Help-seeking for body image problems among adolescents with eating disorders: findings from the EveryBODY study
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ORIGINAL ARTICLE
Help‑seeking for body image problems among adolescents with eating disorders: findings from the EveryBODY study Scott J. Fatt1,2 · Jonathan Mond3,7 · Kay Bussey1 · Scott Griffiths4 · Stuart B. Murray5 · Alexandra Lonergan1 · Phillipa Hay6 · Nora Trompeter1 · Deborah Mitchison1,7 Received: 5 May 2019 / Accepted: 23 July 2019 © Springer Nature Switzerland AG 2019
Abstract Purpose Little is known regarding correlates of help-seeking for a body image problem in adolescents with an eating disorder. This study provides the first population-based investigation of help-seeking correlates among adolescents with an eating disorder. Methods Australian adolescents (N = 1002, 75.5% female, mean age = 15.14, SD = 1.40) who met operational diagnostic criteria for an eating disorder completed a survey assessing help-seeking, and potential correlates of help-seeking (sex, age, body mass index, socio-economic status, migrant status, sexuality, eating disorder diagnosis, psychological distress, and quality of life). Results Only 10.1% of participants reported having sought help. Bivariate analyses revealed that increased likelihood of help-seeking was associated with female sex, sexual minority status, being born outside Australia, older age, having a major eating disorder (compared to having an unspecified or other specified feeding or other eating disorder diagnosis), higher psychological distress, and reduced psychological and social functioning. Older age, being born outside of Australia, and having a major eating disorder were significant independent correlates of help-seeking. Conclusions Very few adolescents with an eating disorder seek help for a body image problem. Promoting early, appropriate help-seeking among those who are younger and/or those with less well-known disorders may be particularly important. Level of Evidence Level III, case-control analytic study. Keywords Eating disorder · Adolescent · Help-seeking · Body image Abbreviations AN Anorexia nervosa BN Bulimia nervosa BED Binge-eating disorder AAN Atypical anorexia nervosa sBN Subthreshold-bulimia nervosa sBED Subthreshold-binge eating disorder
PD Purging disorder NES Night eating syndrome OSFED Other specified feeding and eating disorder UFED Unspecified feeding and eating disorder DSM Diagnostic and statistical manual BMI Body mass index
Electronic supplementary material The online version of this article (https://doi.org/10.1007/s40519-019-00759-9) contains supplementary material, which is available to authorized users. * Scott J. Fatt [email protected] 1
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Department of Psychology, Centre for Emotional Health, Macquarie University, Balaclava Road, North Ryde, Sydney, NSW 2109, Australia Human Behaviour Lab, Department of Psychiatry, UNSW, Sydney, Australia Centre for Rural Health, University of Tasmania, Launceston, Australia
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Melbourne School of Psychological Sciences, University of Melbourne, Melbourne, Australia
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Department of Psychiatry, University of California San Francisco, San
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