Prevention and Intervention in Eating Disorders

A special issue of Healthcare (ISSN 2227-9032). This special issue belongs to the section "Preventive Medicine".

Deadline for manuscript submissions: 31 May 2025 | Viewed by 2226

Special Issue Editors


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Guest Editor
Department of Physical Education, Life Science Institute, Federal University of Juiz de Fora, Governador Valadares 36036-900, MG, Brazil
Interests: body image; eating disorders; social psychology; scale development; health psychology; dissonance-based interventions; prevention; psychometrics

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Guest Editor
Federal Institute of Education, Science and Technology of the Southeast of Minas Gerais—Barbacena Campus, São José, Barbacena 36205-018, Brazil
Interests: body image; eating disorders; adolescents; dissonance-based interventions; prevention; scale development; psychometrics

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Guest Editor
Institute of Psychiatry, University of São Paulo, São Paulo 05403-010, SP, Brazil
Interests: eating disorders; eating behaviors; adolescents; prevention; intervention; motivational interviewing; intuitive eating

Special Issue Information

Dear Colleagues,

Eating disorders (EDs) are complex psychiatric conditions with both medical and social-cognitive symptoms and consequences. Most individuals with EDs do not receive treatment, and treatment results in the lasting remission of symptoms for less than half of patients. Thus, EDs follow a chronic and relapsing course and are marked by distress, impairment, and an increased risk of future obesity, depression, suicide, and mortality, with high costs to public health.

EDs present a significant threat to the health of adolescents and young adults, yet remain under-treated at a population level. Furthermore, EDs have historically been thought to afflict “skinny, white, affluent girls” (the SWAG stereotype). As such, higher-weight individuals, racial/ethnic minorities, sexual and gender minorities, those from socioeconomically disadvantaged backgrounds, and males may not recognize their need for treatment, may not be properly screened for EDs, and/or may not be referred to treatment. Therefore, effective interventions for EDs among these groups are required.

One barrier to mental health care is the fact that the prevalence of EDs is more than high enough to overwhelm the number of professionals qualified to treat and support people with these complex disorders. Furthermore, EDs affect individuals across cultures, ethnicities, gender identities, age, and socioeconomic status. Thus, developing effective ED prevention programs that can be broadly implemented is a priority for public health.

Fortunately, there are several promising preventive interventions for ED risk factors, including cognitive dissonance, cognitive behavior, healthy lifestyle modification, psychoeducation, interpersonal psychotherapy, and media literacy. However, as observed in intervention studies, most preventive programs have been developed for “skinny, white, affluent girls” (the SWAG stereotype). Therefore, the development of preventive programs for marginalized groups (i.e., women, people of disabilities, people of color, sexual and gender minorities; ethnic and racial marginalized groups; people of lower socio-economic status, and others) and other at-risk groups (i.e., athletes, ballet dancers, fashion models, among other) is welcome. The development of technology-based interventions has also been encouraged. The use of innovative approaches has demonstrated promising results and is especially vital in enhancing the interactivity and attractiveness of the intervention, and has contributed to the broad dissemination of existing prevention programs.

We are pleased to invite you to provide clinicians and researchers with evidence-based interventions for EDs. Pilot studies and randomized controlled trials that test the efficacy and/or effectiveness of ED prevention programs among marginalized and other at-risk groups (but not limited to these groups) are welcome. We also encourage the submission of review articles and meta-analyses.

Research areas may include (but are not limited to) the following:

  • Systematic reviews and meta-analyses of existing intervention or prevention programs;
  • Scoping reviews of available intervention or prevention programs among marginalized and other at-risk groups;
  • Pilot studies and randomized controlled trials of intervention or ED prevention programs.

We look forward to receiving your contributions.

Dr. Pedro Henrique Berbert De Carvalho
Dr. Ana Carolina Soares Amaral
Dr. Karin Louise Lenz Dunker
Guest Editors

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Keywords

  • eating disorders
  • body image
  • risk factors
  • prevention
  • intervention
  • sexual and gender minorities
  • marginalized groups
  • efficacy
  • efficiency
  • technology-based interventions

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Published Papers (2 papers)

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13 pages, 1661 KiB  
Article
Childhood Trauma, Cognition, and Eating Psychopathology: A Network Analysis
by Kathryn Pasquariello, David A. Gansler, Sukanya Ray, Malvina O. Pietrzykowski, Margaret Pulsifer and Christina Ralph-Nearman
Healthcare 2025, 13(6), 630; https://doi.org/10.3390/healthcare13060630 - 14 Mar 2025
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Abstract
Background/Objectives: Childhood trauma is associated with psychiatric sequelae beyond post-traumatic stress disorder (PTSD), including eating disorders (EDs) and cognitive dysfunction. While eating pathology is related to cognition irrespective of childhood trauma exposure, such experiences may influence the way in which these symptoms [...] Read more.
Background/Objectives: Childhood trauma is associated with psychiatric sequelae beyond post-traumatic stress disorder (PTSD), including eating disorders (EDs) and cognitive dysfunction. While eating pathology is related to cognition irrespective of childhood trauma exposure, such experiences may influence the way in which these symptoms develop. One method that has garnered increased interest in studying the interrelationships between symptoms and pinpointing core features of psychopathology is network analysis. Methods: Using data from the Nathan Kline Institute Rockland Sample, the present study utilized network analysis to examine associations between ED symptoms and cognitive deficits among a community sample. Comorbidity networks were constructed in two samples: adult reporters of childhood trauma (n = 116) and non-reporters (n = 101). Results: In line with the cognitive-behavioral model of EDs, overvaluation of weight/shape was central to both networks but demonstrated higher strength centrality among trauma reporters. Additionally, among trauma reporters, executive functioning deficits were linked to food-related attentional biases; alternatively, affective symptoms were salient among non-reporters. Finally, negative self-concept (theorized as a putative consequence of cognitive deficits) was implicated in both networks. When comparing the networks according to global strength, we did not find significant differences. Conclusions: Our findings contribute to the literature examining the interrelatedness of eating pathology and cognition and extend these findings by considering the role of trauma exposure. While our networks shared features of overvaluation of weight/shape and negative self-concept, they differed according to cognitive-affective concomitants. This information holds clinical utility in advancing assessment and intervention for individuals with eating psychopathology. Full article
(This article belongs to the Special Issue Prevention and Intervention in Eating Disorders)
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Review

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17 pages, 696 KiB  
Review
The Battle Within: A Qualitative Meta-Synthesis of the Experience of the Eating Disorder Voice
by Panagiota Tragantzopoulou, Christos Mouratidis, Konstantina Paitaridou and Vaitsa Giannouli
Healthcare 2024, 12(22), 2306; https://doi.org/10.3390/healthcare12222306 - 18 Nov 2024
Cited by 2 | Viewed by 1332
Abstract
Background/Objectives: Individuals with eating disorders frequently describe encountering a highly critical internal voice that fixates on their eating habits, body shape, and weight. While existing literature acknowledges the significant impact of this eating disorder voice on affected individuals and its influence on treatment [...] Read more.
Background/Objectives: Individuals with eating disorders frequently describe encountering a highly critical internal voice that fixates on their eating habits, body shape, and weight. While existing literature acknowledges the significant impact of this eating disorder voice on affected individuals and its influence on treatment trajectories, research in this area remains limited. This study aimed to comprehensively examine and synthesize qualitative data concerning the experience of the eating disorder voice, with the goal of deepening our understanding of its fundamental characteristics and informing more effective approaches to assessment, treatment, and support in clinical settings. Methods: A systematic search was conducted across six databases for studies presenting qualitative findings relevant to the eating disorder voice. Fifteen studies were included, and their findings were reviewed and synthesized. Results: Results revealed that the eating disorder voice is often perceived by individuals as both protective and comforting, yet also controlling and intrusive, often seen as a force more powerful than themselves. Participants described a constant struggle to manage this internal criticism by differentiating themselves from the voice, with the fear of separation from the voice posing a significant challenge. Conclusions: This study underscores the complex nature of the EDV and its profound impact on individuals with eating disorders. Full article
(This article belongs to the Special Issue Prevention and Intervention in Eating Disorders)
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