Prevalence and management of people with eating disorders presenting to primary care: a national study
Abstract
Objective: Primary care practitioners are well placed to support diagnosis and appropriate treatment of eating disorders as they are often the first point of contact with the health care system. However, little is known about management of eating disorders in primary care. We aimed to estimate the prevalence of management of eating disorders in primary care and identify how these disorders are managed. Methods: This study used data from the Bettering the Evaluation of Care of Health programme, which annually surveys 1000 randomly sampled general practitioners in Australia who each record details of 100 successive patient encounters. In total, data were utilised from 1,568,100 primary care encounters between 2000/2001 and 2015/2016. Results: Eating disorders were managed in less than 1% of primary care encounters between 2000/2001 and 2015/2016. When extrapolated to the Australian population, up to 0.32% of the population were managed in primary care for a primary or probable eating disorder. In the majority of encounters where an eating disorder was managed (58.5%), the encounter was initiated for reasons other than the eating disorder itself. Of a group of patients identified with a clinically significant low body mass index ( N = 5917), a small number ( n = 118) had either no other diagnosis or a related condition that may be indicative of an eating disorder. In encounters where an eating disorder was managed, referrals to a mental health specialist/service, medical specialist and nutritionist/dietician were provided in 20%, 8% and 6% of encounters, respectively. Mental health treatment plans, which provide subsidised access to mental health services, were ascribed in approximately 7.7% of encounters where an eating disorder was managed. Conclusion: Primary care provides an opportunity to improve detection and management of eating disorders, particularly when patients present for ‘other’ issues or with unexplained low body mass index and one or more symptoms related to an eating disorder.
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Poor recognition of non-underweight ED presentations impacts detection in the health system.
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From The acceptability, feasibility, and preliminary efficacy of a supported online self-help treatment program for binge-eating disorder (2023) · cites this paper as [14]
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- Authors
- Ivancic, L., Maguire, S., Miskovic-Wheatley, J., Harrison, C., & Nassar, N.
- Affiliations
- The University of Sydney (AU)
- InsideOut Institute, Faculty of Medicine and Health, Charles Perkins Centre, University of Sydney, Camperdown, NSW, Australia
- Corresponding author
- Ivancic, Lorraine
- Venue
- Australian & New Zealand Journal of Psychiatry
- Publisher
- SAGE Publications
- Published
- 2021-03-15
- Volume
- 55
- Issue
- 11
- Pages
- 1089-1100
- ISSN
- 0004-8674 (ISSN-L)
- 1440-1614
- OpenAlex
- W3139055472
- Cited by
- 46
- References
- 41
- Citations by year
- 2026: 9 · 2025: 10 · 2024: 5 · 2023: 7 · 2022: 11 · 2021: 3 · 2020: 1
- FWCI
- 4.43
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Australian & New Zealand Journal of Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- 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, primary care, prevalence, eating disorder treatment, general practitioners, low body mass index, psychiatric referral
- MeSH terms
- Feeding and Eating Disorders, Australia, Humans, Primary Health Care, Prevalence, General Practitioners
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