{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,4]],"date-time":"2026-11-04T02:26:05Z","timestamp":1793759165619,"version":"4.6.1"},"reference-count":27,"publisher":"Royal College of General Practitioners","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BJGP Open"],"accepted":{"date-parts":[[2026,9,9]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Our previous review highlighted that limited knowledge and understanding of binge eating disorder (BED) and bulimia nervosa (BN) among primary care professionals may negatively impact their identification and management. While UK guidelines provide some guidance on identification and management, it is currently unknown what, if anything, is actively implemented in practice.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To map current practices used in primary care in the UK to identify and manage BED and\/or BN.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design &amp; setting<\/jats:title>\n                    <jats:p>An online mixed-method survey focused on primary care settings.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>A combination of convenience and purposive sampling was used for recruitment. The sample comprised healthcare professionals (HCPs) working in primary care and individuals with lived experience (LE) of BED and\/or BN aged \u226516 years. Data were analysed using descriptive statistics and thematic analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Of 598 responders, 347 (58%) were HCPs, 251 (42%) were individuals with LE. Up to 74.3% of HCPs reported not actively screening for BED and\/or BN. The Sick, Control, One, Fat, Food (SCOFF) Questionnaire was reported to be the most used standardised tool for identifying potential BED and\/or BN. HCPs reported referral as the main way of managing BED\/BN, while LE participants reported using self-help as the main way of managing BED and referral for BN. Differences in practices between BED\/BN were reported among HCPs and LE, such as identification practices, as were differences in HCP and LE perspectives, including ways to manage BED.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>There are considerable variations in primary care practice for identifying and managing BED and\/or BN. Providing clear guidelines for both HCPs and patients should be prioritised to ensure consistent care delivery.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3399\/bjgpo.2026.0032","type":"journal-article","created":{"date-parts":[[2026,4,2]],"date-time":"2026-04-02T16:10:16Z","timestamp":1775146216000},"page":"BJGPO.2026.0032","source":"Crossref","is-referenced-by-count":1,"title":["Current practice used to identify and manage binge eating disorder and bulimia nervosa in primary care in the UK: a national survey"],"prefix":"10.3399","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2121-5022","authenticated-orcid":false,"given":"Stella","family":"Kozm\u00e9r","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5658-9334","authenticated-orcid":false,"given":"Jane Rebecca","family":"Smith","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9931-9198","authenticated-orcid":false,"given":"Alex","family":"Burns","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1969-6637","authenticated-orcid":false,"given":"Natalia Sophie","family":"Lawrence","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7848-2159","authenticated-orcid":false,"given":"Samantha Barbara","family":"van Beurden","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1987","published-online":{"date-parts":[[2026,4,2]]},"reference":[{"key":"2026110317501486000_BJGPO.2026.0032v2.1","doi-asserted-by":"publisher","DOI":"10.1093\/ajcn\/nqy342"},{"key":"2026110317501486000_BJGPO.2026.0032v2.2","doi-asserted-by":"publisher","DOI":"10.1038\/s41572-022-00344-y"},{"key":"2026110317501486000_BJGPO.2026.0032v2.3","doi-asserted-by":"crossref","unstructured":"American Psychiatric Association (2013) Diagnostic and statistical manual of mental disorders. 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NICE guideline: NG69. accessed. https:\/\/www.nice.org.uk\/guidance\/ng69. 13 Jul 2026."},{"key":"2026110317501486000_BJGPO.2026.0032v2.10","doi-asserted-by":"publisher","DOI":"10.1080\/10640266.2017.1397419"},{"key":"2026110317501486000_BJGPO.2026.0032v2.11","doi-asserted-by":"publisher","DOI":"10.1093\/fampra\/cmt013"},{"key":"2026110317501486000_BJGPO.2026.0032v2.12","doi-asserted-by":"publisher","DOI":"10.1177\/0890334419848734"},{"key":"2026110317501486000_BJGPO.2026.0032v2.13","doi-asserted-by":"publisher","DOI":"10.1002\/eat.20636"},{"key":"2026110317501486000_BJGPO.2026.0032v2.14","doi-asserted-by":"publisher","DOI":"10.1192\/bjo.2020.65"},{"key":"2026110317501486000_BJGPO.2026.0032v2.15","unstructured":"NHS England Digital (2026) General Practice Workforce. accessed. https:\/\/digital.nhs.uk\/data-and-information\/publications\/statistical\/general-and-personal-medical-services\/31-may-2024. 13 Jul 2026."},{"key":"2026110317501486000_BJGPO.2026.0032v2.16","unstructured":"GOV.UK (2025) 10 Year Health Plan for England: fit for the future. accessed. https:\/\/www.gov.uk\/government\/publications\/10-year-health-plan-for-england-fit-for-the-future. 13 Jul 2026."},{"issue":"2","key":"2026110317501486000_BJGPO.2026.0032v2.17","doi-asserted-by":"crossref","first-page":"320","DOI":"10.1002\/erv.2959","article-title":"A framework for conceptualising early intervention for eating disorders","author":"Allen","year":"2023","journal-title":"Eur Eat Disord Rev"},{"key":"2026110317501486000_BJGPO.2026.0032v2.18","doi-asserted-by":"publisher","DOI":"10.1186\/s12913-021-06478-1"},{"key":"2026110317501486000_BJGPO.2026.0032v2.19","doi-asserted-by":"publisher","DOI":"10.5152\/alphapsychiatry.2024.241464"},{"key":"2026110317501486000_BJGPO.2026.0032v2.20","doi-asserted-by":"publisher","DOI":"10.1007\/s40263-024-01111-1"},{"key":"2026110317501486000_BJGPO.2026.0032v2.21","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2009.159491"},{"key":"2026110317501486000_BJGPO.2026.0032v2.22","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0048448"},{"key":"2026110317501486000_BJGPO.2026.0032v2.23","doi-asserted-by":"publisher","DOI":"10.1111\/obr.12266"},{"key":"2026110317501486000_BJGPO.2026.0032v2.24","doi-asserted-by":"publisher","DOI":"10.1002\/oby.20617"},{"key":"2026110317501486000_BJGPO.2026.0032v2.25","unstructured":"NHS England (2025) Improving the physical health of people living with severe mental illness. accessed. https:\/\/www.england.nhs.uk\/long-read\/improving-the-physical-health-of-people-living-with-severe-mental-illness\/. 13 Jul 2026."},{"key":"2026110317501486000_BJGPO.2026.0032v2.26","doi-asserted-by":"publisher","DOI":"10.3399\/bjgp24X738513"},{"key":"2026110317501486000_BJGPO.2026.0032v2.27","doi-asserted-by":"crossref","unstructured":"McEntee ML Philip SR Phelan SM (2023) Dismantling weight stigma in eating disorder treatment: Next steps for the field. accessed. https:\/\/www.frontiersin.org\/journals\/psychiatry\/articles\/10.3389\/fpsyt.2023.1157594\/full. 13 Jul 2026.","DOI":"10.3389\/fpsyt.2023.1157594"}],"container-title":["BJGP Open"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.3399\/BJGPO.2026.0032","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,11,4]],"date-time":"2026-11-04T01:50:34Z","timestamp":1793757034000},"score":1,"resource":{"primary":{"URL":"http:\/\/bjgpopen.org\/lookup\/doi\/10.3399\/BJGPO.2026.0032"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,4,2]]},"references-count":27,"alternative-id":["10.3399\/BJGPO.2026.0032"],"URL":"https:\/\/doi.org\/10.3399\/bjgpo.2026.0032","relation":{},"ISSN":["2398-3795"],"issn-type":[{"value":"2398-3795","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,4,2]]}}}