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School counselors’ knowledge of eating disorders

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Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity Aims and scope Submit manuscript

Abstract

BACKGROUND: Twenty years ago, Price published a survey identifying knowledge deficits of school counselors regarding eating disorders. Our study surveys current school counselors to determine whether knowledge has increased and determine the availability of school-based prevention programming. METHODS: School counselors from a single metropolitan area were surveyed prior to a mandatory in-service on eating disorders. RESULTS: Of the 109 respondents, 55% felt eating disorders were a problem in their school. Very few felt “very competent” identifying (6%) or helping (2%) students with eating disorders. Today’s school counselors were more likely to know a symptom of anorexia nervosa (AN) is missing at least three consecutive menstrual cycles and malnutrition is not a common cause of death for bulimia nervosa (BN). CONCLUSIONS: While knowledge of AN and BN appear to have increased, school counselors still lack some basic understanding and report very low confidence in identifying and helping students with eating disorders.

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References

  1. Austin S, Ziyadeh N, Forman S, et al. Screening high school students for eating disorders: Results of a national initiative. Prev Chronic Dis 2008; 5: A114.

    PubMed Central  PubMed  Google Scholar 

  2. Crow SJ, Peterson CB, Swanson SA, et al. Increased mortality in bulimia nervosa and other eating disorders. Am J Psychiatry 2009; 166: 1342–6.

    Article  PubMed  Google Scholar 

  3. Bardick A, Bernes K, McCulloch A, et al. Eating disorder intervention, prevention, and treatment: Recommendations for school counselors. Prof School Couns 2004; 8: 168–75.

    Google Scholar 

  4. Steinhausen HC. The outcome of anorexia nervosa in the 20th century. Am J Psychiatry 2002; 159: 1284–93.

    Article  PubMed  Google Scholar 

  5. Reas DL, Williamson DA, Martin CK, et al. Duration of illness predicts outcome for bulimia nervosa: A longterm follow-up study. Int J Eat Disord 2000; 27: 428–34.

    Article  CAS  PubMed  Google Scholar 

  6. Mond JM, Hay PJ, Rodgers B, et al. Beliefs of women concerning causes and risk factors for bulimia nervosa. Aust NZ J Psychiat 2004; 38: 463–9.

    Article  Google Scholar 

  7. Mond JM, Marks P, Hay PJ, et al. Mental health literacy and eating-disordered behavior: Beliefs of adolescent girls concerning the treatment of and treatmentseeking for bulimia nervosa. J Youth Adolescence 2007; 36: 753–62.

    Article  Google Scholar 

  8. Huon GF, Brown L, Morris S. Lay beliefs about disordered eating. Int J Eat Disorder 1988; 7: 239–52.

    Article  Google Scholar 

  9. Smith MC, Pruitt JA, McLaughlin-Mann L, et al. Attitudes and knowledge regarding bulimia and anorexia nervosa. Int J Eat Disord 1986; 5: 545–53.

    Article  Google Scholar 

  10. O’Grady TJ, El-Sobky AL. Eating disorder as mental illness: Popular conceptions. Int J Eat Disorder 1987; 6: 433–46.

    Google Scholar 

  11. Furnham A, Hume-Wright A. Lay theories of anorexia nervosa. J Clin Psychol 1992; 48: 20–36.

    Article  CAS  PubMed  Google Scholar 

  12. Hunt J, Rothman AJ. College students’ mental models for recognising anorexia anorexia and bulimia nervosa. Appetite 2007; 48: 289–300.

    Article  PubMed  Google Scholar 

  13. Dichter JR, Cohen J, Connolly PM. Bulimia nervosa: Knowledge, awareness, and skill levels among advanced practice nurses. J Am Acad Nurs Pract 2002; 14: 269–75.

    Article  Google Scholar 

  14. Hay PJ, de Angelis C, Millar H, et al. Bulimia nervosa health literacy of general practitioners. Primary Care Commun 2006; 10: 103–8.

    Article  Google Scholar 

  15. Henderson E, May C, Chew-Graham CA. Binge eating disorder: General practitioners’ constructs of an ambiguous pathology. Prim Hlth C Res Dev 2003; 4: 301–6.

    Article  Google Scholar 

  16. Currin L, Waller G, Schmidt U. Primary care physicians’ knowledge of and attitudes toward the eating disorders: Do they affect clinical actions? Int J Eat Disord 2009; 42: 453–8.

    Article  PubMed  Google Scholar 

  17. Hay PJ, Darby A, Mond JM. Knowledge and beliefs about bulimia nervosa and its treatment: A comparative study of three disciplines. J Clin Psychol Med S 2007; 14: 59–68.

    Article  Google Scholar 

  18. DeBate RD, Tedesco LA, Kerschbaum WE. Knowledge of oral and physical manifestations of anorexia and bulimia nervosa among dentists and dental hygienists. J Dent Educ 2005; 69: 346–54.

    PubMed  Google Scholar 

  19. Price JA, Desmond SM, Price JH, et al. School counselors’ knowledge of eating disorders. Adolesc 1990; 25: 945–57.

    CAS  Google Scholar 

  20. American School Counselor Association. The American School Counselor Association national model: A framework for school counseling programs (2nd ed). Alexandria, VA, 2005.

    Google Scholar 

  21. Mitchell JE, Hatsukami D, Eckert E, et al. Eating disorders questionnaire. Psychopharmacol Bull 1985; 21: 1025–43.

    Google Scholar 

  22. Winzelberg AJ, Eppstein D, Eldredge KL, et al. Effectiveness of an internet-based program for reducing risk factors for eating disorders. J Consult Clin Psychol 2000; 68: 346–50.

    Article  CAS  PubMed  Google Scholar 

  23. Neumark-Sztainer D. School-based programs for preventing eating disturbances. J School Health 1996; 66: 64–71.

    Article  CAS  PubMed  Google Scholar 

  24. Dalle Grave, R. School-based prevention programs for eating disorders: Achievements and opportunities. Dis Manag Health Out 2003; 2: 579–93.

    Article  Google Scholar 

  25. Yager J, Devlin MJ, Halmi KA, et al. Practice Guidelines for the Treatment of Patients with Eating Disorders, 3rd Ed. APA. Available at http://www.psychiatryonline.com/pracGuide/PracticePDFs/EatingDisorders3ePG_04-28-06.pdf.

  26. McVey GL, Davis R, Kaplan AS, et al. A communitybased training program for eating disorders and its contribution to a provincial network of specialized services. Int J Eat Disord 2005; 37: s35–40.

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Redfern Health Center, Counseling and Psychological Services, Clemson University, Clemson, SC, USA

    J. L. Harshbarger

  2. Department of Pediatrics, University of Kansas School of Medicine, USA

    C. R. Ahlers-Schmidt PhD & M. Atif

  3. University of Kansas School of Medicine-Wichita, 1010 North Kansas, Wichita, KS, 67214-3199, USA

    E. Allred, M. Carroll & R. Hauser

Authors
  1. J. L. Harshbarger
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  2. C. R. Ahlers-Schmidt PhD
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  3. M. Atif
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  4. E. Allred
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  5. M. Carroll
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  6. R. Hauser
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Correspondence to C. R. Ahlers-Schmidt PhD.

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Harshbarger, J.L., Ahlers-Schmidt, C.R., Atif, M. et al. School counselors’ knowledge of eating disorders. Eat Weight Disord 16, e131–e136 (2011). https://doi.org/10.1007/BF03325319

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  • DOI: https://doi.org/10.1007/BF03325319

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