Psychiatric Comorbidity in Treatment-Seeking Anorexics and Bulimics

Herzog, David B.; Keller, Martin B.; Sacks, Natalie; Yeh, Christine J.; Lavori, Philip W.

doi:10.1097/00004583-199209000-00006

Cited by 293 publications

(163 citation statements)

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“…5 These behaviors are of public health concern because of their association with increased risk for eating disorders and obesity [6][7][8] and their adverse effects to health and well-being. [9][10][11] Retrospective and cross-sectional studies have found a strong positive association between being teased about weight and disordered eating behaviors, including purging, binge eating, and fasting behaviors. 1,2,[12][13][14] Crosssectional data from Project EAT found that, compared with youths who did not report frequent weight teasing, those who experienced frequent weight teasing had 2.0 times the odds of engaging in unhealthy weight-control behaviors and binge eating.…”

mentioning

confidence: 99%

Weight Teasing and Disordered Eating Behaviors in Adolescents: Longitudinal Findings From Project EAT (Eating Among Teens)

et al. 2006

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OBJECTIVE. To assess whether weight-related teasing predicts the development of binge eating, unhealthy weight control behaviors, and frequent dieting among male and female adolescents. METHODS.A prospective study was conducted with an ethnically and socioeconomically diverse sample of 2516 adolescents who completed surveys at both time 1 (1998 -1999) and time 2 (2003-2004) of the Project EAT (Eating Among Teens) study.RESULTS. In 1998, approximately one fourth of participants reported being teased about their weight at least a few times a year. After adjustment for age, race/ethnicity, socioeconomic status (SES), and BMI, boys who were teased about their weight were more likely than their peers to initiate binge eating with loss of control and unhealthy weight control behaviors 5 years later. The predicted prevalence for incident binge eating behaviors with loss of control among boys who were teased was 4.1% as compared with 1.4% for those who were not teased, after adjustment for age, race/ethnicity, SES, and BMI. For unhealthy weight control behaviors at time 2, the predicted prevalence was 27.5% among boys who were teased and 19.3% for boys who were not teased, after adjustment for age, race/ethnicity, SES, and BMI. Girls who were teased were more likely than their peers to become frequent dieters. The predicted prevalence for incident frequent dieting among girls who were teased was 18.2% as compared with 11.0% for those who were not teased, after adjustment for age, race/ethnicity, SES, and BMI.CONCLUSIONS. Weight teasing in adolescence predicts disordered eating behaviors at 5-year follow-up. The patterns of these associations differ by gender. Reducing teasing through educational interventions and policies may reduce the level of disordered eating behaviors among youths. EIGHT-RELATED TEASING IS prevalent among adolescents, with overweight youths reporting higher levels of weight-related teasing compared with their average-weight peers. 1,2 Nineteen percent of average-weight adolescent girls and 13% of average-weight adolescent boys report being teased about weight at least a few times a year, whereas Ͼ45% of overweight girls and boys report this frequency of weight teasing. 1 An important question exists regarding the potential impact that this weight-related mistreatment may have on the weight-related behaviors of adolescents. Disordered eating behaviors have been shown to be prevalent among youths. The 2003 Youth Risk Behavioral Surveillance System, a national survey involving 15 240 students in 9th through 12th grades, found that almost 60% of female and 29% of male students were trying to lose weight. 3 More than 13% of students reported fasting for a period of 24 hours or more in the past month to lose weight, and Ͼ11% of girls and 7% of boys reported taking diet pills, powders, or liquids in the past month. 3 Eight percent of girls and close to 4% of boys reported vomiting or taking laxatives in the past month to lose weight. 3 Project EAT (Eating Among Teens), a population-based survey ...

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Weight Teasing and Disordered Eating Behaviors in Adolescents: Longitudinal Findings From Project EAT (Eating Among Teens)

et al. 2006

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“…27 In clinic-based studies, psychiatric comorbidity, primarily affective disorders, is common, particularly among patients with mixed anorectic and bulimic features. 28 A high prevalence of substance abuse has been documented among patients with bulimia. 19 As one might expect, hospitalized eating disorder patients generally carry the diagnosis of anorexia nervosa, since that diagnosis is more likely to have medical complications and to have a higher mortality rate because of medical and psychiatric causes.…”

Section: Resultsmentioning

confidence: 99%

Inpatients with eating disorders: Demographic, diagnostic, and service characteristics from a nationwide pediatric sample

Calderon

Stoep

Collett

et al. 2007

Intl J Eating Disorders

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Objective: This study describes the demographic and clinical characteristics of youth hospitalized with an eating disorder, using the Pediatric Health Information System (PHIS) database.Method: Descriptive and inferential statistics were used to examine and compare PHIS inpatients (N 5 1,713) with a primary discharge diagnosis of anorexia, bulimia, or eating disorder, not otherwise specified.Results: Of pediatric inpatients with eating disorders, 92% were female and 78% were non-Hispanic white. Their mean age was 15.3 years; 71% had anorexia; 68% had one or more comorbid psychiatric disorders; 53% stayed on a psychiatric unit; the mean length of stay was 15.7 days. Private insurance paid for 55% of hospital stays. Patients without private insurance were more likely than patients with private insurance to be Black or Hispanic and to have comorbid psychiatric diagnoses. Conclusion:This study provides new information that can be used by hospitals to anticipate developmental and treatment needs of future inpatients with eating disorders. V V C 2007 by Wiley Periodicals, Inc.

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“…Not only can AN evolve into a chronic condition, it is one of the most medically serious psychiatric disorders [15,16] People with AN are affected by the physical consequences of the severe weight loss, along with psychological comorbid conditions that contribute to mortality, [17] with suicides representing a large portion of the deaths from AN. [18] Depression, a consequence of poor caloric intake and low weight, is frequently comorbid with AN and often resolves with re-feeding [16] Anxiety symptoms are common and often precede the development of the illness [19].…”

Section: Introductionmentioning

confidence: 99%

“…However, often secretive and lacking obvious physical stigmata such as emaciation, patients with BN may avoid detection, with only a minority seeking treatment (12)(13)(14)(15)(16)(17) The modal patient is a woman aged 16 to 22 years; however, the physician may encounter BN in older patients. Bulimia nervosa can be classified into 2 subtypes: the purging type, which is characterized by episodes of binge-eating (an inordinately large amount of food, in a short period of time, in an out-of-control fashion), followed by compensatory behavior, such as self-induced vomiting, laxative abuse, and diuretic abuse; and the nonpurging type, which is characterized by excessive exercise, fasting, or strict diets.…”

Section: Introductionmentioning

confidence: 99%

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Role of Anxiety, Depression and Anger in Eating Disorders-Structural Model

Moosavi¹

2017

AJPN

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Aim of current study was to offer structural model regarding role of anxiety, depression and anger in eating disorder. Noting morbidity and mushrooming trend of eating disorder in clinical settings and its antagonistic features among afflicted individuals, with respect to clinical implication and, theoretical dimensions, conducting current study seemed vital. Materials and Methods:This study was descriptive-correlational study. Statistical society of current study, consisted of 750 individuals with BMI ≥ 25, who were admitted to nutrition clinic at Sari General Hospital (Sari, Iran). Sample size was specified as 226 according to Krejcie and Morgan Table. We used DASS-20 with respect to depression, anxiety and stress assessment; Spielberger's State-Trait Anger Expression Inventory in clinical patients with respect to anger assessment, EDDS (Eating disorder diagnostic scale) regarding assessment of eating disorders (anorexia nervosa, bulimia nervosa and binge eating disorder). With respect to data analyze, SPSS-22 and structural equation modeling and regression model via Lisrel test were used. Results: According to results of current study, anxiety, depression and aggression maintain positive and influential roles with respect to anorexia nervosa, bulimia nervosa and binge eating disorder.

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Psychiatric Comorbidity in Treatment-Seeking Anorexics and Bulimics

Cited by 293 publications

References 48 publications

Weight Teasing and Disordered Eating Behaviors in Adolescents: Longitudinal Findings From Project EAT (Eating Among Teens)

Weight Teasing and Disordered Eating Behaviors in Adolescents: Longitudinal Findings From Project EAT (Eating Among Teens)

Inpatients with eating disorders: Demographic, diagnostic, and service characteristics from a nationwide pediatric sample

Role of Anxiety, Depression and Anger in Eating Disorders-Structural Model

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