Cited by 24Eating Disorders and BehaviorsNutrition, Health and Food BehaviorChild Nutrition and Feeding Issues

Staging models in eating disorders: A systematic scoping review of the literature

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Tomba, E., Tecuta, L., Gardini, V., Tomei, G., Lo Dato, E.·2024·Comprehensive Psychiatry

Abstract

Eating Disorders (ED) are characterized by low remission rates, treatment drop-out, and residual symptoms. To improve assessment and treatment of ED, the staging approach has been proposed. This systematic scoping review is aimed at mapping the existing staging models that explicitly propose stages of the progression of ED. A systematic search of PubMed, PsycINFO, Scopus was conducted with the terms staging, anorexia nervosa, bulimia nervosa, binge-eating disorders, eating disorders. Eleven studies met inclusion criteria presenting nine ED staging models, mostly for anorexia nervosa. Three were empirically tested, one of which was through an objective measure specifically developed to differentiate between stages. Most staging models featured early stages in which the exacerbation of EDs unfolds and acute phases are followed by chronic stages. Intermediate stages were not limited to acute stages, but also residual phases, remission, relapse, and recovery. The criteria for stage differentiation encompassed behavioral, psychological, cognitive, and physical features including body mass index and illness duration. One study recommended stage-oriented interventions. The current review underscores the need to empirically test the available staging models and to develop and test new proposals of staging models for other ED populations. The inclusion of criteria based on medical features and biomarkers is recommended. Staging models can potentially guide assessment and interventions in daily clinical settings.

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Crossref · 10.1016/j.comppsych.2024.152468

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Authors
Tomba, E., Tecuta, L., Gardini, V., Tomei, G., & Lo Dato, E.
Affiliations
University of Bologna (IT)
Corresponding author
Tomba, E.
Venue
Comprehensive Psychiatry
Publisher
Elsevier BV
Published
2024-05
Volume
131
Pages
152468
ISSN
0010-440X (ISSN-L)
OpenAlex
W4392381253
Cited by
24
References
106
Citations by year
2026: 8 · 2025: 11 · 2024: 4 · 2023: 1
FWCI
2.05
Type
journal article
Language
en
Open access
Locations
  • Comprehensive Psychiatry (publishedVersion, cc-by-nc-nd)
  • PubMed (publishedVersion)
  • Archivio istituzionale della ricerca (Alma Mater Studiorum Università di Bologna) (submittedVersion, cc-by)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
  • PsyArXiv (OSF Preprints) (submittedVersion)
  • PsyArXiv (OSF Preprints) (submittedVersion, cc-by)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
  • Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
  • Health Sciences › Medicine › Psychiatry and Mental health › Child Nutrition and Feeding Issues
Keywords
eating disorders, staging model, anorexia nervosa, bulimia nervosa, binge eating disorder, disease progression, remission, relapse, recovery, biomarkers, disease duration, body mass index
MeSH terms
Anorexia Nervosa, Feeding and Eating Disorders, Humans, Body Mass Index, Disease Progression, Bulimia Nervosa, Binge-Eating Disorder

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