Andreas Birgegård's research group

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Eating Disorders

The overall aim of the program area eating disorders is to stimulate increased growth of long-term research projects treating current clinical problems and thus contributing to the development of knowledge regarding treatment of eating disorders.

Clinical research can be simplified considerably if care is provided based on standardized methods for assessment and monitoring.

Within the Stockholm area >90% of the patients starting specialized eating disorder treatment are registered in Stepwise, an extended quality registry consisting of scientifically standardized methods of diagnostics, assessment and self-assessment of symptoms.

Some examples of specific areas in need of increased attention within the research is the impact of biological factors for the onset of eating disorders, assessment and diagnostics of eating disorders, the presence of eating disorders in boys and men and the impact of self-image aspects and neuropsychiatric/neurocognitive factors.

Research projects

  •     ANGI project - Genetic factors for anorexia nervosa
  •     Steps towards a clinically more relevant diagnostics of eating disorders
  •     Internet based CBT for eating disorders
  •     ADHD and eating disorders
  •     Eating disorders and bariatric surgery
  •     Obesity and eating disorders
  •     Self-image and symptoms of eating disorders in anorexia and bulimia
  •     Diagnostics of eating disorders, other psychiatric diagnosis and self-image
  •     Validation of Structured Eating Disorder Interview
  •     Reliable and clinically relevant change in eating disorders
  •     Eating disorders and comorbid psychiatric diagnosis
  •     Eating disorders and trauma
  •     Nine years follow-up of the SUSÄTS project
  •     Pregnancy and eating disorders
  •     Life Competency Triangulation (LIFT)
  •     Web based efforts against eating disorders

Selected publications

Symptom shifting and associations with mental illness: A transdiagnostic approach applied to eating disorders.
Garke M, Sörman K, Jayaram-Lindström N, Hellner C, Birgegård A
J Abnorm Psychol 2019 Apr;():

The Anorexia Nervosa Genetics Initiative (ANGI): Overview and methods.
Thornton L, Munn-Chernoff M, Baker J, Juréus A, Parker R, Henders A, et al
Contemp Clin Trials 2018 Nov;74():61-69

Bidirectional relationship between eating disorders and autoimmune diseases.
Hedman A, Breithaupt L, Hübel C, Thornton L, Tillander A, Norring C, et al
J Child Psychol Psychiatry 2018 Sep;():

Predictors of outcome among young adult patients with anorexia nervosa in a randomised controlled trial.
Nyman-Carlsson E, Birgegård A, Engström I, Gustafsson S, Nevonen L
Eur Eat Disord Rev 2019 01;27(1):76-85

Emotion dysregulation and eating disorders-Associations with diagnostic presentation and key symptoms.
Monell E, Clinton D, Birgegård A
Int J Eat Disord 2018 08;51(8):921-930

Patterns of diagnostic transition in eating disorders: a longitudinal population study in Sweden.
Schaumberg K, Jangmo A, Thornton L, Birgegård A, Almqvist C, Norring C, et al
Psychol Med 2019 Apr;49(5):819-827

Running on empty - a nationwide large-scale examination of compulsive exercise in eating disorders.
Monell E, Levallius J, Forsén Mantilla E, Birgegård A
J Eat Disord 2018 ;6():11

The unsafe haven: Eating disorders as attachment relationships.
Forsén Mantilla E, Clinton D, Birgegård A
Psychol Psychother 2018 May;():

Exercise Caution: Questions to Ask Adolescents Who May Exercise Too Hard.
Forsén Mantilla E, Levallius J, Monell E, Birgegård A
Int J Environ Res Public Health 2018 04;15(4):

Insidious: The relationship patients have with their eating disorders and its impact on symptoms, duration of illness, and self-image.
Forsén Mantilla E, Clinton D, Birgegård A
Psychol Psychother 2018 09;91(3):302-316

Risk of eating disorders in immigrant populations.
Mustelin L, Hedman A, Thornton L, Kuja-Halkola R, Keski-Rahkonen A, Cantor-Graae E, et al
Acta Psychiatr Scand 2017 08;136(2):156-165

Diagnosis-specific self-image predicts longitudinal suicidal ideation in adult eating disorders.
Andersén M, Birgegård A
Int J Eat Disord 2017 08;50(8):970-978

Correction: Investigation of common, low-frequency and rare genome-wide variation in anorexia nervosa.
Huckins L, Hatzikotoulas K, Southam L, Thornton L, Steinberg J, Aguilera-McKay F, et al
Mol. Psychiatry 2018 09;23(9):1969

Significant Locus and Metabolic Genetic Correlations Revealed in Genome-Wide Association Study of Anorexia Nervosa.
Duncan L, Yilmaz Z, Gaspar H, Walters R, Goldstein J, Anttila V, et al
Am J Psychiatry 2017 09;174(9):850-858

Gender-specific predictors of at-risk adolescents' hazardous alcohol use-a cohort study.
Jalling C, Elgán T, Tengström A, Birgegård A
Subst Abuse Treat Prev Policy 2017 05;12(1):23

Classifying empirically valid and clinically meaningful change in eating disorders using the Eating Disorders Inventory, version 2 (EDI-2).
Clinton D, Birgegård A
Eat Behav 2017 08;26():99-103

Factor analysis of the adolescent version of the Eating Disorders Examination Questionnaire (EDE-Q): results from Swedish general population and clinical samples.
Forsén Mantilla E, Birgegård A, Clinton D
J Eat Disord 2017 ;5():19

Now you see it, Now you don't: compulsive exercise in adolescents with an eating disorder.
Levallius J, Collin C, Birgegård A
J Eat Disord 2017 ;5():9

Paternal age at childbirth and eating disorders in offspring.
Javaras K, Rickert M, Thornton L, Peat C, Baker J, Birgegård A, et al
Psychol Med 2017 Feb;47(3):576-584

Personality predicts drop-out from therapist-guided internet-based cognitive behavioural therapy for eating disorders. Results from a randomized controlled trial.
Högdahl L, Levallius J, Björck C, Norring C, Birgegård A
Internet Interv 2016 Sep;5():44-50

Eating disorder examination questionnaire: Norms and clinical reference data from adolescent boys and girls in Sweden.
Mantilla E, Birgegård A
Psychiatry Res 2016 May;239():156-62

Emotion dysregulation, self-image and eating disorder symptoms in University Women.
Monell E, Högdahl L, Mantilla E, Birgegård A
J Eat Disord 2015 ;3():44

Sex- and age-specific incidence of healthcare-register-recorded eating disorders in the complete swedish 1979-2001 birth cohort.
Javaras K, Runfola C, Thornton L, Agerbo E, Birgegård A, Norring C, et al
Int J Eat Disord 2015 Dec;48(8):1070-81

Psychiatric comorbidity in women and men with eating disorders results from a large clinical database.
Ulfvebrand S, Birgegård A, Norring C, Högdahl L, von Hausswolff-Juhlin Y
Psychiatry Res 2015 Dec;230(2):294-9

Posttraumatic stress disorder in eating disorder patients: The roles of psychological distress and timing of trauma.
Isomaa R, Backholm K, Birgegård A
Psychiatry Res 2015 Dec;230(2):506-10

The enemy within: the association between self-image and eating disorder symptoms in healthy, non help-seeking and clinical young women.
Mantilla E, Birgegård A
J Eat Disord 2015 ;3():30

Binge eating in interview versus self-report: different diagnoses show different divergences.
Birgegård A, Norring C, Clinton D
Eur Eat Disord Rev 2014 May;22(3):170-5

Evaluating reliable and clinically significant change in eating disorders: comparisons to changes in DSM-IV diagnoses.
Ekeroth K, Birgegård A
Psychiatry Res 2014 May;216(2):248-54

Self-image and eating disorder symptoms in normal and clinical adolescents.
Forsén Mantilla E, Bergsten K, Birgegård A
Eat Behav 2014 Jan;15(1):125-31

Self-image and suicide in a Swedish national eating disorders clinical register.
Runfola C, Thornton L, Pisetsky E, Bulik C, Birgegård A
Compr Psychiatry 2014 Apr;55(3):439-49

The prevalence and impact of trauma history in eating disorder patients.
Backholm K, Isomaa R, Birgegård A
Eur J Psychotraumatol 2013 ;4():

Clinical characteristics and distinctiveness of DSM-5 eating disorder diagnoses: findings from a large naturalistic clinical database.
Ekeroth K, Clinton D, Norring C, Birgegård A
J Eat Disord 2013 ;1():31

How effective is bibliotherapy-based self-help cognitive behavioral therapy with Internet support in clinical settings? Results from a pilot study.
Högdahl L, Birgegård A, Björck C
Eat Weight Disord 2013 Mar;18(1):37-44

DSM-IV versus DSM-5: implementation of proposed DSM-5 criteria in a large naturalistic database.
Birgegård A, Norring C, Clinton D
Int J Eat Disord 2012 Apr;45(3):353-61

Eating disorder examination questionnaire and clinical impairment assessment questionnaire: general population and clinical norms for young adult women in Sweden.
Welch E, Birgegård A, Parling T, Ghaderi A
Behav Res Ther 2011 Feb;49(2):85-91

How do eating disorder patients eat after treatment? Dietary habits and eating behaviour three years after entering treatment.
Hansson L, Björck C, Birgegård A, Clinton D
Eat Weight Disord 2011 Mar;16(1):e1-8

Group members

Andreas BirgegårdAssociated, Research team leader
David ClintonLecturer, adjunct
Emma ForsénAssociated, Postdoc
Louise HögdahlGraduate Student
Johanna LevalliusAssociated, Postdoc
Karolin LindbergGraduate Student
Anna Magnusson CollsiööAdministrator
Elin MonellGraduate Student
Sara NorringAssociated
Claes NorringAssociated
Suzanne PeterssonAssociated, Postdoc

Psychiatry