Supplemental Material for Weight Misperception and Thin-Ideal Overvaluation Relative to the Positive Functioning and Eating Disorder Pathology of Transgender and Nonbinary Young Adults

The Body Project is an empirically based eating disorder prevention program that offers young women an opportunity to critically consider the costs of pursuing the ultra-thin ideal promoted in the mass media, and it improves body acceptance and reduces risk for developing eating disorders. Young women with elevated body dissatisfaction are recruited for group sessions in which they participate in a series of verbal, written, and behavioral exercises in which they consider the negative effects of pursuing the thin-ideal. This online resource provides information on the significance of body image and eating disorders, the intervention theory, the evidence base which supports the theory, recruitment and training procedures, solutions to common challenges, and a new program aimed at reducing obesity onset, as well as intervention scripts and participant handouts. It is the only currently available eating disorder prevention program that has been shown to reduce risk for onset of eating disorders and received support in trials conducted by several independent research groups.

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Defining and predicting service utilisation in young adulthood following childhood treatment of an eating disorder

BJPsych Open ◽

10.1192/bjo.2020.13 ◽

2020 ◽

Vol 6 (3) ◽

Cited By ~ 2

Author(s):

Jessica McClelland ◽

Mima Simic ◽

Ulrike Schmidt ◽

Antonia Koskina ◽

Catherine Stewart

Keyword(s):

Mental Health ◽

Young Adults ◽

Eating Disorder ◽

Health Services ◽

Young Adulthood ◽

Mental Health Treatment ◽

Service Utilisation ◽

Health Treatment ◽

Eating Disorder Treatment ◽

Disorder Treatment

Background Eating disorder services are often separated into child and adolescent eating disorder services (CAEDSs) and adult eating disorder services (AEDSs). Most patients in CAEDSs present with first-episode illness of short duration, which with appropriate treatment, have a good prognosis. However, some individuals receive further treatment as adults. Little is known about service utilisation in adulthood following childhood/adolescent treatment of an eating disorder. Aims This study aims (a) to estimate the proportion of patients in a CAEDS who use mental health services as young adults, (b) to delineate service utilisation following treatment in CAEDSs and (c) to identify factors in CAEDSs that predict service utilisation in young adulthood. Method A consecutive cohort of 322 patients (aged 13–17 years) seen in a CAEDS in the UK over a 5-year period were included in this audit. Data regarding their use of UK-wide adult mental health services as young adults (i.e. when aged 18–25) were extracted from local and national hospital records. Results A total of 68.3% of CAEDS patients received no mental health treatment as young adults. Although 13% of people seen in a CAEDS had brief eating disorder treatment as young adults, 10% received longer/or more intensive eating disorder treatment. Overall, 10.8% transitioned directly to an AEDS and 7.6% were re-referred following discharge from CAEDS. In our sample, older age and increased use of CAEDSs predicted increased eating disorder treatment in young adulthood. Conclusions Our results indicate that most people seen in CAEDSs do not receive further mental health treatment as young adults. Several features in CAEDSs distinguish mental health service utilisation in young adulthood, which were identified clinically and could be targeted during treatment.

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The role of depression, eating disorder symptoms, and exercise in young adults' quality of life

Eating Behaviors ◽

10.1016/j.eatbeh.2018.08.005 ◽

2018 ◽

Vol 31 ◽

pp. 68-73 ◽

Cited By ~ 1

Author(s):

Paige J. Trojanowski ◽

Sarah Fischer

Keyword(s):

Quality Of Life ◽

Young Adults ◽

Eating Disorder ◽

Eating Disorder Symptoms

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New Body Scales Reveal Body Dissatisfaction, Thin-Ideal, and Muscularity-Ideal in Males

American Journal of Men s Health ◽

10.1177/1557988318763516 ◽

2018 ◽

Vol 12 (4) ◽

pp. 740-750 ◽

Cited By ~ 10

Author(s):

Christina Ralph-Nearman ◽

Ruth Filik

Keyword(s):

Eating Disorder ◽

Body Dissatisfaction ◽

Actual Body ◽

Rating Scale ◽

Thin Ideal ◽

Male Body ◽

Drive For Muscularity ◽

Manipulation Check ◽

Eating Disorder Examination ◽

Body Scale

The aim of the current study was to develop, test, and retest two new male body dissatisfaction scales: The Male Body Scale (MBS; consisting of emaciated to obese figures) and the Male Fit Body Scale (MFBS; consisting of emaciated to muscular figures). These scales were compared to the two most commonly used visually based indices of body dissatisfaction (Stunkard Figure Rating Scale, SFRS; and Somatomorphic Matrix, SM). Male participants rated which body figure on each scale most represented their current figure, then their ideal figure, and then rated which one of the three scales (MBS, MFBS, and SFRS) best represented their current and ideal body overall. Finally, they completed the Drive for Muscularity Scale (DMS), the Eating Disorder Examination Questionnaire (EDE-Q 6.0), and their actual body composition was calculated. This was followed by a retest and manipulation check 2 to 6 weeks later. Participants’ actual body mass index, fat- and muscularity-percentage were all highly related to their current body figure choice, and both new scales were consistently valid and more reliable between test and retest than the SFRS and SM body dissatisfaction scores. Importantly, each scale was sensitive to different types of body dissatisfaction within males. Specifically, the MBS revealed that males’ desire for the thin-ideal significantly corresponded to higher eating disorder tendencies as identified by EDE-Q 6.0 scores, while the MFBS revealed much higher body dissatisfaction toward the larger, muscularity-ideal, predicting higher drive for muscularity as identified by DMS scores. Results validated the new scales, and inform male-focused eating disorder research.

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