{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,25]],"date-time":"2026-06-25T05:00:42Z","timestamp":1782363642999,"version":"3.54.5"},"reference-count":33,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2019,10,8]],"date-time":"2019-10-08T00:00:00Z","timestamp":1570492800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100007343","name":"Shire","doi-asserted-by":"publisher","award":["IIR\u2010AUS\u2010001151"],"award-info":[{"award-number":["IIR\u2010AUS\u2010001151"]}],"id":[{"id":"10.13039\/100007343","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Eating Disorders"],"published-print":{"date-parts":[[2020,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>Lengthy delays in receiving treatment have been reported for people with bulimia nervosa (BN) and binge\u2010eating disorder (BED). This study aimed to investigate healthcare use and predictors of mental health specialist healthcare use in a community sample of individuals with diagnostic threshold symptoms of BN, BED\u2010Broad, or another eating disorder (Other ED).<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>In 2017, 2,977 individuals aged \u226515\u2009years were interviewed in a general population survey. Participants were asked questions relating to sociodemographic, ED symptoms, other clinical features, and healthcare use data. Assessment of ED symptoms was based on diagnostic questions derived from the eating disorder examination.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Thirty\u2010six participants with symptoms of BN, 33 participants with BED\u2010Broad, and 369 with an Other ED were identified. Fewer people with symptoms of BN\/BED\u2010Broad (23%) or an Other ED (6%) had treatment from a mental health specialist than from a general practitioner (GP; 80%, 71.6%). Healthcare use differed significantly across type of ED only for treatment from a mental health specialist. In multivariate analyses, being asked about a person's mental health by a GP was the best explanatory variable for receiving treatment from a mental health specialist.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>A large treatment gap exists in healthcare for people with EDs. Inquiry about an individual's mental health by a GP was associated with higher rates of treatment from mental health specialists. However, a similar diet\/eating inquiry did not have this association. Future research should consider the use of this patient and practitioner consultation in targeting improved detection of EDs.<\/jats:p><\/jats:sec>","DOI":"10.1002\/eat.23174","type":"journal-article","created":{"date-parts":[[2019,10,8]],"date-time":"2019-10-08T07:18:02Z","timestamp":1570519082000},"page":"61-68","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":25,"title":["General practitioner and mental healthcare use in a community sample of people with diagnostic threshold symptoms of bulimia nervosa, binge\u2010eating disorder, and other eating disorders"],"prefix":"10.1002","volume":"53","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0296-6856","authenticated-orcid":false,"given":"Phillipa","family":"Hay","sequence":"first","affiliation":[{"name":"Translational Health Research Institute (THRI) School of Medicine, Western Sydney University  Campbelltown Australia"},{"name":"Campbelltown Hospital SWSLHD  Campbelltown Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Brittany","family":"Ghabrial","sequence":"additional","affiliation":[{"name":"School of Social Sciences and Psychology Western Sydney University  Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Haider","family":"Mannan","sequence":"additional","affiliation":[{"name":"Translational Health Research Institute School of Medicine, Western Sydney University  Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5064-8003","authenticated-orcid":false,"given":"Janet","family":"Conti","sequence":"additional","affiliation":[{"name":"School of Social Sciences and Psychology Western Sydney University  Sydney Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Gonzalez\u2010Chica","sequence":"additional","affiliation":[{"name":"Discipline of General Practice Adelaide Medical School, The University of Adelaide  Adelaide South Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nigel","family":"Stocks","sequence":"additional","affiliation":[{"name":"Discipline of General Practice Adelaide Medical School, The University of Adelaide  Adelaide South Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andreea","family":"Heriseanu","sequence":"additional","affiliation":[{"name":"School of Psychology, Faculty of Science University of Sydney  Camperdown New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stephen","family":"Touyz","sequence":"additional","affiliation":[{"name":"School of Psychology, Faculty of Science, and the InsideOut Institute University of Sydney  Camperdown New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2019,10,8]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.22598"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425596"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1001\/archgenpsychiatry.2011.74"},{"key":"e_1_2_8_5_1","unstructured":"Australian Bureau of Statistics. 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