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Social Psychiatry and Psychiatric Epidemiology
Erschienen in: Social Psychiatry and Psychiatric Epidemiology 3/2016

02.12.2015 | Original Paper

Eating disorders in a multi-ethnic inner-city UK sample: prevalence, comorbidity and service use

verfasst von: F. Solmi, M. Hotopf, S. L. Hatch, J. Treasure, N. Micali

Erschienen in: Social Psychiatry and Psychiatric Epidemiology | Ausgabe 3/2016

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Abstract

Purpose

No studies have investigated the prevalence of eating disorders (ED) according to DSM-5 criteria and few have explored their comorbidity and service use in the general population in the UK. We aimed to estimate the prevalence, comorbidity, and service use in individuals with ED in a multi-ethnic inner city sample.

Methods

A total of 1698 individuals (age 16/90) were screened for ED in the first phase of the South East London Community Health Study and 145 were followed up with a diagnostic interview. Data was weighed for survey design and Chi Square tests were used to investigate socio-demographic distribution, comorbidity and service use in participants with ED.

Results

The point prevalence of ED was 4.4 % (Binge Eating Disorder (BED) 3.6 %; Bulimia Nervosa (BN) 0.8 %) and 7.4 % when including sub-threshold diagnoses (Purging Disorder (PD) 0.6 %; Other Specified Feeding and Eating Disorders (OSFED) 2.4 %). No cases of AN were identified. Purging Disorder was the ED with the highest proportion of comorbid disorders. A minority of participants with ED had accessed specialist care services.

Conclusions

ED are common, the comorbidity of ED was in line with previous studies and no ethnic differences were identified. Although PD is not a full diagnosis in DSM-5, we found some evidence of high comorbidity with other disorders, that needs to be replicated using larger samples. Service use was low across ED diagnoses, despite high levels of comorbidity.
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Fußnoten
1
SCOFF questions: Do you make yourself table because you feel uncomfortably full?; Do you worry you have lost control over how much you eat?; Have you recently lost more than one stone in a 3 month period?; Do you believe yourself to be Fat even when other say you are too thin?; Would you say that Food dominates your life?
 
2
The following procedures were employed to measure participants’ height and weight: Height: participants’ height was measured having them standing with their scapula, buttocks and heels resting against a wall, the neck held in a natural non-stretched position, the heels touching each other, the toe tips form a 45° angle and the head held straight with the inferior orbital border in the same horizontal plane as the external auditive conduct (Frankfort's plane). Weight: a portable scale with a 125 kg maximum capacity and a ± 100 g error margin was used. Individuals were asked to remove shoes and heavy cloths prior to weighing.
 
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Metadaten
Titel
Eating disorders in a multi-ethnic inner-city UK sample: prevalence, comorbidity and service use
verfasst von
F. Solmi
M. Hotopf
S. L. Hatch
J. Treasure
N. Micali
Publikationsdatum
02.12.2015
Verlag
Springer Berlin Heidelberg
Erschienen in
Social Psychiatry and Psychiatric Epidemiology / Ausgabe 3/2016
Print ISSN: 0933-7954
Elektronische ISSN: 1433-9285
DOI
https://doi.org/10.1007/s00127-015-1146-7

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