Increasing prevalence of eating disorders in female adolescents compared with children and young adults: an analysis of real-time administrative data
Eating disorder (ED), as defined by the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), is a persistent disturbance of eating or eating-related behaviour that results in the altered consumption or absorption of food and that significantly impairs physical health or psychosocial functi...
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| Published in: | General psychiatry Vol. 37; no. 4; p. e101584 |
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| Main Authors: | , , , , , , , , |
| Format: | Journal Article |
| Language: | English |
| Published: |
England
BMJ Publishing Group Ltd
01-08-2024
BMJ Publishing Group LTD BMJ Publishing Group |
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| Online Access: | Get full text |
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| Summary: | Eating disorder (ED), as defined by the Diagnostic and Statistical Manual of Mental Disorders (DSM-5), is a persistent disturbance of eating or eating-related behaviour that results in the altered consumption or absorption of food and that significantly impairs physical health or psychosocial functioning.1 The DSM-5 outlines criteria for EDs, including anorexia nervosa, bulimia nervosa, binge-eating disorder, pica, rumination disorder and avoidant/restrictive food intake disorder. EDs are relatively common in young people, affecting 5.5%–17.9% of young women and 0.6%–2.4% of young men by the time they reach early adulthood.2 EDs are more prevalent in females, with recent increases in prevalence reported primarily in females 15–19 years of age.2 People with EDs face a mortality risk twice that of the general population2 and, without treatment, have higher rates of medical and psychiatric comorbidity.3 Since the start of the coronavirus disease 2019 (COVID-19) pandemic, concerns have been raised about increasing rates of ED diagnoses, and ED-related hospitalisation, outpatient care-seeking, depression, anxiety and suicidal ideation.4 In February 2023, the American Psychiatric Association released updated guidelines for EDs with implementation tools that include screening questionnaires to assist in detection.5 The US Surgeon General also underscored the need for real-time data to address the evolving mental health needs in adolescents and young adults, particularly with regard to EDs. Against this backdrop, population-level administrative data on the prevalence of EDs are needed to inform a robust public health response. [...]we observed an increase in the prevalence of diagnosed EDs among females aged 13–18 years, raising from 120/100 000 in 2017 to 916/100 000 in 2022 (figure 1). |
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| Bibliography: | ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 BYL, DM and HX contributed equally. Supplemental material This content has been supplied by the author(s). It has not been vetted by BMJ Publishing Group Limited (BMJ) and may not have been peer-reviewed. Any opinions or recommendations discussed are solely those of the author(s) and are not endorsed by BMJ. BMJ disclaims all liability and responsibility arising from any reliance placed on the content. Where the content includes any translated material, BMJ does not warrant the accuracy and reliability of the translations (including but not limited to local regulations, clinical guidelines, terminology, drug names and drug dosages), and is not responsible for any error and/or omissions arising from translation and adaptation or otherwise. supplement: Additional supplemental material is published online only. To view, please visit the journal online (https://doi.org/10.1136/gpsych-2024-101584). None declared. |
| ISSN: | 2517-729X 2096-5923 2517-729X |
| DOI: | 10.1136/gpsych-2024-101584 |