Development of weight and shape concerns in the aetiology of eating disorders

Gowers, Simon; Shore, Adam

doi:10.1192/bjp.179.3.236

Cited by 115 publications

(86 citation statements)

References 64 publications

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“…Whilst the cross-sectional design of our study could not address causality, we did find, consistent with previous research, a positive relationship between the presence of clinically significant importance of shape and weight and disordered eating behaviours (Gowers & Shore, 2001). Indeed, 26.8 % of the 56 participants with threshold importance of shape and weight met threshold criteria for at least one lifetime disordered eating behaviour, compared with just 2.5 % of participants who did not meet threshold importance of shape and weight.…”

Section: Discussionsupporting

confidence: 89%

An investigation of temperament endophenotype candidates for early emergence of the core cognitive component of eating disorders

Wilksch

Wade

2008

Psychol. Med.

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Background. This study was designed to investigate potential temperament endophenotypes for clinically significant importance of shape and weight.Method. Seven temperament risk factors for eating disorders and the Eating Disorder Examination were assessed in 699 female twins aged 12-15 years. Each variable was evaluated against the following endophenotype criteria : associated with illness in the general population ; found in non-affected family members at a higher rate than in the general population ; and, heritable.Results. All seven variables were significantly associated with clinically significant importance of shape and weight, while thin-ideal internalization, ineffectiveness, body dissatisfaction and sensitivity to punishment were found at significantly elevated levels in non-affected twins, when controlling for sister's temperament score. These four variables had genetic correlations with importance of shape and weight, ranging from 0.48 to 0.95.Conclusions. Future research should evaluate the stability of the identified endophenotypes and their utility for predicting significant growth in importance of shape and weight, and also whether different endophenotypes emerge when the importance of weight and shape reaches its peak in adolescents, around 15 to 16 years of age.

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Section: Discussionsupporting

confidence: 89%

An investigation of temperament endophenotype candidates for early emergence of the core cognitive component of eating disorders

Wilksch

Wade

2008

Psychol. Med.

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“…Longitudinal work is needed to investigate the relationships between BMI, weight perception, self-esteem and distress in different ethnic groups, particularly in Bangladeshi young people. Further work is also needed to examine whether addressing inaccurate weight perceptions is useful and safe 37 in preventing obesity in adolescence.…”

Section: Discussionmentioning

confidence: 99%

Body mass, weight control behaviours, weight perception and emotional well being in a multiethnic sample of early adolescents

et al. 2006

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Objective: To investigate weight perception, dieting and emotional well being across the range of body mass index (BMI) in a population-based multiethnic sample of early adolescents. Design: Cross-sectional population-based survey. Subjects: In total, 2789 adolescents 11-14 years of age from three highly deprived regional authorities in East London, in 2001. Measurements: Data were collected by student-completed questionnaire on weight perception, dieting history, mental and physical health, health behaviours, social capital and sociodemographic factors. Height and weight were measured by trained researchers. Overweight was defined as BMI X85th centile and obesity as BMI X98th centile. Underweight was defined as BMIp15th centile. Results: In all, 73% were from ethnic groups other than white British. Valid BMI were available for 2522 subjects (90.4%) of whom 14% were obese. Only 20% of overweight boys and 51% of overweight girls assessed their weight accurately. Accuracy of weight perception did not vary between ethnic groups. In all, 42% of girls and 26% of boys reported current dieting to lose weight. Compared with white British teenagers, a history of dieting was more common among Bangladeshi, Indian and mixed ethnicity boys and less likely among Pakistani girls. Self-esteem was not associated with BMI in girls but was significantly lower in obese boys than those of normal weight (P ¼ 0.02). Within ethnic subgroups, self-esteem was significantly lower in overweight white British boys (P ¼ 0.03) and obese Bangladeshi boys (P ¼ 0.01) and Bangladeshi girls (P ¼ 0.04), but significantly higher in obese black African girls (P ¼ 0.01) than those of normal weight. Obese young people had a higher prevalence of psychological distress (P ¼ 0.04), except among Bangladeshi teenagers, where overweight and obese young people had less psychological distress than those of normal weight (P ¼ 0.02). Birth outside the UK was associated with reduced risk of obesity in girls (P ¼ 0.02) but not with history of dieting, weight perception or psychological factors in either gender. Conclusion: High levels of current dieting for weight control and inaccurate perception of body mass are common across all ethnic groups. However, dieting history and the associations of obesity with self-esteem and psychological distress vary between ethnic groups. Interventions to prevent or treat obesity in black or minority ethnicity groups must consider cultural differences in the relationship between body mass, self-esteem and psychological distress.

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“…89,90 Families have been shown to have a significant influence on adolescents' overall psychosocial adaptation, as well as their adjustment to a chronic medical illness.…”

Section: Discussionmentioning

confidence: 99%

Eating Disorders in Adolescent Girls and Young Adult Women With Type 1 Diabetes

Daneman¹,

Rodin²,

Jones³

et al. 2002

Diabetes Spectrum

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Development of weight and shape concerns in the aetiology of eating disorders

Abstract: Although weight and shape concern seems commonly to underlie the development of eating disorders, an alternative pathway appears to exist through impulsivity and fear of loss of control. Prevention strategies may usefully focus on the attitudes and concerns that lead to dieting behaviour.

Cited by 115 publications

References 64 publications

An investigation of temperament endophenotype candidates for early emergence of the core cognitive component of eating disorders

An investigation of temperament endophenotype candidates for early emergence of the core cognitive component of eating disorders

Body mass, weight control behaviours, weight perception and emotional well being in a multiethnic sample of early adolescents

Eating Disorders in Adolescent Girls and Young Adult Women With Type 1 Diabetes

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