Why Young People With Eating Disorder Symptoms Do Not Seek Help—Exploring Barriers to Help‐Seeking.

Objective: Rates of help‐seeking and treatment uptake are low in eating disorders. Delayed initiation of treatment has a negative impact on prognosis and treatment outcome and leads to a higher burden on the healthcare system. The aim of this study was to explore factors associated with help‐seeking...

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Publicado en:International Journal of Eating Disorders Vol. 58; no. 11; pp. 2147 - 2157
Autores principales: Stadler, Johanna, Moessner, Markus, Becker, Katja, Hiery, Alisa, Diestelkamp, Silke, Eschenbeck, Heike, Gillé, Vera, Kaess, Michael, Koenig, Julian, Rummel‐Kluge, Christine, Kohls, Elisabeth, Thomasius, Rainer, Bauer, Stephanie, Salize, Hans‐Joachim, Bonnet, Sabrina, Feldhege, Johannes, Gallinat, Christina, Hammon, Stella, Lustig, Sophia, Özer, Fikret
Formato: Artículo
Publicado: Wiley-Blackwell Nov2025
Materias:
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Nov2025
      vid: 58
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      pub: Wiley-Blackwell
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        10.1002/eat.24515
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        atl: Why Young People With Eating Disorder Symptoms Do Not Seek Help—Exploring Barriers to Help‐Seeking.
      aug:
        au:
          Stadler, Johanna
          Moessner, Markus
          Becker, Katja
          Hiery, Alisa
          Diestelkamp, Silke
          Eschenbeck, Heike
          Gillé, Vera
          Kaess, Michael
          Koenig, Julian
          Rummel‐Kluge, Christine
          Kohls, Elisabeth
          Thomasius, Rainer
          Bauer, Stephanie
          Salize, Hans‐Joachim
          Bonnet, Sabrina
          Feldhege, Johannes
          Gallinat, Christina
          Hammon, Stella
          Lustig, Sophia
          Özer, Fikret
        affil:
          Heidelberg University, Institute of Psychology, Heidelberg, Germany
          Center for Psychotherapy Research, University Hospital Heidelberg, Heidelberg, Germany
          Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, Philipps‐University of Marburg, Marburg, Germany
          University Hospital Hamburg‐Eppendorf, German Center for Addiction Research in Childhood and Adolescence, Hamburg, Germany
          Department of Educational Psychology and Health Psychology, University of Education Schwäbisch Gmünd, Schwäbisch Gmünd, Germany
          Clinic of Child and Adolescent Psychiatry, Center for Psychosocial Medicine, University Hospital Heidelberg, Heidelberg, Germany
          University Hospital of Child and Adolescent Psychiatry and Psychotherapy, University of Bern, Bern, Switzerland
          Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, Faculty of Medicine and University Hospital Cologne, University of Cologne, Cologne, Germany
          Department of Psychiatry and Psychotherapy, Medical Faculty, University of Leipzig, Leipzig, Germany
          German Center for Addiction Research in Childhood and Adolescence, University Medical Center Hamburg‐Eppendorf, Hamburg, Germany
          German Center for Mental Health (DZPG), Partner Site Mannheim/Heidelberg/Ulm, Heidelberg, Germany
      su:
        Treatment of eating disorders
        Cross-sectional method
        Health literacy
        Mental health
        Suicidal ideation
        Socioeconomic factors
        Help-seeking behavior
        Emotions
        Eating disorders
        Teenagers' conduct of life
        Mental depression
        Social stigma
        Adolescence
        Patient education
        Research funding
        Body mass index
        Questionnaires
        Descriptive statistics
        Research
        Treatment delay (Medicine)
        Data analysis software
        Decision trees
      sug:
        subj:
          Treatment of eating disorders
          Cross-sectional method
          Health literacy
          Mental health
          Suicidal ideation
          Socioeconomic factors
          Help-seeking behavior
          Emotions
          Eating disorders
          Teenagers' conduct of life
          Mental depression
          Social stigma
          Adolescence
          Offices of Mental Health Practitioners (except Physicians)
          Patient education
          Research funding
          Body mass index
          Questionnaires
          Descriptive statistics
          Research
          Treatment delay (Medicine)
          Data analysis software
          Decision trees
      keyword:
        adolescents
        Classification and Regression Trees
        decision tree
        eating disorders
        help‐seeking
        youth
        adolescents
        Classification and Regression Trees
        decision tree
        eating disorders
        help‐seeking
        youth
      ab: Objective: Rates of help‐seeking and treatment uptake are low in eating disorders. Delayed initiation of treatment has a negative impact on prognosis and treatment outcome and leads to a higher burden on the healthcare system. The aim of this study was to explore factors associated with help‐seeking and their interactions in a large sample of adolescents and young adults with current symptoms of an eating disorder. Methods: Based on the Classification and Regression Trees (CART) algorithm, the data collected within the German school‐based project ProHEAD (N = 9796; age: 12–25 years) were used to estimate a decision tree to classify students into help‐seekers and non‐help‐seekers for a mental health issue. Results: Of those screened, 13% reported substantial current eating disorder symptoms (N = 1273). Out of those, 77.3% reported that they did not seek formal help (i.e., from a mental health professional). The absence of suicidal ideation and emotional problems, as well as a low level of education and openness to mental health issues, was characteristic of those who did not seek help for a mental health problem. Emotional problems, suicidality, and depressive symptoms were identified as the most important factors associated with general help‐seeking. Discussion: In line with previous research, our findings indicate that individuals with eating disorder symptoms are more likely to seek help when other mental health issues are present. Public health efforts should aim to promote awareness and increase knowledge of eating disorders.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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