Development and predictive effects of eating disorder risk factors during adolescence: Implications for prevention efforts :  Development Of Eating Disorder Risk Factors

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Abstract

Although several prospective studies have identified factors that increase risk for eating disorders, little is known about when these risk factors emerge and escalate, or when they begin to predict future eating disorder onset. The objective of this report was to address these key research gaps.

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The prevalence and correlates of eating disorders in the National Comorbidity Survey Replication.

James Hudson, Eva Hiripi, Harrison G Pope … (2007)

Little population-based data exist on the prevalence or correlates of eating disorders. Prevalence and correlates of eating disorders from the National Comorbidity Replication, a nationally representative face-to-face household survey (n = 9282), conducted in 2001-2003, were assessed using the WHO Composite International Diagnostic Interview. Lifetime prevalence estimates of DSM-IV anorexia nervosa, bulimia nervosa, and binge eating disorder are .9%, 1.5%, and 3.5% among women, and .3% .5%, and 2.0% among men. Survival analysis based on retrospective age-of-onset reports suggests that risk of bulimia nervosa and binge eating disorder increased with successive birth cohorts. All 3 disorders are significantly comorbid with many other DSM-IV disorders. Lifetime anorexia nervosa is significantly associated with low current weight (body-mass index or =40). Although most respondents with 12-month bulimia nervosa and binge eating disorder report some role impairment (data unavailable for anorexia nervosa since no respondents met criteria for 12-month prevalence), only a minority of cases ever sought treatment. Eating disorders, although relatively uncommon, represent a public health concern because they are frequently associated with other psychopathology and role impairment, and are frequently under-treated.

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This chapter identifies the most robust conclusions and ideas about adolescent development and psychological functioning that have emerged since Petersen's 1988 review. We begin with a discussion of topics that have dominated recent research, including adolescent problem behavior, parent-adolescent relations, puberty, the development of the self, and peer relations. We then identify and examine what seem to us to be the most important new directions that have come to the fore in the last decade, including research on diverse populations, contextual influences on development, behavioral genetics, and siblings. We conclude with a series of recommendations for future research on adolescence.

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Risk and maintenance factors for eating pathology: a meta-analytic review.

Eric Stice (2002)

This meta-analytic review of prospective and experimental studies reveals that several accepted risk factors for eating pathology have not received empirical support (e.g., sexual abuse) or have received contradictory support (e.g.. dieting). There was consistent support for less-accepted risk factors(e.g., thin-ideal internalization) as well as emerging evidence for variables that potentiate and mitigate the effects of risk factors(e.g., social support) and factors that predict eating pathology maintenance(e.g., negative affect). In addition, certain multivariate etiologic and maintenance models received preliminary support. However, the predictive power of individual risk and maintenance factors was limited, suggesting it will be important to search for additional risk and maintenance factors, develop more comprehensive multivariate models, and address methodological limitations that attenuate effects.

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Author and article information

Journal

Title: International Journal of Eating Disorders

Abbreviated Title: Int. J. Eat. Disord.

Publisher: Wiley

ISSN: 02763478

Publication date Created: March 2015

Publication date (Print): March 2015

Publication date (Electronic): March 06 2014

Volume: 48

Issue: 2

Pages: 187-198

Affiliations

[1 ]Oregon Research Institute; 1776 Millrace Drive Eugene Oregon

Article

DOI: 10.1002/eat.22270

PubMed ID: 24599841

SO-VID: 5703e8f5-8c26-4d5d-858b-322ebe1a3d0d

License:

http://doi.wiley.com/10.1002/tdm_license_1.1

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Development and predictive effects of eating disorder risk factors during adolescence: Implications for prevention efforts : Development Of Eating Disorder Risk Factors

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