Skip to main content
Log in

It’s raining men: descriptive results for engaging men with eating disorders in a specialized male assessment and treatment track (MATT)

  • Original Article
  • Published:
Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity Aims and scope Submit manuscript

Abstract

Purpose

Men with eating disorders are not well understood and there is a need for innovative methods for engaging men in specialized outpatient assessment and treatment. We examined data collected over a 4-year period to explore whether the addition of a designated track for men at a hospital-based adult eating disorders program influenced the number of referrals or treatment engagement.

Methods

During assessment and treatment as usual (ATAU; September 2013–August 2015), 283 referrals were received (275 women, 8 men), with 3 men engaging in assessment and treatment (Mage = 36 years, SD = 14.18). After instatement of a male assessment and treatment track (MATT; September 2015–August 2017), 320 referrals were received (300 women, 20 men), with 14 men engaging in the specialized assessment and treatment (Mage = 28.21 years, SD = 8.04). Both groups of men completed measures of demographic characteristics, life satisfaction, depressive and anxiety symptoms, and eating disorder symptoms.

Results

Significantly more referrals for men, but not women, were received after the instatement of the MATT (i.e., a 250% increase). More men also engaged in specialized assessment and treatment after the instatement of the MATT (i.e., a 467% increase in engagement).

Conclusions

The current study describes the number of referrals and the number of men who engaged in treatment before and after the instatement of a specialized treatment track for men. The results suggest that the addition of the MATT helped to increase the number of men referred and promoted their engagement in recommended care.

Level of evidence

V retrospective descriptive study.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Strother E, Lemberg R, Stanford SC, Turberville D (2012) Eating disorders in men: underdiagnosed, undertreated, and misunderstood. Eat Disord 20:346–355. https://doi.org/10.1080/10640266.2012.715512

    Article  PubMed  PubMed Central  Google Scholar 

  2. Greenberg ST, Schoen EG (2008) Males and eating disorders: gender-based therapy for eating disorder recovery. Prof Psychol Res Pract 39:464–471. https://doi.org/10.1037/0735-7028.39.4.464

    Article  Google Scholar 

  3. Weltzin TE, Cornella-Carlson T, Fitzpatrick ME, Kennington B, Bean P, Jefferies C (2012) Treatment issues and outcomes for males with eating disorders. Eat Disord 20:444–459. https://doi.org/10.1080/10640266.2012.715527

    Article  PubMed  Google Scholar 

  4. Woodside DB, Garfinkel PE, Lin E, Goering P, Kaplan AS, Goldbloom DS, Kennedy SH (2001) Comparisons of men with full or partial eating disorders, men without eating disorders, and women with eating disorders in the community. Am J Psychiat 158:570–574. https://doi.org/10.1176/appi.aip.158.4.570

    Article  CAS  PubMed  Google Scholar 

  5. Hudson JI, Hiripi E, Pope HG, Kessler RC (2007) The prevalence and correlates of eating disorders in the National comorbidity survey replication. Biol Psychiat 61:348–358. https://doi.org/10.1016/j.biopsych.2006.03.040

    Article  PubMed  Google Scholar 

  6. Reas DL, Stedal K (2015) Eating disorders in men aged midlife and beyond. Maturitas 81:248–255. https://doi.org/10.1016/j.maturitas.2015.03.004

    Article  PubMed  Google Scholar 

  7. Griffiths S, Mond JM, Li Z, Gunatilake S, Murray SB, Sheffield J, Touyz S (2015) Self-stigma of seeking treatment and being male predict an increased likelihood of having an undiagnosed eating disorder. Int J Eat Disorder 48:775–778. https://doi.org/10.1002/eat.22413

    Article  Google Scholar 

  8. Muise AM, Stein DG, Arbess G (2003) Eating disorders in adolescent boys: a review of the adolescent and young adult literature. J Adolesc Health 33:427–435. https://doi.org/10.1016/S1054-139X(03)00060-0

    Article  PubMed  Google Scholar 

  9. Sweeting H, Walker L, MacLean A, Patterson C, Räisänen U, Hunt K (2015) Prevalence of eating disorders in males: a review of rates reported in academic research and UK mass media. Int J Men’s Health 14:1–27. https://doi.org/10.3149/jmh.1402.86

    Article  Google Scholar 

  10. Barlett CP, Vowels CL, Saucier DA (2008) Meta-analyses of the effects of media images on men’s body-image concerns. J Soc Clin Psychol 27:279–310. https://doi.org/10.1521/jscp.2008.27.3.279

    Article  Google Scholar 

  11. Fernández-Aranda F, Krug I, Jiménez-Murcia S, Granero R, Núñez A, Penelo E et al (2009) Male eating disorders and therapy: a controlled pilot study with one year follow-up. J Behav Ther Exp Psy 40:479–486. https://doi.org/10.1016/j.jbtep.2009.06.004

    Article  Google Scholar 

  12. Bunnell D, Maine M (2014) Understanding and treating males with eating disorders. In: Cohn L, Lemberg R (eds) Current findings on males with eating disorders. Routledge, New York, pp 168–182

    Google Scholar 

  13. American Psychiatric Association (2013) Diagnostic and statistical manual of mental disorders (DSM-5). American Psychiatric Publishing, Arlington

    Book  Google Scholar 

  14. Men Get Eating Disorders Too (n.d.) (2018). http://mengetedstoo.co.uk/

  15. Sandoz E, Wilson K, DuFrene T (2011) Acceptance and commitment therapy for eating disorders: a process-focused guide to treating anorexia and bulimia. New Harbinger Publications, Oakland

    Google Scholar 

  16. Tchanturia K, Davies H, Reeder C, Wykes T (2010) Cognitive remediation programme for anorexia nervosa: a manual for practitioners. Institute of Psychiatry, London

    Google Scholar 

  17. Fairburn CG (2008) Cognitive behavior therapy and eating disorders. Guilford Press, New York

    Google Scholar 

  18. Wade S, Byrne S, Allen K (2017) Enhanced cognitive behavioral therapy for eating disorders adapted for a group setting. Int J Eat Disorder Adv Online Publ. https://doi.org/10.1002/eat.22723

    Article  Google Scholar 

  19. Mac Neil BA, Leung P, Montemarano V (2016) Exposure with response prevention (ERP) for body dissatisfaction in a group therapy format: an exploratory study. Eat Weight Disord 23(2):225–232. https://doi.org/10.1007/s40519-016-0340-2

    Article  PubMed  Google Scholar 

  20. Diener ED, Emmons RA, Larsen RJ, Griffin S (1985) The satisfaction with life scale. J Pers Assess 49:71–75. https://doi.org/10.1207/s15327752jpa4901_13

    Article  CAS  PubMed  Google Scholar 

  21. Beck AT, Steer RA, Brown GK (1996) Beck depression inventory-II. Psychological Corporation, San Antonio

    Google Scholar 

  22. Muller BE, Erford BT (2012) Choosing assessment instruments for depression outcome research with school-age youth. J Couns Dev 90:208–220. https://doi.org/10.1111/j.1556-6676.2012.00026.x

    Article  Google Scholar 

  23. Beck AT, Epstein N, Brown G, Steer RA (1988) An inventory for measuring clinical anxiety: psychometric properties. J Consult Clin Psych 56:893–897. https://doi.org/10.1037/0022-006X.56.6.893

    Article  CAS  Google Scholar 

  24. Fydrich T, Dowdall D, Chambless DL (1992) Reliability and validity of the beck anxiety inventory. J Anxiety Disord 6:55–61. https://doi.org/10.1186/1471-2296-12-66

    Article  Google Scholar 

  25. Garner DM (2004) Eating disorder inventory-3 (EDI-3) professional manual. Psychological Assessment Resources, Odessa

    Google Scholar 

  26. Smith KE, Mason TB, Murray SB et al (2017) Male clinical norms and sex differences on the Eating Disorder Inventory (EDI) and Eating Disorder Examination Questionnaire (EDE-Q). Int J Eat Disorder 50:769–775. https://doi.org/10.1002/eat22716

    Article  Google Scholar 

  27. Clausen L, Rosenvinge JH, Friborg O, Rokkedal K (2011) Validating the Eating Disorder Inventory-3 (EDI-3): a comparison between 561 female eating disorder patients and 878 females from the general population. J Psychopathol Behav 33:101–110. https://doi.org/10.1007/s10862-010-9207-4

    Article  Google Scholar 

  28. Coelho JS, Kumar A, Kilvert M, Kunkel L, Lam PY (2015) Male youth with eating disorders: clinical and medical characteristics of a sample of inpatients. Eat Disord 23:455–561. https://doi.org/10.1080/10640266.2015.1027119

    Article  PubMed  Google Scholar 

  29. Sabel AL, Rosen E, Mehler PS (2014) Severe anorexia nervosa in males: clinical presentations and medical treatment. Eat Disord 22:209–220. https://doi.org/10.1080/10640266.2014.890459

    Article  PubMed  Google Scholar 

  30. Robinson KJ, Mountford VA, Sperlinger DJ (2013) Being men with eating disorders: perspective of male eating disorder service-users. J Health Psychol 18:176–186. https://doi.org/10.1177/1359105312440298

    Article  PubMed  Google Scholar 

  31. Mancuso SG, Newton JR, Bosanac P, Rossell SL, Nesci JB, Castle DJ (2015) Classification of eating disorders: comparison of relative prevalence rates using DSM-IV and DSM-5 criteria. Br J Psychiatry 206:519–520. https://doi.org/10.1192/bjp.bp.113.143461

    Article  PubMed  Google Scholar 

  32. Kaye WH, Bulik CM, Thornton L, Barbarich N, Masters K (2004) Comorbidity of anxiety disorders with anorexia and bulimia nervosa. Am J Psychiatry 161:2215–2221. https://doi.org/10.1176/appi.ajp.161.12.2215

    Article  PubMed  Google Scholar 

  33. Anderluh MB, Tchanturia K, Rabe-Hesketh S, Treasure J (2003) Childhood obsessive-compulsive personality traits in adult women with eating disorders: defining a broader eating disorder phenotype. Am J Psychiatry 160:242–247. https://doi.org/10.1176/appi.ajp.160.2.242

    Article  PubMed  Google Scholar 

  34. Tchanturia K, Lloyd S, Lang K (2013) Cognitive remediation therapy for anorexia nervosa: current evidence and future research directions. Int J Eat Disorder 46:492–495. https://doi.org/10.1002/eat.22106

    Article  Google Scholar 

  35. Agras WS (2001) The consequences and costs of the eating disorders. Psychiatr Clin North Am 24:371–379. https://doi.org/10.1016/S0193-953X(05)70232-X

    Article  CAS  PubMed  Google Scholar 

  36. Adams GA, King LA, King DW (1996) Relationships of job and family involvement, family social support, and work–family conflict with job and life satisfaction. J Appl Psychol 81:411. https://doi.org/10.1037/0021-9010.81.4.411

    Article  Google Scholar 

  37. Norris ML, Apsimon M, Harrison M, Obeid N, Buchholz A, Henderson KA, Spettigue W (2012) An examination of medical and psychological morbidity in adolescent males with eating disorders. Eat Disord 20:405–415. https://doi.org/10.1080/10640266.2012.715520

    Article  PubMed  Google Scholar 

  38. Mitchison D, Hay P, Slewa-Younan S, Mond J (2014) The changing demographic profile of eating disorder behaviors in the community. BMC Public Health 14::943. https://doi.org/10.1186/1471-2458-14-943

    Article  Google Scholar 

  39. Bulik CM, Marcus MD, Zerwas S, Levine MD, Hofmeier S, Trace SE, Kordy H (2012) CBT4BN versus CBTF2F: comparison of online versus face-to-face treatment for bulimia nervosa. Contemp Clin Trials 33:1056–1064. https://doi.org/10.1016/j.cct.2012.05.008

    Article  PubMed  PubMed Central  Google Scholar 

  40. Fernández-Aranda F, Krug I, Jiménez-Murcia S, Granero R, Núñez A, Penelo E, Treasure J (2009) Male eating disorders and therapy: a controlled pilot study with one year follow-up. J Behav Ther Exp Psychiatry 40:479–486. https://doi.org/10.1016/j.jbtep.2009.06.004

    Article  PubMed  Google Scholar 

Download references

Acknowledgements

The authors would like to acknowledge the contributions of the staff with the Adult Eating Disorders Program of Kingston Health Sciences Centre. Thank you to the patients who consented to take part in this work.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Brad A. MacNeil.

Ethics declarations

Conflict of interest

The authors have none to disclose.

Ethical approval

This study met ethical compliance and clearance through the Queen’s University Health Sciences and Affiliated Teaching Hospitals Research Ethics Board as part of the clinics ongoing program evaluation research.

Informed consent

Informed consent was obtained and all participants provided written consent to participate.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

MacNeil, B.A., Hudson, C.C. & Leung, P. It’s raining men: descriptive results for engaging men with eating disorders in a specialized male assessment and treatment track (MATT). Eat Weight Disord 23, 817–824 (2018). https://doi.org/10.1007/s40519-018-0586-y

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s40519-018-0586-y

Keywords

Navigation