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A study is conducted which studies the relationship between binge eating disorders and dieting and negative affect dimensions. It concludes that moderate dieting is a key aspect of binge eating disorder and that affective disturbances are only experienced in a subset of cases.

Research examining psychological motivators of tendencies toward perfectionism in obese women suffering from binge eating disorders is presented. Particular attention is given to socially prescribed, self-oriented and other-oriented forms of perfectionism.

A new study examines the relationship between dieting and binge eating in the natural environment. The study shows that the relationship between dieting and binge eating is moderated by negative affect in females in cross-sectional and prospective analyses but cross-sectional analyses reveals negative effect potentiates the relation between binge eating and dieting. Similar results are seen in males.

A dissonance-based targeted preventive intervention program for eating disorders is tested, using 30 undergraduate women with high body image awareness, ranging in age from 18 to 22. The students were assigned to a three-session dissonance intervention where they had to argue against the thin ideal. It is shown that thin-ideal internalization, negative effect and body dissatisfaction decreased following the program.

Importance: Anorexia nervosa (AN) is a serious disorder with high rates of morbidity and mortality. Family-based treatment (FBT) is an evidence-based therapy for adolescent AN, but less than half of those who receive this approach recover. Hence, it is important to identify other approaches to prevent the development of the chronic form of AN for which there is no known evidence-based treatment.Objective: To compare FBT with systemic family therapy (SyFT) for the treatment of adolescent-onset AN.Design, Setting, and Participants: Research in Anorexia Nervosa (RIAN) is a 2-group (FBT and SyFT) randomized trial conducted between September 2005 and April 2012. Interviewers were blinded to the treatment condition. A total of 564 adolescents receiving care at 6 outpatient clinics experienced in the treatment of AN were screened. Of these, 262 adolescents did not meet the inclusion criteria and 138 declined to participate; hence, 164 adolescents (aged 12-18 years) of both sexes meeting the criteria for Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, AN (except for amenorrhea) were enrolled. Three participants were withdrawn from FBT and 7 were withdrawn from SyFT after serious adverse events occurred.Interventions: Two manualized family therapies with 16 one-hour sessions during 9 months. Family-based therapy focuses on the facilitation of weight gain, whereas SyFT addresses general family processes.Main Outcomes and Measures: The primary outcomes were percentage of ideal body weight (IBW) and remission (≥95% of IBW). The a priori hypothesis was that FBT would result in faster weight gain early in treatment and at the end of treatment (EOT).Results: There were no statistically significant differences between treatment groups for the primary outcome, for eating disorder symptoms or comorbid psychiatric disorders at the EOT or follow-up. Remission rates included FBT, 33.1% at the EOT and 40.7% at follow-up and SyFT, 25.3% and 39.0%, respectively. Family-based therapy led to significantly faster weight gain early in treatment, significantly fewer days in the hospital, and lower treatment costs per patient in remission at the EOT (FBT, $8963; SyFT, $18 005). An exploratory moderator analysis found that SyFT led to greater weight gain than did FBT for participants with more severe obsessive-compulsive symptoms.Conclusions and Relevance: The findings of this study suggest that FBT is the preferred treatment for adolescent AN because it is not significantly different from SyFT and leads to similar outcomes at a lower cost than SyFT. Adolescents with more severe obsessive-compulsive symptoms may receive more benefits with SyFT.Trial Registration: clinicaltrials.gov Identifier NCT00610753. [ABSTRACT FROM AUTHOR]

The article examines the effect of a brief outpatient problem-solving intervention to promote healthy eating and nutrition activity in adolescents in the U.S. between June 2011 and January 2012. A randomized, controlled study was conducted to evaluate the intervention of 50 patients who were recruited from a mobile teen health van, teenager clinic, and pediatric obesity clinic. The study suggests that the intervention is feasible to improve the health and self-management skills of adolescents.

ABSTRACT Objective To examine the predictive value of end of treatment (EOT) outcomes for longer term recovery status. Method We used signal detection analysis to identify the best predictors of recovery based on outcome at EOT using five different eating disorder samples from randomized clinical treatment trials. We utilized a transdiagnostic definition of recovery that included normalization of weight and eating related psychopathology. Results Achieving a body weight of 95.2% of expected body weight by EOT is the best predictor of recovery for adolescents with anorexia nervosa (AN). For adults with AN, the most efficient predictor of weight recovery (BMI > 19) was weight gain to greater than 85.8% of ideal body weight. In addition, for adults with AN, the most efficient predictor of psychological recovery was achievement of an eating disorder examination (EDE) weight concerns score below 1.8. The best predictor of recovery for adults with Bulimia Nervosa (BN) was a frequency of compensatory behaviors less than two times a month. For adolescents with BN, abstinence from purging and reduction in the EDE restraint score of more than 3.4 from baseline to EOT were good predictors of recovery. For adults with binge eating disorder, reduction of the Global EDE score to within the normal range (<1.58) was the best predictor of recovery. Discussion The relationship between EOT response and recovery remains understudied. Utilizing a transdiagnostic definition of recovery, no uniform predictors were identified across all eating disorder diagnostic groups. © 2013 Wiley Periodicals, Inc. (Int J Eat Disord 2013; 46:771-778) [ABSTRACT FROM AUTHOR]

The risk for the emergence of inhibited eating, overeating, secretive eating and vomiting accelerates annually through age five, according to research undertaken among 216 newborns and their parents recruited from three hospitals in the San Francisco Bay, CA, area. The cumulative hazards of the five-year period for the onset of secretive eating and overeating were greater than for the onset of vomiting and inhibited eating. The greatest risk appears to take place around age five, but it is possible that the hazard for the onset of eating disturbances continues to rise during late childhood.