Kelly A Romano1,2, Sarah K Lipson3. 1. The Virginia Consortium Program in Clinical Psychology, 555 Park Avenue, Norfolk, VA, 23504, USA. kroma001@odu.edu. 2. Old Dominion University, 250 Mills Godwin Building, Norfolk, VA, 23529, USA. kroma001@odu.edu. 3. Department of Health Law Policy and Management, Boston University School of Public Health, 715 Albany Street, Boston, MA, 02118, USA.
Abstract
OBJECTIVE: Determine whether gender differences exist in associations among central barriers to and facilitators of eating disorder (ED) help-seeking-ED stigma, negative affect, perceived ED treatment need-as a function of individuals' probability of classification within empirically derived groups characterized by different dietary restraint patterns. METHOD: As part of the cross-sectional, multi-institute Healthy Bodies Study, women (n = 2215) and men (n = 986) attending three colleges and universities in 2015 completed measures of ED symptoms, affect, and ED help-seeking in an online survey. Structural equation mixture modeling was used to (1) classify women and men, separately, into distinct classes characterized by unique dietary restraint patterns and (2) test associations among the three ED help-seeking barriers and facilitators within each class. RESULTS: Five dietary restraint symptoms (food amount limiting attempts, fasting, food avoidance, following food/diet rules, desiring an empty stomach) clustered within four classes among women and three classes among men, which were characterized by qualitative and quantitative similarities and differences. Further, opposite patterns were generally found in associations among the ED help-seeking barriers and facilitators for women versus men as a function of the way dietary restraint symptoms clustered within each class. For example, bivariate associations between worse ED stigma and negative affect relative to greater perceived ED treatment need were both significant only among women in their lowest restraint severity class, whereas these associations were both significant among men in their highest severity class. DISCUSSION: These findings can help to increase the reach of ED intervention efforts, including increasing ED help-seeking rates. LEVEL OF EVIDENCE: Level V, cross-sectional descriptive study.
OBJECTIVE: Determine whether gender differences exist in associations among central barriers to and facilitators of eating disorder (ED) help-seeking-ED stigma, negative affect, perceived ED treatment need-as a function of individuals' probability of classification within empirically derived groups characterized by different dietary restraint patterns. METHOD: As part of the cross-sectional, multi-institute Healthy Bodies Study, women (n = 2215) and men (n = 986) attending three colleges and universities in 2015 completed measures of ED symptoms, affect, and ED help-seeking in an online survey. Structural equation mixture modeling was used to (1) classify women and men, separately, into distinct classes characterized by unique dietary restraint patterns and (2) test associations among the three ED help-seeking barriers and facilitators within each class. RESULTS: Five dietary restraint symptoms (food amount limiting attempts, fasting, food avoidance, following food/diet rules, desiring an empty stomach) clustered within four classes among women and three classes among men, which were characterized by qualitative and quantitative similarities and differences. Further, opposite patterns were generally found in associations among the ED help-seeking barriers and facilitators for women versus men as a function of the way dietary restraint symptoms clustered within each class. For example, bivariate associations between worse ED stigma and negative affect relative to greater perceived ED treatment need were both significant only among women in their lowest restraint severity class, whereas these associations were both significant among men in their highest severity class. DISCUSSION: These findings can help to increase the reach of ED intervention efforts, including increasing ED help-seeking rates. LEVEL OF EVIDENCE: Level V, cross-sectional descriptive study.
Authors: Carolyn M Pearson; Jonathan Miller; Diann M Ackard; Katie A Loth; Melanie M Wall; Ann F Haynos; Dianne Neumark-Sztainer Journal: Int J Eat Disord Date: 2017-02-15 Impact factor: 4.861
Authors: Andrea B Goldschmidt; Stephen A Wonderlich; Ross D Crosby; Li Cao; Scott G Engel; Jason M Lavender; James E Mitchell; Scott J Crow; Carol B Peterson; Daniel Le Grange Journal: J Psychiatr Res Date: 2014-03-02 Impact factor: 4.791
Authors: Jake Linardon; Andrea Phillipou; Richard Newton; Matthew Fuller-Tyszkiewicz; Zoe Jenkins; Leonardo L Cistullo; David Castle Journal: Appetite Date: 2018-05-25 Impact factor: 3.868
Authors: Kyle P De Young; Jason M Lavender; Ross D Crosby; Stephen A Wonderlich; Scott G Engel; James E Mitchell; Scott J Crow; Carol B Peterson; Daniel Le Grange Journal: Appetite Date: 2014-08-15 Impact factor: 3.868