Longitudinal Associations Among Bullying by Peers, Disordered Eating Behavior, and Symptoms of Depression During Adolescence

Lee, Kirsty S.; Vaillancourt, Tracy

doi:10.1001/jamapsychiatry.2018.0284

Cited by 65 publications

(61 citation statements)

References 81 publications

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“…For example, individuals with pre‐existing psychiatric or developmental difficulties can be at higher risk of being victimized because they are viewed as “odd” or “different” by peers (Arseneault, Bowes, & Shakoor, ; Reijntjes et al, ). A recent longitudinal study found that disordered eating behavior in adolescence preceded bullying victimization by peers in a non‐clinical population, underscoring the importance of considering bidirectional relationships between bullying/teasing and EDs (Lee & Vaillancourt, ).…”

Section: Discussionmentioning

confidence: 99%

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Is bullying and teasing associated with eating disorders? A systematic review and meta‐analysis

Lie

Rø

Bang

2019

Intl J Eating Disorders

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Objective Involvement in bullying and teasing has been associated with adverse health outcomes, including eating disorders (EDs). The purpose of this systematic review and meta‐analysis was to examine the association between bullying/teasing and EDs. Method A systematic search was conducted. We included research articles that examined the association between bullying/teasing (victimization and perpetration) and EDs. Studies were required to compare ED cases with a reference group. We performed a qualitative synthesis of included studies. Additionally, a random‐effects meta‐analysis of odds ratios were performed to compare rates of bullying/teasing victimization between cases and healthy controls. Results A total of 22 studies were included for review. Compared to healthy controls, those with EDs were significantly more likely to have been bullied and teased. Evidence of this association was particularly strong for bulimia nervosa and binge‐eating disorder, but was more mixed for anorexia nervosa. It was unclear whether such victimization was more common in EDs compared to psychiatric controls. The meta‐analysis showed that compared to healthy controls, those with EDs were twofold to threefold significantly more likely to have been teased about their appearance and bullied prior to onset of their ED. Few studies examined bullying perpetration. A number of methodological shortcomings of studies were noted. Discussion Being victimized through bullying and teasing is associated with EDs, and may constitute a risk factor. Our review underscores the need for more studies, and highlights gaps in the literature. As many patients have been victims of bullying and teasing, addressing such experiences in treatment may be valuable.

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Section: Discussionmentioning

confidence: 99%

“…A recent longitudinal study found that disordered eating behavior in adolescence preceded bullying victimization by peers in a nonclinical population, underscoring the importance of considering bidirectional relationships between bullying/teasing and EDs (Lee & Vaillancourt, 2018).…”

Section: Discussionmentioning

confidence: 99%

Is bullying and teasing associated with eating disorders? A systematic review and meta‐analysis

Lie

Rø

Bang

2019

Intl J Eating Disorders

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“…As our study did not assess children before Grade 5 (age 10-11), we cannot ignore the possible influence of early childhood BMI, body dissatisfaction, peer victimization, or other forms of abuse (Veldwijk, Proper, Hoeven-Mulder, & Bemelmans, 2012) on the findings. Finally, although cascade modelling is a robust analytic approach, causal inferences are limited in the absence of a randomized controlled trial (Lee & Vaillancourt, 2018b).…”

Section: Discussionmentioning

confidence: 99%

Body mass index, peer victimization, and body dissatisfaction across 7 years of childhood and adolescence: Evidence of moderated and mediated pathways

Lee

Vaillancourt

2018

Developmental Science

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Numerous studies have reported that children and adolescents who are overweight are more likely to get bullied, yet the literature is replete with methodological limitations. We examined the transactional associations between peer victimization and body mass index (BMI), considering potential mediating (body dissatisfaction) and moderating (biological sex) factors. Participants (n = 631) came from the McMaster Teen Study, where students were assessed annually between Grades 5-11, approximately half were girls (53.9%), and the majority were white (76.4%). Peer victimization (from Grade 5) and body dissatisfaction (from Grade 6) were self-reported by students, while parents reported their child's height and weight (from Grade 5). Cascade models were built up sequentially using path analysis across 2-year increments (Grades 5, 7, 9, and 11). The final model had excellent fit to the data (χ = 73.961, df = 66, p = 0.234). Grade 5 peer victimization had a direct effect on BMI across a 2-year period in girls (b = 0.59, SE = 0.21, p = 0.005) and boys (b = 0.82, SE = 0.30, p = 0.006), and an indirect effect on BMI via body dissatisfaction across a 4-year period (b = 0.074, 95% CI = 0.012-0.152, p = 0.036). At no point did BMI directly increase risk for peer victimization, yet there were indirect effects via body dissatisfaction among girls but not boys. Peer victimization and body dissatisfaction were proximally and longitudinally related at every time point and there was a transactional association in late-adolescence among girls but not boys. Targeting modifiable factors in the social (peer victimization) and psychological (body dissatisfaction) domains may limit accelerated weight gain and the health risks associated with excess adiposity.

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“…105–106). Other predictors of disordered eating are as follows: bullying (Copeland et al, ; Lee & Vaillancourt, ), including weight‐related teasing (Hunger & Tomiyama, ); perfectionism (Boone, Soenens, & Luyten, ); anxiety (Hughes, ); depression (Haynos, Watts, Loth, Pearson, & Neumark‐Stzainer, ; Johnson, Cohen, Kotler, Kasen, & Brook, ); poor relationship with a parent (Cerniglia et al, ; Johnson, Cohen, Kasen, et al, ); and low self‐esteem (Haynos et al, ). Self‐reported depression and anxiety are also often co‐morbid with eating issues in adolescence (Hughes, ), although the research evidence has been of low quality due to methodological problems including small sample sizes, mixed or unclear samples, undeclared sampling biases and diverse assessment methods (Godart et al, ).…”

Section: Introductionmentioning

confidence: 99%

Stuffing down feelings: Bereavement, anxiety and emotional detachment in the life stories of people with eating disorders

Reid

Wilson‐Walsh²,

Cartwright

et al. 2020

Health Soc Care Community

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This study aimed to explore the life stories of people with eating disorders (EDs) in order to better understand possible contributing factors to their development. It used a qualitative Life Story method, in order to reduce the tendency to focus on the negative in the lives of people with EDs. Sixteen people in contact with an EDs charity participated. Data were analysed using a thematic analysis. Despite the attempt to elicit both positive and negative information, most themes from the life stories were negative. Here, the focus is on the three most common themes reported, which are less often reported in previous research: (a) substantial bereavement and loss; (b) major issues with anxiety and (c) difficulties coping with emotions. A model is proposed whereby major losses and the resultant anxiety can lead to emotional deadening and ‘stuffing down feelings’ with food, leading on to an ED. This model implies that interventions need to consider psychological factors in an ED, especially the use of it as a dysfunctional coping strategy, as well as the behavioural and physiological aspects of an ED.

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Longitudinal Associations Among Bullying by Peers, Disordered Eating Behavior, and Symptoms of Depression During Adolescence

Cited by 65 publications

References 81 publications

Is bullying and teasing associated with eating disorders? A systematic review and meta‐analysis

Is bullying and teasing associated with eating disorders? A systematic review and meta‐analysis

Body mass index, peer victimization, and body dissatisfaction across 7 years of childhood and adolescence: Evidence of moderated and mediated pathways

Stuffing down feelings: Bereavement, anxiety and emotional detachment in the life stories of people with eating disorders

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