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  1. Article: The importance of terminology, lived experience inclusion and scientific discussion regarding end-of-life care in anorexia nervosa: a response to Gaudiani et al.

    Phillipou, Andrea

    Journal of eating disorders

    2023  Volume 11, Issue 1, Page(s) 145

    Abstract: Whether or not to define 'terminal anorexia nervosa' has been a hotly debated topic in the eating disorders field recently. Being able to have open scientific debate on important topics such as this is essential for the progress of our field-but needs to ...

    Abstract Whether or not to define 'terminal anorexia nervosa' has been a hotly debated topic in the eating disorders field recently. Being able to have open scientific debate on important topics such as this is essential for the progress of our field-but needs to be undertaken respectfully, allowing all perspectives to be heard. My personal perspective on this topic comes from being a researcher who sees individuals with anorexia nervosa (AN) across all stages of illness and recovery, as well as having had a loved one die from AN. Although I disagree with the terminology of 'terminal AN' and believe that establishing criteria has the potential to cause harm, I strongly believe in showing compassion to individuals with AN across all illness stages, including those who may wish to seek end-of-life care. This is a complex issue that our field requires guidance on, and we need to work in genuine collaboration with individuals with lived experience of AN to figure out how to appropriately approach end-of-life care when it is warranted.
    Language English
    Publishing date 2023-08-25
    Publishing country England
    Document type Letter
    ZDB-ID 2699357-0
    ISSN 2050-2974
    ISSN 2050-2974
    DOI 10.1186/s40337-023-00872-2
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Advances in the Aetiology and Treatment of Anorexia Nervosa.

    Phillipou, Andrea

    Journal of clinical medicine

    2022  Volume 11, Issue 20

    Abstract: Anorexia nervosa (AN) is a complex psychiatric disorder [ ... ]. ...

    Abstract Anorexia nervosa (AN) is a complex psychiatric disorder [...].
    Language English
    Publishing date 2022-10-14
    Publishing country Switzerland
    Document type Editorial
    ZDB-ID 2662592-1
    ISSN 2077-0383
    ISSN 2077-0383
    DOI 10.3390/jcm11206068
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: A mental health research crisis in Australia.

    Phillipou, Andrea

    The Australian and New Zealand journal of psychiatry

    2021  Volume 56, Issue 7, Page(s) 872–873

    MeSH term(s) Australia ; Crisis Intervention ; Humans ; Mental Disorders/therapy ; Mental Health ; Mental Health Services
    Language English
    Publishing date 2021-12-28
    Publishing country England
    Document type Letter
    ZDB-ID 221140-3
    ISSN 1440-1614 ; 0004-8674
    ISSN (online) 1440-1614
    ISSN 0004-8674
    DOI 10.1177/00048674211068397
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    In stock of ZB MED Cologne/Königswinter

    Zs.A 856: Show issues Location:
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    Jg. 1995 - 2021: Lesesall (1.OG)
    ab Jg. 2022: Lesesaal (EG)

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  4. Article ; Online: Eating behaviours and personality characteristics of clinicians and researchers working in eating disorders.

    Poiani-Cordella, Catiray / Toh, Wei Lin / Phillipou, Andrea

    Eating disorders

    2023  Volume 32, Issue 2, Page(s) 195–211

    Abstract: Disturbances in eating behaviours and differences in personality characteristics, such as perfectionism, cognitive flexibility, and obsessive-compulsive behaviours, are commonly reported in individuals with eating disorders (ED) and can influence the ... ...

    Abstract Disturbances in eating behaviours and differences in personality characteristics, such as perfectionism, cognitive flexibility, and obsessive-compulsive behaviours, are commonly reported in individuals with eating disorders (ED) and can influence the development and maintenance of EDs. The presence of these characteristics in ED professionals may also have an influence on their patients. The aim of this study was to gain a better understanding of the presence of these behaviours and characteristics in ED clinicians/researchers (EDCR). This study examined whether these constructs differed amongst 83 EDCR and 47 general mental health clinicians/researchers (MHCR), who completed an online survey, measuring eating disorder symptomology, orthorexia nervosa, perfectionism, cognitive flexibility, and obsessive-compulsive traits. Significantly less dietary restraint, eating concerns and orthorexia nervosa behaviours, but significantly poorer ability to seek out alternative solutions (i.e. a component of cognitive flexibility) were found in the EDCR group compared with the MHCR group. Moderation analysis found no effect of ED history on the relationship between eating behaviours and group. These results suggest that working in the ED field may be a protective factor against developing certain disordered eating behaviours. However, poorer cognitive flexibility may adversely impact EDCRs, and should be considered when carrying out their clinical and/or research duties.
    MeSH term(s) Humans ; Feeding and Eating Disorders ; Feeding Behavior ; Personality
    Language English
    Publishing date 2023-12-14
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1209799-8
    ISSN 1532-530X ; 1064-0266 ; 1067-1633
    ISSN (online) 1532-530X
    ISSN 1064-0266 ; 1067-1633
    DOI 10.1080/10640266.2023.2293502
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    In stock of ZB MED Cologne/Königswinter

    Zs.A 4394: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
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    Jg. 1995 - 2021: Lesesall (2.OG)
    ab Jg. 2022: Lesesaal (EG)

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  5. Article ; Online: Investigating differences in cognitive flexibility, clinical perfectionism, and eating disorder-specific rumination across anorexia nervosa illness states.

    Miles, Stephanie / Nedeljkovic, Maja / Phillipou, Andrea

    Eating disorders

    2023  Volume 31, Issue 6, Page(s) 610–631

    Abstract: Introduction: Cognitive inflexibility, clinical perfectionism, and eating disorder (ED)-specific rumination are common characteristics reported in anorexia nervosa (AN) and may contribute to the maintenance of the illness. It is suggested that clinical ... ...

    Abstract Introduction: Cognitive inflexibility, clinical perfectionism, and eating disorder (ED)-specific rumination are common characteristics reported in anorexia nervosa (AN) and may contribute to the maintenance of the illness. It is suggested that clinical perfectionism and rumination may mediate the relationship between cognitive flexibility and AN pathology; however, research to date has not investigated all these factors together. The aim of the current study was to explore the relationships between these factors and how they may relate to ED symptoms in AN.
    Methods: Participants included 15 women with a current diagnosis of AN, 12 women who had a past diagnosis of AN and were currently weight-restored, and 15 healthy controls (HCs).
    Results: The results revealed that participants with both acute and weight-restored AN self-reported poorer cognitive flexibility than HCs, but the groups did not differ in performance on objective assessments of cognitive flexibility. Participants with AN also reported significantly greater clinical perfectionism and ED-specific rumination than HC. A parallel mediation analysis found that ED-specific rumination mediated the relationship between subjective cognitive flexibility and ED symptoms. Further, subjective cognitive flexibility directly influenced ED symptoms. However, the mediation model was not significant for objective cognitive flexibility.
    Conclusion: The findings of this study have implications for potential treatment barriers and factors which might contribute to the risk of relapse.
    MeSH term(s) Humans ; Female ; Anorexia Nervosa/psychology ; Perfectionism ; Feeding and Eating Disorders ; Self Report ; Cognition
    Language English
    Publishing date 2023-05-01
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1209799-8
    ISSN 1532-530X ; 1064-0266 ; 1067-1633
    ISSN (online) 1532-530X
    ISSN 1064-0266 ; 1067-1633
    DOI 10.1080/10640266.2023.2206751
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    In stock of ZB MED Cologne/Königswinter

    Zs.A 4394: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
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    ab Jg. 2022: Lesesaal (EG)

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  6. Article ; Online: Current directions in biomarkers and endophenotypes for anorexia nervosa: A scoping review.

    Malcolm, Amy / Phillipou, Andrea

    Journal of psychiatric research

    2021  Volume 137, Page(s) 303–310

    Abstract: There are currently no validated biomarkers for anorexia nervosa (AN), though recent literature suggests an increased research interest in this area. Biomarkers are objective, measurable indicators of illness that can be used to assist with diagnosis, ... ...

    Abstract There are currently no validated biomarkers for anorexia nervosa (AN), though recent literature suggests an increased research interest in this area. Biomarkers are objective, measurable indicators of illness that can be used to assist with diagnosis, risk assessment, and tracking of illness state. Related to biomarkers are endophenotypes, which are quantifiable phenomena that are distinct from symptoms and which link genes to manifest illness. In this scoping review, we sought to provide a summary of recent research conducted in the pursuit of biomarkers and endophenotypes for AN. The findings indicate that a number of possible biomarkers which can assess the presence or severity of AN independently of weight status, including psychophysical (e.g., eye-tracking) and biological (e.g., immune, endocrine, metabolomic, neurobiological) markers, are currently under investigation. However, this research is still in early phases and lacking in replication studies. Endophenotype research has largely been confined to the study of several neurocognitive features, with mixed evidence to support their classification as possible endophenotypes for the disorder. The study of biomarkers and endophenotypes in AN involves significant challenges due to confounding factors of illness-related sequalae, such as starvation. Future research in these areas must prioritise direct evaluation of the sensitivity, specificity and test-retest reliability of proposed biomarkers and enhanced control of confounding physical consequences of AN in the study of biomarkers and endophenotypes.
    MeSH term(s) Anorexia Nervosa/genetics ; Biomarkers ; Endophenotypes ; Humans ; Reproducibility of Results
    Chemical Substances Biomarkers
    Language English
    Publishing date 2021-03-06
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't ; Review
    ZDB-ID 3148-3
    ISSN 1879-1379 ; 0022-3956
    ISSN (online) 1879-1379
    ISSN 0022-3956
    DOI 10.1016/j.jpsychires.2021.02.063
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  7. Article: Correction: An evaluation of the predictive validity of the URICA and ANSOCQ scales for weight gain in adults with AN in an outpatient eating disorders program: a prospective cohort study.

    Green, Jessica / Phillipou, Andrea / Castle, David / Cistullo, Leonardo / Newton, Richard

    Journal of eating disorders

    2023  Volume 11, Issue 1, Page(s) 200

    Language English
    Publishing date 2023-11-13
    Publishing country England
    Document type Published Erratum
    ZDB-ID 2699357-0
    ISSN 2050-2974
    ISSN 2050-2974
    DOI 10.1186/s40337-023-00923-8
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  8. Article ; Online: Striving to support the supporters: A mixed methods evaluation of the strive support groups for caregivers of individuals with an eating disorder.

    Lefkovits, Aviva Margaret / Pepin, Genevieve / Phillipou, Andrea / Giles, Sarah / Rowan, Jane / Krug, Isabel

    European eating disorders review : the journal of the Eating Disorders Association

    2024  

    Abstract: This mixed-methods study evaluated a peer-led support group for ED caregivers; the Eating Disorders Families Australia strive support groups. Quantitatively, 110 past or current strive attendees completed an online survey assessing their own and their ... ...

    Abstract This mixed-methods study evaluated a peer-led support group for ED caregivers; the Eating Disorders Families Australia strive support groups. Quantitatively, 110 past or current strive attendees completed an online survey assessing their own and their care recipients' demographic profiles, strive's impact on caregiving experiences, and caregivers' psychological distress, burden, caregiving skills and self-efficacy. Qualitative assessment comprised open-ended survey questions about caregivers' strive experiences, reinforced by in-depth focus group assessment of nine participants. Quantitative analyses revealed that participants felt more confident and supported, and less isolated in their caregiving since attending strive. Caregivers displayed mid-range psychological distress and caregiver burden, and moderate caregiver skills and self-efficacy. Qualitatively, the most helpful aspects of strive were the shared experience among participants, education, and support. The most difficult elements were emotional distress and overly dominant members. Reflections discussed the necessity of caregiver support and factors impacting strive attendance. Participants recommended resuming face-to-face contact and differentiating groups based on participant characteristics (e.g. care recipients' age/stage of illness). The current findings provide support for the importance and overall positive contribution of support groups led by caregivers, such as strive.
    Language English
    Publishing date 2024-04-13
    Publishing country England
    Document type Journal Article
    ZDB-ID 1159507-3
    ISSN 1099-0968 ; 1067-1633 ; 1072-4133
    ISSN (online) 1099-0968
    ISSN 1067-1633 ; 1072-4133
    DOI 10.1002/erv.3090
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    Zs.A 3760: Show issues Location:
    Je nach Verfügbarkeit (siehe Angabe bei Bestand)
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    Jg. 1995 - 2021: Lesesall (2.OG)
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  9. Article ; Online: Understanding self-report and neurocognitive assessments of cognitive flexibility in people with and without lifetime anorexia nervosa.

    Miles, Stephanie / Nedeljkovic, Maja / Sumner, Philip / Phillipou, Andrea

    Cognitive neuropsychiatry

    2022  Volume 27, Issue 5, Page(s) 325–341

    Abstract: ... ...

    Abstract Objective
    MeSH term(s) Anorexia Nervosa/complications ; Anorexia Nervosa/psychology ; Cognition ; Humans ; Neuropsychological Tests ; Self Report
    Language English
    Publishing date 2022-02-10
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 1324282-9
    ISSN 1464-0619 ; 1354-6805
    ISSN (online) 1464-0619
    ISSN 1354-6805
    DOI 10.1080/13546805.2022.2038554
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    In stock of ZB MED Cologne/Königswinter

    Zs.A 4855: Show issues Location:
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  10. Article ; Online: Eating disorders in young people.

    Phillipou, Andrea / McGorry, Patrick / Killackey, Eóin / Maguire, Sarah

    Australasian psychiatry : bulletin of Royal Australian and New Zealand College of Psychiatrists

    2023  Volume 31, Issue 3, Page(s) 346–348

    Abstract: Objective: Eating disorders (EDs) have their onset most frequently in adolescence and young adulthood. Treatment for EDs lack efficacy, and we have made little progress in improving outcomes for patients over the course of the last several decades. As ... ...

    Abstract Objective: Eating disorders (EDs) have their onset most frequently in adolescence and young adulthood. Treatment for EDs lack efficacy, and we have made little progress in improving outcomes for patients over the course of the last several decades. As with other mental health conditions, early intervention may greatly improve outcomes, yet, little research exists in this area.
    Conclusions: More effective evidence-based treatments are sorely needed for EDs, particularly for early stages of the illness to minimise the potential harms of treatment and long-standing illness. Treatment service models would also benefit from taking an approach that ensures continuation of care from adolescence to young adulthood.
    MeSH term(s) Adolescent ; Humans ; Young Adult ; Adult ; Feeding and Eating Disorders/therapy ; Treatment Outcome ; Anorexia Nervosa/therapy
    Language English
    Publishing date 2023-02-28
    Publishing country England
    Document type Journal Article
    ZDB-ID 2213198-X
    ISSN 1440-1665 ; 1039-8562
    ISSN (online) 1440-1665
    ISSN 1039-8562
    DOI 10.1177/10398562231159514
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