Anorexia nervosa—the frequency of occurrence in Polish youth, the connection with stress, auto-aggressive behaviors and the abuse of psychoactive substances

BackgroundAnorexia nervosa is an eating disorder characterized by a distorted self-image, an intense desire for weight loss, anxiety, and strict dieting. The disorder primarily affects children, adolescents, and young adults. It leads to serious health consequences and increases the risk of depressi...

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Main Authors: Michał Górski, Renata Polaniak, Beata Całyniuk, Jagoda Garbicz-Kata, Marta Buczkowska, Joanna Fojcik, Justyna Nowak, Joanna Domagalska
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-05-01
Series:Frontiers in Psychology
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Online Access:https://www.frontiersin.org/articles/10.3389/fpsyg.2025.1574136/full
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author Michał Górski
Renata Polaniak
Beata Całyniuk
Jagoda Garbicz-Kata
Marta Buczkowska
Joanna Fojcik
Joanna Fojcik
Justyna Nowak
Joanna Domagalska
author_facet Michał Górski
Renata Polaniak
Beata Całyniuk
Jagoda Garbicz-Kata
Marta Buczkowska
Joanna Fojcik
Joanna Fojcik
Justyna Nowak
Joanna Domagalska
author_sort Michał Górski
collection DOAJ
description BackgroundAnorexia nervosa is an eating disorder characterized by a distorted self-image, an intense desire for weight loss, anxiety, and strict dieting. The disorder primarily affects children, adolescents, and young adults. It leads to serious health consequences and increases the risk of depression, suicidal thoughts, and addiction. The causes of the disorder are multifactorial, including genetic influences, social pressures, and emotional problems. Eating disorders are now considered a serious public health problem that requires special supervision by specialists and the development of long-term measures to reduce their incidence.ObjectiveThe objectives of the study were to determine the prevalence of anorexia nervosa among school adolescents aged 15–19; to determine the relationship between the prevalence of anorexia nervosa and the severity of school stress, the severity of family stress, the use of psychoactive substances, and the occurrence of auto-aggressive and self-destructive behavior.Materials and methodsThe group of respondents consisted of individuals aged 15 to 19 years (secondary school students). The study utilized a diagnostic interview method, along with an additional questionnaire. The author’s survey questionnaire was developed based on the diagnostic criteria for anorexia nervosa in the International Classification of Diseases, 11th Revision and Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, as well as information from scientific sources regarding stressors and auto-aggressive and self-destructive behaviors. In the statistical analysis, a significance level of α = 0.05 was adopted.ResultsThe diagnostic criteria for anorexia nervosa were met by 13.3% of respondents. 37.1% of respondents admitted to engaging in self-injurious behavior, and 13.9% reported having suicidal thoughts. The greatest risk factors for developing anorexia nervosa were female gender, high maternal education, and high levels of physical activity.ConclusionIndividuals who could be diagnosed with anorexia nervosa experienced higher levels of school stress and a greater sense of family stress compared to those who did not meet the diagnostic criteria for the disorder. Auto-aggressive and self-destructive behaviors were much more common among those with a possible diagnosis of anorexia nervosa than among those who did not meet the criteria for the disorder.
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spelling doaj-art-8dfee42a47c449ab9fe171a54c52caa32025-08-20T03:47:52ZengFrontiers Media S.A.Frontiers in Psychology1664-10782025-05-011610.3389/fpsyg.2025.15741361574136Anorexia nervosa—the frequency of occurrence in Polish youth, the connection with stress, auto-aggressive behaviors and the abuse of psychoactive substancesMichał Górski0Renata Polaniak1Beata Całyniuk2Jagoda Garbicz-Kata3Marta Buczkowska4Joanna Fojcik5Joanna Fojcik6Justyna Nowak7Joanna Domagalska8Department of Chronic Diseases and Civilization-Related Hazards, Faculty of Public Health in Bytom, Medical University of Silesia in Katowice, Katowice, PolandDepartment of Human Nutrition, Faculty of Public Health in Bytom, Medical University of Silesia in Katowice, Katowice, PolandDepartment of Human Nutrition, Faculty of Public Health in Bytom, Medical University of Silesia in Katowice, Katowice, PolandDepartment of Chronic Diseases and Civilization-Related Hazards, Faculty of Public Health in Bytom, Medical University of Silesia in Katowice, Katowice, PolandDepartment of Chronic Diseases and Civilization-Related Hazards, Faculty of Public Health in Bytom, Medical University of Silesia in Katowice, Katowice, PolandDepartment of Psychiatry, Faculty of Health Sciences in Katowice, Medical University of Silesia in Katowice, Katowice, PolandDepartment of Neurology, Faculty of Health Sciences in Katowice, Medical University of Silesia in Katowice, Katowice, PolandDepartment of Cardiovascular Disease Prevention, Faculty of Public Health in Bytom, Medical University of Silesia in Katowice, Katowice, PolandDepartment of Environmental Health, Faculty of Public Health in Bytom, Medical University of Silesia in Katowice, Katowice, PolandBackgroundAnorexia nervosa is an eating disorder characterized by a distorted self-image, an intense desire for weight loss, anxiety, and strict dieting. The disorder primarily affects children, adolescents, and young adults. It leads to serious health consequences and increases the risk of depression, suicidal thoughts, and addiction. The causes of the disorder are multifactorial, including genetic influences, social pressures, and emotional problems. Eating disorders are now considered a serious public health problem that requires special supervision by specialists and the development of long-term measures to reduce their incidence.ObjectiveThe objectives of the study were to determine the prevalence of anorexia nervosa among school adolescents aged 15–19; to determine the relationship between the prevalence of anorexia nervosa and the severity of school stress, the severity of family stress, the use of psychoactive substances, and the occurrence of auto-aggressive and self-destructive behavior.Materials and methodsThe group of respondents consisted of individuals aged 15 to 19 years (secondary school students). The study utilized a diagnostic interview method, along with an additional questionnaire. The author’s survey questionnaire was developed based on the diagnostic criteria for anorexia nervosa in the International Classification of Diseases, 11th Revision and Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, as well as information from scientific sources regarding stressors and auto-aggressive and self-destructive behaviors. In the statistical analysis, a significance level of α = 0.05 was adopted.ResultsThe diagnostic criteria for anorexia nervosa were met by 13.3% of respondents. 37.1% of respondents admitted to engaging in self-injurious behavior, and 13.9% reported having suicidal thoughts. The greatest risk factors for developing anorexia nervosa were female gender, high maternal education, and high levels of physical activity.ConclusionIndividuals who could be diagnosed with anorexia nervosa experienced higher levels of school stress and a greater sense of family stress compared to those who did not meet the diagnostic criteria for the disorder. Auto-aggressive and self-destructive behaviors were much more common among those with a possible diagnosis of anorexia nervosa than among those who did not meet the criteria for the disorder.https://www.frontiersin.org/articles/10.3389/fpsyg.2025.1574136/fulleating disordersanorexia nervosaschoolchildrenadolescentsprevalenceprevalence of anorexia nervosa
spellingShingle Michał Górski
Renata Polaniak
Beata Całyniuk
Jagoda Garbicz-Kata
Marta Buczkowska
Joanna Fojcik
Joanna Fojcik
Justyna Nowak
Joanna Domagalska
Anorexia nervosa—the frequency of occurrence in Polish youth, the connection with stress, auto-aggressive behaviors and the abuse of psychoactive substances
Frontiers in Psychology
eating disorders
anorexia nervosa
schoolchildren
adolescents
prevalence
prevalence of anorexia nervosa
title Anorexia nervosa—the frequency of occurrence in Polish youth, the connection with stress, auto-aggressive behaviors and the abuse of psychoactive substances
title_full Anorexia nervosa—the frequency of occurrence in Polish youth, the connection with stress, auto-aggressive behaviors and the abuse of psychoactive substances
title_fullStr Anorexia nervosa—the frequency of occurrence in Polish youth, the connection with stress, auto-aggressive behaviors and the abuse of psychoactive substances
title_full_unstemmed Anorexia nervosa—the frequency of occurrence in Polish youth, the connection with stress, auto-aggressive behaviors and the abuse of psychoactive substances
title_short Anorexia nervosa—the frequency of occurrence in Polish youth, the connection with stress, auto-aggressive behaviors and the abuse of psychoactive substances
title_sort anorexia nervosa the frequency of occurrence in polish youth the connection with stress auto aggressive behaviors and the abuse of psychoactive substances
topic eating disorders
anorexia nervosa
schoolchildren
adolescents
prevalence
prevalence of anorexia nervosa
url https://www.frontiersin.org/articles/10.3389/fpsyg.2025.1574136/full
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