Üniversite Öğrencilerinde Yeme Bozukluğu Eğilimi ve Okupasyonel Dengenin İncelenmesi
                                    
                                 
                                
                                    
                                                                                                                                                                                                                        Yıl 2025,
                                                                                        Cilt: 12 Sayı: 2,                                                                                                                 501 - 515,                                     31.08.2025                                
                                
                                                                                                                        
                                                                                                                                                
                                                        Ayfer Kengil
                                                                                                            
                                                
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                                                        Feyza Kargalı
                                                                                                            
                                                
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                                                        Büşra Kaplan Kılıç
                                                                                                                    
                                                                                                            
                                                
                                                
                                                                                                                                                                                            
                                                                    
                                
                                
                                                                    
                                        Öz
                                        Amaç: Bu çalışma, üniversite öğrencilerinde yeme bozukluğu eğilimi ve okupasyonel dengeyi incelemeyi amaçlamaktadır. 
Gereç ve Yöntem: Araştırmaya 18-25 yaş arası 300 üniversite öğrencisi katılmıştır. Verilerin toplanmasında Sosyodemografik Form, Aktivite-Rol Dengesi Anketi (ARDA), Rezzy Yeme Bozukluğu Ölçeği kullanılmıştır. Rezzy Yeme Bozukluğu Ölçeği sonucuna göre yeme bozukluğu eğilimi olan öğrenciler araştırma grubunu (n=123), yeme bozukluğu eğilimi olmayan öğrenciler kontrol grubunu (n=177) oluşturmuştur. Gruplar arası ARDA toplam puan ve alt maddeleri istatistiksel yöntemlerle karşılaştırılmıştır. 
Bulgular: Araştırma ve kontrol grupları karşılaştırıldığında ARDA toplam puanları arasında istatistiksel olarak anlamlı fark bulunmuştur (p<0,05). Grupların ARDA maddelerine verdikleri cevaplar incelendiğinde 1, 2 ve 10. maddelerde (aktivite çeşitliliği, enerji veren/enerji alan aktiviteler arası denge) ve 3. ve 5. maddelerde (zaman kullanımı, aktivitelere ayrılan zamandan memnun olma) istatiksel olarak anlamlı fark tespit edilmiştir (p<0,05). Ancak grupların ARDA 4, 6 ve 11. maddelere (dinlenme, dinlendirici aktivitelere ayrılan zaman) ve 7, 8, 9. maddelere (aktivite sayısı, gün/hafta içerisinde gerçekleştirilen aktivitelerin sayısı) verdikleri yanıtlarda istatistiksel olarak anlamlı bir fark bulunmamıştır (p>0,05). 
Sonuç: Yeme bozukluğu eğilimi olan üniversite öğrencilerinin akranlarına göre daha düşük okupasyonel dengeye sahip oldukları gözlemlenmiştir. Yeme bozukluğu eğilimi olan öğrencilerde özellikle aktivite çeşitliliği (farklı türde aktivitelere katılma) ve zaman kullanımı (zamanını aktivitelere uygun şekilde kullanma ve memnuniyet) alanlarında yeme bozukluğu eğilimi olmayan akranlarına göre önemli farklılıklar görülmüştür. Bu durum üniversite öğrencilerinde yeme bozukluğu eğiliminin okupasyonel dengesizliklere neden olabileceğini göstermektedir. Bu nedenle üniversite öğrencilerinde yeme bozukluğu yönetimine yönelik olarak, aktivite temelli yaklaşımlar ile zaman kullanımı ve yaşam tarzının yeniden düzenlenmesine odaklanan ergoterapi müdahaleleri geliştirilmelidir.
                                     
                                
                                                                                                    
                                
                                                                                                    
                                        Etik Beyan
                                        Çalışmamız, Ankara Medipol Üniversitesi Girişimsel Olmayan Klinik Araştırmalar Etik Kurulu tarafından incelenerek E-81477236-604/142 sayı numarası ile onaylanmıştır.
                                     
                                
                                                                                                    
                                        Destekleyen Kurum
                                        Bu çalışma, 1919B012306465 proje no ile TÜBİTAK 2209-A Üniversite Öğrencileri Araştırma Projeleri Destekleme Programı fonunca desteklenmiştir.
                                     
                                
                                                                    
                                        Proje Numarası
                                        1919B012306465
                                     
                                
                                                                                                    
                                        Teşekkür
                                        Çalışmamız TÜBİTAK 2209-A kapsamında desteklenmiştir. Katkılarından dolayı TÜBİTAK ve çalışmaya katılan tüm gönüllü katılımcılara teşekkür ederiz.
                                     
                                
                                                                    
                                        Kaynakça
                                        
                                            
                                                                                                    - 
                                                        American Psychiatric Association (APA). (2013). Diagnostic and statistical manual of mental disorders. Fifth Edition, American Psychiatric Association, 21(21), 591-643.
- 
                                                        Attia, E., Becker, A. E., Bryant-Waugh, R., Hoek, H. W., Kreipe, R. E., Marcus, M. D., Mitchell, J. E., Striegel, R. H., Walsh, B. T., Wilson, G. T., Wolfe, B. E., & Wonderlich, S. (2013). Feeding and Eating Disorders in DSM-5. American Journal of Psychiatry, 170(11), 1237-1239. https://doi.org/10.1176/appi.ajp.2013.13030326
- 
                                                        Aydemir, Ö., Köksal, B., Sapmaz, S. Y., & Yüceyar, H. (2015). Kadin üniversite ögrencilerinde REZZY Yeme Bozukluklari Ölçegi Türkçe formunun güvenilirlik ve geçerliligi/Reliability and validity of Turkish form of SCOFF Eating Disorders Scale. Anadolu Psikiyatri Dergisi, 16(Özel sayı.1), 31-35.
- 
                                                        Backman, C. L. (2004). Occupational Balance: Exploring the Relationships among Daily Occupations and Their Influence on Well-Being. Canadian Journal of Occupational Therapy, 71(4), 202-209. https://doi.org/10.1177/000841740407100404
- 
                                                        Bahadır Agce, Z., & Torpil, B. (2022). KOVİD-19 Pandemisinde Ergoterapi Öğrencilerinin Okupasyonel Denge, Zihinsel Sağlık Yükü ve Sosyal Problem Çözme Becerilerinin İncelenmesi. Hacettepe University Faculty of Health Sciences Journal, 9(1), 63-80. https://doi.org/10.21020/husbfd.969150
- 
                                                        Barker, E. T., & Galambos, N. L. (2007). Body Dissatisfaction, Living Away from Parents, and Poor Social Adjustment Predict Binge Eating Symptoms in Young Women Making the Transition to University. Journal of Youth and Adolescence, 36(7), 904-911. https://doi.org/10.1007/s10964-006-9134-6
- 
                                                        Cha, Y. J. (2022). Life satisfaction analysis between occupational balance (OB) group and occupational imbalance (OI) group. Plos one, 17(7), e0271715. https://doi.org/10.1371/journal.pone.0271715
- 
                                                        Clark, M., & Nayar, S. (2012). Recovery from eating disorders: A role for occupational therapy. New Zealand Journal of Occupational Therapy, 59(1), 13–17.
- 
                                                        Culbert, K. M., Racine, S. E., & Klump, K. L. (2015). Research Review: What we have learned about the causes of eating disorders – a synthesis of sociocultural, psychological, and biological research. Journal of Child Psychology and Psychiatry, 56(11), 1141-1164. https://doi.org/https://doi.org/10.1111/jcpp.12441
- 
                                                        Dark, E., & Carter, S. (2020). Shifting identities: exploring occupational identity for those in recovery from an eating disorder. Qualitative Research Journal, 20(1), 127-139. https://doi.org/10.1108/QRJ-07-2019-0054
- 
                                                        Doğan, F. Z. (2021). Üniversite öğrencilerinin okupasyonel dengesi ile stres, stres karşısındaki tepkileri ve başa çıkma tutumları arasındaki ilişkinin incelenmesi (Yayımlanmamış yüksek lisans tezi), Hacettepe Üniversitesi.
- 
                                                        Eren, H., Huri, M., Bağış, N., Başıbüyük, O., Şahin, S., Umaroğlu, M., & Orhan, K. (2016). Burnout and occupatıonal partıcıpatıon among turkısh dental students. The Southeast Asian journal of tropical medicine and public health, 47(6), 1343–1352.
- 
                                                        Gan, W. Y., Mohd Nasir, M. T., Zalilah, M. S., & Hazizi, A. S. (2012). Psychological distress as a mediator in the relationships between biopsychosocial factors and disordered eating among Malaysian university students. Appetite, 59(3), 679-687. https://doi.org/https://doi.org/10.1016/j.appet.2012.08.002
- 
                                                        Garner, D. M., & Garfinkel, P. E. (1979). The Eating Attitudes Test: an index of the symptoms of anorexia nervosa. Psychological Medicine, 9(2), 273-279. https://doi.org/10.1017/S0033291700030762
- 
                                                        Guszkowska, M., & Dąbrowska-Zimakowska, A. (2023). Occupational balance, changes in occupations and psychological well-being of university students during the COVID-19 pandemic. Scandinavian Journal of Occupational Therapy, 30(4), 463-474. https://doi.org/10.1080/11038128.2022.2143892
- 
                                                        Günal, A., Pekçetin, S., Demirtürk, F., Şenol, H., Håkansson, C., & Wagman, P. (2020). Validity and reliability of the Turkish Occupational Balance Questionnaire (OBQ11-T). Scandinavian Journal of Occupational Therapy, 27(7), 493-499. https://doi.org/10.1080/11038128.2019.1673479
- 
                                                        Hunt, J., & Eisenberg, D. (2010). Mental Health Problems and Help-Seeking Behavior Among College Students. Journal of Adolescent Health, 46(1), 3-10. https://doi.org/https://doi.org/10.1016/j.jadohealth.2009.08.008
- 
                                                        Kabakuş Aykut, M., & Bilici, S. (2022). The relationship between the risk of eating disorder and meal patterns in University students. Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity, 27(2), 579-587. https://doi.org/10.1007/s40519-021-01179-4
- 
                                                        Kermen, U., Kermen, S., Dinçer, F., & Muslu, M. (2019). Üniversite Öğrencilerinde Yeme Bozukluğu Riskinin Lojistik Regresyon ile Belirlenmesi. Yaşam Becerileri Psikoloji Dergisi, 3(6), 149-163. https://doi.org/10.31461/ybpd.593436
 
Mack, R. A., Stanton, C. E., & Carney, M. R. (2023). The importance of including occupational therapists as part of the multidisciplinary team in the management of eating disorders: a narrative review incorporating lived experience. Journal of Eating Disorders, 11(1), 37. https://doi.org/10.1186/s40337-023-00763-6
- 
                                                        Monthuy-Blanc, J., Corno, G., Bouchard, S., St-Pierre, M.-J., Bourbeau, F., Mostefa-Kara, L., Therrien, É., & Rousseau, M. (2022). Body perceptions, occupations, eating attitudes, and behaviors emerged during the pandemic: An exploratory cluster analysis of eaters profiles [Original Research]. Frontiers in Psychology, 13. https://doi.org/10.3389/fpsyg.2022.949373
- 
                                                        Park, S., Lee, H. J., Jeon, B. J., Yoo, E. Y., Kim, J. B., & Park, J. H. (2021). Effects of occupational balance on subjective health, quality of life, and health-related variables in community-dwelling older adults: A structural equation modeling approach. Plos one, 16(2), e0246887. https://doi.org/10.1371/journal.pone.0246887
- 
                                                        Pekçetin, S., Günal, A., & Håkansson, C. (2021). The relationship between occupational balance and smartphone addiction among university students in Turkey. Ergoterapi ve Rehabilitasyon Dergisi, 9(3), 71-78.
- 
                                                        Pilegaard, M. S., Timm, H., Birkemose, H. K., Dupont, S. B., Joergensen, D. S., & la Cour, K. (2022). A resource-oriented intervention addressing balance in everyday activities and quality of life in people with advanced cancer: protocol for a feasibility study. Pilot and Feasibility Studies, 8(1), 86. https://doi.org/10.1186/s40814-022-01038-8
- 
                                                        Qian, J., Wu, Y., Liu, F., Zhu, Y., Jin, H., Zhang, H., Wan, Y., Li, C., & Yu, D. (2022). An update on the prevalence of eating disorders in the general population: a systematic review and meta-analysis. Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity, 27(2), 415-428. https://doi.org/10.1007/s40519-021-01162-z
- 
                                                        Silén, Y., & Keski-Rahkonen, A. (2022). Worldwide prevalence of DSM-5 eating disorders among young people. Current Opinion in Psychiatry, 35(6), 362-371. https://doi.org/10.1097/yco.0000000000000818
- 
                                                        Singlehurst, H., Corr, S., Griffiths, S., & Beaulieu, K. (2007). The Impact of Binge Eating Disorder on Occupation: A Pilot Study. British Journal of Occupational Therapy, 70(11), 493-501. https://doi.org/10.1177/030802260707001108
- 
                                                        St-Pierre, M. J., Therriault, P. Y., Faghihi, U., & Monthuy-Blanc, J. (2023). Eating disorders: When food “Eats” time. Appetite, 185, 106509. https://doi.org/https://doi.org/10.1016/j.appet.2023.106509
- 
                                                        Stice, E., Marti, C. N., & Rohde, P. (2013). Prevalence, incidence, impairment, and course of the proposed DSM-5 eating disorder diagnoses in an 8-year prospective community study of young women. Journal of abnormal psychology, 122(2), 445–457. https://doi.org/10.1037/a0030679
- 
                                                        Treasure, J., Duarte, T. A., & Schmidt, U. (2020). Eating disorders. Lancet (London, England), 395(10227), 899–911. https://doi.org/10.1016/S0140-6736(20)30059-3
- 
                                                        Wagman, P., & Håkansson, C. (2014). Introducing the Occupational Balance Questionnaire (OBQ). Scandinavian Journal of Occupational Therapy, 21(3), 227–231. https://doi.org/10.3109/11038128.2014.900571
- 
                                                        Wagman, P., Håkansson, C., & Björklund, A. (2012). Occupational balance as used in occupational therapy: A concept analysis. Scandinavian Journal of Occupational Therapy, 19(4), 322–327. https://doi.org/10.3109/11038128.2011.596219
- 
                                                        Wilcock, A., & Hocking, C. (2024). An Occupational Perspective of Health. Taylor & Francis.
- 
                                                        Wilson, L., & Wilcock, A. (2005). Occupational Balance: What Tips the Scales for New Students? British Journal of Occupational Therapy, 68(7), 319-323. https://doi.org/10.1177/030802260506800706
 
                                     
                                                             
                                                                                
                                
                                    
                                    
                                                                                Investigation of Eating Disorder Tendency and Occupational Balance in University Students
                                    
                                 
                                
                                    
                                                                                                                                                                                                                        Yıl 2025,
                                                                                        Cilt: 12 Sayı: 2,                                                                                                                 501 - 515,                                     31.08.2025                                
                                
                                                                                                                        
                                                                                                                                                
                                                        Ayfer Kengil
                                                                                                            
                                                
                                                                                                    ,
                                                
                                                                                                                                
                                                                                                                                                
                                                        Feyza Kargalı
                                                                                                            
                                                
                                                                                                    ,
                                                
                                                                                                                                
                                                                                                                                                
                                                        Büşra Kaplan Kılıç
                                                                                                                    
                                                                                                            
                                                
                                                
                                                                                                                                                                                            
                                                                    
                                
                                
                                                                    
                                        Öz
                                        Objectives: This study aims to examine eating disorder tendency and occupational balance in university students.
Materials and Methods: The study included 300 university students aged 18-25. Data collection tools used were a Sociodemographic Form, Occupational Balance Questionnaire (OBQ), and Rezzy Eating Disorder Scale. According to the results of the Rezzy Eating Disorder Scale, students with eating disorder tendency constituted the research group (n=123) and students without eating disorder tendency constituted the control group (n=177). The total OBQ scores and sub-items between groups were compared using statistical methods.
Results: When comparing the research and control groups, a statistically significant difference was found in the total OBQ scores (p<0.05). When the responses of the groups to the OBQ items were examined, statistically significant difference was found in items 1, 2 and 10 (activity diversity, balance between energizing/de-energizing activities) and in items 3 and 5 (time use, satisfaction with the time allocated to activities) (p<0.05). However, no statistical difference was found in the groups' responses to OBQ items 4, 6 and 11 (rest, time allocated to recreational activities) and items 7, 8 and 9 (number of activities, number of activities performed during the day/week) (p>0.05). 
Conclusion: University students with eating disorder tendencies were observed to have lower occupational balance than their peers. Students with eating disorder tendencies show significant differences from their peers without eating disorder tendencies, particularly in terms of activity variety (participation in different types of activities) and time use (using time appropriately for activities and satisfaction). This situation shows that eating disorder tendencies in university students can cause occupational imbalances. Therefore, occupational therapy interventions focusing on activity-based approaches and changes in time use and lifestyle redesign should be developed for the management of eating disorders in university students.
                                     
                                
                                                                                                    
                                
                                                                
                                                                
                                                                    
                                        Proje Numarası
                                        1919B012306465
                                     
                                
                                                                
                                                                    
                                        Kaynakça
                                        
                                            
                                                                                                    - 
                                                        American Psychiatric Association (APA). (2013). Diagnostic and statistical manual of mental disorders. Fifth Edition, American Psychiatric Association, 21(21), 591-643.
- 
                                                        Attia, E., Becker, A. E., Bryant-Waugh, R., Hoek, H. W., Kreipe, R. E., Marcus, M. D., Mitchell, J. E., Striegel, R. H., Walsh, B. T., Wilson, G. T., Wolfe, B. E., & Wonderlich, S. (2013). Feeding and Eating Disorders in DSM-5. American Journal of Psychiatry, 170(11), 1237-1239. https://doi.org/10.1176/appi.ajp.2013.13030326
- 
                                                        Aydemir, Ö., Köksal, B., Sapmaz, S. Y., & Yüceyar, H. (2015). Kadin üniversite ögrencilerinde REZZY Yeme Bozukluklari Ölçegi Türkçe formunun güvenilirlik ve geçerliligi/Reliability and validity of Turkish form of SCOFF Eating Disorders Scale. Anadolu Psikiyatri Dergisi, 16(Özel sayı.1), 31-35.
- 
                                                        Backman, C. L. (2004). Occupational Balance: Exploring the Relationships among Daily Occupations and Their Influence on Well-Being. Canadian Journal of Occupational Therapy, 71(4), 202-209. https://doi.org/10.1177/000841740407100404
- 
                                                        Bahadır Agce, Z., & Torpil, B. (2022). KOVİD-19 Pandemisinde Ergoterapi Öğrencilerinin Okupasyonel Denge, Zihinsel Sağlık Yükü ve Sosyal Problem Çözme Becerilerinin İncelenmesi. Hacettepe University Faculty of Health Sciences Journal, 9(1), 63-80. https://doi.org/10.21020/husbfd.969150
- 
                                                        Barker, E. T., & Galambos, N. L. (2007). Body Dissatisfaction, Living Away from Parents, and Poor Social Adjustment Predict Binge Eating Symptoms in Young Women Making the Transition to University. Journal of Youth and Adolescence, 36(7), 904-911. https://doi.org/10.1007/s10964-006-9134-6
- 
                                                        Cha, Y. J. (2022). Life satisfaction analysis between occupational balance (OB) group and occupational imbalance (OI) group. Plos one, 17(7), e0271715. https://doi.org/10.1371/journal.pone.0271715
- 
                                                        Clark, M., & Nayar, S. (2012). Recovery from eating disorders: A role for occupational therapy. New Zealand Journal of Occupational Therapy, 59(1), 13–17.
- 
                                                        Culbert, K. M., Racine, S. E., & Klump, K. L. (2015). Research Review: What we have learned about the causes of eating disorders – a synthesis of sociocultural, psychological, and biological research. Journal of Child Psychology and Psychiatry, 56(11), 1141-1164. https://doi.org/https://doi.org/10.1111/jcpp.12441
- 
                                                        Dark, E., & Carter, S. (2020). Shifting identities: exploring occupational identity for those in recovery from an eating disorder. Qualitative Research Journal, 20(1), 127-139. https://doi.org/10.1108/QRJ-07-2019-0054
- 
                                                        Doğan, F. Z. (2021). Üniversite öğrencilerinin okupasyonel dengesi ile stres, stres karşısındaki tepkileri ve başa çıkma tutumları arasındaki ilişkinin incelenmesi (Yayımlanmamış yüksek lisans tezi), Hacettepe Üniversitesi.
- 
                                                        Eren, H., Huri, M., Bağış, N., Başıbüyük, O., Şahin, S., Umaroğlu, M., & Orhan, K. (2016). Burnout and occupatıonal partıcıpatıon among turkısh dental students. The Southeast Asian journal of tropical medicine and public health, 47(6), 1343–1352.
- 
                                                        Gan, W. Y., Mohd Nasir, M. T., Zalilah, M. S., & Hazizi, A. S. (2012). Psychological distress as a mediator in the relationships between biopsychosocial factors and disordered eating among Malaysian university students. Appetite, 59(3), 679-687. https://doi.org/https://doi.org/10.1016/j.appet.2012.08.002
- 
                                                        Garner, D. M., & Garfinkel, P. E. (1979). The Eating Attitudes Test: an index of the symptoms of anorexia nervosa. Psychological Medicine, 9(2), 273-279. https://doi.org/10.1017/S0033291700030762
- 
                                                        Guszkowska, M., & Dąbrowska-Zimakowska, A. (2023). Occupational balance, changes in occupations and psychological well-being of university students during the COVID-19 pandemic. Scandinavian Journal of Occupational Therapy, 30(4), 463-474. https://doi.org/10.1080/11038128.2022.2143892
- 
                                                        Günal, A., Pekçetin, S., Demirtürk, F., Şenol, H., Håkansson, C., & Wagman, P. (2020). Validity and reliability of the Turkish Occupational Balance Questionnaire (OBQ11-T). Scandinavian Journal of Occupational Therapy, 27(7), 493-499. https://doi.org/10.1080/11038128.2019.1673479
- 
                                                        Hunt, J., & Eisenberg, D. (2010). Mental Health Problems and Help-Seeking Behavior Among College Students. Journal of Adolescent Health, 46(1), 3-10. https://doi.org/https://doi.org/10.1016/j.jadohealth.2009.08.008
- 
                                                        Kabakuş Aykut, M., & Bilici, S. (2022). The relationship between the risk of eating disorder and meal patterns in University students. Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity, 27(2), 579-587. https://doi.org/10.1007/s40519-021-01179-4
- 
                                                        Kermen, U., Kermen, S., Dinçer, F., & Muslu, M. (2019). Üniversite Öğrencilerinde Yeme Bozukluğu Riskinin Lojistik Regresyon ile Belirlenmesi. Yaşam Becerileri Psikoloji Dergisi, 3(6), 149-163. https://doi.org/10.31461/ybpd.593436
 
Mack, R. A., Stanton, C. E., & Carney, M. R. (2023). The importance of including occupational therapists as part of the multidisciplinary team in the management of eating disorders: a narrative review incorporating lived experience. Journal of Eating Disorders, 11(1), 37. https://doi.org/10.1186/s40337-023-00763-6
- 
                                                        Monthuy-Blanc, J., Corno, G., Bouchard, S., St-Pierre, M.-J., Bourbeau, F., Mostefa-Kara, L., Therrien, É., & Rousseau, M. (2022). Body perceptions, occupations, eating attitudes, and behaviors emerged during the pandemic: An exploratory cluster analysis of eaters profiles [Original Research]. Frontiers in Psychology, 13. https://doi.org/10.3389/fpsyg.2022.949373
- 
                                                        Park, S., Lee, H. J., Jeon, B. J., Yoo, E. Y., Kim, J. B., & Park, J. H. (2021). Effects of occupational balance on subjective health, quality of life, and health-related variables in community-dwelling older adults: A structural equation modeling approach. Plos one, 16(2), e0246887. https://doi.org/10.1371/journal.pone.0246887
- 
                                                        Pekçetin, S., Günal, A., & Håkansson, C. (2021). The relationship between occupational balance and smartphone addiction among university students in Turkey. Ergoterapi ve Rehabilitasyon Dergisi, 9(3), 71-78.
- 
                                                        Pilegaard, M. S., Timm, H., Birkemose, H. K., Dupont, S. B., Joergensen, D. S., & la Cour, K. (2022). A resource-oriented intervention addressing balance in everyday activities and quality of life in people with advanced cancer: protocol for a feasibility study. Pilot and Feasibility Studies, 8(1), 86. https://doi.org/10.1186/s40814-022-01038-8
- 
                                                        Qian, J., Wu, Y., Liu, F., Zhu, Y., Jin, H., Zhang, H., Wan, Y., Li, C., & Yu, D. (2022). An update on the prevalence of eating disorders in the general population: a systematic review and meta-analysis. Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity, 27(2), 415-428. https://doi.org/10.1007/s40519-021-01162-z
- 
                                                        Silén, Y., & Keski-Rahkonen, A. (2022). Worldwide prevalence of DSM-5 eating disorders among young people. Current Opinion in Psychiatry, 35(6), 362-371. https://doi.org/10.1097/yco.0000000000000818
- 
                                                        Singlehurst, H., Corr, S., Griffiths, S., & Beaulieu, K. (2007). The Impact of Binge Eating Disorder on Occupation: A Pilot Study. British Journal of Occupational Therapy, 70(11), 493-501. https://doi.org/10.1177/030802260707001108
- 
                                                        St-Pierre, M. J., Therriault, P. Y., Faghihi, U., & Monthuy-Blanc, J. (2023). Eating disorders: When food “Eats” time. Appetite, 185, 106509. https://doi.org/https://doi.org/10.1016/j.appet.2023.106509
- 
                                                        Stice, E., Marti, C. N., & Rohde, P. (2013). Prevalence, incidence, impairment, and course of the proposed DSM-5 eating disorder diagnoses in an 8-year prospective community study of young women. Journal of abnormal psychology, 122(2), 445–457. https://doi.org/10.1037/a0030679
- 
                                                        Treasure, J., Duarte, T. A., & Schmidt, U. (2020). Eating disorders. Lancet (London, England), 395(10227), 899–911. https://doi.org/10.1016/S0140-6736(20)30059-3
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                                                        Wagman, P., & Håkansson, C. (2014). Introducing the Occupational Balance Questionnaire (OBQ). Scandinavian Journal of Occupational Therapy, 21(3), 227–231. https://doi.org/10.3109/11038128.2014.900571
- 
                                                        Wagman, P., Håkansson, C., & Björklund, A. (2012). Occupational balance as used in occupational therapy: A concept analysis. Scandinavian Journal of Occupational Therapy, 19(4), 322–327. https://doi.org/10.3109/11038128.2011.596219
- 
                                                        Wilcock, A., & Hocking, C. (2024). An Occupational Perspective of Health. Taylor & Francis.
- 
                                                        Wilson, L., & Wilcock, A. (2005). Occupational Balance: What Tips the Scales for New Students? British Journal of Occupational Therapy, 68(7), 319-323. https://doi.org/10.1177/030802260506800706