Adolescent risk factors for purging in young women: Findings from the national longitudinal study of adolescent health

被引:9
作者
Stephen E.M. [1 ]
Rose J. [1 ]
Kenney L. [1 ]
Rosselli-Navarra F. [2 ]
Weissman R.S. [1 ]
机构
[1] Department of Psychology, Wesleyan University, 207 High Street, Middletown, 06459, CT
[2] Department of Psychology, Manchester Community College, Great Path MS#4, Manchester, CT
关键词
Adolescent; Eating disorders; Purging behavior; Risk factors; Weight control;
D O I
10.1186/2050-2974-2-1
中图分类号
学科分类号
摘要
Background: There exists a dearth of prospective adolescent eating disorder studies with samples that are large enough to detect small or medium sized effects for risk factors, that are generalizable to the broader population, and that follow adolescents long enough to fully capture the period of development when the risk of eating disorder symptoms occurring is highest. As a result, the purpose of this study was to examine psychosocial risk factors for purging for weight control in a nationally representative sample of adolescents. Data were extracted from the restricted-use data sets of the National Longitudinal Study of Adolescent Health (Waves I-III), selecting females with valid demographic and purging information (N = 5,670).Results: The prevalence of purging was 0.88% at Wave II and 0.56% at Wave III. In multivariable multinomial logistic regressions, purging at Wave II was predicted by parental poverty and low levels of self-esteem at Wave I; purging at Wave III was predicted by body mass index and the frequency of delinquent behaviors at Wave I.Conclusions: Individuals with high body mass index, individuals with low self-esteem, and individuals in families experiencing economic hardship appear specifically at risk for the development of purging behaviors in later years and may benefit from more targeted prevention efforts. © 2014 Stephen et al.; licensee BioMed Central Ltd.
引用
收藏
相关论文
共 38 条
[1]  
Striegel-Moore R.H., Bulik C.M., Risk factors for eating disorders, Am Psychol, 62, 3, pp. 181-198, (2007)
[2]  
Jacobi C., Et al., Coming to terms with risk factors for eating disorders: application of risk terminology and suggestions for a general taxonomy, Psychological bulletin, 130, 1, pp. 19-65, (2004)
[3]  
Piran N., Robinson S.R., Patterns of associations between eating disordered behaviors and substance use in two non-clinical samples: a university and a community based sample, J Health Psychol, 16, 7, pp. 1027-1037, (2011)
[4]  
Keel P.K., Striegel-Moore R.H., The validity and clinical utility of purging disorder, Int J Eat Disord, 42, 8, pp. 706-719, (2009)
[5]  
Ackard D.M., Fulkerson J.A., Neumark-Sztainer D., Psychological and behavioral risk profiles as they relate to eating disorder diagnoses and symptomatology among a school-based sample of youth, Int J Eat Disord, 44, 5, pp. 440-446, (2011)
[6]  
Haines J., Et al., Family dinner and disordered eating behaviors in a large cohort of adolescents, Eat Disord, 18, 1, pp. 10-24, (2010)
[7]  
Fulkerson J.A., Et al., Family meal frequency and weight status among adolescents: cross-sectional and 5-year longitudinal associations, Obesity, 16, 11, pp. 2529-2534, (2008)
[8]  
Hudson J.I., Et al., The prevalence and correlates of eating disorders in the National Comorbidity Survey Replication, Biol Psychiatry, 61, 3, pp. 348-358, (2007)
[9]  
Baker J.H., Et al., Pubertal development predicts eating behaviors in adolescence, Int J Eat Disord, 45, 7, pp. 819-826, (2012)
[10]  
Neumark-Sztainer D., Et al., Dieting and disordered eating behaviors from adolescence to young adulthood: findings from a 10-year longitudinal study, J Am Diet Assoc, 111, 7, pp. 1004-1011, (2011)