neurodevelopment, particularly in terms of frontal regions involved in executive functions and frontolimbic connectivity underlying evaluation of, and responses to, risk and reward, as well as emotion regulation (Steinberg, 2005).…”

Section: Discussionmentioning

confidence: 99%

A systematic review of reviews of neurocognitive functioning in eating disorders: The state‐of‐the‐literature and future directions

Smith

Mason

Johnson

et al. 2018

Intl J Eating Disorders

123

111

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While these reviews have generally suggested varying patterns of neurocognitive deficits across EDs, there remain critical limitations regarding the methodological quality of these studies (e.g., the lack of prospective designs, consideration of confounding influences, or examination of interrelationships between neurocognitive domains and relationships between neurocognition and other relevant behavioral constructs). Specifically, we outline 10 key areas that are imperative to address in future research in this area in order to move our field forward.

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Section: Discussionmentioning

confidence: 99%

A systematic review of reviews of neurocognitive functioning in eating disorders: The state‐of‐the‐literature and future directions

Smith

Mason

Johnson

et al. 2018

Intl J Eating Disorders

123

111

View full text Add to dashboard Cite

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“…Binge eating, defined as the consumption of an objectively large amount of food accompanied by a sense of loss of control over eating (American Psychiatric Association, 2013), is associated with a range of negative psychological and physical correlates, including emotional distress, psychiatric morbidity, and weight gain (e.g., Schmidt et al, 2016). A wealth of research has demonstrated that negative affect is broadly related to maladaptive eating, including binge-eating episodes, and that individuals who engage in binge eating have difficulty tolerating and regulating aversive emotional states (e.g., Lavender et al, 2015; Leehr et al, 2015).…”

Section: Introductionmentioning

confidence: 99%

Relationships between eating disorder-specific and transdiagnostic risk factors for binge eating: An integrative moderated mediation model of emotion regulation, anticipatory reward, and expectancy

2018

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Although relationships between negative affect, emotion dysregulation, and binge eating have been well-established, the mechanisms and individual risk factors that account for this relationship have yet to be elucidated. In addition to emotion dysregulation, altered reward functioning and negative affect eating expectancies (i.e., the expectancy that eating will relieve negative affect) are factors that have been previously linked to binge eating, though theoretical frameworks have not provided an integrated conceptualization of relationships between these domains. Therefore, the present study examined an integrative moderated mediation model among a sample of 101 adults with self-reported eating disorder (ED) symptoms who completed a battery of online questionnaires. Results supported the hypothesized model, which demonstrated that eating expectancies mediated the relationship between emotion dysregulation and binge eating frequency, and there was a positive association between emotion dysregulation and eating expectancies among individuals high in anticipatory reward. These findings provide preliminary support for an integrated approach to understanding transdiagnostic and ED-specific risk factors that potentiate binge eating.

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“…This provides a clear message to the UK government that investment in ED training and knowledge for education professionals and a greater emphasis on student support around EDscould be vital tools in the costly battle [20] against sub-clinical and clinically diagnosable EDs in adolescents. Sadly, despite increases in incidence [21], EDs are notably absent from European Union HORIZEN 2020 funding streams [5] and an implication of these findings is that funding large clinical research initiatives which involve the whole system, including the resource of school-based pastoral care, are needed to reduce the onset and impact of these life-threatening disorders during adolescence.…”

Section: Resultsmentioning

confidence: 99%

“…Hospitalisation for EDs in young people has increased in the UK and the illness is recognised as a significant challenge for citizens of the European Union [5]. In keeping with this, EDs have begun to be recognised in government initiatives regarding wellbeing in young people [6].…”

Section: Introductionmentioning

confidence: 99%

Impact of the Quality of Pastoral Care on the Incidence of Eating Disorder Symptoms in Schools

Harrison¹

2017

JPCPY

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Peak age for eating disorder (ED) onset is 10-19 years; therefore schools are wellpositioned to promote prevention and support at-risk individuals. However, to date, little is known about the possible role that school-based pastoral support might provide in this context. This study aimed to investigate whether students' ED pathology differed depending on the quality of school-based pastoral care. Four hundred and twenty-five participants from five UK schools (52% female; n =221) aged 16-19 (M=17.14, SD=0.76) completed the Eating Disorder Examination Questionnaire and the Health of the Nations Outcomes Scale for Children and Adolescents. A rating system was applied to rate each school's pastoral care quality, operationalised as available student support, staff training/knowledge regarding EDs and ED-related school policies. Pastoral care quality had a significant, medium-sized impact on ED symptom prevalence (ηp²=.06), with higher quality care resulting in lower ED symptomatology. Additionally, overall wellbeing was also higher in schools with better quality pastoral care (ηp² =0.05). High quality pastoral care may be a useful tool in fighting disordered eating in adolescents.

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Eating disorders: the big issue

Cited by 218 publications

References 12 publications

A systematic review of reviews of neurocognitive functioning in eating disorders: The state‐of‐the‐literature and future directions

A systematic review of reviews of neurocognitive functioning in eating disorders: The state‐of‐the‐literature and future directions

Relationships between eating disorder-specific and transdiagnostic risk factors for binge eating: An integrative moderated mediation model of emotion regulation, anticipatory reward, and expectancy

Impact of the Quality of Pastoral Care on the Incidence of Eating Disorder Symptoms in Schools

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