Insight May Limit Identification of Eating Disorders

Brodrick, Brooks; McAdams, Carrie J.

doi:10.1016/j.biopsych.2018.11.015

Cited by 4 publications

(3 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…More recently, in a secondary analysis of a nationally representative sample of U.S. adults using data from the 2012–2013 National Epidemiologic Survey on Alcohol and Related Conditions (NESARC‐III), reported DSM‐5 lifetime estimates for AN, BN, and BED were 0.80%, 0.28%, and 0.85%, respectively (Udo & Grilo, 2018). These latter estimates may be underestimates given limitations of the NESARC‐III method of assessing eating disorders (Brodrick & McAdams, 2019).…”

Section: Introductionmentioning

confidence: 99%

DSM‐5 eating disorder prevalence, gender differences, and mental health associations in United States military veterans

Masheb

Ramsey

Marsh

et al. 2021

Intl J Eating Disorders

View full text Add to dashboard Cite

Objective Little is known about prevalence estimates of new and revised DSM‐5 eating disorders diagnoses in general, and especially among high‐risk, underserved and diverse eating disorder populations. The aim of the current study was to determine prevalence, gender differences and correlates of DSM‐5 eating disorders in veterans. Method Iraq and Afghanistan war era veterans (N = 1,121, 51.2% women) completed the Eating Disorder Diagnostic Scale‐5 and validated measures of eating pathology and mental health between July 2014 and September 2019. Results Overall more women than men (32.8% vs. 18.8%, p < .001) reported symptoms consistent with a DSM‐5 eating disorder. Prevalence estimates (women vs. men) for the specific diagnoses were: Anorexia Nervosa (AN; 0.0% vs. 0.0%), Bulimia Nervosa (BN; 6.1% vs. 3.5%), Binge‐Eating Disorder (BED; 4.4% vs. 2.9%), Atypical AN (AAN; 13.6% vs. 4.9%), Subclinical BN (0.0% vs. 0.2%), Subclinical BED (1.4% vs. 0.6%), Purging Disorder (2.1% vs. 0.7%), and Night Eating Syndrome (NES; 5.2% vs. 6.0%). Women were more likely to have BN or AAN, and there was no difference for BED or NES among genders. The eating disorder group had a higher mean BMI, and significantly greater eating pathology and mental health symptoms than the non‐eating disorder group. Discussion Approximately one‐third of women, and one‐fifth of men, reported symptoms consistent with a DSM‐5 eating disorder diagnosis. These high prevalence estimates across genders, and associated mental health concerns, suggest an urgent need to better understand and address eating disorders in military and veteran populations.

show abstract

Section: Introductionmentioning

confidence: 99%

DSM‐5 eating disorder prevalence, gender differences, and mental health associations in United States military veterans

Masheb

Ramsey

Marsh

et al. 2021

Intl J Eating Disorders

View full text Add to dashboard Cite

show abstract

“…In addition, assessment of eating disorders and related comorbidities may increase the assessment length and may cause interview fatigue. With these complexities in mind [60,62–64], we echo the arguments of Streatfeild et al [3 ▪ ] that population-based estimates are important data sources to advocate for more resource allocation to eating disorders, and that population health surveillance and reporting of health services data are key areas where policy and public health efforts should be substantially increased.…”

Section: Discussionmentioning

confidence: 79%

“…A few of the studies included in this article (other than those with Udo and Grilo) utilized the original diagnostic coding provided by the NESARC-III. This issue, along with the findings of prevalence estimates being lower than expected by some, has led to some questions regarding the validity of the NESARC-III-based study findings (e.g., [62]; see [60] for reply). NESARC-III also does not address the need for population-based studies for adolescents as respondents had to be 18 years or older, although this gap is being addressed by the on-going ABCD study [30,31 ▪▪ ].…”

Section: Limitations and Future Research Directionsmentioning

confidence: 98%

Epidemiology of eating disorders among US adults

Udo¹,

Grilo

2022

Current Opinion in Psychiatry

View full text Add to dashboard Cite

Purpose of reviewPublic policy efforts for prevention of and intervention upon eating disorders is severely limited in the United States due to the paucity of population-based data. This review article summarizes findings regarding eating disorders based on the National Epidemiological Studies on Alcohol and Related Conditions, Third Wave. The studies reviewed provide the most recent epidemiological indicators of anorexia nervosa, bulimia nervosa, and binge-eating disorder (BED) in the United States and demonstrate the utility of population-based data for validating the generalizability of findings from clinical samples.Recent findingsAnorexia nervosa, bulimia nervosa, and BED are widely distributed across sociodemographic characteristics, with substantially elevated risks for a variety of serious psychiatric, medical, and functional impairments, including heighted suicidality over the lifespan. Sexual minorities and individuals with adverse childhood experiences may be particularly vulnerable. Yet, many adults with eating disorders do not seek help, particularly professional help. National Epidemiological Studies on Alcohol and Related Conditions, Third Wave studies also validated some important clinical observations (e.g., overvaluation of shape/weight and physical inactivity in BED, more severe anorexia nervosa with onset prior to 14 years old).SummaryMore rigorous population-based studies are needed to further advocate for appropriate resources and policies for eating disorders in the United States.

show abstract

General practitioner and mental healthcare use in a community sample of people with diagnostic threshold symptoms of bulimia nervosa, binge‐eating disorder, and other eating disorders

Hay

Ghabrial

Mannan

et al. 2019

Intl J Eating Disorders

View full text Add to dashboard Cite

ObjectiveLengthy delays in receiving treatment have been reported for people with bulimia nervosa (BN) and binge‐eating disorder (BED). This study aimed to investigate healthcare use and predictors of mental health specialist healthcare use in a community sample of individuals with diagnostic threshold symptoms of BN, BED‐Broad, or another eating disorder (Other ED).MethodIn 2017, 2,977 individuals aged ≥15 years were interviewed in a general population survey. Participants were asked questions relating to sociodemographic, ED symptoms, other clinical features, and healthcare use data. Assessment of ED symptoms was based on diagnostic questions derived from the eating disorder examination.ResultsThirty‐six participants with symptoms of BN, 33 participants with BED‐Broad, and 369 with an Other ED were identified. Fewer people with symptoms of BN/BED‐Broad (23%) or an Other ED (6%) had treatment from a mental health specialist than from a general practitioner (GP; 80%, 71.6%). Healthcare use differed significantly across type of ED only for treatment from a mental health specialist. In multivariate analyses, being asked about a person's mental health by a GP was the best explanatory variable for receiving treatment from a mental health specialist.DiscussionA large treatment gap exists in healthcare for people with EDs. Inquiry about an individual's mental health by a GP was associated with higher rates of treatment from mental health specialists. However, a similar diet/eating inquiry did not have this association. Future research should consider the use of this patient and practitioner consultation in targeting improved detection of EDs.

show abstract

Insight May Limit Identification of Eating Disorders

Cited by 4 publications

References 12 publications

DSM‐5 eating disorder prevalence, gender differences, and mental health associations in United States military veterans

DSM‐5 eating disorder prevalence, gender differences, and mental health associations in United States military veterans

Epidemiology of eating disorders among US adults

General practitioner and mental healthcare use in a community sample of people with diagnostic threshold symptoms of bulimia nervosa, binge‐eating disorder, and other eating disorders

Contact Info

Product

Resources

About