Herle Moritz, Carter Leno Virginia, Mandy Will
Social, Genetic & Developmental Psychiatry Centre, Institute of Psychiatry, Psychology & Neuroscience, King's College London, London, UK.
Centre for Brain and Cognitive Development, Birkbeck, University of London, UK.
Int J Eat Disord. 2025 Apr;58(4):677-679. doi: 10.1002/eat.24380. Epub 2025 Jan 30.
Two recent reviews in the International Journal of Eating Disorders have highlighted the preponderance and unmet needs of neurodivergent people who experience disordered eating. In this commentary, we encourage researchers to engage with the bigger question of "What's Next?" and consider the type of research that is needed to shift the dial by lowering the incidence and persistence of disordered eating in neurodivergent people. As a starting point, we believe that future research must be guided by the needs and priorities of neurodivergent people with experience of eating disorders. Based on our own experience of community collaboration, we make specific recommendations for future research: (1) Broadening the Scope; such that we expand the focus beyond anorexia nervosa, and consider other manifestations of disordered eating, such as restriction, binge eating and emotional eating, and avoidant restrictive food intake disorder (ARFID), but also acknowledge the impact of other forms of neurodivergence beyond autism (e.g., ADHD), (2) Identifying Causal Mechanisms; moving beyond describing prevalence to studying why and how neurodevelopmental traits are associated with disordered eating (which in turn will inform new intervention design), and (3) Adapting Existing Interventions; understanding how current interventions can be adapted to meet the needs of neurodivergent individuals.
《国际饮食失调杂志》最近的两篇综述强调了饮食失调的神经发育障碍者的普遍性和未被满足的需求。在这篇评论中，我们鼓励研究人员思考“接下来该做什么？”这个更大的问题，并考虑需要开展何种类型的研究，以通过降低神经发育障碍者饮食失调的发生率和持续时间来推动改变。作为一个起点，我们认为未来的研究必须以有饮食失调经历的神经发育障碍者的需求和优先事项为指导。基于我们在社区合作中的经验，我们对未来的研究提出具体建议：（1）拓宽范围；将关注点从神经性厌食症扩展到其他饮食失调表现，如节食、暴饮暴食、情绪化进食以及回避性限制性食物摄入障碍（ARFID），同时也要认识到除自闭症之外的其他神经发育障碍形式（如注意力缺陷多动障碍）的影响；（2）确定因果机制；从描述患病率转向研究神经发育特征与饮食失调相关的原因和方式（这反过来将为新的干预设计提供信息）；（3）调整现有干预措施；了解如何调整当前的干预措施以满足神经发育障碍个体的需求。
