{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,15]],"date-time":"2026-07-15T12:27:50Z","timestamp":1784118470959,"version":"3.55.0"},"reference-count":63,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2025,8,12]],"date-time":"2025-08-12T00:00:00Z","timestamp":1754956800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100002347","name":"Bundesministerium f\u00fcr Bildung und Forschung","doi-asserted-by":"publisher","award":["01GL1744A"],"award-info":[{"award-number":["01GL1744A"]}],"id":[{"id":"10.13039\/501100002347","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100002347","name":"Bundesministerium f\u00fcr Bildung und Forschung","doi-asserted-by":"publisher","award":["01GL1744C"],"award-info":[{"award-number":["01GL1744C"]}],"id":[{"id":"10.13039\/501100002347","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":[[2025,11]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Rates of help\u2010seeking and treatment uptake are low in eating disorders. Delayed initiation of treatment has a negative impact on prognosis and treatment outcome and leads to a higher burden on the healthcare system. The aim of this study was to explore factors associated with help\u2010seeking and their interactions in a large sample of adolescents and young adults with current symptoms of an eating disorder.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      Based on the Classification and Regression Trees (CART) algorithm, the data collected within the German school\u2010based project ProHEAD (\n                      <jats:italic>N<\/jats:italic>\n                      \u2009=\u20099796; age: 12\u201325\u2009years) were used to estimate a decision tree to classify students into help\u2010seekers and non\u2010help\u2010seekers for a mental health issue.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Of those screened, 13% reported substantial current eating disorder symptoms (\n                      <jats:italic>N<\/jats:italic>\n                      \u2009=\u20091273). Out of those, 77.3% reported that they did not seek formal help (i.e., from a mental health professional). The absence of suicidal ideation and emotional problems, as well as a low level of education and openness to mental health issues, was characteristic of those who did not seek help for a mental health problem. Emotional problems, suicidality, and depressive symptoms were identified as the most important factors associated with general help\u2010seeking.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>In line with previous research, our findings indicate that individuals with eating disorder symptoms are more likely to seek help when other mental health issues are present. Public health efforts should aim to promote awareness and increase knowledge of eating disorders.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/eat.24515","type":"journal-article","created":{"date-parts":[[2025,8,12]],"date-time":"2025-08-12T07:10:48Z","timestamp":1754982648000},"page":"2147-2156","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Why Young People With Eating Disorder Symptoms Do Not Seek Help\u2014Exploring Barriers to Help\u2010Seeking"],"prefix":"10.1002","volume":"58","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9671-0258","authenticated-orcid":false,"given":"Johanna","family":"Stadler","sequence":"first","affiliation":[{"name":"Heidelberg University, Institute of Psychology  Heidelberg Germany"},{"name":"Center for Psychotherapy Research University Hospital Heidelberg  Heidelberg 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Psychology University of Education Schw\u00e4bisch Gm\u00fcnd  Schw\u00e4bisch Gm\u00fcnd Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0031-7764","authenticated-orcid":false,"given":"Michael","family":"Kaess","sequence":"additional","affiliation":[{"name":"Clinic of Child and Adolescent Psychiatry, Center for Psychosocial Medicine University Hospital Heidelberg  Heidelberg Germany"},{"name":"University Hospital of Child and Adolescent Psychiatry and Psychotherapy University of Bern  Bern Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1009-9625","authenticated-orcid":false,"given":"Julian","family":"Koenig","sequence":"additional","affiliation":[{"name":"Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy Faculty of Medicine and University Hospital Cologne, University of Cologne  Cologne 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