Journal article
Seeing yourself clearly: Self-identification of a body image problem in adolescents with an eating disorder
Early intervention in psychiatry, Vol.15(3), pp.577-584
01/06/2021
PMID: 32426938
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Abstract
Aim Many adolescents who meet diagnostic criteria for an eating disorder do not self-identify as having a problem and may consequently be less likely to seek help. Extant research investigating self-identification has been limited to specific populations (ie, girls meeting criteria for bulimic-type eating disorders). This study investigated how self-identification varied across sex, eating disorder diagnoses, and the presence of extreme eating behaviours, and how self-identification was related to help-seeking in adolescents.
Methods Participants included 1002 Australian school students (75.5% female, M-age = 15.14 years, SD = 1.40) who met DSM-5 diagnostic criteria for an eating disorder. An online survey assessed self-identification of having a body image problem, as well as sex, eating disorder diagnosis, extreme eating behaviours, help-seeking for a body image problem, and other potential correlates of self-identification (demographics, psychological distress, social function, weight and shape concerns).
Results Approximately, 2 in 3 adolescents with an eating disorder self-identified as having a body image problem. Girls who met criteria for a major eating disorder diagnosis, and those engaging in extreme eating behaviours, were more likely to self-identify. When adjusting for covariates, only sex remained significantly associated with self-identification. Adolescents who self-identified were 2.71 times more likely to seek help for a body image problem, adjusting for covariates.
Conclusions Public health strategies ought to promote awareness regarding the different ways that body image problems might manifest among both girls and boys, as well as the potential gravity of such problems. Awareness among parents, teachers and primary care providers should also be considered.
Details
- Title
- Seeing yourself clearly: Self-identification of a body image problem in adolescents with an eating disorder
- Creators
- Scott J. Fatt - Macquarie UniversityJonathan Mond - Southern Cross University, Faculty of HealthKay Bussey - Macquarie UniversityScott Griffiths - The University of MelbourneStuart B. Murray - University of California, San FranciscoAlexandra Lonergan - Macquarie UniversityPhillipa Hay - Translational Research InstituteKathleen Pike - Columbia UniversityNora Trompeter - Macquarie UniversityDeborah Mitchison - Western Sydney University
- Publication Details
- Early intervention in psychiatry, Vol.15(3), pp.577-584
- Publisher
- Wiley
- Number of pages
- 8
- Grant note
- Macquarie University Society for Mental Health Research
- Identifiers
- 991013372724902368
- Copyright
- © 2020 John Wiley & Sons Australia, Ltd
- Academic Unit
- Faculty of Health
- Language
- English
- Resource Type
- Journal article