Evidence map›Paper›PMID 39541220›Full record

SynthesisThe International journal of eating disorders2025

A Mixed Method Systematic Review Into the Impact of ED Treatment in Autistic People and Those With High Autistic Traits.

Emy Nimbley, Helen Sharpe, Ellen Maloney, Karri Gillespie-Smith, Kate Tchanturia, Fiona Duffy

Abstract readSystematic Review
In one paragraph

Synthesis in The International journal of eating disorders, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Review
  4. Article
  5. Article
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  7. Article
  8. Article
  9. Article
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  12. Article
  13. "From That Moment, Everything has Changed": The Experience of Women With Anorexia Nervosa Receiving a Diagnosis of Autism.European eating disorders review : the journal of the Eating Disorders Association · 2025
    Article
  14. Clinicians' Experiences of Eating Disorder Focused Family Therapy With Autistic Young People.European eating disorders review : the journal of the Eating Disorders Association · 2025
    Article
  15. Autism, ADHD, and Their Traits in Adults With Bulimia Nervosa and Binge Eating Disorder: A Scoping Review.European eating disorders review : the journal of the Eating Disorders Association · 2025
    Article
  16. Article
  17. The Cognitive Profile in Adolescents With Anorexia Nervosa and the Relationship With Autism and ADHD: A Pilot Study.European eating disorders review : the journal of the Eating Disorders Association · 2025
    Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Emy NimbleyDepartment of Psychology, School of Health in Social Science, University of Edinburgh, Edinburgh, UK.ORCID 0000-0002-5888-1555
Helen SharpeDepartment of Psychology, School of Health in Social Science, University of Edinburgh, Edinburgh, UK.ORCID 0000-0001-6980-1699
Ellen MaloneyDepartment of Psychology, School of Health in Social Science, University of Edinburgh, Edinburgh, UK.ORCID 0009-0004-2206-0909
Karri Gillespie-SmithDepartment of Psychology, School of Health in Social Science, University of Edinburgh, Edinburgh, UK.ORCID 0000-0002-3059-7632
Kate TchanturiaDepartment of Psychological Medicine, Institute of Psychiatry, Psychology and Neuroscience, Kings College London, London, UK.ORCID 0000-0001-8988-3265
Fiona DuffyDepartment of Psychology, School of Health in Social Science, University of Edinburgh, Edinburgh, UK.ORCID 0000-0002-9162-9722

Funding

Eating Disorders Research MR/X03058X/1Medical Research Council MR/X03058X/1Medical Research Council/Arts and Humanities Research Council/Economic and Social Research Council AdolescenceMental Health and the Developing Mind initiative as part of the EDIFY programme MR/W002418/1National Institute for Health and Care Research and the Medical Research FoundationUK Research and Innovation
6 · The paper itself

Abstract

objectiveOur understanding of the impact of eating disorders (ED) treatment in Autistic people remains elusive. Research has begun to explore ED treatment outcomes and experiences in this population, however current understandings are poorly integrated. The current review therefore sought to explore the impact of ED treatment on Autistic people and those with higher Autistic traits.

methodA convergent, segregated approach was used, independently evaluating quantitative then qualitative studies before integrating findings into a coherent narrative synthesis.

resultsAutistic people and people with higher Autistic traits report poorer experiences of treatment and may be at increased risk of inpatient admission and prolonged inpatient treatment, possibly explained by difficulties with treatment timeframes and a lack of autism-informed support. Both groups reported similar improvements in ED symptoms and BMI. Higher rates of psychosocial difficulties pre-and post-treatment were reported in those with higher Autistic traits, and emotion-focused interventions were felt to be particularly relevant to Autistic presentations of EDs. Concerns were reported as to how well aligned group-based programs and cognitive-based interventions are for Autistic individuals and those reporting higher Autistic traits. DISCUSSION: Future research in diagnosed autism samples is urgently needed to develop a more robust understanding of Autistic outcomes and experiences. Review findings demonstrate the need for increased understanding of ED presentations and the possible need for treatment adaptations, for Autistic people or those with higher Autistic traits.

Indexed as

Autistic DisorderEmotion-Focused TherapyFeeding and Eating DisordersPsychosocial FunctioningAdolescentAdultBody Mass IndexChildCognitive Behavioral TherapyFemaleHumansMalePatient AdmissionPsychotherapy, GroupTime FactorsTreatment Outcomeautismeating disordersmixed‐methodstreatment

Identifiers

PMID39541220
PMCPMC11784838

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.