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Such approaches align with the National Institute for Health and Care Excellence guidelines for ED treatment, which recommends ED-focused cognitive behavioral therapy (CBT) for the treatment of anorexia nervosa, binge ED, and bulimia nervosa [17].
An example of a digital intervention is the Recovery Record mobile phone app [18,19], designed for use either as a self-management tool or tool for clinicians to monitor patient’s thoughts and behaviors between treatment sessions.
JMIR Ment Health 2025;12:e57795
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Furthermore, gender and sexual minorities are demonstrated to be particularly at risk for developing EDs, with anorexia nervosa and bulimia being the most prevalent [2-4]. Compared with any other psychiatric conditions, anorexia nervosa has the highest suicidality and mortality rates and lowest quality of life levels, highlighting the importance of urgency of care [5,6]. Despite this, merely one-fourth of individuals with ED symptoms or developed EDs access care [7].
JMIR Res Protoc 2024;13:e60165
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The peak age of onset of EDs such as anorexia nervosa, bulimia nervosa, avoidant or restrictive food intake disorder, and binge ED is between 13 and 18 years, making them particularly relevant during adolescence. Estimates of EDs in adolescence range from 1.2% among males to 5.7% in females and 9% among sexual and gender nonconforming youths [2-5].
JMIR Form Res 2024;8:e54253
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National prevalence estimates are 9%, and EDs have the second highest mortality rate (specifically anorexia nervosa [AN]) following opioid addiction [2]. The economic burden is also substantial, with an annual cost of US $64.7 billion [3]. Further, the COVID-19 pandemic has resulted in a staggering increase in new ED cases, as well as exacerbation of ED symptoms and decreased motivation for recovery for those with preexisting EDs [4,5].
JMIR Res Protoc 2023;12:e41837
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