ArticleBMJ open2016
Thinking dimensional: prevalence of DSM-5 early adolescent full syndrome, partial and subthreshold eating disorders in a cross-sectional survey in German schools.
Article in BMJ open, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 2 of them syntheses that pooled it.
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Who cites it
27 citing papers in PubMed, 2 syntheses or guidelines pooled it, 82 citations in OpenAlex.
- Pooled it
- Restrictive eating disorders in higher weight persons: A systematic review of atypical anorexia nervosa prevalence and consecutive admission literature.The International journal of eating disorders · 2021Pooled it
- Stress modulates gastric interoception depending on eating traits and emotion regulation: evidence from the magic table.Scientific reports · 2026Article
- Predictive Validity of Purging Disorder: A 10-Year Follow-Up Study Comparing Prevalence and Psychosocial Outcomes for Alternative Criteria Sets.The International journal of eating disorders · 2026Article
- Association Between Family Dysfunction and Risk for Eating Disorders in Adolescents.Journal of clinical medicine · 2026Article
- Clinical Significance and Distinctiveness of DSM-5 Other Specified Feeding or Eating Disorder-Bulimia Nervosa of Low Frequency and/or Limited Duration in Women.The International journal of eating disorders · 2026Article
- Function Over Form: A Longitudinal Study of Predictors and Mediation Pathways for Disordered Eating in Elite Athletes.Sports medicine - open · 2025Article
- An Umbrella Review of Body Image Concerns, Disordered Eating, and Eating Disorders in Elite Athletes.Journal of clinical medicine · 2024Review
- Article
- Development of transdiagnostic clinical risk prediction models for 12-month onset and course of eating disorders among adolescents in the community.The International journal of eating disorders · 2023Article
- Bulimia symptoms and anger and aggression among adolescents.BMC public health · 2023Article
- Epidemiology of eating disorders: population, prevalence, disease burden and quality of life informing public policy in Australia-a rapid review.Journal of eating disorders · 2023Review
- Comparison of the burden of anorexia nervosa in the Middle East and North Africa region between 1990 and 2019.Journal of eating disorders · 2022Article
- Mental disorders at the beginning of adolescence: Prevalence estimates in a sample aged 11-14 years.Public health in practice (Oxford, England) · 2022Article
- Atypical Anorexia in Youth: Cautiously Bridging the Treatment Gap.Children (Basel, Switzerland) · 2022Review
- Knowledge and Myths about Eating Disorders in a German Adolescent Sample: A Preliminary Investigation.International journal of environmental research and public health · 2022Article
- Prevalence and early risk factors for bulimia nervosa symptoms in inner-city youth: gender and ethnicity perspectives.Journal of eating disorders · 2021Article
- Distinguishing orthorexic behaviors from eating disordered and obsessive-compulsive behaviors: a typological study.Eating and weight disorders : EWD · 2021Article
- Bulimia Symptoms in Russian Youth: Prevalence and Association With Internalizing Problems.Frontiers in psychiatry · 2021Article
- Trends in the prevalence and disability-adjusted life years of eating disorders from 1990 to 2017: results from the Global Burden of Disease Study 2017.Epidemiology and psychiatric sciences · 2020Article
Corrections and comments
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesInvestigating for the first time in Germany Diagnostic and Statistical Manual Fifth Edition (DSM-5) prevalences of adolescent full syndrome, Other Specified Feeding or Eating Disorder (OSFED), partial and subthreshold anorexia nervosa (AN), bulimia nervosa (BN) and binge eating disorder (BED).
methodA national school-based cross-sectional survey with nine schools in Germany was undertaken that was aimed at students from grades 7 and 8. Of the 1775 students who were contacted to participate in the study, 1654 participated (participation rate: 93.2%). The sample consisted of 873 female and 781 male adolescents (mean age=13.4 years). Prevalence rates were established using direct symptom criteria with a structured inventory (SIAB-S) and an additional self-report questionnaire (Eating Disorder Inventory 2 (EDI-2)).
resultsPrevalences for full syndrome were 0.3% for AN, 0.4% for BN, 0.5% for BED and 3.6% for OSFED-atypical AN, 0% for BN (low frequency/limited duration), 0% for BED (low frequency/limited duration) and 1.9% for purging disorder (PD). Prevalences of partial syndrome were 10.9% for AN (7.1% established with cognitive symptoms only, excluding weight criteria), 0.2% for BN and 2.1% for BED, and of subthreshold syndrome were 0.8% for AN, 0.3% for BN and 0.2% for BED. Cases on EDI-2 scales were much more pronounced with 12.6-21.1% of the participants with significant sex differences.
conclusionsThe findings were in accordance with corresponding international studies but were in contrast to other German studies showing much higher prevalence rates. The study provides, for the first time, estimates for DSM-5 prevalences of eating disorders in adolescents for Germany, and evidence in favour of using valid measures for improving prevalence estimates. TRIAL REGISTRATION NUMBER: DRKS00005050; Results.
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