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Background: Sex-related differences in eating-related distress (ERD) experienced by cancer patients have not previously been clarified.
Methods: We conducted a multicenter survey among advanced cancer patients referred to palliative care. Data on patient characteristics were collected from the electronic medical records, and data on measurement outcomes were obtained from a questionnaire. Patients were categorized into male and female groups. We measured ERD using the Questionnaire for Eating-Related Distress among Patients with advanced cancer (QERD-P). The QERD-P comprises 3 items in each of the 7 factors, for a total of 21 items, and each item is rated on a 7-point Likert scale. High scores indicate worse distress. Comparisons were calculated using the Mann-Whitney U test. To assess associations between sexes and ERD, multivariate logistic regression analysis was performed.
Results: A total of 192 patients were enrolled and divided into the male (n = 92) and female (n = 100) groups. The total score of the QERD-P was significantly higher in the male group (p = 0.018). The subtotal scores of "reasons why I cannot eat," "insufficient information," and "arguments with my family" were significantly higher in the male group (p = 0.035, 0.032, and 0.003, respectively). The male group had significantly higher risks for ERD associated with "arguments with my family" and "time with my family" (odds ratio [OR] 2.69, 95% confidence interval [CI] 1.38-5.24; OR 2.28, 95% CI 1.15-4.53).
Conclusions: Males had significantly worse ERD and were at higher risk of ERD in family relationships than females.
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http://dx.doi.org/10.1007/s00520-025-09302-2 | DOI Listing |
Front Behav Neurosci
July 2025
Institute for Research on Behavior and Food, São Paulo, Brazil.
Food cravings (FC) are closely associated with behaviors such as loss of control, binge eating, and emotional eating. Although FC is among the symptoms proposed for food addiction (FA), we argue that the distress associated with eating, managing cravings, and experiencing loss of control may not, in itself, constitute a framework consistent with addiction or addiction-like eating. Grouping these concepts under the FA label may contribute to conceptual confusion, potentially leading to diagnostic inaccuracies.
View Article and Find Full Text PDFSurg Endosc
September 2025
Department of Surgery, Emory University School of Medicine, 550 Peachtree Street Northeast, Medical Office Tower, 7th Floor, Atlanta, GA, 30308, USA.
Background: The association between Helicobacter pylori (HP) infection and gastrointestinal symptoms after metabolic and bariatric surgery (MBS) is poorly understood. While sleeve gastrectomy (SG) can exacerbate reflux, there is limited literature evaluating the impact of HP infection on post-SG symptoms. We hypothesize that HP-positive SG patients will experience worse post-operative reflux and eating-related (ER) symptoms.
View Article and Find Full Text PDFBMC Psychiatry
July 2025
Shanghai Mental Health Center, Shanghai Jiao Tong University School of Medicine, 600 Wan Ping Nan Road, Shanghai, 200030, P.R. China.
Background: Traditional descriptive nosology arbitrarily distinguishes between mental illness and health, hindering the progress of scientific research and clinical practice. Building on recent advancements in psychiatric conceptualization, this study proposes an innovative phased framework for deconstructing psychopathological heterogeneity. The framework involves four key steps: extraction of symptom dimensions, identification of psychopathological subtypes, characterization of symptom interaction patterns using a network approach, and validation of their incremental validity through links to neurobehavioral functions.
View Article and Find Full Text PDFCurr Oncol
May 2025
Liaison Psychiatry and Psycho-Oncology Unit, Department of Psychiatry and Behavioral Sciences, Graduate School of Medical and Dental Sciences, Institute of Science Tokyo, 1-5-45 Yushima, Bunkyo-ku, Tokyo 113-8519, Japan.
Registered dietitians (RDs) in palliative care help maintain patients' quality of life by providing personalized nutritional support that alleviates eating-related distress. This study aimed to clarify the role of RDs in palliative care by examining their responsibilities and challenges in caring for cancer patients. A nationwide mailed survey was conducted in 2022, focusing on RDs involved in cancer palliative care.
View Article and Find Full Text PDFBehav Ther
May 2025
School of Applied Psychology and Griffith Centre for Mental Health, Griffith University.
Many children are fussy or demanding about food, and managing these behaviors can be difficult and distressing for parents. Yet, no previous study had examined whether Parent-Child Interaction Therapy (PCIT), an interactive parenting support program that coaches caregivers while they interact with their young children, improves problematic mealtime behaviors and food-related parenting practices. In this study, 178 parents in Australia (M = 35.
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