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Prud'homme J, Hofer MK, Ames ME, Turner BJ. Disparities in the prevalence, frequency and trajectories of substance use and disordered eating across first-year university in sexual minority undergraduates. JOURNAL OF AMERICAN COLLEGE HEALTH : J OF ACH 2024; 72:2062-2074. [PMID: 35930358 DOI: 10.1080/07448481.2022.2103373] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/11/2021] [Revised: 05/13/2022] [Accepted: 07/12/2022] [Indexed: 06/15/2023]
Abstract
Objective. To compare the prevalence and trajectories of risky health behaviors in sexual minority (SM; lesbian/gay/bisexual/questioning/asexual) versus heterosexual undergraduates across their first year of post-secondary. Participants. First-year undergraduates (N = 704, Mage=17.97 years, 24% SM) from a midsized Canadian university. Methods. Students completed monthly (September-April) online questionnaires assessing substance use (binge drinking, tobacco, cannabis, illicit drug use) and disordered eating (binge eating, fasting, purging). Results. At the outset of the academic year, SM students endorsed more frequent cannabis use, illicit drug use, fasting, and binge eating, but less frequent tobacco use, versus heterosexual students. Over the year, SM students' binge drinking frequency declined less than that of heterosexual students, but their illicit drug use decreased while that of their heterosexual peers increased, and all students reported declining disordered eating frequency. Conclusions. Campus wellness initiatives for SM students should offer prevention and harm-reduction strategies prior to or shortly after their arrival on campus.
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Affiliation(s)
- Julie Prud'homme
- Department of Psychology, University of Victoria, Victoria, Canada
| | - Marlise K Hofer
- Department of Psychology, University of Victoria, Victoria, Canada
| | - Megan E Ames
- Department of Psychology, University of Victoria, Victoria, Canada
| | - Brianna J Turner
- Department of Psychology, University of Victoria, Victoria, Canada
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2
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Chan WS, Lai TT. Pavlovian-instrumental transfer effects in individuals with binge eating. J Eat Disord 2023; 11:113. [PMID: 37415257 PMCID: PMC10327350 DOI: 10.1186/s40337-023-00824-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/28/2022] [Accepted: 06/14/2023] [Indexed: 07/08/2023] Open
Abstract
BACKGROUND The food addiction model of binge-eating postulates that hyperpalatable food can sensitize the reward processing system and lead to elevated cue-elicited motivational biases towards food, which eventually become habitual and compulsive. However, previous research on food reward conditioning in individuals with binge-eating is scarce. The present study examined the Pavlovian-instrumental transfer (PIT) effects in individuals with recurrent binge-eating. It was hypothesized that hyperpalatable food would elicit specific transfer effects, i.e., biased responding for the signaled food even after satiation on that food, and this effect would be stronger in individuals with binge-eating compared to healthy controls. METHODS Fifty-one adults with recurrent binge-eating and 50 weight-matched healthy controls (mean age: 23.95 [SD = 5.62]; % female = 76.2%) completed the PIT paradigm with food rewards. Participants also completed measures of hunger, mood, impulsivity, response disinhibition, and working memory. Mixed ANOVAs were conducted to examine transfer effects and if they differed between individuals with binge-eating and those without. RESULTS The group by cue interaction effect was not significant, suggesting that the specific transfer effect did not differ between groups. The main effect of cue was significant, indicating that the outcome-specific cue biased instrumental responding towards the signaled hyperpalatable food. However, the biased instrumental responding was attributable to suppressed responding in the presence of the cue predicting no reward, rather than enhanced responding in the presence of the specific food-predicting cues. CONCLUSIONS The present findings did not support the hypothesis that individuals with binge-eating would be more vulnerable to specific transfer effects elicited by hyperpalatable food, as measured by the PIT paradigm.
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Affiliation(s)
- Wai Sze Chan
- Department of Psychology, The University of Hong Kong, Rm 664, The Jockey Club Tower, Centennial Campus, Pokfulam, Hong Kong SAR.
| | - Tsun Tak Lai
- Department of Psychology, The University of Hong Kong, Rm 664, The Jockey Club Tower, Centennial Campus, Pokfulam, Hong Kong SAR
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3
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Huang H, Liu Z, Xiong H, Herold F, Kuang J, Chen E, Taylor A, Yeung A, Sun J, Hossain MM, Kramer A, Guo T, Zou L. Validation of sociocultural attitudes towards appearance questionnaire and its associations with body-related outcomes and eating disorders among Chinese adolescents. Front Psychiatry 2023; 14:1088769. [PMID: 36993923 PMCID: PMC10041934 DOI: 10.3389/fpsyt.2023.1088769] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/03/2022] [Accepted: 02/03/2023] [Indexed: 03/14/2023] Open
Abstract
IntroductionThe Sociocultural Attitudes Towards Appearance Questionnaire-4 Revised (SATAQ-4R) has been widely used in Western countries to link body appearance that is related to eating disorders and body dissatisfaction being commonly reported by adolescents. However, a comprehensive psychometric validation of the SATAQ-4R in Chinese adolescent samples is still lacking. To this end, the aim of the current study was to validate the gender-appropriate SATAQ-4R in a sample of Chinese adolescents, following by an investigation of its associations with body-related outcomes and eating disorder symptoms.MethodsTwo gender-specific studies were conducted to examine the psychometric properties of the SATAQ-4R-Female and SATAQ-4R-Male respectively among adolescent girls (Study1, N=344, with 73 participants at retest) and boys (Study2, N=335, with 64 participants at retest). Confirmatory factor analysis was employed to examine the factor structure and their test-retest reliability, the internal consistency and convergent validity were subsequently examined.ResultsFor the SATAQ-4R-Females, the seven-factor model has a reasonable fit, with Chi-square =1112.769 (p < 0.001), CFI = 0.91, RMSEA = 0.071, SRMR = 0.067. For the SATAR-4R-Males, an acceptable seven-factor model with Chi-square = 982.92 (p<0.001), CFI = 0.91, RMSEA = 0.08, SRMR= 0.06 was observed. With respect to test-retest reliability, the internal consistency for 7 subscales was rated as good (Cronbach’s alpha =0.74 to 0.95) among female adolescents, likewise the internal consistency of the seven subscales was also rated as good (Cronbach’s alpha =0.70 to 0.96) among male participants. Good convergent validity was observed, reflected by associations of the subscales of the gender-specific SATAQ-4R with muscularity-related attitude, body image-acceptance, body appearance, perceived stress level, symptoms of eating disorder and self-esteem.DiscussionFor women and men, the original 7-factor structure was validated among Chinese adolescents, internal reliability coefficients for the seven subscale scores were good and test-retest reliability was acceptable. Our results also confirmed the convergent validity of the two different gender-appropriate scales.
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Affiliation(s)
- Houyi Huang
- Body-Brain-Mind Laboratory, The Shenzhen Humanities & Social Sciences Key Research Bases of the Center for Mental Health, School of Psychology, Shenzhen University, Shenzhen, China
| | - Zhongting Liu
- Body-Brain-Mind Laboratory, The Shenzhen Humanities & Social Sciences Key Research Bases of the Center for Mental Health, School of Psychology, Shenzhen University, Shenzhen, China
| | - Haoran Xiong
- Body-Brain-Mind Laboratory, The Shenzhen Humanities & Social Sciences Key Research Bases of the Center for Mental Health, School of Psychology, Shenzhen University, Shenzhen, China
| | - Fabian Herold
- Research Group Degenerative and Chronic Diseases, Movement, Faculty of Health Sciences Brandenburg, University of Potsdam, Potsdam, Germany
| | - Jin Kuang
- Body-Brain-Mind Laboratory, The Shenzhen Humanities & Social Sciences Key Research Bases of the Center for Mental Health, School of Psychology, Shenzhen University, Shenzhen, China
| | - Erle Chen
- Shenzhen College of International Education, Shenzhen, China
| | - Alyx Taylor
- AECC University College, School of Rehabilitation, Sport and Psychology, Bournemouth, United Kingdom
| | - Albert Yeung
- Department of Psychiatry, Harvard Medical School, Boston, MA, United States
- Depression Clinical and Research Program, Massachusetts General Hospital, Boston, MA, United States
| | - Jing Sun
- School of Medicine and Dentistry and Menzies Health Institute Queensland, Griffith University, Birtinya, QLD, Australia
| | - Md M. Hossain
- Department of Decision and Information Sciences, C.T. Bauer College of Business, University of Houston, Houston, TX, United States
- Department of Health Systems and Population Health Sciences, Tilman J. Fertitta Family College of Medicine, University of Houston, Houston, TX, United States
| | - Arthur Kramer
- Center for Cognitive & Brain Health, Northeastern University, Boston, MA, United States
- Beckman Institute, University of Illinois, Champaign, IL, United States
| | - Tianyou Guo
- Body-Brain-Mind Laboratory, The Shenzhen Humanities & Social Sciences Key Research Bases of the Center for Mental Health, School of Psychology, Shenzhen University, Shenzhen, China
- *Correspondence: Tianyou Guo,
| | - Liye Zou
- Body-Brain-Mind Laboratory, The Shenzhen Humanities & Social Sciences Key Research Bases of the Center for Mental Health, School of Psychology, Shenzhen University, Shenzhen, China
- Research Group Degenerative and Chronic Diseases, Movement, Faculty of Health Sciences Brandenburg, University of Potsdam, Potsdam, Germany
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Toro CT, Jackson T, Payne AS, Walasek L, Russell S, Daly G, Waller G, Meyer C. A feasibility study of the delivery of online brief cognitive-behavioral therapy (CBT-T) for eating disorder pathology in the workplace. Int J Eat Disord 2022; 55:723-730. [PMID: 35289953 PMCID: PMC9315023 DOI: 10.1002/eat.23701] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/20/2021] [Revised: 02/16/2022] [Accepted: 02/18/2022] [Indexed: 12/02/2022]
Abstract
OBJECTIVE CBT-T is a brief (10 sessions) version of cognitive behavioral therapy for non-underweight eating disorders. This report describes the protocol for a single center, single group, feasibility trial of online CBT-T in the workplace as an alternative to the health-service setting. By offering mental health services for eating disorders in the workplace, greater accessibility and increased help-seeking behaviors could be achieved. METHOD Treatment will be delivered online over 10 weeks and offered to employees based on self-referral rather than meeting diagnostic criteria, making treatment available to employees with sub-threshold eating disorder symptoms. RESULTS Assessments will be conducted at baseline, mid-treatment (week 4), posttreatment (week 10) and at follow-up (1 month and 3 months posttreatment). For the primary outcome, measures will include recruitment, attrition and attendance data using pre-set benchmarks to determine high, medium or low feasibility and acceptability. Qualitative participant experiences data will be analyzed using thematic analysis. Impact on work engagement and effect sizes will be determined from secondary outcome measures; the latter enabling sample size calculations for future study. DISCUSSION These pilot data will provide insights to recruitment, acceptability, effectiveness and viability of a future fully powered clinical trial of online CBT-T in the workplace. PUBLIC SIGNIFICANCE STATEMENT This study will present feasibility data from an eating disorders intervention (online CBT-T) using the workplace as an alternative to the healthcare setting to recruit and treat workers. Recruitment will be based on self-reported eating and weight concerns rather than diagnosis potentially enabling treatment to employees who have not previously sought help. The data will also provide insights to recruitment, acceptability, effectiveness, and future viability of CBT-T in the workplace.
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Affiliation(s)
| | | | | | | | | | | | - Glenn Waller
- Department of PsychologyUniversity of SheffieldSheffieldUK
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5
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Ma R, Zhang M, Oakman JM, Wang J, Zhu S, Zhao C, Hu Z, Buchanan NT. Eating disorders treatment experiences and social support: Perspectives from service seekers in mainland China. Int J Eat Disord 2021; 54:1537-1548. [PMID: 34101214 DOI: 10.1002/eat.23565] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/25/2020] [Revised: 05/29/2021] [Accepted: 05/29/2021] [Indexed: 12/15/2022]
Abstract
OBJECTIVE This study explored treatment experiences and social support among individuals with eating disorders (EDs) in mainland China. METHOD Subscribers of a Chinese online social media platform (WeChat) focused on EDs were invited to complete a screening questionnaire that included the Eating Disorder Diagnostic Scale for the DSM-5. Of the 116 questionnaire responses, 31 met inclusion criteria for follow-up interviews. Individuals who never sought treatment were not eligible for follow-up interviews, but provided brief explanations about why they did not seek treatment. All eligible participants (n = 31) completed a semi-structured interview about their experiences with ED treatment and social support. Qualitative data from the interviews and survey responses regarding not seeking treatment were subjected to inductive data-driven thematic analysis with deductive coding to illuminate treatment and social support experiences or reasons for not seeking treatment. RESULTS Themes emerged from interviews revealed positive inpatient treatment experiences for anorexia nervosa, but negative outpatient treatment experiences, unaffordable care, and ineffective psychopharmacological treatments. Parents, friends, and partners were sources of social support, but participants largely felt misunderstood or blamed by these same entities. Shame, not recognizing ED as an illness, and financial constraints were listed as the primary reasons for not seeking treatment. DISCUSSION The importance of hearing patients' perspectives, improving ED literacy in China, increasing knowledge of culturally specific manifestations of EDs, and developing culturally responsive services and dissemination of treatment resources are emphasized.
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Affiliation(s)
- Ruofan Ma
- Department of Psychology, University of Waterloo, Waterloo, Ontario, Canada
| | - Manning Zhang
- School of Social Development and Public Policy, Fudan University, Shanghai, China
| | - Jonathan M Oakman
- Department of Psychology, University of Waterloo, Waterloo, Ontario, Canada
| | - Jiping Wang
- School of Biomedical Engineering, Sun Yat-sen University, Guangzhou, China
| | - Siqi Zhu
- School of Medicine, Shanghai Jiaotong University, Shanghai, China
| | - Chendi Zhao
- School of Sociology, Beijing Normal University, Beijing, China.,School of Sociology, University of Oklahoma, Norman, Oklahoma, USA
| | - Zhiyuan Hu
- Nuffield Department of Medicine, University of Oxford, Oxford, UK
| | - NiCole T Buchanan
- Department of Psychology, Michigan State University, East Lansing, Michigan, USA
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6
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Yao S, Zhang R, Thornton LM, Peat CM, Qi B, Du S, Wang H, Zhang B, Bulik CM. Screen-detected disordered eating and related traits in a large population sample of females in mainland China: China Health and Nutrition Survey. Int J Eat Disord 2021; 54:24-35. [PMID: 33191528 PMCID: PMC7855662 DOI: 10.1002/eat.23409] [Citation(s) in RCA: 17] [Impact Index Per Article: 5.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/10/2020] [Revised: 10/23/2020] [Accepted: 10/24/2020] [Indexed: 12/30/2022]
Abstract
OBJECTIVE We describe the prevalence and sociodemographic factors associated with screen-detected disordered eating and related traits in a population-based sample of women in China. We also explored prevalence trends over time. METHOD A total of 4,218 females aged 12-50 were sampled from 15 provinces as part of the China Health and Nutrition Survey (CHNS) in 2015. The SCOFF questionnaire screened for disordered eating and the selected questions from the Eating Disorders Examination-Questionnaire measured dietary restraint, shape concerns, and weight concerns. Body mass index (BMI) was measured and sociodemographic factors captured urban/rural residence, age, ethnicity, income, education, marital status, and occupational status. We calculated the prevalence of screen-detected disordered eating and related traits broadly and across several dimensions and compared prevalence estimates to 2009 and 2011 reports. RESULTS We detected 296 individuals who screened positive for disordered eating on the SCOFF (prevalence = 7.04%). Positive screens were associated with urban residence (p = .002) and higher education levels (p < .001). Scores on restraint, shape concerns, and weight concerns were all higher for individuals in urban versus village locations (all p's < .001), and with higher BMI (p < .001) for shape and weight concerns. The prevalence of screen-detected disordered eating increased numerically across 2009, 2011, and 2015. DISCUSSION The prevalence of screen-detected disordered eating in mainland China was comparable to other populations worldwide obtained from a recent meta-analysis. The distribution of disordered eating and related traits varied by several sociodemographic factors, which include age, BMI, urban/rural residence, education, and income, suggesting important directions for case detection and intervention in China.
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Affiliation(s)
- Shuyang Yao
- Department of Medical Epidemiology and BiostatisticsKarolinska InstitutetStockholmSweden
| | - Ruyue Zhang
- Department of Medical Epidemiology and BiostatisticsKarolinska InstitutetStockholmSweden
| | - Laura M. Thornton
- Department of PsychiatryUniversity of North Carolina at Chapel HillChapel HillNorth CarolinaUSA
| | - Christine M. Peat
- Department of PsychiatryUniversity of North Carolina at Chapel HillChapel HillNorth CarolinaUSA
| | - Baiyu Qi
- Department of PsychiatryUniversity of North Carolina at Chapel HillChapel HillNorth CarolinaUSA
| | - Shufa Du
- Department of NutritionUniversity of North Carolina at Chapel HillChapel HillNorth CarolinaUSA
| | - Huijun Wang
- National Institute for Nutrition and Health, Chinese Center for Diseases Control and PreventionBeijingPR China
| | - Bing Zhang
- National Institute for Nutrition and Health, Chinese Center for Diseases Control and PreventionBeijingPR China
| | - Cynthia M. Bulik
- Department of Medical Epidemiology and BiostatisticsKarolinska InstitutetStockholmSweden
- Department of PsychiatryUniversity of North Carolina at Chapel HillChapel HillNorth CarolinaUSA
- Department of NutritionUniversity of North Carolina at Chapel HillChapel HillNorth CarolinaUSA
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7
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Meadows A, Higgs S. A bifactor analysis of the Weight Bias Internalization Scale: What are we really measuring? Body Image 2020; 33:137-151. [PMID: 32155463 DOI: 10.1016/j.bodyim.2020.02.013] [Citation(s) in RCA: 16] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/10/2018] [Revised: 02/23/2020] [Accepted: 02/23/2020] [Indexed: 12/13/2022]
Abstract
Internalized weight stigma (IWS) has been linked with disordered eating behavior, both directly, and as a mediator of the relationship between experienced weight stigma and maladaptive coping. However, the construct of IWS is highly correlated with the related constructs of body image and global self-esteem, and the three constructs may better be represented by underlying trait self-judgment. This overlap is not generally accounted for in existing studies. The present study investigated the shared variance between self-esteem, body image, and IWS in an international sample of higher-weight individuals. Bifactor analysis confirmed that the intermediary role of IWS in the relationship between experienced stigma and self-reported eating behavior was largely accounted for by aspects of body image and global self-esteem. Greater conceptual clarity in the study of IWS is needed to understand the mechanisms via which societal weight stigma impacts on individuals' self-directed judgments and downstream health-related behaviors.
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Affiliation(s)
- Angela Meadows
- School of Psychology, Western University, London, Ontario, N6A 5C2, Canada.
| | - Suzanne Higgs
- School of Psychology, University of Birmingham, Birmingham, B15 2TT, UK.
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8
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Gorrell S, Walker DC, Anderson DA, Boswell JF. Gender differences in relations between alcohol-related compensatory behavior and eating pathology. Eat Weight Disord 2019; 24:715-721. [PMID: 30196525 DOI: 10.1007/s40519-018-0545-7] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/14/2017] [Accepted: 07/06/2018] [Indexed: 10/28/2022] Open
Abstract
PURPOSE Concerns about caloric intake associated with alcohol use (e.g., fear of weight gain) are positively associated with compensatory eating behaviors (e.g., caloric restriction, self-induced vomiting), a phenomenon that has been identified across gender. Specific motivations for compensatory behaviors differ; some relate to eating disorder (ED) pathology (e.g., shape and weight concerns), and others to alcohol (e.g., enhancing effects). Research examining motivations for alcohol-related compensatory behaviors in men is limited to date. The current study sought to assess how specific types of alcohol-related compensatory behaviors and their association with ED pathology present differently by gender. METHODS Undergraduates (N = 530, 48% female) completed the Compensatory Eating Behaviors in Response to Alcohol Consumption Scale (CEBRACS), Eating Disorders Diagnostic Scale (EDDS), and reported height, weight, and frequency and quantity of alcohol consumption. Data were examined using linear regression, and relations between CEBRACS behaviors and eating pathology were compared across gender. RESULTS Factors that were positively associated with EDDS scores for both men and women included alcohol-related dietary restraint, and exercise. For women, but not men, alcohol-related bulimic behavior also contributed to elevations in EDDS scores. CONCLUSIONS Findings indicate that specific types of alcohol-related compensatory eating behaviors (i.e., dietary restraint and exercise) are positively related to ED pathology for both male and female participants. In contrast, bulimic behaviors' association with ED pathology is gender specific. Understanding gender differences in alcohol-related compensatory behaviors and ED risk may inform gender-specific intervention targets. LEVEL OF EVIDENCE Cross-sectional descriptive study, Level V.
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Affiliation(s)
- Sasha Gorrell
- University at Albany, State University of New York, 1400 Washington Avenue, Social Sciences 399, Albany, NY, 12222, USA.
| | | | - Drew A Anderson
- University at Albany, State University of New York, 1400 Washington Avenue, Social Sciences 399, Albany, NY, 12222, USA
| | - James F Boswell
- University at Albany, State University of New York, 1400 Washington Avenue, Social Sciences 399, Albany, NY, 12222, USA
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9
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Crow S, Blom TJ, Sim L, Cuellar-Barboza AB, Biernacka JM, Frye MA, McElroy SL. Factor analysis of the eating disorder diagnostic scale in individuals with bipolar disorder. Eat Behav 2019; 33:30-33. [PMID: 30852343 DOI: 10.1016/j.eatbeh.2019.02.006] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/14/2018] [Revised: 02/13/2019] [Accepted: 02/17/2019] [Indexed: 11/29/2022]
Abstract
PURPOSE To examine the potential factor structure of the Eating Disorder Diagnostic Scale (EDDS) in a sample of individuals with bipolar disorder. METHOD Exploratory common factor analyses were conducted in a sample of 1031 people with bipolar disorder as defined by the Structured Clinical Interview for DSM-IV-TR. RESULTS Approximately 27% of participants had a comorbid eating disorder. Exploratory factor analysis yielded a 3 factor solution (i.e., shape/weight concerns; binge eating behaviors, compensatory behavior). CONCLUSIONS The 3-factor solution of the EDDS in a bipolar disorder sample is consistent with major eating disorder symptom domains. Future research is necessary to replicate these findings in eating disorder samples with diverse comorbid psychopathology.
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Affiliation(s)
- Scott Crow
- Department of Psychiatry, University of Minnesota Medical School, Minneapolis, MN, USA; The Emily Program, St. Paul, MN, USA.
| | - Thomas J Blom
- Lindner Center of HOPE, 4075 Old Western Row Road, Mason, OH 45040, USA; Department of Psychiatry and Behavioral Neuroscience, University of Cincinnati College of Medicine, Cincinnati, OH, USA
| | - Leslie Sim
- Department of Psychiatry and Psychology, Mayo Clinic College of Medicine, Rochester, MN, USA
| | | | - Joanna M Biernacka
- Department of Psychiatry and Psychology, Mayo Clinic College of Medicine, Rochester, MN, USA; Division of Biomedical Statistics and Informatics, Department of Health Sciences Research, Mayo Clinic College of Medicine, Rochester, MN, USA
| | - Mark A Frye
- Department of Psychiatry and Psychology, Mayo Clinic College of Medicine, Rochester, MN, USA
| | - Susan L McElroy
- Lindner Center of HOPE, 4075 Old Western Row Road, Mason, OH 45040, USA; Department of Psychiatry and Behavioral Neuroscience, University of Cincinnati College of Medicine, Cincinnati, OH, USA
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10
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Tang X, Forbush KT, Lui PP. Development and validation of the Chinese-language version of the eating pathology symptoms inventory. Int J Eat Disord 2015; 48:1016-23. [PMID: 26171958 DOI: 10.1002/eat.22423] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/28/2014] [Revised: 04/09/2015] [Accepted: 04/12/2015] [Indexed: 11/11/2022]
Abstract
OBJECTIVE Eating disorders are becoming increasingly prevalent among individuals from non-Western countries, yet few non-English-language measures of eating pathology exist. The current study sought to develop and validate a Chinese version of the Eating Pathology Symptoms Inventory(1) with cross-cultural equivalence. METHOD The Chinese version of the Eating Pathology Symptoms Inventory (CEPSI) was translated and back-translated by native Chinese speakers, and administered to a pilot sample of native Chinese speaking students (N = 45) from a Midwestern university in the United States. The measure was revised based on participant's feedback, and administrated to a large sample of native Chinese speakers recruited from a Midwestern community (N = 195; 49.2% women) to test the factor structure and convergent and discriminant validity of the measure. RESULTS As hypothesized, the CEPSI had a robust eight-factor structure, and demonstrated evidence for acceptable internal consistency (median coefficient alphas were 0.80 for men and 0.79 for women, and alpha values ranged from 0.36 to 0.85 in men and 0.70 to 0.89 in women), and good convergent validity (correlations with relevant translated scales from the Eating Disorder Examination-Questionnaire and the Eating Attitudes Test-26 ranged from 0.22 to 0.58) and discriminate validity (correlations with a translated version of the Center for Epidemiological Studies - Depression Scale ranged from .12 to .30). DISCUSSION Results indicate that the CEPSI has high potential value as a new self-report measure of eating pathology that can be used in future research and clinical settings to assess eating disorder-related psychopathology among Chinese speaking individuals.
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Affiliation(s)
- Xiaoqi Tang
- Department of Psychological Sciences, Purdue University, West Lafayette, Indiana.,Department of Psychology, Brandeis University, Waltham, Massachusetts
| | - Kelsie T Forbush
- Department of Psychology, University of Kansas, Lawrence, Kansas
| | - P Priscilla Lui
- Department of Psychological Sciences, Purdue University, West Lafayette, Indiana
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11
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Kothari R, Barona M, Treasure J, Micali N. Social cognition in children at familial high-risk of developing an eating disorder. Front Behav Neurosci 2015; 9:208. [PMID: 26300753 PMCID: PMC4528178 DOI: 10.3389/fnbeh.2015.00208] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/16/2014] [Accepted: 07/22/2015] [Indexed: 01/31/2023] Open
Abstract
Objective: Diagnosis of an eating disorder (ED) has been associated with differences in social cognition. To date research investigating social cognition and ED has mainly employed patient and recovered samples. It is therefore unclear whether differences in social cognition are present prior to onset of ED, potentially contributing to development, or whether differences observed are a consequence of the disorder. We aimed to further explore whether individuals at high-risk for ED present social cognition characteristics previously found in ED groups. Methods: Our sample was drawn from a population-based cohort, the Avon Longitudinal Study of Parents and Children (ALSPAC). Data on maternal ED behaviors over the lifetime were collected through in-depth clinical interviews (n = 1128) conducted using the Structured Clinical Interview for DSM disorders (SCID), and were used to categorize mothers according to ED behaviors over the lifetime: Restricting and Excessive Exercising (n = 58), Purging (n = 70), Binge-eating (n = 72), Binging and Purging (n = 66), no ED (n = 862). High-risk status of children was determined using these maternal lifetime behavioral phenotypes. Children at high-risk (maternal ED exposure) were compared to children at low-risk (born to mothers with no ED) on three measures of social cognition: the Social Communication Disorders Checklist (SCDC) (n = 922), the faces subtest of the Diagnostic Analysis of Non-Verbal Accuracy (DANVA) (n = 722), and the Emotional Triangles Task (n = 750). Results: Children at high-risk for ED showed poorer performance on measures of social cognition compared to children at low-risk. Maternal lifetime binge-eating, and maternal lifetime binging and purging were associated with poorer social communication in children (OR: 2.4, 95% CI: 1.0, 5.7, p = 0.05; and OR: 2.7, 95% CI: 1.1, 6.5, p = 0.03 respectively). Maternal binging and purging was also found to be associated with differential facial emotion processing and poorer recognition of fear from social motion cues (B: −0.7, 95% CI: −1.1, −0.2, p = 0.004). Discussion: Children at high-risk for ED showed slight differences in some areas of social cognition when compared to children at low-risk. Characteristic patterns in social cognition are present in children at high-risk for ED, particularly among children whose mothers have binge-eating and purging behaviors over the lifetime. Our findings support the hypothesis that these differences may be part of an intermediate phenotype for ED: perhaps contributing to development, or perhaps indexing a shared liability with psychiatric disorders characterized by abnormal social cognition.
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Affiliation(s)
- Radha Kothari
- Behavioural and Brain Sciences, Institute of Child Health, University College London London, UK ; Division of Psychology and Language Sciences, University College London London, UK
| | - Manuela Barona
- Behavioural and Brain Sciences, Institute of Child Health, University College London London, UK
| | - Janet Treasure
- Psychological Medicine, King's College London Institute of Psychiatry London, UK
| | - Nadia Micali
- Behavioural and Brain Sciences, Institute of Child Health, University College London London, UK ; Department of Psychiatry, Icahn Medical School at Mount Sinai New York, NY, USA ; Mindich Child health and Development Institute, Icahn Medical School at Mount Sinai New York, NY, USA
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12
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Getz MJ. The myth of Chinese Barbies: eating disorders in China including Hong Kong. J Psychiatr Ment Health Nurs 2014; 21:746-54. [PMID: 25356465 DOI: 10.1111/jpm.12115] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
Much of the literature on eating disorders deals with Western subjects. Although the majority of those seen in clinical settings are Caucasians, reports from Asia suggest that anorexia nervosa and bulimia nervosa do occur in the Chinese, sparking debate as to whether or not it is the result of Westernization. This project begins with a review of the current literature on eating disorders in Chinese populations and the role of culture as a mediating factor. A psychodynamic conceptualization and the potential role of traumatic experiences are explored in the emergence of pathological eating habits. Research suggests that applying Western models for Chinese subjects with eating disorders may not always be appropriate.
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13
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Kothari R, Solmi F, Treasure J, Micali N. The neuropsychological profile of children at high risk of developing an eating disorder. Psychol Med 2013; 43:1543-1554. [PMID: 23021014 DOI: 10.1017/s0033291712002188] [Citation(s) in RCA: 33] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
BACKGROUND There is a large body of evidence indicating that eating disorders (EDs) are characterized by particular neuropsychological profiles. We aimed to further explore whether impairments in neuropsychological functioning previously found in ED groups are present prior to onset, or are secondary to the disorder. Method This is the first study to explore neuropsychological functioning in children born to a mother with a lifetime ED, who are therefore at high risk of developing an ED, in a large cohort sample. We investigated intelligence and attention at age 8 years (n = 6201) and working memory (WM) and inhibition at age 10 years (6192) in children who are at high risk of developing an ED, compared to children who are not. RESULTS The children of women with lifetime anorexia nervosa (AN) showed high full-scale and performance IQ, increased WM capacity, better visuo-spatial functioning, and decreased attentional control. The children of women with lifetime bulimia nervosa (BN) showed comparatively poor visuo-spatial functioning. CONCLUSIONS Our findings suggest that high intelligence, increased WM capacity and impaired attentional control might be intermediate phenotypes on the pathway between genetic vulnerability and the development of an ED.
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Affiliation(s)
- R Kothari
- Behavioural and Brain Sciences Unit, Institute of Child Health, University College London, UK.
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14
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Krabbenborg MAM, Danner UN, Larsen JK, Veer N, Elburg AA, Ridder DTD, Evers C, Stice E, Engels RCME. The Eating Disorder Diagnostic Scale: Psychometric Features Within a Clinical Population and a Cut-off Point to Differentiate Clinical Patients from Healthy Controls. EUROPEAN EATING DISORDERS REVIEW 2011; 20:315-20. [DOI: 10.1002/erv.1144] [Citation(s) in RCA: 50] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/11/2011] [Revised: 04/07/2011] [Accepted: 06/10/2011] [Indexed: 10/17/2022]
Affiliation(s)
| | | | - Junilla K. Larsen
- Behavioural Science Institute; Radboud University Nijmegen; The Netherlands
| | - Nienke Veer
- Department of Psychiatry; Sint Antonius Hospital; The Netherlands
| | - Annemarie A. Elburg
- Altrecht Eating Disorders Rintveld; Altrecht Mental Health Institute; The Netherlands
| | - Denise T. D. Ridder
- Department of Clinical and Health Psychology; Utrecht University; The Netherlands
| | - Catharine Evers
- Department of Clinical and Health Psychology; Utrecht University; The Netherlands
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15
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Holm-Denoma JM, Hankin BL. Perceived physical appearance mediates the rumination and bulimic symptom link in adolescent girls. JOURNAL OF CLINICAL CHILD AND ADOLESCENT PSYCHOLOGY 2010; 39:537-44. [PMID: 20589564 DOI: 10.1080/15374416.2010.486324] [Citation(s) in RCA: 22] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Abstract
The prospective relationship between initial rumination and subsequent bulimic symptoms, and vice versa, was examined, and possible mediators were tested in a community sample of 191 adolescent girls (M age = 14.5) at 3 different assessment time points. Path analyses indicated that Time 1 rumination predicted Time 3 bulimic symptoms, and vice versa. Physical appearance competence (but not social competence) mediated both relationships. The results suggest that specific cognitive mechanisms, such as rumination, may play an etiological role in the development of bulimic symptoms. This may be especially true for adolescent girls who exhibit low competence beliefs about their physical appearance.
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16
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Slof-Op 't Landt MCT, Dolan CV, Rebollo-Mesa I, Bartels M, van Furth EF, van Beijsterveldt CEM, Meulenbelt I, Slagboom PE, Boomsma DI. Sex differences in sum scores may be hard to interpret: the importance of measurement invariance. Assessment 2009; 16:415-23. [PMID: 19762518 DOI: 10.1177/1073191109344827] [Citation(s) in RCA: 20] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
In most assessment instruments, distinct items are designed to measure a trait, and the sum score of these items serves as an approximation of an individual's trait score. In interpreting group differences with respect to sum scores, the instrument should measure the same underlying trait across groups (e.g., male/female, young/old). Differences with respect to the sum score should accurately reflect differences in the latent trait of interest. A necessary condition for this is that the instrument is measurement invariant. In the current study, the authors illustrate a stepwise approach for testing measurement invariance with respect to sex in a four-item instrument designed to assess disordered eating behavior in a large epidemiological sample (1,195 men and 1,507 women). This approach can be applied to other phenotypes for which group differences are expected. Any analysis of such variables may be subject to measurement bias if a lack of measurement invariance between grouping variables goes undetected.
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17
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Bardone-Cone AM, Cass KM, Ford JA. Examining body dissatisfaction in young men within a biopsychosocial framework. Body Image 2008; 5:183-94. [PMID: 18463012 DOI: 10.1016/j.bodyim.2007.12.004] [Citation(s) in RCA: 26] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/26/2007] [Revised: 12/27/2007] [Accepted: 12/28/2007] [Indexed: 10/22/2022]
Abstract
This study examined biopsychosocial factors related to body dissatisfaction in young men within multivariate and moderator contexts. A female sample was included as a gender comparison. Male (n=111) and female (n=236) undergraduates filled out self-report questionnaires assessing body mass index (BMI), media influence, a history of weight-related teasing, and socially prescribed perfectionism, along with various indices of body dissatisfaction. Perceived pressure from the media was consistently related to body dissatisfaction in men whereas multiple biopsychosocial variables accounted for body dissatisfaction in women. Socially prescribed perfectionism and a history of weight teasing each moderated the relationship between BMI and male body dissatisfaction, identifying men low in body dissatisfaction. Findings indicate that applying a biopsychosocial framework to the study of body dissatisfaction in men is useful and suggest the need for including other factors, such as male peers and sports involvement, in understanding contributors to male body image.
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Affiliation(s)
- Anna M Bardone-Cone
- Department of Psychological Sciences, University of Missouri, Columbia, MO 65211, USA.
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