Evidence map›Paper›PMID 33421867›Full record

ArticleJournal of affective disorders2021

Comorbidity of self-harm and disordered eating in young people: Evidence from a UK population-based cohort.

Naomi Warne, Jon Heron, Becky Mars, Paul Moran, Anne Stewart, Marcus Munafò, Lucy Biddle, Andy Skinner, David Gunnell, Helen Bould

Open access · hybridAbstract read
In one paragraph

Article in Journal of affective disorders, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
2.7field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 37 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 3 institutions in 1 country.

Naomi WarneCentre for Academic Mental Health, Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK.
Jon HeronCentre for Academic Mental Health, Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK; Centre for Public Health, Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK.
Becky MarsCentre for Academic Mental Health, Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK; NIHR Biomedical Research Centre, University Hospitals Bristol NHS Foundation Trust, University of Bristol, Bristol, UK.
Paul MoranCentre for Academic Mental Health, Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK; NIHR Biomedical Research Centre, University Hospitals Bristol NHS Foundation Trust, University of Bristol, Bristol, UK; NIHR Applied Research Collaboration (ARC) West at University Hospitals Bristol NHS Foundation Trust, Bristol, UK.
Anne StewartDepartment of Psychiatry, University of Oxford, Oxford, UK; Oxford Health NHS Foundation Trust, Oxford UK.
Marcus MunafòNIHR Biomedical Research Centre, University Hospitals Bristol NHS Foundation Trust, University of Bristol, Bristol, UK; School of Psychological Science, University of Bristol, Bristol, UK; MRC Integrative Epidemiology Unit, University of Bristol Medical School, Bristol, UK.
Lucy BiddleCentre for Academic Mental Health, Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK; NIHR Applied Research Collaboration (ARC) West at University Hospitals Bristol NHS Foundation Trust, Bristol, UK.
Andy SkinnerSchool of Psychological Science, University of Bristol, Bristol, UK; MRC Integrative Epidemiology Unit, University of Bristol Medical School, Bristol, UK.
David GunnellCentre for Academic Mental Health, Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK; NIHR Biomedical Research Centre, University Hospitals Bristol NHS Foundation Trust, University of Bristol, Bristol, UK.
Helen BouldCentre for Academic Mental Health, Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK; Gloucestershire Health and Care NHS Foundation Trust, Gloucester, UK. Electronic address: Helen.Bould@bristol.ac.uk.
University Hospitals Bristol NHS Foundation Trust · GBUniversity of Bristol · GBOxford Health NHS Foundation Trust · GB

Funding

Empirical eating disorder classification and validation using prospective studiesR01MH087786 · NIMH · BROWN UNIVERSITY · PI FIELD, ALISON E, MICALI, NADIA · 2010 to 2014
$2.5M
Polygenic and trans-diagnostic risk for anorexia nervosa and obsessive-compulsive disorder: Novel associations with emotional, behavioral, and cognitive dysfunction in a population-based cohortR21MH109917 · NIMH · UNIV OF NORTH CAROLINA CHAPEL HILL · PI MICALI, NADIA, ZERWAS, STEPHANIE CHRISTINE · 2016 to 2017
$454k
Medical Research Council G9815508Medical Research Council MC_PC_15018Medical Research Council MC_PC_19009Medical Research Council MC_UU_00011/7Medical Research Council MR/S003894/1Medical Research Council MR/S020292/1MRF_ MRF-058-0008-RG-BOUL-C0758NIMH NIH HHS R01 MH087786NIMH NIH HHS R21 MH109917Wellcome TrustWellcome Trust GR067797MA
6 · The paper itself

Abstract

backgroundSelf-harm and eating disorders are often comorbid in clinical samples but their co-occurrence in the general population is unclear. Given that only a small proportion of individuals who self-harm or have disordered eating present to clinical services, and that both self-harm and eating disorders are associated with substantial morbidity and mortality, it is important to study these behaviours at a population level.

methodsWe assessed the co-occurrence of self-harm and disordered eating behaviours in 3384 females and 2326 males from a UK population-based cohort: the Avon Longitudinal Study of Parents and Children (ALSPAC). Participants reported on their self-harm and disordered eating behaviours (fasting, purging, binge-eating and excessive exercise) in the last year via questionnaire at 16 and 24 years. At each age we assessed how many individuals who self-harm also reported disordered eating, and how many individuals with disordered eating also reported self-harm.

resultsWe found high comorbidity of self-harm and disordered eating. Almost two-thirds of 16-year-old females, and two-in-five 24-year old males who self-harmed also reported some form of disordered eating. Young people with disordered eating reported higher levels of self-harm at both ages compared to those without disordered eating. LIMITATIONS: We were not able to measure whether participants identified their disordered eating as a method of self-harm.

conclusionsSelf-harm and disordered eating commonly co-occur in young people in the general population. It is important to screen for both sets of difficulties to provide appropriate treatment.

Indexed as

Feeding and Eating DisordersSelf-Injurious BehaviorAdolescentChildComorbidityFemaleHumansLongitudinal StudiesMaleUnited KingdomALSPACComorbidityDisordered eatingEpidemiologySelf-harm

Identifiers

PMID33421867
PMCPMC8150329
OpenAlexW3119436988

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.