Rates of Help-Seeking in US Adults With Lifetime DSM-5 Eating Disorders: Prevalence Across Diagnoses and Differences by Sex and Ethnicity/Race

Coffino, Jaime A.; Udo, Tomoko; Grilo, Carlos M.

doi:10.1016/j.mayocp.2019.02.030

Cited by 128 publications

(112 citation statements)

References 41 publications

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“…One in five college students renounced healthcare-mostly students with bulimic EDs-with a two-fold risk of that of students without EDs. This higher risk in students with bulimic EDs has also been identified in clinical populations [40]. However, reasons for healthcare renunciation generally did not differ according to the ED diagnostic category.…”

Section: Discussionsupporting

confidence: 64%

Eating Disorders among College Students in France: Characteristics, Help-and Care-Seeking

Tavolacci

Déchelotte

Ladner

2020

IJERPH

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The aim of this paper was to identify the characteristics of broader categories of eating disorders (ED) and help- and care-seeking among college students. An online cross-sectional study was conducted among students of the University of Rouen-Normandy, France. The Expali-validated algorithmic tool, combining SCOFF test (Sick, Control, One stone, Fat, Food) and body mass index, was used to screen eating disorders into three diagnostic categories: restrictive eating disorders, bulimic eating disorders, and hyperphagic eating disorders. A total of 1493 college students were included; mean age was 20.1 years (SD = 1.9). The prevalence of likely cases of eating disorder was 24.8% (95% CI, 22.6–27.0). Percentage distributions of bulimic eating disorders, hyperphagic eating disorders, and restrictive eating disorders were 13.3%, 8.6%, and 2.9%, respectively. The two main resources for help-seeking in emotional stress situations were friends and family, whatever the ED. Students with eating disorders consulted their general practitioner more often for stress or anxiety than students without eating disorders: hyperphagic eating disorders (44.9%), restrictive eating disorders (35.1%), bulimic eating disorders (30.2%), and no eating disorder (20.4%) (p < 0.0001). The prevalence of healthcare renunciation was 21.9%, with a higher risk among students with bulimic eating disorders (AOR CI 95% 1.91 (1.34–2.72). The findings show one quarter of students screened positive for an eating disorder. Stress management was not necessarily different between students with eating disorders and students without eating disorders, but the former had a greater risk of renouncing treatment, especially related to a fear of seeing a general practitioner.

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Section: Discussionsupporting

confidence: 64%

Eating Disorders among College Students in France: Characteristics, Help-and Care-Seeking

Tavolacci

Déchelotte

Ladner

2020

IJERPH

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“…Emerging research supports the effectiveness of new agents for BED, such as dasotraline (44), that may warrant further research using traditional and adaptive treatment designs. Generalizability of findings to different settings and generalist practitioners is uncertain (24); findings may differ from treatments naturalistically sought by patients (7), as these treatments likely differ from our interventions and how they were delivered in this study.…”

Section: Discussionmentioning

confidence: 96%

“…Despite BED’s high biopsychosocial burden, many persons with BED never receive treatment for this condition, let alone treatments with a supporting evidence base (7). Randomized controlled trials (RCTs) for BED have reported empirical support for specific psychological treatments (8), such as cognitive behavioral therapy (CBT) and behavioral weight loss (BWL) (9), and certain pharmacological agents (10,11).…”

Section: Introductionmentioning

confidence: 99%

Randomized Controlled Trial of Behavioral Weight Loss and Stepped Care for Binge‐Eating Disorder: 12‐Month Follow‐up

Grilo

White

Ivezaj

et al. 2020

Obesity

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Objective This study aimed to examine longer‐term effects of behavioral weight loss (BWL) and Stepped Care for binge‐eating disorder and obesity through 12‐month follow‐up after completing treatments. Methods A total of 191 patients with binge‐eating disorder/obesity were randomized to 6 months of BWL (n = 39) or Stepped Care (n = 152). Within Stepped Care, patients began BWL (1 month), treatment responders continued BWL, nonresponders switched to cognitive behavioral therapy, and all were randomized (double‐blind) to weight‐loss medication or placebo (5 months). Patients were independently assessed throughout/after treatment and at 6‐ and 12‐month follow‐ups. Results Intent‐to‐treat analyses of remission rates revealed that BWL and Stepped Care did not differ significantly at posttreatment (74.4% vs. 66.5%), 6‐month follow‐up (38.2% vs. 33.3%), or 12‐month follow‐up (44.7% vs. 41.0%). Mixed models of binge‐eating frequency indicated significant reductions through posttreatment but no significant changes or differences between BWL and Stepped Care during follow‐up. Mixed models revealed significant weight loss with no differences between BWL and Stepped Care (5.1% vs. 5.8%) at posttreatment and significant time effects (larger percent weight loss at 6‐month than at 12‐month follow‐up) with no differences between BWL and Stepped Care (−5.1% vs. −5.2% and −3.4% vs. −5.0%, respectively). Conclusions Binge‐eating improvements and weight loss produced by BWL and adaptive Stepped Care did not differ significantly 12 months after completing treatments.

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“…In the group with indicated eating disorders, participants from ethnic minorities (black, Hispanic, and Asian vs. being white) yielded higher exercise addiction scores. This is the first time such a finding has been reported, and this could be because of the long-recognized limited treatment barriers to eating disorders that subjects from ethnic minorities face (Cachelin et al, 2001;Becker et al, 2003;Coffino et al, 2019). Confirmatory and causal exploration is needed to confirm this relationship and explore interventions to address this.…”

Section: Analysis According To Eating Disorder Statusmentioning

confidence: 92%

Prevalence and Correlates of Exercise Addiction in the Presence vs. Absence of Indicated Eating Disorders

Trott

Yang

Jackson

et al. 2020

Front. Sports Act. Living

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Despite the many benefits of regular, sustained exercise, there is evidence that exercise can become addictive, to the point where the exerciser experiences negative physiological and psychological symptoms, including withdrawal symptoms upon cessation, training through injury, and the detriment of social relationships. Furthermore, recent evidence suggests that the etiology of exercise addiction is different depending on the presence or absence of eating disorders. The aim of this study was to explore to what extent eating disorder status, body dysmorphic disorder, reasons for exercise, social media use, and fitness instructor status were associated with exercise addiction, and to determine differences according to eating disorder status. The key findings showed that the etiology of exercise addiction differed according to eating disorder status, with variables including social media use, exercise motivation, and ethnicity being uniquely correlated with exercise addiction only in populations with indicated eating disorders. Furthermore, body dysmorphic disorder was highly prevalent in subjects without indicated eating disorders, and could be a primary condition in which exercise addiction is a symptom. It is recommended that clinicians and practitioners working with patients who present with symptoms of exercise addiction should be screened for eating disorders and body dysmorphic disorder before treatments are considered.

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Rates of Help-Seeking in US Adults With Lifetime DSM-5 Eating Disorders: Prevalence Across Diagnoses and Differences by Sex and Ethnicity/Race

Cited by 128 publications

References 41 publications

Eating Disorders among College Students in France: Characteristics, Help-and Care-Seeking

Eating Disorders among College Students in France: Characteristics, Help-and Care-Seeking

Randomized Controlled Trial of Behavioral Weight Loss and Stepped Care for Binge‐Eating Disorder: 12‐Month Follow‐up

Prevalence and Correlates of Exercise Addiction in the Presence vs. Absence of Indicated Eating Disorders

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