Screening for Eating Disorders on College Campuses: a Review of the Recent Literature

Overview

Journal Curr Psychiatry Rep

Publisher Current Science

Specialty Psychiatry

Date 2019 Sep 16

PMID 31522343

Citations 24

Authors

Ellen E Fitzsimmons-Craft

Anna M Karam

Grace E Monterubio

C Barr Taylor

Denise E Wilfley

Affiliations

Soon will be listed here.

Abstract

Purpose Of Review: This paper provides a review of the recent literature on screening for eating disorders (EDs) on college campuses, and reports on methodology, prevalence rates, treatment receipt, and ED screening tools.

Recent Findings: Recent research highlights relatively high prevalence rates of EDs among students on college campuses, with the majority of studies demonstrating elevated prevalence compared to the general population. Among students who screened positive for an ED, approximately 20% or less reported having received treatment for their ED. Findings also revealed various recruitment strategies, methods, ED screening tools, and clinical cutoffs used to study this topic, making it challenging to draw firm conclusions about prevalence of EDs on college campuses. Recent research on ED screening on college campuses reveals that EDs are a significant problem among college students, and there is a marked treatment gap between those who need care and those who receive it. Implications and future research are discussed.

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References

Morgan J, Reid F, Lacey J . The SCOFF questionnaire: assessment of a new screening tool for eating disorders. BMJ. 1999; 319(7223):1467-8. PMC: 28290. DOI: 10.1136/bmj.319.7223.1467. View

Fitzsimmons-Craft E, Balantekin K, Eichen D, Graham A, Monterubio G, Sadeh-Sharvit S . Screening and offering online programs for eating disorders: Reach, pathology, and differences across eating disorder status groups at 28 U.S. universities. Int J Eat Disord. 2019; 52(10):1125-1136. PMC: 6996115. DOI: 10.1002/eat.23134. View

Fragkos K, Frangos C . Assessing eating disorder risk: the pivotal role of achievement anxiety, depression and female gender in non-clinical samples. Nutrients. 2013; 5(3):811-28. PMC: 3705321. DOI: 10.3390/nu5030811. View

Reyes-Rodriguez M, Franko D, Matos-Lamourt A, Bulik C, Holle A, Camara-Fuentes L . Eating disorder symptomatology: prevalence among Latino college freshmen students. J Clin Psychol. 2010; 66(6):666-79. PMC: 3017392. DOI: 10.1002/jclp.20684. View

Killen J, Taylor C, Hayward C, Wilson D, Haydel K, Hammer L . Pursuit of thinness and onset of eating disorder symptoms in a community sample of adolescent girls: a three-year prospective analysis. Int J Eat Disord. 1994; 16(3):227-38. DOI: 10.1002/1098-108x(199411)16:3<227::aid-eat2260160303>3.0.co;2-l. View

Graham A, Trockel M, Weisman H, Fitzsimmons-Craft E, Balantekin K, Wilfley D . A screening tool for detecting eating disorder risk and diagnostic symptoms among college-age women. J Am Coll Health. 2018; 67(4):357-366. PMC: 6320726. DOI: 10.1080/07448481.2018.1483936. View

Becker A, Franko D, Speck A, Herzog D . Ethnicity and differential access to care for eating disorder symptoms. Int J Eat Disord. 2003; 33(2):205-12. DOI: 10.1002/eat.10129. View

Jones M, Kass A, Trockel M, Glass A, Wilfley D, Taylor C . A population-wide screening and tailored intervention platform for eating disorders on college campuses: the healthy body image program. J Am Coll Health. 2014; 62(5):351-6. PMC: 4031301. DOI: 10.1080/07448481.2014.901330. View

Fitzsimmons-Craft E, Firebaugh M, Graham A, Eichen D, Monterubio G, Balantekin K . State-wide university implementation of an online platform for eating disorders screening and intervention. Psychol Serv. 2018; 16(2):239-249. PMC: 6499684. DOI: 10.1037/ser0000264. View

10.

Lipson S, Jones J, Taylor C, Wilfley D, Eichen D, Fitzsimmons-Craft E . Understanding and promoting treatment-seeking for eating disorders and body image concerns on college campuses through online screening, prevention and intervention. Eat Behav. 2016; 25:68-73. PMC: 5403617. DOI: 10.1016/j.eatbeh.2016.03.020. View

11.

Kronfol Z, Khalifa B, Khoury B, Omar O, Daouk S, deWitt J . Selected psychiatric problems among college students in two Arab countries: comparison with the USA. BMC Psychiatry. 2018; 18(1):147. PMC: 5968475. DOI: 10.1186/s12888-018-1718-7. View

12.

Currin L, Schmidt U, Waller G . Variables that influence diagnosis and treatment of the eating disorders within primary care settings: a vignette study. Int J Eat Disord. 2006; 40(3):257-62. DOI: 10.1002/eat.20355. View

13.

Kazdin A, Fitzsimmons-Craft E, Wilfley D . Addressing critical gaps in the treatment of eating disorders. Int J Eat Disord. 2017; 50(3):170-189. PMC: 6169314. DOI: 10.1002/eat.22670. View

14.

Wilfley D, Agras W, Taylor C . Reducing the burden of eating disorders: a model for population-based prevention and treatment for university and college campuses. Int J Eat Disord. 2013; 46(5):529-32. PMC: 3703768. DOI: 10.1002/eat.22117. View

15.

Sachs K, Harnke B, Mehler P, Krantz M . Cardiovascular complications of anorexia nervosa: A systematic review. Int J Eat Disord. 2015; 49(3):238-48. DOI: 10.1002/eat.22481. View

16.

Fairburn C, Beglin S . Assessment of eating disorders: interview or self-report questionnaire?. Int J Eat Disord. 1994; 16(4):363-70. View

17.

Kumar S, Nilsen W, Abernethy A, Atienza A, Patrick K, Pavel M . Mobile health technology evaluation: the mHealth evidence workshop. Am J Prev Med. 2013; 45(2):228-36. PMC: 3803146. DOI: 10.1016/j.amepre.2013.03.017. View

18.

Cachelin F, Striegel-Moore R . Help seeking and barriers to treatment in a community sample of Mexican American and European American women with eating disorders. Int J Eat Disord. 2005; 39(2):154-61. DOI: 10.1002/eat.20213. View

19.

Michaud C, McKenna M, Begg S, Tomijima N, Majmudar M, Bulzacchelli M . The burden of disease and injury in the United States 1996. Popul Health Metr. 2006; 4:11. PMC: 1635736. DOI: 10.1186/1478-7954-4-11. View

20.

Stice E, Marti C, Rohde P . Prevalence, incidence, impairment, and course of the proposed DSM-5 eating disorder diagnoses in an 8-year prospective community study of young women. J Abnorm Psychol. 2012; 122(2):445-57. PMC: 3980846. DOI: 10.1037/a0030679. View