{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,22]],"date-time":"2026-06-22T22:24:28Z","timestamp":1782167068606,"version":"3.54.5"},"reference-count":39,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2023,1,17]],"date-time":"2023-01-17T00:00:00Z","timestamp":1673913600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Early Intervention Psych"],"published-print":{"date-parts":[[2023,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>Early intervention in eating disorders (EDs) is hampered by a lack of validated measures of barriers to treatment seeking. The present study examined the factor structure of the Perceived Barriers to Psychological Treatment scale (PBPT) and a combination of PBPT and Barriers to Seeking Help for ED items (BATSH\u2010ED) with respect to treatment\u2010seeking for an ED.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>Participants were 456 female university students aged 17\u201325 reporting a wide range of disordered eating severity. Confirmatory factor analyses were conducted with the whole sample followed by correlational and regression analyses with a high\u2010risk sample to assess validity of the selected questionnaire items.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Four models were tested. First, we replicated the original PBPT 8\u2010factor structure in our sample with comparable fit indices. Second, the addition of six ED items comprising a Denial and Ambivalence subscale improved model fit. Third and fourth, when only significant subscales predicting treatment seeking were retained, with removal of items with weak loadings, a 15\u2010item six\u2010factor solution provided a best fit. A range of psychosocial measures had relationships in the expected directions with the questionnaire subscales. In addition to disordered eating, the denial subscale was uniquely associated with treatment seeking.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>While the present study contributes to refining the assessment of barriers to help\u2010seeking, future studies should consider co\u2010design with lived experience to further improve the model fit of the questionnaire and improve predictiveness of help\u2010seeking.<\/jats:p><\/jats:sec>","DOI":"10.1111\/eip.13394","type":"journal-article","created":{"date-parts":[[2023,1,18]],"date-time":"2023-01-18T05:46:12Z","timestamp":1674020772000},"page":"1012-1020","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["Towards an understanding of help\u2010seeking behaviour for disordered eating: Refinement of a barriers to help\u2010seeking measure"],"prefix":"10.1111","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2858-0313","authenticated-orcid":false,"given":"Marcela","family":"Radunz","sequence":"first","affiliation":[{"name":"School of Psychology Flinders University  Adelaide South Australia Australia"},{"name":"Blackbird Initiative Flinders Institute for Mental Health and Wellbeing  Adelaide South Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4402-770X","authenticated-orcid":false,"given":"Tracey D.","family":"Wade","sequence":"additional","affiliation":[{"name":"School of Psychology Flinders University  Adelaide South Australia Australia"},{"name":"Blackbird Initiative Flinders Institute for Mental Health and Wellbeing  Adelaide South Australia Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,1,17]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jad.2012.04.045"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.22598"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.23266"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.20023"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.20931"},{"key":"e_1_2_9_7_1","volume-title":"Confirmatory factor analysis for applied research","author":"Brown T.","year":"2015"},{"key":"e_1_2_9_8_1","volume-title":"Structural equation modeling with Mplus: Basic concepts, applications, and programming","author":"Byrne B.","year":"2012"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.20213"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.20241"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.psychres.2007.04.020"},{"key":"e_1_2_9_12_1","first-page":"309","volume-title":"Cognitive behavior therapy and eating disorders","author":"Fairburn C. 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