Understanding and promoting treatment-seeking for eating disorders and body image concerns on college campuses through online screening, prevention and intervention
Open accessAbstract
While there have been important recent advances in the development of effective universal prevention and intervention programs, it is not yet clear how to engage large numbers of students in these programs. In this paper, we report findings from a two-phase pilot study. In the first phase, we used a population-level, online survey to assess eating disorder symptom level and habits/attitudes related to service utilization (N=2180). Using validated screening tools, we found that roughly one in three students has significant symptoms of eating disorders or elevated weight concerns, the vast majority of whom (86.5%) have not received treatment. In the second phase, we referred students to online prevention and selective/indicated intervention programs based on symptom classification (N=1916). We find that program enrollment is highest for students in the indicated intervention (18.1%) and lowest for students in the universal prevention (4.1%). We find that traditionally-emphasized barriers such as stigma, misinformation, and financial limitations do not appear to be the most important factors preventing treatment-seeking. Rather students report not seeking help for reasons such as lack of time, lack of perceived need, and a desire to deal with the issue "on my own." Findings offer insight into the treatment-seeking habits and attitudes of college students, including those barriers that may be overcome by offering online programs and those that persist despite increased access to and convenience of relevant resources.
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Studies of other programs (Healthy Body Image, Student Bodies) found that higher adherence was associated with higher perceived need for help and higher eating pathology, respectively.
“studies of other programs, such as the Healthy Body Image program [61] and Student Bodies [28], which found that higher adherence was associated with higher perceived need for help and higher eating pathology, respectively”
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Additional file of Examination of eating disorder risk among university marching band artists
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- Authors
- Lipson, S. K., Jones, J. M., Taylor, C. B., Wilfley, D. E., Eichen, D. M., Fitzsimmons-Craft, E. E., & Eisenberg, D.
- Affiliations
- University of Michigan (US)
- Palo Alto University (US)
- Washington University in St. Louis (US)
- University of California San Diego (US)
- Corresponding author
- Lipson, Sarah Ketchen
- Venue
- Eating Behaviors
- Publisher
- Elsevier BV
- Published
- 2017-04
- Volume
- 25
- Pages
- 68-73
- ISSN
- 1471-0153 (ISSN-L)
- PMC
- PMC5403617
- OpenAlex
- W2313507304
- Cited by
- 83
- References
- 23
- Citations by year
- 2026: 6 · 2025: 9 · 2024: 7 · 2023: 8 · 2022: 11 · 2021: 15 · 2020: 9 · 2019: 8 · 2018: 5 · 2017: 3 · 2016: 2
- FWCI
- 8.02
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Eating Behaviors (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- eScholarship (California Digital Library) (submittedVersion)
- Funders
- National Institute of Mental Health (NIH/NIMH R01 (MH100455-01))
- Topics
- Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
- Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Keywords
- eating disorders, body image concern, university students, treatment seeking, help-seeking barriers, online screening, universal prevention programs, online prevention program, weight concern, stigma, help-seeking attitudes
- MeSH terms
- Adolescent, Adult, Feeding and Eating Disorders, Body Image, Female, Health Promotion, Humans, Male, Mass Screening, Patient Acceptance of Health Care, Pilot Projects, Surveys and Questionnaires, Students, United States, Universities, Internet, Young Adult
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