ArticleEuropean child & adolescent psychiatry2008
Disordered eating behaviour and attitudes, associated psychopathology and health-related quality of life: results of the BELLA study.
Article in European child & adolescent psychiatry, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 64 papers, 4 of them syntheses that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
64 citing papers in PubMed, 4 syntheses or guidelines pooled it, 181 citations in OpenAlex.
- The use and misuse of the SCOFF screening measure over two decades: a systematic literature review.Eating and weight disorders : EWD · 2024Pooled it
- Global Proportion of Disordered Eating in Children and Adolescents: A Systematic Review and Meta-analysis.JAMA pediatrics · 2023Pooled it
- Evaluating reach, adoption, implementation and maintenance of Internet-based interventions to prevent eating disorders in adolescents: a systematic review.European journal of public health · 2020Pooled it
- Pooled it
- The Efficacy of a Universal School-Based Prevention Program for Eating Disorders among German Adolescents: Results from a Randomized-Controlled Trial.Journal of youth and adolescence · 2018Trial
- Disordered eating and health-related quality of life in overweight and obese children.Journal of pediatric psychology · 2014Trial
- Mental health-related service contact amongst young people with a possible eating problem in the English national child mental health surveys.European child & adolescent psychiatry · 2026Article
- Mediating Effect of Anxiety/Depression Between Nomophobia and Disordered Eating Among Lebanese Young Adults: A Cross-Sectional Study.Health science reports · 2026Article
- Examining use of restaurant nutrition information among adults living in England engaged in disordered eating or weight management efforts.BMC public health · 2026Article
- The longitudinal impact of individual and parental emotional factors and individual behavioral factors on weight and disordered eating: A scoping review.Reviews in endocrine & metabolic disorders · 2026Review
- Restrained Eating Features and Brain Morphology: A Pediatric Population-Based Study.The International journal of eating disorders · 2025Article
- Eating disorders and psychiatric comorbidity among first-year university students in Sweden: Prevalence and risk factors.Journal of eating disorders · 2025Article
- Common Genetic and Environmental Contributions to Anxiety Sensitivity, Anxiety, and Cognitive Symptoms of Eating Disorders in Adolescence.Research on child and adolescent psychopathology · 2025Article
- Longitudinal patterns of disordered eating behaviors in children and adolescents from the Brazilian High-Risk Cohort study for mental conditions.Revista brasileira de psiquiatria (Sao Paulo, Brazil : 1999) · 2025Article
- Relationships of eating behaviors with psychopathology, brain maturation and genetic risk for obesity in an adolescent cohort study.Nature. Mental health · 2025Article
- Article
- Eating disorder risks and psychopathological distress in Italian high school adolescents.Italian journal of pediatrics · 2024Article
- Self-reported health related quality of life in children and adolescents with an eating disorder.BMC psychology · 2024Article
- Eating disorders and health literacy in Germany: results from two representative samples of adolescents and adults.Frontiers in psychology · 2024Article
- Article
4 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo identify disordered eating behaviour and attitudes in a large representative population in order to determine the relationship with body weight status, and to assess associated psychopathology and health-related quality of life.
methodsA total of 11-17 year-old adolescents (n=1,895) were randomly selected from the national representative sample of 17,641 families participating in the German Health Interview and Examination Survey for Children and Adolescents (KiGGS). Weight and height were assessed by trained staff. Mental health problems and health-related quality of life were examined by means of a telephone interview and different questionnaires. Eating disordered behaviour and attitudes were identified by the SCOFF, an instrument consisting of five questions originally developed to screen for eating disorders in clinical settings.
resultsAbout one third of the girls and 15% of the boys reported disordered eating behaviour and attitudes, which were most prevalent in overweight youth. There was a significant association between the presence of disordered eating behaviour and psychopathology, which was comprised of internalising and externalising behavioural problems. In addition, adolescents with disordered eating behaviour reported reduced quality of life.
conclusionThe high prevalence of disordered eating in the general population of Germany is of great concern. Health professionals should not only be aware of disordered eating in underweight adolescents, but in all youth, especially overweight individuals. Disordered eating behaviour is associated with a wide range of psychopathological and psychosocial concerns. Thus, youngsters engaging in disordered eating behaviour should also be explored for other serious mental or social problems.
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