Adolescent Dieting: Healthy Weight Control or Borderline Eating Disorder?

Patton, George C.; Carlin, John B.; Shao, Q. T.; Hibbert, Marienne; Rosier, Malcolm J.; Selzer, Rob; Bowes, Glenn

doi:10.1111/j.1469-7610.1997.tb01514.x

Cited by 97 publications

(47 citation statements)

References 36 publications

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“…In 2013-2014, an estimated 31.6% of Australian adolescents experienced DE. Notwithstanding differences in how DE is defined, this estimate is similar to those from previous Australian studies (Grigg et al, 1996;Mond et al, 2017;Patton et al, 1997;Paxton et al, 1991) and within the range of estimates from the United States (Neumark-Sztainer et al, 2011). DE was more prevalent in girls than boys, but it was not uncommon in boys, consistent with previous Australian research (Mond et al, 2017).…”

Section: Discussionsupporting

confidence: 88%

Disordered eating among Australian adolescents: Prevalence, functioning, and help received

Sparti

Santomauro

Cruwys

et al. 2019

Intl J Eating Disorders

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Objective To estimate the prevalence of disordered eating (DE) among Australian adolescents and examine associations with clinical mental health problems, problems with functioning, and help received. Method We analyzed data from the Young Minds Matter survey (n = 2,298, 13–17 years). We derived an index of DE severity with four levels: (1) no DE; (2) subclinical DE; (3) suspected eating disorder; and (4) lifetime eating disorder diagnosis. Results In 2013–2014, 31.6% (95%CI 35.5–39.9) of Australian adolescents experienced DE, comprising 25.7% (95%CI 23.9–37.6) with subclinical DE, 11.0% (95%CI 9.7–12.6) with a suspected eating disorder, and 0.9% (95%CI 0.6–1.3) with a lifetime eating disorder diagnosis. DE was more common among girls (41.4%, 95%CI 37.9–44.4) than boys (34.0%, 95%CI 31.1–37.0; p = .002). Adolescents with DE, compared to those without, were more likely to experience clinical mental health problems and problems with functioning. Most adolescents with DE reported help‐seeking in the past year, commonly self‐help; around 40% used school‐based, primary care or specialist services (i.e., formal services). In multivariate analyses, the use of more specialized and intensive services was associated with more severe DE, greater problems with functioning, female gender, and 12‐month mental disorder or subthreshold mental disorder symptoms. Discussion The implementation of mental health promotion and prevention efforts for DE, and screening for DE in school and primary care settings, may facilitate detection and appropriate help‐seeking among adolescents with DE.

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Section: Discussionsupporting

confidence: 88%

Disordered eating among Australian adolescents: Prevalence, functioning, and help received

Sparti

Santomauro

Cruwys

et al. 2019

Intl J Eating Disorders

View full text Add to dashboard Cite

show abstract

“…General population studies of eating attitudes focusing on dieting features that are similar to those Using sex differences in psychopathology to study causal mechanisms seen in anorexia nervosa, but which are much milder, have shown a similar marked female preponderance (e.g., Patton et al, 1997). It may be concluded that, however defined, and whatever severity threshold is used, eating disorders arising in adolescence are very much commoner in females than males.…”

Section: Disorders With a Female Preponderancementioning

confidence: 99%

Using sex differences in psychopathology to study causal mechanisms: unifying issues and research strategies

Rutter

Caspi

Moffitt

2003

Child Psychology Psychiatry

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486

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“…For example, in a community-based weight-gain prevention programme, 22% of women and 17% of men reported the use of at least one unhealthy weight reduction behaviour over the past year (7). Furthermore, it has been well established that body mass index (BMI) is strongly associated with dieting frequency (3) as well as disordered eating and body image dissatisfaction (10)(11)(12)(13)(14)(15)(16).…”

Section: Introductionmentioning

confidence: 99%

Prevalence of overweight, obesity, and associated psychological problems in Qatari's female population

Bener

Tewfik

2006

Obesity Reviews

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Dissatisfaction with body weight and the use of unhealthy weight reduction practices have been reported among adolescents. It is important to conduct rigorous studies using large representative samples of female adolescents to assess accurately the frequency of dieting, overweight and eating disorders and accompanying attitudes. The aim of the present study was to examine the severity of dieting and its association with obesity, body satisfaction and psychological problems in female adolescents. A representative sample of 800 girls aged 14-19 years were approached during the period of October to December 2004, and 566 girls gave consent and participated in the study, thus giving a response rate of 70.8%. Self-reports were obtained from 566 teenage girls using the Adolescent Dieting Scale and the Self-Reporting Questionnaire (SRQ-20) for psychopathology. Subjects were classified into three categories: acceptable weight (BMI < 25 kg m(-2)); overweight (BMI 25-29.9 kg m(-2)); and obese (BMI > 30 kg m(-2)). The prevalence of overweight and obesity for female adolescents were 13.4% vs. 1.8%; 39.9% were intermediate dieters, and 8.3% were extreme dieters. Dieting was not associated with age but was significantly associated with body mass index (BMI) (P = 0.045). Extreme dieting was strongly associated with peer perception of respondent's figure (P < 0.001) and self-perception of figure (P = 0.016). Additionally, in adult Qatari population overweight and obesity for males were (34.4% vs. 34.6%) and for females were (33.0% vs. 45.3%). This is significantly higher than adolescent girls. (P < 0.01). The SRQ score was significantly highest in the extreme dieters group (P = 0.005). The extreme dieters get most of their education about dieting from school (14.0%) and TV (43.6%). The present study revealed strong evidence for the association between frequent dieting and overweight, body image dissatisfaction and psychological problems among adolescent females.

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Adolescent Dieting: Healthy Weight Control or Borderline Eating Disorder?

Cited by 97 publications

References 36 publications

Disordered eating among Australian adolescents: Prevalence, functioning, and help received

Disordered eating among Australian adolescents: Prevalence, functioning, and help received

Using sex differences in psychopathology to study causal mechanisms: unifying issues and research strategies

Prevalence of overweight, obesity, and associated psychological problems in Qatari's female population

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