OBJECTIVE: Examine substance use, depression, self-esteem, and suicidality by eating disorder (ED) classifications among nonclinical youth. METHOD: A school-based sample of 4,746 youth completed anthropometric measures and Project EAT survey items matched to DSM-IV ED criteria. Logistic regression analyses and general linear models compared three threshold (AN, BN, or BED), two subthreshold (binge-eating and/or compensatory behaviors not meeting ED diagnosis, or body image disturbance without disordered eating) and one asymptomatic ED classifications. RESULTS: Subthreshold and threshold classifications reported lower self-esteem and greater substance use, depression, suicidal ideation/attempts than asymptomatic youth. The BED group had higher depressive mood, and BED and BN had lower self-esteem, than the subthreshold groups. Odds ratios for suicidality were highest among the BN group and lowest among the body image disturbance group. DISCUSSION: Subthreshold and threshold classifications are associated with compromised health, suggesting the importance of addressing the continuum of weight/shape concerns and disordered eating behaviors within prevention and treatment interventions.
OBJECTIVE: Examine substance use, depression, self-esteem, and suicidality by eating disorder (ED) classifications among nonclinical youth. METHOD: A school-based sample of 4,746 youth completed anthropometric measures and Project EAT survey items matched to DSM-IV ED criteria. Logistic regression analyses and general linear models compared three threshold (AN, BN, or BED), two subthreshold (binge-eating and/or compensatory behaviors not meeting ED diagnosis, or body image disturbance without disordered eating) and one asymptomatic ED classifications. RESULTS: Subthreshold and threshold classifications reported lower self-esteem and greater substance use, depression, suicidal ideation/attempts than asymptomatic youth. The BED group had higher depressive mood, and BED and BN had lower self-esteem, than the subthreshold groups. Odds ratios for suicidality were highest among the BN group and lowest among the body image disturbance group. DISCUSSION: Subthreshold and threshold classifications are associated with compromised health, suggesting the importance of addressing the continuum of weight/shape concerns and disordered eating behaviors within prevention and treatment interventions.
Authors: Vivienne M Hazzard; Alison L Miller; Katherine W Bauer; Bhramar Mukherjee; Kendrin R Sonneville Journal: J Adolesc Health Date: 2019-11-10 Impact factor: 5.012
Authors: Anna Vannucci; Andrea E Kass; Meghan M Sinton; Vandana Aspen; Hannah Weisman; Jakki O Bailey; Denise E Wilfley; C Barr Taylor Journal: Behav Res Ther Date: 2012-03-09
Authors: Vivienne M Hazzard; Lauren M Schaefer; Allison Mankowski; Traci L Carson; Sarah M Lipson; Claire Fendrick; Ross D Crosby; Kendrin R Sonneville Journal: Psychol Sport Exerc Date: 2020-06-18