Use of diet pills and other dieting aids in a college population with high weight and shape concerns

Celio, Christine; Luce, Kristine H.; Bryson, Susan W.; Winzelberg, Andrew J.; Cunning, Darby; Rockwell, Roxanne; Doyle, Angela A. Celio; Wilfley, Denise E.; Taylor, C. Barr

doi:10.1002/eat.20254

Cited by 31 publications

(18 citation statements)

References 20 publications

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“…Although the EDE-Q is widely used, 14,15 this is, to our knowledge, the first study to present normative EDE-Q data for undergraduate women in the U.S. Compared with Mond et al's 6 Australian agematched sample, our U.S. sample reported significantly higher scores on the Global, Restraint, and EC subscales.…”

Section: Resultsmentioning

confidence: 55%

“…Given the prevalence of appearance concerns on college campuses, 14,15 dietary restraint and other compensatory weight control strategies may be more normative in this environment; these compensatory behaviors may be more easily shaped by peers who also might restrict their food intake during communal meals in university dining facilities or who share information about weight control strategies in residence halls. Research by Crandall 17 suggested there were significant social influences to conform to normative levels of binge eating within two sororities on a large university campus.…”

Section: Resultsmentioning

confidence: 99%

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Eating Disorder Examination Questionnaire (EDE‐Q): Norms for undergraduate women

Luce

Crowther

Pole

2008

Intl J Eating Disorders

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270

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Objective: This research presents normative data on the Eating Disorder Examination Questionnaire (Fairburn and Beglin, Int J Eat Disorder, 16, 363-370, 1994) (EDE-Q) for samples of undergraduate women in the United States.Method: College women (N 5 723), ages 18-25, completed the EDE-Q as part of a larger assessment battery.Results: Average scores, standard deviations, and percentile ranks for the raw Restraint, Eating Concern, Shape Concern, and Weight Concern subscales and the Global score are reported. Data on the occurrence of objective and subjective bulimic episodes and compensatory behaviors are presented. Conclusion:These results are helpful for clinicians and researchers in the interpretation of the EDE-Q scores of undergraduate women in the United States. Comparisons are drawn between the results for this sample and those of a United Kingdom sample of young adolescent females, an Australian community sample, and an Australian community age-matched sample. V

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Section: Resultsmentioning

confidence: 55%

Section: Resultsmentioning

confidence: 99%

Eating Disorder Examination Questionnaire (EDE‐Q): Norms for undergraduate women

Luce

Crowther

Pole

2008

Intl J Eating Disorders

Self Cite

331

270

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“…Keywords Eating disorders; diet pills; weight control behaviors; novelty seeking Abuse of diet pills by individuals with eating disorders is well-documented clinically, with prevalence estimates reported as high as 50% (Celio et al, 2006;Mitchell, Pomeroy, & Huber, 1988;Roerig et al, 2003;Steffen, Roerig, Mitchell, & Crosby, 2006). However, empirical studies of features associated with abuse of diet pills are lacking.…”

Section: Nih-pa Author Manuscriptmentioning

confidence: 99%

Features associated with diet pill use in individuals with eating disorders

et al. 2008

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We investigated the relation between diet pill use and eating disorder subtype, purging and other compensatory behaviors, body mass index (BMI), tobacco and caffeine use, alcohol abuse or dependence, personality characteristics, and Axis I and Axis II disorders in 1,345 participants from the multisite Price Foundation Genetics Studies. Diet pill use was significantly less common in women with restricting type of AN than in women with other eating disorder subtypes. In addition, diet pill use was associated with the use of multiple weight control behaviors, higher BMI, higher novelty seeking, and the presence of anxiety disorders, alcohol abuse or dependence, and borderline personality disorder. Findings suggest that certain clinical and personality variables distinguish individuals with eating disorders who use diet pills from those who do not. In the eating disorder population, vigilant screening for diet pill use should be routine clinical practice.Correspondence to Dr Bulik, Department of Psychiatry, University of North Carolina at Chapel Hill , 101 Manning Drive, CB #7160, Chapel Hill, NC 27599-7160, Voice: (919) 843 1689 Fax: (919) 966-5628, e-mail: cbulik@med.unc.edu. Publisher's Disclaimer: This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final citable form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain. NIH Public Access Author ManuscriptEat Behav. Author manuscript; available in PMC 2009 January 1. Published in final edited form as:Eat Behav. 2008 January ; 9(1): 73-81. NIH-PA Author ManuscriptNIH-PA Author Manuscript NIH-PA Author ManuscriptKeywords Eating disorders; diet pills; weight control behaviors; novelty seeking Abuse of diet pills by individuals with eating disorders is well-documented clinically, with prevalence estimates reported as high as 50% (Celio et al., 2006;Mitchell, Pomeroy, & Huber, 1988;Roerig et al., 2003;Steffen, Roerig, Mitchell, & Crosby, 2006). However, empirical studies of features associated with abuse of diet pills are lacking. Given potential adverse effects associated with abuse of these agents (e.g., side effects, tolerance, withdrawal) (Carek & Dickerson, 1999;Dietz, 1981;Shekelle, Morton, & Maglione, 2003), particularly in populations already at elevated medical risk, it is important to explicate the nature of diet pill abuse and its consequences in individuals with eating disorders.Accordingly, the aim of this study were to report the prevalence of lifetime diet pill use across eating disorder subtypes and identify factors associated with their use. We hypothesized that individuals with the restricting type of anorexia nervosa (RAN) would use diet pills less frequently than those with other subtypes. This may ...

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“…For example, 72% of college women from six regionally dispersed U.S. campuses reported that “their thighs were too fat,” while only 34% reported that they were happy with their weight (Rozin, Bauer, & Catanese, 2003). Recent prevalence estimates of eating-related behaviors based on college women's self-report suggest that 26% engage in dietary restraint, 21 to 32% binge eat, 9% self-induce vomiting, 6 to 9% misuse laxatives, and 7% misuse diuretics (Celio et al, 2006; Luce, Crowther, & Pole, 2008). The occurrence of CREWS suggests that eating disorders may be prevalent among college-aged women.…”

mentioning

confidence: 99%

Stability and change in patterns of concerns related to eating, weight, and shape in young adult women: A latent transition analysis.

Cain¹,

Epler²,

Steinley³

et al. 2010

Journal of Abnormal Psychology

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Although college women are known to be at high risk for eating-related problems, relatively little is known about how various aspects of concerns related to eating, weight, and shape are patterned syndromally in this population. Moreover, the extent to which various patterns represent stable conditions or transitory states during this dynamic period of development is unclear. The current study used latent class and latent transition analysis (LCA/LTA) to derive syndromes of concerns related to eating, weight, and shape and movement across these syndromes in a sample of 1,498 women ascertained as first-time freshmen and studied over four years. LCA identified five classes characterized by: (1) no obvious pathological eating-related concerns (prevalence: 28 to 34%); (2) a high likelihood of limiting attempts (prevalence: 29 to 34%); (3) a high likelihood of overeating (prevalence: 14 to 18%); (4) a high likelihood of limiting attempts and overeating or binge eating (prevalence: 14 to 17%); and (5) pervasive bulimic-like concerns (prevalence: 6 to 7%). Membership in each latent class tended to be stable over time. When movement occurred, it tended to be to a less severe class. These findings indicate that there are distinct, prevalent, and relatively stable forms of eating-related concerns in college women.

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Use of diet pills and other dieting aids in a college population with high weight and shape concerns

Abstract: A significant number of college women at risk for eating disorders are using diet aids. We recommend that clinicians inquire about diet aid use among college-aged patients.

Cited by 31 publications

References 20 publications

Eating Disorder Examination Questionnaire (EDE‐Q): Norms for undergraduate women

Eating Disorder Examination Questionnaire (EDE‐Q): Norms for undergraduate women

Features associated with diet pill use in individuals with eating disorders

Stability and change in patterns of concerns related to eating, weight, and shape in young adult women: A latent transition analysis.

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