Eating disorders: A hidden phenomenon in outpatient mental health?

BackgroundEating disorders are common but underdiagnosed illnesses. Help-seeking for co-occurring issues, such as anxiety and depression, are common.ObjectivesTo identify the prevalence of eating problems, using the SCOFF, and eating disorders when screening positive on the SCOFF (i.e., =2), among p...

Full description

Bibliographic Details
Main Authors: Fursland, A., Watson, Hunna
Format: Journal Article
Published: John Wiley & Sons, Inc. 2014
Subjects:
Online Access:http://hdl.handle.net/20.500.11937/12278
_version_ 1848748032959447040
author Fursland, A.
Watson, Hunna
author_facet Fursland, A.
Watson, Hunna
author_sort Fursland, A.
building Curtin Institutional Repository
collection Online Access
description BackgroundEating disorders are common but underdiagnosed illnesses. Help-seeking for co-occurring issues, such as anxiety and depression, are common.ObjectivesTo identify the prevalence of eating problems, using the SCOFF, and eating disorders when screening positive on the SCOFF (i.e., =2), among patients seeking help for anxiety and depression at a community-based mental health service.MethodPatients (N?=?260) consecutively referred and assessed for anxiety and depression treatment were administered the SCOFF screening questionnaire and a semi-structured standardized diagnostic interview during routine intake.Results18.5% (48/260) scored =2 on the SCOFF, indicating eating problems. Of these, 41% (19/48) met criteria for an eating disorder. Thus, overall, 7.3% (19/260) of the sample met criteria for a DSM-IV eating disorder. Those scoring =2 on the SCOFF were more likely to: be female (p?=?0.001), younger (p?=?0.003), and have a history of self-harm (p?<?0.001).DiscussionThis study confirms that eating disorders are a hidden phenomenon in general outpatient mental health. By using a standardized diagnostic interview to establish diagnosis rather than self- or staff-report, the study builds on limited previous findings. The naturalistic study setting shows that screening for eating disorders can be easily built into routine intake practice, and successfully identifies treatment need
first_indexed 2025-11-14T06:58:36Z
format Journal Article
id curtin-20.500.11937-12278
institution Curtin University Malaysia
institution_category Local University
last_indexed 2025-11-14T06:58:36Z
publishDate 2014
publisher John Wiley & Sons, Inc.
recordtype eprints
repository_type Digital Repository
spelling curtin-20.500.11937-122782017-09-13T14:58:45Z Eating disorders: A hidden phenomenon in outpatient mental health? Fursland, A. Watson, Hunna screening eating disorders SCOFF anxiety co-morbidity depression BackgroundEating disorders are common but underdiagnosed illnesses. Help-seeking for co-occurring issues, such as anxiety and depression, are common.ObjectivesTo identify the prevalence of eating problems, using the SCOFF, and eating disorders when screening positive on the SCOFF (i.e., =2), among patients seeking help for anxiety and depression at a community-based mental health service.MethodPatients (N?=?260) consecutively referred and assessed for anxiety and depression treatment were administered the SCOFF screening questionnaire and a semi-structured standardized diagnostic interview during routine intake.Results18.5% (48/260) scored =2 on the SCOFF, indicating eating problems. Of these, 41% (19/48) met criteria for an eating disorder. Thus, overall, 7.3% (19/260) of the sample met criteria for a DSM-IV eating disorder. Those scoring =2 on the SCOFF were more likely to: be female (p?=?0.001), younger (p?=?0.003), and have a history of self-harm (p?<?0.001).DiscussionThis study confirms that eating disorders are a hidden phenomenon in general outpatient mental health. By using a standardized diagnostic interview to establish diagnosis rather than self- or staff-report, the study builds on limited previous findings. The naturalistic study setting shows that screening for eating disorders can be easily built into routine intake practice, and successfully identifies treatment need 2014 Journal Article http://hdl.handle.net/20.500.11937/12278 10.1002/eat.22205 John Wiley & Sons, Inc. restricted
spellingShingle screening
eating disorders
SCOFF
anxiety
co-morbidity
depression
Fursland, A.
Watson, Hunna
Eating disorders: A hidden phenomenon in outpatient mental health?
title Eating disorders: A hidden phenomenon in outpatient mental health?
title_full Eating disorders: A hidden phenomenon in outpatient mental health?
title_fullStr Eating disorders: A hidden phenomenon in outpatient mental health?
title_full_unstemmed Eating disorders: A hidden phenomenon in outpatient mental health?
title_short Eating disorders: A hidden phenomenon in outpatient mental health?
title_sort eating disorders: a hidden phenomenon in outpatient mental health?
topic screening
eating disorders
SCOFF
anxiety
co-morbidity
depression
url http://hdl.handle.net/20.500.11937/12278