scholarly journals Diagnosis of Eating Disorders Among College Students: A Comparison of Military and Civilian Students

2021 ◽  
Author(s):  
Sarah E Falvey ◽  
Samantha L Hahn ◽  
Olivia S Anderson ◽  
Sarah K Lipson ◽  
Kendrin R Sonneville

ABSTRACT Introduction Eating disorders are often under-detected, which poses a serious threat to the health of individuals with eating disorder symptoms. There is evidence to suggest that the military represents a subpopulation that may be susceptible to high prevalence of eating disorders and vulnerable to their underdiagnosis. Underreporting of eating disorder symptoms in the military could lead to this underdiagnosis of individuals with eating disorder symptoms. The purpose of this study was to examine the association between military affiliation and eating disorder symptoms among college students and the likelihood of eating disorder diagnosis among those with eating disorder symptoms using a large, diverse college-aged sample of both military-involved and civilian students. Materials and Methods Participants for this study were from the 2015-2016, 2016-2017, and 2017-2018 Healthy Minds Study (HMS). Healthy Minds Study is a large, cross-sectional cohort study of both undergraduate and graduate students from universities and colleges across the United States and Canada. The Healthy Minds Study survey questions include assessment of demographic information, military status, self-reported eating disorder symptoms using the SCOFF questionnaire, and self-reported eating disorder diagnosis. Univariate analysis, chi-square analysis, and logistic regression with an unadjusted and covariate adjusted model were used to examine the association between eating disorder symptoms and military affiliation. These analyses were also used to examine the association between eating disorder diagnosis among those with eating disorder symptoms and military affiliation. All analyses were conducted using SPSS. Results The prevalence of eating disorder symptoms was high among both the civilian (20.4%) and military-involved (14.4%) students. Among females, there was a significantly higher (P value = .041) prevalence of eating disorder symptoms among civilian college students (24.7%) compared to military-involved students (21.3%). Among those with eating disorder symptoms, the prevalence of diagnosis was low in both military and civilian students. Specifically, the prevalence of diagnosis was significantly lower (P value = .032) among military-involved college students (10.8%) compared to civilian college students (16.4%). Differences in sociodemographic characteristics (e.g., gender, race/ethnicity, and age) among military-involved and civilian college students appear to explain this association. Conclusions The underdiagnosis of eating disorders is far too common, and this represents a threat to the health of military and civilian populations alike. Underdiagnosis of eating disorders within military environments may be due to underreporting, particularly among men and racial/ethnic minority groups.

2017 ◽  
Vol 158 (27) ◽  
pp. 1058-1066
Author(s):  
Tamás Dömötör Szalai

Abstract: Introduction: Attachment dysfunctions determine borderline personality disorder, which is a frequent background factor of multi-impulsivity; however, the relationship between attachment and multi-impulsive eating disorders is almost unexplored. Aim: To compare attachment features of multi-impulsive and classical eating disorder patients with individuals without eating disorders, and to test attachment as a predictor of multi-impulsivity. Method: A cross-sectional survey (148 females, mean age: 30.9 years) investigated maternal, paternal and adult attachment, depression, anxiety, eating disorder and multi-impulsive symptoms in these groups. Results: Altogether 41.3% of the individuals without eating disorders, 17.6% of classical and 11.8% of multi-impulsive eating disorder patients had secure attachment. Multi-impulsive patients had the most severe eating disorder symptoms (F(2) = 17.733) and the lowest paternal care (F(2) = 3.443). Preoccupied and fearful attachment explained 14.5% of multi-impulsive symptoms; however, with adjustment for depression only latter one remained the predictor of multi-impulsivity (t = 5.166, p<0.01). Conclusion: Multi-impulsives are a distinct subgroup of eating disorder patients from the aspects of both symptoms and attachment. Handling their negative moods may hold therapeutic potentials. Longitudinal studies are required to investigate the therapeutic value of paternal care, attachment preoccupation and fearfulness. Orv Hetil. 2017; 158(27): 1058–1066.


2017 ◽  
Vol 5 (6) ◽  
pp. 43 ◽  
Author(s):  
Tamás Dömötör Szalai ◽  
Edit Czeglédi M.A.

Attachment can contribute to eating disorder symptomology through various paths, including emotion regulation. However, the relationship between parental and adult attachment and emotional eating and other eating disorder symptoms have been barely investigated on comparative samples. This cross-sectional, questionnaire-based online survey aimed to assess the relationship between parental and adult attachment qualities with the eating behavior severity, emotional eating, and the level of depression in 67 female anorexia nervosa, bulimia nervosa, and binge eating disorder patients, compared to 67 female sine morbo individuals. Eating disorder patients less frequently had secure attachment, and were more often fearful or preoccupied than sine morbo individuals. In sine morbo individuals lower adult attachment security, but in patients, lower parental care was related to eating disorder symptoms. In sine morbo individuals, higher preoccupation, but in patients, higher fearfulness and lower care was related to emotional eating. Lower attachment security (OR = 0.54), younger age (OR = 0.93) and higher depression (OR = 1.04) explained 36.6% of the variance of diagnosed eating disorders. A complex interplay could be highlighted between dysfunctional attachment dimensions and eating symptomology in both groups—but with different patterns. Perceived parental care may be influential for eating disorder patients, whilst the degree of adult attachment security can be influential for sine morbo individuals. Lower attachment security was a predictor of eating disorders, which suggests the protective value of enhancing attachment security. However, further attachment-based interventions are required.


2015 ◽  
Vol 13 (4) ◽  
pp. 525-529 ◽  
Author(s):  
Mara Cristina Lofrano-Prado ◽  
Wagner Luiz do Prado ◽  
Mauro Virgilio Gomes de Barros ◽  
Thiago Ricardo dos Santos Tenório ◽  
Sandra Lopes de Souza

ABSTRACT Objective To identify the association between perinatal/neonatal factors and symptoms of eating disorders among college students. Methods Four hundred and eight college students (283 women), aged 18 to 23 years old, enrolled in the first semester of a Bachelor of Health Science degree program were included in the sample. Eating disorder symptoms and body image dissatisfaction were assessed with the Eating Attitudes Test and Bulimic Investigatory Test of Edinburgh. Information regarding birth weight, breastfeeding, obstetric complications, mother’s age at delivery, type of delivery, and birth order were self-reported by the volunteers after consulting their parents. Association between perinatal and neonatal factors and symptoms of anorexia nervosa and bulimia nervosa were assessed by binary logistic regression adjusted for sex, age, and body mass index. Results The likelihood of presenting with symptoms of anorexia nervosa was 0.5 time lower for those students born from the oldest mothers (odds ratio – OR=0.37; 95% confidence interval – 95%CI: 0.17-0.83). Relative to bulimia nervosa, the risk was higher among students who reported obstetric complications (OR=2.62; 95%CI: 1.03-6.67). Conclusion We observed the association between perinatal and neonatal factors with symptoms of eating disorders in college students.


Author(s):  
Marie-Pierre Tavolacci ◽  
Pierre Déchelotte ◽  
Joel Ladner

The aim of this paper was to identify the characteristics of broader categories of eating disorders (ED) and help- and care-seeking among college students. An online cross-sectional study was conducted among students of the University of Rouen-Normandy, France. The Expali-validated algorithmic tool, combining SCOFF test (Sick, Control, One stone, Fat, Food) and body mass index, was used to screen eating disorders into three diagnostic categories: restrictive eating disorders, bulimic eating disorders, and hyperphagic eating disorders. A total of 1493 college students were included; mean age was 20.1 years (SD = 1.9). The prevalence of likely cases of eating disorder was 24.8% (95% CI, 22.6–27.0). Percentage distributions of bulimic eating disorders, hyperphagic eating disorders, and restrictive eating disorders were 13.3%, 8.6%, and 2.9%, respectively. The two main resources for help-seeking in emotional stress situations were friends and family, whatever the ED. Students with eating disorders consulted their general practitioner more often for stress or anxiety than students without eating disorders: hyperphagic eating disorders (44.9%), restrictive eating disorders (35.1%), bulimic eating disorders (30.2%), and no eating disorder (20.4%) (p < 0.0001). The prevalence of healthcare renunciation was 21.9%, with a higher risk among students with bulimic eating disorders (AOR CI 95% 1.91 (1.34–2.72). The findings show one quarter of students screened positive for an eating disorder. Stress management was not necessarily different between students with eating disorders and students without eating disorders, but the former had a greater risk of renouncing treatment, especially related to a fear of seeing a general practitioner.


Author(s):  
Yuni Kurniati, Intan Sari Yuni Kurniati, Intan Sari

ABSTRACT According to WHO, cancer Cervical cancer is the number one most women no less than 300,000 new cases with 280,000 deaths occur annually in patients worldwide. The factors studied maternal age and parity. The purpose of this study was to determine the relationship of age and maternal parity with the incidence of Ca. Cervix at the General Hospital Dr Center. Mohammad Hoesin Palembang in 2011. This study uses the analytical survey method with cross sectional approach, where the independent variable and dependent variable were collected simultaneously using the check list. Data analysis was performed univarat and bivariate. The results of univariate analysis found that 69.9% of mothers suffer from Ca. Cervix, 30.1% of mothers who do not suffer from Ca. Cervix. At the age variables that have a low risk for mothers who have a 80.6% 19.4% high risk, and mothers who had high parity for 59.1% while the mother who has a 40.9% lower parity. Chi-Square analysis showed no significant relationship with the incidence of age Ca. Cervix where p value = 0.004, whereas parity with Ca. Cervix where there is a significant association p value = 0.001. From these findings, researchers recommend that the General Hospital Dr Center. Mohammad Hoesin Palembang have an important role to minimize the risk of occurrence of Ca. Cervix, for it needs to be improved education and counseling about Ca. Cervix as well as the health service so that when the deviation is found that good management can be performed so as to suppress the patient morbidity and mortality Ca. cervical.   ABSTRAK Menurut WHO, kanker serviks merupakan kanker nomor satu terbanyak pada perempuan tak kurang dari 300.000 kasus baru dengan kematian 280.000 penderita terjadi tiap tahun di seluruh dunia. Adapun faktor-faktor yang diteliti umur dan paritas ibu. Tujuan penelitian ini adalah untuk mengetahui hubungan umur dan paritas ibu dengan kejadian Ca. Cerviks di Rumah Sakit Umum Pusat Dr. Mohammad Hoesin Palembang tahun 2011. Penelitian ini menggunakan metode survei analitik dengan pendekatan cross sectional, dimana variabel independen dan variabel dependen dikumpulkan secara bersamaan dengan menggunakan check list. Analisis data dilakukan secara univarat dan bivariat. Hasil analisis univariat didapatkan bahwa 69,9% ibu menderita Ca. Cerviks, 30,1% ibu yang tidak menderita Ca. Cerviks. Pada variabel umur yang mempunyai resiko rendah sebesar 80,6% ibu yang mempunyai resiko tinggi sebesar 19,4%, dan ibu yang mempunyai paritas tinggi sebesar 59,1% sedangkan ibu yang mempunyai paritas rendah 40,9%. Analisis Chi-Square menunjukkan ada hubungan bermakna umur dengan kejadian Ca. Cerviks dimana p value = 0,004, sedangkan paritas dengan Ca. Cerviks terdapat hubungan yang bermakna dimana p value = 0,001. Dari hasil penelitian tersebut, peneliti menyarankan Rumah Sakit Umum Pusat Dr. Mohammad Hoesin Palembang mempunyai peran penting untuk memperkecil resiko kejadian Ca. Cerviks, untuk itu perlu ditingkatkan penyuluhan dan konseling mengenai Ca. Cerviks serta pelayanan kesehatan sehingga bila ditemukan kelainan dapat dilakukan penatalaksanaan yang baik sehingga dapat menekan angka kesakitan dan kematian penderita Ca. Cerviks


2013 ◽  
Vol 23 (2) ◽  
pp. 41-50 ◽  
Author(s):  
Jessalyn Klein ◽  
Catherine Cook-Cottone

Background: Yoga is a popular adjunct therapy for eating disorders (EDs). A systematic review and synthesis of the yoga literature is needed to guide treatment recommendations and future research. This article provides a review of studies that used yoga for preventing and treating EDs. Method: Databases were searched for peer-reviewed articles about yoga practice and ED symptoms and correlates. Results: Of the 14 articles reviewed, 40% used cross-sectional designs to examine risk and protective factors for EDs among yoga practitioners, and 60% used longitudinal designs to assess the effectiveness of yoga interventions for preventing and treating EDs. Yoga practitioners were reported to be at decreased risk for EDs, and ED risk and symptoms were reduced or unchanged after yoga interventions. Conclusions: Well-controlled studies are needed to understand whether the positive effects of yoga on ED symptoms and correlates are related to the type of yoga practiced, the amount/frequency of practice, and/or other variables.


2020 ◽  
Vol 1 (2) ◽  
pp. 1
Author(s):  
Asrul Asrul Asrul ◽  
Debby Pratiwi

ASI merupakan gizi sangat ideal dengan komposisi seimbang akantetapi, pemberian ASI tidak selamanya dapat berjalan normal salah satunya karena bendungan air susu yaitu pembengkakan pada payudara karena peningkatan aliran vena dan limfe menurut data WHO tahun 2013 di Amerika Serikat sebanyak 87,05%. perempuan menyusui mengalami bendungan asi data SDKI tahun 2015 sebanyak 37,12% ibu nifas mengalami bendungan asi. Dari data survey awal  didapat, dari 10 orang ibu nifas  bahwa 6 orang mengalami bendungan asi. Tujuan penelitian untuk mengetahui Faktor-Faktor Yang Berhubungan Dengan Kejadian Bendungan ASI Di Klinik Kasih Ibu Deli Serdang  Tahun 2017. Jenis penelitian survei analitik dengan desain cross sectional. Lokasi penelitia Klinik Kasih Ibu Deli Serdang. Teknik pengambilan sampel adalah total population sebanyak 34 orang. Teknik pengumpulan data menggunakan kuesioner. Data dianalisis menggunakan uji Chi-Square yaitu analisis univariat dan analisis Bivariat. Hasil penelitian menunjukkan Hasil uji statistik menggunakan uji chi square, diperoleh hasil perhitungan  pendidikan (p value = 0,004 < α = 0,05), pengetahuan (p value = 0,002 < α = 0,05), paritas (p value = 0,003 < α = 0,05), maka Ho ditolak dan Ha diterima. Kesimpulannya terdapat Pengaruh yang Berhubungan Dengan Kejadian Bendungan ASI Di Klinik Kasih Ibu Deli Serdang  Tahun 2017. Disarankan  tenaga kesehatan untuk memberikan penyuluhan tentang kejadian bendungan ASI melalui kerjasama lintas program dengan lembaga terkait. ABSTRACTBreast milk is not always able to walk normally one of them because milk dams that is swelling in the breast due to increased venous flow and lymph velopes according to WHO data 2013 in the United States as much as 87.05%. of breastfeeding women suffered from data damages of ICI data in 2015 as much as 37.12% of postpartum women suffered dams. From preliminary survey data obtained, from 10 postpartum mothers that 6 people suffered dam ation. The purpose of research to determine Factors Associated With Breastfeeding Incidence At Deli Serdang Ibu Bersih Clinic Year 2017. Type of research analytic survey with cross sectional design. Location researcher Klinik Kasih Ibu Deli Serdang. Sampling technique is total population of 34 people. Data collection techniques using questionnaires. Data were analyzed using Chi-Square test that is univariate analysis and Bivariat analysis. The result of the research shows that the result of statistical test using chi square test, obtained the calculation of education (p value = 0,004 <α = 0,05), knowledge (p value = 0,002 <α = 0,05), parity (p value = 0,003 < = 0,05), then Ho is rejected and Ha accepted. In conclusion there is Influence Associated with Breastfeeding Incidence At Deli Serdang Deli Health Clinic Year 2017. Suggested health workers to provide counseling about the incidence of milk dam through cross-program cooperation with related institutions. 


2021 ◽  
Vol 9 (3) ◽  
pp. 189-198
Author(s):  
Elham Hojaji ◽  
◽  
Moslem Arian ◽  
Seyedeh Fahimeh Shojaei ◽  
Saeed Safari ◽  
...  

Objective: Obesity and overweight are global problems. They increase patient’s morbidity and mortality and may cause severe medical conditions affecting physical, mental, and or social health. Bariatric surgery is a durable solution for treating morbid obesity. This study aimed to determine the associations between psychiatric problems and eating disorder symptoms in candidates for bariatric surgery. Methods: In this cross-sectional study, 140 participants were selected from the patients who had already been referred to the obesity clinic in Firoozgar Hospital in Tehran, Iran, for bariatric surgery from April to June 2017. To collect study data, we used the eating disorder questionnaire for assessing eating disorders and the symptom checklist questionnaire for evaluating psychiatric problems. Results: The results of the Chi-squared test showed a significant association (P<0.05) between eating disorder symptoms and psychiatric problems (phobia, anxiety, depression, obsessive-compulsive, psychoticism, hostility, paranoid ideation, and somatization). However, there was no significant correlation (P>0.05) between eating disorder symptoms and interpersonal sensitivity. Conclusion: This study showed that eating disorders were significantly correlated with psychiatric problems.


2018 ◽  
Vol 1 (2) ◽  
pp. 58
Author(s):  
Setia Budi ◽  
Ria Dila Syahfitri

The rate of stroke incidence is about 200 per 100,000 people throughout the world. This study aims to determine the Relation Suffer Stroke With Independence Level In Neurology Polyclinic TK II DR Ak Gani Palembang Year Hospital 2017. The research method used is descriptive quantitative with cross sectional design that is done by interviewing techniques with questionnaires on 42 respondents with Accidental sampling technique. This research was conducted in August 2017. Data analysis used is univariate data analysis and bivariate data analysis with one way anova test result. The results of univariate analysis showed that the duration of the respondents suffering from stroke was between 2.10 years to 3.38 years. Also found that most respondents were at the level of independence f; independent, except bathing, dressing, moving, and one other function with a total of 12 respondents. The results showed that there was a significant relationship between the long suffering stroke with the level of independence with the value of p value 0.025. For that the need for rehabilitation to patients and families of patients in order to help improve the independence of stroke patients in doing their daily activities. Keywords : Long Suffer Stroke, Level of Independence


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