Health service utilization for eating disorders: Findings from a community‐based study

Mond, Jonathan; Hay, Phillipa; Rodgers, Bryan; Owen, Cathy

doi:10.1002/eat.20382

Cited by 167 publications

(183 citation statements)

References 54 publications

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“…There is evidence that effective eating disorder treatment does exist; however, findings from community studies indicate that only a minority of patients are in treatment [2]. This is a factor leading researchers to employ various screening strategies in order to estimate the prevalence of eating disorders as well as to detect cases for the purpose of earlier interventions [3].…”

mentioning

confidence: 99%

Analysis of the EAT-26 in a non-clinical sample

Rogoza¹,

Brytek-Matera²,

Garner³

2016

Arch Psych Psych

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SummaryThe Eating Attitudes Test (EAT) is one of the most commonly used measures of abnormal eating habits; however, it has been criticized for its unstable factorial structure. Different studies proposed different solutions, but as yet there is no consensus whether the three-, five-or seven-factor solution is appropriate. We examined the cues provided by previous studies that investigated the EAT structure, and tested our expectations on a nonclinical group of 617 women. Based on bi-factor confirmatory factor analysis, we demonstrated that the EAT measures general eating pathology as well as more specific factors, such as 'Social pressure', 'Food awareness', 'Food preoccupation' and 'Purging behaviors'. Among distinguished specific factors, 'Social pressure' seems to be a promising scale to be used for screening purposes. The 'Food awareness' factor could be interpreted in terms of orthorexia nervosa; however, further evidence is required to support this conclusion. We also provided evidence that 'Bulimia' and 'Food preoccupation' factors should be maintained within the EAT-26 as important behavioral aspects of eating pathology. These results shed new light on this measure and provide the basis for a discussion of its psychometric issues. EAT-26 structure/EAT-26 assessmentIt is well known that eating disorders (EDs) are prevalent and constitute significant health problems among young women [1]. There is evidence that effective eating disorder treatment does exist; however, findings from community studies indicate that only a minority of patients are in treatment [2]. This is a factor leading researchers to employ various screening strategies in order to estimate the prevalence of eating disorders as well as to detect cases for the purpose of earlier interventions [3]. One of the most widely used screening measures for eating disorders is the abbreviated version of the Eating Attitudes Test - . Three factors were distinguished: dieting, bulimia and food preoccupation, and oral control. Following the development of the EAT-26, screening studies of abnormal eating habits have proliferated [5], and this has raised questions regarding its psychometric properties.Although many studies of the psychometric properties of the EAT-26 exist, researchers have not been able to reach an agreement concerning its factor structure. Therefore, different versions of the EAT exist in the literature: comprising three factors [6][7][8], four factors [9][10][11], five factors [12,13] or seven factors [14]. Second, researchers often encounter items that do not load on any factor [7,8], items that cross-load on other scales [13], or items that weave between scales [10]. Third, the intercorrelations between distinguished factors are extremely high [11], which could be interpreted in terms of a general abnormal eating habits factor whose reliability estimates have been reported in numerous studies [15]. Failure in replication of the factor structure may be the result of sample selection, since the EAT was originally developed on a clinica...

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confidence: 99%

Analysis of the EAT-26 in a non-clinical sample

Rogoza¹,

Brytek-Matera²,

Garner³

2016

Arch Psych Psych

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“…Whilst it has been argued that self-help can be a first step in management for selected people seeking help for EDs its role in assisting people with EDs not accessing services or treatments is thus less clear. In addition, as weight concern and seeking help to lose weight is a common feature of women who do not seek help for their ED (Hay et al, 1998;Mond et al, 2007) we thought it important to add nutrition and lifestyle intervention strategies to self-help to assist women who are overweight or obese to reduce further weight gain and/or maintain weight in the healthy range. This included specific advice on healthy exercise.…”

Section: Self-help As a Targeted Intervention For Bulimic Eds In Primmentioning

confidence: 99%

Targeted Prevention in Bulimic Eating Disorders: Randomized Controlled Trials of a Mental Health Literacy and Self-Help Intervention

Hay¹,

Mond²,

Büttner³

et al. 2011

New Insights Into the Prevention and Treatment of Bulimia Nervosa

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“…Health service utilization among adults with eating disorders is high, and hospitalization expenses are on the rise [2]. Among adults with eating disorders, at least half had their disorder first diagnosed by their primary care physicians [3,4].…”

Section: Introductionmentioning

confidence: 99%

Role of Anxiety, Depression and Anger in Eating Disorders-Structural Model

Moosavi¹

2017

AJPN

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Aim of current study was to offer structural model regarding role of anxiety, depression and anger in eating disorder. Noting morbidity and mushrooming trend of eating disorder in clinical settings and its antagonistic features among afflicted individuals, with respect to clinical implication and, theoretical dimensions, conducting current study seemed vital. Materials and Methods:This study was descriptive-correlational study. Statistical society of current study, consisted of 750 individuals with BMI ≥ 25, who were admitted to nutrition clinic at Sari General Hospital (Sari, Iran). Sample size was specified as 226 according to Krejcie and Morgan Table. We used DASS-20 with respect to depression, anxiety and stress assessment; Spielberger's State-Trait Anger Expression Inventory in clinical patients with respect to anger assessment, EDDS (Eating disorder diagnostic scale) regarding assessment of eating disorders (anorexia nervosa, bulimia nervosa and binge eating disorder). With respect to data analyze, SPSS-22 and structural equation modeling and regression model via Lisrel test were used. Results: According to results of current study, anxiety, depression and aggression maintain positive and influential roles with respect to anorexia nervosa, bulimia nervosa and binge eating disorder.

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Health service utilization for eating disorders: Findings from a community‐based study

Cited by 167 publications

References 54 publications

Analysis of the EAT-26 in a non-clinical sample

Analysis of the EAT-26 in a non-clinical sample

Targeted Prevention in Bulimic Eating Disorders: Randomized Controlled Trials of a Mental Health Literacy and Self-Help Intervention

Role of Anxiety, Depression and Anger in Eating Disorders-Structural Model

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