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Angela Sarah Guarda, M.D.
The Stephen and Jean Robinson Associate Professor of Eating Disorders
Associate Professor of Psychiatry and Behavioral Sciences
Languages: English, French, Italian, Spanish
Expertise: Adult Psychiatry, Anorexia Nervosa, Bulimia, Eating Disorder Not Otherwise Specified (EDNOS), Eating Disorders, Psychiatry, Psychiatry and Behavioral Sciences , Weight Disorders ...read more
Research Interests: Eating Disorders
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Dr. Guarda is the Stephen and Jean Robinson Associate Professor of Psychiatry and Behavioral Sciences at The Johns Hopkins School of Medicine and Director of the Eating Disorders Program at Johns Hopkins Hospital. She obtained her medical degree from the University of Maryland School of Medicine and completed a residency in Psychiatry at Johns Hopkins including an externship in eating disorders at the Maudsley Hospital in London. She has been named annually in Castle Connolly’s “America’s Top Doctors” for eating disorders since 2009. Her clinical research interests include refeeding in anorexia nervosa and ARFID and treatment resistance. She is involved in an NIH-sponsored multi-site medication treatment trial for anorexia nervosa and in translational research examining the pathophysiology of eating disorders including neuroimaging of opioid and cannabinoid receptors in bulimia nervosa and physiological alterations in gut peptides that may sustain disordered eating behavior.
- The Stephen and Jean Robinson Associate Professor of Eating Disorders
- Director, Johns Hopkins Eating Disorders Program
- Associate Professor of Psychiatry and Behavioral Sciences
Departments / Divisions
- MD; Medicine, University of Maryland School of Medicine (1991)
- Johns Hopkins University School of Medicine / Psychiatry (1995)
Research & Publications
Clinical Trial Keywordsanorexia nervosa
Schreyer CC, Coughlin JW, Makhzoumi SH, Redgrave GW, Hansen JL, Guarda AS. Perceived coercion in inpatients with Anorexia nervosa: Associations with illness severity and hospital course. Int J Eat Disord. 2015 Nov 18. doi: 10.1002/eat.22476. [Epub ahead of print] PMID: 2657842
Haynos AF, Snipes C, Guarda AS, Mayer LE, Attia E.Comparison of standardized versus individualized caloric prescriptions in the nutritional rehabilitation of inpatients with anorexia nervosa. Int J Eat Disord. 2015 (in press).
Garber A, Sawyer S, Golden N, Guarda A, Katzman D, Kohn M, Madden S, Whitelaw M, Redgrave G. A systematic review of approaches to refeeding in patients with anorexia nervosa. Int J Eat Disord 2015 (in press)
Reinblatt SP, Mahone EM, Tanofsky-Kraff M, Lee-Winn AE, Yenokyan G, Leoutsakos JM, Moran TH, Guarda AS, Riddle MA.Pediatric loss of control eating syndrome: Association with attention-deficit/hyperactivity disorder and impulsivity. Int J Eat Disord. 2015 Sep 48(6):550-8. Epub Apr 9. doi: 10.1002/eat.22404. PMID: 25855370
Redgrave GW, Coughlin JW, Schreyer CC, Martin LM, Leonpacher AK, Seide M, Verdi AM, Pletch A, Guarda AS. Refeeding and weight restoration outcomes in anorexia nervosa: Challenging current guidelines. Int J Eat Disord. 2015 Jan 27. doi: 10.1002/eat.22390. [Epub ahead of print] PMID: 25625572
Makhzoumi SH, Guarda AS, Schreyer CC, Reinblatt SP, Redgrave GW, Coughlin JW. Chewing and spitting: A marker of psychopathology and behavioral severity in inpatients with an eating disorder. Eat Behav. 2015 Apr;17:59-61. doi: 10.1016/j.eatbeh.2014.12.012. Epub 2014 Dec 20. PMID: 25580013
A Screening Tool to Assess and Manage Behavioral Risk in the Postoperative Bariatric Surgery Patient: The WATCH. Coughlin JW, Guarda AS, Clark JM, Furtado MM, Steele KE, Heinberg LJ. J Clin Psychol Med Settings. 2013 Dec;20(4):456-63. doi: 10.1007/s10880-012-9358-4. Review. PMID: 23712596
Bello NT, Coughlin JW, Redgrave GW, Ladenheim EE, Moran TH, Guarda AS. Dietary conditions and highly palatable food access alter rat cannabinoid receptor expression and binding density. Physiol Behav. 2012:105(3):720-726. PMID: 22005165.
Coughlin JW, Schreyer CC, Sarwer DB, Heinberg LJ, Redgrave GW, Guarda AS. Cosmetic surgery in inpatients with eating disorders: Attitudes and experience. Body Image. 2012:9(1):180-183.PMID:22119760.
Bello NT, Coughlin JW, Redgrave GW, Moran TH, Guarda AS. Oral sensory and cephalic hormonal responses to fat and non-fat liquids in bulimia nervosa." Physiology & Behavior. 2010:99(5):611-617. PMID: 20138067
Coughlin JW, Edwards RR, Redgrave GW, Guarda AS. Pain Severity in Eating Disorders Predicts Longer Inpatient Hospitalization. International Journal of Eating Disorders 2010:43:737–742.PMID: 19842161
Bello NT, Guarda AS, Terrillion CE, Redgrave GW, Coughlin JW, Moran TH. Repeated binge access to a palatable food alters feeding behavior, hormone profile, and hindbrain c-Fos responses to a test meal in adult male rats. Am J Physiol Regul Integr Comp Physiol. 2009:297(3):R622-631. PMID: 19535681
Redgrave GW, Bakker A, Bello NT, Caffo BS, Coughlin JW, Guarda AS, McEntee JE, Pekar JJ, Reinblatt SP, Verduzco G, Moran TH. Differential Brain Activation in Anorexia Nervosa to Fat and Thin Words during a Stroop Task. Neuroreport, 2008:19(12):1181-1185.PMID: 18628661
Heinberg LJ, Coughlin JW, Marinilli-Pinto AS, Haug N, Brode C, Guarda AS. Validation and predictive utility of the Sociocultural Attitudes Towards Appearance Questionnaire for Eating Disorders (SATAQ-ED): Internalization of sociocultural ideals predicts weight gain. Body Image: An International Journal of Research. 2008:5(3):279-290.
Coughlin JW, Edwards R, Buenaver L, Redgrave G, Guarda AS, Haythornthwaite J. Pain, catastrophizing, and depressive symptomatology in eating disorders. Clin J Pain. 2008:24(5):406-414.
Marinilli Pinto A, Heinberg LJ, Coughlin JW, Fava JL, Guarda AS. The Eating Disorder Recovery Self-Efficacy Questionnaire (EDRSQ): Change with treatment and prediction of outcome. Eating Behaviors. 2008:9(2):143-153.
Kinzig KP, Coughlin JW, Redgrave GW, Moran TH, Guarda AS. Insulin, glucose and pancreatic polypeptide responses to a test meal in restricting type anorexia nervosa before and after weight restoration. Am J Physiol Endocrinol Metab. 2007:292(5):E1441-1446.
Guarda AS, Marinilli Pinto A, Couglin J, Hussain S, Haug NA, Heinberg LJ. Perceived coercion and change in perceived need for admission in hospitalized eating disorder patients. Am J Psychiatry, 2007:164(1):108–114.
Redgrave GW, Coughlin JW, Heinberg LJ, Guarda AS. First-degree relative history of alcoholism in eating disorder inpatients: relationship to eating and substance use psychopathology. Eating Behaviors. 2007:8(1):15-22.
Marinilli A, Guarda AS, Heinberg LJ, DiClemente CC. Development of the Eating Disorder Recovery Self-Efficacy Questionnaire. International Journal of Eating Disorders. 2006:39(5):376-384.
Bencherif B, Guarda AS, Colantuoni C, Ravert HT, Dannals RF, Frost JJ. Regional mu opioid receptor binding in insular cortex is decreased in bulimia nervosa and is inversely correlated with fasting behavior. Journal of Nuclear Medicine, 2005:46(8):1349-1351.
Guarda AS, Redgrave GW. Eating Disorders: Detection, assessment, and treatment in primary care. Advanced Studies in Medicine. 2004:4(9):468-475.
Guarda AS, Coughlin JW, Cummings M, Marinilli AS, Haug NA, Boucher M, Heinberg LF. Chewing and spitting in eating disorders and its relationship to binge eating. Eating Behaviors: An International Journal. 2004:5:231-239.
Thompson JK, van den Berg P, Roehrig M, Guarda AS, Heinberg LF. The Sociocultural Attitudes Towards Appearance Scale-3 (SATAQ-3): development and validation. International Journal of Eating Disorders. 2004: 35(3):293-304.
Heinberg LJ, Guarda AS, Haug NA, Yacono Freeman LM, Ambrose D. Clinical course and short-term outcome of hospitalized adolescents with eating disorders: the success of combining adolescent and adults on an eating disorders unit. Eating and Weight Disorders. 2003:8(4):326-331.
Barbin JM, Williamson DA, Steuart TM, Reas DL, Thaw JM, Guarda AS. Psychological adjustment in the children of mothers with a history of eating disorders. Eating and Weight Disorders. 2002:7(1):32-38.
Haug NA, Heinberg LJ, Guarda AS. Cigarette smoking and its relationship to other substance use among eating disordered inpatients. Eating and Weight Disorders. 2001:6:130-139.
Activities & Honors
- Featured physician on ABCs 24/7 documentary about Johns Hopkins Hospital and on the one-hour ABC News Production for the Discovery Channel Thin at Any Cost, 2000
- Best Mental Health Practitioner for the treatment of Eating Disorders, Baltimore Magazine, 2001
- Top Therapists: Eating Disorders, Washingtonian Magazine The Best of Issue, 2009
- Top Doctors: Eating Disorders, Baltimore Magazine, 2009
- Top Doctors: Eating Disorders, Baltimore Magazine, 2011
- Top Doctors in America, Castle Connollys, 2009 - 2015
- Academy for Eating Disorders
- American Psychiatric Association
- Eating Disorders Research Society
- Maryland Psychiatric Society
Videos & Media
How We Treat Eating Disorders at Johns Hopkins Medicine
Thinking About Eating Disorders | Johns Hopkins Experts Answer Key Questions