{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,23]],"date-time":"2026-09-23T21:37:50Z","timestamp":1790199470927,"version":"4.1.0"},"reference-count":58,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2025,1,7]],"date-time":"2025-01-07T00:00:00Z","timestamp":1736208000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Psychol."],"abstract":"<jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>The main objectives were to investigate the prevalence of ED and associated risk factors among medical students in Romania, as well as to determine which variables may predict ED and to explore the differences between medical students and the general population.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The Eating Disorders Inventory questionnaire (EDI-3) was applied. Also, the body mass index of the students was calculated, socio-demographic information regarding personal and family medical history was collected (mental and chronic diseases, self-reported sleep difficulties in the past 6\u202fmonths, family history of obesity) and potentially risky events (history of ridicule, major negative events, social pressure to be thin from family, friends, media).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>37.1% students are at risk of eating disorders, 41% females and 23% males, according to the EDI-3. 14.42% were underweight, 65.05% normal weight, 16.99% overweight and 3.53% obese. Compared to the nationally representative sample in Romania, medical students had significantly higher scores for ED risk and for all other psychological factors.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Medical students have a high risk of developing ED, even higher than the general population. Several factors were associated with the ED risk, including female gender, experiencing sleeping difficulties, feelings of ridicule, family pressure and media pressure, prior ED history, high BMI, negative events and family history of mental illness. The regression analysis showed that family pressure is a strong predictor for ED risk.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpsyg.2024.1515084","type":"journal-article","created":{"date-parts":[[2025,1,7]],"date-time":"2025-01-07T02:04:20Z","timestamp":1736215460000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":13,"title":["Eating disorders in medical students: prevalence, risk factors, comparison with the general population"],"prefix":"10.3389","volume":"15","author":[{"given":"Raluca","family":"Motorga","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mihaela","family":"Ionescu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Florina","family":"Nechita","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniela","family":"Micu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Iulia","family":"B\u0103lu\u021boiu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria M\u0103d\u0103lina","family":"Dinu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dan","family":"Nechita","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2025,1,7]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"18","DOI":"10.1007\/s11920-016-0728-8","article-title":"Sleep and eating disorders","volume":"18","author":"Allison","year":"2016","journal-title":"Curr. Psychiatry Rep."},{"key":"ref2","first-page":"329","article-title":"Eating disorders","volume-title":"DSM-5: diagnostic and statistical manual of mental disorders","year":"2016"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"724","DOI":"10.1001\/archgenpsychiatry.2011.74","article-title":"Mortality rates in patients with anorexia nervosa and other eating disorders: a meta-analysis of 36 studies","volume":"68","author":"Arcelus","year":"2011","journal-title":"Arch. Gen. Psychiatry"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"129","DOI":"10.2147\/PRBM.S165114","article-title":"Eating disorders among Moroccan medical students: cognition and behavior","volume":"12","author":"Azzouzi","year":"2019","journal-title":"Psychol Res Behav Manag"},{"key":"ref5","doi-asserted-by":"publisher","first-page":"576","DOI":"10.1037\/a0016314","article-title":"Genetic risk factors for disordered eating in adolescent males and females","volume":"118","author":"Baker","year":"2009","journal-title":"J. Abnorm. Psychol."},{"key":"ref6","doi-asserted-by":"publisher","first-page":"8","DOI":"10.1186\/s40337-022-00717-4","article-title":"Risk factors for eating disorders: findings from a rapid review","volume":"11","author":"Barakat","year":"2023","journal-title":"J. Eat. Disord."},{"key":"ref9001","article-title":"S\u0103n\u0103tatea mintal\u0103 \u00een func\u021bie de stadiile de via\u021b\u0103: afec\u021biuni tipice, riscuri \u0219i prevalen\u021be la diverse categorii de v\u00e2rst\u0103 \u00een Tabloul s\u0103n\u0103t\u0103\u021bii mintale \u00een Rom\u00e2nia. Raportul studiului realizat de Consiliul Economic \u0219i Social","author":"Bartuc","year":"2023"},{"key":"ref7","doi-asserted-by":"publisher","first-page":"1879","DOI":"10.2147\/NDT.S266241","article-title":"Prevalence of eating disorders among medical students in a Lebanese medical school: a cross-sectional study","volume":"16","author":"Bizri","year":"2020","journal-title":"Neuropsychiatr. Dis. Treat."},{"key":"ref8","doi-asserted-by":"publisher","first-page":"51","DOI":"10.1111\/acps.12389","article-title":"Do eating disorders in parents predict eating disorders in children? Evidence from a Swedish cohort","volume":"132","author":"Bould","year":"2015","journal-title":"Acta PsychiatrScand"},{"key":"ref9","doi-asserted-by":"publisher","first-page":"414","DOI":"10.15386\/cjmed-1018","article-title":"Nutritional status and eating disorders among medical students from the Cluj-Napoca university center","volume":"91","author":"Brumboiu","year":"2018","journal-title":"Clujul. Med."},{"key":"ref10","doi-asserted-by":"publisher","first-page":"8300","DOI":"10.3390\/ijerph19148300","article-title":"Benefits of exercise in multidisciplinary treatment of binge eating disorder in adolescents with obesity","volume":"19","author":"Cena","year":"2022","journal-title":"Int. J. Environ. Res. Public Health"},{"key":"ref11","doi-asserted-by":"publisher","first-page":"2601","DOI":"10.3389\/fpsyg.2019.02601","article-title":"Editorial: beyond eating and body image disturbances: cultural, transcultural and accultural perspectives","volume":"10","author":"Cepeda-Benito","year":"2019","journal-title":"Front. Psychol."},{"key":"ref12","doi-asserted-by":"publisher","first-page":"271","DOI":"10.1002\/eat.10147","article-title":"Neuroticism and low self-esteem as risk factors for incident eating disorders in a prospective cohort study","volume":"33","author":"Cervera","year":"2003","journal-title":"Int. J. Eat. Disord."},{"key":"ref13","doi-asserted-by":"publisher","first-page":"102031","DOI":"10.1016\/j.cpr.2021.102031","article-title":"Parental eating disorders: a systematic review of parenting attitudes, behaviours, and parent-child interactions","volume":"88","author":"Chapman","year":"2021","journal-title":"Clin. Psychol. Rev."},{"key":"ref14","doi-asserted-by":"publisher","first-page":"95","DOI":"10.1016\/j.clinthera.2020.12.003","article-title":"A narrative review of sex differences in eating disorders: is there a biological basis?","volume":"43","author":"Culbert","year":"2021","journal-title":"Clin. Ther."},{"key":"ref16","doi-asserted-by":"publisher","first-page":"92","DOI":"10.1057\/s41599-022-01105-8","article-title":"Student wellness trends and interventions in medical education: a narrative review","volume":"9","author":"Estrella-Proa\u00f1o","year":"2022","journal-title":"Humanit. Soc. Sci. Commun."},{"key":"ref17","doi-asserted-by":"publisher","first-page":"1991","DOI":"10.1007\/s40519-021-01351-w","article-title":"The prevalence of feeding and eating disorders symptomology in medical students: an updated systematic review, meta-analysis, and meta-regression","volume":"27","author":"Fekih-Romdhane","year":"2022","journal-title":"Eat. Weight Disord."},{"key":"ref9002","article-title":"Eating Disorder Inventory-3. Professional Manual. Psychological Assessment Resources, Inc., USA","author":"Garner","year":"2004"},{"key":"ref18","volume-title":"EDI-3: Inventarul tulbur\u0103rilor de comportament alimentar-3: manual de specialitate: adaptarea \u0219i standardizarea EDI-3 pe popula\u021bia din Rom\u00e2nia","author":"Garner","year":"2010"},{"key":"ref19","doi-asserted-by":"publisher","first-page":"1633","DOI":"10.12669\/pjms.38.6.5033","article-title":"Prevalence and predictors of eating disorders: a cross-sectional survey of medical students at King Abdul-Aziz University, Jeddah","volume":"38","author":"Ghamri","year":"2022","journal-title":"Pak. J. Med. Sci."},{"key":"ref20","doi-asserted-by":"publisher","first-page":"836956","DOI":"10.3389\/fpsyt.2022.836956","article-title":"The influence of self-esteem and psychological flexibility on medical college students' mental health: a cross-sectional study","volume":"13","author":"Guo","year":"2022","journal-title":"Front. Psych."},{"key":"ref21","doi-asserted-by":"publisher","first-page":"2240","DOI":"10.3390\/nu14112240","article-title":"Gender differences in treatment outcomes for eating disorders: a case-matched, retrospective pre\u2013post comparison","volume":"14","author":"Halbeisen","year":"2022","journal-title":"Nutrients"},{"key":"ref22","doi-asserted-by":"publisher","first-page":"956310","DOI":"10.3389\/fnut.2022.956310","article-title":"Prevalence, correlates, and gender disparities related to eating disordered behaviors among health science students and healthcare practitioners in Lebanon: findings of a national cross sectional study","volume":"9","author":"Hoteit","year":"2022","journal-title":"Front. Nutr."},{"key":"ref23","doi-asserted-by":"publisher","first-page":"1368858","DOI":"10.3389\/fmed.2024.1368858","article-title":"Tickling the heart: integrating social emotional learning into medical education to cultivate empathetic, resilient, and holistically developed physicians","volume":"11","author":"Hsu","year":"2024","journal-title":"Front. Med."},{"key":"ref24","doi-asserted-by":"publisher","first-page":"348","DOI":"10.1016\/j.biopsych.2006.03.040","article-title":"The prevalence and correlates of eating disorders in the National Comorbidity Survey Replication","volume":"61","author":"Hudson","year":"2007","journal-title":"Biol. Psychiatry"},{"key":"ref25","doi-asserted-by":"publisher","first-page":"97","DOI":"10.3390\/pharmacy6030097","article-title":"Eating disorders in relationship with dietary habits among pharmacy students in Romania","volume":"6","author":"Iorga","year":"2018","journal-title":"Pharmacy (Basel)"},{"key":"ref26","first-page":"102","article-title":"Screening the risk for eating disorders among medical dentistry students: a cross-sectional study","volume":"11","author":"Iorga","year":"2019","journal-title":"Rom. J. Oral Rehabil."},{"key":"ref27","doi-asserted-by":"publisher","first-page":"605","DOI":"10.1007\/s10389-019-01064-6","article-title":"Prevalence of sleep problems among medical students: a systematic review and meta-analysis","volume":"28","author":"Jahrami","year":"2020","journal-title":"J. Public Health"},{"key":"ref28","doi-asserted-by":"publisher","first-page":"169","DOI":"10.1007\/s40519-018-0618-7","article-title":"The relationship between risk of eating disorders, age, gender and body mass index in medical students: a meta-regression","volume":"24","author":"Jahrami","year":"2019","journal-title":"Eat. Weight Disord."},{"key":"ref29","doi-asserted-by":"publisher","first-page":"165","DOI":"10.5152\/alphapsychiatry.2024.241515","article-title":"An umbrella review and a Meta-analysis of Meta-analyses of disordered eating among medical students","volume":"25","author":"Jahrami","year":"2024","journal-title":"Alpha Psychiatry"},{"key":"ref30","doi-asserted-by":"publisher","first-page":"397","DOI":"10.1007\/s40519-018-0516-z","article-title":"Eating disorders risk among medical students: a global systematic review and meta-analysis","volume":"24","author":"Jahrami","year":"2019","journal-title":"Eat. Weight Disord."},{"key":"ref31","doi-asserted-by":"publisher","first-page":"374","DOI":"10.1002\/erv.447","article-title":"History and current state of treatment for eating disorders in Romania","volume":"9","author":"Joja","year":"2001","journal-title":"Eur. Eat. Disord. Rev."},{"key":"ref32","doi-asserted-by":"publisher","first-page":"402","DOI":"10.1016\/j.sbspro.2015.03.075","article-title":"Weight concerns and eating attitudes among Romanian students in comparison to German students and anorexia nervosa patients","volume":"187","author":"Joja","year":"2015","journal-title":"Procedia. Soc. Behav. Sci."},{"key":"ref33","doi-asserted-by":"publisher","DOI":"10.1093\/eurpub\/cky214.010","article-title":"Eating disorders in university students: an international multi-institutional study","volume":"28","author":"Kiss-T\u00f3th","year":"2018","journal-title":"Eur. J. Pub. Health"},{"key":"ref34","first-page":"390","article-title":"Az ev\u00e9szavarok epicemiol\u00f3giai vizsg\u00e1lata rom\u00e1niai rom\u00e1n, illetve magyar kult\u00far\u00e1k t\u00fckr\u00e9ben [prevalence of eating disorders in the cultural context of the Romanian majority and the Hungarian minority in Romania]","volume":"22","author":"Kov\u00e1cs","year":"2007","journal-title":"Psychiatria Hungarica: A Magyar Pszichiatriai Tarsasag tudomanyos folyoirata"},{"key":"ref35","first-page":"124","article-title":"Az ev\u00e9szavarok epidemiol\u00f3giai vizsg\u00e1lata erd\u00e9lyi rom\u00e1n, magyar, illetve sz\u00e1sz k\u00f6z\u00e9piskol\u00e1sok k\u00f6r\u00e9ben [Prevalence of eating disorders in Romanian, Hungarian and Saxon secondary school students in Transylvania]","volume":"24","author":"Kov\u00e1cs Krizbai","year":"2009","journal-title":"Psychiatria Hungarica: A Magyar Pszichiatriai Tarsasag tudomanyos folyoirata"},{"key":"ref36","doi-asserted-by":"publisher","DOI":"10.1093\/eurpub\/ckz186.486","article-title":"Eating disorders among university students: a public health challenge. An European study","volume":"29","author":"Ladner","year":"2019","journal-title":"Eur. J. Pub. Health"},{"key":"ref37","doi-asserted-by":"publisher","first-page":"84","DOI":"10.1186\/1756-0500-5-84","article-title":"Eating disorders in medical students of Karachi, Pakistan: a cross-sectional study","volume":"5","author":"Memon","year":"2012","journal-title":"BMC. Res. Notes"},{"key":"ref38","article-title":"Studiul de adaptare \u015fi standardizare a Inventarului tulbur\u0103rilor de comportament alimentar (EDI-3) pe popula\u0163ia din Rom\u00e2nia","volume-title":"Manualul Inventarului tulbur\u0103rilor de comportament alimentar EDI-3","author":"Miclea","year":"2011"},{"key":"ref39","doi-asserted-by":"publisher","first-page":"241","DOI":"10.4183\/aeb.2013.241","article-title":"Overweight, obesity, and dieting attitudes among college students in Romania","volume":"9","author":"Mocanu","year":"2013","journal-title":"Endocrine Care"},{"key":"ref40","first-page":"1045","article-title":"A review of the influence the anxiety exerts on human life","volume":"59","author":"Nechita","year":"2018","journal-title":"Rom J Morphol Embryol"},{"key":"ref41","first-page":"1059","article-title":"Trait anxiety and coping in first year medical students","volume":"60","author":"Nechita","year":"2019","journal-title":"Rom J Morphol Embryol"},{"key":"ref42","first-page":"228","article-title":"Eating behavior, mental health and degree of physical activity in medical students","volume-title":"Health and health psychology - icH&Hpsy 2017. European proceedings of social and behavioural sciences","author":"Petreanu","year":"2017"},{"key":"ref43","first-page":"S377","article-title":"Disordered eating behavior and body image in junior medical students","volume":"63","author":"Petunova","year":"2022","journal-title":"Eur. Psychiatry"},{"key":"ref44","doi-asserted-by":"publisher","first-page":"436","DOI":"10.1097\/YCO.0000000000000100","article-title":"Cultural trends and eating disorders","volume":"27","author":"Pike","year":"2014","journal-title":"Curr. Opin. Psychiatry"},{"key":"ref45","doi-asserted-by":"crossref","first-page":"45","DOI":"10.1002\/1098-108X(198421)3:3<45::AID-EAT2260030304>3.0.CO;2-G","article-title":"Prevalence of anorexia nervosa and bulimia in three student populations","volume":"3","author":"Pope","year":"1984","journal-title":"Int. J. Eat. Disord."},{"key":"ref46","doi-asserted-by":"publisher","first-page":"655","DOI":"10.1177\/0165025416654302","article-title":"I don\u2019t want to grow up, I\u2019m a (gen X, Y, me) kid: increasing maturity fears across the decades","volume":"41","author":"Smith","year":"2017","journal-title":"Int. J. Behav. Dev."},{"key":"ref47","doi-asserted-by":"publisher","first-page":"4","DOI":"10.1186\/2050-2974-1-4","article-title":"Publications on cross-cultural aspects of eating disorders","volume":"1","author":"Soh","year":"2013","journal-title":"J. Eat. Disord."},{"key":"ref48","doi-asserted-by":"publisher","first-page":"61","DOI":"10.1017\/S1092852921000882","article-title":"Binge-eating disorder in university students: high prevalence and strong link to impulsive and compulsive traits","volume":"28","author":"Solly","year":"2023","journal-title":"CNS Spectr."},{"key":"ref49","doi-asserted-by":"publisher","first-page":"101769","DOI":"10.1016\/j.eatbeh.2023.101769","article-title":"The association between eating disorders and perfectionism in adults: a systematic review and meta-analysis","volume":"50","author":"Stackpole","year":"2023","journal-title":"Eat. Behav."},{"key":"ref50","doi-asserted-by":"publisher","first-page":"270","DOI":"10.1521\/jscp.20.3.270.22309","article-title":"Exposure to media-portrayed thin-ideal images adversely affects vulnerable girls: a longitudinal experiment","volume":"20","author":"Stice","year":"2001","journal-title":"J. Soc. Clin. Psychol."},{"key":"ref51","doi-asserted-by":"publisher","first-page":"669","DOI":"10.1037\/0012-1649.38.5.669","article-title":"Risk factors for body dissatisfaction in adolescent girls: a longitudinal investigation","volume":"38","author":"Stice","year":"2002","journal-title":"Dev. Psychol."},{"key":"ref52","doi-asserted-by":"publisher","first-page":"49","DOI":"10.1016\/j.eatbeh.2013.10.008","article-title":"Parental bonding and eating disorders: a systematic review","volume":"15","author":"Tetley","year":"2014","journal-title":"Eat. Behav."},{"key":"ref53","doi-asserted-by":"publisher","first-page":"1079","DOI":"10.1556\/2006.2020.00078","article-title":"Eating disorder characteristics among Hungarian medical students: changes between 1989 and 2011","volume":"9","author":"T\u00fary","year":"2020","journal-title":"J. Behav. Addict."},{"key":"ref54","doi-asserted-by":"crossref","DOI":"10.1007\/978-3-030-97416-9_23-1","article-title":"Eating disorders in Eastern Europe","volume-title":"Eating disorders","author":"T\u00fary","year":"2023"},{"key":"ref55","doi-asserted-by":"publisher","first-page":"1268872","DOI":"10.3389\/fpsyt.2023.1268872","article-title":"Depression, anxiety, and stress in medical students in Peru: a cross-sectional study","volume":"14","author":"Valladares-Garrido","year":"2023","journal-title":"Front. Psych."},{"key":"ref56","doi-asserted-by":"crossref","DOI":"10.1007\/978-3-030-97416-9_44-1","article-title":"Genetics of eating disorders","volume-title":"Eating disorders","author":"Watson","year":"2023"},{"key":"ref57","doi-asserted-by":"publisher","first-page":"810","DOI":"10.1186\/s12909-024-05781-9","article-title":"Gender differences in the relationship between medical students\u2019 emotional intelligence and stress coping: a cross-sectional study","volume":"24","author":"Zhang","year":"2024","journal-title":"BMC Med. 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