Help seeking and barriers to treatment in a community sample of Mexican American and European American women with eating disorders
Article first published online: 26 OCT 2005
Copyright © 2005 Wiley Periodicals, Inc.
International Journal of Eating Disorders
Volume 39, Issue 2, pages 154–161, March 2006
How to Cite
Cachelin, F. M. and Striegel-Moore, R. H. (2006), Help seeking and barriers to treatment in a community sample of Mexican American and European American women with eating disorders. Int. J. Eat. Disord., 39: 154–161. doi: 10.1002/eat.20213
- Issue published online: 11 JAN 2006
- Article first published online: 26 OCT 2005
- Manuscript Accepted: 30 MAR 2005
- barriers to treatment;
- eating disorders;
- health care utilization;
- treatment seeking
The study examined treatment seeking for eating disorders in Mexican American and European American women.
One hundred forty-five women with eating disorders (76 Mexican American, 69 European American) were diagnosed using the Structured Clinical Interview for DSM-IV-TR (SCID-IV) and Eating Disorder Examination (EDE).
Only 28% of the sample reported having sought treatment for their eating problems and only 17% had received treatment. Both groups were equally likely to believe they have significant eating problems and to want help. However, Mexican Americans were less likely to have sought treatment and, having sought help, were less likely to have been diagnosed or treated. European Americans were more likely to have utilized psychotherapists, psychiatrists, and psychotropic medications, whereas Mexican Americans largely had sought help from general practitioners for weight concern. The two groups endorsed similar barriers to treatment seeking.
Results support clinical impressions that eating disorders largely go undetected and untreated. Nonspecialists may be likely to fail to detect eating disorders. © 2005 by Wiley Periodicals, Inc.