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The risk of eating disorders onset in adolescents enrolled on the online ProYouth Platform

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

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The risk of eating disorders onset in adolescents enrolled on the online ProYouth Platform

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  1. 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

  2. Public Health and Social Services: Education and Practice conference Tbilisi, Georgia, June 27th, 2012 Presentation overview 1. Background 2. The ProYouth Initiative 3. Study methodology & Results 4. Conclusions and future directions 5. Acknowledgements 6. Selected references

  3. Public Health and Social Services: Education and Practice conference Tbilisi, Georgia, June 27th, 2012 1. Background (1) Health problems vs Mental health problems

  4. Public Health and Social Services: Education and Practice conference Tbilisi, Georgia, June 27th, 2012 Background (2)Eating Disorders ANOREXIA BULIMIA BIGOREXIA CACHEXIA EDNOS BINGE EATING DISORDERS

  5. Public Health and Social Services: Education and Practice conference Tbilisi, Georgia, June 27th, 2012 Background (3) Prevalence of ED 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)

  6. Public Health and Social Services: Education and Practice conference Tbilisi, Georgia, June 27th, 2012 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

  7. Public Health and Social Services: Education and Practice conference Tbilisi, Georgia, June 27th, 2012 Background (4) IF LOW PREVALENCEWHY A PUBLIC HEALTH CONCERN ??? • ROLE IMPAIRMENT 88% 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) E – Mental Health

  8. Public Health and Social Services: Education and Practice conference Tbilisi, Georgia, June 27th, 2012 2. The ProYouth Initiative

  9. Public Health and Social Services: Education and Practice conference Tbilisi, Georgia, June 27th, 2012 Center for Psychotherapy Research University Hospital Heidelberg Steffi Bauer Markus Moessner Fikret Oezer Carla Minarik Lutfi Arikan Hans Kordy Trinity College Dublin The University of Dublin Deirdre Flynn Orla McLoughlinChiara Seery Department of Public Health Babes-Bolyai University Cluji Razvan Chereches Alina Zlati Emanuela Sirlincan Alexandra Sidor Center for Eating Disorders Ursula Stichting Rivierduinen Eric van Furth Masja Ninck BlokJiska Aardom 2. The ProYouth Initiative The ProYouth Network Studi Cognitivi Milan Giovanni Ruggiero Gabriele Caselli Chiara Manfredi Department of Psychiatry Charles University Prague Hana Papezova Eliska RedinovaJana Hanusova Institute of Behavioral Sciences Semmelweis University Budapest Ferenc Túry Irena SzumskaKornelia SzaboIldiko Papp ProYouth is co-financed by the European Commission's Executive Agency for Health and Consumers in the Health Programme (2011-2014; Contract: 20101209).

  10. Public Health and Social Services: Education and Practice conference Tbilisi, Georgia, June 27th, 2012 3. Study methodology & Results Screening questionaire

  11. Public Health and Social Services: Education and Practice conference Tbilisi, Georgia, June 27th, 2012 3. Study methodology & Results Screening questionaire

  12. 3. Study methodology & Results

  13. 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

  14. Public Health and Social Services: Education and Practice conference Tbilisi, Georgia, June 27th, 2012 5. Acknowledgements The current research is funded through award number 20101209 by the Executive Agency for Health and Consumers.

  15. Public Health and Social Services: Education and Practice conference Tbilisi, 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.gov http://www.anad.org http://www.aedweb.org

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