Community recognition and beliefs about anorexia nervosa and its treatment.

OBJECTIVE Mental Health Literacy (MHL), namely recognition, and beliefs about treatment concerning Anorexia Nervosa (AN) were examined in a community sample of male and female (n = 983) aged 15-94 years. METHOD A vignette describing a women suffering from the symptoms of AN was presented, followed by a respondent-based structured interview concerning recognition of the problem and treatment beliefs. RESULTS The majority of participants could identify the problem as that of an eating disorder, although only 16.1% could specifically identify it as AN. Many also believed the problem was primarily one of low self-esteem (32.5%). General practitioners and psychiatrists or psychologists were considered the most helpful treatment providers, while obtaining information about the problem and available services, followed by family therapy, were considered the most helpful treatments. Less than one-third of participants believed complete recovery was possible. Better AN MHL was found in younger, higher educated, and metropolitan domiciled females. DISCUSSION This study offers encouraging results in regard to AN MHL. In particular, there was moderate regard for the use of mental health specialists in the treatment of the disorder. However, there appears to be a misconception that AN is largely the manifestation of low self-esteem and confusion concerning the distinction between AN and bulimia nervosa. AN MHL was poorer in males and those with higher social and health disadvantage.

[1]  M. Thelen,et al.  Attitudes and knowledge regarding bulimia and anorexia nervosa , 1986 .

[2]  A. El-Sobky,et al.  Eating disorder as mental illness: Popular conceptions , 1987 .

[3]  P. Hay,et al.  Knowledge and Beliefs about Bulimia Nervosa and its Treatment: A Comparative Study of Three Disciplines , 2007, Journal of Clinical Psychology in Medical Settings.

[4]  B. Rodgers,et al.  Beliefs of the public concerning the helpfulness of interventions for bulimia nervosa. , 2004, The International journal of eating disorders.

[5]  A Furnham,et al.  Lay theories of anorexia nervosa. , 1992, Journal of clinical psychology.

[6]  F. Quirk,et al.  Eating Disorders “Mental Health Literacy” in Low Risk, High Risk and Symptomatic Women: Implications for Health Promotion Programs , 2010, Eating disorders.

[7]  J. Talbott Epidemiology and Course of Anorexia Nervosa in the Community , 2009 .

[8]  A. Korten,et al.  “Mental health literacy”: a survey of the public's ability to recognise mental disorders and their beliefs about the effectiveness of treatment , 1997, The Medical journal of Australia.

[9]  P. Sturmey Treatment Acceptability for Anorexia Nervosa: Effects of Treatment Type, Problem Severity and Treatment Outcome , 1992, Behavioural Psychotherapy.

[10]  E. Susser,et al.  Epidemiology and course of anorexia nervosa in the community. , 2007, The American journal of psychiatry.

[11]  B. Rodgers,et al.  Beliefs of women concerning causes and risk factors for bulimia nervosa. , 2004, The Australian and New Zealand journal of psychiatry.

[12]  B. Rodgers,et al.  Beliefs of women concerning the severity and prevalence of bulimia nervosa , 2004, Social Psychiatry and Psychiatric Epidemiology.

[13]  B. Rodgers,et al.  Mental Health Literacy and Eating-Disordered Behavior: Beliefs of Adolescent Girls Concerning the Treatment of and Treatment-Seeking for Bulimia Nervosa , 2007 .

[14]  B. Rodgers,et al.  Health service utilization for eating disorders: findings from a community-based study. , 2007, The International journal of eating disorders.

[15]  P. Hay,et al.  Public perceptions of binge eating and its treatment. , 2008, The International journal of eating disorders.

[16]  J. Treasure,et al.  Perceptions of illness in individuals with anorexia nervosa: a comparison with lay men and women. , 2005, The International journal of eating disorders.

[17]  A. Rothman,et al.  College students’ mental models for recognizing anorexia and bulimia nervosa , 2007, Appetite.

[18]  H. Kraemer,et al.  Health services use in eating disorders , 2007, Psychological Medicine.

[19]  G. Huon,et al.  Lay beliefs about disordered eating , 1988 .