Examining Barriers to Eating Disorder Care for Individuals with Binge Eating Disorder Symptoms and the Specific Role of Beliefs

This dissertation examines barriers to eating disorder (ED) treatment for individuals with binge eating disorder (BED) symptoms through three interrelated studies. Study #1, a systematic review of the literature, identifies factors related to not receiving ED treatment for individuals with BED symptoms at various socioecological/systemic levels. Study #2, an online quantitative survey, uses binary logistic regression and moderation analysis to examine the relationship between having BED symptoms and delaying mental healthcare due to a fear-based belief of experiencing weight discrimination, and the association that body size/shape, through body mass index (BMI), has on this relationship. Study #3, an online qualitative questionnaire, employs content analysis to understand the thoughts and beliefs individuals with BED symptoms have surrounding BED and care that influences accessing professional ED-related treatment. The studies in this dissertation highlight specific barriers experienced by individuals with BED symptoms, with specific attention to individual level cognitions, including beliefs as limiting accessing care.