Department of Psychology, University at Albany, State University of New York, Albany, NY; Department of Psychiatry, Yale School of Medicine, New Haven, CT.
Department of Health Policy, Management, and Behavior, School of Public Health, University at Albany, State University of New York, Albany, NY.
Mayo Clin Proc. 2019 Aug;94(8):1415-1426. doi: 10.1016/j.mayocp.2019.02.030. Epub 2019 Jul 16.
To investigate, in a nationally representative sample of US adults, the prevalence of help-seeking in individuals with Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) eating disorders (EDs) and to examine sex and ethnic/racial differences.
The 2012-2013 National Epidemiologic Survey on Alcohol and Related Conditions-III (N=36,309) included respondents who met the criteria for specific lifetime DSM-5 EDs and answered questions regarding help-seeking for their ED symptoms (anorexia nervosa [AN]: n=275; bulimia nervosa [BN]: n=91; and binge-eating disorder [BED]: n=256).
The prevalence (standard error) estimates of ever seeking any help for AN, BN, and BED were 34.5% (2.80%), 62.6% (5.36%), and 49.0% (3.74%), respectively. Adjusting for sociodemographic characteristics, men and ethnic/racial minorities (non-Hispanic blacks and Hispanics) were statistically significantly less likely to ever seek help for BED than were women or non-Hispanic whites, respectively. Hispanics also were significantly less likely to seek help for AN relative to non-Hispanic whites.
This was the first study in a nationally representative sample of US adults to examine rates of help-seeking, including by sex and ethnic/racial differences, across DSM-5-defined EDs. These findings emphasize the need to develop strategies to encourage help-seeking among individuals with EDs, particularly among men and ethnic/racial minorities.
在一项具有全国代表性的美国成年人样本中调查，具有《精神疾病诊断与统计手册》第五版（DSM-5）进食障碍（ED）的个体寻求帮助的流行率，并研究性别和种族/民族差异。
2012-2013 年国家酒精和相关条件流行病学调查-III（N=36309）包括符合特定终身 DSM-5 ED 标准并回答有关其 ED 症状寻求帮助问题的受访者（神经性厌食症 [AN]：n=275；贪食症 [BN]：n=91；和暴食障碍 [BED]：n=256）。
AN、BN 和 BED 曾寻求任何帮助的患病率（标准误差）估计值分别为 34.5%（2.80%）、62.6%（5.36%）和 49.0%（3.74%）。调整社会人口统计学特征后，男性和少数民族（非西班牙裔黑人和西班牙裔）与女性或非西班牙裔白人相比，寻求 BED 帮助的可能性统计学上显著较低。与非西班牙裔白人相比，西班牙裔也更不可能寻求 AN 的帮助。
这是第一项在具有全国代表性的美国成年人样本中研究寻求帮助的比率的研究，包括按性别和种族/民族差异进行研究。这些发现强调了需要制定策略来鼓励 ED 患者寻求帮助，特别是在男性和少数民族中。
