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A Retrospective Literature Review of Eating Disorder Research (1990–2021): Application of Bibliometrics and Topical Trends. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19137710. [PMID: 35805366 PMCID: PMC9265657 DOI: 10.3390/ijerph19137710] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/04/2022] [Revised: 06/17/2022] [Accepted: 06/20/2022] [Indexed: 12/24/2022]
Abstract
Despite the growing importance of eating disorders in society and academic literature, only a few bibliometric review studies using bibliometric analysis were available. Hence, this study aimed to explore and uncover hidden research topics and patterns in articles in terms of eating disorders over the last 30 years. In total, 4111 articles on eating disorders were analyzed using bibliometrics, network analyses, and structural topic modeling as the basis of mixed methods. In addition to general statistics about the journal, several key research topics, such as eating disorder (ED) treatment, ED symptoms, factors triggering ED, family related factors, eating behaviors, and social factors, were found based on topic correlations. This study found the key research variables that are frequently studied with EDs, such as AN, BN, BED, and ARFID. This study may help clinicians comprehend important risk factors associated with EDs. Moreover, the findings about key ED research topics and their association can be helpful for future studies to construct a comprehensive ED research framework. To our knowledge, this is the first study to use topic modeling in an academic journal on EDs and examine the diversity in ED research over 30 years of published research.
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Quadflieg N, Naab S, Voderholzer U, Fichter MM. Long-term outcome in males with anorexia nervosa: A prospective, sex-matched study. Int J Eat Disord 2022; 55:393-398. [PMID: 34984712 DOI: 10.1002/eat.23672] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/13/2021] [Revised: 12/17/2021] [Accepted: 12/18/2021] [Indexed: 11/11/2022]
Abstract
OBJECTIVE The objective of this study is to report on the 5.5-years outcome of anorexia nervosa (AN) in male adolescent inpatients and compare it to the outcome of female adolescent inpatients with AN. METHOD Diagnostic eating disorder outcome was assessed by the Structured Inventory of Anorexic and Bulimic Syndromes (DSM-IV) in 20 males and 20 females matched for AN diagnosis, age at treatment, and length of follow-up. For documentation, follow-up scores of the Eating Disorder Inventory and the Brief Symptom Inventory are reported. RESULTS Diagnostic outcome did not differ between sexes. Four male and six female participants had AN at follow-up. One male and four females had crossed to bulimia nervosa, and five males and three females to eating disorder not otherwise specified. Remission was found in 10 males and 7 females. Effect sizes were mostly small. At follow-up females had higher scores than males with large effect sizes for drive for thinness (Cohen's d = 0.86) and body dissatisfaction (d = 1.07). DISCUSSION Few significant sex differences were found. Additional research involving larger samples of males and a broader range of assessed outcomes (e.g., drive for muscularity) in both sexes is urgently needed.
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Affiliation(s)
- Norbert Quadflieg
- Department of Psychiatry and Psychotherapy, University Hospital, Ludwig-Maximilians-University Munich (LMU), Munich, Germany
| | - Silke Naab
- Schön Klinik Roseneck, affiliated with the Medical Faculty of the University of Munich (LMU), Prien, Germany
| | - Ulrich Voderholzer
- Department of Psychiatry and Psychotherapy, University Hospital, Ludwig-Maximilians-University Munich (LMU), Munich, Germany.,Schön Klinik Roseneck, affiliated with the Medical Faculty of the University of Munich (LMU), Prien, Germany
| | - Manfred M Fichter
- Department of Psychiatry and Psychotherapy, University Hospital, Ludwig-Maximilians-University Munich (LMU), Munich, Germany.,Schön Klinik Roseneck, affiliated with the Medical Faculty of the University of Munich (LMU), Prien, Germany
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Lane BR, Read GJM, Cook L, Salmon PM. A systems thinking perspective on the barriers to treatment access for people with eating disorders. Int J Eat Disord 2020; 53:174-179. [PMID: 31846107 DOI: 10.1002/eat.23214] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/06/2019] [Revised: 11/14/2019] [Accepted: 12/05/2019] [Indexed: 12/30/2022]
Abstract
Treatment access remains low for people with eating disorders. In addressing the complexity inherent in this challenge, this article introduces systems thinking and argues that it could provide new insights. Systems thinking views behavior as an emergent property of a system and considers the relationships between technical, organizational, and social components. Several methods used in safety science incorporate this thinking. For example, AcciMap draws focus to the influence of decisions and actions made across hierarchical levels of a system, including those by government, regulatory bodies, management, services, and individuals. By examining the findings of the existing literature on barriers to eating disorder treatment access according to these levels, it is evident that most identified barriers relate to individuals and that further research is needed to consider the influence of high-level stakeholders. Research using systems thinking should consider the causal networks of influence from government, regulatory, and organizational decisions and actions through to outcomes for clinicians and individuals. The understanding of how barriers operate within specific healthcare systems also warrants investigation. Systems thinking is yet to be formally applied in the area of eating disorders and thus represents an opportunity to inform the development and implementation of more effective, system wide interventions.
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Affiliation(s)
- Ben R Lane
- Centre for Human Factors and Sociotechnical Systems, University of the Sunshine Coast, Sippy Downs, Queensland, Australia
| | - Gemma J M Read
- Centre for Human Factors and Sociotechnical Systems, University of the Sunshine Coast, Sippy Downs, Queensland, Australia
| | - Lesley Cook
- Partners in Practice, Blackboro Associates Pty Ltd, Sydney, New South Wales, Australia
| | - Paul M Salmon
- Centre for Human Factors and Sociotechnical Systems, University of the Sunshine Coast, Sippy Downs, Queensland, Australia
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Taylor CB, Graham AK, Fitzsimmons-Craft EE, Sadeh-Sharvit S, Balantekin KN, Flatt RE, Goel NJ, Monterubio GE, Topooco N, Karam AM, Firebaugh ML, Ruzek JI, Funk B, Oldenburg B, Wilfley DE, Jacobi C. Optimizing eating disorder treatment outcomes for individuals identified via screening: An idea worth researching. Int J Eat Disord 2019; 52:1224-1228. [PMID: 31502312 PMCID: PMC7212685 DOI: 10.1002/eat.23169] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/22/2019] [Revised: 08/02/2019] [Accepted: 08/05/2019] [Indexed: 12/25/2022]
Abstract
In recent years, online screens have been commonly used to identify individuals who may have eating disorders (EDs), many of whom may be interested in treatment. We describe a new empirical approach that takes advantage of current evidence on empirically supported, effective treatments, while at the same time, uses modern statistical frameworks and experimental designs, data-driven science, and user-centered design methods to study ways to expand the reach of programs, enhance our understanding of what works for whom, and improve outcomes, overall and in subpopulations. The research would focus on individuals with EDs identified through screening and would use continuously monitored data, and interactions of interventions/approaches to optimize reach, uptake, engagement, and outcome. Outcome would be assessed at the population, rather than individual level. The idea worth researching is to determine if an optimization outcome model produces significantly higher rates of clinical improvement at a population level than do current approaches, in which traditional interventions are only offered to the few people who are interested in and able to access them.
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Affiliation(s)
- C. Barr Taylor
- Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Stanford, California, USA,Center for mHealth, Palo Alto University, Palo Alto, California, USA,Correspondence concerning this article should be addressed to: C. Barr Taylor, Center for mHealth, Palo Alto University, 5150 El Camino Real, RM D-14, Mountain View, California, 94022. Phone: 650-961-9300.
| | - Andrea K. Graham
- Department of Medical Social Sciences, Northwestern University, Chicago, Illinois, USA
| | | | - Shiri Sadeh-Sharvit
- Center for mHealth, Palo Alto University, Palo Alto, California, USA,Baruch Ivcher School of Psychology, Interdisciplinary Center, Herzliya, Israel
| | - Katherine N. Balantekin
- Department of Exercise and Nutrition Sciences, University at Buffalo, Buffalo, New York, USA
| | - Rachael E. Flatt
- Center for mHealth, Palo Alto University, Palo Alto, California, USA,Department of Psychology, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA
| | - Neha J. Goel
- Department of Psychology, Virginia Commonwealth University, Richmond, Virginia, USA,Institute for Inclusion, Inquiry and Innovation, Virginia Commonwealth University, Richmond, Virginia, USA
| | - Grace E Monterubio
- Department of Psychiatry, Washington University School of Medicine, St. Louis, Missouri, USA
| | - Naira Topooco
- Center for mHealth, Palo Alto University, Palo Alto, California, USA,Department of Behavioural Sciences and Learning, Linköping University, Sweden
| | - Anna M. Karam
- Department of Psychiatry, Washington University School of Medicine, St. Louis, Missouri, USA
| | - Marie-Laure Firebaugh
- Department of Psychiatry, Washington University School of Medicine, St. Louis, Missouri, USA
| | - Josef I. Ruzek
- Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Stanford, California, USA,Center for mHealth, Palo Alto University, Palo Alto, California, USA
| | - Burkhardt Funk
- Institute of Information Systems, Leuphana University, Luneberg, Germany
| | - Brian Oldenburg
- Melbourne School of Population Health, University of Melbourne, Melbourne, Australia
| | - Denise E. Wilfley
- Department of Psychiatry, Washington University School of Medicine, St. Louis, Missouri, USA
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Lee C, Treacy S, Haggith A, Wickramasinghe ND, Cater F, Kuhn I, Van Bortel T. A systematic integrative review of programmes addressing the social care needs of older prisoners. HEALTH & JUSTICE 2019; 7:9. [PMID: 31134392 PMCID: PMC6717991 DOI: 10.1186/s40352-019-0090-0] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 02/27/2019] [Accepted: 04/30/2019] [Indexed: 06/09/2023]
Abstract
BACKGROUND The number of older prisoners has risen exponentially over the last two decades, especially in high-income countries. Due to the increased and somewhat inadequately met health and social care needs of this group of prisoners, coupled with their vulnerability arising from higher levels of isolation, poverty and exploitation, financial costs have spiralled and human rights concerns have grown. This review aimed to present an overview of programmes that addressed older prisoners' social care needs, a particularly underdeveloped area, with a view to assessing the extent to which they could inform policy and practice. METHODS Following Whittemore and Knafl's (J Adv Nurs 52:546-553, 2005) integrative review approach, a comprehensive search - including 16 electronic databases and hand searching - was undertaken up to May 2017 using search terms related to context, function and disability. The quality of included papers was assessed, data were extracted using a review-specific form based on the PICO formula, and research questions addressed using a narrative synthesis approach. Additionally, reporting followed PRISMA guidelines. RESULTS A total of 29 papers were selected for inclusion, the majority of which focused on hospice programmes, with the remainder describing personal care-focused services, structured day programmes, and adaptations to prison operations (regime) and accommodation in support of prisoners' social care needs. Whilst the programmes were reported to have some positive impacts on prisoners and the prison overall, and programmes were perceived to be cost-effective or cost-neutral, outcomes regarding staff were more mixed. Findings were tempered by the methodological shortcomings of the included papers, with many assessed as low quality, with a lack of prisoner participation, and an absence of experimental studies. CONCLUSIONS The evidence base for programmes addressing older prisoners' social care needs appears to be at an embryonic stage. Further robust studies evaluating the effectiveness and cost-effectiveness of programmes addressing older prisoners' social care needs are imperative in better informing policy and practice in support of this highly vulnerable group.
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Affiliation(s)
- Caroline Lee
- Cambridge Institute of Public Health, University of Cambridge, Cambridge, UK
| | - Samantha Treacy
- Cambridge Institute of Public Health, University of Cambridge, Cambridge, UK
| | - Anna Haggith
- Cambridge Institute of Public Health, University of Cambridge, Cambridge, UK
| | - Nuwan Darshana Wickramasinghe
- Cambridge Institute of Public Health, University of Cambridge, Cambridge, UK
- Department of Community Medicine, Faculty of Medicine and Allied Science, Rajarata University of Sri Lanka, Saliyapura, Sri Lanka
| | - Frances Cater
- Cambridge Institute of Public Health, University of Cambridge, Cambridge, UK
| | - Isla Kuhn
- Medical Library, University of Cambridge, Cambridge, UK
| | - Tine Van Bortel
- Cambridge Institute of Public Health, University of Cambridge, Cambridge, UK
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Abstract
Most theories emphasize the role of sociocultural factors in the etiology of eating disorders (EDs). This article uses a broad search strategy to identify current etiologic studies. Women with an ED outnumber men in each diagnosis, but gender differences vary by diagnosis. Men were underrepresented in study samples, and information about variable risk factors in men is sparse. Findings suggest transdiagnostic risk factors and disorder-specific risk factors. Extracting data from population-based registers represents a major advance. Novel analytic approaches suggest complex pathways to ED. Although used in several studies, reliance on a transdiagnostic ED category (vs diagnosis-specific groupings) is premature.
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Affiliation(s)
- Ruth Striegel Weissman
- Department of Psychology, Wesleyan University, 207 High Street, Middletown, CT 06359, USA.
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Diedrichs PC, von Ranson KM, Thomas JJ. Innovation in eating disorders research and practice: Expanding our community and perspectives at the 2018 International Conference on Eating Disorders: Editorial to accompany IJED Virtual Issue in honor of the 2018 International Conference on Eating Disorders. Int J Eat Disord 2018; 51:585-587. [PMID: 29740841 DOI: 10.1002/eat.22881] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/15/2018] [Revised: 04/17/2018] [Accepted: 04/17/2018] [Indexed: 11/07/2022]
Abstract
OBJECTIVE This virtual issue of the International Journal of Eating Disorders (IJED) highlights the excellent and innovative research and practice discussed at the 2018 International Conference on Eating Disorders held in Chicago, Illinois, USA. METHOD AND RESULTS The virtual issue contains a series of articles recently published in IJED, which we have curated to reflect and expand on the insights delivered during the conference keynote and plenary presentations. DISCUSSION In line with the conference theme of Innovation in Research and Practice: Expanding our Community and Perspectives, we hope this collection of articles will spark new ideas for research, practice, and collaboration to accelerate knowledge on eating disorder risk factors and recovery, and the reach and impact of evidence-based treatment, prevention, and policy efforts.
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Affiliation(s)
- Phillippa C Diedrichs
- Centre for Appearance Research, University of the West of England, Bristol, United Kingdom
| | | | - Jennifer J Thomas
- Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts
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