ArticleEuropean eating disorders review : the journal of the Eating Disorders Association2025
Network dynamics of self-compassion, anxiety, and depression during eating disorder therapy.
Article in European eating disorders review : the journal of the Eating Disorders Association, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed.
- From promise to practice: showcasing the perceived clinical utility of idiographic networks for eating disorders with complex post-traumatic sequelae.Journal of eating disorders · 2026Article
- Dynamic Time Warp (DTW) as a scalable, data-efficient, and clinically relevant analysis of dynamic processes in patients with psychiatric disorders: a tutorial.Journal of eating disorders · 2025Article
- Effects of Childhood Emotional Abuse on Treatment Outcome in Adolescent Inpatients With Anorexia Nervosa.The International journal of eating disorders · 2025Article
- Understanding Personalized Dynamics in Eating Disorders: A Dynamic Time Warp Analysis.The International journal of eating disorders · 2025Article
- Time dynamics of symptom progression in patients with acute pancreatitis: a Dynamic Time Warping analysis.Frontiers in medicine · 2025Article
- Network dynamics of self-compassion, anxiety, and depression during eating disorder therapy.European eating disorders review : the journal of the Eating Disorders Association · 2025Article
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Authors and funding
6 authors.
Funding
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Abstract
backgroundRecovery processes during residential treatment for eating disorders, especially in patients with a history of maltreatment, are insufficiently understood. This study aimed to explore the temporal relationships among comorbid factors, including depression, anxiety, and self-compassion, with the influence of childhood maltreatment.
methodUsing Dynamic Time Warp (DTW), weekly scores from the Symptom Checklist-5, Eating Disorder Examination, and Self-Compassion Scale were analysed over 12 weeks. The study generated undirected and directed networks to identify influential symptoms in a transdiagnostic sample, comparing patients with and without childhood maltreatment.
resultsThe study included 124 patients with eating disorders (ED) (97% women), mean age of 30.9 years (SD = 9.7, range 18-61 years). Diagnoses included anorexia nervosa (26%), bulimia nervosa (38%), and other specified feeding and eating disorders (36%). The directed DTW network showed that hopelessness, worrying, and restlessness had the highest out-strength, predicting changes in self-compassion and ED behaviour. In maltreatment cases, hopelessness and low acceptance predicted changes, while worry, restlessness, and nervousness were predictive in non-maltreatment cases.
conclusionTemporal network analyses suggest that a change in hopelessness, worrying, and restlessness drives symptom improvement in ED behaviour and the development of self-compassion during residential treatment. These processes vary between patients with and without a history of childhood maltreatment separately, indicating the need for further analyses.
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