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.
Eat Weight Disord. 2020 Oct;25(5):1267-1275. doi: 10.1007/s40519-019-00759-9. Epub 2019 Aug 2.
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.
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).
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.
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 III, case-control analytic study.
对于患有饮食障碍的青少年寻求身体意象问题的帮助的相关因素知之甚少。本研究首次对患有饮食障碍的青少年的寻求帮助的相关因素进行了基于人群的调查。
澳大利亚的青少年（N=1002，女性占 75.5%，平均年龄=15.14，标准差=1.40），符合饮食障碍的操作性诊断标准，他们完成了一项调查，评估了寻求帮助的情况，以及寻求帮助的潜在相关因素（性别、年龄、体重指数、社会经济地位、移民身份、性取向、饮食障碍诊断、心理困扰和生活质量）。
只有 10.1%的参与者报告寻求过帮助。单变量分析显示，寻求帮助的可能性增加与女性性别、性少数群体身份、在澳大利亚境外出生、年龄较大、患有主要饮食障碍（与未特指或其他特指的喂养或其他饮食障碍诊断相比）、较高的心理困扰以及心理和社会功能下降有关。年龄较大、在澳大利亚境外出生和患有主要饮食障碍是寻求帮助的独立显著相关因素。
很少有患有饮食障碍的青少年会寻求身体意象问题的帮助。对于那些年龄较小和/或患有不太知名疾病的人，促进早期、适当的寻求帮助可能尤为重要。
三级，病例对照分析研究。
