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      An experimental test of the effect of weight-loss dieting on bulimic pathology: Tipping the scales in a different direction.

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      Journal of Abnormal Psychology
      American Psychological Association (APA)

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          Abstract

          Although it is widely accepted that dieting increases the risk for bulimic pathology, this hypothesis has not been tested in a randomized experiment. Accordingly, the authors conducted an experimental test of the dietary restraint model by randomly assigning nonobese women (N = 82) to either a 6-week, low-calorie diet or a waitlist control condition. The diet intervention resulted in significant weight loss, confirming that dieting was successfully manipulated. Contrary to the restraint model, dieting resulted in significant decreases in bulimic symptoms relative to the control condition. Results converge with past findings from randomized obesity prevention and treatment trials and provide evidence that dieting does not promote bulimic pathology; rather, effective decreases in caloric intake appear to reduce bulimic symptoms.

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          Most cited references24

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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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            Dieting and binging: A causal analysis.

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              Weight concerns influence the development of eating disorders: a 4-year prospective study.

              The authors examined factors prospectively associated with age of onset of partial syndrome eating disorders over a 4-year interval in a community sample (N = 877) of high school-age adolescent girls. Four percent developed a partial syndrome eating disorder over the interval. A measure of weight concerns was significantly associated with onset in a multivariate Cox proportional hazard analysis (p < .001). Girls scoring in the highest quartile on the measure of weight concerns had the highest incidence (10%) of partial syndrome onset, whereas none of the girls in the lowest quartile developed eating disorder symptoms. This finding is consistent with both theoretical and clinical perspectives and may represent a useful step toward the establishment of a rational basis for the choice of a prevention intervention target.
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                Author and article information

                Journal
                Journal of Abnormal Psychology
                Journal of Abnormal Psychology
                American Psychological Association (APA)
                1939-1846
                0021-843X
                2003
                2003
                : 112
                : 1
                : 166-170
                Article
                10.1037/0021-843X.112.1.166
                12653425
                d5b33d12-cbfb-4b05-8e43-b21da8f133fa
                © 2003
                History

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