Publications by authors named "Kelsie Forbush"

Article Synopsis
  • Research indicates a strong association between insomnia and binge eating symptoms among college students with eating disorders, suggesting that insomnia may contribute to eating disorder severity.
  • Although treatment reduced insomnia symptoms modestly, approximately 50% of participants with significant insomnia at the start of treatment continued to experience sleep issues post-treatment.
  • Future research is necessary to explore the causal relationship between insomnia and eating disorders and to investigate effective treatments addressing both conditions.
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Introduction: Compensatory eating disorder (CED) is a newly proposed 'other specified feeding and eating disorder' characterized by recurrent non-purging compensatory behaviors (e.g., compulsive exercise and/or food restriction), overvaluation of weight/shape, the absence of objective binge-eating episodes, and the absence of low weight or recent significant weight loss.

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Article Synopsis
  • There is a lack of body image programs tailored for Latine women despite a growing focus on ethnic diversity in related research.
  • The study utilized interviews with 19 Latine women to understand their perceptions of both positive and negative body images, identifying key themes and subthemes.
  • Findings highlight the need for culturally sensitive programs that address the specific challenges faced by Latine women, which can ultimately enhance their body image experiences.
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The Hierarchical Taxonomy of Psychopathology (HiTOP) is a dimensional framework for psychopathology advanced by a consortium of nosologists. In the HiTOP system, psychopathology is grouped hierarchically from super-spectra, spectra, and subfactors at the upper levels to homogeneous symptom components and maladaptive traits and their constituent symptoms, and maladaptive behaviors at the lower levels. HiTOP has the potential to improve clinical outcomes by planning treatment based on symptom severity rather than heterogeneous diagnoses, targeting treatment across different levels of the hierarchy, and assessing distress and impairment separately from the observed symptom profile.

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This study describes a hierarchical dimensional model of eating-disorder (ED) classification based on the Hierarchical Taxonomy of Psychopathology (HiTOP). Participants were community-recruited adults with an ED (=252; 81.9% female).

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Objective: Although social media use, such as Instagram, has been associated with ED pathology, mechanisms connecting social media use to disordered eating behaviors (DEBs) remain largely unevaluated. Based on Dual Process, Tripartite, and Affect Regulation models of ED pathology, we proposed a moderated mediation model evaluating impacts of exposure to fitspiration/thinspiration on Instagram.

Method: We evaluated a hypothesized pathway from exposure to fitspiration/thinspiration (i.

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Objective: Only approximately 20% of college students with an eating disorder (ED) seek treatment. One barrier to seeking treatment is weight discrimination. Past research demonstrates that experiencing weight discrimination is associated with increased ED risk and decreased in-person treatment engagement.

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Purpose: Researchers have theorized that interactions between appetitive and circadian disruptions result in increased eating disorder (ED) symptoms and insomnia. However, it is unclear how specific insomnia symptoms present among people with EDs and if the latent structure of insomnia in this population is similar to that of people with insomnia disorder.

Methods: We conducted a secondary analysis of data collected on ED and insomnia symptoms using a subset of students (N = 547; 79.

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  • The study investigates the relationship between eating disorders (EDs) and harmful substance use in military veterans, focusing on gender differences.
  • Men displayed more concerns related to weight and body, while women exhibited higher rates of bulimic symptoms and restricting behaviors.
  • Bulimic symptoms were found to significantly predict harmful substance use in veteran women, whereas restricting behaviors were more predictive for veteran men.
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Article Synopsis
  • The study examines how community providers diagnose atypical anorexia nervosa (AN) and decide on target weight, highlighting a lack of consensus on what constitutes "significant weight loss."
  • Most providers diagnosed atypical AN without weight loss if other criteria were met, but this practice varied by professional discipline, with psychologists and medical professionals being more cautious.
  • The findings suggest a need for clearer diagnostic criteria and treatment guidelines to ensure consistent and effective care for individuals with atypical AN.
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Objective: Social stigma has been associated with disparities in sleep heath; however, one type of stigma that has been less evaluated is weight bias internalization. Previous studies have shown inconsistent results linking weight bias internalization and sleep problems and few have examined associations with insomnia.

Methods: Women with disordered eating (N = 173, M=20.

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Introduction: Inappropriate compensatory behaviors (ICBs), including purging, restricting, and excessive exercising, are key symptoms of several eating disorders (EDs). Studies have found positive associations between trauma and ICBs, although few studies have explored mechanisms that may explain these relationships. Emotion dysregulation has been posited as a mechanism that explains associations among ICBs and trauma.

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Background: University students are an at-risk group for the development of eating disorders (EDs); however, many college campuses lack sufficient resources to provide ED specialty care. Students report unique reasons for not seeking ED treatment, including the desire to solve the problem on their own (eg, seeking help from friends, self-medicating, or waiting to see if their problems improve), inability to afford treatment, lack of time to participate in the treatment, fear of seeing their primary care physician, and lack of recognition of their issues as an ED. Mobile health (mHealth) apps may be a cost-effective, helpful adjunctive tool to overcome personal and systemic barriers and encourage help seeking.

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Objectives: Restrictive eating disorders (EDs) occur across the weight spectrum, but historically more focus has been given to anorexia nervosa (AN) than atypical anorexia nervosa (atypAN). AtypAN's relegation to a diagnosis in the "other specified feeding and eating disorder" (OSFED) category and paucity of research surrounding atypAN invariably implies a less clinically severe ED. However, a growing body of research has begun to question the assumption that atypAN is less severe than AN.

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Objective: Although a growing body of research has examined the impacts of ED-salient content, such as fitspiration and thinspiration, on eating disorder (ED) symptoms, there is less known about the characteristics of who may be at risk for accessing this content on Instagram. Current research is limited by cross-sectional and retrospective designs. This prospective study used ecological momentary assessment (EMA) to predict naturalistic exposure to ED-salient content on Instagram.

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Objective: Eating disorders (EDs) are serious psychiatric disorders associated with substantial morbidity and mortality that are prevalent among university students. Because many students do not receive treatment due to lack of access on university campuses, mobile-health (mHealth) adaptations of evidence-based treatments represent an opportunity to increase treatment accessibility and engagement. The purpose of this study was to test the initial efficacy of Building Healthy Eating and Self-Esteem Together for University Students (BEST-U), which is a 10-week mHealth self-guided cognitive-behavioral therapy (CBT-gsh) app that is paired with a brief 25-30-min weekly telehealth coaching, for reducing ED psychopathology in university students.

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Introduction: Military service members must maintain a certain body mass index and body fat percentage. Due to weight-loss pressures, some service members may resort to unhealthy behaviors that place them at risk for the development of an eating disorder (ED).

Objectives: To understand the scope and impact of EDs in military service members and veterans, we formed the Longitudinal Eating Disorders Assessment Project (LEAP) Consortium.

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Unlabelled: Given that eating disorders (EDs) are relatively common in college populations, it is important to have reliable and valid tools to identify students so that they can be referred to evidence-based care. Although research supports the psychometric properties of existing ED screens for identifying cases of EDs, most studies have been conducted in samples of young white-majority women or have not reported the psychometric properties of the screening tool in men.

Objective: The purpose of the current study was to validate a brief, 10-item screening tool for the identification of EDs-the brief assessment of stress and eating (BASE).

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Article Synopsis
  • - The study addresses the lack of data on eating disorder psychopathology among underrepresented groups by establishing norms for the Eating Disorder Examination-Questionnaire (EDE-Q) and Clinical Impairment Assessment (CIA) using a sample of 1,782 diverse Amazon MTurk workers.
  • - Researchers created the Demographic Assessment of Racial, Sexual, and Gender Identities (DARSGI) to analyze various demographic factors, revealing that a significant portion of the sample identified with underrepresented racial, gender, and sexual identities.
  • - Findings indicate that the EDE-Q scores for certain underrepresented identities are higher than previous norms, providing vital context for understanding eating disorders in these groups and potentially guiding future research and treatment approaches.
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Article Synopsis
  • Network models of eating disorder (ED) psychopathology are gaining traction for understanding symptom connections and treatment options, necessitating comparison with other modeling approaches.
  • The study involved analyzing the Eating Pathology Symptoms Inventory (EPSI) and Eating Disorder Examination-Questionnaire (EDE-Q) using data from 6,856 users of a mobile app.
  • Findings indicated that a hybrid modeling approach, combining latent variables and network frameworks, was most effective, revealing key symptoms like purging and binge eating as central to understanding ED psychopathology and potential treatment targets.
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Objective: The general understanding of disorders related to chronic somatic symptoms (e.g., somatic symptom disorder, functional somatic syndromes) is limited because of current categorical conceptualizations in traditional taxonomies.

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Article Synopsis
  • Latines experience higher rates of binge eating disorders than non-Latine whites, and this study aimed to explore the impact of discrimination and acculturative stress on binge eating among them.
  • The research involved 2,550 Latine participants and used advanced statistical modeling to analyze factors related to binge eating.
  • Findings revealed that discrimination was directly linked to binge eating, while acculturative stress, family cohesion, and social support did not significantly influence binge eating behaviors.
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Objective: There is ongoing discussion about whether sports participation is a risk or protective factor for eating disorders (EDs). Research is mixed, with some studies suggesting that athletes have higher mean levels of ED psychopathology compared to nonathletes, while other studies suggest the opposite effect or no differences. The purpose of the current meta-analysis was to identify whether female athletes reported higher mean levels of ED psychopathology compared to nonathletes.

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Article Synopsis
  • Emotion regulation (ER) involves how individuals manage their emotions, and this study investigates how adaptive ER and maladaptive ER interact in relation to eating disorder (ED) symptoms and related impairments.
  • Higher levels of adaptive ER (through strategies like cognitive reappraisal) are linked to fewer ED symptoms and lower impairment, while maladaptive ER (using distraction and suppression) shows the opposite effect.
  • The findings indicate that improving adaptive ER could help mitigate the negative impact of maladaptive ER on ED symptoms, highlighting the importance of intervention strategies focused on enhancing adaptive ER skills in individuals with eating disorders.
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Eating disorders (EDs) are serious psychiatric disorders that affect 13%-18% of young men and women. EDs are associated with substantial psychiatric and medical morbidity and mortality, indicating a critical need for improved identification and treatment. Despite the relatively high prevalence and severity of EDs, they are often omitted from discussions of mental health.

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