DSM‐5 unspecified feeding and eating disorders in adolescents: What do they look like and are they clinically significant?

Wade, Tracey D.; O’Shea, Anne E.

doi:10.1002/eat.22303

Cited by 68 publications

(80 citation statements)

References 43 publications

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“…For example, this longitudinal data set did not include collection of body mass index (BMI), which might have been a useful predictor of driven exercise or fasting trajectories. Although BMI did not discriminate between adolescents who did and did not engage in nonpurging compensatory behavior in prior research (Stiles-Shields, Labuschagne, Golschmidt, Doyle, & Le Grange, 2012; Wade & O'shea, 2015), that prior sample included only 35 boys, and we could not replicate that finding in this larger sample. In addition, the current data set did not include the complete Eating Disorder Examination Questionnaire, so we could not assess if the scales of that measure add to the predictive power of depression, eating expectancies, and thinness expectancies.…”

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confidence: 58%

“…In adolescent girls, these behaviors are harmful and distressing in the absence of binge eating and purging (Davis, Guller, & Smith, 2014). One study found that adolescent girls engaging in driven exercise or fasting reported similar impairment and distress to girls experiencing anorexia nervosa (AN: Wade & O'shea, 2015). However, little is known about the emergence and development of these behaviors in adolescent boys.…”

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confidence: 99%

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Developmental Trajectories of Boys’ Driven Exercise and Fasting During the Middle School Years

Davis

Guller

Smith

2015

J Abnorm Child Psychol

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Boys appear to engage in eating disorder behavior, particularly nonpurging compensatory behaviors such as driven exercise and fasting, at higher rates than previously thought. Little is known about the development of these behaviors in adolescent boys. In a sample of 631 non-binge eating and non-purging boys studied once in 5th grade and 6 times over the 3 years of middle school (grades 6 through 8), we found that (a) for some youth, driven exercise and fasting were present from grade 6; (b) different boys progressed along different trajectories of engagement in driven exercise and fasting, with some boys engaging in no driven exercise or fasting (65.8% and 83.5%, respectively), some boys engaging in driven exercise and fasting throughout middle school (25.2% and 16.5%, respectively), and other boys discontinuing engagement in driven exercise (9%); (c) 5th grade depression, eating expectancies, and thinness expectancies predicted subsequent trajectory group membership; and (d) boys engaging in driven exercise and fasting in 8th grade remained distressed. Boys’ engagement in driven exercise and fasting behavior merits the attention of researchers and clinicians.

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confidence: 58%

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confidence: 99%

Developmental Trajectories of Boys’ Driven Exercise and Fasting During the Middle School Years

Davis

Guller

Smith

2015

J Abnorm Child Psychol

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“…In recent years, researchers have identified the nonpurging compensatory eating disorder behaviors of compensatory exercise and fasting as harmful in adults, even when present in the absence of binge eating and purging (Davis, Holland, & Keel, 2014; Mond & Calogero, 2009; Tobin, Griffing, & Griffing, 1997; Wade & O’Shea, 2015). The construct of compensatory exercise represents exercising a great deal with the goal of altering weight, shape, or appearance, or to compensate for food intake that may affect weight or shape (Fairburn & Cooper, 1993; Holland, Brown, & Keel, 2014; Mond & Calogero, 2009).…”

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confidence: 99%

“…In the context of AN, driven exercise (this term is closely related to compulsive exercise and is defined as intense exercise with a compulsive quality: Fairburn, Cooper, & O’Connor, 2008) is associated with poorer treatment outcomes (Stiles-Shields, Bamford, Lock & le Grange, 2015). Wade and O’Shea (2015) identified adolescent girls engaging in driven exercise and fasting but not binge eating and purging; they found that those girls experienced significant distress that was comparable to that of girls diagnosed with typical or atypical AN.…”

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Developmental trajectories of compensatory exercise and fasting behavior across the middle school years

2016

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Compensatory exercise and fasting behavior, in the absence of binge eating and purging, appear to be important eating disorder behaviors that are associated with dysfunction, but little is known about these behaviors in youth. We studied the trajectories of their development in non-binge eating and non-purging girls during early adolescence. Using a longitudinal design, we assessed 564 girls six times over the three years of middle school (grades 6 through 8) and developed trajectories specifying different developmental patterns in relation to the behaviors. Prior to this period, when the girls were in 5th grade (elementary school), we assessed risk factors to predict girls’ subsequent trajectory group membership. Compensatory exercise trajectory groups included a non-engagement group, a group that increased in the behavior, and a group that decreased in the behavior. There were two fasting trajectory groups, one consistently engaging in the behavior and the other consistently not. Elementary school levels of depression, eating expectancies, and thinness expectancies predicted subsequent trajectory group membership. Risk for compensatory exercise and fasting should be evaluated as early as in 5th grade. Targeted interventions should focus on girls in late elementary school or middle school, as this appears to be a critical developmental and maintenance period for compensatory exercise and fasting behavior.

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“…Since starting work at Flinders in December 1999, I have been funded as a chief investigator on five different National Health and Medical Research Council grants, totalling $1 816 239. These grants have funded genetic epidemiology work, including the collection of three waves of data with adolescent female twins as they were growing up (Wade, Byrne, & Bryant-Waugh, 2008;Wilksch & Wade, 2009;Wilksch & Wade, 2010;Wade et al, 2013;Fairweather-Schmidt & Wade, 2014;Wade & O'Shea, 2015;Fairweather-Schmidt & Wade, 2015;Fairweather-Schmidt & Wade, 2016); a prevention study for eating disorders (where Dr Simon Wilksch was the first chief investigator); and a treatment study for anorexia nervosa (with Associate Professor Sue Byrne as the first chief investigator) (Andony et al, 2015). This latter study will inform the development of new clinical guidelines for the treatment of anorexia nervosa currently being revised in the United Kingdom.…”

Section: Tracey Wadementioning

confidence: 99%

Teaching applied psychology at the University of Adelaide: A personal view

Kirby¹

2016

A History of the Psychology Schools at Adelaide’s Universities

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This work is licenced under the Creative Commons Attribution-NonCommercialNoDerivatives 4.0 International (CC BY-NC-ND 4.0) License. To view a copy of this licence, visit http://creativecommons.org/licenses/by-nc-nd/4.0 or send a letter to Creative Commons, 444 Castro Street, Suite 900, Mountain View, California, 94041, USA. This licence allows for the copying, distribution, display and performance of this work for non-commercial purposes providing the work is clearly attributed to the copyright holders. Address all inquiries to the Director at the above address. Leon Lack received his first degree from Stanford University in the US and his PhD from the University of Adelaide. Since 1971, he has been at Flinders University in the School of Psychology, teaching and conducting research in the areas of sleep, circadian rhythms, bright light therapy and insomnia. He has received many large research grants, published over 100 refereed articles, books and book chapters, and given over 200 conference papers in the sleep area. Since 1992, he has also directed the non-drug treatment program for insomnia at the Adelaide Institute for Sleep Health, Repatriation General Hospital. Professor Lack has also taken an active role in public education about sleep and the body clock through invited lectures, workshops, media presentations, and the publication of a popular book on the treatment of insomnia. He has patents for, and is co-inventor of, a portable bright light therapy device, Re-timer.com, used for the treatment of a mistimed body clock. Kurt Lushington Preface Professor Tony WinefieldWhen Professor Anna Chur-Hansen invited Ted Nettelbeck and me to edit a book on the history of the University of Adelaide School of Psychology (formerly the Department of Psychology) in 2014, we were delighted and we both agreed. Since then, we have discussed the project further and agreed that it would be a good idea to broaden the scope so as to include the history of the Schools of Psychology at the other two universities in South Australia: Flinders University and the University of South Australia (UniSA). This involved inviting other people to contribute, and we have been fortunate to obtain the agreement of Professor Malcolm Jeeves, the foundation professor of Psychology at Adelaide, Professor Norm Feather, the foundation professor of Psychology at Flinders, and Professor Jacques Metzer, the founder of the school at UniSA. In addition, the three current heads of school -Professor Anna Chur-Hansen (Adelaide), Professor Tracey Wade (Flinders) and Professor Kurt Lushington (UniSA) -have agreed to assume overall responsibility for their respective chapters. Consequently, rather than assume the roles of authors, Ted Nettelbeck and I have agreed to be co-editors.South Australia is fortunate in having three university schools of psychology that are all strong in research. The most recent Excellence in Research [ERA] ratings by the Australian Research Council awarded 4 (out of 5) to all three, indicating that their research is better than w...

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DSM‐5 unspecified feeding and eating disorders in adolescents: What do they look like and are they clinically significant?

Cited by 68 publications

References 43 publications

Developmental Trajectories of Boys’ Driven Exercise and Fasting During the Middle School Years

Developmental Trajectories of Boys’ Driven Exercise and Fasting During the Middle School Years

Developmental trajectories of compensatory exercise and fasting behavior across the middle school years

Teaching applied psychology at the University of Adelaide: A personal view

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