Associations between disordered eating and body focused repetitive behaviors in college students

Kiser, Emalee; Sinclair, Kelsey L; Tullos, Emily A.; Ratcliff, Chelsea G.

doi:10.1080/07448481.2022.2070713

Cited by 1 publication

(2 citation statements)

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“…Data in the present study were pooled from five archival data sets from a university in the Appalachian region of the United States (Forney, Burton Murray, et al, 2023; Forney, Horvath, et al, 2023; Harris, 2023), a university in the southern United States (Forney, Burton Murray, et al, 2023), and a university in Ontario, Canada (Biderman et al, 2023). The final pooled sample comprised 650 participants who met the criteria for an eating disorder (see “Eating Disorder Diagnostic Scale” under Measures) and passed sufficient effort responding criteria (Curran, 2016; Huang et al, 2015) or other specified attention checks.…”

Section: Methodsmentioning

confidence: 99%

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Examining the placement of atypical anorexia nervosa in the eating disorder diagnostic hierarchy relative to bulimia nervosa and binge‐eating disorder

Forney,

Rezeppa,

Hill

et al. 2024

Intl J Eating Disorders

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ObjectiveSome individuals meet the criteria for atypical anorexia nervosa and another eating disorder simultaneously. The current study evaluated whether allowing a diagnosis of atypical anorexia nervosa to supersede a diagnosis of bulimia nervosa (BN) or binge‐eating disorder (BED) provided additional information on psychological functioning.MethodsArchival data from 650 university students (87.7% female, 69.4% white) who met Eating Disorder Diagnostic Survey for DSM‐5 eating disorder criteria and completed questionnaires assessing quality of life, eating disorder‐related impairment, and/or eating pathology at a single time point. Separate regression models used diagnostic category to predict quality of life and impairment. Two diagnostic schemes were used: the DSM‐5 diagnostic scheme and an alternative scheme where atypical anorexia nervosa superseded all diagnoses except anorexia nervosa. Model fit was compared using the Davidson–Mackinnon J test. Analyses were pre‐registered (https://osf.io/2ejcd).ResultsAllowing an atypical anorexia nervosa diagnosis to supersede a BN or BED diagnosis provided better fit to the data for eating disorder‐related impairment (p = .02; n = 271), but not physical, psychological, or social quality of life (p's ≥ .33; n = 306). Allowing an atypical anorexia nervosa diagnosis to supersede a BN or BED diagnosis provided a better fit in cross‐sectional models predicting purging (p = .02; n = 638), but not body dissatisfaction, binge eating, restricting, or excessive exercise (p's ≥ .08; n's = 633–647).DiscussionThe current data support retaining the DSM‐5 diagnostic scheme. More longitudinal work is needed to understand the predictive validity of the atypical anorexia nervosa diagnosis.Public SignificanceThe current study examined how changes to the diagnostic categories for eating disorders may change how diagnoses are associated with quality of life and impairment. Overall, findings suggest that the diagnostic hierarchy should be maintained.

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Section: Methodsmentioning

confidence: 99%

“…The total score was used in the present study and reliability was excellent (McDonald's ω = .93). Data were available for 271 participants (Biderman et al, 2023; Forney, Horvath, et al, 2023).…”

Section: Methodsmentioning

confidence: 99%