Prevalence of bulimic behaviors and trends in eating attitudes among Turkish late adolescents

The eating attitudes and the prevalence of bulimic behaviors in a group of 300 late adolescents were investigated using the key questions from the Bulimia Investigatory Test, Edinburgh (BITE), and additional questions. Only four subjects (1.3%) scored above the cut-off point on the BITE, and prevalence rates of males and females were the same. Results showed that higher symptom scale scores were associated with the emergence of binge eating behavior and high energy intake. Females were less likely than males to see themselves as normal eaters and more likely to feel "miserable" when they binge. Higher score groups evidenced more dieting behavior than other groups and also more abnormal eating behavior. It was concluded that the prevalence of bulimic behaviors in Turkish late adolescents was low, but there was an increasing risk since they share Western ideals of slimness and engage in dieting.     

Anorexic eating attitudes and behaviors of male and female college students

This study examined gender differences in eating attitudes and behaviors in a sample of 471 undergraduate college students. The prevalence of symptomatology indicative of anorexia was determined using the Eating Attitudes Test (EAT-26). In addition, the family climate, parent-child dynamics, and self-concept of students with and without maladaptive eating attitudes and behaviors were compared, and the relationship between eating attitudes/behaviors and current psychological distress was examined. Anorexic symptomatology was found for 20% of the females and 10% of the males. In general, students without symptomatic attitudes and behaviors had a more positive self-concept and reported less psychological distress than did those with eating disturbances. The findings suggest that eating problems may be more prevalent among males than previously estimated.     

Eating Attitudes and Dieting Behavior Among Religious Subgroups of Israeli-Arab Adolescent Females

Objectives The aim of the study was to compare the eating attitudes and behaviors, including weight concerns and dieting behavior, among three religious subgroups (Moslems, Druze, and Christians) and three age subgroups (12–13, 14–15, and 16–18 years old) of Israeli-Arab adolescent females. Methods The sample consisted of 1141 Israeli-Arab adolescent females, including 926 (81.2%) Moslem, 128 (11.2%) Christian, and 87 (7.6%) Druze schoolgirls in the seventh to twelfth grades. Participants were assessed using the EAT–26 questionnaire. Results The results showed that 75% of the students had a negative EAT-26 score (>20) and that 25% of the students had a positive EAT-26 score (<20). No significant differences were found in total scores, subscale scores, or scores above 20 between the age subgroups or the religious subgroups. The results demonstrated a high prevalence of disturbed eating attitudes and behaviors among Israeli-Arab adolescent schoolgirls. Discussion Higher prevalence of disturbed eating attitudes found among Israeli-Arab schoolgirls as compared to their Jewish counterparts. Although our sample is a communal based, there still remains an open question as to why the desired “slenderness culture” evident in the results is not reflected in the number of ED clinic referrals, among clinical population. These discrepancies were discussed in light of ethnicity-specific factors that may influence the perceived severity of eating disorders and the receptiveness of primary practitioners to address them.     

Does binge eating play a role in the self-regulation of moods?

Self-reported emotional experiences and eating behaviors were studied in college students in an attempt to determine what types of emotional experiences precede and follow binge eating and how specific types of compensatory behaviors modify these experiences. First-year male and female students (N=390) were surveyed for depression, anxiety, health status, life satisfaction, and eating attitudes (EAT-26). Those reporting recurrent binge eating episodes were asked to describe their emotional feelings before and after bingeing and before and after compensatory activities. EAT-26 scores corresponding to scores previously reported for eating disordered patients were found in 9.7% of students. Binge eating was nearly twice as frequent among females (16.4%) as males (8.6%). Among females, positive relationships were found between specific EAT-26 factors scores and both anxiety and depression scores. The emotional antecedents and consequences of binge eating and of compensatory activities were compared in three sub-groups of individuals who reported recurrent bingeing with loss of self-control during binges. The three sub-groups consisted of individuals who reported, 1) bingeing without engaging in compensatory activities, 2) bingeing and compensating by means other than vomiting (fasting, exercising, or use of laxatives or diuretics), and 3) bingeing and compensating by vomiting. Regardless of the type of activity, those individuals who engaged in compensatory activities reported greater negative affect preceding binge episodes than those who did not compensate. In addition, contrary to expectations, negative affect did not decrease, but instead increased significantly, following binge episodes and decreased immediately before and after compensatory activities.     

Does binge eating play a role in the self-regulation of moods?

Self-reported emotional experiences and eating behaviors were studied in college students in an attempt to determine what types of emotional experiences precede and follow binge eating and how specific types of compensatory behaviors modify these experiences. First-year male and female students (N=390) were surveyed for depression, anxiety, health status, life satisfaction, and eating attitudes (EAT-26). Those reporting recurrent binge eating episodes were asked to describe their emotional feelings before and after bingeing and before and after compensatory activities. EAT-26 scores corresponding to scores previously reported for eating disordered patients were found in 9.7% of students. Binge eating was nearly twice as frequent among females (16.4%) as males (8.6%) Among females, positive relationships were found between specific EAT-26 factors scores and both anxiety and depression scores. The emotional antecedents and consequences of binge eating and of compensatory activities were compared in three sub-groups of individuals who reported recurrent bingeing with loss of self-control during binges. The three sub-groups consisted of individuals who reported, 1) bingeing without engaging in compensatory activities, 2) bingeing and compensating by means other than vomiting (fasting, exercising, or use of laxatives or diuretics), and 3) bingeing and compensating by vomiting. Regardless of the type of activity, those individuals who engaged in compensatory activities reported greater negative affect preceding binge episodes than those who did not compensate. In addition, contrary to expectations, negative affect did not decrease, but instead increased significantly, following binge episodes and decreased immediately before and after compensatory activities.     

Characteristics of Dieting and Nondieting Adolescents in a Psychiatric Inpatient Setting

  The clinical and psychosocial characteristics of 239 dieting and nondieting adolescents (61% female; mean age=15.3) recruited from an inpatient psychiatric setting were examined. Dieting adolescents were compared to nondieting adolescents on exercise frequency, weight control behaviors, risky behaviors, psychiatric comorbidity and distress, eating disorder symptomatology, smoking, coping, and family factors. While dieters did not statistically differ from nondieters on scores of body mass index, dieting youth reported greater levels of self-reported distress, poorer coping, greater eating disorder symptomatology, and were more likely to engage in extreme weight control behaviors. In addition, dieting was associated with higher rates of major depression (58% vs 34%) and eating disorders (14% vs 1%). Among adolescent smokers, dieters endorsed smoking as a weight control behavior. Engaging in risky behaviors or familial factors did not differentiate dieters from nondieters. Given the number of negative correlates associated with dieting in adolescents, identifying dieting and weight control behaviors in clinical settings may prove to be an effective strategy in the development of prevention and intervention efforts for youth.     

Eating attitudes and their psychological correlates among Turkish adolescents

This study examined the eating attitudes and psychological characteristics of Turkish late adolescents. Seven hundred eighty-three university students were administered the Eating Attitudes Test, Rosenberg Self-Esteem Scale, State-Trait Anxiety Inventory, and Social Physique Anxiety Scale. More than one in ten (9.2% of the males and 13.1% of the females) had abnormal eating attitude scores. Chi-square analysis revealed that there were no significant differences in the prevalance of abnormal eating behaviors based on gender. Analysis of covariance indicated that participants who had disturbed eating attitudes had lower self-esteem, higher social physique anxiety, and higher trait anxiety than those who had normal eating attitudes. It was concluded that the prevalence of disturbed eating attitudes was high among these Turkish late adolescents, and that disturbed eating attitudes were related to several psychological characteristics.     

Eating disorders and dieting behavior among Australian and Swazi university students

The eating behaviors of 192 Australian and 129 Swaziland university students were examined by using the Eating Attitudes Test (EAT-26; D. M. Garner, M. P. Olmsted, Y. Bohr, & P. E. Garfinkel, 1982). The results did not support the hypothesis that more Australian students than Swazi students would display eating disorder symptoms. Australian women scored significantly higher than Australian men. Surprisingly, scores on the EAT-26 for men and women from Swaziland did not differ significantly. Furthermore, there was little difference between the scores of Swazi men and either Australian women or Swazi women. Results are discussed in relation to various cultural factors and assessment issues.     

Body image and eating attitudes among adolescent Chinese girls in Hong Kong

The study investigated the relation between body image and eating attitudes among adolescent girls in Hong Kong. A sample of 358 senior secondary school girls completed the measures assessing body-part satisfaction and behaviors associated with eating. Analysis indicated that even though only 4.8% of the girls were overweight, 85.16% desired to weigh less. These Chinese teenage girls were concerned about their weight, and the desire for slimness was widespread. Correlations indicated that higher Body Mass Index was associated with lower satisfaction with weight. Lower scores on weight satisfaction were associated with higher scores on attitudes of dieting and food preoccupation.     

Control your cravings: Self-controlled food choice varies by eating attitudes,sex, and food type among Division I collegiate athletes

Eating attitudes are predictive of disordered eating, which can be quite prevalent among collegiate athletes. The present study tested if disordered eating attitudes and the sex of collegiate athletes are related to “self-controlled food choice” for four food types: a dessert, fried food, fruit, and vegetable. In total, 102 athletes completed a disordered eating attitudes assessment and a delay discounting task. For the delay discounting task, athletes chose between one large delayed reward and one successively smaller immediate reward for four food types, and indifference points were computed with lower indifference points indicating greater self-controlled food choice. In this study female athletes showed greater self-controlled food choice for all three tempting food types (dessert, fried food, and fruit), but not the control food type (vegetable). For males, results were moderated by their level of disordered eating attitudes. Overall, these data show that “self-controlled food choice,” measured using a delay discounting task, is a key factor related to sex differences in disordered eating attitudes among college athletes.     

Body attitudes and eating behaviors of female clothing sales personnel

Recent research suggests that social standards for ideal female beauty are related to negative body-image and dieting among young women. We hypothesized that women who work in settings that emphasize physical appearance (women's fashion clothing sales) would have more disturbed body attitudes and eating behaviors than college women. Sales personnel (n = 21) and students (n = 25) answered questions about their occupational status, weight, and demographic characteristics, and completed the Body-esteem Scale and the Eating Disorder Inventory. Weight and scores on the two scales were similar in both groups except that sales personnel reported more dissatisfaction with their body parts on the Body dissatisfaction scale of the Eating Disorder Inventory. Among sales personnel, those who perceived their appearance to be of greater importance in their work also reported more concern about dieting and weight, as reflected on the Drive for thinness subscale of the Eating Disorder Inventory. Results are discussed with regard to situational influences on women's body attitudes and their implications for eating behaviors.     

Dieting and body image in the child's world: conceptualization and behavior

The authors examined children's (N = 431, aged 7 years to 10 years 9 months) understanding of and reasons for dieting, to validate recent research indicating that perceived body-image dissatisfaction and restrictive eating behaviors occur in pre-adolescent populations. Scores on 2 sentence-completion tasks confirmed that the children do have a clear understanding of what dieting means in terms of intent and behavior (defined, in this study, as intentional restrictive eating behaviors). The results indicated that children as young as 7 years of age report dissatisfaction with their current body size and deliberately engage in restrictive eating behaviors. These findings provide validation of previous research and emphasize children's capacity to engage in deleterious health behaviors. Given that extreme dieting behaviors are harmful to a child's physical and psychological well-being, the authors concluded that research exploring (a) the genesis of these attitudes and behaviors and (b) their continuity or discontinuity across childhood is required.     

Life Satisfaction, Dieting Behavior, and Weight Perceptions among College Students

This study examined the relationships among perceived life satisfaction, perceptions of body weight, and dieting behaviors among 522 college students. Adjusted multiple logistic regression analyses and multivariate models constructed separately were utilized for this study. Perceptions of underweight and extreme worry over weight were significantly associated with dissatisfaction with life for both males and females (p < 0.01). However, vomiting; perceptions of overweight; binge eating behavior; extreme worry over binge eating behavior; and engaging in binge eating behavior for more than one year were significantly related to dissatisfaction with life for only females (p < 0.01). In addition, both males and females were less likely to self-identify problematic disordered eating, with males being particularly less likely to report concern over extreme dieting behaviors. Results suggest that carefully designed educational and intervention efforts for college students with eating disorders must take gender differences into account. Programs for males may need to differ from those for females in terms of recruitment, intervention integrity, and evaluation considerations.

Personality and Family-Environment Predictors of Self-Reported Eating Attitudes and Behaviors

We assessed the contributions of personality and family environment to variations in self-reported eating attitudes and behaviors. Female college undergraduates (N = 137) completed the NEO Personality Inventory (NEO-PI; Costa & McCrae, 1985). Family Environment Scale (Moos & Moos, 1986), Eating Disorder Inventory (EDI; Garner & Olmsted, 1984), and revised Eating Attitudes Test (EAT-26; Garner, Olmsted, Bohr & Garfinkel, 1982). Correlation and multiple regression analyses showed that among the personality variables, NEO-PI Neuroticism and Extraversion made the largest unique contributions to the EDI subscales and EAT-26. The family-environment measures made significant contributions to those EDI subscales that are reflective of broader emotional and interpersonal problems, rather than eating disorders per se. Suppression effects were found for NEO-PI Extraversion and Neuroticism, underscoring the need for researchers to assess comprehensive sets of etiologic factors—and associations among them—to properly interpret complex predictor/criterion relationships.     

The Superwoman ideal and other risk factors for eating disturbances in adolescent girls

The purpose of this study was to investigate the relationship between disordered eating, the Superwoman ideal, competitiveness, and achievement motivation. The EAT-26, Personality Research Form (Achievement scale), and Self-Roles Inventory were administered to 69 10–12th-grade girls (69.6% White, 11.6% Hispanic, 5.8% Black, 5.8% Asian, 7.2% no information on ethnicity). EAT-26 scores were not significantly associated with attending an academically competitive high school, having a high achievement motivation, or considering a number of roles as important to one's sense of self (adherence to the Superwoman ideal). EAT-26 scores were significantly higher among the girls attending the average high school. It is important to conduct further investigations of the Superwoman ideal since it has been posited as a risk factor for eating disorders, but has been the focus of only a few empirical studies.     

Mothers, daughters, and disordered eating

We examined features of 77 mothers' attitudes and behavior that relate to disordered eating among their adolescent daughters. Mothers whose daughters reported a level of disordered eating comparable with clinical samples of bulimic patients were compared with mothers whose daughters reported a low level of eating disturbances. As hypothesized, mothers of daughters with disordered eating were more dissatisfied with the general functioning of the family system. Also, mothers whose daughters were eating disordered were themselves more eating disordered and differed in their dieting history compared with mothers of the girls who were not eating disordered. Furthermore, mothers of girls with disordered eating thought their daughters should lose more weight than mothers of girls who were not eating disordered. They also thought that their daughters were less attractive than the girls judged themselves.     

Dieting behavior in Norwegian adolescents

In a sample of Norwegian adolescents (n = 1117) 27, 4% of the girls and 9% of the boys reported that they were dieting. Using multiple regression analyses, we were able to predict 50% of girls dieting behavior and 24% of boys dieting behavior. Psychological concerns relating to weight and eating (WEC) as well as perceptions of feeling fatter than others were the only significant predictors of dieting in girls, whilst dieting in boys could also be predicted by their Body Mass Index. Dieting girls who scored high on the Weight and Eating Concerns Inventory were found to suffer constipation and binge eating attacks more often than other dieting girls. This was taken as an indication that these girls were at risk of developing an eating disorder.     

An evaluation of the reliability and construct validity of eating disorder measures in White and Black women

Most measures of eating disorder symptoms and risk factors were developed in predominantly White female samples. Yet eating disorders affect individuals of all racial and ethnic backgrounds. Black women appear more vulnerable to certain forms of eating pathology, such as binge eating, and less susceptible to other eating disorder symptoms and risk factors, such as body dissatisfaction, compared with their White peers. Despite concern that extant measures do not adequately assess eating concerns among Black women, the construct validity of scores on most of these measures has not been adequately examined within this population. This study included 2,208 Black and White women who completed the following: the Binge Eating Scale (BES), the Eating Disorder Diagnostic Scale (EDDS), the Eating Attitudes Test-26 (EAT-26), the Eating Disorder Inventory Body Dissatisfaction and Drive for Thinness subscales, the Bulimia Test-Revised (BULIT-R), the Multidimensional Body-Self Relations Questionnaire-Appearance Evaluation subscale (MBSRQ-AE), and the Objectified Body Consciousness Scale (OBCS). Most measures yielded internally consistent scores in both races. Confirmatory factor analyses indicated that loadings for some measures, including the EAT-26 and EDDS, were not invariant across groups and thus do not assess equivalent constructs in White and Black women. However, others, including the BULIT-R, BES, OBCS, and MBSRQ-AE, exhibited factorial invariance in both races. Results suggest scores are likely not equivalent across races for several popular measures of eating disorder symptoms and risk factors. Thus, it is recommended that researchers and clinicians obtain additional information regarding racial/cultural factors when using these instruments with Black women.     

Dieting and Body Image in the Child's World: Conceptualization and Behavior

The authors examined children's (N = 431, aged 7 years to 10 years 9 months) understanding of and reasons for dieting, to validate recent research indicating that perceived body-image dissatisfaction and restrictive eating behaviors occur in preadolescent populations. Scores on 2 sentence-completion tasks confirmed that the children do have a clear understanding of what dieting means in terms of intent and behavior (defined, in this study, as intentional restrictive eating behaviors). The results indicated that children as young as 7 years of age report dissatisfaction with their current body size and deliberately engage in restrictive eating behaviors. These findings provide validation of previous research and emphasize children's capacity to engage in deleterious health behaviors. Given that extreme dieting behaviors are harmful to a child's physical and psychological well-being, the authors concluded that research exploring (a) the genesis of these attitudes and behaviors and (b) their continuity or discontinuity across childhood is required.     

友谊质量与青少年直觉进食：链式中介模型及性别差异

基于积极心理学, 采用友谊质量量表、自我怜悯量表、身体欣赏量表和直觉进食量表, 对2438名初中生进行调查, 并运用结构方程模型探讨友谊质量与青少年直觉进食的关系、作用机制及其性别差异。结果表明：(1)友谊质量与直觉进食呈显著正相关; (2)自我怜悯和积极身体意象在友谊质量与直觉进食间起中介作用, 且该中介作用包含三条路径：自我怜悯的单独中介作用、积极身体意象的单独中介作用以及自我怜悯-积极身体意象的链式中介作用; (3)中介效应性别差异仅出现在友谊质量与直觉进食(分维度)的关系中, 即“无条件地允许进食”和“进食不受情绪影响”两个维度。研究结果为促进青少年形成积极身体意象、健康饮食行为提供了参考建议和干预指导。