I need help constructing my next paragraph in my college research paper keeping up with APA 7 and making sure it all flows correctly. The paragraph needs to be about Is it common (i.e. many people experience it) or is it rare? (I.E. What are the incidence/prevelance rates and what do those rates mean?). The references that need to be used for this are below as well as the paragraphs before it.

Paragraphs Before It: Anorexia Nervosa, classified under the DSM-5 criteria, represents a complex and debilitating eating disorder characterized by severe food restriction, irrational fear of gaining weight, and distorted body image. This disorder not only affects individuals physically but also profoundly impacts their psychological well-being and overall quality of life. According to recent epidemiological data (Hay et al., 2023), the prevalence of anorexia nervosa is notable, underscoring its significance within clinical settings and public health frameworks. The symptoms of anorexia nervosa extend beyond mere dietary habits, encompassing profound disruptions in social interactions, familial relationships, and occupational functioning (Fjermestad et al., 2019; Ibrahim et al., 2022). As highlighted by Paolacci et al. (2020), genetic predispositions play a critical role in its etiology, intersecting with environmental factors to exacerbate susceptibility. Despite advancements in therapeutic modalities, including cognitive-behavioral and family-based interventions (Coopey & Johnson, 2022; Ibrahim et al., 2022), effective treatment remains challenging due to the chronic nature of the illness and the intricate interplay of biological and environmental determinants. This paper delves into the multifaceted aspects of anorexia nervosa, exploring its diagnostic criteria, symptomatology, prevalence rates, etiological factors, therapeutic approaches, and long-term prognosis. By critically examining these dimensions, this study aims to provide a comprehensive understanding of the disorder's impact on individuals' lives and the challenges inherent in its management.

The symptoms of anorexia nervosa are varied and include both physical, psychological, and behavioral signs. People with anorexia nervosa typically experience severe weight loss, emaciation, and an intense desire to be thin, despite being significantly underweight (Harvey et al., 2023). Triggers for these symptoms may include societal pressures, personal stress, and a history of dieting or weight concerns (Berenbaum et al., 2021). Psychologically, those affected may have a strong fear of gaining weight and a distorted view of their body shape or size, leading to obsessive behaviors related to food and eating (Peters et al., 2021). Behavioral symptoms include extreme dietary restrictions, excessive exercise, and ritualistic eating habits. These behaviors can significantly disrupt daily life, as individuals may isolate themselves to avoid situations where eating is involved and prioritize activities to control their weight over social, family, and work commitments (Gledhill et al., 2023). Understanding the wide range of symptoms and their triggers is essential for developing effective, personalized treatment strategies to address the unique needs of individuals with anorexia nervosa.

References:

Berenbaum, T., Ackerman, K., & Delhaye, M. (2021). When anorexia nervosa symptoms mask Kallmann syndrome. Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity, 27(5), 1903-1906. https://doi.org/10.1007/s40519-021-01332-z

Coopey, E., & Johnson, G. (2022). Exploring the experience of young people receiving treatment for an eating disorder: family therapy for anorexia nervosa and multi-family therapy in an inpatient setting. Journal of Eating Disorders, 10(1). https://doi.org/10.1186/s40337-022-00609-7

Fjermestad, K. W., R, A. E., Espeland, K. E., Halvorsen, M. S., & Halvorsen, I. M. (2019). "Do I exist in this world, really, or is it just her?" Youths' perspectives of living with a sibling with anorexia nervosa. Eating Disorders, 28(1), 80-95. https://doi.org/10.1080/10640266.2019.1573046

Gledhill, L. J., MacInnes, D., Sze Chi Chan, Drewery, C., Watson, C., & Baudinet, J. (2023). What is day hospital treatment for anorexia nervosa really like? A reflexive thematic analysis of feedback from young people. Journal of Eating Disorders, 11(1). https://doi.org/10.1186/s40337-023-00949-y

Harvey, A. J., Madden, S., Rodgers, A., Bull, M., Mary Lou Chatterton, Dusan Hadzi-Pavlovic, Loo, C. K., & Martin, D. M. (2023). Randomised controlled trial of neurostimulation for symptoms of anorexia nervosa (TRENA study): study protocol. Journal of Eating Disorders, 11(1). https://doi.org/10.1186/s40337-023-00940-7

Hay, P., Aouad, P., Le, A., Marks, P., & Maloney, D. (2023). Epidemiology of eating disorders: population, prevalence, disease burden and quality of life informing public policy in Australiaa rapid review. Journal of Eating Disorders, 11. 1-46. https://doi.org/10.1186/s40337-023-00738-7.

Ibrahim, A., Ryan, S., Viljoen, D., Tutisani, E., Gardner, L., Collins, L., & Ayton, A. (2022). Integrated enhanced cognitive behavioural (I-CBTE) therapy significantly improves effectiveness of inpatient treatment of anorexia nervosa in real life settings. Journal of Eating Disorders, 10(1). https://doi.org/10.1186/s40337-022-00620-y

Paolacci, S., Kiani, A. K., Manara, E., Beccari, T., Ceccarini, M. R., Stuppia, L., Chiurazzi, P., Dalla Ragione, L., & Bertelli, M. (2020). Genetic contributions to the etiology of anorexia nervosa: New perspectives in molecular diagnosis and treatment. Molecular Genetics & Genomic Medicine, 8(7). https://doi.org/10.1002/mgg3.1244

Pereira, A. R., Costa, M., Costa, G. G., Carvalho, A. S., Pereira, A. R., Costa, M., Costa, G., & Carvalho, A. S. (2024). Anorexia Nervosa and Osteoporosis: A Possible Complication to Remember. Cureus, 16(1). https://doi.org/10.7759/cureus.52670

Peters, K., Meule, A., Voderholzer, U., & Rauh, E. (2021). Effects of intervalbased inpatient treatment for anorexia nervosa: An observational study. Brain and Behavior, 11(11). https://doi.org/10.1002/brb3.2362

Reese, J. (2022). Assessment and treatment of eating disorders in adolescents. Contemporary OB/GYN, 67(5), 26-29. https://login.proxy189.nclive.org/login?url=https://www.proquest.com/scholarly-journals/assessment-treatment-eating-disorders-adolescents/docview/2821423258/se-2.