Scholars@Duke
Ashley Ann Moskovich

Ashley Ann Moskovich

Assistant Professor in Psychiatry and Behavioral Sciences
Psychiatry & Behavioral Sciences, Adult Psychiatry & Psychology
ashley.moskovich@duke.edu
Box 3842, Durham, NC 27710
201 Trent Drive, DUMC P.O. Box 3842, Durham, NC 27710

Selected Publications

A Scoping Review of the Relationship Between Psychological (In)flexibility and Living with and Managing Type 1 and Type 2 Diabetes.

Journal Article Behav Sci (Basel) · June 9, 2025 Diabetes Mellitus (DM) is highly prevalent and carries a significant self-management burden and elevated risk of biopsychosocial sequelae. Psychological flexibility (PF) has been shown to benefit living with and managing chronic health conditions. The pres ... Full text Link to item Cite

Correspondence between the Diabetes Eating Problems Survey-Revised and eating disorder diagnosis: Examining the current cut-off for clinically significant eating disorder symptoms.

Journal Article Diabet Med · May 2025 AIMS: Eating disorders (EDs) are associated with severe health complications and early death in individuals with type 1 diabetes, making the accurate detection of EDs crucial so that treatment can be initiated. The Diabetes Eating Problems Survey-Revised ( ... Full text Link to item Cite

Acceptability and feasibility of acceptance and commitment therapy for improving outcomes in hematopoietic stem cell transplant.

Journal Article PLoS One · 2025 INTRODUCTION: Allogeneic hematopoietic stem cell transplant (HCT) has the potential to cure patients with hematologic malignancies, but treatment-related morbidity and mortality is high. Transplant outcomes are optimized by patients maintaining physical ac ... Full text Link to item Cite

Acceptance and Commitment Therapy for Eating Disorders

Journal Article Psychiatric Clinics of North America · January 1, 2025 Full text Cite

Profiles of disordered eating behaviour in type 1 diabetes using the DEPS-R and behaviour and glycaemic outcomes in a real-life setting.

Journal Article Diabet Med · June 2024 AIMS: The Diabetes Eating Problems Survey - Revised (DEPS-R) is commonly used to assess disordered eating behaviour (DEB) in individuals with type 1 diabetes and has advantages compared to other measures not specifically tailored to diabetes. A score ≥20 o ... Full text Link to item Cite

Change in body image flexibility and correspondence with outcomes in a digital early intervention for eating disorders based on acceptance and commitment therapy.

Journal Article Body Image · March 2023 Body image flexibility (BIF) has been suggested as a transdiagnostic process of change in eating disorder (ED) interventions, but data remain sparse. The current study examined the relationship between BIF and treatment effects in a randomized controlled t ... Full text Link to item Cite

Acceptance and commitment therapy (ACT) for eating disorders: A systematic review of intervention studies and call to action

Journal Article Journal of Contextual Behavioral Science · October 1, 2022 Acceptance and Commitment Therapy (ACT) is increasingly used to treat eating disorders (EDs); however, the evidence for ACT with EDs has not been the subject of a systematic review. The current study reviews the evidence of ACT for EDs through January of 2 ... Full text Cite

Acceptance

Chapter · November 10, 2021 Acceptance refers to the active and aware embrace of unwanted private events. It is the cornerstone of acceptance and commitment therapy (ACT) interventions and is evoked whenever experiential avoidance interferes with valued living. This chapter provides ... Cite

An open trial of app-assisted acceptance and commitment therapy (iACT) for eating disorders in type 1 diabetes.

Journal Article J Eat Disord · January 6, 2021 BACKGROUND: Eating disorders (EDs) among individuals with type 1 diabetes (T1D) increase the risk of early and severe diabetes-related medical complications and premature death. Conventional eating disorder (ED) treatments have been largely ineffective for ... Full text Link to item Cite

A behavioral cancer pain intervention: A randomized noninferiority trial comparing in-person with videoconference delivery.

Journal Article Psychooncology · August 2019 OBJECTIVE: Behavioral cancer pain interventions are efficacious for improving important pain outcomes; yet, traditional in-person delivery limits patient access. This study compared videoconference-delivered mobile health pain coping skills training (mPCST ... Full text Link to item Cite

Real-time predictors and consequences of binge eating among adults with type 1 diabetes.

Journal Article J Eat Disord · 2019 BACKGROUND: Objective binge eating (OBE) is common among individuals with type 1 diabetes (T1D) and may have negative consequences for glycemic control. Recent studies have suggested that diabetes distress (i.e., emotional distress specific to diabetes and ... Full text Link to item Cite

Time of Day When Type 1 Diabetes Patients With Eating Disorder Symptoms Most Commonly Restrict Insulin.

Journal Article Psychosom Med · 2018 OBJECTIVE: Restricting insulin to lose weight is a significant problem in the clinical management of type 1 diabetes (T1D). Little is known about this behavior or how to effectively intervene. Identifying when insulin restriction occurs could allow clinici ... Full text Link to item Cite

Change in expressed emotion and treatment outcome in adolescent anorexia nervosa.

Journal Article Eat Disord · 2017 Expressed emotion (EE) has been associated with poor outcomes in anorexia nervosa (AN); however, whether changes in EE predict superior treatment outcomes is unknown. The current study examined whether decreases in EE during an open trial of a novel family ... Full text Link to item Cite

PROFILES OF DISORDERED EATING BEHAVIORS IN TYPE 1 DIABETES

Conference PSYCHOSOMATIC MEDICINE · April 1, 2016 Link to item Cite

Momentary Predictors of Insulin Restriction Among Adults With Type 1 Diabetes and Eating Disorder Symptomatology.

Journal Article Diabetes Care · November 2015 OBJECTIVE: Individuals with type 1 diabetes who restrict insulin to control weight are at high risk for diabetes-related complications and premature death. However, little is known about this behavior or how to effectively intervene. The aim of the current ... Full text Link to item Cite

The functional significance of shyness in anorexia nervosa.

Journal Article Eur Eat Disord Rev · July 2015 The defining features of anorexia nervosa (AN) include disordered eating and disturbance in the experience of their bodies; however, many women with AN also demonstrate higher harm avoidance (HA), lower novelty seeking, and challenges with interpersonal fu ... Full text Link to item Cite

Self-focused attention in anorexia nervosa.

Journal Article Int J Eat Disord · January 2015 OBJECTIVE: The clinical presentation of anorexia nervosa (AN) is characterized by preoccupation with body experience, intrusive concerns regarding shape, and pathological fears of weight gain. These symptoms are suggestive of unrelenting self-focused atten ... Full text Link to item Cite

Disinhibited eating and weight-related insulin mismanagement among individuals with type 1 diabetes.

Journal Article Appetite · October 2014 OBJECTIVE: Withholding insulin for weight control is a dangerous practice among individuals with type 1 diabetes; yet little is known about the factors associated with this behavior. Studies of nondiabetic individuals with weight concerns suggest that eati ... Full text Link to item Cite

Subjective experience of sensation in anorexia nervosa.

Journal Article Behav Res Ther · June 2013 The nature of disturbance in body experience in anorexia nervosa (AN) remains poorly operationalized despite its prognostic significance. We examined the relationship of subjective reports of sensitivity to and behavioral avoidance of sensory experience (e ... Full text Open Access Link to item Cite

Perception of affect in biological motion cues in anorexia nervosa.

Journal Article Int J Eat Disord · January 2013 OBJECTIVE: Nonverbal motion cues (a clenched fist) convey essential information about the intentions of the actor. Individuals with anorexia nervosa (AN) have demonstrated impairment in deciphering intention from facial affective cues, but it is unknown wh ... Full text Link to item Cite

Emotion regulation difficulties in anorexia nervosa: Relationship to self-perceived sensory sensitivity.

Journal Article Cogn Emot · 2013 Changes in sensation (e.g., prickly skin) are crucial constituents of emotional experience, and the intensity of perceived changes has been linked to emotional intensity and dysregulation. The current study examined the relationship between sensory sensiti ... Full text Link to item Cite

The Psychology of Obesity

Chapter · September 18, 2012 This chapter provides a discussion on the psychology of obesity. Four major individual factors have been explored as causes of overeating: interoceptive awareness, response to emotional experience, cognition, and biology. Current research is examining how ... Full text Cite

Incorporating dispositional traits into the treatment of anorexia nervosa.

Journal Article Curr Top Behav Neurosci · 2011 We provide a general framework to guide the development of interventions that aim to address persistent features in eating disorders that may preclude effective treatment. Using perfectionism as an exemplar, we draw from research in cognitive neuroscience ... Full text Open Access Link to item Cite

Psychological inflexibility and symptom expression in anorexia nervosa.

Journal Article Eat Disord · 2011 The purpose of this article is to outline a model of anorexia nervosa (AN) as a disorder of psychological inflexibility, motivated by an insatiable desire for prediction and control with related intolerance for uncertainty. We describe preliminary data tha ... Full text Link to item Cite

Consumption after a diet violation: disinhibition or compensation?

Journal Article Psychol Sci · October 2009 Previous research, restricted to the laboratory, has found that restrained eaters overeat after they violate their diet. However, there has been no evidence showing that this same process occurs outside the lab. We hypothesized that outside of this artific ... Full text Link to item Cite

Attention and the self-control of eating

Conference ANNALS OF BEHAVIORAL MEDICINE · March 1, 2008 Link to item Cite