{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,19]],"date-time":"2026-10-19T21:57:48Z","timestamp":1792447068741,"version":"4.5.0"},"reference-count":61,"publisher":"MDPI AG","issue":"24","license":[{"start":{"date-parts":[[2025,12,14]],"date-time":"2025-12-14T00:00:00Z","timestamp":1765670400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Plan Nacional sobre Drogas Convocatoria de subvenciones para proyectos de investigaci\u00f3n financiados con fondos europeos 2022","award":["EXP2022\/008847"],"award-info":[{"award-number":["EXP2022\/008847"]}]},{"DOI":"10.13039\/501100004837","name":"Ministerio de Ciencia e Innovaci\u00f3n","doi-asserted-by":"publisher","award":["PDI2021-124887OB-I00"],"award-info":[{"award-number":["PDI2021-124887OB-I00"]}],"id":[{"id":"10.13039\/501100004837","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100004587","name":"Instituto de Salud Carlos III","doi-asserted-by":"crossref","award":["FIS22053\u2013Ref: DTS22\/00072"],"award-info":[{"award-number":["FIS22053\u2013Ref: DTS22\/00072"]}],"id":[{"id":"10.13039\/501100004587","id-type":"DOI","asserted-by":"crossref"}]},{"DOI":"10.13039\/501100004587","name":"Instituto de Salud Carlos III","doi-asserted-by":"crossref","award":["FIS23069\u2013Ref: FORT23\/00032_2"],"award-info":[{"award-number":["FIS23069\u2013Ref: FORT23\/00032_2"]}],"id":[{"id":"10.13039\/501100004587","id-type":"DOI","asserted-by":"crossref"}]},{"name":"European Union\u2019s Horizon 2020 research and innovation programme","award":["101080219"],"award-info":[{"award-number":["101080219"]}]},{"name":"FEDER (funds\/European Regional Development Fund"},{"name":"AGAUR-Generalitat de Catalunya","award":["2021-SGR-00824"],"award-info":[{"award-number":["2021-SGR-00824"]}]},{"DOI":"10.13039\/501100003741","name":"Catalan Institution for Research and Advanced Studies","doi-asserted-by":"crossref","award":["2021-Programme"],"award-info":[{"award-number":["2021-Programme"]}],"id":[{"id":"10.13039\/501100003741","id-type":"DOI","asserted-by":"crossref"}]},{"DOI":"10.13039\/501100003741","name":"Catalan Institution for Research and Advanced Studies","doi-asserted-by":"crossref","award":["2024-Programme"],"award-info":[{"award-number":["2024-Programme"]}],"id":[{"id":"10.13039\/501100003741","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Nutrients"],"abstract":"<jats:p>Background\/Objectives: Sociocultural factors, including migration and acculturation, may influence the clinical profile and course of eating disorders (EDs). This study examined differences between immigrant and native-born Spanish patients with EDs in (1) clinical presentation and (2) treatment response. Methods: Consecutive outpatients from the Eating Disorders Unit at Bellvitge University Hospital (Barcelona, Spain) were assessed using the Eating Disorder Inventory-2 (EDI-2), Symptom Checklist-90-R (SCL-90-R), and Temperament and Character Inventory-Revised (TCI-R). Statistical analyses included chi-square tests, ANOVA, Cox regression for dropout, and logistic regression for predictors of poor outcome, adjusted for ED subtype. Results: The sample included 1104 patients (947 native-born; 157 immigrants). Immigrant patients showed a distinct clinical profile, with lower drive for thinness and body dissatisfaction but higher interpersonal distrust, maturity fears, perfectionism, anxiety-related symptoms, and self-transcendence. They also presented a worse treatment response, including higher dropout rates, poorer outcomes, and lower remission rates. Predictive models identified different risk factors for poor treatment response in each group: among native-born patients, younger age of ED onset, higher novelty seeking, and lower self-directedness were associated with worse outcomes, whereas among immigrant patients, greater ED severity, lower harm avoidance, and lower self-transcendence predicted poorer results. Conclusions: Immigrant patients with EDs exhibit a differentiated clinical presentation and less favorable treatment response compared to native-born patients. The differential predictors of poor outcome highlight the need for culturally informed and individually tailored interventions that consider both sociocultural context and personality-related vulnerabilities.<\/jats:p>","DOI":"10.3390\/nu17243914","type":"journal-article","created":{"date-parts":[[2025,12,15]],"date-time":"2025-12-15T13:32:37Z","timestamp":1765805557000},"page":"3914","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Eating Disorders in an Immigrant Population: Are Clinical Features and Treatment Outcomes Different from the Native-Born Spanish Population?"],"prefix":"10.3390","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-9918-7592","authenticated-orcid":false,"given":"Magda","family":"Rosinska","sequence":"first","affiliation":[{"name":"Clinical Psychology Department, Bellvitge University Hospital, 08907 Barcelona, Spain"},{"name":"Psychoneurobiology of Eating and Addictive Behaviors Group, Neuroscience Program, Bellvitge Biomedical Research Institute (IDIBELL), 08908 Barcelona, Spain"},{"name":"CIBER Physiopathology of Obesity and Nutrition (CIBERobn), Instituto Salud Carlos III, 08907 Barcelona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-6295-0741","authenticated-orcid":false,"given":"Silvia","family":"Tempia Valenta","sequence":"additional","affiliation":[{"name":"Department of Biomedical and Neuromotor Sciences, University of Bologna, 40126 Bologna, Italy"},{"name":"Research Group on Emergency and Disaster Medicine, Vrije Universiteit Brussel, 1050 Brussels, Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Isabel","family":"S\u00e1nchez","sequence":"additional","affiliation":[{"name":"Clinical Psychology Department, Bellvitge University Hospital, 08907 Barcelona, Spain"},{"name":"Psychoneurobiology of Eating and Addictive Behaviors Group, Neuroscience Program, Bellvitge Biomedical Research Institute (IDIBELL), 08908 Barcelona, Spain"},{"name":"CIBER Physiopathology of Obesity and Nutrition (CIBERobn), Instituto Salud Carlos III, 08907 Barcelona, Spain"},{"name":"Department of Clinical Sciences, School of Medicine and Health Sciences, University of Barcelona, 08907 Barcelona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4359-8340","authenticated-orcid":false,"given":"Olga","family":"Jordana Ovejero","sequence":"additional","affiliation":[{"name":"Clinical Psychology Department, Bellvitge University Hospital, 08907 Barcelona, Spain"},{"name":"Department of Clinical Sciences, School of Medicine and Health Sciences, University of Barcelona, 08907 Barcelona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Teresa","family":"Alonzo-Castillo","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, Vall d\u2019Hebron University Hospital, 08035 Barcelona, Spain"},{"name":"Department of Psychobiology and Methodology of Health Sciences, Autonomous University of Barcelona, 08193 Barcelona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura","family":"G\u00e1lvez Sol\u00e9","sequence":"additional","affiliation":[{"name":"Clinical Psychology Department, Bellvitge University Hospital, 08907 Barcelona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rosa","family":"Fontana Eito","sequence":"additional","affiliation":[{"name":"Clinical Psychology Department, Bellvitge University Hospital, 08907 Barcelona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9751-810X","authenticated-orcid":false,"given":"Lucero","family":"Munguia","sequence":"additional","affiliation":[{"name":"Clinical Psychology Department, Bellvitge University Hospital, 08907 Barcelona, Spain"},{"name":"Psychoneurobiology of Eating and Addictive Behaviors Group, Neuroscience Program, Bellvitge Biomedical Research Institute (IDIBELL), 08908 Barcelona, Spain"},{"name":"CIBER Physiopathology of Obesity and Nutrition (CIBERobn), Instituto Salud Carlos III, 08907 Barcelona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elena","family":"Caravaca Sanz","sequence":"additional","affiliation":[{"name":"Clinical Psychology Department, Bellvitge University Hospital, 08907 Barcelona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna Rita","family":"Atti","sequence":"additional","affiliation":[{"name":"Department of Biomedical and Neuromotor Sciences, University of Bologna, 40126 Bologna, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6308-3198","authenticated-orcid":false,"given":"Roser","family":"Granero","sequence":"additional","affiliation":[{"name":"Psychoneurobiology of Eating and Addictive Behaviors Group, Neuroscience Program, Bellvitge Biomedical Research Institute (IDIBELL), 08908 Barcelona, Spain"},{"name":"CIBER Physiopathology of Obesity and Nutrition (CIBERobn), Instituto Salud Carlos III, 08907 Barcelona, Spain"},{"name":"Department of Psychobiology and Methodology of Health Sciences, Autonomous University of Barcelona, 08193 Barcelona, Spain"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3596-8033","authenticated-orcid":false,"given":"Susana","family":"Jim\u00e9nez-Murcia","sequence":"additional","affiliation":[{"name":"Clinical Psychology Department, Bellvitge University Hospital, 08907 Barcelona, Spain"},{"name":"Psychoneurobiology of Eating and Addictive Behaviors Group, Neuroscience Program, Bellvitge Biomedical Research Institute (IDIBELL), 08908 Barcelona, Spain"},{"name":"CIBER Physiopathology of Obesity and Nutrition (CIBERobn), Instituto Salud Carlos III, 08907 Barcelona, Spain"},{"name":"Department of Clinical Sciences, School of Medicine and Health Sciences, University 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