---
_id: '13614'
abstract:
- lang: eng
text: This study examined the role of muscularity concerns in eating disorder (ED)
symptoms among a sample of women. We expanded on previous research by exploring
a broader range of ED symptoms, including orthorexia (ON) and avoidant/restrictive
food intake disorder (ARFID). Using network analysis, we analysed data from 308
adult women (18 years or older) who completed muscularity, disordered eating,
and sociodemographic assessments. Our findings revealed five interconnected symptom
communities reflecting traditional ED symptoms, such as eating concerns and shape
and weight overvaluation. Notably, muscularity concerns emerged as a distinct
community, emphasising their relevance to ED symptoms in women. Additionally,
we identified selective eating tendencies and compulsive healthy eating. Highly
central symptoms were rumination about healthy eating, fear and guilt over unhealthy
eating, body‐related embarrassment, and muscularity concerns (wishing to be heavier,
wishing for heavier arms). These results suggest that muscularity concerns could
constitute a uniquely identifiable and central diagnostic target for body image
concerns and disordered eating in women.
author:
- first_name: Vanessa
full_name: Jürgensen, Vanessa
last_name: Jürgensen
- first_name: Georg
full_name: Halbeisen, Georg
id: '85780'
last_name: Halbeisen
orcid: 0000-0002-9529-2215
- first_name: Martin S.
full_name: Lehe, Martin S.
last_name: Lehe
- first_name: Georgios
full_name: Paslakis, Georgios
last_name: Paslakis
citation:
ama: 'Jürgensen V, Halbeisen G, Lehe MS, Paslakis G. Muscularity Concerns and Disordered
Eating Symptoms in Adult Women: A Network Analysis. European Eating Disorders
Review. 2025;33(5):864-878. doi:10.1002/erv.3192'
apa: 'Jürgensen, V., Halbeisen, G., Lehe, M. S., & Paslakis, G. (2025). Muscularity
Concerns and Disordered Eating Symptoms in Adult Women: A Network Analysis. European
Eating Disorders Review, 33(5), 864–878. https://doi.org/10.1002/erv.3192'
bjps: 'Jürgensen V et al. (2025) Muscularity Concerns and Disordered
Eating Symptoms in Adult Women: A Network Analysis. European Eating Disorders
Review 33, 864–878.'
chicago: 'Jürgensen, Vanessa, Georg Halbeisen, Martin S. Lehe, and Georgios Paslakis.
“Muscularity Concerns and Disordered Eating Symptoms in Adult Women: A Network
Analysis.” European Eating Disorders Review 33, no. 5 (2025): 864–78. https://doi.org/10.1002/erv.3192.'
chicago-de: 'Jürgensen, Vanessa, Georg Halbeisen, Martin S. Lehe und Georgios Paslakis.
2025. Muscularity Concerns and Disordered Eating Symptoms in Adult Women: A Network
Analysis. European Eating Disorders Review 33, Nr. 5: 864–878. doi:10.1002/erv.3192,
.'
din1505-2-1: 'Jürgensen, Vanessa ;
Halbeisen, Georg ; Lehe,
Martin S. ; Paslakis, Georgios:
Muscularity Concerns and Disordered Eating Symptoms in Adult Women: A Network
Analysis. In: European Eating Disorders Review Bd. 33. Chichester , Wiley
(2025), Nr. 5, S. 864–878'
havard: 'V. Jürgensen, G. Halbeisen, M.S. Lehe, G. Paslakis, Muscularity Concerns
and Disordered Eating Symptoms in Adult Women: A Network Analysis, European Eating
Disorders Review. 33 (2025) 864–878.'
ieee: 'V. Jürgensen, G. Halbeisen, M. S. Lehe, and G. Paslakis, “Muscularity Concerns
and Disordered Eating Symptoms in Adult Women: A Network Analysis,” European
Eating Disorders Review, vol. 33, no. 5, pp. 864–878, 2025, doi: 10.1002/erv.3192.'
mla: 'Jürgensen, Vanessa, et al. “Muscularity Concerns and Disordered Eating Symptoms
in Adult Women: A Network Analysis.” European Eating Disorders Review,
vol. 33, no. 5, 2025, pp. 864–78, https://doi.org/10.1002/erv.3192.'
short: V. Jürgensen, G. Halbeisen, M.S. Lehe, G. Paslakis, European Eating Disorders
Review 33 (2025) 864–878.
ufg: 'Jürgensen, Vanessa u. a.: Muscularity Concerns and Disordered Eating
Symptoms in Adult Women: A Network Analysis, in: European Eating Disorders
Review 33 (2025), H. 5, S. 864–878.'
van: 'Jürgensen V, Halbeisen G, Lehe MS, Paslakis G. Muscularity Concerns and Disordered
Eating Symptoms in Adult Women: A Network Analysis. European Eating Disorders
Review. 2025;33(5):864–78.'
date_created: 2026-03-25T13:49:01Z
date_updated: 2026-03-27T08:25:59Z
department:
- _id: DEP1500
doi: 10.1002/erv.3192
intvolume: ' 33'
issue: '5'
keyword:
- body dysmorphia
- drive for muscularity
- eating disorders
- psychotherapy
- thinness ideal
language:
- iso: eng
page: 864-878
place: 'Chichester '
publication: European Eating Disorders Review
publication_identifier:
eissn:
- 1099-0968
issn:
- 1072-4133
publication_status: published
publisher: Wiley
quality_controlled: '1'
status: public
title: 'Muscularity Concerns and Disordered Eating Symptoms in Adult Women: A Network
Analysis'
type: scientific_journal_article
user_id: '83781'
volume: 33
year: '2025'
...
---
_id: '13575'
abstract:
- lang: eng
text: '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.'
article_number: '3255'
author:
- first_name: Georg
full_name: Halbeisen, Georg
id: '85780'
last_name: Halbeisen
orcid: 0000-0002-9529-2215
- first_name: Karsten
full_name: Braks, Karsten
last_name: Braks
- first_name: Thomas J.
full_name: Huber, Thomas J.
last_name: Huber
- first_name: Georgios
full_name: Paslakis, Georgios
last_name: Paslakis
citation:
ama: Halbeisen G, Braks K, Huber TJ, Paslakis G. Exploring Gender Differences in
Early Weight Change and Variability in Adolescents with Anorexia Nervosa during
Inpatient Treatment. Journal of Clinical Medicine. 2024;13(11). doi:10.3390/jcm13113255
apa: Halbeisen, G., Braks, K., Huber, T. J., & Paslakis, G. (2024). Exploring
Gender Differences in Early Weight Change and Variability in Adolescents with
Anorexia Nervosa during Inpatient Treatment. Journal of Clinical Medicine,
13(11), Article 3255. https://doi.org/10.3390/jcm13113255
bjps: Halbeisen G et al. (2024) Exploring Gender Differences in Early
Weight Change and Variability in Adolescents with Anorexia Nervosa during Inpatient
Treatment. Journal of Clinical Medicine 13.
chicago: Halbeisen, Georg, Karsten Braks, Thomas J. Huber, and Georgios Paslakis.
“Exploring Gender Differences in Early Weight Change and Variability in Adolescents
with Anorexia Nervosa during Inpatient Treatment.” Journal of Clinical Medicine
13, no. 11 (2024). https://doi.org/10.3390/jcm13113255.
chicago-de: Halbeisen, Georg, Karsten Braks, Thomas J. Huber und Georgios Paslakis.
2024. Exploring Gender Differences in Early Weight Change and Variability in Adolescents
with Anorexia Nervosa during Inpatient Treatment. Journal of Clinical Medicine
13, Nr. 11. doi:10.3390/jcm13113255,
.
din1505-2-1: 'Halbeisen, Georg ; Braks, Karsten ; Huber,
Thomas J. ; Paslakis, Georgios:
Exploring Gender Differences in Early Weight Change and Variability in Adolescents
with Anorexia Nervosa during Inpatient Treatment. In: Journal of Clinical Medicine
Bd. 13. Basel, MDPI (2024), Nr. 11'
havard: G. Halbeisen, K. Braks, T.J. Huber, G. Paslakis, Exploring Gender Differences
in Early Weight Change and Variability in Adolescents with Anorexia Nervosa during
Inpatient Treatment, Journal of Clinical Medicine. 13 (2024).
ieee: 'G. Halbeisen, K. Braks, T. J. Huber, and G. Paslakis, “Exploring Gender Differences
in Early Weight Change and Variability in Adolescents with Anorexia Nervosa during
Inpatient Treatment,” Journal of Clinical Medicine, vol. 13, no. 11, Art.
no. 3255, 2024, doi: 10.3390/jcm13113255.'
mla: Halbeisen, Georg, et al. “Exploring Gender Differences in Early Weight Change
and Variability in Adolescents with Anorexia Nervosa during Inpatient Treatment.”
Journal of Clinical Medicine, vol. 13, no. 11, 3255, 2024, https://doi.org/10.3390/jcm13113255.
short: G. Halbeisen, K. Braks, T.J. Huber, G. Paslakis, Journal of Clinical Medicine
13 (2024).
ufg: 'Halbeisen, Georg u. a.: Exploring Gender Differences in Early Weight
Change and Variability in Adolescents with Anorexia Nervosa during Inpatient Treatment,
in: Journal of Clinical Medicine 13 (2024), H. 11.'
van: Halbeisen G, Braks K, Huber TJ, Paslakis G. Exploring Gender Differences in
Early Weight Change and Variability in Adolescents with Anorexia Nervosa during
Inpatient Treatment. Journal of Clinical Medicine. 2024;13(11).
date_created: 2026-03-25T13:36:05Z
date_updated: 2026-03-27T08:54:35Z
department:
- _id: DEP1500
doi: 10.3390/jcm13113255
external_id:
isi:
- '001245541100001'
pmid:
- '38892966'
intvolume: ' 13'
isi: '1'
issue: '11'
keyword:
- eating disorders
- anorexia nervosa
- bulimia nervosa
- 'binge-eating disorder : adolescents'
- psychotherapyt
- reatment outcomes
language:
- iso: eng
place: Basel
pmid: '1'
publication: Journal of Clinical Medicine
publication_identifier:
eissn:
- 2077-0383
publication_status: published
publisher: 'MDPI '
quality_controlled: '1'
status: public
title: Exploring Gender Differences in Early Weight Change and Variability in Adolescents
with Anorexia Nervosa during Inpatient Treatment
type: scientific_journal_article
user_id: '83781'
volume: 13
year: '2024'
...
---
_id: '13576'
abstract:
- lang: eng
text: "Background\r\nMany young women are dissatisfied with their bodies. This study
investigated the effect on current body dissatisfaction levels of a newly developed
evaluative conditioning procedure that paired self-similar and self-dissimilar
images of bodies with positive and neutral affective images, respectively. We
hypothesized that learning the contingency that self-similar bodies predict positive
affectivity is one process that could aid in explaining how these procedures function.\r\nMethods\r\nAdult
women without disordered eating pathology participated in an online experiment
with random assignment to an intervention or a control condition. All participants
initially rated body images in self-similarity and were subsequently asked to
categorize positive and neutral images by valence as quickly and accurately as
possible. In the intervention condition, self-similar bodies systematically preceded
positive images, and self-dissimilar images preceded neutral images, creating
a similar body → positive contingency. Pairings in the control condition were
unsystematic such that no contingency was present. We measured categorization
latencies and accuracies to infer contingency learning as well as current body
dissatisfaction immediately before and after exposure to the pairings. All participants
further completed measures of trait body image concerns and disordered eating
psychopathology at baseline, which we examined as moderators of an expected relation
between condition assignment, contingency learning, and body dissatisfaction improvements.\r\nResults\r\nWe
analyzed data from N = 173 women fulfilling the inclusion criteria. Moderated
mediation analyses showed that assignment to the intervention (vs. control) condition
predicted increased similar body → positive contingency learning, which in turn
predicted improved body dissatisfaction post-intervention, but only among women
with higher pre-existing trait body image concerns or disordered eating levels.\r\nConclusions\r\nThe
findings point toward the relevancy of further exploring the utility of pairing
procedures. Similar body → positive contingency learning predicted improved body
dissatisfaction in individuals with normatively high body image concerns, which
suggests pairing procedures could help inform future research on reducing body
dissatisfaction."
article_number: '18'
author:
- first_name: Katharina
full_name: Dumstorf, Katharina
last_name: Dumstorf
- first_name: Georg
full_name: Halbeisen, Georg
id: '85780'
last_name: Halbeisen
orcid: 0000-0002-9529-2215
- first_name: Georgios
full_name: Paslakis, Georgios
last_name: Paslakis
citation:
ama: 'Dumstorf K, Halbeisen G, Paslakis G. How evaluative pairings improve body
dissatisfaction in adult women: evidence from a randomized-controlled online study.
Journal of Eating Disorders. 2024;12(1). doi:10.1186/s40337-024-00975-4'
apa: 'Dumstorf, K., Halbeisen, G., & Paslakis, G. (2024). How evaluative pairings
improve body dissatisfaction in adult women: evidence from a randomized-controlled
online study. Journal of Eating Disorders, 12(1), Article 18. https://doi.org/10.1186/s40337-024-00975-4'
bjps: 'Dumstorf K, Halbeisen G and Paslakis G (2024) How Evaluative Pairings
Improve Body Dissatisfaction in Adult Women: Evidence from a Randomized-Controlled
Online Study. Journal of Eating Disorders 12.'
chicago: 'Dumstorf, Katharina, Georg Halbeisen, and Georgios Paslakis. “How Evaluative
Pairings Improve Body Dissatisfaction in Adult Women: Evidence from a Randomized-Controlled
Online Study.” Journal of Eating Disorders 12, no. 1 (2024). https://doi.org/10.1186/s40337-024-00975-4.'
chicago-de: 'Dumstorf, Katharina, Georg Halbeisen und Georgios Paslakis. 2024. How
evaluative pairings improve body dissatisfaction in adult women: evidence from
a randomized-controlled online study. Journal of Eating Disorders 12, Nr.
1. doi:10.1186/s40337-024-00975-4,
.'
din1505-2-1: 'Dumstorf, Katharina
; Halbeisen, Georg ; Paslakis,
Georgios: How evaluative pairings improve body dissatisfaction in adult
women: evidence from a randomized-controlled online study. In: Journal of Eating
Disorders Bd. 12. London, BioMed Central (2024), Nr. 1'
havard: 'K. Dumstorf, G. Halbeisen, G. Paslakis, How evaluative pairings improve
body dissatisfaction in adult women: evidence from a randomized-controlled online
study, Journal of Eating Disorders. 12 (2024).'
ieee: 'K. Dumstorf, G. Halbeisen, and G. Paslakis, “How evaluative pairings improve
body dissatisfaction in adult women: evidence from a randomized-controlled online
study,” Journal of Eating Disorders, vol. 12, no. 1, Art. no. 18, 2024,
doi: 10.1186/s40337-024-00975-4.'
mla: 'Dumstorf, Katharina, et al. “How Evaluative Pairings Improve Body Dissatisfaction
in Adult Women: Evidence from a Randomized-Controlled Online Study.” Journal
of Eating Disorders, vol. 12, no. 1, 18, 2024, https://doi.org/10.1186/s40337-024-00975-4.'
short: K. Dumstorf, G. Halbeisen, G. Paslakis, Journal of Eating Disorders 12 (2024).
ufg: 'Dumstorf, Katharina/Halbeisen, Georg/Paslakis, Georgios: How evaluative
pairings improve body dissatisfaction in adult women: evidence from a randomized-controlled
online study, in: Journal of Eating Disorders 12 (2024), H. 1.'
van: 'Dumstorf K, Halbeisen G, Paslakis G. How evaluative pairings improve body
dissatisfaction in adult women: evidence from a randomized-controlled online study.
Journal of Eating Disorders. 2024;12(1).'
date_created: 2026-03-25T13:36:06Z
date_updated: 2026-03-27T08:34:20Z
department:
- _id: DEP1500
doi: 10.1186/s40337-024-00975-4
external_id:
isi:
- '001148311200002'
pmid:
- '38268007'
intvolume: ' 12'
isi: '1'
issue: '1'
keyword:
- Evaluative conditioning
- Body image
- Eating disorders
- Contingency learning
- Psychotherapy
- Pairing procedures
language:
- iso: eng
place: London
pmid: '1'
publication: Journal of Eating Disorders
publication_identifier:
eissn:
- 2050-2974
publication_status: published
publisher: BioMed Central
quality_controlled: '1'
status: public
title: 'How evaluative pairings improve body dissatisfaction in adult women: evidence
from a randomized-controlled online study'
type: scientific_journal_article
user_id: '83781'
volume: 12
year: '2024'
...
---
_id: '13616'
abstract:
- lang: eng
text: "Objective\r\nBody dissatisfaction is an important risk factor for developing
eating disorders. This study investigated whether pairing images of normatively
“healthy” weight bodies of women with positive stimuli, and images of bodies outside
the healthy range (e.g., underweight) with neutral stimuli, could improve body
dissatisfaction.\r\nMethods\r\nWe compared behavioral and rating data from 121
adult women who participated in an online study and were randomly assigned to
an intervention condition (in which healthy body mass predicted positive stimuli)
or a control condition (with no contingency between body mass and stimulus valence).\r\nResults\r\nBehavioral
data showed that women in the intervention condition, compared to the control
condition, learned to associate healthy bodies with positive valence. Having learned
to associate healthy bodies with positive valence, in turn, predicted reductions
in body dissatisfaction. The intervention and control conditions were not directly
associated with changes in body dissatisfaction.\r\nConclusion\r\nLearning to
associate healthy bodies with any positive stimuli could be a relevant mechanism
for understanding and predicting improvements in women's body dissatisfaction.
Further research is required regarding the impact of contingency learning on the
evaluation of other bodies, and the selection of other bodies for body-related
social comparison processes."
author:
- first_name: Elena M.
full_name: Tullius, Elena M.
last_name: Tullius
- first_name: Georg
full_name: Halbeisen, Georg
id: '85780'
last_name: Halbeisen
orcid: 0000-0002-9529-2215
- first_name: Georgios
full_name: Paslakis, Georgios
last_name: Paslakis
citation:
ama: Tullius EM, Halbeisen G, Paslakis G. Can evaluative pairings of others’ bodies
improve body dissatisfaction indirectly? A randomized-controlled online study
with adult women. Journal of Psychiatric Research. 2024;180:340-348. doi:10.1016/j.jpsychires.2024.11.012
apa: Tullius, E. M., Halbeisen, G., & Paslakis, G. (2024). Can evaluative pairings
of others’ bodies improve body dissatisfaction indirectly? A randomized-controlled
online study with adult women. Journal of Psychiatric Research, 180,
340–348. https://doi.org/10.1016/j.jpsychires.2024.11.012
bjps: Tullius EM, Halbeisen G and Paslakis G (2024) Can Evaluative Pairings
of Others’ Bodies Improve Body Dissatisfaction Indirectly? A Randomized-Controlled
Online Study with Adult Women. Journal of Psychiatric Research 180,
340–348.
chicago: 'Tullius, Elena M., Georg Halbeisen, and Georgios Paslakis. “Can Evaluative
Pairings of Others’ Bodies Improve Body Dissatisfaction Indirectly? A Randomized-Controlled
Online Study with Adult Women.” Journal of Psychiatric Research 180 (2024):
340–48. https://doi.org/10.1016/j.jpsychires.2024.11.012.'
chicago-de: 'Tullius, Elena M., Georg Halbeisen und Georgios Paslakis. 2024. Can
evaluative pairings of others’ bodies improve body dissatisfaction indirectly?
A randomized-controlled online study with adult women. Journal of Psychiatric
Research 180: 340–348. doi:10.1016/j.jpsychires.2024.11.012,
.'
din1505-2-1: 'Tullius, Elena M. ;
Halbeisen, Georg ; Paslakis,
Georgios: Can evaluative pairings of others’ bodies improve body dissatisfaction
indirectly? A randomized-controlled online study with adult women. In: Journal
of Psychiatric Research Bd. 180. Amsterdam [u.a.] , Elsevier BV (2024), S. 340–348'
havard: E.M. Tullius, G. Halbeisen, G. Paslakis, Can evaluative pairings of others’
bodies improve body dissatisfaction indirectly? A randomized-controlled online
study with adult women, Journal of Psychiatric Research. 180 (2024) 340–348.
ieee: 'E. M. Tullius, G. Halbeisen, and G. Paslakis, “Can evaluative pairings of
others’ bodies improve body dissatisfaction indirectly? A randomized-controlled
online study with adult women,” Journal of Psychiatric Research, vol. 180,
pp. 340–348, 2024, doi: 10.1016/j.jpsychires.2024.11.012.'
mla: Tullius, Elena M., et al. “Can Evaluative Pairings of Others’ Bodies Improve
Body Dissatisfaction Indirectly? A Randomized-Controlled Online Study with Adult
Women.” Journal of Psychiatric Research, vol. 180, 2024, pp. 340–48, https://doi.org/10.1016/j.jpsychires.2024.11.012.
short: E.M. Tullius, G. Halbeisen, G. Paslakis, Journal of Psychiatric Research
180 (2024) 340–348.
ufg: 'Tullius, Elena M./Halbeisen, Georg/Paslakis, Georgios: Can evaluative
pairings of others’ bodies improve body dissatisfaction indirectly? A randomized-controlled
online study with adult women, in: Journal of Psychiatric Research 180
(2024), S. 340–348.'
van: Tullius EM, Halbeisen G, Paslakis G. Can evaluative pairings of others’ bodies
improve body dissatisfaction indirectly? A randomized-controlled online study
with adult women. Journal of Psychiatric Research. 2024;180:340–8.
date_created: 2026-03-25T14:37:24Z
date_updated: 2026-03-25T15:16:51Z
department:
- _id: DEP1500
doi: 10.1016/j.jpsychires.2024.11.012
intvolume: ' 180'
keyword:
- Evaluative conditioning
- Body image
- Eating disorders
- Contingency learning
- Psychotherapy
language:
- iso: eng
page: 340-348
place: 'Amsterdam [u.a.] '
publication: Journal of Psychiatric Research
publication_identifier:
eissn:
- '1879-1379 '
issn:
- 0022-3956
publication_status: published
publisher: Elsevier BV
quality_controlled: '1'
status: public
title: Can evaluative pairings of others’ bodies improve body dissatisfaction indirectly?
A randomized-controlled online study with adult women
type: scientific_journal_article
user_id: '83781'
volume: 180
year: '2024'
...
---
_id: '13619'
abstract:
- lang: eng
text: "Objective\r\nEating disorders (EDs) increasingly emerge as a health risk
in men, but there is concern that men's symptoms go unnoticed due to stereotypical
perceptions and gender-related differences in symptom presentation. Novel assessments
focused particularly on attitudes and behaviours towards increasing muscle size
and definition. Using network analysis, this study aimed to corroborate and extend
previous findings on disordered eating presentation in men by examining the role
of muscularity concerns among an extended range of disordered eating symptoms.\r\nMethod\r\nN
= 294 adult men (18 years or older) completed muscularity-related and disordered
eating assessments, among which we included assessments for orthorexic eating
and Avoidant/Restrictive Food Intake Disorder for the first time. We selected
symptoms empirically, estimated a regularised network, identified symptom communities,
evaluated network loadings and bridge centrality estimates, and compared network
structures between different groups of participants.\r\nResults\r\nWe identified
five symptom communities related to muscularity-related concerns, features of
core ED psychopathology, and selective eating. Symptoms regarding ruminating about
healthy eating, guilt for unhealthy eating, weight overvaluation, concerns about
muscularity, and selective eating emerged as highly central.\r\nDiscussion\r\nThe
results largely corroborate previous observations but suggest that muscle-building
behaviours are part of a broader cluster of male body shaping and rule-based dieting
behaviours.\r\n"
author:
- first_name: R. Leopold
full_name: Eschrich, R. Leopold
last_name: Eschrich
- first_name: Georg
full_name: Halbeisen, Georg
id: '85780'
last_name: Halbeisen
orcid: 0000-0002-9529-2215
- first_name: Sabine
full_name: Steins‐Loeber, Sabine
last_name: Steins‐Loeber
- first_name: Nina
full_name: Timmesfeld, Nina
last_name: Timmesfeld
- first_name: Georgios
full_name: Paslakis, Georgios
last_name: Paslakis
citation:
ama: 'Eschrich RL, Halbeisen G, Steins‐Loeber S, Timmesfeld N, Paslakis G. Investigating
the structure of disordered eating symptoms in adult men: A network analysis.
European eating disorders review : the professional journal of the Eating
Disorders Association. 2024;33(1):80-94. doi:10.1002/erv.3131'
apa: 'Eschrich, R. L., Halbeisen, G., Steins‐Loeber, S., Timmesfeld, N., & Paslakis,
G. (2024). Investigating the structure of disordered eating symptoms in adult
men: A network analysis. European Eating Disorders Review : The Professional
Journal of the Eating Disorders Association, 33(1), 80–94. https://doi.org/10.1002/erv.3131'
bjps: 'Eschrich RL et al. (2024) Investigating the Structure of Disordered
Eating Symptoms in Adult Men: A Network Analysis. European eating disorders
review : the professional journal of the Eating Disorders Association 33,
80–94.'
chicago: 'Eschrich, R. Leopold, Georg Halbeisen, Sabine Steins‐Loeber, Nina Timmesfeld,
and Georgios Paslakis. “Investigating the Structure of Disordered Eating Symptoms
in Adult Men: A Network Analysis.” European Eating Disorders Review : The
Professional Journal of the Eating Disorders Association 33, no. 1 (2024):
80–94. https://doi.org/10.1002/erv.3131.'
chicago-de: 'Eschrich, R. Leopold, Georg Halbeisen, Sabine Steins‐Loeber, Nina Timmesfeld
und Georgios Paslakis. 2024. Investigating the structure of disordered eating
symptoms in adult men: A network analysis. European eating disorders review :
the professional journal of the Eating Disorders Association 33, Nr. 1: 80–94.
doi:10.1002/erv.3131, .'
din1505-2-1: 'Eschrich, R. Leopold
; Halbeisen, Georg ; Steins‐Loeber,
Sabine ; Timmesfeld, Nina
; Paslakis, Georgios: Investigating
the structure of disordered eating symptoms in adult men: A network analysis.
In: European eating disorders review : the professional journal of the Eating
Disorders Association Bd. 33. Chichester, Wiley (2024), Nr. 1, S. 80–94'
havard: 'R.L. Eschrich, G. Halbeisen, S. Steins‐Loeber, N. Timmesfeld, G. Paslakis,
Investigating the structure of disordered eating symptoms in adult men: A network
analysis, European Eating Disorders Review : The Professional Journal of the
Eating Disorders Association. 33 (2024) 80–94.'
ieee: 'R. L. Eschrich, G. Halbeisen, S. Steins‐Loeber, N. Timmesfeld, and G. Paslakis,
“Investigating the structure of disordered eating symptoms in adult men: A network
analysis,” European eating disorders review : the professional journal of
the Eating Disorders Association, vol. 33, no. 1, pp. 80–94, 2024, doi: 10.1002/erv.3131.'
mla: 'Eschrich, R. Leopold, et al. “Investigating the Structure of Disordered Eating
Symptoms in Adult Men: A Network Analysis.” European Eating Disorders Review :
The Professional Journal of the Eating Disorders Association, vol. 33, no.
1, 2024, pp. 80–94, https://doi.org/10.1002/erv.3131.'
short: 'R.L. Eschrich, G. Halbeisen, S. Steins‐Loeber, N. Timmesfeld, G. Paslakis,
European Eating Disorders Review : The Professional Journal of the Eating Disorders
Association 33 (2024) 80–94.'
ufg: 'Eschrich, R. Leopold u. a.: Investigating the structure of disordered
eating symptoms in adult men: A network analysis, in: European eating disorders
review : the professional journal of the Eating Disorders Association 33 (2024),
H. 1, S. 80–94.'
van: 'Eschrich RL, Halbeisen G, Steins‐Loeber S, Timmesfeld N, Paslakis G. Investigating
the structure of disordered eating symptoms in adult men: A network analysis.
European eating disorders review : the professional journal of the Eating Disorders
Association. 2024;33(1):80–94.'
date_created: 2026-03-25T14:41:29Z
date_updated: 2026-03-25T15:13:01Z
department:
- _id: DEP1500
doi: 10.1002/erv.3131
intvolume: ' 33'
issue: '1'
keyword:
- drive for muscularity
- eating disorders
- men
- psychotherapy
- thinness ideal
language:
- iso: eng
page: 80-94
place: Chichester
publication: ' European eating disorders review : the professional journal of the
Eating Disorders Association'
publication_identifier:
eissn:
- 1099-0968
issn:
- 1072-4133
- 1067-1633
publication_status: published
publisher: Wiley
quality_controlled: '1'
status: public
title: 'Investigating the structure of disordered eating symptoms in adult men: A
network analysis'
type: scientific_journal_article
user_id: '83781'
volume: 33
year: '2024'
...
---
_id: '13581'
abstract:
- lang: eng
text: ObjectiveMany people, including patients with eating disorders (EDs), experience
an increased urge for physical activity. "Trait"-like activity in patients with
EDs is assessed by existing questionnaires, but there are few clinically validated
assessments of a "state" urge to be physically active. Here, we developed and
validated the State Urge to be Physically Active-Questionnaire (SUPA-Q). MethodsAfter
developing and piloting the items, N = 126 patients with EDs (mostly anorexia
nervosa and bulimia nervosa) took part in our mixed-longitudinal validation study
with one primary assessment for all patients and a secondary assessment for a
subsample of patients. Cronbach's & alpha; and split-half-methods served as measures
of consistency and reliability. Correlations with other questionnaires were used
to determine convergent and divergent validity, and confirmatory factor analysis
was used for investigating factorial validity. We used paired-samples t-tests
for repeated assessments to investigate change sensitivity. ResultsWe found the
SUPA-Q to be highly consistent, and reliable and to demonstrate convergent, divergent,
and factorial validity. The comparison of SUPA-Q scores from repeated assessments
within a subsample of patients demonstrated the questionnaire's change sensitivity,
Cohen's d = 0.48. Moreover, an increase in SUPA-Q scores was associated with a
less positive mood, more anxiety, more body dissatisfaction, more tenseness, less
feelings of control, and more stress. DiscussionThe newly developed SUPA-Q may
help to accentuate the necessity to evaluate and address the acute urge to engage
in physical activity in patients with EDs in clinical practice and ultimately
support tailoring treatments to patients' unique symptom patterns. The questionnaire
is available at .
article_number: e3220
author:
- first_name: Lina
full_name: Amin, Lina
last_name: Amin
- first_name: Georg
full_name: Halbeisen, Georg
id: '85780'
last_name: Halbeisen
orcid: 0000-0002-9529-2215
- first_name: Karsten
full_name: Braks, Karsten
last_name: Braks
- first_name: Thomas J.J.
full_name: Huber, Thomas J.J.
last_name: Huber
- first_name: Georgios
full_name: Paslakis, Georgios
last_name: Paslakis
citation:
ama: 'Amin L, Halbeisen G, Braks K, Huber TJJ, Paslakis G. The State Urge to be
Physically Active-Questionnaire (SUPA-Q): Development and validation of a state
measure of activity urges in patients with eating disorders. Brain and Behavior.
2023;13(10). doi:10.1002/brb3.3220'
apa: 'Amin, L., Halbeisen, G., Braks, K., Huber, T. J. J., & Paslakis, G. (2023).
The State Urge to be Physically Active-Questionnaire (SUPA-Q): Development and
validation of a state measure of activity urges in patients with eating disorders.
Brain and Behavior, 13(10), Article e3220. https://doi.org/10.1002/brb3.3220'
bjps: 'Amin L et al. (2023) The State Urge to Be Physically Active-Questionnaire
(SUPA-Q): Development and Validation of a State Measure of Activity Urges in Patients
with Eating Disorders. Brain and Behavior 13.'
chicago: 'Amin, Lina, Georg Halbeisen, Karsten Braks, Thomas J.J. Huber, and Georgios
Paslakis. “The State Urge to Be Physically Active-Questionnaire (SUPA-Q): Development
and Validation of a State Measure of Activity Urges in Patients with Eating Disorders.”
Brain and Behavior 13, no. 10 (2023). https://doi.org/10.1002/brb3.3220.'
chicago-de: 'Amin, Lina, Georg Halbeisen, Karsten Braks, Thomas J.J. Huber und Georgios
Paslakis. 2023. The State Urge to be Physically Active-Questionnaire (SUPA-Q):
Development and validation of a state measure of activity urges in patients with
eating disorders. Brain and Behavior 13, Nr. 10. doi:10.1002/brb3.3220,
.'
din1505-2-1: 'Amin, Lina ; Halbeisen,
Georg ; Braks, Karsten ;
Huber, Thomas J.J. ; Paslakis,
Georgios: The State Urge to be Physically Active-Questionnaire (SUPA-Q):
Development and validation of a state measure of activity urges in patients with
eating disorders. In: Brain and Behavior Bd. 13. Malden, Mass., Wiley (2023),
Nr. 10'
havard: 'L. Amin, G. Halbeisen, K. Braks, T.J.J. Huber, G. Paslakis, The State Urge
to be Physically Active-Questionnaire (SUPA-Q): Development and validation of
a state measure of activity urges in patients with eating disorders, Brain and
Behavior. 13 (2023).'
ieee: 'L. Amin, G. Halbeisen, K. Braks, T. J. J. Huber, and G. Paslakis, “The State
Urge to be Physically Active-Questionnaire (SUPA-Q): Development and validation
of a state measure of activity urges in patients with eating disorders,” Brain
and Behavior, vol. 13, no. 10, Art. no. e3220, 2023, doi: 10.1002/brb3.3220.'
mla: 'Amin, Lina, et al. “The State Urge to Be Physically Active-Questionnaire (SUPA-Q):
Development and Validation of a State Measure of Activity Urges in Patients with
Eating Disorders.” Brain and Behavior, vol. 13, no. 10, e3220, 2023, https://doi.org/10.1002/brb3.3220.'
short: L. Amin, G. Halbeisen, K. Braks, T.J.J. Huber, G. Paslakis, Brain and Behavior
13 (2023).
ufg: 'Amin, Lina u. a.: The State Urge to be Physically Active-Questionnaire
(SUPA-Q): Development and validation of a state measure of activity urges in patients
with eating disorders, in: Brain and Behavior 13 (2023), H. 10.'
van: 'Amin L, Halbeisen G, Braks K, Huber TJJ, Paslakis G. The State Urge to be
Physically Active-Questionnaire (SUPA-Q): Development and validation of a state
measure of activity urges in patients with eating disorders. Brain and Behavior.
2023;13(10).'
date_created: 2026-03-25T13:36:10Z
date_updated: 2026-04-08T13:06:01Z
department:
- _id: DEP1500
doi: 10.1002/brb3.3220
extern: '1'
external_id:
isi:
- '001044780200001'
pmid:
- '37559422'
intvolume: ' 13'
isi: '1'
issue: '10'
keyword:
- eating disorders
- physical activity
- psychopathology
- psychotherapy
- symptom assessment
language:
- iso: eng
place: Malden, Mass.
pmid: '1'
publication: Brain and Behavior
publication_identifier:
eissn:
- 2162-3279
publication_status: published
publisher: Wiley
quality_controlled: '1'
status: public
title: 'The State Urge to be Physically Active-Questionnaire (SUPA-Q): Development
and validation of a state measure of activity urges in patients with eating disorders'
type: scientific_journal_article
user_id: '83778'
volume: 13
year: '2023'
...
---
_id: '13607'
abstract:
- lang: eng
text: "Background\r\nPrevious 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.\r\nMethods\r\nED 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.\r\nResults\r\nHorn’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.\r\nConclusions\r\nFactors 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."
article_number: '34'
author:
- first_name: Nora M.
full_name: Laskowski, Nora M.
last_name: Laskowski
- first_name: Georg
full_name: Halbeisen, Georg
id: '85780'
last_name: Halbeisen
orcid: 0000-0002-9529-2215
- first_name: Karsten
full_name: Braks, Karsten
last_name: Braks
- first_name: Thomas J.J.
full_name: Huber, Thomas J.J.
last_name: Huber
- first_name: Georgios
full_name: Paslakis, Georgios
last_name: Paslakis
citation:
ama: Laskowski NM, Halbeisen G, Braks K, Huber TJJ, Paslakis G. Factor structure
of the Eating Disorder Examination-Questionnaire (EDE-Q) in adult men with eating
disorders. Journal of Eating Disorders. 2023;11(1). doi:10.1186/s40337-023-00757-4
apa: Laskowski, N. M., Halbeisen, G., Braks, K., Huber, T. J. J., & Paslakis,
G. (2023). Factor structure of the Eating Disorder Examination-Questionnaire (EDE-Q)
in adult men with eating disorders. Journal of Eating Disorders, 11(1),
Article 34. https://doi.org/10.1186/s40337-023-00757-4
bjps: Laskowski NM et al. (2023) Factor Structure of the Eating Disorder
Examination-Questionnaire (EDE-Q) in Adult Men with Eating Disorders. Journal
of Eating Disorders 11.
chicago: Laskowski, Nora M., Georg Halbeisen, Karsten Braks, Thomas J.J. Huber,
and Georgios Paslakis. “Factor Structure of the Eating Disorder Examination-Questionnaire
(EDE-Q) in Adult Men with Eating Disorders.” Journal of Eating Disorders
11, no. 1 (2023). https://doi.org/10.1186/s40337-023-00757-4.
chicago-de: Laskowski, Nora M., Georg Halbeisen, Karsten Braks, Thomas J.J. Huber
und Georgios Paslakis. 2023. Factor structure of the Eating Disorder Examination-Questionnaire
(EDE-Q) in adult men with eating disorders. Journal of Eating Disorders
11, Nr. 1. doi:10.1186/s40337-023-00757-4,
.
din1505-2-1: 'Laskowski, Nora M. ;
Halbeisen, Georg ; Braks,
Karsten ; Huber, Thomas J.J.
; Paslakis, Georgios: Factor structure
of the Eating Disorder Examination-Questionnaire (EDE-Q) in adult men with eating
disorders. In: Journal of Eating Disorders Bd. 11. London, BioMed Central
(2023), Nr. 1'
havard: N.M. Laskowski, G. Halbeisen, K. Braks, T.J.J. Huber, G. Paslakis, Factor
structure of the Eating Disorder Examination-Questionnaire (EDE-Q) in adult men
with eating disorders, Journal of Eating Disorders. 11 (2023).
ieee: 'N. M. Laskowski, G. Halbeisen, K. Braks, T. J. J. Huber, and G. Paslakis,
“Factor structure of the Eating Disorder Examination-Questionnaire (EDE-Q) in
adult men with eating disorders,” Journal of Eating Disorders, vol. 11,
no. 1, Art. no. 34, 2023, doi: 10.1186/s40337-023-00757-4.'
mla: Laskowski, Nora M., et al. “Factor Structure of the Eating Disorder Examination-Questionnaire
(EDE-Q) in Adult Men with Eating Disorders.” Journal of Eating Disorders,
vol. 11, no. 1, 34, 2023, https://doi.org/10.1186/s40337-023-00757-4.
short: N.M. Laskowski, G. Halbeisen, K. Braks, T.J.J. Huber, G. Paslakis, Journal
of Eating Disorders 11 (2023).
ufg: 'Laskowski, Nora M. u. a.: Factor structure of the Eating Disorder Examination-Questionnaire
(EDE-Q) in adult men with eating disorders, in: Journal of Eating Disorders
11 (2023), H. 1.'
van: Laskowski NM, Halbeisen G, Braks K, Huber TJJ, Paslakis G. Factor structure
of the Eating Disorder Examination-Questionnaire (EDE-Q) in adult men with eating
disorders. Journal of Eating Disorders. 2023;11(1).
date_created: 2026-03-25T13:36:30Z
date_updated: 2026-04-08T12:36:59Z
department:
- _id: DEP1500
doi: 10.1186/s40337-023-00757-4
external_id:
isi:
- '000943959600001'
pmid:
- '36879335'
intvolume: ' 11'
isi: '1'
issue: '1'
keyword:
- Eating disorders
- Eating Disorder Examination-Questionnaire
- EDE-Q
- Factor analysis
- Men’s health
- Body dissatisfaction
- Muscularity
language:
- iso: eng
place: London
pmid: '1'
publication: Journal of Eating Disorders
publication_identifier:
eissn:
- 2050-2974
publication_status: published
publisher: BioMed Central
quality_controlled: '1'
status: public
title: Factor structure of the Eating Disorder Examination-Questionnaire (EDE-Q) in
adult men with eating disorders
type: scientific_journal_article
user_id: '83781'
volume: 11
year: '2023'
...