Prevalence and correlates of DSM-5-defined eating disorders in a nationally representative sample of U.S. Adults
Open accessAbstract
Background Few population-based data on the prevalence of eating disorders exist, and such data are especially needed because of changes to diagnoses in the DSM-5. This study aimed to provide lifetime and 12-month prevalence estimates of DSM-5-defined anorexia nervosa (AN), bulimia nervosa (BN), and binge-eating disorder (BED) from the 2012-2013 National Epidemiologic Survey on Alcohol and Related Conditions.Methods A national sample of 36,306 U.S. adults completed structured diagnostic interviews (Alcohol Use Disorder and Associated Disabilities Interview Schedule-5).Results Prevalence estimates of lifetime AN, BN, and BED were 0.80% (SE 0.07%), 0.28% (SE 0.03%), and 0.85% (SE 0.05%), respectively. Twelve-month estimates for AN, BN, and BED were 0.05% (SE 0.02%), 0.14% (SE 0.02%), and 0.44% (SE 0.04%). The odds of lifetime and 12-month diagnoses of all three eating disorders were significantly greater for women than for men after adjusting for age, race and/or ethnicity, education, and income. Adjusted odds ratios (AORs) of lifetime AN diagnosis were significantly lower for non-Hispanic black and Hispanic respondents than for white respondents. AORs of lifetime and 12-month BN diagnoses did not differ significantly by race and/or ethnicity. The AOR of lifetime, but not 12-month, BED diagnosis was significantly lower for non-Hispanic black respondents relative to that of non-Hispanic white respondents; AORs of BED for Hispanic and non-Hispanic white respondents did not differ significantly. AN, BN, and BED were characterized by significant differences in age of onset, persistence and duration of episodes, and rates of current obesity and psychosocial impairment.Conclusions These findings for DSM-5-defined eating disorders, based on the largest national sample of U.S. adults studied to date, indicate some important similarities to and differences from earlier, smaller nationally representative studies.
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Not all mental health conditions can be work related; some conditions occur in patients of nonworking age (e.g., median age of onset of anorexia nervosa and bulimia nervosa is below 18), or some conditions (such as certain manic episodes) can be induced by medications.
“Not all mental health conditions can be work related; for instance, some conditions occur in patients of nonworking age (e.g., the median age of onset of anorexia nervosa and bulimia nervosa is below 18 [34]), or some conditions (such as certain manic episodes) can be induced by medications.”
From Mindfulness-based Practices in Workers to Address Mental Health Conditions: A Systematic Review (2023) · cites this paper as [34]
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“Contrary to its common misconception as a “mild” illness (5), evidence suggests those with BED experience distressing symptom episodes and have the longest duration of untreated illness amongst EDs (6, 7).”
BackgroundMindfulness-based Practices in Workers to Address Mental Health Conditions: A Systematic Review
Durand-Moreau, Q., Jackson, T., Deibert, D., Els, C., Kung, J. Y., & Straube, S. (2023) · Safety and Health at Work · doi:10.1016/j.shaw.2023.07.006
- Authors
- Udo, T., & Grilo, C. M.
- Affiliations
- State University of New York (US)
- Yale University (US)
- Corresponding author
- Udo, Tomoko
- Venue
- Biological Psychiatry
- Publisher
- Elsevier BV
- Published
- 2018-09
- Volume
- 84
- Issue
- 5
- Pages
- 345-354
- ISSN
- 0006-3223 (ISSN-L)
- PMC
- PMC6097933
- OpenAlex
- W2801697874
- Cited by
- 799
- References
- 29
- Citations by year
- 2026: 49 · 2025: 102 · 2024: 124 · 2023: 116 · 2022: 117 · 2021: 110 · 2020: 95 · 2019: 66 · 2018: 15 · 2013: 1
- FWCI
- 83.82
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Biological Psychiatry (acceptedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute of Diabetes and Digestive and Kidney Diseases (K24DK070052)
- 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 disorders, anorexia nervosa, bulimia nervosa, binge eating disorder, DSM-5 diagnostic criteria, prevalence, lifetime prevalence, 12-month prevalence, sex differences, racial and ethnic differences, age of onset, obesity, psychosocial impairment, NESARC
- MeSH terms
- Adolescent, Adult, Anorexia Nervosa, Feeding and Eating Disorders, Female, Humans, Male, Middle Aged, Obesity, United States, Body Mass Index, Prevalence, Age of Onset, Diagnostic and Statistical Manual of Mental Disorders, Bulimia Nervosa, Young Adult, Binge-Eating Disorder
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