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The prevalence and correlates of eating disorders in adult emergency department patients

dc.contributor.authorDooley‐hash, Suzanne
dc.contributor.authorAdams, Mackenzie
dc.contributor.authorWalton, Maureen A.
dc.contributor.authorBlow, Frederic C.
dc.contributor.authorCunningham, Rebecca M.
dc.date.accessioned2019-11-12T16:22:58Z
dc.date.availableWITHHELD_13_MONTHS
dc.date.available2019-11-12T16:22:58Z
dc.date.issued2019-11
dc.identifier.citationDooley‐hash, Suzanne ; Adams, Mackenzie; Walton, Maureen A.; Blow, Frederic C.; Cunningham, Rebecca M. (2019). "The prevalence and correlates of eating disorders in adult emergency department patients." International Journal of Eating Disorders 52(11): 1281-1290.
dc.identifier.issn0276-3478
dc.identifier.issn1098-108X
dc.identifier.urihttps://hdl.handle.net/2027.42/152020
dc.description.abstractObjectiveThis study describes the prevalence of eating disorders among adult patients who present to the emergency department for medical care and examines the relationship between eating disorders, depression, and substance use disorders.MethodEmergency department patients aged 21-65-years (n = 1,795) completed a computerized questionnaire that included validated screening tools for eating disorders, risky drinking behavior, other substance use, and depression. Analyses were conducted comparing individuals who screened positive for an eating disorder with those who did not based on demographics (gender, age, race, income, education), body mass index (BMI), risky drinking behavior, other substance use, and depression.ResultsNearly 16% (15.9%) of all patients screened positive for an eating disorder regardless of their reason for presenting to the emergency department. Patients who screened positive for an eating disorder were significantly more likely to have a BMI->-30 (odds ratio [OR] = 2.68, confidence interval [CI] = 1.98, 3.62, p-<-.001), to also screen positive for depression (OR = 3.19, CI = 2.28, 4.47, p-<-.001) and to be female (OR = 2.37, CI = 1.76, 3.19, p-<-.001). No differences in the prevalence of positive screens for eating disorders were seen across age or racial groups, level of education or income, or for any of the included substance use variables.DiscussionEating disorders are common among adult emergency department patients and are associated with high rates of comorbid depression and higher BMI. Given the significant morbidity and mortality associated with eating disorders, targeted screening may be warranted in the emergency department setting.
dc.publisherJohn Wiley & Sons, Inc.
dc.subject.othercomorbidity
dc.subject.otherscreening
dc.subject.otherprevalence
dc.subject.otheremergency department
dc.subject.othereating disorders
dc.titleThe prevalence and correlates of eating disorders in adult emergency department patients
dc.typeArticle
dc.rights.robotsIndexNoFollow
dc.subject.hlbsecondlevelPublic Health
dc.subject.hlbtoplevelHealth Sciences
dc.description.peerreviewedPeer Reviewed
dc.description.bitstreamurlhttps://deepblue.lib.umich.edu/bitstream/2027.42/152020/1/eat23140_am.pdf
dc.description.bitstreamurlhttps://deepblue.lib.umich.edu/bitstream/2027.42/152020/2/eat23140.pdf
dc.identifier.doi10.1002/eat.23140
dc.identifier.sourceInternational Journal of Eating Disorders
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dc.owningcollnameInterdisciplinary and Peer-Reviewed


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