Eating Disorder Behaviors Are Increasing: Findings from Two Sequential Community Surveys in South Australia
Open accessAbstract
BACKGROUND: Evidence for an increase in the prevalence of eating disorders is inconsistent. Our aim was to determine change in the population point prevalence of eating disorder behaviors over a 10-year period. METHODOLOGY/PRINCIPAL FINDINGS: Eating disorder behaviors were assessed in consecutive general population surveys of men and women conducted in 1995 (n = 3001, 72% respondents) and 2005 (n = 3047, 63.1% respondents). Participants were randomly sampled from households in rural and metropolitan South Australia. There was a significant (all p<0.01) and over two-fold increase in the prevalence of binge eating, purging (self-induced vomiting and/or laxative or diuretic misuse) and strict dieting or fasting for weight or shape control among both genders. The most common diagnosis in 2005 was either binge eating disorder or other "eating disorders not otherwise specified" (EDNOS; n = 119, 4.2%). CONCLUSIONS/SIGNIFICANCE: In this population sample the point prevalence of eating disorder behaviors increased over the past decade. Cases of anorexia nervosa and bulimia nervosa, as currently defined, remain uncommon.
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Australian research suggests that prevalence of diagnosable eating disorders is increasing.
“Australian research suggests that prevalence of diagnosable eating disorders is increasing. 118”
From Assessment and management of polycystic ovary syndrome: Summary of an evidence-based guideline (2011) · cites this paper as [118]
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Cites
The prevalence and correlates of eating disorders in the National Comorbidity Survey Replication
Hudson, J. I., Hiripi, E., Pope, H. G., & Kessler, R. C. (2007) · Biological Psychiatry · doi:10.1016/j.biopsych.2006.03.040 · Cited by 4,973 · see citing works
Cognitive behaviour therapy for eating disorders: a “transdiagnostic” theory and treatment
Fairburn, C. G., Cooper, Z., & Shafran, R. (2003) · Behaviour Research and Therapy · doi:10.1016/s0005-7967(02)00088-8 · Cited by 3,374 · see citing works
Mendelson, G. (1995) · Australian & New Zealand Journal of Psychiatry · doi:10.3109/00048679509064964 · Cited by 2,592 · see citing works
Christakis, D., Richards, J. A., Zimmerman, F. J., Garrison, M. M., Xu, D., & Yapanel, U. H. (2009) · Cited by 2,290 · see citing works
Bulimia nervosa: an ominous variant of anorexia nervosa
RUSSELL, G. F. M. (1979) · Psychological Medicine · doi:10.1017/s0033291700031974 · Cited by 1,795 · see citing works
Six-Month Prevalence of Psychiatric Disorders in Three Communities
Myers, J. K. (1984) · Archives of General Psychiatry · doi:10.1001/archpsyc.1984.01790210041006 · Cited by 1,573 · see citing works
Review of the prevalence and incidence of eating disorders
Hoek, H. W., & van Hoeken, D. (2003) · International Journal of Eating Disorders · doi:10.1002/eat.10222 · Cited by 1,464 · see citing works
Fairburn, C. G., & Harrison, P. J. (2003) · The Lancet · doi:10.1016/s0140-6736(03)12378-1 · Cited by 1,396 · see citing works
50-year trends in the incidence of anorexia nervosa in Rochester, Minn.: a population-based study.
Lucas, A. R., Beard, C., O'Fallon, W., & Kurland, L. (1991) · American Journal of Psychiatry · doi:10.1176/ajp.148.7.917 · Cited by 593 · see citing works
Cooper, Z., & Fairburn, C. G. (1987) · PsycTESTS Dataset · doi:10.1037/t03975-000 · Cited by 498 · see citing works
Time trends in eating disorder incidence
Currin, L. G., Schmidt, U. H., Treasure, J. L., & Jick, H. (2005) · The British Journal of Psychiatry · doi:10.1192/bjp.186.2.132 · Cited by 362 · see citing works
V.‐Anorexia Nervosa (Apepsia Hysterica, Anorexia Hysterica)
Gull, W. (1997) · Obesity Research · doi:10.1002/j.1550-8528.1997.tb00677.x · Cited by 239 · see citing works
Time trends in the incidence of eating disorders: A primary care study in The Netherlands
van Son, G. E., van Hoeken, D., Bartelds, A. I. M., van Furth, E. F., & Hoek, H. W. (2006) · International Journal of Eating Disorders · doi:10.1002/eat.20316 · Cited by 218 · see citing works
Cognitive Behaviour Therapy for Eating Disorders
Cooper, Z., & Shafran, R. (2008) · Behavioural and Cognitive Psychotherapy · doi:10.1017/s1352465808004736 · Cited by 201 · see citing works
Wells, J. E., Browne, M. A. O., Scott, K. M., McGee, M. A., Baxter, J., & Kokaua, J. (2006) · Australian & New Zealand Journal of Psychiatry · doi:10.1080/j.1440-1614.2006.01903.x · Cited by 194 · see citing works
Grilo, C. M. (2014) · Psychology Press eBooks · doi:10.4324/9781315820101 · Cited by 188 · see citing works
Point prevalence of bulimia nervosa in 1982, 1992, and 2002
Keel, P. K., Heatherton, T. F., Dorer, D. J., Joiner, T. E., & Zalta, A. K. (2005) · Psychological Medicine · doi:10.1017/s0033291705006148 · Cited by 148 · see citing works
Prevalence of three bulimia syndromes in the general population.
Bushnell, J. A., Wells, J. E., Hornblow, A. R., Oakley-Browne, M. A., & Joyce, P. (1990) · Psychological Medicine · doi:10.1017/s0033291700017190 · Cited by 144 · see citing works
One-month prevalence of depression and other DSM-IV disorders among young adults
Aalto-Setälä, T., Marttunen, M., Tuulio-Henriksson, A., Poikolainen, K., & Lönnqvist, J. (2001) · Psychological Medicine · doi:10.1017/s0033291701004081 · Cited by 103 · see citing works
Food cravers: Characteristics of those who binge
Gendall, K. A., Joyce, P. R., Sullivan, P. F., & Bulik, C. M. (1998) · International Journal of Eating Disorders · doi:10.1002/(sici)1098-108x(199805)23:4 · Cited by 96 · see citing works
Functional impairment associated with bulimic behaviors in a community sample of men and women
Mond, J., & Hay, P. (2007) · International Journal of Eating Disorders · doi:10.1002/eat.20380 · Cited by 91 · see citing works
Self-citationDas Anorexia-nervosa-Inventar zur Selbstbeurteilung (ANIS)
Fichter, M. M., & Keeser, W. (1980) · European Archives of Psychiatry and Clinical Neuroscience · doi:10.1007/bf00365746 · Cited by 90 · see citing works
Ten-year stability and predictive validity of five bulimia-related indicators
Joiner, T. E., Heatherton, T. F., & Keel, P. K. (1997) · American Journal of Psychiatry · doi:10.1176/ajp.154.8.1133 · Cited by 81 · see citing works
Bulimia nervosa in Rochester, Minnesota from 1980 to 1990
Soundy, T. J., Lucas, A. R., Suman, V. J., & Melton, L. J. (1995) · Psychological Medicine · doi:10.1017/s0033291700037557 · Cited by 75 · see citing works
Bishop, E. R. (2007) · Eating Disorders · doi:10.1080/10640260701667938 · Cited by 72 · see citing works
Eating disorder patient referrals from a population region 1977–1986
Hall, A. K., & Hay, P. (1991) · Psychological Medicine · doi:10.1017/s0033291700022339 · Cited by 68 · see citing works
Self-citationPrevalence of eating disorders and weight control practices in Germany in 1990 and 1997
Westenhöfer, J. (2001) · International Journal of Eating Disorders · doi:10.1002/eat.1045 · Cited by 52 · see citing works
Lack of Relation between Culture and Anorexia Nervosa — Results of an Incidence Study on Curaçao
Hoek, H. W., van Harten, P. N., van Hoeken, D., & Susser, E. (1998) · New England Journal of Medicine · doi:10.1056/nejm199804233381717 · Cited by 49 · see citing works
Eating Disorders Across the Life Span
Brandsma, L. L. (2007) · Journal of Women & Aging · doi:10.1300/j074v19n01_10 · Cited by 44 · see citing works
Eating attitudes and their correlates among Canadian women concerned about their weight
Park, J., & Beaudet, M. P. (2006) · European Eating Disorders Review · doi:10.1002/erv.741 · Cited by 38 · see citing works
Nonresponse bias in a general population survey of eating‐disordered behavior
Mond, J., Rodgers, B., Hay, P., Owen, C. A., & Beumont, P. J. V. (2004) · International Journal of Eating Disorders · doi:10.1002/eat.20007 · Cited by 37 · see citing works
Self-citationTime trends in eating disturbances in young Greek migrants
Fichter, M. M., Quadflieg, N., Georgopoulou, E., Xepapadakos, F., & Fthenakis, E. W. (2005) · International Journal of Eating Disorders · doi:10.1002/eat.20187 · Cited by 33 · see citing works
Flagged first, then by citations
Research works printed but not linked: 2
- [5]American Psychiatric Association 1980 Diagnostic and Statistical Manual of Mental Disorders (Third Edition), Washington, DC American Psychiatric Association
- [6]American Psychiatric Association 1994 Diagnostic and Statistical Manual of Mental Disorders (Fourth Edition), Washington, DC American Psychiatric Association
Cited by
Sorted by citations
Kessler, R. C., Berglund, P. A., Chiu, W. T., Deitz, A. C., Hudson, J. I., Shahly, V., Aguilar-Gaxiola, S., Alonso, J., Angermeyer, M. C., Benjet, C., et al. (2013) · Biological Psychiatry · doi:10.1016/j.biopsych.2012.11.020 · Cited by 1,338 · see citing works
Hay, P., Chinn, D., Forbes, D., Madden, S., Newton, R., Sugenor, L., Touyz, S., & Ward, W. (2014) · Australian & New Zealand Journal of Psychiatry · doi:10.1177/0004867414555814 · Cited by 656 · see citing works
Self-citationThe epidemiology of eating disorders in six European countries: results of the ESEMeD-WMH project.
Preti, A., Girolamo, G. D., Vilagut, G., Alonso, J., Graaf, R. D., Bruffaerts, R., Demyttenaere, K., Pinto-Meza, A., Haro, J. M., & Morosini, P. (2009) · Journal of Psychiatric Research · doi:10.1016/j.jpsychires.2009.04.003 · Cited by 456 · see citing works
Psychosocial risk factors for eating disorders
Keel, P. K., & Forney, K. J. (2013) · International Journal of Eating Disorders · doi:10.1002/eat.22094 · Cited by 390 · see citing works
Assessment and management of polycystic ovary syndrome: Summary of an evidence-based guideline
Teede, H. J., Misso, M. L., Deeks, A. A., Moran, L. J., Stuckey, B. G. A., Wong, J. L. A., Norman, R. J., Costello, M. F., & Groups, O. B. O. T. G. D. (2011) · Medical Journal of Australia · doi:10.5694/mja11.10915 · Cited by 379 · see citing works
Psychological treatments for bulimia nervosa and binging
Hay, P. P., Bacaltchuk, J., Stefano, S., & Kashyap, P. (2009) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd000562.pub3 · Cited by 215 · see citing works
Self-citationCarrard, I., Crépin, C., Rouget, P., Lam, T., Golay, A., & Van der Linden, M. (2011) · Behaviour Research and Therapy · doi:10.1016/j.brat.2011.05.004 · Cited by 176 · see citing works
Mond, J. M., Latner, J. D., Hay, P. H., Owen, C., & Rodgers, B. (2010) · Behaviour Research and Therapy · doi:10.1016/j.brat.2010.03.020 · Cited by 129 · see citing works
Self-citationThe medical complications associated with purging
Forney, K. J., Buchman‐Schmitt, J. M., Keel, P. K., & Frank, G. K. W. (2016) · International Journal of Eating Disorders · doi:10.1002/eat.22504 · Cited by 130 · see citing works
A 4-year prospective study of eating disorder NOS compared with full eating disorder syndromes
Agras, W. S., Crow, S., Mitchell, J. E., Halmi, K. A., & Bryson, S. (2009) · International Journal of Eating Disorders · doi:10.1002/eat.20708 · Cited by 97 · see citing works
Leong, S. L., Madden, C., Gray, A., & Horwath, C. (2012) · Journal of the Academy of Nutrition and Dietetics · doi:10.1016/j.jand.2012.04.018 · Cited by 59 · see citing works
- Authors
- Hay, P. J., Mond, J., Buttner, P., & Darby, A.
- Affiliations
- Western Sydney University (AU)
- La Trobe University (AU)
- James Cook University (AU)
- Corresponding author
- Hay, Phillipa J.
- Venue
- PLoS ONE
- Publisher
- Public Library of Science (PLoS)
- Published
- 2008-02-06
- Volume
- 3
- Issue
- 2
- Pages
- e1541
- ISSN
- 1932-6203 (ISSN-L)
- PMC
- PMC2212110
- OpenAlex
- W2017207776
- Cited by
- 335
- References
- 32
- Citations by year
- 2026: 5 · 2025: 9 · 2024: 5 · 2023: 13 · 2022: 23 · 2021: 11 · 2020: 15 · 2019: 18 · 2018: 17 · 2017: 22 · 2016: 21 · 2015: 32 · 2014: 31 · 2013: 36 · 2012: 17
- FWCI
- 22.31
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- PLoS ONE (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- ResearchOnline - JCU (James Cook University) (submittedVersion)
- eCite Digital Repository (University of Tasmania) (submittedVersion, cc-by)
- RePEc: Research Papers in Economics (submittedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Figshare (submittedVersion, cc-by)
- Griffith Research Online (submittedVersion)
- Funders
- James Cook University
- 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, binge eating, purging behavior, self-induced vomiting, laxative misuse, dieting, anorexia nervosa, bulimia nervosa, eating disorder not otherwise specified, South Australia
- MeSH terms
- Feeding and Eating Disorders, Australia, Body Image, Bulimia, Diet, Reducing, Fasting, Female, Health Surveys, Humans, Male, Residence Characteristics, Prevalence
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