the risk of eating disorders onset in adolescents enrolled on the online proyouth platform
DESCRIPTION
The risk of eating disorders onset in adolescents enrolled on the online ProYouth Platform. Preliminary findings from Romania. Alexandra Sidor , MA Center for Health Policy and Public Health, Babes- Bolyai University Cluj-Napoca, Romania. Public Health and Social Services: Education - PowerPoint PPT PresentationTRANSCRIPT
The risk of eating disorders onset in
adolescents enrolled on the online
ProYouth Platform
Alexandra Sidor, MACenter for Health Policy and Public Health, Babes-Bolyai University Cluj-Napoca, Romania
Preliminary findings from Romania
Presentation overview1. Background
2. The ProYouth Initiative
3. Study methodology & Results
4. Conclusions and future directions
5. Acknowledgements
6. Selected references
Public Health and Social Services: Educationand Practice conferenceTbilisi, Georgia, June 27th, 2012
1. Background (1)Health problems vs Mental health
problems
Public Health and Social Services: Educationand Practice conferenceTbilisi, Georgia, June 27th, 2012
Background (2)Eating Disorders
Public Health and Social Services: Educationand Practice conferenceTbilisi, Georgia, June 27th, 2012
ANOREXIA
BULIMIA
BINGE EATING DISORDERS EDNOS BIGOREXIACACHEXIA
Centers for Disease Control and Prevention’s National Health and Nutrition Examination Survey (NHANES) (8 – 15 years old)
National Comorbidity Survey – Adolescent Supplement (NCS-A)
(13 – 18 years old)
Public Health and Social Services: Educationand Practice conferenceTbilisi, Georgia, June 27th, 2012Background (3)
Prevalence of ED
Background (4)ED Statistics
- Population based studies vs Convenience samples (community groups, highschools & university students, patients or hospital clinics)
- Incidence, Prevalence, Long- life prevalence- Year of the study- Questionaires used
Public Health and Social Services: Educationand Practice conferenceTbilisi, Georgia, June 27th, 2012
Adults Children and adolescents (US)Western Countries (Australia, Austria, Canada, France, Germany, Hungary, Italy, Norway,UK, USA)• Prevalence for AN: 0.1% to 5.7% (females)• Prevalence for BN: 0.1% to 2.1% (males), 0.3% to 7.3% (females)Non-Western Countries (Egypt, Hong-Kong, Iran, Japan, Malaysia)• Prevalence for AN: 0.0036% to 0.0045% (females and males)• Prevalence for BN: 0.46% to 3.2% (female)
Lifetime Prevalence of 13 to 18 year oldsLifetime Prevalence: 2.7% of 13 to 18 year olds (males and females) Lifetime Prevalence of “Severe” Disorder: 2.7% of 13 to 18 year olds have a “severe” disorder AN – 0.3%BN – 0.9%BED – 1.6%EDNOS – 3.3 %
Background (4) IF LOW PREVALENCEWHY A PUBLIC HEALTH CONCERN ???
ROLE IMPAIRMENT88% of AN report social impairment SUICIDALITY (50% of BN report suicidal ideation, 1/3 attempted suicide) COMORBIDITY (55.2% - AN, 88.0% - BN, 79% - BED) SERVICE USE(27.5% - AN, 21.5% – BN, 11.4% - BED)
Public Health and Social Services: Educationand Practice conferenceTbilisi, Georgia, June 27th, 2012
E – Mental Health
Public Health and Social Services: Educationand Practice conferenceTbilisi, Georgia, June 27th, 2012
2. The ProYouth Initiative
ProYouth is co-financed by the European Commission's Executive Agency for Health and Consumers in the Health Programme (2011-2014; Contract: 20101209).
Center for Psychotherapy ResearchUniversity Hospital HeidelbergSteffi BauerMarkus MoessnerFikret OezerCarla MinarikLutfi ArikanHans Kordy
Department of PsychiatryCharles University PragueHana PapezovaEliska RedinovaJana Hanusova
Trinity College DublinThe University of DublinDeirdre FlynnOrla McLoughlinChiara Seery
Department of Public HealthBabes-Bolyai University ClujiRazvan CherechesAlina ZlatiEmanuela SirlincanAlexandra Sidor
Studi CognitiviMilanGiovanni RuggieroGabriele CaselliChiara Manfredi
Institute of Behavioral SciencesSemmelweis University BudapestFerenc TúryIrena SzumskaKornelia SzaboIldiko Papp
Center for Eating Disorders UrsulaStichting RivierduinenEric van FurthMasja Ninck BlokJiska Aardom
2. The ProYouth InitiativeThe ProYouth Network
Public Health and Social Services: Educationand Practice conferenceTbilisi, Georgia, June 27th, 2012
Screening questionaire
3. Study methodology & Results
Public Health and Social Services: Educationand Practice conferenceTbilisi, Georgia, June 27th, 2012
3. Study methodology & Results
Screening questionaire
Public Health and Social Services: Educationand Practice conferenceTbilisi, Georgia, June 27th, 2012
DemographicCharacteristics
WSCSEEDEDE-QPHQ-4
Sex ratio (73.3 females; 26.7 male)Age (90.4% aged15 – 19)Nationality (93.4% romanian, 4.2% ukrainian, 1.8% hungarian)Occupation (93% highschool students)Internet use (60% daily, 255 4 to 6 days a week)School performance (46% good/very good, 28% normal)Physical activity (13% inactive, 50% one or two days a week)BMI (58% normal wighted, 19% underweight, 16% overweight,
SEEDDegree of underweightFear of gaining weightDistortion of body perceptionBinge eatingCompensatory behaviorsOverconcern with body shape and weight
WSCEDE-QPHQ-4
• AN total severity index86% no symptoms to mild symptoms0.3% extreme symptoms• BN total severity index59% mild to extreme symptoms
Risk for developing ED14% no risk33% low risk30% moderate risk20% severe risk
3. Study methodology & Results
4. Conclusions and future directions The incidence of BN is higher than the incidence of
AN in adolescent population Many romanian adolescents enrolled on the
platform are at risk for developing ED More focus should be put on youths with eating
problems that fall below current diagnostic thresholds.
The psychological anonymity and accessibility are factors that could make online support attractive to adolescents with ED
E- Mental health could be an important tool in administrating treatment to adolescents with ED
5. Acknowledgements
The current research is funded throughaward number 20101209 by the Executive
Agency for Health and Consumers.
Public Health and Social Services: Educationand Practice conferenceTbilisi, Georgia, June 27th, 2012
6. Selected references
Bauer S, Winn S, Schmidt U, Kordy H (2005), Construction, Scoring and Validation of the Short Evaluation of Eating Disorders. European Eating Disorder Review, 13, 191-200.
Hudson JI, Hiripi E, Pope HG, Kessler RC. The prevalence and correlates of eating disorders in the National Comorbidity Survey Replication. Biological Psychiatry. 2007; 61:348-58.
Kroenke K, Spitzer RL, Williams JBW, Löwe B. (2009) An Ultra-Brief Screening Scale for
Anxiety and Depression: the PHQ-4. Psychosomatics, 50 (6), 613-621. Merikangas KR, He J, Burstein M, Swanson SA, Avenevoli S, Cui L, Benjet C,
Georgiades K, Swendsen J. Lifetime prevalence of mental disorders in U.S. adolescents: Results from the National Comorbidity Study-Adolescent Supplement (NCS-A). J Am Acad Child Adolesc Psychiatry. 2010 Oct;49(10):980-989.
http://www.nimh.nih.govhttp://www.anad.orghttp://www.aedweb.org
Public Health and Social Services: Educationand Practice conferenceTbilisi, Georgia, June 27th, 2012