Previous studies have reported inconsistent relationships between body image, eating disorder symptoms, and acculturation-relevant variables. The current study examined these variables in a sample of White, Latina, and Black college women (N = 276). White and Latina participants selected slimmer personal body shape ideals than Black women. Among Black women, the discrepancy between perceived body shape and perceived ideal body shape for the United States was predictive of Eating Disorder Inventory Body Dissatisfaction (EDI-BD) and Drive for Thinness (EDI-DFT) scores. The discrepancy between perceived body shape and perceived ideal for their ethnic group also predicted EDI-BD scores. Among Latinas, the discrepancy between perceived body shape and perceived body shape ideal for their ethnic group was predictive of EDI-BD and EDI-DFT scores, whereas a discrepancy between perceived body shape and perceived ideal for the United States was not predictive of eating disorder symptoms. Finally, higher levels of acculturative stress, but not acculturation, were associated with EDI-BD scores among Black women and EDI-DFT scores among Latinas. Findings underscore the importance of considering cultural variables such as acculturative stress when conducting clinical work with ethnic minority women.

Objective: To conduct a prospective, longitudinal study examining weight fluctuation and its predictors before and during the first year of college. Design: Men (n ϭ 266) and women (n ϭ 341) enrolled at Dartmouth College (age range: 16 to 26; body mass index range: 15.0 to 42.9) provided self-reports of weight and height and completed measures of self-esteem, eating habits, interpersonal relationships, exercise patterns, and disordered eating behaviors both in their senior year of high school and either 3, 6, or 9 months into college. Main Outcome Measure: Self-reported weight was the primary outcome indicator. Results: Analyses indicated that both men and women gained a significant amount of weight (3.5 and 4.0 pounds, respectively). Weight gain occurred before November of the first academic year and was maintained as the year progressed. College freshmen gain weight at a much higher rate than that of average American adults. For men, frequently engaging in exercise predicted weight gain. Having troublesome relationships with parents also predicted weight gain in men, whereas for women, having positive relationships with parents predicted weight gain. Conclusion: Understanding the predictors of early college weight gain may aid in the development of prevention programs.

Objective: Revised Eating Disorder (ED) diagnostic criteria have been proposed for the Diagnostic and Statistical Manual (DSM)-5 to reduce the preponderance of eating disorder not otherwise specified (EDNOS) and increase the validity of diagnostic groups. This article compares DSM-IV and proposed DSM-5 diagnostic criteria on number of EDNOS cases and validity.Method: Participants (N 5 397; 91% female) completed structured clinical interviews in a two-stage epidemiological study of EDs. Interviewers did not follow standard skip rules, making it possible to evaluate alternative ED diagnostic criteria.Results: Using DSM-IV versus DSM-5 criteria, 34 (14%) versus 48 (20%) had anorexia nervosa, 43 (18%) versus 44 (18%) had bulimia nervosa, and 163 (68%) had EDNOS versus 20 (8%) had binge eating disorder (BED), and 128 (53%) had EDNOS, respectively, reflecting a significant decrease in EDNOS. Validation analyses supported significant differences among groups with some improvement associated with delineation of BED.Discussion: Proposed revisions to EDs in the DSM-5 significantly reduced reliance on EDNOS without loss of information. V V C 2011 by Wiley Periodicals, Inc.

Coaches and clinicians should be aware that athletes experience higher rates of eating disorder symptoms than nonathletes. Moreover, sports anxiety should be considered as a possible target of therapy among athletes.

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