title: Barriers to help-seeking in young women with eating disorders: a qualitative exploration in a longitudinal community survey.
abstract: Few with eating disorders (EDs) access evidence-based treatments. We conducted a prospective exploration of help-seeking by 57 community women with bulimic-type EDs using the Framework approach of familiarization, identifying themes, indexing, charting and mapping and interpretation. The mean age of the sample was 33 years. Results found women sought help for concerns regarding perceived (over) weight rather than for eating, although many women would have welcomed questions from professionals regarding eating behaviours. Empathy, providing information and hope were considered important features of health professionals to provide a positive experience of help-seeking. Specific personal barriers to treatment included low motivation, fear of stigma, and cost. Greater clinician and community awareness of and action on these issues would likely help close "the gap" for effective help-seeking by those with EDs.
authors.affiliation: Department of Developmental Disability and Neuropsychiatry, School of Psychiatry, University of New South Wales, Sydney, Australia.
authors.forename: Elizabeth J
authors.initials: EJ
authors.lastname: Evans
authors.forename: Phillipa J
authors.initials: PJ
authors.lastname: Hay
authors.forename: Jonathan
authors.initials: J
authors.lastname: Mond
authors.forename: Susan J
authors.initials: SJ
authors.lastname: Paxton
authors.forename: Frances
authors.initials: F
authors.lastname: Quirk
authors.forename: Bryan
authors.initials: B
authors.lastname: Rodgers
authors.forename: Atiranjan K
authors.initials: AK
authors.lastname: Jhajj
authors.forename: Marta A
authors.initials: MA
authors.lastname: Sawoniewska
mesh_terms: D000328:Adult; D001294:Attitude to Health; D002032:Bulimia / Q000523:psychology; D001068:Feeding and Eating Disorders / Q000523:psychology*; D005260:Female; D006801:Humans; D008137:Longitudinal Studies; D012111:Residence Characteristics; D012938:Social Perception; D011795:Surveys and Questionnaires; D014930:Women / Q000523:psychology*; D055815:Young Adult