Evidence map›Paper›PMID 39508853›Full record

SynthesisEuropean child & adolescent psychiatry2025

The prospective relationship between anxiety symptoms and eating disorder symptoms among adolescents: a systematic review and meta-analysis of a bi-directional relationship.

Nora Trompeter, Ștefana Dârvariu, Anna V Brieva-Toloza, Marie-Christine Opitz, Francisco Diego Rabelo-da-Ponte, Helen Sharpe, Sylvane Desrivieres, Ulrike Schmidt, Nadia Micali

Abstract readSystematic ReviewMeta-Analysis
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in European child & adolescent psychiatry, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
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

7 citing papers in PubMed.

  1. Article
  2. Observational
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
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

9 authors.

Nora TrompeterGreat Ormond Street Institute of Child Health, UCL, 30 Guilford Street, London, WC1N 1EH, UK. n.trompeter@ucl.ac.uk.
Ștefana DârvariuCenter for Eating and Feeding Disorders Research, Mental Health Center Ballerup, Copenhagen University Hospital, Mental Health Services CPH, Copenhagen, Denmark.
Anna V Brieva-TolozaCenter for Eating and Feeding Disorders Research, Mental Health Center Ballerup, Copenhagen University Hospital, Mental Health Services CPH, Copenhagen, Denmark.
Marie-Christine OpitzDepartment of Clinical Psychology, School of Health in Social Sciences, University of Edinburgh, Edinburgh, UK.
Francisco Diego Rabelo-da-PonteSocial Genetic and Developmental Psychiatry Centre, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.
Helen SharpeDepartment of Clinical Psychology, School of Health in Social Sciences, University of Edinburgh, Edinburgh, UK.
Sylvane DesrivieresSocial Genetic and Developmental Psychiatry Centre, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.
Ulrike SchmidtDepartment of Psychological Medicine, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.
Nadia MicaliGreat Ormond Street Institute of Child Health, UCL, 30 Guilford Street, London, WC1N 1EH, UK.

Funding

Novo Nordisk Fonden NNF22OC0071010UK Research and Innovation MR/W002418/1
6 · The paper itself

Abstract

Anxiety symptoms and eating disorder symptoms commonly co-occur in adolescents. However, there is divergent evidence on the prospective relationship between the two factors. This systematic review and meta-analysis summarises the existing literature on the prospective and bi-directional relationship between anxiety symptoms and eating disorder symptoms in adolescence. A systematic search across six databases was conducted on the 11th June 2024. Studies were included if they assessed the prospective relationship between anxiety symptoms and eating disorder symptoms, or vice versa, in adolescence. 19,591 studies were screened, of which 54 studies met inclusion criteria and were included in the full review. Four meta-analyses were conducted. Anxiety symptoms were associated with subsequent eating disorder symptoms, increases in eating disorder symptoms, and higher odds of eating disorders, including their onset. Conversely, eating disorder symptoms were associated with subsequent anxiety symptoms, increases in anxiety symptoms, and higher odds of subsequent anxiety disorders. Current evidence suggests that anxiety symptoms and eating disorder symptoms do not merely co-occur during adolescence, but are prospectively and bi-directionally linked. Further research is needed to understand the underlying mechanisms of this relationship, as well as individual differences in symptom trajectories.

Indexed as

AnxietyAnxiety DisordersFeeding and Eating DisordersAdolescentHumansProspective StudiesAnxietyDisordered eatingEating disordersLongitudinalSocial anxiety

Identifiers

PMID39508853
PMCPMC12198302

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.