OBJECTIVE: To examine the impact of an adolescent eating disorder on psychosocial adjustment in young adulthood. METHOD: A randomly selected sample of high school girls was assessed on a wide array of psychosocial and diagnostic variables twice during adolescence (n = 891, n = 810), and a stratified subset (n = 539) was assessed during their 24th year. Based on their history of psychopathology before age 19, participants were categorized into (1) partial- or full-syndrome eating disorder (ED; n = 36); (2) non-comorbid major depressive disorder (MDD; n = 95); (3) non-mood disorder without ED or MDD (NMD; n = 64); and (4) no disorder (ND; n = 138). RESULTS: Discriminant function analysis identified a single significant function (variance = 57%) in which the ED group was significantly elevated (mean = 0.87, SD = 1.20) compared with the other three groups; the MDD (mean = 0.14, SD = 1.00) and NMD (mean = 0.17, SD = 0.99) group means were intermediary and differed from the ND group (mean = -0.40, SD = 0.95). CONCLUSION: Despite apparent recovery of ED symptoms among most ED cases, women with a history of adolescent ED evidenced significant impairments in health, self-image, and important areas of social functioning. These findings underscore the clinical significance of adolescent ED.
OBJECTIVE: To examine the impact of an adolescent eating disorder on psychosocial adjustment in young adulthood. METHOD: A randomly selected sample of high school girls was assessed on a wide array of psychosocial and diagnostic variables twice during adolescence (n = 891, n = 810), and a stratified subset (n = 539) was assessed during their 24th year. Based on their history of psychopathology before age 19, participants were categorized into (1) partial- or full-syndrome eating disorder (ED; n = 36); (2) non-comorbid major depressive disorder (MDD; n = 95); (3) non-mood disorder without ED or MDD (NMD; n = 64); and (4) no disorder (ND; n = 138). RESULTS: Discriminant function analysis identified a single significant function (variance = 57%) in which the ED group was significantly elevated (mean = 0.87, SD = 1.20) compared with the other three groups; the MDD (mean = 0.14, SD = 1.00) and NMD (mean = 0.17, SD = 0.99) group means were intermediary and differed from the ND group (mean = -0.40, SD = 0.95). CONCLUSION: Despite apparent recovery of ED symptoms among most ED cases, women with a history of adolescent ED evidenced significant impairments in health, self-image, and important areas of social functioning. These findings underscore the clinical significance of adolescent ED.
Authors: Lynn L DeBar; Ruth H Striegel-Moore; G Terence Wilson; Nancy Perrin; Bobbi Jo Yarborough; John Dickerson; Frances Lynch; Francine Rosselli; Helena C Kraemer Journal: Psychiatr Serv Date: 2011-04 Impact factor: 3.084
Authors: Anna M Bardone-Cone; Megan B Harney; Christine R Maldonado; Melissa A Lawson; D Paul Robinson; Roma Smith; Aneesh Tosh Journal: Behav Res Ther Date: 2009-11-13
Authors: Lynn L Debar; G Terence Wilson; Bobbi Jo Yarborough; Beryl Burns; Barbara Oyler; Tom Hildebrandt; Gregory N Clarke; John Dickerson; Ruth H Striegel Journal: Cogn Behav Pract Date: 2013-05-01