Use of extreme weight control behaviors with and without binge eating in a community sample: Implications for the classification of bulimic-type eating disorders

2006 ◽  
Vol 39 (4) ◽  
pp. 294-302 ◽  
Author(s):  
Jonathan Mond ◽  
Phillipa Hay ◽  
Bryan Rodgers ◽  
Cathy Owen ◽  
Ross Crosby ◽  
...  
2020 ◽  
Vol 63 (1) ◽  
Author(s):  
Jessica McClelland ◽  
Lauren Robinson ◽  
Rachel Potterton ◽  
Victoria Mountford ◽  
Ulrike Schmidt

Abstract Background. Eating disorders (EDs) are serious mental illnesses that can be life-threatening. Stage of illness models and early intervention strategies could be informed by a better understanding of symptomatology that precedes the onset of an ED. This review aims to explore which symptoms (both ED and other psychiatric disorder-related) exist prior to the onset of an ED and whether there any prospective associations between these symptomatologies. Methods. A systematic literature review was conducted in MEDLINE, Embase, and PsycINFO for large, longitudinal, prospective studies in nonclinical cohorts of children/adolescents that report symptoms prior to the onset of an ED. A quality assessment of included studies was conducted using the Newcastle-Ottawa Quality Assessment Scale. Results. A total of 22 studies were included, and over half were assessed to be of good quality. Studies identified the presence of a broad range of ED and other psychiatric disorder-related symptoms prior to ED onset. Possible prospective associations were identified, including early eating and feeding difficulties in childhood, to ED-related symptoms (e.g., dieting and body dissatisfaction) and other psychiatric disorder-related symptoms (e.g., anxiety and depression) in childhood/early adolescence, progressing to severe symptomatology (e.g., extreme weight control behaviors and self-harm) in mid-adolescence/emerging adulthood. Conclusion. The trajectory of symptoms identified to precede and possibly predict onset of an ED may inform early intervention strategies within the community. Suggestions for further research are provided to establish these findings and the clinical implications of these discussed, in order to inform how best to target prodromal stages of EDs.


2013 ◽  
Vol 7 (3) ◽  
pp. 186-197 ◽  
Author(s):  
Laura D. DiPasquale ◽  
Trent A. Petrie

Eating disorder prevalence rates among athletes vary greatly because of the different ways in which researchers have measured and classified them, and the extent to which they are higher than those found among nonathletes remains unresolved. The present study examined prevalence of eating disorders, body image issues, and weight control behaviors using a valid diagnostic measure. Participants included 146 male and 156 female NCAA Division I student-athletes and a matched sample of 170 male and 353 female collegiate nonathletes. Overall, eating disorder prevalence rates and use of pathogenic weight control behaviors were lower among nonathletes than athletes. Rates for athletes in the current study were lower than previous studies. These findings are likely due to the lack of anonymity the athletes had when completing questionnaires, as data were collected through athletes’ preseason physicals, whereas nonathletes completed questionnaires anonymously over the Internet. Recommendations for athletic departments’ screening for eating disorders are made.


2006 ◽  
Vol 40 (2) ◽  
pp. 136-142 ◽  
Author(s):  
Jonathan J. Mond ◽  
Phillipa J. Hay ◽  
Bryan Rodgers ◽  
Cathy Owen ◽  
James Mitchell

Objective: To inform the classification of bulimic-type eating disorders, the correlates of purging and non-purging methods of weight control were examined in a large community sample of young adult women reporting recurrent episodes of binge eating. Method: Scores on self-report measures of eating disorder psychopathology, functional impairment and health-service utilization were compared among individuals who reported (recurrent episodes of binge eating and) the use of either purging (self-induced vomiting, laxative or diuretic misuse; n = 41) or non-purging (extreme dietary restriction, excessive exercise, or use of diet pills; n = 62) methods of weight control. Individuals who reported recurrent binge eating in the absence of extreme weight control behaviours (n = 442) were also included in the analysis. Results: Non-purgers tended to be younger and heavier and have higher levels of eating disorder psychopathology and functional impairment than purgers and non-compensating binge eaters, however these differences were not statistically significant. Purgers were more likely than non-purgers to have sought treatment specifically for a problem with eating, however this difference was no longer significant after age and body mass index were statistically controlled. In multivariate analysis, frequency of extreme dietary restriction was the best predictor of functional impairment. Conclusions: These findings call into question the validity of subtyping of bulimia nervosa into purging and non-purging forms as outlined in the fourth edition of the Diagnostic and Statistical Manual of Mental Disorders.


Nutrients ◽  
2021 ◽  
Vol 13 (12) ◽  
pp. 4321
Author(s):  
Stella Stabouli ◽  
Serap Erdine ◽  
Lagle Suurorg ◽  
Augustina Jankauskienė ◽  
Empar Lurbe

Obesity, eating disorders and unhealthy dieting practices among children and adolescents are alarming health concerns due to their high prevalence and adverse effects on physical and psychosocial health. We present the evidence that eating disorders and obesity can be managed or prevented using the same interventions in the pediatric age. In the presence of obesity in the pediatric age, disordered eating behaviors are highly prevalent, increasing the risk of developing eating disorders. The most frequently observed in subjects with obesity are bulimia nervosa and binge-eating disorders, both of which are characterized by abnormal eating or weight-control behaviors. Various are the mechanisms overlying the interaction including environmental and individual ones, and different are the approaches to reduce the consequences. Evidence-based treatments for obesity and eating disorders in childhood include as first line approaches weight loss with nutritional management and lifestyle modification via behavioral psychotherapy, as well as treatment of psychiatric comorbidities if those are not a consequence of the eating disorder. Drugs and bariatric surgery need to be used in extreme cases. Future research is necessary for early detection of risk factors for prevention, more precise elucidation of the mechanisms that underpin these problems and, finally, in the cases requiring therapeutic intervention, to provide tailored and timely treatment. Collective efforts between the fields are crucial for reducing the factors of health disparity and improving public health.


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