{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T04:52:29Z","timestamp":1791175949161,"version":"4.1.0"},"reference-count":55,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,10,4]],"date-time":"2026-10-04T00:00:00Z","timestamp":1791072000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,10,4]],"date-time":"2026-10-04T00:00:00Z","timestamp":1791072000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Eating Disorders"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Help\u2010seeking for eating disorders (EDs) remains low despite their burden and the importance of early intervention. This multimethod study examined perceived barriers to help\u2010seeking among adults with self\u2010reported ED symptoms in Sweden, a context underrepresented in prior help\u2010seeking research.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>The analytic sample included 2778 adults who completed an online survey assessing ED psychopathology and perceived barriers to help\u2010seeking. Descriptive analyses identified endorsed perceived barriers, and logistic regression tested associations between symptom severity and barrier themes. Open\u2010ended responses on barriers to and facilitators of help\u2010seeking were analyzed thematically.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The most frequently endorsed perceived barrier themes were stigma and shame, denial or failure to perceive illness severity, and fear of losing control or change. Qualitative findings highlighted limited ED competence in healthcare, particularly in primary care and for binge eating at higher body weight, as well as concerns about disclosure, confidentiality, and the availability of care. Facilitators included improved ED knowledge in healthcare, encouragement from others, anonymous digital care options, clearer access routes, and increased service availability. Higher ED symptom severity was associated with greater odds of endorsing most perceived barrier themes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>Findings highlight the need for low\u2010threshold interventions targeting shame, stigma, denial, and fear of change, alongside improved ED competence in healthcare, particularly in primary care, clearer referral pathways, and more inclusive care. If shown to be safe and effective, AI\u2010based tools may help strengthen ED literacy across early\u2010contact services and thereby reduce barriers to early recognition and help\u2010seeking.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/eat.70233","type":"journal-article","created":{"date-parts":[[2026,10,5]],"date-time":"2026-10-05T04:26:59Z","timestamp":1791174419000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Perceived Barriers to Help\u2010Seeking for Eating Disorders Among Adults With Self\u2010Reported Eating Disorder Symptoms in Sweden"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-8647-1975","authenticated-orcid":false,"given":"Anne\u2010Charlotte","family":"Wiberg","sequence":"first","affiliation":[{"name":"Centre for Psychiatry Research, Department of Clinical Neuroscience Karolinska Institutet, and Stockholm Health Care Services, Region Stockholm  Stockholm Sweden"},{"name":"Stockholm Center for Eating Disorders Stockholm Health Care Services, Region Stockholm  Stockholm Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3042-6187","authenticated-orcid":false,"given":"Elisabeth","family":"Welch","sequence":"additional","affiliation":[{"name":"Division of Psychology, Department of Clinical Neuroscience Karolinska Institutet  Stockholm Sweden"},{"name":"Global Health and Migration Unit, Department of Women's and Children's Health Uppsala University  Uppsala Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4475-7139","authenticated-orcid":false,"given":"Jake","family":"Linardon","sequence":"additional","affiliation":[{"name":"School of Psychology Deakin University, Melbourne Burwood Campus  Burwood Victoria Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8483-7964","authenticated-orcid":false,"given":"Ata","family":"Ghaderi","sequence":"additional","affiliation":[{"name":"Division of Psychology, Department of Clinical Neuroscience Karolinska Institutet  Stockholm Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,4]]},"reference":[{"key":"e_1_2_11_2_1","unstructured":"1177 for Healthcare Professionals.2026.\u201cEating Disorders.\u201dhttps:\/\/vardpersonal.1177.se\/kunskapsstod\/kliniska\u2010kunskapsstod\/atstorningar\/."},{"key":"e_1_2_11_3_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40337\u2010025\u201001198\u2010x"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.22598"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.23266"},{"key":"e_1_2_11_6_1","first-page":"1","volume-title":"Eating Disorders: An International Comprehensive View","author":"Ali K.","year":"2023"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.24306"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1002\/erv.3074"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/erv.2745"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.24377"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1037\/qup0000196"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1080\/14780887.2014.955224"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40337\u2010022\u201000597\u20108"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.2196\/57795"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40337\u2010024\u201001162\u20101"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1002\/erv.2999"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1002\/erv.3052"},{"key":"e_1_2_11_18_1","first-page":"309","volume-title":"Cognitive Behavior Therapy and Eating Disorders","author":"Fairburn C. 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