Development and usability testing of an online platform for provider training and implementation of cognitive-behavioral therapy guided self-help for eating disorders.

Background: Most individuals with eating disorders (EDs) do not receive treatment, and those who do receive care typically do not receive evidence-based treatment, partly due to lack of accessible provider training. This study developed a novel "all-in-one" online platform for disseminating training for mental health providers in cognitive-behavioral therapy guided self-help (CBTgsh) for EDs and supporting its implementation. The aim of the study was to obtain usability data from the online platform prior to evaluating its effects on provider training outcomes and patient ED symptom outcomes in an open pilot trial.

Psychobiological Exercise Response: A Pilot Investigation of a Laboratory Exercise Assessment Paradigm Among Young Women With Eating Disorders.

Objective: Compulsive exercise is a common feature of eating disorders (EDs) but understanding of factors that drive this symptom remains limited. This pilot trial evaluated psychobiological response to in-laboratory exercise among females (14-22 years) with and without restrictive eating pathology. We aimed to demonstrate the feasibility of two exercise assessment protocols and provide initial estimates of acute exercise effects on affect, body image, and circulating blood-based biomarkers (brain-derived neurotrophic factor [BDNF], cortisol, N-arachodonoylethanolamine [AEA], 2-arachidonoylglycerol [2-AG], leptin).

Weighing in: Clinician and Patient Perspectives on Discussions of Expected Body Weights in Eating Disorder Treatment.

Objective: Clinicians often determine an "expected body weight" (EBW) for patients who have lost weight due to an eating disorder (ED). However, there is inconsistent guidance and limited empirical research on when, how, and why to discuss EBWs with patients. This study explores clinician and patient perspectives on discussions of EBWs.

Developing a digital intervention to combat fatphobia and anti-fat bias.

Introduction: The Body Advocacy Movement (BAM) is an in-person, peer-led, cognitive-dissonance-based eating disorder (ED) prevention program that reduces fatphobia and anti-fat bias. Developing a digital adaptation of BAM has the potential to increase its accessibility and fill a critical gap in existing digital ED interventions, which to date have not specifically targeted anti-fat bias or fatphobia. This study applies a human-centered design approach to inform the development of a digital version of BAM.

Adaptations of an online cognitive-behavioral therapy intervention for binge type eating disorders in publicly-insured and uninsured adults: a pilot study.

Background: Publicly-insured and uninsured individuals-many of whom are marginalized because of race/ethnicity, ability status, and/or other social identities-experience barriers to accessing evidence-based interventions (EBIs) for eating disorders (EDs). Additionally, EBIs have not been developed with or for diverse populations, exacerbating poor treatment uptake. Mobile technology is well-positioned to bridge this gap and increase access to low-cost, culturally-sensitive EBIs.

Clinical Experiences Using Family Based Treatment for Eating Disorders.

Objective: Despite the availability of several evidence-based treatments for eating disorders (EDs), including Family-Based Treatment (FBT), therapist drift from evidence-based treatments in real-life clinical settings is common. This study explores clinicians' use of FBT techniques and identifies clinician-reported barriers to their use in real-world settings.

Methods: Clinicians (N = 54) who self-identified as using FBT for EDs were recruited through social media, professional listservs, and mental health provider databases.

Development and usability testing of a cognitive-behavioral therapy-guided self-help mobile app and social media group for the post-acute treatment of anorexia nervosa.

Objective: Anorexia nervosa (AN) is often treated in the acute setting, but relapse after treatment is common. Cognitive-behavioral therapy (CBT) is useful in the post-acute period, but access to trained providers is limited. Social support is also critical during this period.

Adaptations of an Online Cognitive-Behavioral Therapy Intervention for Binge-Purge Type Eating Disorders in Publicly-Insured and Uninsured Adults: A Pilot Study.

Background Publicly-insured and uninsured individuals-many of whom are marginalized because of race/ethnicity, disability and/or sexual preferences-experience barriers to accessing evidence-based interventions for eating disorders (EDs). Additionally, EBIs have not been developed with or for diverse populations, exacerbating poor treatment uptake. Mobile technology is perfectly positioned to bridge this gap and increase access to low-cost, culturally-sensitive EBIs.

A pilot randomized controlled trial of a cognitive-behavioral therapy guided self-help mobile app for the post-acute treatment of anorexia nervosa: A registered report.

Introduction: Relapse following acute treatment for anorexia nervosa (AN) is common. Evidence suggests cognitive-behavioral therapy (CBT) may be useful in the post-acute period, but few patients have access to trained providers. mHealth technologies have potential to increase access to high-quality care for AN, including in the post-acute period.

Body dissatisfaction and disordered eating within the mother-daughter dyad: An actor-partner interdependence approach.

Research on body image and eating within the mother-daughter dyad tends to emphasize the influence that mothers may have on daughters, with little focus on the concomitant influence that daughters may have on mothers. Utilizing the Actor-Partner Interdependence Model (APIM) within a sample of mothers and their daughters within three age ranges (middle school, high school, and college, N = 356 dyads), we examined relations between mother and daughter body dissatisfaction and restrictive eating and bulimic symptoms. Results indicated that mother and daughter body dissatisfaction significantly predicted their own eating pathology (actor effects).