Document Detail

Bulimic eating disorders in primary care: hidden morbidity still?
MedLine Citation:
PMID:  20039194     Owner:  NLM     Status:  MEDLINE    
The current study examined the features of women with bulimic-type eating disorders (n = 24) attending primary care in two smaller urban regions of the USA. The assessment included measures of eating disorder psychopathology, medical comorbidity, impairment in role functioning, potential barriers to treatment and actual use of health services. Eating disorders, primarily variants of bulimia nervosa and binge eating disorder not meeting formal diagnostic criteria, were associated with marked impairment in psychosocial functioning. Although two-thirds of participants recognized a problem with their eating, less than 40% had ever sought treatment from a health professional for an eating or weight problem and only one in ten had sought such treatment from a mental health specialist. Only one-third had ever been asked about problems with eating by a primary care practitioner or other health professional. However, more than 80% had sought treatment from a health professional for symptoms of anxiety or depression. Most reported some degree of discomfort in discussing eating problems with others, and half reported that they would not be truthful about such problems if asked. Having an eating disorder was associated with several chronic medical conditions, including joint pain, gastrointestinal problems and fatigue. Although the small sample size limits any firm conclusions, the findings suggest that the health burden of bulimic-type eating disorders is substantial but remains largely hidden. Efforts may be needed to improve the eating disorders "mental health literacy" of both patients and primary care practitioners in order to facilitate early, appropriate intervention.
Jonathan M Mond; Tricia C Myers; Ross D Crosby; Phillipa J Hay; James E Mitchell
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of clinical psychology in medical settings     Volume:  17     ISSN:  1573-3572     ISO Abbreviation:  J Clin Psychol Med Settings     Publication Date:  2010 Mar 
Date Detail:
Created Date:  2010-02-16     Completed Date:  2010-05-24     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9435680     Medline TA:  J Clin Psychol Med Settings     Country:  United States    
Other Details:
Languages:  eng     Pagination:  56-63     Citation Subset:  IM    
School of Biomedical and Health Sciences, University of Western Sydney, Campbelltown Campus, Locked Bag 1797, Penrith DC, NSW 1797, Australia.
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MeSH Terms
Bulimia Nervosa / diagnosis*,  epidemiology*
Diagnostic and Statistical Manual of Mental Disorders
Health Services / utilization
Primary Health Care / statistics & numerical data*,  utilization
Young Adult

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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