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National register data was linked to identify hospital\u2010diagnosed\n                      <jats:styled-content style=\"fixed-case\">EDs<\/jats:styled-content>\n                      . The\n                      <jats:styled-content style=\"fixed-case\">ED<\/jats:styled-content>\n                      spectrum comprised mutually exclusive categories ranging from no symptoms, through disordered eating behaviors (\n                      <jats:styled-content style=\"fixed-case\">DEBs<\/jats:styled-content>\n                      ) and self\u2010reported diagnosis\u2010like subthreshold and threshold\n                      <jats:styled-content style=\"fixed-case\">ED<\/jats:styled-content>\n                      symptoms to diagnosed\n                      <jats:styled-content style=\"fixed-case\">EDs<\/jats:styled-content>\n                      . We compared sex\u2010specific weighted proportions and 95% confidence intervals (\n                      <jats:styled-content style=\"fixed-case\">CIs<\/jats:styled-content>\n                      ) of impaired mental health and well\u2010being by spectrum category.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Among 25,974 females and 18,329 males, 73.3% and 80.3%, respectively, had no\n                      <jats:styled-content style=\"fixed-case\">ED<\/jats:styled-content>\n                      symptoms, while 12.7% of females and 1.5% of males had at least subthreshold\n                      <jats:styled-content style=\"fixed-case\">ED<\/jats:styled-content>\n                      symptoms, with milder\n                      <jats:styled-content style=\"fixed-case\">DEBs<\/jats:styled-content>\n                      constituting the largest proportion of the\n                      <jats:styled-content style=\"fixed-case\">ED<\/jats:styled-content>\n                      spectrum, particularly in males. Diagnosed\n                      <jats:styled-content style=\"fixed-case\">EDs<\/jats:styled-content>\n                      showed the highest co\u2010occurrence of other psychiatric disorders, self\u2010injury, and suicidality, whereas threshold\n                      <jats:styled-content style=\"fixed-case\">ED<\/jats:styled-content>\n                      symptoms were associated with the poorest mental health across most self\u2010reported measures and, among females, several risk behaviors. Compared with no\n                      <jats:styled-content style=\"fixed-case\">ED<\/jats:styled-content>\n                      symptoms, females across the\n                      <jats:styled-content style=\"fixed-case\">ED<\/jats:styled-content>\n                      spectrum showed higher co\u2010occurrence of impaired mental health and well\u2010being. In males, differences were small, but omitting muscle dysmorphia showed substantially poorer mental health among males with other\n                      <jats:styled-content style=\"fixed-case\">DEBs<\/jats:styled-content>\n                      .\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Poor mental health and well\u2010being co\u2010occurred across the full ED spectrum, particularly in females, with substantial difficulties in both diagnosed EDs and those with threshold ED symptoms.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/eat.70204","type":"journal-article","created":{"date-parts":[[2026,9,9]],"date-time":"2026-09-09T05:25:57Z","timestamp":1788931557000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Mental Health and Well\u2010Being Across the Eating 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