Scholars@Duke
Nancy Lee Zucker

Nancy Lee Zucker

Professor in Psychiatry and Behavioral Sciences
Psychiatry, Child & Family Mental Health & Community Psychiatry
zucke001@mc.duke.edu
Box 3454 Med Ctr, Durham, NC 27710
905 W. Main Street, Suite 22B Brightleaf Square, Durham, NC 27701
Office hours https://zuckerspring2024officehours.youcanbook.me  

Selected Publications

A US-Based Consensus on Diagnostic Overlap and Distinction for Pediatric Feeding Disorder and Avoidant/Restrictive Food Intake Disorder.

Journal Article Int J Eat Disord · December 16, 2024 OBJECTIVE: As diagnoses covering dysfunctional feeding and eating in pediatrics, avoidant/restrictive food intake disorder (ARFID) and pediatric feeding disorder (PFD) contain inherent areas of overlap in their diagnostic criteria. Areas of overlap include ... Full text Link to item Cite

Assessing Fears of Negative Consequences in Children With Symptoms of Avoidant Restrictive Food Intake Disorder.

Journal Article Int J Eat Disord · December 2024 OBJECTIVE: Fear of Aversive Consequences (FOAC), such as choking or vomiting, is an important associated feature of Avoidant/Restrictive Food Intake Disorder (ARFID). However, the manifestation of FOAC in young children is poorly understood. This study aim ... Full text Link to item Cite

Experimental Therapeutics: Opportunities and Challenges Stemming From the National Institute of Mental Health Workshop on Novel Target Discovery and Psychosocial Intervention Development.

Journal Article Perspect Psychol Sci · October 24, 2023 There has been slow progress in the development of interventions that prevent and/or reduce mental-health morbidity and mortality. The National Institute of Mental Health (NIMH) launched an experimental-therapeutics initiative with the goal of accelerating ... Full text Link to item Cite

Intervening on Social Comparisons on Social Media: Electronic Daily Diary Pilot Study.

Journal Article JMIR Ment Health · April 28, 2023 BACKGROUND: Literature has underscored the dark aspects of social media use, including associations with depressive symptoms, feelings of social isolation, and diminished self-esteem. Social comparison, the process of evaluating oneself relative to another ... Full text Link to item Cite

Feeding difficulties: Difficulty swallowing and the fear of aversive consequences

Chapter · January 1, 2023 This chapter provides a detailed understanding of the emergence of fears of aversive consequences broadly and more specifically in youth with avoidant/restrictive food intake disorder (ARFID), practice guidance on differentially assessing ARFID from other ... Full text Cite

Brain Structure in Acutely Underweight and Partially Weight-Restored Individuals With Anorexia Nervosa: A Coordinated Analysis by the ENIGMA Eating Disorders Working Group.

Journal Article Biol Psychiatry · November 1, 2022 BACKGROUND: The pattern of structural brain abnormalities in anorexia nervosa (AN) is still not well understood. While several studies report substantial deficits in gray matter volume and cortical thickness in acutely underweight patients, others find no ... Full text Link to item Cite

Examination of perfectionism and self-concept constructs across stages of eating disorder recovery in men: An exploratory study.

Journal Article Eat Behav · August 2022 OBJECTIVE: This study examined perfectionism and self-concept constructs across eating disorder recovery stages in men, using a conceptualization of recovery that encompasses physical, behavioral, and cognitive recovery. METHOD: Participants were 35 men wi ... Full text Link to item Cite

Experiences of mimicry in eating disorders.

Journal Article J Eat Disord · July 15, 2022 BACKGROUND: People unknowingly mimic the behaviors of others, a process that results in feelings of affiliation. However, some individuals with eating disorders describe feeling "triggered" when mimicked. This study explores the effects of implicit non-ver ... Full text Link to item Cite

Shuffle the Decks: Children Are Sensitive to Incidental Nonrandom Structure in a Sequential-Choice Task.

Journal Article Psychol Sci · April 2022 As children age, they can learn increasingly complex features of environmental structure-a key prerequisite for adaptive decision-making. Yet when we tested children (N = 304, 4-13 years old) in the Children's Gambling Task, an age-appropriate variant of t ... Full text Link to item Cite

Complex functional brain network properties in anorexia nervosa.

Journal Article J Eat Disord · February 5, 2022 BACKGROUND: Anorexia nervosa (AN) is a disorder characterized by an incapacitating fear of weight gain and by a disturbance in the way the body is experienced, facets that motivate dangerous weight loss behaviors. Multimodal neuroimaging studies highlight ... Full text Link to item Cite

Rigidity and Sensory Sensitivity: Independent Contributions to Selective Eating in Children, Adolescents, and Young Adults.

Journal Article J Clin Child Adolesc Psychol · 2022 Objective: Selective or "picky" eating (SE) refers to rejection of a wide range of familiar and unfamiliar foods based on aversions to their sensory properties. When severe, SE can cause symptoms of avoidant/restrictive food intake disorder (ARFID), includ ... Full text Link to item Cite

Parent strategies for expanding food variety: Reflections of 19,239 adults with symptoms of Avoidant/Restrictive Food Intake Disorder.

Journal Article Int J Eat Disord · January 2022 OBJECTIVE: To characterize helpful parent feeding strategies using reflections on childhood eating experiences of adults with symptoms of Avoidant/Restrictive Food Intake Disorder (ARFID). METHOD: We explored a unique text-based dataset gathered from a pop ... Full text Link to item Cite

Weight-Related Behaviors of Children with Obesity during the COVID-19 Pandemic.

Journal Article Child Obes · September 2021 Background: During the coronavirus disease 2019 (COVID-19) pandemic, children and families have had to adapt their daily lives. The purpose of this study was to describe changes in the weight-related behaviors of children with obesity after the onset of th ... Full text Link to item Cite

Do interoceptive accuracy and interoceptive sensibility predict emotion regulation?

Journal Article Psychological research · July 2021 IntroductionInteroception refers to awareness, interpretation, and integration of sensations in the body. While interoceptive accuracy has long been regarded as a core component of emotional experience, less is known about the relationship of inte ... Full text Cite

Do children with recurrent abdominal pain grow up to become adolescents who control their weight by fasting? Results from a UK population-based cohort.

Journal Article Int J Eat Disord · June 2021 OBJECTIVE: Gastrointestinal (GI) problems are common in eating disorders, but it is unclear whether these problems predate the onset of disordered eating. Recurrent abdominal pain (RAP) is the most prevalent GI problem of childhood, and this study aimed to ... Full text Link to item Cite

The diagnosis of avoidant restrictive food intake disorder in the presence of gastrointestinal disorders: Opportunities to define shared mechanisms of symptom expression.

Journal Article The International journal of eating disorders · June 2021 ObjectiveIndividuals with a gastrointestinal (GI) disorder often alter their diet to manage GI symptoms, adding complexity to understanding the diverse motivations contributing to food avoidance/restriction. When a GI disorder is present, the DSM- ... Full text Cite

Children's Beliefs about Pain: An Exploratory Analysis.

Journal Article Children (Basel) · May 27, 2021 Functional abdominal pain (FAP) is one of the most common childhood medical complaints, associated with significant distress and impairment. Little is known about how children understand their pain. Do they attribute it to personal weakness? Do they percei ... Full text Link to item Cite

Increased emotional eating behaviors in children with autism: Sex differences and links with dietary variety.

Journal Article Autism · April 2021 Although "picky" eating is well documented in autism spectrum disorder, emotional eating has rarely been investigated. This study examined emotional over- and under-eating based on parent ratings of these behaviors in 4- to 17-year-old children with autism ... Full text Link to item Cite

Internal states and interoception along a spectrum of eating disorder symptomology.

Journal Article Physiol Behav · March 1, 2021 OBJECTIVE: Recent studies on atypical interoceptive capabilities have focused on clinical populations, including anorexia nervosa[1,2]. The present exploratory study aims to characterize the influence of disordered eating symptomology on interoceptive capa ... Full text Link to item Cite

The clash of culture and cuisine: A qualitative exploration of cultural tensions and attitudes toward food and body in Chinese young adult women.

Journal Article Int J Eat Disord · February 2021 OBJECTIVE: Accumulating evidence suggests that the prevalence of eating disorders among Chinese women is a public health concern. Prior studies have drawn linkages between conflicting cultural values, identity confusion, and eating disorder symptomatology, ... Full text Link to item Cite

Longitudinal associations of trauma exposure with disordered eating: Lessons from the Great Smoky Mountains Study.

Journal Article Eat Disord · 2021 Disordered eating is prevalent among trauma survivors, yet little is known about mechanisms underlying this relation. We explored cross-sectional and longitudinal associations of trauma exposure and posttraumatic stress disorder symptoms (PTSD) with disord ... Full text Link to item Cite

A mixed-methods approach to conceptualizing friendships in anorexia nervosa.

Journal Article PLoS One · 2021 BACKGROUND: Individuals with anorexia nervosa have reported feelings of loneliness, social anhedonia, and interpersonal difficulties. This study sought to clarify the nature of interpersonal relationships in adults with anorexia, which may help improve exi ... Full text Link to item Cite

Meal skipping and cognition along a spectrum of restrictive eating.

Journal Article Eat Behav · December 2020 OBJECTIVE: Inadequate nutrition adversely impacts brain development and cognitive functioning (Pollitt et al., 1983). Studies examining the acute impact of eating regular meals on cognition have reported inconsistent findings, necessitating the exploration ... Full text Link to item Cite

A multi-method assessment of interoception among sexual trauma survivors.

Journal Article Physiol Behav · November 1, 2020 It is well established that many female sexual trauma survivors experience dissociation, particularly disconnection from the body, in the aftermath of sexual trauma. This study aims to address the open question of how sexual trauma is associated with aware ... Full text Link to item Cite

Associations of self-reported eating disorder behaviors and personality in a college-educated sample.

Journal Article Appetite · August 1, 2020 OBJECTIVE: In order to better understand factors motivating eating disorder (ED) behaviors and better identify persons at-risk for these behaviors, we sought to identify which personality domains and facets were associated with behaviors for weight control ... Full text Link to item Cite

Associations between attention deficit hyperactivity disorder symptoms and eating behaviors in early childhood.

Journal Article Pediatr Obes · July 2020 BACKGROUND: Attention-deficit/hyperactivity disorder (ADHD) symptoms have been linked with eating behaviors and obesity adolescence and young adulthood. Yet, little is known about whether these associations occur during early childhood and few studies have ... Full text Link to item Cite

Rationale and design of "Hearts & Parks": study protocol for a pragmatic randomized clinical trial of an integrated clinic-community intervention to treat pediatric obesity.

Journal Article BMC Pediatr · June 26, 2020 BACKGROUND: The prevalence of child and adolescent obesity and severe obesity continues to increase despite decades of policy and research aimed at prevention. Obesity strongly predicts cardiovascular and metabolic disease risk; both begin in childhood. Ch ... Full text Link to item Cite

On bells, saliva, and abdominal pain or discomfort: Early aversive visceral conditioning and vulnerability for anorexia nervosa.

Journal Article Int J Eat Disord · April 2020 Gastrointestinal (GI) symptoms are common in anorexia nervosa (AN), can predate illness onset, complicate renourishment, and persist after recovery. We explore how, through processes of aversive visceral conditioning, early GI pain and discomfort may incre ... Full text Link to item Cite

Disgust Theory Through the Lens of Psychiatric Medicine

Journal Article Clinical Psychological Science · January 1, 2020 The elicitors of disgust are heterogeneous, which makes attributing one function to disgust challenging. Theorists have proposed that disgust solves multiple adaptive problems and comprises multiple functional domains. However, theories conflict with regar ... Full text Cite

Eating disorder recovery in men: A pilot study.

Journal Article Int J Eat Disord · December 2019 OBJECTIVE: This pilot study examined the validity of a comprehensive definition of recovery (physical, behavioral, and cognitive recovery indices) for the first time in men. METHOD: Men with an eating disorder history were recruited from former patients at ... Full text Link to item Cite

Sensory Over-Responsivity: An Early Risk Factor for Anxiety and Behavioral Challenges in Young Children.

Journal Article J Abnorm Child Psychol · June 2019 Anxiety disorders are prevalent and significantly impact young children and their families. One hypothesized risk factor for anxiety is heightened responses to sensory input. Few studies have explored this hypothesis prospectively. This study had two goals ... Full text Link to item Cite

The central role of disgust in disorders of food avoidance.

Journal Article Int J Eat Disord · May 2019 BACKGROUND: Individuals with extreme food avoidance such as Avoidant Restrictive Food Intake Disorder (ARFID) experience impairing physical and mental health consequences from nutrition of insufficient variety or/and quantity. Identifying mechanisms contri ... Full text Link to item Cite

Feeling and body investigators (FBI): ARFID division-An acceptance-based interoceptive exposure treatment for children with ARFID.

Journal Article Int J Eat Disord · April 2019 OBJECTIVE: Individuals with Avoidant Restrictive Food Intake Disorder (ARFID) experience impairing health consequences from insufficient nutritional variety and/or quantity. Early medical conditions and/or somatic symptoms such as abdominal pain may lead s ... Full text Link to item Cite

Avoidant restrictive food intake disorder: First do no harm.

Journal Article Int J Eat Disord · April 2019 OBJECTIVE: This opinion piece offers some considerations, both medical and psychological, for the use of nasogastric tube (NGT) feedings in the treatment of avoidant restrictive food intake disorder (ARFID) in children and adolescents. METHOD: Although the ... Full text Link to item Cite

Radcliffe ARFID Workgroup: Toward operationalization of research diagnostic criteria and directions for the field.

Journal Article Int J Eat Disord · April 2019 OBJECTIVE: Since its introduction to the psychiatric nomenclature in 2013, research on avoidant/restrictive food intake disorder (ARFID) has proliferated highlighting lack of clarity in how ARFID is defined. METHOD: In September 2018, a small multi-discipl ... Full text Link to item Cite

Avoidant Restrictive Food Intake Disorder.

Journal Article Psychiatr Clin North Am · March 2019 Avoidant restrictive food intake disorder (ARFID) is a rearticulated eating disorder diagnosis in the Diagnostic and Statistical Manual of Mental Disorders (fifth edition) (DSM-5), published in 2013. The purpose of this article is to review what is known a ... Full text Link to item Cite

Pre-Pregnancy Weight and Symptoms of Attention Deficit Hyperactivity Disorder and Executive Functioning Behaviors in Preschool Children.

Journal Article Int J Environ Res Public Health · February 25, 2019 This study examines pre-pregnancy Body Mass Index (BMI) and gestational weight gain (GWG) in relation to early childhood Attention Deficit Hyperactivity Disorder (ADHD) symptoms and related executive self-regulation behaviors. The analyses sample (n = 331) ... Full text Open Access Link to item Cite

Associations between imprinted gene differentially methylated regions, appetitive traits and body mass index in children.

Journal Article Pediatr Obes · February 2019 BACKGROUND: Knowledge regarding genetic influences on eating behaviours is expanding; yet less is known regarding contributions of epigenetic variation to appetitive traits and body mass index (BMI) in children. OBJECTIVE: The purpose of this study was to ... Full text Link to item Cite

Family-Based Treatment for Anorexia Nervosa Symptoms in High-Risk Youth: A Partially-Randomized Preference-Design Study.

Journal Article Front Psychiatry · 2019 UNLABELLED: This pilot study adapted family-based treatment (FBT) for youth with potentially prodromal anorexia nervosa (AN). Fifty-nine youth with clinically significant AN symptom constellations, but who never met full Diagnostic and Statistical Manual o ... Full text Link to item Cite

Executive functioning and central coherence in anorexia nervosa: Pilot investigation of a neurocognitive endophenotype.

Journal Article Eur Eat Disord Rev · September 2018 A neurocognitive profile characterized by problems in set shifting, executive functioning, and central coherence may pre-date and maintain anorexia nervosa (AN). To test this pattern as a possible endophenotype for AN, 10 youth with current AN, 14 healthy ... Full text Link to item Cite

Interoception and Mental Health: A Roadmap.

Journal Article Biol Psychiatry Cogn Neurosci Neuroimaging · June 2018 Interoception refers to the process by which the nervous system senses, interprets, and integrates signals originating from within the body, providing a moment-by-moment mapping of the body's internal landscape across conscious and unconscious levels. Inte ... Full text Link to item Cite

Associations between maternal cytokine levels during gestation and measures of child cognitive abilities and executive functioning.

Journal Article Brain Behav Immun · May 2018 Preclinical studies demonstrate that environmentally-induced alterations in inflammatory cytokines generated by the maternal and fetal immune system can significantly impact fetal brain development. Yet, the relationship between maternal cytokines during g ... Full text Link to item Cite

The Application of Optimal Defaults to Improve Elementary School Lunch Selections: Proof of Concept.

Journal Article J Sch Health · April 2018 BACKGROUND: In this study, we applied behavioral economics to optimize elementary school lunch choices via parent-driven decisions. Specifically, this experiment tested an optimal defaults paradigm, examining whether strategically manipulating the health v ... Full text Link to item Cite

Building evidence for the use of descriptive subtypes in youth with avoidant restrictive food intake disorder.

Journal Article Int J Eat Disord · February 2018 OBJECTIVE: To examine characteristics of patients with Avoidant/Restrictive Food Intake Disorder (ARFID) in an effort to identify and describe subtypes of the disorder. METHOD: A retrospective chart review was completed for patients aged 8-17 years assesse ... 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

Attention-Deficit/Hyperactivity Disorder Symptoms Are Associated with Overeating with and without Loss of Control in Youth with Overweight/Obesity.

Journal Article Child Obes · January 2018 BACKGROUND: There is growing evidence that attention-deficit/hyperactivity disorder (ADHD) and loss of control (LOC) eating, both prevalent in children and adolescents, may be related to one another. However, the relationship between ADHD and overeating wi ... Full text Link to item Cite

Neurobiology of social reward valuation in adults with a history of anorexia nervosa.

Journal Article PLoS One · 2018 OBJECTIVE: Anorexia nervosa (AN) is a disorder characterized by atypical patterns of reward valuation (e.g. positive valuation of hunger). Atypical reward processing may extend into social domains. If so, such findings would be of prognostic significance a ... Full text Link to item Cite

Loss of control eating in children

Chapter · January 1, 2018 The experience of a loss of control while eating is a hallmark feature of a binge eating episode, and one that has been associated with elevated mental health symptoms, independent of other binge eating parameters such as the quantity of food consumed. Thi ... Full text Cite

Experimental pretesting of message framing to motivate caregiver self-care among parents of children with eating disorders

Journal Article Journal of Applied Biobehavioral Research · December 1, 2017 The purpose of this study was to examine the effects of message framing strategies and approach avoidance trait moderators on health communication intervention messages aimed at encouraging adaptive coping among parents of those children with eating disord ... Full text Cite

Acceptance-based interoceptive exposure for young children with functional abdominal pain.

Journal Article Behav Res Ther · October 2017 UNLABELLED: Functional abdominal pain (FAP) is a common childhood somatic complaint that contributes to impairment in daily functioning (e.g., school absences) and increases risk for chronic pain and psychiatric illness. Cognitive behavioral treatments for ... Full text Link to item Cite

Adolescent development of insula-dependent interoceptive regulation.

Journal Article Dev Sci · September 2017 Adolescence is hypothesized to be a critical period for the maturation of self-regulatory capacities, including those that depend on interoceptive sensitivity, but the neural basis of interoceptive regulation in adolescence is unknown. We used functional m ... Full text Link to item Cite

Secretive eating among youth with overweight or obesity.

Conference Appetite · July 1, 2017 PURPOSE: Secretive eating, characterized by eating privately to conceal being seen, may reflect eating- and/or body-related shame, be associated with depression, and correlate with binge eating, which predicts weight gain and eating disorder onset. Increas ... 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

The Clinical Significance of Posterior Insular Volume in Adolescent Anorexia Nervosa.

Journal Article Psychosom Med · 2017 OBJECTIVE: The diagnostic criterion disturbance in the experience of the body remains a poorly understood and persistent feature of anorexia nervosa (AN). Increased sophistication in understanding the structure of the insular cortex-a neural structure that ... Full text Link to item Cite

Selective eating: Normative developmental phase or clinical condition?

Chapter · January 1, 2017 Selective eating (also referred to as picky or fussy eating) has been described as a normative developmental phase that a significant minority experience and, potentially, “grow out of” without formal intervention. This chapter reviews the literature on se ... Full text Cite

Altered Insula Activity during Visceral Interoception in Weight-Restored Patients with Anorexia Nervosa.

Journal Article Neuropsychopharmacology · January 2016 Anorexia nervosa (AN) is a devastating psychiatric illness that is associated with significant morbidity and mortality. Aberrant visceral interoceptive processing within the insula has been hypothesized to be an important mechanism in AN's pathophysiology ... Full text Link to item Cite

Authors' Response.

Journal Article Pediatrics · January 2016 Full text Link to item Cite

A feasibility study of group caregiver training for the prevention of obesity (GCT-O) in African American Preschoolers

Journal Article Clinical Practice in Pediatric Psychology · January 1, 2016 Obesity prevention is a priority for African American (AA) children. However, effective programs are sparse. We therefore conducted a feasibility study of an 8-week group caregiver training program for obesity prevention (GCT-O) targeting parental selfeffi ... Full text Cite

Does childhood bullying predict eating disorder symptoms? A prospective, longitudinal analysis.

Journal Article Int J Eat Disord · December 2015 OBJECTIVE: Bullying is a common childhood experience with enduring psychosocial consequences. The aim of this study was to test whether bullying increases risk for eating disorder symptoms. METHOD: Ten waves of data on 1,420 participants between ages 9 and ... Full text Link to item Cite

Feeding Strategies Derived from Behavioral Economics and Psychology Can Increase Vegetable Intake in Children as Part of a Home-Based Intervention: Results of a Pilot Study.

Journal Article J Acad Nutr Diet · November 2015 BACKGROUND: Behavioral economics and psychology have been applied to altering food choice, but most studies have not measured food intake under free-living conditions. OBJECTIVES: To test the effects of a strategy that pairs positive stimuli (ie, stickers ... Full text Link to item Cite

The relationship between parent feeding styles and general parenting with loss of control eating in treatment-seeking overweight and obese children.

Journal Article Int J Eat Disord · November 2015 OBJECTIVE: To examine differences in parent feeding behaviors and general parenting of overweight children with and without loss of control (LOC) eating. METHOD: One-hundred-and-eighteen overweight and obese children (10.40 ± 1.35 years; 53% female; 52% Ca ... Full text 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

Psychological and Psychosocial Impairment in Preschoolers With Selective Eating.

Journal Article Pediatrics · September 2015 OBJECTIVE: We examined the clinical significance of moderate and severe selective eating (SE). Two levels of SE were examined in relation to concurrent psychiatric symptoms and as a risk factor for the emergence of later psychiatric symptoms. Findings are ... 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

Childhood somatic complaints predict generalized anxiety and depressive disorders during young adulthood in a community sample.

Journal Article Psychol Med · June 2015 BACKGROUND: Children with somatic complaints are at increased risk for emotional disorders during childhood. Whether this elevated risk extends into young adulthood - and to which specific disorders - has rarely been tested with long-term prospective-longi ... Full text Link to item Cite

An open trial of Acceptance-based Separated Family Treatment (ASFT) for adolescents with anorexia nervosa.

Journal Article Behav Res Ther · June 2015 Family based-treatments have the most empirical support in the treatment of adolescent anorexia nervosa; yet, a significant percentage of adolescents and their families do not respond to manualized family based treatment (FBT). The aim of this open trial w ... Full text Link to item Cite

Developmental trajectories of cortical-subcortical interactions underlying the evaluation of trust in adolescence.

Journal Article Soc Cogn Affect Neurosci · February 2015 Social decision making is guided by the ability to intuitively judge personal attributes, including analysis of facial features to infer the trustworthiness of others. Although the neural basis for trustworthiness evaluation is well characterized in adults ... 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

Design and implementation of a study evaluating extinction processes to food cues in obese children: the Intervention for Regulations of Cues Trial (iROC).

Journal Article Contemp Clin Trials · January 2015 Obesity and its health sequelae affect a significant portion of children in the United States. Yet, the current gold-standard family-based behavioral weight-loss treatments are only effective for one-third of children long-term. Therefore, we developed iRO ... Full text Link to item Cite

Family-based treatment for prodromal anorexia nervosa

Chapter · January 1, 2015 The use of evidence-based treatment (EBT) for psychological disorders is an aspiration held by many clinicians in an endeavor to engage in evidence-based practice. As with the research studies, comorbidities such as depression, bipolar disorder, obsessive ... Full text Cite

Emotional experience and regulation in eating disorders: Theory, evidence, and translational application to family treatment

Chapter · January 1, 2015 To begin, the nature of emotional experience and the relationship of emotional experience to goal pursuit is discussed. Next, there is discussion of emotion regulatory capacities in those with eating disorders and how family-based treatment can help augmen ... Full text Cite

Are children and adolescents with food allergies at increased risk for psychopathology?

Journal Article J Psychosom Res · December 2014 OBJECTIVE: Living with food allergy is a unique and potentially life-threatening stressor that requires constant vigilance to food-related stimuli, but little is known about whether adolescents with food allergies are at increased risk for psychopathology- ... 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

Associations between child emotional eating and general parenting style, feeding practices, and parent psychopathology.

Journal Article Appetite · September 2014 Emotional eating is the tendency to eat in response to negative emotions. Prior research has identified a relationship between parenting style and child emotional eating, but this has not been examined in clinical samples. Furthermore, the relationship bet ... Full text Link to item Cite

The expression of cytokines and chemokines in the blood of patients with severe weight loss from anorexia nervosa: an exploratory study.

Journal Article Cytokine · September 2014 Anorexia nervosa (AN) is a serious, potentially life-threatening disorder characterized by severe weight loss, dysregulated eating, and often excessive exercise. While psychiatric illnesses such as depression are associated with increased levels of pro-inf ... Full text Link to item Cite

Overeating phenotypes in overweight and obese children.

Journal Article Appetite · May 2014 The purpose of this study was to identify overeating phenotypes and their correlates in overweight and obese children. One hundred and seventeen treatment-seeking overweight and obese 8-12year-old children and their parents completed the study. Children co ... Full text Link to item Cite

An intervention based on Schachter's externality theory for overweight children: the regulation of cues pilot.

Journal Article J Pediatr Psychol · May 2014 OBJECTIVE: This study evaluated the feasibility, acceptability, and initial efficacy of an intervention based on Schachter's externality theory; the Regulation of Cues (ROC) program. METHODS: 44 overweight and obese 8-12-year-old children and their parents ... Full text Link to item Cite

Concurrent and convergent validity of the eating in the absence of hunger questionnaire and behavioral paradigm in overweight children.

Journal Article Int J Eat Disord · April 2014 OBJECTIVE: This study aimed to assess the concurrent and convergent validity of the Eating in the Absence of Hunger (EAH) questionnaire parent report of child (EAH-PC) and child self-report (EAH-C) with the EAH behavioral paradigm (EAH%) and usual dietary ... Full text Link to item Cite

Parents of children with eating disorders: developing theory-based health communication messages to promote caregiver well-being.

Journal Article J Health Commun · 2014 Parents of children with eating disorders experience extreme emotional burden because of the intensity and duration of the recovery process. While parental involvement in a child's eating disorder treatment improves outcomes, parents often neglect their ow ... Full text Link to item Cite

NURTURE: development and pilot testing of a novel parenting intervention for mothers with histories of an eating disorder.

Journal Article Int J Eat Disord · January 2014 OBJECTIVE: To describe the treatment development and pilot testing of a group parenting intervention, NURTURE (Networking, Uniting, and Reaching out To Upgrade Relationships and Eating), for mothers with histories of eating disorders. METHOD: Based on focu ... Full text Link to item Cite

A Pilot Study of an Acceptance-Based Separated Family Treatment for Adolescent Anorexia Nervosa.

Journal Article Cogn Behav Pract · November 2013 The treatment of adolescent anorexia nervosa (AN) has improved significantly with the increased emphasis on family-based intervention. Yet despite advances, a substantial number of adolescents do not respond optimally to existing treatment models and thus ... Full text Link to item Cite

The effect of the home environment on physical activity and dietary intake in preschool children.

Journal Article Int J Obes (Lond) · October 2013 BACKGROUND: The effects of the home environment on child health behaviors related to obesity are unclear. PURPOSE: To examine the role of the home physical activity (PA) and food environment on corresponding outcomes in young children, and assess maternal ... Full text Open Access 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

Parental obesity moderates the relationship between childhood appetitive traits and weight.

Journal Article Obesity (Silver Spring) · April 2013 OBJECTIVE: In this study, the independent and combined associations between childhood appetitive traits and parental obesity on weight gain from 0 to 24 months and body mass index (BMI) z-score at 24 months in a diverse community-based sample of dual paren ... Full text Link to item Cite

The effect of the home environment on physical activity and dietary intake in preschool children

Journal Article International Journal of Obesity · 2013 Background:The effects of the home environment on child health behaviors related to obesity are unclear.Purpose:To examine the role of the home physical activity (PA) and food environment on corresponding outcomes in young children, and assess maternal edu ... Full text 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

A pilot evaluation of appetite-awareness training in the treatment of childhood overweight and obesity: a preliminary investigation.

Journal Article Int J Eat Disord · January 2013 OBJECTIVE: The aim of this study was to conduct a preliminary evaluation of Children's Appetite Awareness Training (CAAT), a treatment for childhood obesity which encourages overweight children to eat in response to internal appetite cues. METHOD: Overweig ... 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

Emotion, Attention, and Relationships: A Developmental Model of Self-Regulation in Anorexia Nervosa and Related Disordered Eating Behaviors

Chapter · September 18, 2012 Conflict between competing motivations, as is particularly likely to occur in complex social situations, provides the primary basis for the need to regulate emotions. In this chapter, we argue that, rather than being somehow deficient in the perception or ... Full text Cite

Parent-focused change to prevent obesity in preschoolers: results from the KAN-DO study.

Journal Article Prev Med · September 2012 OBJECTIVE: The study presents the immediate post-intervention results of Kids and Adults Now - Defeat Obesity!, a randomized controlled trial to enhance healthy lifestyle behaviors in mother-preschooler (2-5 years old) dyads in North Carolina (2007-2011). ... Full text Link to item Cite

Picky eating in adults: results of a web-based survey.

Journal Article Int J Eat Disord · May 2012 OBJECTIVE: To gather information about picky eating and its correlates in adults and to determine whether picky eating is distinct from other eating disorder symptoms. METHOD: Nearly 6,895 adults completed a web-based survey of picky eating behaviors, eati ... Full text Link to item Cite

Two novel treatments to reduce overeating in overweight children: a randomized controlled trial.

Journal Article J Consult Clin Psychol · December 2011 OBJECTIVE: Our purpose in this study was to examine 2 treatments targeted at reducing eating in the absence of hunger in overweight and obese children. METHOD: Thirty-six overweight and obese 8- to 12-year-old children (58% female; mean age = 10.3 years, S ... Full text Link to item Cite

Neuropsychological aspects of eating disorders

Journal Article Psychiatric Annals · November 1, 2011 Full text Cite

Overvaluation of shape and weight among overweight children and adolescents with loss of control eating.

Journal Article Behav Res Ther · October 2011 Little is known about the phenomenology of pediatric loss of control (LOC) eating. Overvaluation of shape and weight, however, appears to be diagnostically meaningful among binge eating adults. We explored the significance of shape and weight overvaluation ... Full text Link to item Cite

Hemodynamic signals of mixed messages during a social exchange.

Journal Article Neuroreport · June 22, 2011 This study used functional magnetic resonance imaging to characterize hemodynamic activation patterns recruited when the participants viewed mixed social communicative messages during a common interpersonal exchange. Mixed messages were defined as conflict ... Full text Link to item Cite

Kids and adults now! Defeat Obesity (KAN-DO): rationale, design and baseline characteristics.

Journal Article Contemp Clin Trials · May 2011 BACKGROUND: Prevention of childhood obesity is a public health priority. Parents influence a child's weight by modeling healthy behaviors, controlling food availability and activity opportunities, and appropriate feeding practices. Thus interventions shoul ... Full text Link to item Cite

The significance of repetitive hair-pulling behaviors in eating disorders.

Journal Article J Clin Psychol · April 2011 We studied the relation between intrusive and repetitive hair pulling, the defining feature of trichotillomania, and compulsive and impulsive features in 1,453 individuals with anorexia nervosa and bulimia nervosa. We conducted a series of regression model ... Full text Link to item 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

Interoceptive awareness in eating disorders: Distinguishing lack of clarity from non-acceptance of internal experience

Journal Article Cognition and Emotion · July 14, 2010 Poor interoceptive awareness is often cited as a key feature of eating disorders, yet the precise nature of the deficits and their relationship to eating pathology remains unclear. Interoceptive awareness includes both acceptance of affective experience an ... Full text Cite

Classification of eating disturbance in children and adolescents: proposed changes for the DSM-V.

Journal Article Eur Eat Disord Rev · March 2010 Childhood and adolescence are critical periods of neural development and physical growth. The malnutrition and related medical complications resulting from eating disorders such as anorexia nervosa (AN), bulimia nervosa (BN) and eating disorder not otherwi ... Full text Link to item Cite

Eating disorders.

Journal Article Lancet · February 13, 2010 This Seminar adds to the previous Lancet Seminar about eating disorders, published in 2003, with an emphasis on the biological contributions to illness onset and maintenance. The diagnostic criteria are in the process of review, and the probable four new c ... Full text Link to item Cite

Altered social reward and attention in anorexia nervosa.

Journal Article Front Psychol · 2010 Dysfunctional social reward and social attention are present in a variety of neuropsychiatric disorders including autism, schizophrenia, and social anxiety. Here we show that similar social reward and attention dysfunction are present in anorexia nervosa ( ... Full text Link to item Cite

Assessment of eating disorder symptoms in children and adolescents

Journal Article · December 1, 2009 The most recent diagnostic classification system delineated by the American Psychiatric Association (DSM-IV; American Psychiatric Association, 2000) is not sensitive to the expression of disordered eating in children and adolescents (Cooper, Watkins, Bryan ... Full text Cite

Repetitive behaviours in anorexia nervosa, autism, and obsessive-compulsive personality disorder

Journal Article Psychiatry · April 1, 2008 Restricted and repetitive behaviours and interests (RRBs) greatly contribute to the burden of psychiatric illness for the individual and his or her family. While as a class the presence of RRBs may evidence continuity, the form of the behaviour may change. ... Full text Cite

Anorexia nervosa and autism spectrum disorders: guided investigation of social cognitive endophenotypes.

Journal Article Psychol Bull · November 2007 Death by suicide occurs in a disproportionate percentage of individuals with anorexia nervosa (AN), with a standardized mortality ratio indicating a 57-fold greater risk of death from suicide relative to an age-matched cohort. Longitudinal studies indicate ... Full text Link to item Cite

Classification of child and adolescent eating disturbances. Workgroup for Classification of Eating Disorders in Children and Adolescents (WCEDCA).

Journal Article Int J Eat Disord · November 2007 OBJECTIVE: : The purpose of this article is to summarize major conceptual and clinical variables related to age-appropriate and developmentally appropriate classification of eating problems and disorders in children and adolescents. METHOD: A review of cur ... Full text Link to item Cite

Changes in depressive symptoms and glycemic control in diabetes mellitus.

Journal Article Psychosom Med · April 2007 OBJECTIVE: To investigate if changes in depressive symptoms would be associated with changes in glycemic control over a 12-month period in patients with Type 1 and Type 2 diabetes. METHODS: Ninety (Type 1 diabetes, n = 28; Type 2 diabetes, n = 62) patients ... Full text Link to item Cite

Anorexia nervosa and second-degree atrioventricular block (Type I).

Journal Article Int J Eat Disord · November 2006 OBJECTIVE: This is the first case report of a second-degree heart block (Mobitz Type I) described in a patient with anorexia nervosa (AN). METHOD: We present the case of a 20-year-old woman with AN and second-degree heart block. Pertinent reports in the li ... Full text Link to item Cite

A group parent-training program: a novel approach for eating disorder management.

Journal Article Eat Weight Disord · June 2006 OBJECTIVE: To describe the rationale, development, and preliminary acceptability of a Group Parent Training Program (GPT) as an alternative approach for the treatment of adolescent eating disorders. METHOD: Sixteen families participated in a 16-session gro ... Full text Link to item Cite

Parenting concerns of women with histories of eating disorders.

Journal Article Int J Eat Disord · 2005 Featured Publication The current article reviews the literature on parenting among women with EDs, and outlines the process of developing an intervention addressing their parenting concerns. ... Full text Link to item Cite

Group parent training: a novel approach for the treatment of eating disorders.

Journal Article Eat Disord · 2005 This paper describes the rationale, development, and implementation of a group parent training program designed to assist caregivers in the management of their child's eating disorder while facilitating the development of a healthy home environment for sus ... Full text Link to item Cite

The Body Logic Program for Adolescents: a treatment manual for the prevention of eating disorders.

Journal Article Behav Modif · November 2004 The Body Logic Program for Adolescents was developed as a two-stage intervention to prevent the development of eating disorder symptoms. Preliminary results indicate that this program shows promise as an effective prevention effort. The current article pro ... Full text Link to item Cite

Hostility, race, and glucose metabolism in nondiabetic individuals.

Journal Article Diabetes Care · May 2002 OBJECTIVE: The present study was designed to determine whether hostility is differentially related to measures of glucose metabolism in African-Americans and Caucasians. RESEARCH DESIGN AND METHODS: The relationship of hostility, as measured by a subset of ... Full text Link to item Cite

Physician office visits of adults for anxiety disorders in the United States, 1985-1998.

Journal Article J Gen Intern Med · March 2002 OBJECTIVE: To determine the number of physician office visits by adults in which an anxiety disorder diagnosis was recorded and rates of treatment during these visits. DESIGN: We used data from the 1985, 1993, 1994, 1997, and 1998 National Ambulatory Medic ... Full text Link to item Cite

Stress management improves long-term glycemic control in type 2 diabetes.

Journal Article Diabetes Care · January 2002 OBJECTIVE: There is conflicting evidence regarding the utility of stress management training in the treatment of diabetes. The few studies that have shown a therapeutic effect of stress management have used time-intensive individual therapy. Unfortunately, ... Full text Link to item Cite

Psychosocial variables associated with binge eating in obese males and females.

Journal Article Int J Eat Disord · September 2001 Featured Publication OBJECTIVE: This study tested a psychosocial model of binge eating symptoms in obese men and women. Predictor variables included depression, dietary restraint, self-esteem, weight cycling, history of teasing, body dissatisfaction, and neuroticism. METHOD: P ... Full text Link to item Cite

Development and implementation of the body logic program for adolescents: A two-stage prevention program for eating disorders

Journal Article Cognitive and Behavioral Practice · January 1, 2001 It has been hypothesized that targeting adolescents who are at risk for developing eating disorders may result in more effective prevention efforts. The Body Logic Program is a two-stage prevention program, which included a school-based intervention compon ... Full text Cite

Body image assessment for obesity (BIA-O): development of a new procedure.

Journal Article Int J Obes Relat Metab Disord · October 2000 Featured Publication OBJECTIVE: A new measure of body image, named the body image assessment for obesity (BIA-O) was developed and tested for reliability and validity in a sample of 1,209 adult men and women. Separate BIA-O procedures were developed for men and women. Current, ... Full text Link to item Cite

Duration of illness predicts outcome for bulimia nervosa: a long-term follow-up study.

Journal Article Int J Eat Disord · May 2000 Featured Publication OBJECTIVE: The purpose of this study was to investigate long-term outcome and prognosis in a bulimic and subthreshold bulimic sample. METHOD: In a follow-up study, 44 patients diagnosed with bulimia nervosa and subthreshold bulimia nervosa were contacted a ... Full text Link to item Cite

Protective factors for eating disorders in female college athletes

Journal Article Eating Disorders · January 1, 1999 Sundgot-Borgen (1993) hypothesized that participants in refereed sports, e.g., basketball, may be at lower risk for the development of eating disorders in comparison to those participating in judged sports, e.g., gymnastics. This study tested this hypothes ... Full text Cite

Characteristics and beliefs associated with probable pathological gambling: A pilot study with implications for the national gambling impact and policy commission

Journal Article Journal of Public Policy and Marketing · January 1, 1998 Consistent with a specific objective of the National Gambling Impact and Policy Commission Act (Public Law 104-169, 100 Stat., Section 4), this article examines some background, psychological, comorbidity, and personality characteristics and beliefs associ ... Full text Cite

Exercise substrate utilization and postexercise macronutrient intake

Journal Article FASEB Journal · December 1, 1997 The purpose of this study was to determine the effects of an acute bout of exercise on postexercise energy and macronutrient intake. Healthy sedentary females (n=7) and males (n=3) expended 428 ± 53 (mean ± SE) keals during 1 hr of stationary cycling at 60 ... Cite