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The prevalence and correlates of eating disorders in the National Comorbidity Survey Replication.

Abstract

BACKGROUND

Little population-based data exist on the prevalence or correlates of eating disorders.

METHODS

Prevalence and correlates of eating disorders from the National Comorbidity Replication, a nationally representative face-to-face household survey (n = 9282), conducted in 2001-2003, were assessed using the WHO Composite International Diagnostic Interview.

RESULTS

Lifetime prevalence estimates of DSM-IV anorexia nervosa, bulimia nervosa, and binge eating disorder are .9%, 1.5%, and 3.5% among women, and .3% .5%, and 2.0% among men. Survival analysis based on retrospective age-of-onset reports suggests that risk of bulimia nervosa and binge eating disorder increased with successive birth cohorts. All 3 disorders are significantly comorbid with many other DSM-IV disorders. Lifetime anorexia nervosa is significantly associated with low current weight (body-mass index <18.5), whereas lifetime binge eating disorder is associated with current severe obesity (body-mass index > or =40). Although most respondents with 12-month bulimia nervosa and binge eating disorder report some role impairment (data unavailable for anorexia nervosa since no respondents met criteria for 12-month prevalence), only a minority of cases ever sought treatment.

CONCLUSIONS

Eating disorders, although relatively uncommon, represent a public health concern because they are frequently associated with other psychopathology and role impairment, and are frequently under-treated.

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  • Authors+Show Affiliations

    ,

    Department of Psychiatry, Harvard Medical School and Biological Psychiatry Laboratory, McLean Hospital, Belmont, Massachusetts 02478, USA. jhudson@mclean.harvard.edu

    , ,

    Source

    Biological psychiatry 61:3 2007 Feb 01 pg 348-58

    MeSH

    Adolescent
    Adult
    Age of Onset
    Aged
    Anorexia Nervosa
    Body Mass Index
    Bulimia
    Cohort Effect
    Comorbidity
    Feeding and Eating Disorders
    Female
    Humans
    Male
    Mental Disorders
    Middle Aged
    Population
    Psychiatric Status Rating Scales
    United States

    Pub Type(s)

    Journal Article
    Research Support, N.I.H., Extramural
    Research Support, Non-U.S. Gov't

    Language

    eng

    PubMed ID

    16815322

    Citation

    Hudson, James I., et al. "The Prevalence and Correlates of Eating Disorders in the National Comorbidity Survey Replication." Biological Psychiatry, vol. 61, no. 3, 2007, pp. 348-58.
    Hudson JI, Hiripi E, Pope HG, et al. The prevalence and correlates of eating disorders in the National Comorbidity Survey Replication. Biol Psychiatry. 2007;61(3):348-58.
    Hudson, J. I., Hiripi, E., Pope, H. G., & Kessler, R. C. (2007). The prevalence and correlates of eating disorders in the National Comorbidity Survey Replication. Biological Psychiatry, 61(3), pp. 348-58.
    Hudson JI, et al. The Prevalence and Correlates of Eating Disorders in the National Comorbidity Survey Replication. Biol Psychiatry. 2007 Feb 1;61(3):348-58. PubMed PMID: 16815322.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - The prevalence and correlates of eating disorders in the National Comorbidity Survey Replication. AU - Hudson,James I, AU - Hiripi,Eva, AU - Pope,Harrison G,Jr AU - Kessler,Ronald C, Y1 - 2006/07/03/ PY - 2005/10/07/received PY - 2006/02/10/revised PY - 2006/03/29/accepted PY - 2006/7/4/pubmed PY - 2007/3/21/medline PY - 2006/7/4/entrez SP - 348 EP - 58 JF - Biological psychiatry JO - Biol. Psychiatry VL - 61 IS - 3 N2 - BACKGROUND: Little population-based data exist on the prevalence or correlates of eating disorders. METHODS: Prevalence and correlates of eating disorders from the National Comorbidity Replication, a nationally representative face-to-face household survey (n = 9282), conducted in 2001-2003, were assessed using the WHO Composite International Diagnostic Interview. RESULTS: Lifetime prevalence estimates of DSM-IV anorexia nervosa, bulimia nervosa, and binge eating disorder are .9%, 1.5%, and 3.5% among women, and .3% .5%, and 2.0% among men. Survival analysis based on retrospective age-of-onset reports suggests that risk of bulimia nervosa and binge eating disorder increased with successive birth cohorts. All 3 disorders are significantly comorbid with many other DSM-IV disorders. Lifetime anorexia nervosa is significantly associated with low current weight (body-mass index <18.5), whereas lifetime binge eating disorder is associated with current severe obesity (body-mass index > or =40). Although most respondents with 12-month bulimia nervosa and binge eating disorder report some role impairment (data unavailable for anorexia nervosa since no respondents met criteria for 12-month prevalence), only a minority of cases ever sought treatment. CONCLUSIONS: Eating disorders, although relatively uncommon, represent a public health concern because they are frequently associated with other psychopathology and role impairment, and are frequently under-treated. SN - 0006-3223 UR - https://www.unboundmedicine.com/medline/citation/16815322/full_citation L2 - https://linkinghub.elsevier.com/retrieve/pii/S0006-3223(06)00474-4 DB - PRIME DP - Unbound Medicine ER -