Antonios Dakanalis

University of Milano-Bicocca

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Massimo Clerici

University of Milano-Bicocca

105

Giuseppe Riva

IRCCS Istituto Auxologico Italiano

Fabrizia Colmegna

Azienda Ospedaliera San Gerardo

Giuseppe Carrà

University College London

Maria Assunta Zanetti

University of Pavia

Enrico Capuzzi

Azienda Ospedaliera San Gerardo

Constantinos Giaginis

University of the Aegean

Alice Caldiroli

Azienda Ospedaliera San Gerardo

SΚ

Sousana Κ. Papadopoulou

International Hellenic University

Massimiliano Buoli

University of Milan

Cooperative Institutions

Istituti di Ricovero e Cura a Carattere Scientifico

University of Milano-Bicocca

John Wiley & Sons (United Kingdom)

University of Milan

Universitat de Barcelona

King's College London

Azienda Ospedaliera San Gerardo

University of Pavia

University of the Aegean

Università Cattolica del Sacro Cuore

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Gender differences in attentional bias after owning a virtual avatar with increased weight

Bruno Porras-García Alexandra Ghiţă Manuel Moreno Marta Ferrer‐García Paola Bertomeu Panisello

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Attentional Bias

Gender Bias

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Citations (7)

Predictors of initiation and persistence of recurrent binge eating and inappropriate weight compensatory behaviors in college men

International Journal of Eating Disorders (2016)

Antonios Dakanalis Massimo Clerici Manuela Caslini Santino Gaudio Silvia Serino

ABSTRACT Objective The transition to college is considered as a risk period for the development of behavioral symptoms of eating disorders (BSEDs) and some evidence suggests that, amongst men, these symptoms occurring on a regular basis remain relatively stable over the college period. Nevertheless, little is known about factors associated with persistent engagement in and initiation of recurrent (or regular) binge eating and inappropriate weight compensatory behaviors in this population. The objective of this report was to address these research gaps. Method Data were examined from 2,555 male first‐year college students who completed an assessment of potential vulnerability factors and BSEDs at the beginning of the autumn semester (baseline) and nine months later (end of the spring semester; follow‐up). Results Elevated negative affectivity, body dissatisfaction, self‐objectification, and lower self‐esteem at baseline were predictive of persistent engagement in regular binge eating and four compensatory behaviors (self‐induced vomiting, laxative/diuretic abuse, fasting, exercise) at follow‐up, as well as initiation of all these behaviors occurring regularly (i.e., at least weekly for 3 months). Self‐objectification (thinking and monitoring the body's outward appearance from a third‐person perspective) emerged as the largest contributor of both the initiation and persistence of all behavioral symptoms. Discussion Data emphasize that the same psychological factors underlie initiation and persistence of recurrent BSEDs and should shape the focus of future interventions for college men. © 2016 Wiley Periodicals, Inc. (Int J Eat Disord 2016; 49:581–590)

Binge eating

Persistence (discontinuity)

Dieting

10.1002/eat.22535

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Citations (58)

Prospective Psychosocial Predictors of Onset and Cessation of Eating Pathology amongst College Women

European Eating Disorders Review (2016)

Antonios Dakanalis C. Alix Timko Silvia Serino Giuseppe Riva Massimo Clerici

Abstract The course of college women's eating pathology is variable. Little is known about psychosocial factors prospectively predicting maintenance/cessation or the new onset of clinically significant disordered eating symptoms. This study aimed to address these research gaps. College women ( N = 2202) completed an assessment of eating pathology and potential risk/maintenance factors at two time points, 9 months apart. Logistic regression models indicated that elevated body dissatisfaction, thin‐ideal internalization, self‐objectification, negative affectivity and lower self‐esteem at baseline predicted ‘onset’ of clinically significant disordered eating symptomatology at follow‐up. Greater self‐esteem and lower initial levels on the remaining risk factors predicted subsequent ‘cessation’ of clinically significant disordered eating symptoms. Self‐objectification had greater explanatory value with regard to ‘cessation’ and ‘onset’ relative to the remaining traditionally accepted factors that demonstrated half as much predictive power or less. Practical implications are discussed. Copyright © 2016 John Wiley & Sons, Ltd and Eating Disorders Association.

10.1002/erv.2433

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Citations (55)

Agreement between DSM-IV and DSM-5 criteria for alcohol use disorder among outpatients suffering from depressive and anxiety disorders

American Journal on Addictions (2016)

Francesco Bartoli Giuseppe Carrà Enrico Biagi Cristina Crocamo Antonios Dakanalis

Since significant differences have been reported, we estimated agreement between DSM-5 and DSM-IV criteria for alcohol use disorder (AUD).We assessed 327 outpatients (mean age: 45.2 ± 13.4) with depressive or anxiety disorders.Absolute differences in prevalence rates between DSM-5 and DSM-IV AUD ranged from -1.1% (subjects with anxiety disorders) to +1.8% (tobacco smokers). The agreement was excellent (k = 0.88), also accounting for specific subgroups (relevant k coefficients >0.80).DSM-5 criteria did not inflate AUD rates.Our results have epidemiological significance since, unlike previous reports, we found diagnostic stability between new and old AUD criteria in this clinical population. (Am J Addict 2017;26:53-56).

Alcohol use disorder

DSM-5

Depression

10.1111/ajad.12482

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A Randomized Trial of Virtual Reality-Based Cue Exposure Second-Level Therapy and Cognitive Behavior Second-Level Therapy for Bulimia Nervosa and Binge-Eating Disorder: Outcome at Six-Month Followup

Cyberpsychology Behavior and Social Networking (2018)

Marta Ferrer‐García Joana Pla‐Sanjuanelo Antonios Dakanalis Ferran Vilalta‐Abella Giuseppe Riva

This article reviews the 6-month followup data of a randomized, multicenter, parallel-group study conducted at five clinical sites in three European cities, which compared two second-level treatments for bulimia nervosa (BN) and binge eating disorder (BED): virtual reality-based cue exposure therapy (VR-CET) versus additional cognitive behavioral therapy (A-CBT). Post-treatment outcomes of this study were previously published and details of its design can be found at clinicaltrials.gov (identifier: NCT02237300). This article focuses on the evolution of symptoms assessed after 6 months of followup in a subgroup of 58 patients from the original study. In this study 64 patients with eating disorders (EDs) (35 with BN and 29 with BED), who still showed active episodes of binge eating by the end of a structured CBT program (first-level treatment), were randomly assigned to one of two second-level treatments (A-CBT or VR-CET). Frequency of binge and purge episodes, and attitudinal features of binge-related EDs (bulimia, drive for thinness, and body dissatisfaction) were assessed before starting the second-level treatment (n = 64), at the end (n = 64), and at 6-month followup (n = 58). Mixed between-within subject analyses of variance were used to compare outcomes of both second-level treatments over time. Although both treatment conditions showed statistically significant improvements at the end and after 6-month followup, obtained reductions were greater after VR-CET, regarding binge and purge episodes, as well as the decrease of self-reported tendency to engage in overeating episodes. Accordingly, abstinence from binge episodes were higher in VR-CET than A-CBT at followup (70 percent vs. 26 percent, respectively; χ2 = 11.711, p = 0.001). These results provide further support for the use of VR-CET as an effective second-level intervention for BN and BED treatment-resistant patients.

Binge eating

Binge-eating disorder

Overeating

10.1089/cyber.2017.0675

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Could Insulin Be a Better Regulator of Appetite/Satiety Balance and Body Weight Maintenance in Response to Glucose Exposure Compared to Sucrose Substitutes? Unraveling Current Knowledge and Searching for More Appropriate Choices

Medical Sciences (2024)

Georgios Antasouras Antonios Dakanalis Maria Chrysafi Sousana Κ. Papadopoulou Ioulia Trifonidi

Background: Insulin exerts a crucial impact on glucose control, cellular growing, function, and metabolism. It is partially modulated by nutrients, especially as a response to the intake of foods, including carbohydrates. Moreover, insulin can exert an anorexigenic effect when inserted into the hypothalamus of the brain, in which a complex network of an appetite/hunger control system occurs. The current literature review aims at thoroughly summarizing and scrutinizing whether insulin release in response to glucose exposure may be a better choice to control body weight gain and related diseases compared to the use of sucrose substitutes (SSs) in combination with a long-term, well-balanced diet. Methods: This is a comprehensive literature review, which was performed through searching in-depth for the most accurate scientific databases and applying effective and relevant keywords. Results: The insulin action can be inserted into the hypothalamic orexigenic/anorexigenic complex system, activating several anorexigenic peptides, increasing the hedonic aspect of food intake, and effectively controlling the human body weight. In contrast, SSs appear not to affect the orexigenic/anorexigenic complex system, resulting in more cases of uncontrolled body weight maintenance while also increasing the risk of developing related diseases. Conclusions: Most evidence, mainly derived from in vitro and in vivo animal studies, has reinforced the insulin anorexigenic action in the hypothalamus of the brain. Simultaneously, most available clinical studies showed that SSs during a well-balanced diet either maintain or even increase body weight, which may indirectly be ascribed to the fact that they cannot cover the hedonic aspect of food intake. However, there is a strong demand for long-term longitudinal surveys to effectively specify the impact of SSs on human metabolic health.

Orexigenic

10.3390/medsci12020029

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Presence-Inducing Media for Mental Health Applications

Springer eBooks (2015)

Giuseppe Riva Cristina Botella Rosa Baños Fabrizia Mantovani Azucena García‐Palacios

Mainstream

10.1007/978-3-319-10190-3_12

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Citations (39)

Classifying Adults with Binge Eating Disorder Based on Severity Levels

European Eating Disorders Review (2017)

Antonios Dakanalis Giuseppe Riva Silvia Serino Fabrizia Colmegna Massimo Clerici

Abstract The clinical utility of the severity criterion for binge eating disorder (BED), introduced in the DSM‐5 as a means of addressing heterogeneity and variability in the severity of this disorder, was evaluated in 189 treatment‐seeking adults with (DSM‐5) BED. Participants classified with mild, moderate, severe and extreme severity of BED, based on their weekly frequency of binge eating episodes, differed significantly from each other in body mass index (BMI), eating disorder features, putative factors involved in the maintenance process of the disorder, comorbid mood, anxiety and personality disorders, psychological distress, social maladjustment and illness‐specific functional impairment (medium‐to‐large effect sizes). They were also statistically distinguishable in metabolic syndrome prevalence, even after adjusting for BMI (large effect size), suggesting the possibility of non‐BMI‐mediated mechanisms. The implications of the findings, providing support for the utility of the binge frequency as a severity criterion for BED, and directions for future research are outlined. Copyright © 2017 John Wiley & Sons, Ltd and Eating Disorders Association

Binge-eating disorder

Binge eating

DSM-5

10.1002/erv.2518

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Citations (22)

Why Do Only a Minority of Men Report Severe Levels of Eating Disorder Symptomatology, When so Many Report Substantial Body Dissatisfaction? Examination of Exacerbating Factors

Eating Disorders (2014)

Antonios Dakanalis C. Alix Timko L Favagrossa Giuseppe Riva Maria Assunta Zanetti

In recent years research employing female samples has indicated that although body dissatisfaction may be necessary for the onset of an eating disorder, it is not sufficient. This study examined body surveillance and difficulties in interpersonal domains (attachment anxiety and social anxiety) as potential moderators of the body dissatisfaction-eating disorder symptomatology relationship amongst Italian college men (N = 359). As expected, all examined variables were found to intensify this relationship such that body dissatisfaction was strongly related to men's eating disorder symptomatology when each moderator was at its highest level (i.e., 1 SD above the mean). Practical implications are discussed.

Moderation

Body Dysmorphic Disorder

Human physical appearance

10.1080/10640266.2014.898980

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Citations (23)

Virtual Reality

Springer eBooks (2020)

Giuseppe Riva Clelia Malighetti Alice Chirico Daniele Di Lernia Fabrizia Mantovani

Gateway (web page)

Weight management

10.1007/978-3-030-32274-8_12

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Citations (11)