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Tier 4 — Narrative / commentaryPeer-reviewed

The current clinical approach to feeding and eating disorders aimed to increase personalization of management

Ulrike Schmidt; Angélica Medeiros Claudino; Fernando Fernández‐Aranda; Katrin Elisabeth Giel; Jess Griffiths; Phillipa Hay; Youl‐Ri Kim; Jane Marshall; Nadia Micali; Alessio Maria Monteleone; Michiko Nakazato; Joanna Steinglass; Tracey Wade; Stephen A. Wonderlich; Stephan Zipfel; Karina Allen; Helen Sharpe

World Psychiatry · 2025

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Summary

This narrative review, authored by an international expert group and published in World Psychiatry, critically appraises current clinical approaches to feeding and eating disorders with a focus on personalising management. It highlights that first-line treatments remain predominantly psychological and nutrition-based, with pharmacotherapy playing a limited adjunctive role. The review identifies a significant gap in the evidence base for treatment personalisation, noting this as a shared priority among patients, carers, and clinicians.

UK applicability

Several authors are UK-affiliated (notably Ulrike Schmidt and Helen Sharpe at King's College London, and Jess Griffiths), and the review's clinical recommendations are directly relevant to NHS eating disorder services and NICE guideline development. The emphasis on personalisation aligns with current NHS England priorities for improving outcomes in eating disorder care.

Key measures

Treatment response outcomes; psychiatric comorbidities; weight-related outcomes; personalisation of psychological and nutritional interventions; medication efficacy

Outcomes reported

The paper examines current evidence and clinical approaches for personalising treatment of feeding and eating disorders, covering psychological, nutritional, and pharmacological interventions. It reports on the state of the evidence base supporting treatment personalisation across the spectrum of FEDs.

Theme
Nutrition & health
Subject
Eating disorders & mental health
Study type
Narrative Review
Study design
Narrative review
Source type
Peer-reviewed study
Status
Published
Geography
International
System type
Human clinical
DOI
10.1002/wps.21263
Catalogue ID
NRmo3f02hq-0d4

Topic tags

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