@misc{13783,
  abstract     = {{Objective
This study examined the association between socio-demographic patterns and eating disorder (ED) risk in 298 women (mean age = 28.4 years). We focused on women, as existing research suggests that EDs disproportionately affect women. Within this sample, we took into account the intersections of different socio-demographic variables. Additionally, we assessed body dissatisfaction and subjective health status (S-HS) as self-reported measures to gain a more comprehensive understanding of ED risk.
Method
We conducted a cluster analysis (k-means) using ten demographic variables (e.g., sexual orientation, migration history, presence of disabilities), which revealed three distinct participant clusters. Then, we applied two multiple logistic regression models using cluster membership, body dissatisfaction related to fat (BD-F) and muscularity (BD-M), and S-HS as determinants, with the outcome being ED risk measured using two scales (EAT-8; EDE-Q).
Results
Cluster Three – notably characterized by queer women with a migration history and identification as part of an ethnic minority - showed a consistently higher ED risk. In contrast, Cluster One, which included a higher proportion of older individuals as well as individuals with disabilities, or caregiving responsibilities, showed the lowest risk for ED. In Cluster Two an increased risk for EDs was observed in the EAT-8, but not in the EDE-Q, suggesting measurement-specific differences. BD-F and BD-M were significantly associated with ED risk. BD-F proved to be the factor with the strongest influence.
Conclusions
We emphasize the importance of considering person-centered socio-demographic positions and different forms of body dissatisfaction to assess the risk of ED.}},
  author       = {{Jürgensen, Vanessa C. and Halbeisen, Georg and Lehe, Martin S. and Paslakis, Georgios}},
  booktitle    = {{Journal of Eating Disorders}},
  issn         = {{2050-2974}},
  keywords     = {{Eating disorder risk, Socio-demographic patterns, Body dissatisfaction}},
  number       = {{1}},
  publisher    = {{BioMed Central}},
  title        = {{{Associations between socio-demographic patterns, body dissatisfaction, and eating disorder risk in women: a cluster-based approach}}},
  doi          = {{10.1186/s40337-026-01616-8}},
  volume       = {{14}},
  year         = {{2026}},
}

@misc{13575,
  abstract     = {{Background: Adolescents' early responses and overall outcomes during anorexia nervosa (AN) treatment may differ by patient gender, raising the question of whether evaluating clinical data during AN treatment may require different criteria. Methods: We investigated, using patient records, whether young men and young women with AN differed in terms of early treatment response (defined as weight change and variability within the first 14 days) and whether early treatment responses predicted treatment outcomes similarly across genders. Results: Weight changes predicted patient discharge weight across all gender groups. Weight variability predicted higher disordered eating psychopathology and higher body image insecurities at discharge. Gender differences emerged only for weight gain, which was more pronounced for young men, and gender modulated the effects of weight gain and variability on general psychopathology outcomes. Conclusions: The present findings suggest that early weight changes and weight variability are similarly important predictors of AN treatment outcomes in adolescents but also hint at possible gender differences in terms of the link between weight change and, respectively, variability on general psychopathology.}},
  author       = {{Halbeisen, Georg and Braks, Karsten and Huber, Thomas J. and Paslakis, Georgios}},
  booktitle    = {{Journal of Clinical Medicine}},
  issn         = {{2077-0383}},
  keywords     = {{eating disorders, anorexia nervosa, bulimia nervosa, binge-eating disorder : adolescents, psychotherapyt, reatment outcomes}},
  number       = {{11}},
  publisher    = {{MDPI }},
  title        = {{{Exploring Gender Differences in Early Weight Change and Variability in Adolescents with Anorexia Nervosa during Inpatient Treatment}}},
  doi          = {{10.3390/jcm13113255}},
  volume       = {{13}},
  year         = {{2024}},
}

@misc{13582,
  abstract     = {{IntroductionEating disorders (EDs) are among the most severe mental disorders in women and men, often associated with high symptom burden and significant limitations in daily functioning, frequent comorbidities, chronic course of illness, and even high mortality rates. At the same time, differences between men and women with EDs remain poorly explored. MethodsIn this study, we compared 104 men to 104 diagnosis-matched women with EDs regarding sociodemographic and clinical features. Using latent class mixture modelling, we identified four distinct patient subgroups based on their sociodemographic features. ResultsMen with EDs had significantly higher odds than women to belong to a "single-childfree-working" class. Moreover, while there were few overall differences in ED-related symptoms and general psychopathology between men and women, single-childfree-working men with EDs presented with higher general psychopathology symptoms than men in the other classes. DiscussionWe discuss how considering sex and gender along with further sociodemographic differences in EDs may help to improve ED diagnosis and treatment.}},
  author       = {{Traut, Philipp and Halbeisen, Georg and Braks, Karsten and Huber, Thomas J.J. and Paslakis, Georgios}},
  booktitle    = {{Frontiers in Psychiatry}},
  issn         = {{1664-0640}},
  keywords     = {{anorexia nervosa, bulimia nervosa, binge-eating disorder, gender differences, psychotherapy}},
  publisher    = {{Frontiers Research Foundation}},
  title        = {{{Sociodemographic and clinical features of men and women with eating disorders: a diagnosis-matched, retrospective comparison among inpatients}}},
  doi          = {{10.3389/fpsyt.2023.1192693}},
  volume       = {{14}},
  year         = {{2023}},
}

@misc{13586,
  author       = {{Paslakis, Georgios and Dimitropoulos, Gina and Halbeisen, Georg}},
  booktitle    = {{Frontiers in Psychiatry}},
  issn         = {{1664-0640}},
  keywords     = {{anorexia nervosa, bulimia nervosa, binge-eating disorder, social diversity, gender bias, ethnic bias}},
  publisher    = {{Frontiers Research Foundation}},
  title        = {{{A global perspective on diversity in eating disorders}}},
  doi          = {{10.3389/fpsyt.2023.1276078}},
  volume       = {{14}},
  year         = {{2023}},
}

@misc{13607,
  abstract     = {{Background
Previous investigations on the Eating Disorder Examination-Questionnaire (EDE-Q) factor structures in men have been restricted to non-clinical settings, limiting conclusions about the factorial validity in men with eating disorders (ED). This study aimed to examine the factor structure of the German EDE-Q in a clinical group of adult men with diagnosed ED.
Methods
ED symptoms were assessed using the validated German version of the EDE-Q. Exploratory factor analysis (EFA) using principal-axis factoring based on polychoric correlations was conducted for the full sample (N = 188) using Varimax-Rotation with Kaiser-Normalization.
Results
Horn’s parallel analysis suggested a five-factor solution with an explained variance of 68%. The EFA factors were labeled “Restraint” (items 1, 3–6), “Body Dissatisfaction” (items 25–28), “Weight Concern” (items 10–12, 20), “Preoccupation” (items 7 and 8), and “Importance” (items 22 and 23). Items 2, 9, 19, 21, and 24 were excluded due to low communalities.
Conclusions
Factors associated with body concerns and body dissatisfaction in adult men with ED are not fully represented in the EDE-Q. This could be due to differences in body ideals in men, e.g., the underestimation of the role of concerns about musculature. Consequently, it may be useful to apply the 17-item five-factor structure of the EDE-Q presented here to adult men with diagnosed ED.}},
  author       = {{Laskowski, Nora M. and Halbeisen, Georg and Braks, Karsten and Huber, Thomas J.J. and Paslakis, Georgios}},
  booktitle    = {{Journal of Eating Disorders}},
  issn         = {{2050-2974}},
  keywords     = {{Eating disorders, Eating Disorder Examination-Questionnaire, EDE-Q, Factor analysis, Men’s health, Body dissatisfaction, Muscularity}},
  number       = {{1}},
  publisher    = {{BioMed Central}},
  title        = {{{Factor structure of the Eating Disorder Examination-Questionnaire (EDE-Q) in adult men with eating disorders}}},
  doi          = {{10.1186/s40337-023-00757-4}},
  volume       = {{11}},
  year         = {{2023}},
}

@misc{13631,
  abstract     = {{This study examined the dimensional structure of the German Eating Disorder Examination-Questionnaire (EDE-Q) in clinical groups of women with Anorexia Nervosa (AN; N = 821), Bulimia Nervosa (BN; N = 573), and Binge-Eating Disorder (BED; N = 359) using Exploratory Graph Analyses (EGA). The EGA yielded a 12-item-four-dimension structure for the AN group (subscales “Restraint”, “Body Dissatisfaction”, “Preoccupation”, “Importance”), a 20-item-five-dimension structure for the BN group (subscales “Restraint”, “Body Dissatisfaction”, “Eating Concern”, “Preoccupation”, “Importance”), and a 17-item-four-dimension structure for the BED group (subscales “Restraint”, “Body Dissatisfaction”, “Concern”, “Importance”). This first investigation of the EDE-Q's dimensional structure using EGA suggests that the original factor model may be suboptimal for specific clinical ED samples and that alternative scoring should be considered when screening specific cohorts or evaluating the effects of interventions.}},
  author       = {{Laskowski, Nora M. and Halbeisen, Georg and Braks, Karsten and Huber, Thomas J. and Paslakis, Georgios}},
  booktitle    = {{Journal of Psychiatric Research}},
  issn         = {{0022-3956}},
  keywords     = {{Exploratory graph analysis, EGA, EDE-Q, Eating disorder examination questionnaire, Eating disorder, Psychotherapy}},
  number       = {{7}},
  pages        = {{254--261}},
  publisher    = {{Elsevier BV}},
  title        = {{{Exploratory graph analysis (EGA) of the dimensional structure of the eating disorder examination-questionnaire (EDE-Q) in women with eating disorders}}},
  doi          = {{10.1016/j.jpsychires.2023.05.063}},
  volume       = {{163}},
  year         = {{2023}},
}

@misc{13632,
  abstract     = {{Objective: Phenotypical comparisons between individuals with obesity without binge eating disorder (OB) and individuals with obesity and comorbid binge eating disorder (OB + BED) are subject to ongoing investigations. At the same time, gender-related differences have rarely been explored, raising the question whether men and women with OB and OB + BED may require differently tailored treatments.Method: We retrospectively compared pre- versus post-treatment data in a matched sample of n = 180 men and n = 180 women with OB or OB + BED who received inpatient treatment.Results: We found that men displayed higher weight loss than women independent of diagnostic group. In addition, men with OB + BED showed higher weight loss than men with OB after 7 weeks of treatment.Conclusions: The present findings add to an emerging yet overall still sparse body of studies comparing phenotypical features and treatment outcomes in men and women with OB and OB + BED; implications for further research are discussed.Clinical Trial Registration: The study was prospectively registered with the German Clinical Trial Register as part of application DRKS00028441.}},
  author       = {{Brandt, Gerrit and Halbeisen, Georg and Braks, Karsten and Huber, Thomas J. and Paslakis, Georgios}},
  booktitle    = {{European Eating Disorders Review}},
  issn         = {{1099-0968}},
  keywords     = {{binge eating disorder, diversity, gender, obesity, psychotherapy}},
  number       = {{3}},
  pages        = {{413--424}},
  publisher    = {{Wiley}},
  title        = {{{Gender differences in individuals with obesity and binge eating disorder: A retrospective comparison of phenotypical features and treatment outcomes}}},
  doi          = {{10.1002/erv.2972}},
  volume       = {{31}},
  year         = {{2023}},
}