{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T11:43:50Z","timestamp":1791287030792,"version":"4.1.0"},"reference-count":46,"publisher":"MDPI AG","issue":"22","license":[{"start":{"date-parts":[[2024,11,20]],"date-time":"2024-11-20T00:00:00Z","timestamp":1732060800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Nutrients"],"abstract":"<jats:p>Background: Culinary medicine integrates healthy eating with positive food experiences, offering a holistic approach to treating mental health disorders, such as depression and eating disorders, where disruptions in eating habits and mood are common. While traditional psychiatric treatments focus on medication and psychotherapy, culinary workshops provide a novel intervention for inpatient care. This study evaluated the effectiveness of culinary medicine cooking workshops as a supplementary treatment for psychiatric inpatients with depression and eating disorders. Methods: We assessed the feasibility of five cooking workshops led by a professional chef and nutritional therapist in 39 psychiatric inpatients (depression, n = 29; eating disorders, n = 10). Participants completed questionnaires on dietary habits, mood, and workshop feedback before and after the intervention. Results: The workshops were highly accepted, with 90% of participants reporting they would recommend them for recovery. Significant improvements were observed in mood (p &lt; 0.001), sadness (p &lt; 0.001), hopelessness (p = 0.002), and tiredness (p = 0.003) across the overall group. Patients with depression showed improvements in nearly all mood subscales, while those with eating disorders improved in sadness (p = 0.029). Conclusions: Culinary medicine workshops are a promising tool for enhancing mood and reducing hopelessness and tiredness in inpatients with depression. They also promote sustainable lifestyle changes that may benefit long-term physical and mental health. Future studies should explore the long-term impact of these interventions on psychiatric disorders.<\/jats:p>","DOI":"10.3390\/nu16223973","type":"journal-article","created":{"date-parts":[[2024,11,21]],"date-time":"2024-11-21T06:11:54Z","timestamp":1732169514000},"page":"3973","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["Culinary Medicine Cooking Workshops as Add-On Therapy for Inpatients with Depression and Eating Disorders"],"prefix":"10.3390","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5034-6358","authenticated-orcid":false,"given":"Sabrina","family":"M\u00f6rkl","sequence":"first","affiliation":[{"name":"Division of Medical Psychology, Psychosomatics and Psychotherapy, Medical University of Graz, 8036 Graz, Austria"},{"name":"Division of Psychiatry and Psychotherapeutic Medicine, Medical University of Graz, 8036 Graz, Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Attila","family":"Varnagy","sequence":"additional","affiliation":[{"name":"Division of Medical Psychology, Psychosomatics and Psychotherapy, Medical University of Graz, 8036 Graz, Austria"},{"name":"Department of Agriculture, Ecotrophology and Landscape Development, Hochschule Anhalt, University of Applied Sciences, 06406 Bernburg, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jolana","family":"Wagner-Skacel","sequence":"additional","affiliation":[{"name":"Division of Medical Psychology, Psychosomatics and Psychotherapy, Medical University of Graz, 8036 Graz, Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Theresa","family":"Lahousen","sequence":"additional","affiliation":[{"name":"Division of Psychiatry and Psychotherapeutic Medicine, Medical University of Graz, 8036 Graz, Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel","family":"Brodtrager","sequence":"additional","affiliation":[{"name":"Division of Psychiatry and Psychotherapeutic Medicine, Medical University of Graz, 8036 Graz, Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karl","family":"Sallmutter","sequence":"additional","affiliation":[{"name":"Division of Psychiatry and Psychotherapeutic Medicine, Medical University of Graz, 8036 Graz, Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Susanne","family":"Bengesser","sequence":"additional","affiliation":[{"name":"Division of Psychiatry and Psychotherapeutic Medicine, Medical University of Graz, 8036 Graz, Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7372-8655","authenticated-orcid":false,"given":"Annamaria","family":"Painold","sequence":"additional","affiliation":[{"name":"Division of Psychiatry and Psychotherapeutic Medicine, Medical University of Graz, 8036 Graz, Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martin","family":"Narrath","sequence":"additional","affiliation":[{"name":"Division of Psychiatry and Psychotherapeutic Medicine, Medical University of Graz, 8036 Graz, Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lisa","family":"Pieter","sequence":"additional","affiliation":[{"name":"Division of Psychiatry and Psychotherapeutic Medicine, Medical University of Graz, 8036 Graz, Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mary","family":"Butler","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Neurobehavioural Science, University College Cork, T12 K8AF Cork, Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2812-5115","authenticated-orcid":false,"given":"Annabel","family":"Mueller-Stierlin","sequence":"additional","affiliation":[{"name":"Institute for Epidemiology and Medical Biometry, Ulm University, 89075 Ulm, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5964-4087","authenticated-orcid":false,"given":"Eva","family":"Reininghaus","sequence":"additional","affiliation":[{"name":"Division of Psychiatry and Psychotherapeutic Medicine, Medical University of Graz, 8036 Graz, Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5002-4460","authenticated-orcid":false,"given":"Sonja","family":"Lackner","sequence":"additional","affiliation":[{"name":"Division of Immunology, Otto Loewi Research Center, Medical University of Graz, 8010 Graz, Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2958-3516","authenticated-orcid":false,"given":"Sandra","family":"Holasek","sequence":"additional","affiliation":[{"name":"Division of Immunology, Otto Loewi Research Center, Medical University of Graz, 8010 Graz, Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2024,11,20]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"1963","DOI":"10.1007\/s00213-023-06417-4","article-title":"No benefit of antidepressants in inpatient treatment of depression. A longitudinal, quasi-experimental field study","volume":"240","author":"Mass","year":"2023","journal-title":"Psychopharmacology"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"265","DOI":"10.1097\/PSY.0000000000000673","article-title":"The Effects of Dietary Improvement on Symptoms of Depression and Anxiety: A Meta-Analysis of Randomized Controlled Trials","volume":"81","author":"Firth","year":"2019","journal-title":"Psychosom. Med."},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"271","DOI":"10.1016\/S2215-0366(14)00051-0","article-title":"Nutritional medicine as mainstream in psychiatry","volume":"2","author":"Sarris","year":"2015","journal-title":"Lancet Psychiatry"},{"key":"ref_4","doi-asserted-by":"crossref","unstructured":"Puri, S., Shaheen, M., and Grover, B. (2023). Nutrition and cognitive health: A life course approach. Front. Public Health, 11.","DOI":"10.3389\/fpubh.2023.1023907"},{"key":"ref_5","doi-asserted-by":"crossref","unstructured":"Morkl, S., Stell, L., Buhai, D.V., Schweinzer, M., Wagner-Skacel, J., Vajda, C., Lackner, S., Bengesser, S.A., Lahousen, T., and Painold, A. (2021). \u2018An Apple a Day\u2019?: Psychiatrists, Psychologists and Psychotherapists Report Poor Literacy for Nutritional Medicine: International Survey Spanning 52 Countries. Nutrients, 13.","DOI":"10.3390\/nu13030822"},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"427","DOI":"10.1017\/S0029665117002026","article-title":"Nutritional psychiatry: The present state of the evidence","volume":"76","author":"Marx","year":"2017","journal-title":"Proc. Nutr. Soc."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"22","DOI":"10.1186\/1880-6805-33-22","article-title":"Nutritional psychiatry research: An emerging discipline and its intersection with global urbanization, environmental challenges and the evolutionary mismatch","volume":"33","author":"Logan","year":"2014","journal-title":"J. Physiol. Anthropol."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"315","DOI":"10.1007\/s13668-016-0185-3","article-title":"Community interventions to improve cooking skills and their effects on confidence and eating behaviour","volume":"5","author":"Garcia","year":"2016","journal-title":"Curr. Nutr. Rep."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"401","DOI":"10.1016\/j.jada.2010.11.012","article-title":"Behavioral contexts, food-choice coping strategies, and dietary quality of a multiethnic sample of employed parents","volume":"111","author":"Blake","year":"2011","journal-title":"J. Am. Diet. Assoc."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"105018","DOI":"10.1016\/j.appet.2020.105018","article-title":"\u201cHealthy\u201d,\u201cusual\u201d and \u201cconvenience\u201d cooking practices patterns: How do they influence children\u2019s food consumption?","volume":"158","author":"Martins","year":"2021","journal-title":"Appetite"},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"60","DOI":"10.1016\/j.jneb.2016.08.012","article-title":"Reasons parents buy prepackaged, processed meals: It is more complicated than \u201cI Don\u2019t Have Time\u201d","volume":"49","author":"Horning","year":"2017","journal-title":"J. Nutr. Educ. Behav."},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"111","DOI":"10.1186\/s12966-016-0440-4","article-title":"The influence of socio-demographic, psychological and knowledge-related variables alongside perceived cooking and food skills abilities in the prediction of diet quality in adults: A nationally representative cross-sectional study","volume":"13","author":"McGowan","year":"2016","journal-title":"Int. J. Behav. Nutr. Phys. Act."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"239","DOI":"10.1017\/S1368980010002624","article-title":"Ready-meal consumption: Associations with weight status and cooking skills","volume":"14","author":"Brunner","year":"2011","journal-title":"Public Health Nutr."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"g1464","DOI":"10.1136\/bmj.g1464","article-title":"Associations between exposure to takeaway food outlets, takeaway food consumption, and body weight in Cambridgeshire, UK: Population based, cross sectional study","volume":"348","author":"Burgoine","year":"2014","journal-title":"BMJ"},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"151","DOI":"10.1007\/s40501-022-00259-1","article-title":"A Possible Antidepressive Effect of Dietary Interventions: Emergent Findings and Research Challenges","volume":"9","author":"Ceolin","year":"2022","journal-title":"Curr. Treat. Options Psychiatry"},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"23","DOI":"10.1080\/1028415X.2019.1587136","article-title":"Irregular eating patterns associate with hypomanic symptoms in bipolar disorders","volume":"24","author":"Buyukkurt","year":"2021","journal-title":"Nutr. Neurosci."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"219","DOI":"10.1038\/s41366-018-0143-9","article-title":"Overfed but undernourished: Recognizing nutritional inadequacies\/deficiencies in patients with overweight or obesity","volume":"43","author":"Astrup","year":"2019","journal-title":"Int. J. Obes."},{"key":"ref_18","unstructured":"Ministry of Social Affairs (2022, December 01). The Austrian Food Pyramid, Available online: https:\/\/broschuerenservice.sozialministerium.at\/Home\/Download?publicationId=617."},{"key":"ref_19","doi-asserted-by":"crossref","unstructured":"Lacatusu, C.M., Grigorescu, E.D., Floria, M., Onofriescu, A., and Mihai, B.M. (2019). The Mediterranean Diet: From an Environment-Driven Food Culture to an Emerging Medical Prescription. Int. J. Environ. Res. Public Health, 16.","DOI":"10.3390\/ijerph16060942"},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"1239","DOI":"10.1093\/advances\/nmaa181","article-title":"Diet and the Microbiota-Gut-Brain Axis: Sowing the Seeds of Good Mental Health","volume":"12","author":"Berding","year":"2021","journal-title":"Adv. Nutr."},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"2184","DOI":"10.1016\/j.clinthera.2019.08.009","article-title":"Culinary medicine: Advancing a framework for healthier eating to improve chronic disease management and prevention","volume":"41","author":"Evert","year":"2019","journal-title":"Clin. Ther."},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"50","DOI":"10.1016\/j.appet.2014.01.010","article-title":"Defining food literacy and its components","volume":"76","author":"Vidgen","year":"2014","journal-title":"Appetite"},{"key":"ref_23","doi-asserted-by":"crossref","unstructured":"Rees, J., Fu, S.C., Lo, J., Sambell, R., Lewis, J.R., Christophersen, C.T., Byrne, M.F., Newton, R.U., Boyle, S., and Devine, A. (2022). How a 7-week food literacy cooking program affects cooking confidence and mental health: Findings of a quasi-experimental controlled intervention trial. Front. Nutr., 9.","DOI":"10.3389\/fnut.2022.802940"},{"key":"ref_24","doi-asserted-by":"crossref","first-page":"167","DOI":"10.1177\/1090198117736352","article-title":"Psychosocial Benefits of Cooking Interventions: A Systematic Review","volume":"45","author":"Farmer","year":"2018","journal-title":"Health Educ. Behav."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"99","DOI":"10.1016\/j.physbeh.2014.04.032","article-title":"Eating attitudes of anorexia nervosa, bulimia nervosa, binge eating disorder and obesity without eating disorder female patients: Differences and similarities","volume":"131","author":"Alvarenga","year":"2014","journal-title":"Physiol. Behav."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"105","DOI":"10.24869\/psyd.2020.105","article-title":"Evaluation of eating attitudes, anger and impulsivity in atypical and non-atypical depression and assessment of comorbidity of binge eating","volume":"32","author":"Taymur","year":"2020","journal-title":"Psychiatr. Danub."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"601","DOI":"10.1038\/s41380-022-01817-y","article-title":"Feed your microbes to deal with stress: A psychobiotic diet impacts microbial stability and perceived stress in a healthy adult population","volume":"28","author":"Berding","year":"2023","journal-title":"Mol. Psychiatry"},{"key":"ref_28","unstructured":"Dalbert, C. (2002). ASTS. Aktuelle Stimmungsskala [Verfahrensdokumentation, Autorenbeschreibung und Fragebogen]. Leibniz-Institut f\u00fcr Psychologie (ZPID) (Hrsg.), Open Test Archive, ZPID."},{"key":"ref_29","doi-asserted-by":"crossref","unstructured":"Mart\u00ednez-Gonz\u00e1lez, M.A., Garc\u00eda-Arellano, A., Toledo, E., Salas-Salvado, J., Buil-Cosiales, P., Corella, D., Covas, M.I., Schr\u00f6der, H., Ar\u00f3s, F., and G\u00f3mez-Gracia, E. (2012). A 14-item Mediterranean diet assessment tool and obesity indexes among high-risk subjects: The PREDIMED trial. PLoS ONE, 7.","DOI":"10.1371\/journal.pone.0043134"},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"368","DOI":"10.1111\/1747-0080.12160","article-title":"Fat and fibre behaviour questionnaire: Reliability, relative validity and responsiveness to change in Australian adults with type 2 diabetes and\/or hypertension","volume":"72","author":"Reeves","year":"2015","journal-title":"Nutr. Diet."},{"key":"ref_31","doi-asserted-by":"crossref","unstructured":"Teasdale, S.B., Moerkl, S., Moetteli, S., and Mueller-Stierlin, A. (2021). The Development of a Nutrition Screening Tool for Mental Health Settings Prone to Obesity and Cardiometabolic Complications: Study Protocol for the NutriMental Screener. Int. J. Environ. Res. Public Health, 18.","DOI":"10.3390\/ijerph182111269"},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"264","DOI":"10.1016\/j.amepre.2017.04.008","article-title":"Food Insecurity and Mental Health Status: A Global Analysis of 149 Countries","volume":"53","author":"Jones","year":"2017","journal-title":"Am. J. Prev. Med."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"622","DOI":"10.3945\/jn.114.199414","article-title":"Household food insecurity is positively associated with depression among low-income supplemental nutrition assistance program participants and income-eligible nonparticipants","volume":"145","author":"Leung","year":"2015","journal-title":"J. Nutr."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"86","DOI":"10.1016\/j.puhe.2015.11.014","article-title":"Food insecurity and mental illness: Disproportionate impacts in the context of perceived stress and social isolation","volume":"132","author":"Martin","year":"2016","journal-title":"Public Health"},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"1133","DOI":"10.1017\/S1368980008003650","article-title":"Food insecurity and maternal depression in rural, low-income families: A longitudinal investigation","volume":"12","author":"Charnigo","year":"2009","journal-title":"Public Health Nutr."},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"64","DOI":"10.1089\/heq.2020.0059","article-title":"Food insecurity is associated with depression, anxiety, and stress: Evidence from the early days of the COVID-19 pandemic in the United States","volume":"5","author":"Wolfson","year":"2021","journal-title":"Health Equity"},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"1612","DOI":"10.1016\/j.jand.2017.05.001","article-title":"Orthorexia Nervosa and Eating Disorder Symptoms in Registered Dietitian Nutritionists in the United States","volume":"117","author":"Tremelling","year":"2017","journal-title":"J. Acad. Nutr. Diet."},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"40","DOI":"10.1016\/j.appet.2018.12.006","article-title":"Disentangling orthorexia nervosa from healthy eating and other eating disorder symptoms: Relationships with clinical impairment, comorbidity, and self-reported food choices","volume":"134","author":"Zickgraf","year":"2019","journal-title":"Appetite"},{"key":"ref_39","first-page":"119","article-title":"Misreporting in nutritional surveys: Methodological implications","volume":"31","year":"2015","journal-title":"Nutr. Hosp."},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"3652","DOI":"10.3390\/nu7053652","article-title":"Nutritional adequacy of dietary intake in women with anorexia nervosa","volume":"7","author":"Raatz","year":"2015","journal-title":"Nutrients"},{"key":"ref_41","doi-asserted-by":"crossref","unstructured":"Saghafian, F., Sharif, N., Saneei, P., Keshteli, A.H., Hosseinzadeh-Attar, M.J., Afshar, H., Esmaillzadeh, A., and Adibi, P. (2021). Consumption of Dietary Fiber in Relation to Psychological Disorders in Adults. Front. Psychiatry, 12.","DOI":"10.3389\/fpsyt.2021.587468"},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"394","DOI":"10.1093\/nutrit\/nuz072","article-title":"Dietary fiber and its associations with depression and inflammation","volume":"78","author":"Swann","year":"2020","journal-title":"Nutr. Rev."},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"198","DOI":"10.1007\/s40750-017-0061-4","article-title":"Breaking Bread: The Functions of Social Eating","volume":"3","author":"Dunbar","year":"2017","journal-title":"Adapt. Hum. Behav. Physiol."},{"key":"ref_44","doi-asserted-by":"crossref","first-page":"270","DOI":"10.5539\/gjhs.v7n4p270","article-title":"Health, happiness and eating together: What can a large Thai cohort study tell us?","volume":"7","author":"Yiengprugsawan","year":"2015","journal-title":"Glob. J. Health Sci."},{"key":"ref_45","doi-asserted-by":"crossref","first-page":"1603","DOI":"10.1007\/s10597-020-00621-8","article-title":"Characteristics of Eating Alone Affecting the Stress, Depression, and Suicidal Ideation","volume":"56","author":"Kim","year":"2020","journal-title":"Community Ment. Health J."},{"key":"ref_46","doi-asserted-by":"crossref","first-page":"333","DOI":"10.1080\/15622975.2022.2112074","article-title":"Clinical guidelines for the use of lifestyle-based mental health care in major depressive disorder: World Federation of Societies for Biological Psychiatry (WFSBP) and Australasian Society of Lifestyle Medicine (ASLM) taskforce","volume":"24","author":"Marx","year":"2023","journal-title":"World J. Biol. Psychiatry"}],"container-title":["Nutrients"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2072-6643\/16\/22\/3973\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T16:36:19Z","timestamp":1760114179000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2072-6643\/16\/22\/3973"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,11,20]]},"references-count":46,"journal-issue":{"issue":"22","published-online":{"date-parts":[[2024,11]]}},"alternative-id":["nu16223973"],"URL":"https:\/\/doi.org\/10.3390\/nu16223973","relation":{},"ISSN":["2072-6643"],"issn-type":[{"value":"2072-6643","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,11,20]]}}}