Prevalence of eating disorder risk and associations with health-related quality of life: results from a large school-based population screening
Open accessAbstract
Objective: The objective of this study was to investigate the prevalence of eating disorder (ED) risk as well as associated psychopathology and health‐related quality of life (HrQoL) in a large population sample of Austrian adolescents. Method: A sample of 3610 adolescents aged 10–18 years was recruited from 261 schools representative for the Austrian population. The SCOFF questionnaire was used to identify participants at risk for EDs, and the Youth Self‐Report and KIDSCREEN were used to assess general psychopathology and HrQoL. Results: In total, 30.9% of girls and 14.6% of boys were screened at risk for EDs. SCOFF scores were significantly associated with internalising and externalising behavioural problems as well as HrQoL after controlling for sex, age and body mass index. The SCOFF score further turned out to be an independent predictor of HrQoL. Discussion: The high prevalence of ED risk among Austrian adolescents points out the need for prevention in this field. Variables indicating eating pathology should be included in general mental health screenings. Copyright © 2015 John Wiley & Sons, Ltd and Eating Disorders Association.
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The YSR, SCOFF, and KIDSCREEN are validated and often used instruments.
“we obtained data from three validated and often used instruments to assess psychopathological symptoms and quality of life.”
From Psychopathological symptoms and well-being in overweight and underweight adolescents: A network analysis (2021) · cites this paper as [8]
The General psychopathology and Health-related quality of life sections describe the YSR and KIDSCREEN as measures with good internal consistency and German normative data. The Eating disorder screening section reports diagnostic-accuracy evidence and prior epidemiological use for SCOFF, and the Associations section explicitly calls YSR frequently used. Our copy does not establish that KIDSCREEN is often used, so it supports most, but not all, of the claim about all three instruments. (LLM, conf=0.78)
Experimental — accuracy not yet measuredEating disorder risk in overweight adolescents was about twice as high as in the normal weight population.
“Most obvious, the eating disorder risk in overweight adolescent was about twice as high as in the normal weight population, which supports previously published literature emphasizing the high prevalence of binge eating and compensatory and unhealthy weight control behavior in overweight and obese adolescent populations [8,49,50].”
From Psychopathological symptoms and well-being in overweight and underweight adolescents: A network analysis (2021) · cites this paper as [8]
The ‘Associations between SCOFF and body mass index’ section (page unavailable) reports that eating-disorder risk increased with BMI class, supporting the direction of the comparison. Our text does not give an overall overweight-versus-normal-weight estimate showing that risk was about twice as high; the numerical comparisons provided are for individual SCOFF items, not overall risk. (LLM, conf=0.83)
Experimental — accuracy not yet measuredThe pre-pandemic prevalence of eating pathology symptoms was estimated to range from 9.4% to 23.6%.
“Taken together, effect sizes from these studies indicated that the pre-pandemic prevalence rate of symptoms of eating pathology ranged from 9.4% to 23.6%.”
From Prevalence rates of anxiety, depressive, and eating pathology symptoms between the pre- and peri-COVID-19 eras: A meta-analysis (2022) · cites this paper as Zeiler et al., 2016
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- Authors
- Zeiler, M., Waldherr, K., Philipp, J., Nitsch, M., Dür, W., Karwautz, A., & Wagner, G.
- Affiliations
- Ludwig Boltzmann Institut Health Promotion Research (AT)
- Medical University of Vienna (AT)
- Corresponding author
- Karwautz, Andreas
- Wagner, Gudrun
- Venue
- European Eating Disorders Review
- Publisher
- Wiley
- Published
- 2015-05-26
- Volume
- 24
- Issue
- 1
- Pages
- 9-18
- ISSN
- 1072-4133 (ISSN-L)
- 1099-0968
- OpenAlex
- W1897742370
- Cited by
- 84
- References
- 58
- Citations by year
- 2026: 2 · 2025: 3 · 2024: 12 · 2023: 12 · 2022: 11 · 2021: 9 · 2020: 8 · 2019: 7 · 2018: 11 · 2017: 6 · 2016: 2 · 2015: 1
- FWCI
- 8.27
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- European Eating Disorders Review (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Pharmig (FA765A0303)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
- Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
- Health Sciences › Medicine › Psychiatry and Mental health › Child Nutrition and Feeding Issues
- Keywords
- eating disorder risk, health-related quality of life, adolescents, SCOFF questionnaire, psychopathology, internalizing problems, externalizing problems, eating disorder screening, eating disorder prevention, school-based screening
- MeSH terms
- Adolescent, Feeding and Eating Disorders, Austria, Child, Female, Humans, Male, Mass Screening, Psychopathology, Quality of Life, Surveys and Questionnaires, Risk, School Health Services, Prevalence, Self Report
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