Characteristics of Dieting and Nondieting Adolescents in a Psychiatric Inpatient Setting

Abrantes, Ana M.; Strong, David R.; Ramsey, Susan E.; Lewinsohn, Peter M.; Brown, Richard A.

doi:10.1007/s10826-006-9033-1

Cited by 4 publications

(3 citation statements)

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“…Despite the severity of these associated psychosocial problems, ED psychopathology has received less attention in psychiatrically hospitalized adolescents (5). Perhaps of particular importance for clinicians working with adolescent psychiatric inpatient populations is the growing body of research documenting an association between ED psychopathology and suicidality across diverse clinical and community samples.…”

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confidence: 99%

Eating disorder psychopathology as a marker of psychosocial distress and suicide risk in female and male adolescent psychiatric inpatients

Zaitsoff¹,

Grilo²

2010

Comprehensive Psychiatry

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Objective-To examine psychosocial correlates of specific aspects of eating disorder (ED) psychopathology (i.e., dietary restriction, body dissatisfaction, binge eating, and self-induced vomiting) in psychiatrically-hospitalized adolescent girls and boys.Method-Four hundred and ninety-two psychiatric inpatients (286 girls and 206 boys), aged 12 to 19 years, completed self-report measures of psychosocial and behavioral functioning including measures of suicide risk and ED psychopathology. Associations between ED psychopathology and psychosocial functioning were examined separately by sex and after controlling for depressive/ negative affect using Beck Depression Inventory scores.Results-Among boys and girls, after controlling for depressive/negative affect, ED psychopathology was significantly associated with anxiety, low self-esteem, and current distress regarding childhood abuse. Among girls, after controlling for depressive/negative affect, ED psychopathology was significantly related to hopelessness and suicidality. Among boys, after controlling for depressive/negative affect, ED psychopathology was positively related to selfreported history of sexual abuse and various externalizing problems (drug abuse, violence, and impulsivity).Conclusion-In psychiatrically hospitalized adolescents, ED psychopathology may be an important marker of broad psychosocial distress and behavioral problems among girls and boys although the nature of the specific associations differs by sex.Adolescence represents a period of risk for the development of eating disorders (ED) and studies with community-based and clinically-referred adolescents suggest that ED psychopathology is associated with significant psychosocial distress and problems including internalizing and externalizing symptoms, abuse, and suicidality (e.g., 1,2,3,4). Despite the severity of these associated psychosocial problems, ED psychopathology has received less attention in psychiatrically hospitalized adolescents (5). Perhaps of particular importance for clinicians working with adolescent psychiatric inpatient populations is the growing body of research documenting an association between ED psychopathology and suicidality across diverse clinical and community samples. Specifically, EDs (particularly anorexia nervosa) are Publisher's Disclaimer: This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final citable form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.Conflict of Interest: Drs. Zaitsoff and Grilo report no competing or conflicts of interest, financial or otherwise, for this work. associated with the high rates of completed suicide and two risk factors for suicide, suicidal ideation and a history of att...

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confidence: 99%

Eating disorder psychopathology as a marker of psychosocial distress and suicide risk in female and male adolescent psychiatric inpatients

Zaitsoff¹,

Grilo²

2010

Comprehensive Psychiatry

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“…Other studies also have yielded similar results suggesting that eating- and weight-related disturbances increase risk for subsequent depression [ 25 , 26 ]. Adding further complexity, a study conducted by Abrantes and colleagues [ 27 ] found that dieters at an adolescent inpatient psychiatric program were more likely to meet criteria for an ED, reported greater levels of distress, and had higher rates of major depression in the previous year compared to non-dieters.…”

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confidence: 99%

Changing the course of comorbid eating disorders and depression: what is the role of public health interventions in targeting shared risk factors?

et al. 2014

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Public health has a productive history of improving global health due to its focus on reaching large populations using effective and scalable interventions. Yet, the marriage between evidence-based science and the implementation of community/public health interventions within mental illness remains underdeveloped. Research suggests that major depression is the most commonly cited comorbidity for eating disorders (EDs). Thus, identification of public health strategies that jointly impact depression and EDs, including shared risk factors, has the potential to significantly impact mental health suffering. The primary aim of this paper is to examine and discuss such public health approaches as well as explore cues taken from public health efforts to inform future directions in research and clinical practice. As a comprehensive review of all public health initiatives that address EDs and depression is beyond the scope of this paper, this paper reviews a series of programs/approaches that either are of large scale and/or have received empirical support. In particular, public health related interventions that aim to reduce variable risk factors associated with EDs and depression, as well as interventions that aim to reduce continuous measures of ED and depression symptoms are reviewed. To date, despite significant progress in modifying risk factors for EDs and depression, the field still lacks a public health study that has been appropriately designed and/or adequately powered to assess true ED/depression prevention effects. Further, although several programs show promise, many widely disseminated approaches lack empirical support, raising concerns about the potential for waste of limited resources. In summary, although the combination of prevention and public health based approaches appear to have merit when trying to move the needle on risk factors and symptoms associated with EDs and/or depression, further research is needed to investigate the reach and effectiveness of large scale dissemination efforts of such endeavors.

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“…For example, given the high comorbidity between smoking and psychiatric disorders (Lasser et al, 2000) and well-documented beneficial effects of exercise on well-being (Penedo & Dahn, 2005) and depressive symptoms (Carek, Laibstain, & Carek, 2011), smokers with psychiatric disorders might especially benefit from exercise-based interventions. However, elevated rates of eating disorders, weight concerns, and body image dissatisfaction, as well as smoking for weight control, are observed in adolescent females receiving psychiatric treatment (e.g., Abrantes, Strong, Ramsey, Lewinsohn, & Brown, 2006). Therefore, these females may be especially motivated by extrinsic reasons (i.e., weight control) to exercise and to use smoking and exercise jointly for weight control.…”

Section: Introductionmentioning

confidence: 99%

Gender differences in the relationship between physical activity and smoking among psychiatrically hospitalized adolescents

Bloom

Abrantes

Fokas

et al. 2012

Mental Health and Physical Activity

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Physical activity has been identified as a protective factor with regard to tobacco use, such that physically active adolescents are less likely to initiate smoking, and smokers are less physically active than non-smokers. These findings, along with the well-documented benefits of exercise on mood and well-being in adults, have stimulated interest in exercise-based smoking cessation interventions. However, little research has explored the relationship between physical activity and smoking characteristics within adolescent smokers. Also, gender differences in adolescents’ motives for smoking and exercise may have implications for intervention development, especially in clinical populations. The current study explored the relationship between physical activity and smoking in a sample of adolescent smokers (N = 191) and non-smokers (N = 48) receiving inpatient psychiatric treatment (61% female, mean age 15.3 years). Results indicated that smokers were less likely to be physically active than non-smokers. Additionally, there was a consistent pattern of gender differences in the relationship between smoking and physical activity within smokers. Specifically, physically active male smokers were less nicotine dependent and less prone to withdrawal, and had a trend toward greater motivation to quit, than their non-active counterparts. In contrast, physically active female smokers did not differ in dependence or withdrawal and were less motivated to quit than non-active female smokers. Taken together, these results suggest that within clinical populations of adolescent females, smoking and exercise may be used jointly as weight control strategies. Exercise-based interventions for smoking cessation for adolescent females, especially clinical populations, should address weight and body image concerns.

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Characteristics of Dieting and Nondieting Adolescents in a Psychiatric Inpatient Setting

Cited by 4 publications

References 40 publications

Eating disorder psychopathology as a marker of psychosocial distress and suicide risk in female and male adolescent psychiatric inpatients

Eating disorder psychopathology as a marker of psychosocial distress and suicide risk in female and male adolescent psychiatric inpatients

Changing the course of comorbid eating disorders and depression: what is the role of public health interventions in targeting shared risk factors?

Gender differences in the relationship between physical activity and smoking among psychiatrically hospitalized adolescents

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