The Brain and Mind Centre, The University of Sydney, Camperdown, New South Wales, Australia
Graduate School of Health, University of Technology Sydney Faculty of Health, Sydney, New South Wales, Australia.
BMJ Open. 2022 Aug 10;12(8):e061734. doi: 10.1136/bmjopen-2022-061734.
The aim of this study was to determine the prevalence of disordered eating in young people attending a headspace centre, an enhanced primary care centre providing early intervention services for mental health disorders for young people aged 12-25 years, in metropolitan Sydney.
Cross-sectional assessment of disordered eating symptoms and behaviours.
An enhanced primary care youth mental health service in inner urban Sydney, Australia.
A sequential cohort of 530 young people aged 14-26 years presenting to headspace Camperdown for support with mental health concerns.
Participants completed a series of questionnaires online which included items assessing the presence of eating disorder symptoms and behaviours.
Over one-third of young people aged 14-26 years presenting to headspace Camperdown in a 22-month period reported symptoms of disordered eating. Of these, 32% endorsed overeating behaviours, 25% endorsed dietary restriction and 8% reported purging behaviours. In total, 44% reported engaging in one of more of these behaviours on a regular basis. Almost half reported experiencing significant shape and weight concerns. Eating disorder behaviours were particularly prevalent among female and gender-diverse participants (48% of females and 46% of gender-diverse participants compared with 35% of males) and overall scores across all of the eating disorder and body image items assessed were significantly higher for female participants compared with males.
Disordered eating behaviours and symptoms are common among those presenting to youth mental health primary care services. Proactive screening for these behaviours presents opportunities for early detection and specific interventions.
ACTRN12618001676202; Results.
本研究旨在确定在悉尼市区一家 headspace 中心就诊的年轻人中饮食失调的患病率，headspace 中心是一个增强型初级保健中心，为 12-25 岁的年轻人提供心理健康障碍的早期干预服务。
对饮食失调症状和行为进行横断面评估。
澳大利亚悉尼市区的一个增强型初级保健青年心理健康服务机构。
连续队列 530 名年龄在 14-26 岁的年轻人，因心理健康问题到 headspace Camperdown 就诊寻求支持。
参与者在线完成了一系列问卷，其中包括评估饮食失调症状和行为存在的项目。
在 22 个月的时间里，有超过三分之一的 14-26 岁的年轻人到 headspace Camperdown 就诊时报告有饮食失调的症状。其中，32%的人有暴食行为，25%的人有节食行为，8%的人有催吐行为。总的来说，44%的人定期有其中一种或多种行为。近一半的人报告有明显的体型和体重问题。饮食失调行为在女性和性别多样化参与者中尤为普遍（48%的女性和 46%的性别多样化参与者，而男性为 35%），评估的所有饮食失调和身体意象项目的总得分女性参与者明显高于男性参与者。
饮食失调行为和症状在寻求青年心理健康初级保健服务的人群中很常见。主动筛查这些行为为早期发现和特定干预提供了机会。
ACTRN12618001676202；结果。
