Abstract

Objectives This study aimed to predict the onset of Restrictive Anorexia Nervosa (AN-R) and identify influential symptom variables for treatment initiation.
 Methods We collected 333 comments from Korean YouTube videos related to eating disorders, focusing on AN-R. Through ChatGPT assessment, we extracted 1,210 symptomatic pieces of evidence, categorizing them into psychological, physical, behavioral, and social symptoms. Regression analysis at α=0.5 revealed a negative correlation between psychological and physical symptoms.
 Results Psychological symptoms were highest at the early onset of AN-R, gradually decreasing as physical symptoms emerged. Self-perception of symptom severity was primarily influenced by physical and social symptoms, especially appearance changes. Treatment initiation showed a positive correlation with appearance changes and a negative correlation with psychological symptoms.
 Conclusions Our findings confirm that AN-R onset can be predicted when physical symptoms appear after progressing psychological symptoms, highlighting the dominant influence of psychological symptoms in treatment initiation.

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