Development of a Positive Body Image Chatbot (KIT) With Young People and Parents/Carers: Qualitative Focus Group Study DOI Creative Commons
Francesca Beilharz, Suku Sukunesan, Susan L. Rossell

et al.

Journal of Medical Internet Research, Journal Year: 2021, Volume and Issue: 23(6), P. e27807 - e27807

Published: June 16, 2021

Background Body image and eating disorders represent a significant public health concern; however, many affected individuals never access appropriate treatment. Conversational agents or chatbots reflect unique opportunity to target those online by providing psychoeducation coping skills, thus filling the gap in service provision. Objective A world-first body chatbot called “KIT” was designed. The aim of this study assess preliminary acceptability feasibility via collection qualitative feedback from young people parents/carers regarding content, structure, design chatbot, accordance with an agile methodology strategy. developed collaboration Australia’s national disorder support organization, Butterfly Foundation. Methods conversation decision tree designed that offered psychoeducational information on disorders, as well evidence-based strategies. version KIT built research prototype deliver these conversations. Six focus groups were conducted using semistructured interviews seek prototype. This included four seeking help for themselves (n=17; age 13-18 years) two (n=8; 46-57 years). Participants provided cartoon character design, webchat. Results Thematic analyses identified following three main themes six groups: (1) (2) content presentation, (3) flow. Overall, participants positive KIT, both generally similar reflections. approved KIT’s engagement. Specific suggestions made brevity tone increase interactivity. Conclusions Focus overall chatbot. Incorporating lived experience allowed refinement development phase per iterative methodology. Further is required evaluate efficacy.

Language: Английский

Incidence, prevalence and mortality of anorexia nervosa and bulimia nervosa DOI Creative Commons
Annelies E. van Eeden, Daphne van Hoeken, Hans W. Hoek

et al.

Current Opinion in Psychiatry, Journal Year: 2021, Volume and Issue: 34(6), P. 515 - 524

Published: Aug. 22, 2021

Purpose of review To the recent literature on epidemiology anorexia nervosa and bulimia in terms incidence, prevalence mortality. Recent findings Although overall incidence rate is considerably stable over past decades, among younger persons (aged <15 years) has increased. It unclear whether this reflects earlier detection or age onset. Nevertheless, it implications for future research into risk factors prevention programs. For nervosa, there been a decline time. The lifetime rates might be up to 4% females 0.3% males. Regarding 3% more than 1% males suffer from disorder during their lifetime. While epidemiological studies mainly focused young Western countries, are reported worldwide all ages. Both eating disorders may carry five times increased mortality risk. Summary Anorexia occur groups associated with an

Language: Английский

Citations

438

The social determinants of mental health and disorder: evidence, prevention and recommendations DOI Open Access
James B. Kirkbride, Deidre M. Anglin, Ian Colman

et al.

World Psychiatry, Journal Year: 2024, Volume and Issue: 23(1), P. 58 - 90

Published: Jan. 12, 2024

People exposed to more unfavourable social circumstances are vulnerable poor mental health over their life course, in ways that often determined by structural factors which generate and perpetuate intergenerational cycles of disadvantage health. Addressing these challenges is an imperative matter justice. In this paper we provide a roadmap address the determinants cause ill Relying as far possible on high-quality evidence, first map out literature supports causal link between later outcomes. Given breadth topic, focus most pervasive across those common major disorders. We draw primarily available evidence from Global North, acknowledging other global contexts will face both similar unique sets require equitable attention. Much our focuses groups who marginalized, thus multitude intersecting risk factors. These include refugees, asylum seekers displaced persons, well ethnoracial minoritized groups; lesbian, gay, bisexual, transgender queer (LGBTQ+) living poverty. then introduce preventive framework for conceptualizing disorder, can guide much needed primary prevention strategies capable reducing inequalities improving population Following this, review concerning candidate intervene interventions fall broadly within scope universal, selected indicated strategies, but also briefly important secondary tertiary promote recovery with existing Finally, seven key recommendations, framed around justice, constitute action research, policy public Adoption recommendations would opportunity advance efforts modifiable affect

Language: Английский

Citations

308

Current approach to eating disorders: a clinical update DOI Creative Commons
Phillipa Hay

Internal Medicine Journal, Journal Year: 2020, Volume and Issue: 50(1), P. 24 - 29

Published: Jan. 1, 2020

This article presents current diagnostic conceptualisations of eating disorders, including new disorders such as binge disorder (BED) and avoidant/restrictive food intake (ARFID). is followed by contemporary findings in the epidemiology their broad sociodemographic distribution increases community prevalence. Advances status evidence-based treatment outcomes for main anorexia nervosa, bulimia nervosa BED are discussed with focus on first-line psychological therapies. Deficits knowledge directions further research highlighted, particularly regard to treatments ARFID, how improve engagement management osteopenia.

Language: Английский

Citations

199

Social and economic cost of eating disorders in the United States: Evidence to inform policy action DOI
Jared Streatfeild,

Josiah Hickson,

S. Bryn Austin

et al.

International Journal of Eating Disorders, Journal Year: 2021, Volume and Issue: 54(5), P. 851 - 868

Published: March 2, 2021

Abstract Objective To estimate one‐year costs of eating disorders in the United States (U.S.) from a societal perspective, including to U.S. health system, individual and family productivity costs, lost wellbeing, other economic by setting payer. Findings will inform needed policy action mitigate impact Method Costs were estimated using bottom‐up cost‐of‐illness methodology, based on prevalence disorders. Intangible reduced wellbeing also disability‐adjusted life years. Results Total associated with be $64.7 billion (95% CI: $63.5–$66.0 billion) fiscal year 2018–2019, equivalent $11,808 per affected person $11,754–$11,863 person). Otherwise Specified Feeding or Eating Disorder accounted for 35% total followed Binge (30%), Bulimia Nervosa (18%) Anorexia (17%). The substantial reduction was further valued at $326.5 $316.8–$336.2 billion). Discussion is when considering both (nearly $400 2018–2019). Study findings underscore urgency identifying effective actions reduce disorders, such as through primary prevention screening identify people emerging early care, schools, workplaces ensuring access evidence‐based treatment.

Language: Английский

Citations

198

The Perfect Storm: A Developmental–Sociocultural Framework for the Role of Social Media in Adolescent Girls’ Body Image Concerns and Mental Health DOI Open Access
Sophia Choukas‐Bradley, Savannah R. Roberts, Anne J. Maheux

et al.

Clinical Child and Family Psychology Review, Journal Year: 2022, Volume and Issue: 25(4), P. 681 - 701

Published: July 16, 2022

Language: Английский

Citations

170

Estimation of Eating Disorders Prevalence by Age and Associations With Mortality in a Simulated Nationally Representative US Cohort DOI Creative Commons
Zachary J. Ward, Patricia J Rodriguez, Davene R. Wright

et al.

JAMA Network Open, Journal Year: 2019, Volume and Issue: 2(10), P. e1912925 - e1912925

Published: Oct. 9, 2019

Importance

Eating disorders (EDs) are common psychiatric associated with high mortality. However, data on ED disease dynamics and treatment coverage sparse.

Objectives

To model the individual-level of from birth to age 40 years estimate association increased ED-related

Design, Setting, Participants

In this decision analytical study, an Markov state transition was empirically calibrated in April 2019 using a Bayesian approach synthesize available clinical epidemiologic data. The simulation nationally representative US survey 2007 2011. A virtual cohort 100 000 individuals (50 [50%] male) modeled for 4 diagnoses: anorexia nervosa, bulimia binge eating disorder, other specified feeding disorders.

Exposures

Age-specific incidence mortality rates background (all-cause)

Main Outcomes Measures

main outcomes were age-specific 12-month lifetime prevalence number deaths per general population by years. mean 95% uncertainty intervals (UIs) 1000 simulations, accounting stochastic parameter uncertainty, reported.

Results

highest estimated annual occurred at approximately 21 both male (7.4%; UI, 3.5%-11.5%) female (10.3%; 7.0%-14.2%), estimates increasing 14.3% (95% 9.7%-19.0%) 19.7% 15.8%-23.9%) Ninety-five percent first-time cases 25 Current averts 41.7 people 13.0-82.0 people) years, whereas all patients could avert 70.5 26.0-143.0 people).

Conclusions Relevance

modeling high, 1 7 5 having initial onset EDs highly concentrated during adolescence young adulthood, suggesting that is critical period prevention efforts. recurring later life highlights importance identification older ages as well. These findings suggest substantially reduce

Language: Английский

Citations

167

The American Psychiatric Association Practice Guideline for the Treatment of Patients With Eating Disorders DOI

Catherine Crone,

Laura J. Fochtmann, Evelyn Attia

et al.

American Journal of Psychiatry, Journal Year: 2023, Volume and Issue: 180(2), P. 167 - 171

Published: Feb. 1, 2023

Language: Английский

Citations

129

Depression, Anxiety and Eating Disorder-Related Impairment: Moderators in Female Adolescents and Young Adults DOI Open Access

Johanna Sander,

Markus Moessner, Stéphanie Bauer

et al.

International Journal of Environmental Research and Public Health, Journal Year: 2021, Volume and Issue: 18(5), P. 2779 - 2779

Published: March 9, 2021

Adolescents and young adults, particularly females, are highly vulnerable to the development of anxiety disorders, depression, eating disorders. Comorbid disorder or depression in disorders associated with greater symptom severity, poorer prognosis, burden illness. Nonetheless, studies on what affects relationship between anxiety, female at-risk samples scarce. Using hierarchical linear modeling, present study examined potential moderators explain between-person differences association disorder-related impairment within 12- 25-year-old females (N = 320). High anxiety/depression was more severe symptoms. Older age as well mood dysregulation, self-esteem, perfectionism were linked symptomatology. Whereas had no statistically significant moderating effects, younger appeared augment Preventive care particular needs consider age-related effects symptoms strongly early adolescence.

Language: Английский

Citations

128

Global Proportion of Disordered Eating in Children and Adolescents DOI Open Access
José Francisco López‐Gil, Antônio García‐Hermoso, Lee Smith

et al.

JAMA Pediatrics, Journal Year: 2023, Volume and Issue: 177(4), P. 363 - 363

Published: Feb. 20, 2023

The 5-item Sick, Control, One, Fat, Food (SCOFF) questionnaire is the most widely used screening measure for eating disorders. However, no previous systematic review and meta-analysis determined proportion of disordered among children adolescents.

Language: Английский

Citations

96

Genetics and neurobiology of eating disorders DOI
Cynthia M. Bulik, Jonathan R. I. Coleman,

J. Andrew Hardaway

et al.

Nature Neuroscience, Journal Year: 2022, Volume and Issue: 25(5), P. 543 - 554

Published: May 1, 2022

Language: Английский

Citations

89