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The prospective relationship between anxiety symptoms and eating disorder symptoms among adolescents: a systematic review and meta-analysis of a bi-directional relationship.

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Title: The prospective relationship between anxiety symptoms and eating disorder symptoms among adolescents: a systematic review and meta-analysis of a bi-directional relationship.
Authors: Trompeter, Nora, Dârvariu, Ștefana, Brieva-Toloza, Anna V., Opitz, Marie-Christine, Rabelo-da-Ponte, Francisco Diego, Sharpe, Helen, Desrivieres, Sylvane, Schmidt, Ulrike, Micali, Nadia
Source: European Child & Adolescent Psychiatry. Jun2025, Vol. 34 Issue 6, p1691-1718. 28p.
Subjects: Medical information storage & retrieval systems, Adolescent health, Anxiety, Meta-analysis, Descriptive statistics, Body image, Eating disorders, Systematic reviews, Odds ratio, MEDLINE, Social skills, Psychology information storage & retrieval systems, Adolescence
Abstract: Anxiety symptoms and eating disorder symptoms commonly co-occur in adolescents. However, there is divergent evidence on the prospective relationship between the two factors. This systematic review and meta-analysis summarises the existing literature on the prospective and bi-directional relationship between anxiety symptoms and eating disorder symptoms in adolescence. A systematic search across six databases was conducted on the 11th June 2024. Studies were included if they assessed the prospective relationship between anxiety symptoms and eating disorder symptoms, or vice versa, in adolescence. 19,591 studies were screened, of which 54 studies met inclusion criteria and were included in the full review. Four meta-analyses were conducted. Anxiety symptoms were associated with subsequent eating disorder symptoms, increases in eating disorder symptoms, and higher odds of eating disorders, including their onset. Conversely, eating disorder symptoms were associated with subsequent anxiety symptoms, increases in anxiety symptoms, and higher odds of subsequent anxiety disorders. Current evidence suggests that anxiety symptoms and eating disorder symptoms do not merely co-occur during adolescence, but are prospectively and bi-directionally linked. Further research is needed to understand the underlying mechanisms of this relationship, as well as individual differences in symptom trajectories. [ABSTRACT FROM AUTHOR]
Copyright of European Child & Adolescent Psychiatry is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: The prospective relationship between anxiety symptoms and eating disorder symptoms among adolescents: a systematic review and meta-analysis of a bi-directional relationship.
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  Data: <searchLink fieldCode="AR" term="%22Trompeter%2C+Nora%22">Trompeter, Nora</searchLink><br /><searchLink fieldCode="AR" term="%22Dârvariu%2C+Ștefana%22">Dârvariu, Ștefana</searchLink><br /><searchLink fieldCode="AR" term="%22Brieva-Toloza%2C+Anna+V%2E%22">Brieva-Toloza, Anna V.</searchLink><br /><searchLink fieldCode="AR" term="%22Opitz%2C+Marie-Christine%22">Opitz, Marie-Christine</searchLink><br /><searchLink fieldCode="AR" term="%22Rabelo-da-Ponte%2C+Francisco+Diego%22">Rabelo-da-Ponte, Francisco Diego</searchLink><br /><searchLink fieldCode="AR" term="%22Sharpe%2C+Helen%22">Sharpe, Helen</searchLink><br /><searchLink fieldCode="AR" term="%22Desrivieres%2C+Sylvane%22">Desrivieres, Sylvane</searchLink><br /><searchLink fieldCode="AR" term="%22Schmidt%2C+Ulrike%22">Schmidt, Ulrike</searchLink><br /><searchLink fieldCode="AR" term="%22Micali%2C+Nadia%22">Micali, Nadia</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22European+Child+%26+Adolescent+Psychiatry%22">European Child & Adolescent Psychiatry</searchLink>. Jun2025, Vol. 34 Issue 6, p1691-1718. 28p.
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  Data: Anxiety symptoms and eating disorder symptoms commonly co-occur in adolescents. However, there is divergent evidence on the prospective relationship between the two factors. This systematic review and meta-analysis summarises the existing literature on the prospective and bi-directional relationship between anxiety symptoms and eating disorder symptoms in adolescence. A systematic search across six databases was conducted on the 11th June 2024. Studies were included if they assessed the prospective relationship between anxiety symptoms and eating disorder symptoms, or vice versa, in adolescence. 19,591 studies were screened, of which 54 studies met inclusion criteria and were included in the full review. Four meta-analyses were conducted. Anxiety symptoms were associated with subsequent eating disorder symptoms, increases in eating disorder symptoms, and higher odds of eating disorders, including their onset. Conversely, eating disorder symptoms were associated with subsequent anxiety symptoms, increases in anxiety symptoms, and higher odds of subsequent anxiety disorders. Current evidence suggests that anxiety symptoms and eating disorder symptoms do not merely co-occur during adolescence, but are prospectively and bi-directionally linked. Further research is needed to understand the underlying mechanisms of this relationship, as well as individual differences in symptom trajectories. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of European Child & Adolescent Psychiatry is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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      – SubjectFull: Adolescent health
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