Lydecker Janet A
Department of Psychiatry, Yale University School of Medicine, New Haven, Connecticut, USA.
Int J Eat Disord. 2025 Mar;58(3):514-517. doi: 10.1002/eat.24364. Epub 2024 Dec 26.
Ali et al.'s (2025) systematic review and meta-analysis updated a previous meta-analysis on the gap between the need for eating disorder treatment and rates of seeking and receiving eating disorder treatment. They found that less than one-third of individuals with eating disorders sought help for their eating disorder, which was an improvement of only 8% over more than a decade. This updated analysis makes it apparent that we need to dedicate research and resources to meeting this treatment need. Building on this work, this commentary reviews changes in help-seeking behaviors, particularly online help-seeking. The commentary also discusses binge-eating disorder (BED) help-seeking because the addition of BED as a diagnosis occurred in the time between the original and updated meta-analysis. Barriers to seeking eating disorder treatment, including identifying behaviors as indicative of an eating disorder and problematic, appear pronounced among individuals with BED. The commentary concludes by highlighting that it is essential to direct research and policy efforts along multiple pathways to close the gap between those who need and those who seek eating disorder treatment.
阿里等人（2025年）的系统评价和荟萃分析更新了之前一项关于饮食失调治疗需求与寻求和接受饮食失调治疗率之间差距的荟萃分析。他们发现，不到三分之一的饮食失调患者寻求饮食失调方面的帮助，与十多年前相比，这一比例仅提高了8%。这项更新后的分析表明，我们需要投入研究和资源来满足这一治疗需求。在此基础上，本评论回顾了寻求帮助行为的变化，特别是在线寻求帮助的行为。评论还讨论了暴饮暴食障碍（BED）的求助情况，因为在最初的荟萃分析和更新后的荟萃分析之间，BED被添加为一种诊断。在BED患者中，寻求饮食失调治疗的障碍，包括将行为识别为饮食失调的指示性行为且存在问题，似乎很突出。评论最后强调，沿着多条途径开展研究和政策努力以缩小需要饮食失调治疗的人群与寻求治疗的人群之间的差距至关重要。
