The European Initiative ProYouth for the Promotion of Mental Health and the Prevention of Eating Disorders* Screening Results in Hungary

Szabó, Kornélia; Czeglédi, Edit; Babusa, Bernadett; Szumska, Irena; Túry, Ferenc; Sándor, Imola; Bauer, Stéphanie

doi:10.1002/erv.2345

Cited by 3 publications

(4 citation statements)

References 42 publications

(53 reference statements)

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“…Online screening initiatives partially address low-detection in both the general population and high-risk groups by increasing reach and accessibility [ 46 , 47 , 129 ]. Yet, while the implementation of screening initiatives appears to prompt some improvement in rates of help-seeking [ 47 , 48 , 50 ], this review demonstrates screening alone will not address low treatment rates, with many individuals failing to seek support even after returning a positive result (likely due to a combination of factors including health system barriers, cost, and ambivalence) [ 48 , 50 , 92 , 93 , 130 ]. Thus, whether delivered online or face-to-face, it is important to link any screening program to accessible intervention, increased service capacity, and strategies to improve motivation for change.…”

Section: Discussionmentioning

confidence: 99%

“…Following completion of an online screening tool available through the website, participants could access psychoeducation on EDs, peer or professional support through moderated online forums, or were provided details of available qualified professionals or specialist ED services in their area based on their level of need. Szabo et al [ 50 ] noted that while the screening program addressed some unmet need in the population, lack of specialist ED services may present a barrier to individuals with the most severe ED symptoms.…”

Section: Screeningmentioning

confidence: 99%

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Screening, assessment and diagnosis in the eating disorders: findings from a rapid review

Aouad¹,

Barakat

Boakes³

et al. 2022

J Eat Disord

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Background Limited screening practices, minimal eating disorder training in the healthcare professions, and barriers related to help-seeking contribute to persistent low rates of eating disorder detection, significant unmet treatment need, and appreciable associated disease burden. The current review sought to broadly summarise the literature and identify gaps relating to the screening, assessment, and diagnosis of eating disorders within Western healthcare systems. Methods This paper forms part of a Rapid Review series scoping the evidence base for the field of eating disorders, conducted to inform the Australian National Eating Disorders Research and Translation Strategy 2021–2031, funded and released by the Australian Government. ScienceDirect, PubMed and Ovid/Medline were searched for studies published between 2009 and mid 2021 in English. High-level evidence such as meta-analyses, large population studies and Randomised Control Trials were prioritised through purposive sampling. Data from selected studies relating to Screening, Assessment and Diagnosis of eating disorders were synthesised and are disseminated in the current review. Results Eighty seven studies were identified, 38% relating to screening and 62% to assessment and diagnosis. The majority of screening studies were conducted in university student samples, showing high prevalence but only modest improvements in help-seeking in those studies that followed up post-screen. In healthcare settings, clinicians continue to have difficulty identifying eating disorder presentations, particularly Binge Eating Disorder, Other Specified Feeding or Eating Disorders, and sub-threshold eating disorders. This is preceded by inadequate and frequently homogenous screening mechanisms and exacerbated by considerable personal and health-system barriers, including self-stigma and lack of resourcing. While all groups are at risk of delayed or no diagnosis, those at particular risk include LGBTQ+ and gender diverse individuals, individuals living in larger bodies, and males. Conclusions A majority of individuals with eating disorders remain undiagnosed and untreated despite a high prevalence of these conditions and increased advocacy in recent years. Research into improving detection and clinician diagnostic skill is extremely limited. Innovative empirical research is strongly recommended to address significant individual and health-system barriers currently preventing appropriate and timely intervention for many. Plain English Summary Limited screening in healthcare settings and low rates of eating disorder training in the healthcare professions are just some of the barriers to help-seeking which may contribute to delayed intervention and diagnosis in the eating disorders. This has significant impacts, prolonging treatment when it is finally received, and increasing healthcare costs for both the individual and the healthcare system. The current review is part of a larger Rapid Review series conducted to inform the development of Australia’s National Eating Disorders Research and Translation Strategy 2021–2031. A Rapid Review is designed to comprehensively summarise a body of literature in a short timeframe, often to guide policy-making and address urgent health concerns. The Rapid Review synthesises the current evidence-base and identifies gaps in eating disorder research and care, in order to guide decision making and address urgent health concerns. This paper gives a critical overview of the scientific literature relating to the current state of screening, assessment, and diagnosis of eating disorders within Western healthcare systems that may inform health policy and research in an Australian context. It covers screening initiatives in both general and high-risk populations; personal, clinician and healthcare system challenges relating to help-seeking; and obstacles to accurate and timely clinical diagnosis across the eating disorders.

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Section: Discussionmentioning

confidence: 99%

Section: Screeningmentioning

confidence: 99%

Screening, assessment and diagnosis in the eating disorders: findings from a rapid review

Aouad¹,

Barakat

Boakes³

et al. 2022

J Eat Disord

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“…Indeed, the WCS has become a popular measure with researchers evaluating college-aged and young adult samples. For example, the Healthy Minds Study (HMS; Healthy Minds Network, 2022), the German and Hungarian ProYouth programs (Kindermann et al, 2017;Szabo ´et al, 2015), and the Stanford-Washington University Eating Disorder screen (Graham et al, 2019), which has been utilized by the National Eating Disorders Association to screen individuals for eating disorder risk (Fitzsimmons-Craft et al, 2019), all incorporate the WCS as a part of their eating and body image blocks. The HMS, in particular, represents one of the largest annual studies of college and university students (Healthy Minds Network, 2022).…”

Section: Weight Concerns Scalementioning

confidence: 99%

“…The WCS has been used in samples of adolescent boys (Hochgraf et al, 2018(Hochgraf et al, , 2019Jones et al, 2014), collegiate men (Forbush et al, 2014;Kindermann et al, 2017;Lipson & Sonneville, 2020;Szabo ´et al, 2015), and adult men (Markey et al, 2008;Markey & Markey, 2011). Despite the wide use of the WCS in men, some researchers have questioned its ability to measure eating disorder risk among men, as the WCS is missing key components of factors influencing said risk (Pearson et al, 2013).…”

Section: Men's Weight Concernsmentioning

confidence: 99%

Checking the scales: A psychometric evaluation of the Weight Concerns Scale in a sample of college-aged cisgender men from the United States.

Brasil¹,

Mims²,

McDermott³

et al. 2023

Psychological Assessment

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Historically, western societies have considered body image issues to predominantly affect young, White women. While in recent years men’s body image issues have been increasingly highlighted by researchers and the media alike, many instruments currently used to identify clinically significant body image disturbances were developed and validated with samples solely of women and/or girls. One such measure, Killen et al.’s (1994) Weight Concerns Scale (WCS), was initially validated in a sample of adolescent girls. The WCS has yet to be validated in samples of men, despite being used in large national surveys of college men and women (e.g., the Healthy Minds Study; HMS) used to inform resources on college campuses. Accordingly, we used structural equation modeling to conduct invariance testing between college student cisgender men’s (n = 2,248) and women’s (n = 4,733) responses on the WCS via the HMS. Through the use of two different approaches of invariance testing, evidence for metric noninvariance of two of the five items was identified, and all five items evidenced a response pattern that favored women over men. Additionally, removing noninvariant items on the WCS impacted the moderating effect of gender with indicators of depression, anxiety, and eating disorder symptomology. These findings suggest that the use of the WCS may not be appropriate for use in a cis-male sample without modification.

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Anorexia Nervosa: A Case for Exceptionalism in Ethical Decision Making

Giordano

2019

Philosophy, Psychiatry, & Psychology

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The European Initiative ProYouth for the Promotion of Mental Health and the Prevention of Eating Disorders* Screening Results in Hungary

Cited by 3 publications

References 42 publications

Screening, assessment and diagnosis in the eating disorders: findings from a rapid review

Screening, assessment and diagnosis in the eating disorders: findings from a rapid review

Checking the scales: A psychometric evaluation of the Weight Concerns Scale in a sample of college-aged cisgender men from the United States.

Anorexia Nervosa: A Case for Exceptionalism in Ethical Decision Making

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