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Longer-term follow-up of college students screening positive for anorexia nervosa: Psychopathology, help seeking, and barriers to treatment

Eating Disorders Jun 01, 2019

Fitzsimmons EE, et al. - Students identified with possible anorexia nervosa (AN) were followed for a longer-term (ie, 9-month) as part of the Healthy Body Image Program, an online platform for screening and delivering tailored feedback and interventions, offered at 36 US universities. Sixty one individuals who screened positive for AN and who completed the follow-up comprised the participants. In response to receiving the referral, participants most commonly endorsed feeling ashamed, nervous, validated, and sad. Researchers identified emotional distress, concern with eating, and health concerns as the most common reasons for seeking treatment. Believing one should be able to help themselves, believing the problem was not serious enough to warrant treatment, and not having time were the strongest treatment barriers. Students identified with possible AN thus display a high level of pathology, even nine months after they were first identified and provided resources, and had received treatment at relatively low rates despite the seriousness of these illnesses.
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