A Questionnaire Survey of the Type of Support Required by Yogo Teachers to Effectively Manage Students Suspected of Having an Eating Disorder

Seike, Kaoru; Hanazawa, Hisashi; Ohtani, Toshiyuki; Takamiya, Shizuo; Sakuta, Ryoichi; Nakazato, Michiko

doi:10.1186/s13030-016-0065-5

Cited by 6 publications

(6 citation statements)

References 34 publications

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“…The majority were conducted in Western countries ( n = 23) (Bertrand et al., 2021; Cooney et al., 2018; Eddy et al., 2015; Farag et al., 2022; Fisher et al., 2014, 2015; Forman et al., 2014; Goldberg et al., 2020; Gonçalves et al., 2019; Katzman et al., 2021; Koomar et al., 2021; Krom et al., 2019; Kurz et al., 2015; Murray et al., 2022; Nicely et al., 2014; Norris et al., 2014; Nygren et al., 2021; Ornstein et al., 2013; Pinhas et al., 2017; Schmidt et al., 2018; Schöffel et al., 2021; Venema et al., 2022; Williams et al., 2015), predominantly the USA ( n = 9) (Eddy et al., 2015; Fisher et al., 2014, 2015; Forman et al., 2014; Koomar et al., 2021; Murray et al., 2022; Nicely et al., 2014; Ornstein et al., 2013; Williams et al., 2015), with two carried out in multiple countries (Fisher et al., 2014; Pinhas et al., 2017). One study took place in the Middle East (Iron‐Segev et al., 2022) and six in East Asian countries: four in Japan (Dinkler et al., 2022a, 2022b; Seike et al., 2016a, 2016b), one in Taiwan (Chen et al., 2020) and one in Singapore (Wong et al., 2022). The majority ( n = 21) of studies focussed on clinical populations (Bertrand et al., 2021; Cooney et al., 2018; Eddy et al., 2015; Farag et al., 2022; Fisher et al., 2014, 2015; Forman et al., 2014; Goldberg et al., 2020; Katzman et al., 2021; Koomar et al., 2021; Krom et al., 2019; Murray et al., 2022; Nicely et al., …”

Section: Resultsmentioning

confidence: 99%

“…The PRISMA flowchart is shown in Figure 1 and summarises the stages of the review. Thirty studies met inclusion criteria and were included in the review (Bertrand et al., 2021 ; Chen et al., 2020 ; Cooney et al., 2018 ; Dinkler et al., 2022a , 2022b ; Eddy et al., 2015 ; Farag et al., 2022 ; Fisher et al., 2014 , 2015 ; Forman et al., 2014 ; Goldberg et al., 2020 ; Gonçalves et al., 2019 ; Iron‐Segev et al., 2022 ; Katzman et al., 2021 ; Koomar et al., 2021 ; Krom et al., 2019 ; Kurz et al., 2015 ; Murray et al., 2022 ; Nicely et al., 2014 ; Norris et al., 2014 ; Nygren et al., 2021 ; Ornstein et al., 2013 ; Pinhas et al., 2017 ; Schmidt et al., 2018 ; Schöffel et al., 2021 ; Seike et al., 2016a , 2016b ; Venema et al., 2022 ; Williams et al., 2015 ; Wong et al., 2022 ). Key aspects of the included studies using clinical samples are presented in Table 1 and those using community and school samples in Table 2 .…”

Section: Resultsmentioning

confidence: 99%

“…Finally, studies from non‐clinical samples used self‐report or parent‐report instruments (6 of 29 studies) with ARFID estimates ranging from 0.3% to 15.5% (Chen et al., 2020 ; Dinkler et al., 2022a ; Gonçalves et al., 2019 ; Iron‐Segev et al., 2022 ; Kurz et al., 2015 ; Schmidt et al., 2018 ) and one used a risk score to identify ARFID in children with neurodevelopmental problems (those on the 90 th percentile for neurodevelopmental problems presented with a risk of 3.1% of having ARFID) (Dinkler et al., 2022b ). In addition, two other studies reported that the encounter rate of students with ARFID by Yogo teachers (a particular type of teachers in Japan responsible for monitoring students' height and weight and leading on health education) ranged from 10.7% to 13% (Seike et al., 2016a , 2016b ). The encounter rate is not a prevalence rate, but rather the proportion of Yogo teachers who had encountered students with ARFID (one or more).…”

Section: Resultsmentioning

confidence: 99%

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What do we know about the epidemiology of avoidant/restrictive food intake disorder in children and adolescents? A systematic review of the literature

Sanchez-Cerezo

Nagularaj

Gledhill

et al. 2022

Euro Eating Disorders Rev

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Background: Avoidant/restrictive food intake disorder (ARFID) was a new diagnosis in DSM-5. This systematic review explores what is known to date about the epidemiology of ARFID in children and adolescents. Method: Embase, Medline and PsycInfo were used to identify studies meeting inclusion criteria. PRISMA guidelines were followed. Results: Thirty studies met inclusion criteria, with most coming from specialised eating disorder services where prevalence rates were 5%-22.5%. Three studies from specialist feeding clinics showed the highest prevalence rates, ranging from 32% to 64%. Studies from non-clinical samples reported ARFID prevalence estimates ranging from 0.3% to 15.5%. One study, using national surveillance methodology, reported the incidence of ARFID in children and adolescents reaching clinical care to be 2.02 per 100,000 patients. Psychiatric comorbidity was common, especially anxiety disorders (9.1%-72%) and autism spectrum disorder (8.2%-54.75%). Conclusion:The current literature on the epidemiology of ARFID in children and adolescents is limited. Studies are heterogeneous with regard to setting and sample characteristics, with a wide range of prevalence estimates. Further studies, especially using surveillance methodology, will help to better understand the nature of this disorder and estimate clinical service needs.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

What do we know about the epidemiology of avoidant/restrictive food intake disorder in children and adolescents? A systematic review of the literature

Sanchez-Cerezo

Nagularaj

Gledhill

et al. 2022

Euro Eating Disorders Rev

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“…Interestingly, despite findings from the national report conducted in 2014–15 indicating low annual incidence rates of BED and no cases of ARFID at hospitals, teachers working with children and adolescents (e.g., elementary school–high school) have reported encountering multiple cases of ARFID and BED amongst their pupils during this time (Seike et al, 2016, 2016). This suggests that patients with these disorders avoid professional help or that clinicians in hospitals are unaware of these disorders in Japan.…”

Section: Resultsmentioning

confidence: 97%

The changing profile of eating disorders and related sociocultural factors in Japan between 1700 and 2020: A systematic scoping review

Nakai¹,

Nin

Goel

2020

Intl J Eating Disorders

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Objective: The purpose of this study was to investigate the changing profile of the phenotypic expression of eating disorders (EDs) and related sociocultural factors in Japan between 1700 and 2020. Method: The authors conducted a systematic scoping review in accordance with the PRISMA statement guidelines for scoping reviews. Results: Findings indicate that Kampo doctors reported more than 50 patients with restrictive EDs in the 1700s, when Japan adopted a national isolation policy. On the other hand, only a few reports of EDs were found between 1868 and 1944, when rapid Westernization occurred. After World War II, providers began diagnosing patients with anorexia nervosa (AN) around 1960. Patients reported experiencing fat phobia, but did not engage in restriction for achieving slimness. However, after the 1970s, Japan experienced a rise in patients with AN who engaged in restriction to achieve thinness. Cases of patients who engaged in binge/purge symptomatology increased after the 1980s, followed by a steady increase in total ED cases after the 1990s. At various time points, providers attributed family conflicts, internalization of a thin ideal of beauty, changing food environments, and pressures associated with traditional gender roles to the onset and maintenance of EDs in Japan. Discussion: Findings reveal that restrictive EDs were present as early as the 18th century; Japanese patients may present with both "typical" and "atypical" forms of AN; ED symptoms can persist in the absence of Western influence; and sociocultural factors, such as gender-specific stressors and family dynamics, may contribute to EDs for Japanese populations.

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“…Our previous study surveyed the encounter rate to effectively support Yogo teachers in giving early support to students with EDs [ 34 ]. However, the results of that study could be biased since the survey subjects were limited to Chiba prefecture, Japan.…”

Section: Introductionmentioning

confidence: 99%

A questionnaire survey regarding the support needed by Yogo teachers to take care of students suspected of having eating disorders (second report)

Seike

Nakazato

Hanazawa

et al. 2016

BioPsychoSocial Med

Self Cite

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BackgroundThe lowering of the age of onset and chronicity have been key problems related to eating disorders (EDs). As the proportion of teens in the estimated onset ages has increased, it has become important to detect students with EDs and to clarify how they can be supported. Though epidemiological surveys of Yogo teachers (school nurse/health science teachers) have been conducted to inquire about the number of such students, none of these were done according to ED type based on DSM-5. Thus, we conducted a wide area survey in Japan with the goal of proposing a better framework of support for Yogo teachers in their efforts to care for students with EDs.MethodsA questionnaire survey organized by ED type (based on DSM-5) was administered to Yogo teachers working at elementary/junior high/senior high/special needs schools in four prefectures of Japan in 2015, and 1,886 responses were obtained. Based on the results, the encounter rates (the proportion of Yogo teachers who had encountered a student with an ED) were calculated, and factors that could affect the rates were examined by logistic regression analysis.ResultsThe order of the encounter rates of the ED types was as follows: Anorexia Nervosa (AN) > Bulimia Nervosa (BN) > Avoidant/Restrictive Food Intake Disorder (ARFID) > Binge Eating Disorder (BED) > Others. The factors significantly affecting the rates were “location, school type, number of students, experience years, and AN knowledge” for AN, “school type, experience years, and BN knowledge” for BN, “school type, experience years, and BED knowledge” for BED, “location, experience years, and ARFID knowledge” for ARFID, and “school type, experience years, and Others knowledge” for Others.ConclusionsBecause the encounter rate of AN was the highest, providing support for AN would be the most effective. Moreover, one factor that affected the encounter rate of all ED types was ED knowledge. In addition to this, senior high schools had the highest encounter rates for AN, BN and BED, and special needs schools had the highest rates for Others. These findings imply that, in order to detect and support ED students at an early stage, it is necessary to offer knowledge of the most prevalent ED types to Yogo teachers at the corresponding school type.

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A Questionnaire Survey of the Type of Support Required by Yogo Teachers to Effectively Manage Students Suspected of Having an Eating Disorder

Cited by 6 publications

References 34 publications

What do we know about the epidemiology of avoidant/restrictive food intake disorder in children and adolescents? A systematic review of the literature

What do we know about the epidemiology of avoidant/restrictive food intake disorder in children and adolescents? A systematic review of the literature

The changing profile of eating disorders and related sociocultural factors in Japan between 1700 and 2020: A systematic scoping review

A questionnaire survey regarding the support needed by Yogo teachers to take care of students suspected of having eating disorders (second report)

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