Cited by 456Eating Disorders and BehaviorsNutrition, Health and Food BehaviorChild Nutrition and Feeding Issues

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The epidemiology of eating disorders in six European countries: results of the ESEMeD-WMH project.

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Preti, Antonio, Girolamo, Giovanni de, Vilagut, Gemma, Alonso, Jordi, Graaf, Ron de, Bruffaerts, Ronny, Demyttenaere, Koen, Pinto-Meza, Alejandra, Haro, Josep Maria, Morosini, Piero·2009·Journal of Psychiatric Research

DOI 10.1016/j.jpsychires.2009.04.003

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Abstract

Few data are available to estimate the prevalence of eating disorders (EDs) and their correlates in the community. This paper reports data on EDs obtained in the framework of the ESEMeD project, aimed at investigating the prevalence of non-psychotic mental disorders in six European countries (Belgium, France, Germany, Italy, the Netherlands and Spain), using a new version of the Composite International Diagnostic Interview. The ESEMeD study was a general population cross-sectional household survey. In total, 21,425 respondents aged 18 or older provided data for the project between January 2001 and August 2003. A subsample (N=4139) underwent a detailed investigation on EDs. Lifetime estimated prevalence of anorexia nervosa, bulimia nervosa, binge eating disorder, sub-threshold binge eating disorder, and any binge eating were 0.48%, 0.51%, 1.12%, 0.72%, and 2.15%, respectively, and they were 3-8 times higher among women for all EDs. However, since people under 18 were excluded from this study, our prevalence should be taken as lower-bound estimate of real frequencies. Indeed, cumulative lifetime prevalence analysis showed that the majority of eating disorders had their initial onset between 10 and 20 years of age. Role impairment and comorbidity with other mental disorders were highly common, yet only small proportions of patients with a lifetime diagnosis of EDs requested medical treatment. It still has to be proven whether early diagnostic identification and access to specialized care can reduce the burden caused by these disorders.

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Authors: Preti, A., Girolamo, G. D., Vilagut, G., Alonso, J., Graaf, R. D., Bruffaerts, R., Demyttenaere, K., Pinto-Meza, A., Haro, J. M., & Morosini, P.
Affiliations: University of Cagliari (IT)
Centro San Giovanni di Dio Fatebenefratelli (IT)
Municipal Institute for Medical Research (ES)
Centro de Investigación Biomédica en Red de Salud Mental (ES)
Istituto Superiore di Sanità (IT)
ORCID: Preti, Antonio
Girolamo, Giovanni de
Vilagut, Gemma
Alonso, Jordi
Bruffaerts, Ronny
Demyttenaere, Koen
Haro, Josep Maria
Venue: Journal of Psychiatric Research
Publisher: Elsevier BV
Published: 2009-09
Volume: 43
Issue: 14
Pages: 1125-1132
ISSN: 0022-3956 (ISSN-L)
DOI: 10.1016/j.jpsychires.2009.04.003
OpenAlex: W2125345977
Cited by: 456
References: 73
Citations by year: 2026: 6 · 2025: 11 · 2024: 22 · 2023: 14 · 2022: 32 · 2021: 24 · 2020: 28 · 2019: 28 · 2018: 30 · 2017: 36 · 2016: 34 · 2015: 49 · 2014: 35 · 2013: 36 · 2012: 38
FWCI: 25.07
Type: journal article
Language: en
Open access: green
hdl.handle.net
Licence: other-oa
www.elsevier.com/tdm/userlicense/1.0/ (tdm)
Locations: Journal of Psychiatric Research (publishedVersion)
PubMed (publishedVersion)
Institutional Research Information System University of Turin (University of Turin) (submittedVersion, other-oa)
Lirias (submittedVersion, other-oa)
UNICA IRIS Institutional Research Information System (University of Cagliari) (submittedVersion)
Funders: GlaxoSmithKline
World Health Organization
European Commission (QLG5–1999-01042, SANCO2004123, 2004123)
Generalitat de Catalunya (01042)
Ministerio de Ciencia y Tecnología (SAF 2000 158-CE)
Regione Piemonte (00/0028)
Instituto de Salud Carlos III (FIS 00/0028)
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, lifetime prevalence, sex differences, age of onset, role impairment, comorbidities, help-seeking
MeSH terms: Adolescent, Adult, Age Factors, Aged, Feeding and Eating Disorders, Mental Disorders, Cross-Sectional Studies, Disability Evaluation, Europe, Female, Health Surveys, Humans, International Cooperation, Male, Middle Aged, Retrospective Studies, Cohort Studies, Prevalence, Age of Onset, Young Adult

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The epidemiology of eating disorders in six European countries: results of the ESEMeD-WMH project.

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