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Coughlan EC, Heyland LK, Sheaves A, Parlee M, Wiley C, Page D, Hill TG. Characteristics of mental health literacy measurement in youth: a scoping review of school-based surveys. DISCOVER MENTAL HEALTH 2024; 4:24. [PMID: 39023816 PMCID: PMC11258117 DOI: 10.1007/s44192-024-00079-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/19/2023] [Accepted: 07/03/2024] [Indexed: 07/20/2024]
Abstract
Mental health literacy (MHL) was introduced 25 years ago as knowledge and beliefs about mental disorders which aid in their recognition, management, or prevention. This scoping review mapped the peer-reviewed literature to assess characteristics of secondary school-based surveys in school-attending youth and explore components of school-based programs for fostering MHL in this population. The search was performed following the method for scoping reviews by the Joanna Briggs Institute (JBI). Searches were conducted in four scientific databases with no time limit, although all sources had to be written in English. Primary studies (N = 44) provided insight into MHL surveys and programs for school-attending youth across 6 continents. Studies reported that most youth experience moderate or low MHL prior to program participation. School-based MHL programs are relatively unified in their definition and measures of MHL, using closed-ended scales, vignettes, or a combination of the two to measure youth MHL. However, before developing additional interventions, steps should be taken to address areas of weakness in current programming, such as the lack of a standardized tool for assessing MHL levels. Future research could assess the feasibility of developing and implementing a standard measurement protocol, with educator perspectives on integrating MHL efforts into the classroom. Identifying the base levels of MHL amongst school-attending youth promotes the development of targeted programs and reviewing the alignment with program components would allow researchers to build on what works, alter what does not, and come away with new ways to approach these complex challenges, ultimately advancing knowledge of MHL and improving levels of MHL.
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Affiliation(s)
- Emma C Coughlan
- Department of Psychology and Neuroscience, Dalhousie University, 1355 Oxford St, Halifax, NS, B3H 4J1, Canada
| | - Lindsay K Heyland
- Department of Psychology, Mount Saint Vincent University, Halifax, Canada
| | - Ashton Sheaves
- Department of Psychology, Mount Saint Vincent University, Halifax, Canada
| | - Madeline Parlee
- Department of Psychology, Mount Saint Vincent University, Halifax, Canada
| | - Cassidy Wiley
- Department of Psychology, Mount Saint Vincent University, Halifax, Canada
| | - Damian Page
- Department of School and Clinical Child Psychology, Ontario Institute for Studies in Education at University of Toronto, Toronto, Canada
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Hollett KB, Pennell JM, Carter JC. A vignette study of mental health literacy for binge-eating disorder in a self-selected community sample. J Eat Disord 2023; 11:69. [PMID: 37143163 PMCID: PMC10161539 DOI: 10.1186/s40337-023-00795-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/12/2023] [Accepted: 04/21/2023] [Indexed: 05/06/2023] Open
Abstract
BACKGROUND Mental health literacy has implications for mental disorder recognition, help-seeking, and stigma reduction. Research on binge-eating disorder mental health literacy (BED MHL) is limited. To address this gap, our study examined BED MHL in a community sample. METHOD Two hundred and thirty-five participants completed an online survey. Participants read a vignette depicting a female character with BED then completed a questionnaire to assess five components of BED MHL (problem recognition, perceived causes, beliefs about treatment, expected helpfulness of interventions, and expected prognosis). RESULTS About half of participants correctly identified BED as the character's main problem (58.7%). The most frequently selected cause of the problem was psychological factors (46.8%) and a majority indicated that the character should seek professional help (91.9%). When provided a list of possible interventions, participants endorsed psychologist the most (77.9%). CONCLUSIONS Compared to previous studies, our findings suggest that current BED MHL among members of the public is better, but further improvements are needed. Initiatives to increase knowledge and awareness about the symptoms, causes, and treatments for BED may improve symptom recognition, help-seeking, and reduce stigma.
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Affiliation(s)
- Kayla B Hollett
- Department of Psychology, Memorial University of Newfoundland, 230 Elizabeth Avenue, St. John's, NL, A1C 5S7, Canada
| | - Jenna M Pennell
- Department of Psychology, Memorial University of Newfoundland, 230 Elizabeth Avenue, St. John's, NL, A1C 5S7, Canada
| | - Jacqueline C Carter
- Department of Psychology, Memorial University of Newfoundland, 230 Elizabeth Avenue, St. John's, NL, A1C 5S7, Canada.
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Does obesity related eating behaviors only affect chronic diseases? A nationwide study of university students in China. Prev Med Rep 2023; 32:102135. [PMID: 36798793 PMCID: PMC9925956 DOI: 10.1016/j.pmedr.2023.102135] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/18/2022] [Revised: 02/09/2023] [Accepted: 02/09/2023] [Indexed: 02/12/2023] Open
Abstract
The primary aims of this study are to examine associations between obesity-related eating behaviors (OEB) and chronic and infectious diseases, and mental disorders. A representative nationwide survey was used to collect information among 11,659 medical students from 31 universities in China. Multiple variable logistic regression analysis was conducted to examine the associations between OEB and the diseases. The multiple variable logistic regression model found that OEB was significantly associated with chronic disease (OR (Odds Ratio): 1.74 < 95 % C.I (Confidence Interval): 1.45, 2.65 > ), infectious disease (OR: 3.37 < 95 % C.I: 1.04, 1.81 > ), and mental disorder (OR: 1.87(<95 % C.I: 1.55, 2.25 > ). These findings underscore the importance of addressing OEB in programs and policies to promote health and prevent disease among university students.
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Feldhege J, Bilic S, Ali K, Fassnacht DB, Moessner M, Farrer LM, Griffiths KM, Bauer S. Knowledge and Myths about Eating Disorders in a German Adolescent Sample: A Preliminary Investigation. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19116861. [PMID: 35682445 PMCID: PMC9180431 DOI: 10.3390/ijerph19116861] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 04/22/2022] [Revised: 05/30/2022] [Accepted: 06/02/2022] [Indexed: 12/04/2022]
Abstract
Eating disorder mental health literacy (ED-MHL) refers to knowledge about the symptoms, causes, and treatment of eating disorders (EDs) and is an important factor in people’s attitudes towards individuals with EDs and help-seeking for EDs. Associations between ED-MHL, stigma, ED symptomatology, and gender were investigated in a sample of N = 194 German high school students. Knowledge and myths about EDs were assessed with 18 factual statements about EDs and agreement/disagreement with common myths about ED. Students also completed the Universal Stigma Scale (USS), the Weight Concerns Scale (WCS), and demographic items. Students judged M = 8.39 (SD = 3.40) statements correctly, while the average agreement with all ED myths was low (M = 0.19, SD = 0.14). Greater ED-MHL was associated with lower stigmatization of EDs. Male participants were less knowledgeable and more likely to agree with the ED myths. Participants displayed moderate ED-MHL; however, certain aspects such as ED risk factors or symptoms of specific disorders such as anorexia nervosa and bulimia nervosa were less well known. These results can inform the design of future MHL interventions for adolescents.
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Affiliation(s)
- Johannes Feldhege
- Center for Psychotherapy Research, Heidelberg University Hospital, 69115 Heidelberg, Germany; (S.B.); (M.M.); (S.B.)
- Correspondence:
| | - Sally Bilic
- Center for Psychotherapy Research, Heidelberg University Hospital, 69115 Heidelberg, Germany; (S.B.); (M.M.); (S.B.)
| | - Kathina Ali
- College of Education, Psychology and Social Work, Flinders University, Adelaide 5042, Australia; (K.A.); (D.B.F.)
- Órama Institute for Mental Health and Wellbeing, Flinders University, Adelaide 5042, Australia
- Research School of Psychology, Australian National University, Canberra 2601, Australia;
| | - Daniel B. Fassnacht
- College of Education, Psychology and Social Work, Flinders University, Adelaide 5042, Australia; (K.A.); (D.B.F.)
- Órama Institute for Mental Health and Wellbeing, Flinders University, Adelaide 5042, Australia
- Research School of Psychology, Australian National University, Canberra 2601, Australia;
| | - Markus Moessner
- Center for Psychotherapy Research, Heidelberg University Hospital, 69115 Heidelberg, Germany; (S.B.); (M.M.); (S.B.)
| | - Louise M. Farrer
- Centre for Mental Health Research, Australian National University, Canberra 2601, Australia;
| | - Kathleen M. Griffiths
- Research School of Psychology, Australian National University, Canberra 2601, Australia;
- College of Health & Medicine, Australian National University, Canberra 2601, Australia
| | - Stephanie Bauer
- Center for Psychotherapy Research, Heidelberg University Hospital, 69115 Heidelberg, Germany; (S.B.); (M.M.); (S.B.)
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Liu JL, Wang C, Do KA, Bali D. Asian American adolescents' mental health literacy and beliefs about helpful strategies to address mental health challenges at school. PSYCHOLOGY IN THE SCHOOLS 2022. [DOI: 10.1002/pits.22655] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/20/2022]
Affiliation(s)
- Jia Li Liu
- Asian American Studies ProgramUniversity of MarylandCollege ParkMarylandUSA
| | - Cixin Wang
- Asian American Studies ProgramUniversity of MarylandCollege ParkMarylandUSA
- Department of Counseling, Higher Education, and Special EducationUniversity of MarylandCollege ParkMarylandUSA
| | - Kieu Anh Do
- Department of Human EcologyUniversity of Maryland Eastern ShorePrincess AnneMarylandUSA
| | - Diksha Bali
- Department of Counseling, Higher Education, and Special EducationUniversity of MarylandCollege ParkMarylandUSA
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Feldhege JM, Gulec H, Moessner M, Stieler C, van Stipelen J, Bauer S. Stigmatization and attitudes toward eating disorders: a comparison between native German adolescents, Turkish immigrant adolescents in Germany, and native Turkish adolescents. J Ment Health 2021; 31:99-108. [PMID: 34569396 DOI: 10.1080/09638237.2021.1979484] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
BACKGROUND AND AIMS The purpose of this study was to investigate the attitudes toward eating disorders in native German adolescents (Germans), adolescents with Turkish migration background in Germany (Immigrants), and native Turkish adolescents (Turks). METHOD A total of 507 adolescents (N = 139 Germans; N = 126 Immigrants; N = 242 Turks) read a vignette describing a 16-year-old female with bulimic symptoms. Participants completed questionnaires on mental health literacy, stigmatization, desirability of eating disorder-related behaviors and acquaintance with bulimic symptoms. RESULTS Adolescents living in Germany were more likely to recognize the vignette as an eating disorder than Turks. Immigrants were more similar to Germans in mental health literacy of eating disorders than Turks. However, in terms of stigmatizing attitudes, immigrants blamed more than Germans, Turks being intermediate on this variable. In Turks, higher desirability of eating disorder-related behaviors was associated with an increased acquaintance with bulimic symptoms and decreased evaluations of impairment. Higher mental health literacy was associated with less blame in Germans. CONCLUSIONS Migration background was associated with increased mental health literacy of eating disorders but did not result in reduced stigma. Differences in attitudes toward eating disorders indicate the need for differential interventions across the groups.
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Affiliation(s)
| | - Hayriye Gulec
- Department of Psychology, Bursa Uludag University, Bursa, Turkey
| | - Markus Moessner
- Center for Psychotherapy Research, University Hospital Heidelberg, Heidelberg, Germany
| | - Christiane Stieler
- Klinik für Suchttherapie und Entwöhnung, Psychiatrisches Zentrum Nordbaden, Wiesloch, Germany
| | - Jhana van Stipelen
- Refugio Villingen-Schwenningen e. V., Psychosoziales Zentrum für traumatisierte Flüchtlinge, Villingen-Schwenningen, Germany
| | - Stephanie Bauer
- Center for Psychotherapy Research, University Hospital Heidelberg, Heidelberg, Germany
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7
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Improving School Mental Health Services for Students with Eating Disorders. SCHOOL MENTAL HEALTH 2020. [DOI: 10.1007/s12310-020-09387-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Bullivant B, Rhydderch S, Griffiths S, Mitchison D, Mond JM. Eating disorders "mental health literacy": a scoping review. J Ment Health 2020; 29:336-349. [PMID: 32041463 DOI: 10.1080/09638237.2020.1713996] [Citation(s) in RCA: 35] [Impact Index Per Article: 8.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/18/2022]
Abstract
Background: While it is apparent that much has been learned about "mental health literacy" (MHL) relating to certain mental health problems, such as depression, in recent years, what has been learned about MHL relating to eating disorders (ED-MHL) is unclear.Aims: A scoping review was conducted to inform the current state of knowledge in this field.Methods: A systematic search of relevant literature published between 1997 and 2017 was followed by a narrative synthesis of the findings.Results: The number of eligible studies increased from 32 in 1997-2001 to 98 in 2012-2017 (total = 264). Most studies originated from North America or Europe, recruited individuals with EDs receiving treatment or college students and included both female and male or only female participants. The majority of studies examined MHL relating to anorexia nervosa or bulimia nervosa and examined attitudes which facilitate recognition and appropriate help-seeking and knowledge and beliefs about professional help available.Conclusion: Interest in ED-MHL is increasing and there is now a considerable body of research addressing some aspects of ED-MHL in a range of study populations. Notable gaps in the literature exist, including a paucity of information about ED-MHL relating to EDs other than anorexia nervosa and bulimia nervosa, ED behaviour in males and the use of self-help interventions. We hope the findings will provide an incentive to further research in these and other aspects of ED-MHL.
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Affiliation(s)
- Bianca Bullivant
- Faculty of Medicine, Boden Institute of Obesity, Nutrition, Exercise and Eating Disorders, The University of Sydney, Sydney, Australia.,Department of Psychology, Macquarie University, Sydney, Australia
| | - Suzie Rhydderch
- Department of Psychology, Macquarie University, Sydney, Australia
| | - Scott Griffiths
- Melbourne School of Psychological Sciences, University of Melbourne, Melbourne, Australia
| | - Deborah Mitchison
- Department of Psychology, Macquarie University, Sydney, Australia.,School of Medicine, Western Sydney University, Sydney, Australia
| | - Jonathan M Mond
- Department of Psychology, Macquarie University, Sydney, Australia.,Centre for Rural Health, University of Tasmania, Launceston, Australia
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Ali K, Farrer L, Fassnacht DB, Gulliver A, Bauer S, Griffiths KM. Perceived barriers and facilitators towards help-seeking for eating disorders: A systematic review. Int J Eat Disord 2017; 50:9-21. [PMID: 27526643 DOI: 10.1002/eat.22598] [Citation(s) in RCA: 208] [Impact Index Per Article: 29.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/01/2016] [Revised: 07/11/2016] [Accepted: 07/12/2016] [Indexed: 11/07/2022]
Abstract
OBJECTIVE To systematically review the literature on perceived barriers and facilitators of help-seeking for eating disorders. METHOD Three databases (PubMed, PsychInfo, Cochrane) were searched using keywords and Medical Subject Headings (MeSH) terms. Retrieved abstracts (N = 3493) were double screened and relevant papers (n = 13) were double coded. Qualitative and quantitative studies were included if they reported perceived barriers and facilitators towards seeking help for eating disorders. Barriers and facilitators were extracted from the included papers and coded under themes. The most prominent barriers and facilitators were determined by the number of studies reporting each theme. RESULTS Eight qualitative, three quantitative, and two mixed-methods studies met the inclusion criteria for the current review. The most prominent perceived barriers to help-seeking were stigma and shame, denial of and failure to perceive the severity of the illness, practical barriers (e.g., cost of treatment), low motivation to change, negative attitudes towards seeking help, lack of encouragement from others to seek help and lack of knowledge about help resources. Facilitators of help-seeking were reported in six studies, with the most prominent themes identified as the presence of other mental health problems or emotional distress, and concerns about health. DISCUSSION Programs targeting prevention and early intervention for eating disorders should focus on reducing stigma and shame, educating individuals about the severity of eating disorders, and increasing knowledge around help-seeking pathways for eating disorders. © 2016 Wiley Periodicals, Inc. (Int J Eat Disord 2017; 50:9-21).
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Affiliation(s)
- Kathina Ali
- Centre for Mental Health Research, the Australian National University, Canberra, Australia
| | - Louise Farrer
- Centre for Mental Health Research, the Australian National University, Canberra, Australia
| | - Daniel B Fassnacht
- Research School of Psychology, the Australian National University, Canberra, Australia
| | - Amelia Gulliver
- Centre for Mental Health Research, the Australian National University, Canberra, Australia
| | - Stephanie Bauer
- Center for Psychotherapy Research, University Hospital Heidelberg, Heidelberg, Germany
| | - Kathleen M Griffiths
- Centre for Mental Health Research, the Australian National University, Canberra, Australia
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Gratwick-Sarll K, Bentley C, Harrison C, Mond J. Poor self-recognition of disordered eating among girls with bulimic-type eating disorders: cause for concern? Early Interv Psychiatry 2016; 10:316-23. [PMID: 25112818 DOI: 10.1111/eip.12168] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/13/2014] [Accepted: 06/19/2014] [Indexed: 11/27/2022]
Abstract
AIM Bulimic-type eating disorders are common among young women and associated with high levels of distress and disability and low uptake of mental health care. We examined self-recognition of disordered eating and factors associated with this among female adolescents with bulimic-type eating disorders (n = 139) recruited from a large, population-based sample. METHODS A vignette of a fictional character with bulimia nervosa was presented, followed by a series of questions addressing the nature and treatment of the problem described. One of these questions required participants to indicate whether they currently had a problem such as the one described. Self-report measures of eating disorder symptoms, general psychological distress and quality of life were also completed. RESULTS More than half of participants (58%) did not believe that they currently had a problem with their eating. In multivariable analysis, impairment in emotional well-being and self-induced vomiting were the only variables independently associated with self-recognition. Participants who recognized a problem with their eating were more likely to have sought treatment for an eating problem than those who did not. CONCLUSIONS Recognition of disordered eating among adolescents with bulimic-type eating disorders may be poor and this may be a factor in low uptake of mental health care. Health promotion efforts may need to address the misconception that only bulimic-type disorders involving self-induced vomiting are pathological.
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Affiliation(s)
- Kassandra Gratwick-Sarll
- Research School of Psychology, Australian National University, Canberra, Australian Capital Territory, Australia
| | - Caroline Bentley
- Research School of Psychology, Australian National University, Canberra, Australian Capital Territory, Australia
| | - Carmel Harrison
- Research School of Psychology, Australian National University, Canberra, Australian Capital Territory, Australia
| | - Jonathan Mond
- Research School of Psychology, Australian National University, Canberra, Australian Capital Territory, Australia.,Department of Psychology, Macquarie University, Sydney, New South Wales, Australia
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Trajectories of Body Dissatisfaction and Dietary Restriction in Early Adolescent Girls: A Latent Class Growth Analysis. J Youth Adolesc 2015; 45:1664-77. [DOI: 10.1007/s10964-015-0356-3] [Citation(s) in RCA: 30] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/06/2015] [Accepted: 09/15/2015] [Indexed: 12/20/2022]
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Bentley C, Gratwick-Sarll K, Harrison C, Mond J. Sex differences in psychosocial impairment associated with eating disorder features in adolescents: A school-based study. Int J Eat Disord 2015; 48:633-40. [PMID: 25639899 DOI: 10.1002/eat.22396] [Citation(s) in RCA: 45] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 01/16/2015] [Indexed: 12/24/2022]
Abstract
OBJECTIVE To examine sex differences in psychosocial impairment associated with eating disorder features (EDF) in adolescents. METHOD Questionnaires that assessed EDF (extreme dietary restriction, objective binge eating, subjective binge eating, purging, excessive exercise, and weight/shape overvaluation) and psychosocial impairment (general psychological distress and quality of life) were completed by a school-based sample of adolescent males (n = 531) and females (n = 1135) in the Australian Capital Territory region of Australia. RESULTS Each of the EDF assessed was associated with significant impairment in both male and female participants and this was the case for measures of both general psychological distress and quality of life, the only exception being that subjective binge eating was associated with elevated levels of distress in girls but not boys. The occurrence of subjective binge eating was associated with greater impairment in quality of life in girls than in boys. Otherwise, the effects of EDF on psychosocial functioning did not differ by sex. The prevalence of most EDF was higher in girls than in boys, although EDF were not uncommon in boys. DISCUSSION There appear to be few differences between male and female adolescents in terms of psychosocial impairment associated with EDF. The findings support the need for preventive interventions that seek to reduce the adverse impact of EDF in both boys and girls. The logistic and policy challenges inherent in such efforts warrant greater consideration. Further research is needed to elucidate the help-seeking behavior of young men with EDF who experience psychosocial impairment.
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Affiliation(s)
- Caroline Bentley
- Research School of Psychology, Australian National University, Canberra, Australia
| | | | - Carmel Harrison
- Research School of Psychology, Australian National University, Canberra, Australia
| | - Jonathan Mond
- Research School of Psychology, Australian National University, Canberra, Australia.,Department of Psychology, Macquarie University, Sydney, Australia
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A Survey of Attitudes towards Computerized Self-Help for Eating Disorders within a Community-Based Sample. Behav Cogn Psychother 2014; 44:65-78. [PMID: 25430776 DOI: 10.1017/s1352465814000484] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Abstract
BACKGROUND Bulimia nervosa (BN) is an eating disorder with many physical, psychological and social consequences. Guided self-help (GSH) is recommended in the treatment of BN (NICE, 2004). One of the ways in which to provide GSH is via the internet using evidence-based packages with regular support from a clinician or trained support worker. AIMS The aim of this community-based survey was to investigate attitudes towards online self-help for eating disorders and the support required whilst using such an approach. METHOD Two-hundred and fifty-three participants with bulimic symptoms completed the survey. The sample was recruited primarily online. The mean age was 29.11 years (SD = 8.67; min = 16, max = 64). RESULTS Attitudes towards online self-help (SH) for eating disorders were very positive. The inclusion of some form of support to accompany such an intervention was important to the majority of participants. Remote mediums of support such as e-mail, a forum and text messaging were most often selected as helpful. Most participants expressed a preference for weekly support contacts and for flexible support lengths that could respond to support needs as required. CONCLUSIONS Online self-help for eating disorders is a desirable treatment option for many individuals. The information gathered regarding preferences in the type, medium, duration and frequency of support could be used in the development of future self-help strategies in order to maximize uptake, retention and outcomes.
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Mond J, Hall A, Bentley C, Harrison C, Gratwick-Sarll K, Lewis V. Eating-disordered behavior in adolescent boys: eating disorder examination questionnaire norms. Int J Eat Disord 2014; 47:335-41. [PMID: 24338639 DOI: 10.1002/eat.22237] [Citation(s) in RCA: 95] [Impact Index Per Article: 9.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/29/2013] [Revised: 11/24/2013] [Accepted: 12/03/2013] [Indexed: 11/08/2022]
Abstract
OBJECTIVE We sought to provide normative data for the Eating Disorder Examination Questionnaire (EDE-Q) for adolescent boys. METHOD The EDE-Q was completed by 531 boys aged 12-18 years recruited from a number of schools in the Australian Capital Territory (ACT) region of Australia. Data for 1,135 female adolescents, recruited as part of the same research project, are provided for comparative purposes. RESULTS Scores on each the EDE-Q subscales and, with the exception of excessive exercise, the prevalence of each of the eating disorder behaviors assessed, were substantially higher among girls than among boys. Still, 6.0% of boys reported regular episodes of objective binge eating, 8.3% reported regular episodes of loss of control eating, 5.3% reported regular excessive exercise and 4.9% reported overvaluation of weight or shape. Eating-disordered behavior was more common among older adolescents than among younger adolescents and this was the case for both boys and girls. Reliability coefficients for the EDE-Q subscales were marginally lower in boys (0.70-0.94) than in girls (0.84-0.97). CONCLUSIONS The EDE-Q appears to be suitable for use in adolescent boys, with the qualification that eating and weight/shape control behaviors that are largely confined to males may not be adequately assessed. The lack of assessment of subjective binge eating episodes may also be problematic. There is a need for research addressing whether and to what extent different features are associated with distress and disability in boys as well as the validity of the EDE-Q assessment of these features when compared with interview assessment.
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Affiliation(s)
- Jonathan Mond
- Research School of Psychology, Australian National University, Canberra, Australia; Department of Psychology, Macquarie University, Sydney, Australia
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Knightsmith P, Sharpe H, Breen O, Treasure J, Schmidt U. 'My teacher saved my life' versus 'Teachers don't have a clue': an online survey of pupils' experiences of eating disorders. Child Adolesc Ment Health 2014; 19:131-137. [PMID: 32878388 DOI: 10.1111/camh.12027] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 02/07/2013] [Indexed: 12/20/2022]
Abstract
BACKGROUND Eating disorders (ED) have a peak rate of onset in school-aged children. Little is known about pupils' experiences of ED within a school setting. METHOD Five hundred and eleven 11- to 19-year-old school pupils completed an online questionnaire exploring their experiences of ED (72% female, 28% male). Responses were analysed using content analysis principles. RESULTS Of the participants, 38% had a current or past ED, 49% of these had never received a formal diagnosis. Of the respondents, 59% saw a need to raise ED awareness. Only 7% would confide in a teacher about an ED. CONCLUSIONS Efforts are needed to break down barriers to disclosure and support teachers to play an effective role in the detection and early intervention for ED.
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Affiliation(s)
- Pooky Knightsmith
- Division of Psychological Medicine, Institute of Psychiatry, King's College London, London SE5 8AF, UK
| | - Helen Sharpe
- Division of Psychological Medicine, Institute of Psychiatry, King's College London, London SE5 8AF, UK
| | - Olivia Breen
- Division of Psychological Medicine, Institute of Psychiatry, King's College London, London SE5 8AF, UK
| | - Janet Treasure
- Division of Psychological Medicine, Institute of Psychiatry, King's College London, London SE5 8AF, UK
| | - Ulrike Schmidt
- Division of Psychological Medicine, Institute of Psychiatry, King's College London, London SE5 8AF, UK
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Harrison C, Mond J, Bentley C, Gratwick-Sarll K, Rieger E, Rodgers B. Loss of control eating with and without the undue influence of weight or shape on self-evaluation: evidence from an adolescent population. J Eat Disord 2014; 2:31. [PMID: 25364505 PMCID: PMC4215020 DOI: 10.1186/s40337-014-0031-1] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/19/2014] [Accepted: 10/12/2014] [Indexed: 11/14/2022] Open
Abstract
BACKGROUND The overvaluation of weight and/or shape ("overvaluation"), a diagnostic criterion for anorexia nervosa and bulimia nervosa, is increasingly supported for inclusion in the Diagnostic and Statistical Manual of Mental Disorders 5th Edition (DSM-5) criteria of binge eating disorder (BED). However, current evidence has been largely confined to adult populations. The current study aims to examine the status of overvaluation among adolescents with loss of control (LOC) eating recruited from a large, population-based sample. METHOD Subgroups of female adolescents - LOC eating with overvaluation (n = 30); LOC eating without overvaluation (n = 58); obese no LOC eating ("obese control") (n = 36); and "normal-weight control" (normal-weight, no LOC eating) (n = 439) - recruited from secondary schools within the Australian Capital Territory (ACT) were compared on measures of eating disorder psychopathology, general psychological distress and quality of life. RESULTS Participants in the LOC eating with overvaluation subgroup reported significantly higher levels of eating disorder psychopathology than all other groups, while levels did not differ between participants in the LOC eating without overvaluation and obese control subgroups. On measures of distress and quality of life there were no significant differences between LOC eating with and without overvaluation subgroups. Both reported significantly greater distress and quality of life impairment than normal-weight controls. LOC eating with overvaluation participants had significantly higher levels of distress and quality of life impairment than obese controls, whereas scores on these measures did not differ between LOC eating without overvaluation and obese control subgroups. CONCLUSION The results suggest that the presence of overvaluation among adolescents with LOC eating indicates a more severe disorder in terms of eating disorder psychopathology, however may not indicate distress and disability as clearly as it does among adults with BED.
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Affiliation(s)
- Carmel Harrison
- Research School of Psychology, Australian National University, Canberra, Australia
| | - Jonathan Mond
- Research School of Psychology, Australian National University, Canberra, Australia ; Department of Psychology, Macquarie University, Sydney, Australia
| | - Caroline Bentley
- Research School of Psychology, Australian National University, Canberra, Australia
| | | | - Elizabeth Rieger
- Research School of Psychology, Australian National University, Canberra, Australia
| | - Bryan Rodgers
- Australian Demographic and Social Research Institute, Australian National University, Canberra, Australia
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Exploring Indices of Disordered Eating Literacy in Male and Female Athletes: Knowledge Gaps and Lay Beliefs as Predictors of Attitudes Toward Help-Seeking. JOURNAL OF CLINICAL SPORT PSYCHOLOGY 2013. [DOI: 10.1123/jcsp.7.4.275] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/18/2022]
Abstract
The aim of this pilot study was to explore disordered eating (DE) literacy in male and female athletes and to examine whether any gender differences were present. A related aim was to examine the moderating effect of gender on the relationship between indices of DE literacy and attitudes toward help-seeking for DE. A nonclinical sample of 133 (37% male) athletes from a variety of sports and competitive levels were recruited to complete an online questionnaire addressing a range of topics linked to DE literacy. Chi-square analysis indicated no significant gender differences on indicators of DE literacy. Findings from the survey revealed a number of beliefs conducive to low or inappropriate help-seeking for DE. The results highlight the importance of exploring DE literacy in athletes to develop more targeted interventions for this specific population.
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18
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Atkinson MJ, Wade TD. Enhancing dissemination in selective eating disorders prevention: An investigation of voluntary participation among female university students. Behav Res Ther 2013; 51:806-16. [DOI: 10.1016/j.brat.2013.09.012] [Citation(s) in RCA: 25] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/20/2013] [Revised: 09/30/2013] [Accepted: 09/30/2013] [Indexed: 11/28/2022]
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19
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Rodgers RF, Paxton SJ, McLean SA. A biopsychosocial model of body image concerns and disordered eating in early adolescent girls. J Youth Adolesc 2013; 43:814-23. [PMID: 24014348 DOI: 10.1007/s10964-013-0013-7] [Citation(s) in RCA: 75] [Impact Index Per Article: 6.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/21/2013] [Accepted: 08/27/2013] [Indexed: 12/31/2022]
Abstract
Body image and eating concerns are prevalent among early adolescent girls, and associated with biological, psychological and sociocultural risk factors. To date, explorations of biopsychosocial models of body image concerns and disordered eating in early adolescent girls are lacking. A sample of 488 early adolescent girls, mean age = 12.35 years (SD = 0.53), completed a questionnaire assessing depressive symptoms, self-esteem, body mass index (BMI), sociocultural appearance pressures, thin-ideal internalization, appearance comparison, body image concerns and disordered eating. Structural equation modelling was conducted to test a hypothetical model in which internalization and comparison were mediators of the effect of both negative affect and sociocultural influences on body image concerns and disordered eating. In addition, the model proposed that BMI would impact body image concerns. Although the initial model was a poor fit to the data, the fit was improved after the addition of a direct pathway between negative affect and bulimic symptoms. The final model explained a large to moderate proportion of the variance in body image and eating concerns. This study supports the role of negative affect in biopsychosocial models of the development of body image concerns and disordered eating in early adolescent girls. Interventions including strategies to address negative affect as well as sociocultural appearance pressures may help decrease the risk for body image concerns and disordered eating among this age group.
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Affiliation(s)
- Rachel F Rodgers
- Department of Counseling and Applied Educational Psychology, Northeastern University, Boston, MA, USA,
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20
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Help-seeking intentions in college students: an exploration of eating disorder specific help-seeking and general psychological help-seeking. Eat Behav 2013; 14:184-6. [PMID: 23557817 DOI: 10.1016/j.eatbeh.2013.02.004] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/03/2012] [Revised: 01/03/2013] [Accepted: 02/14/2013] [Indexed: 11/22/2022]
Abstract
This study investigated help-seeking intentions for eating disorders and general psychological problems in college students. Participants reported that they would be more likely to seek help for a friend with an eating disorder than for themselves if they were experiencing an eating disorder. Multiple factors (i.e., sex, year in college, knowledge of eating disorders, and knowledge of available resources) were assessed to determine the prediction of help-seeking intentions. Only the knowledge of eating disorders significantly predicted whether or not a student would be willing to seek help for a friend with a general psychological disorder. None of these factors predicted willingness to seek help for friends with an eating disorder.
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Gratwick-Sarll K, Mond J, Hay P. Self-recognition of eating-disordered behavior in college women: further evidence of poor eating disorders "mental health literacy"? Eat Disord 2013; 21:310-27. [PMID: 23767672 DOI: 10.1080/10640266.2013.797321] [Citation(s) in RCA: 24] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
Abstract
Self-recognition of eating-disordered behavior was examined among female college students (n = 94) with a high level of bulimic-type eating disorder symptoms. A vignette was presented describing a fictional young woman with bulimia nervosa. Participants were asked whether they might currently have a problem such as the one described, while also completing self-report measures of eating disorder symptoms, general psychological distress, and functional impairment. Less than half (47.9%) of participants believed that they currently had a problem with their eating. In both bivariate and multivariable analysis, the variables most strongly associated with self-recognition were overall levels of eating disorder psychopathology, prior treatment for an eating problem, and the use of self-induced vomiting as a means of controlling weight or shape. No other eating disorder behaviors were independently associated with self-recognition. The findings support the hypothesis that young women with eating disorder symptoms may be unlikely, or at least less likely, to recognize a problem with their eating behavior when that behavior does not entail self-induced vomiting. Health promotion and early intervention programs for eating disorders may need to address the perception that, among young women of normal or above-average body weight, only problems with eating that involve self-induced vomiting are pathological.
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Affiliation(s)
- Kassandra Gratwick-Sarll
- Research School of Psychology, Australian National University, Acton, Australian Capital Territory, Australia
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22
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Hart LM, Jorm AF, Paxton SJ. Mental health first aid for eating disorders: pilot evaluation of a training program for the public. BMC Psychiatry 2012; 12:98. [PMID: 22856517 PMCID: PMC3549729 DOI: 10.1186/1471-244x-12-98] [Citation(s) in RCA: 25] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/28/2011] [Accepted: 05/14/2012] [Indexed: 11/15/2022] Open
Abstract
BACKGROUND Eating disorders cause significant burden that may be reduced by early and appropriate help-seeking. However, despite the availability of effective treatments, very few individuals with eating disorders seek treatment. Training in mental health first aid is known to be effective in increasing mental health literacy and supportive behaviours, in the social networks of individuals with mental health problems. Increases in these domains are thought to improve the likelihood that effective help is sought. However, the efficacy of mental health first aid for eating disorders has not been evaluated. The aim of this research was to examine whether specific training in mental health first aid for eating disorders was effective in changing knowledge, attitudes and behaviours towards people with eating disorders. METHODS A repeated measures, uncontrolled trial was conducted to establish proof of concept and provide guidance on the future design of a randomised controlled trial. Self-report questionnaires, administered at baseline, post-training and 6-month follow-up, assessed the effectiveness of the 4-hour, single session, mental health first aid training. RESULTS 73 participants completed the training and all questionnaires. The training intervention was associated with statistically significant increases in problem recognition and knowledge of appropriate mental health first aid strategies, which were maintained at 6-month follow-up. Sustained significant changes in attitudes and behaviours were less clear. 20 participants reported providing assistance to someone with a suspected eating disorder, seven of whom sought professional help as a result of the first aid interaction. Results provided no evidence of a negative impact on participants or the individuals they provided assistance to. CONCLUSIONS This research provides preliminary evidence for the use of training in mental health first aid as a suitable intervention for increasing community knowledge of and support for people with eating disorders to seek appropriate help. TRIAL REGISTRATION Australian New Zealand Clinical Trials Registry ACTRN12611001181998.
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Affiliation(s)
- Laura M Hart
- Melbourne School of Population Health, University of Melbourne, Parkville, VIC, Australia.
| | - Anthony F Jorm
- Melbourne School of Population Health, University of Melbourne, Parkville, VIC, Australia
| | - Susan J Paxton
- School of Psychological Science, La Trobe University, Bundoora, VIC, Australia
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23
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Moessner M, Bauer S. Online counselling for eating disorders: reaching an underserved population? J Ment Health 2012; 21:336-45. [PMID: 22251091 DOI: 10.3109/09638237.2011.643512] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
BACKGROUND A substantial proportion of individuals suffering from eating disorders (ED) seek help late and many never access treatment. Internet-based services may have the potential to reach these underserved individuals by providing low-intense support and facilitating access to regular healthcare. METHOD Two hundred and thirty-eight individuals who used a counselling service for ED via email and/or moderated forums were surveyed. Acceptance of the service, users' satisfaction, utilization of other services, and attitudes towards Internet-based interventions were assessed. RESULTS Participants reported substantial ED symptoms (67.4% reported bingeing, 42.2% self-induced vomiting, and 18.0% a body mass index below 17.5). Both forum and email counselling were rated very positively. More than half of the participants (57.3%) stated that this was the first time they ever accessed professional help. Half of these reported that they engaged in additional services after registering for the online program and most of them stated that they would have not done so without the online service. DISCUSSION The Internet-based service proved well-accepted in the target group. It reaches a substantial percentage of individuals with ED-related impairment that would have stayed without any professional support otherwise. The service also facilitated access to the regular healthcare system for a subgroup of participants.
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Affiliation(s)
- Markus Moessner
- Center for Psychotherapy Research, University Hospital Heidelberg, Heidelberg, Germany.
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24
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Darby AM, Hay PJ, Mond JM, Quirk F. Community recognition and beliefs about anorexia nervosa and its treatment. Int J Eat Disord 2012; 45:120-4. [PMID: 22170023 DOI: 10.1002/eat.20886] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 10/07/2010] [Indexed: 11/06/2022]
Abstract
OBJECTIVE Mental Health Literacy (MHL), namely recognition, and beliefs about treatment concerning Anorexia Nervosa (AN) were examined in a community sample of male and female (n = 983) aged 15-94 years. METHOD A vignette describing a women suffering from the symptoms of AN was presented, followed by a respondent-based structured interview concerning recognition of the problem and treatment beliefs. RESULTS The majority of participants could identify the problem as that of an eating disorder, although only 16.1% could specifically identify it as AN. Many also believed the problem was primarily one of low self-esteem (32.5%). General practitioners and psychiatrists or psychologists were considered the most helpful treatment providers, while obtaining information about the problem and available services, followed by family therapy, were considered the most helpful treatments. Less than one-third of participants believed complete recovery was possible. Better AN MHL was found in younger, higher educated, and metropolitan domiciled females. DISCUSSION This study offers encouraging results in regard to AN MHL. In particular, there was moderate regard for the use of mental health specialists in the treatment of the disorder. However, there appears to be a misconception that AN is largely the manifestation of low self-esteem and confusion concerning the distinction between AN and bulimia nervosa. AN MHL was poorer in males and those with higher social and health disadvantage.
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Affiliation(s)
- Anita M Darby
- School of Medicine, James Cook University, Townsville, Australia
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25
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Haines J, Ziyadeh NJ, Franko DL, McDonald J, Mond JM, Austin SB. Screening high school students for eating disorders: validity of brief behavioral and attitudinal measures. THE JOURNAL OF SCHOOL HEALTH 2011; 81:530-535. [PMID: 21831065 DOI: 10.1111/j.1746-1561.2011.00623.x] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
Abstract
BACKGROUND Early identification can greatly impact the trajectory of eating disorders, and school-based screening is 1 avenue for identifying those at risk. To be feasible in a school setting, a screening program must use a brief, valid screening tool. The aim of this study was to assess how well brief attitudinal and behavioral survey items identify adolescents at risk in a large sample of high school students from across the United States. METHODS Data were drawn from the National Eating Disorder Screening Program, the first-ever national eating disorders screening initiative for US high schools. A 2-stage, clustered sampling method was used to randomly select a subset of student screening forms (n = 5740), which included the Eating Attitudes Test (EAT-26), behavioral questions assessing the frequency of vomiting and binge eating in the past 3 months, and an attitudinal item that assessed preoccupation with thinness. RESULTS Nearly 12% of females and 3% of males reported vomiting to control their weight and 17% of females and 10% of males reported binge eating 1 or more times per month. Approximately 24% of females and 8% of males report being preoccupied with being thinner. We found that the attitudinal measure yielded high sensitivity and specificity. Combined screening measures that used both the attitudinal and behavioral items yielded slightly higher sensitivity values than those found with the attitudinal measure alone. CONCLUSION High school administrators should include items that assess both preoccupation with thinness as well as behavioral items that deal with eating disorders on student health surveys.
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Affiliation(s)
- Jess Haines
- Department of Family Relations and Applied Nutrition, University of Guelph, ON, Canada.
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26
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Unmet need for treatment in the eating disorders: A systematic review of eating disorder specific treatment seeking among community cases. Clin Psychol Rev 2011; 31:727-35. [DOI: 10.1016/j.cpr.2011.03.004] [Citation(s) in RCA: 295] [Impact Index Per Article: 22.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/08/2010] [Accepted: 03/02/2011] [Indexed: 11/18/2022]
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Abstract
BACKGROUND Twenty years ago, Price published a survey identifying knowledge deficits of school counselors regarding eating disorders. Our study surveys current school counselors to determine whether knowledge has increased and determine the availability of school-based prevention programming. METHODS School counselors from a single metropolitan area were surveyed prior to a mandatory in-service on eating disorders. RESULTS Of the 109 respondents, 55% felt eating disorders were a problem in their school. Very few felt "very competent" identifying (6%) or helping (2%) students with eating disorders. Today's school counselors were more likely to know a symptom of anorexia nervosa (AN) is missing at least three consecutive menstrual cycles and malnutrition is not a common cause of death for bulimia nervosa (BN). CONCLUSIONS While knowledge of AN and BN appear to have increased, school counselors still lack some basic understanding and report very low confidence in identifying and helping students with eating disorders.
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28
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Chen A, Mond JM, Kumar R. Eating disorders mental health literacy in Singapore: beliefs of young adult women concerning treatment and outcome of bulimia nervosa. Early Interv Psychiatry 2010; 4:39-46. [PMID: 20199479 DOI: 10.1111/j.1751-7893.2009.00156.x] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
Abstract
AIM We examined the eating disorders 'mental health literacy' of young adult women in Singapore. METHODS A self-report questionnaire was completed by 255 women recruited from three university campuses. A vignette of a fictional (female) person exhibiting the characteristic features of bulimia nervosa was presented, followed by a series of questions concerning the treatment and outcome of the problem described. A measure of eating disorder symptoms was included in the questionnaire. RESULTS Consulting a primary care practitioner, counsellor or psychologist; seeking the advice of a (female) family member or friend; getting advice about diet and nutrition; and taking vitamins and minerals were the interventions most often considered helpful. Participants were less positive about the benefits of psychiatristsand were ambivalent about the use of psychotropic medication. Participants' mothers were most often considered helpful as they are an initial source of help. Among participants with a high level of eating disorder symptoms, recognition of an eating problem was poor. A minority of participants believed that treatment would result in full recovery. CONCLUSIONS Aspects of the eating disorders mental health literacy of young Singaporean women may be conducive to low or inappropriate treatment seeking. Health promotion programmes need to target not only at-risk individuals, but also their family members and social circle.
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Affiliation(s)
- Anna Chen
- Department of Child and Adolescent Psychiatry, Institute of Mental Health, Singapore.
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29
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Mond JM, Hay P, Rodgers B, Owen C. Mental health literacy and eating disorders: What do women with bulimic eating disorders think and know about bulimia nervosa and its treatment? J Ment Health 2009. [DOI: 10.1080/09638230701677787] [Citation(s) in RCA: 35] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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30
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Stansbury KL, Brown-Hughes T, Harley DA. Rural African American clergy: are they literate on late-life depression? Aging Ment Health 2009; 13:9-16. [PMID: 19197685 DOI: 10.1080/13607860802154424] [Citation(s) in RCA: 14] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
This exploratory study examined rural African American clergy's knowledge of and experience in providing support to African American elders with late-life depression. Interviews were conducted with nine African American clergy who oversaw rural churches in central Kentucky. Jorm and colleagues provide a conceptual framework for mental health literacy to explore participants' knowledge of late-life depression. Although few clergy had direct experience with counseling a depressed older adult, all the clergy were considered literate regarding late-life depression and its treatment. These findings have implications for social workers building collaborative community treatment relationships.
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Abstract
OBJECTIVE Attitudes and beliefs concerning a binge eating problem were examined in a community sample of men and women (n = 1031) aged 15 to 94 years. METHOD A vignette describing a fictional 32-year-old female obese binge eater was presented, followed by a series of questions concerning the nature and treatment of the problem described. RESULTS Most participants believed that binge eating is primarily a problem of low self-esteem or depression. Behavioral weight loss treatment and self-help interventions were the treatments considered most helpful, whereas few participants believed that psychotherapy would be helpful. General practitioners and dieticians were the treatment providers considered most helpful. Most participants were ambivalent about prognosis given treatment and pessimistic about outcome in the absence of treatment. CONCLUSION The fact that binge eating is viewed primarily as a problem of negative affect, and that specific psychotherapy is not highly regarded as a treatment, may go some way to explaining why most individuals with binge eating-type disorders do not receive appropriate treatment. The benefits of specific psychotherapy in stabilizing eating behavior and improving quality of life for obese binge eaters need to be communicated to sufferers and to the health professionals they are likely to contact.
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Affiliation(s)
- Jonathan M Mond
- School of Psychological Science, LaTrobe University, Bundoora, Victoria, Australia.
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