Eating disorder behaviors and depression: a minimal relationship beyond social comparison, self‐esteem, and body dissatisfaction

Green, Melinda A.; Scott, Norman A.; Cross, Susan E.; Liao, Kelly Yu-Hsin; Hallengren, Jada J.; Davids, Christopher M.; Carter, Lindsey P.; Kugler, David W.; Read, Katherine E.; Jepson, Amanda J.

doi:10.1002/jclp.20586

Cited by 39 publications

(30 citation statements)

References 42 publications

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“…In adult samples Cronbach's alpha ranged from .80 to .88 (Corning et al 2006;Hawkins et al 2004;Shahani et al 1990). In a college sample the RSES correlated inversely with body dissatisfaction (Pearson's r=−.30), eating disorder symptoms (r=−.37), and depression (r=−.36), demonstrating evidence of construct validity (Green et al 2009). Cronbach's alpha for the current sample was .91 (heterosexual men=.89; bisexual men=.90; gay men=.90; heterosexual women=.92; bisexual women=.92; lesbian women=.89).…”

Section: Self-esteemmentioning

confidence: 96%

“…Gender role orientation, social comparison, self-esteem, and body dissatisfaction were entered as predictors of eating symptoms for all groups while controlling for BMI, age, exercise frequency, and income in hierarchical regression analyses. All selected variables are empirically supported correlates of eating disorder symptoms (see Ålgars et al 2009;Brown and Graham 2008;Green et al 2009;Heatherton et al 1997;Hospers and Jansen 2005;Lakkis et al 1999;Meyer et al 2001;Wood 2004).…”

Section: Present Studymentioning

confidence: 99%

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A Preliminary Investigation of Body Dissatisfaction and Eating Disorder Symptomatology with Bisexual Individuals

Davids

Green

2011

Sex Roles

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Body dissatisfaction and eating disorder symptomatology were examined in bisexual individuals (n=139 women, n=37 men) and compared to lesbian/gay (n=51 women, n=96 men) and heterosexual individuals (n=82 women, n=34 men) in a U.S. online sample. Age, body mass index (BMI), income, and exercise frequency served as covariates. MANCOVA results showed a significant gender by sexual orientation interaction and significant main effects of gender and sexuality. Univariate tests were used to explore multivariate results. ANCOVA results for body dissatisfaction showed a significant gender by sexual orientation interaction. Post-hoc comparisons revealed higher levels of body dissatisfaction among all groups compared to heterosexual men. ANCOVA results for eating disorder symptomatology showed a significant main effect of sexual orientation. Post-hoc comparisons revealed higher levels of eating disorder symptoms among bisexual compared to heterosexual individuals. For bisexual men, gay community involvement, maladaptive social comparison, drive for muscularity, self-esteem, gender role orientation, and body dissatisfaction were explored as predictors of eating disorder symptomatology while controlling for age, BMI, exercise frequency, and income in a hierarchical regression analysis. The same factors, minus body dissatisfaction, were explored as predictors of body dissatisfaction in bisexual men. For bisexual women, similar factors, with the exception of drive for muscularity, were explored. Drive for muscularity predicted body dissatisfaction and exercise frequency predicted eating disorder symptomatology in bisexual men. BMI and self-esteem predicted body dissatisfaction in bisexual women; gay community involvement and body dissatisfaction predicted eating disorder symptomatology.

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Section: Self-esteemmentioning

confidence: 96%

Section: Present Studymentioning

confidence: 99%

A Preliminary Investigation of Body Dissatisfaction and Eating Disorder Symptomatology with Bisexual Individuals

Davids

Green

2011

Sex Roles

Self Cite

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“…In contrast, eating disordered behavior may be largely triggered by negative emotional experiences, such as feelings of sadness, loneliness, and dissatisfaction with current circumstances. Indeed, social comparison, low self-esteem, and Body Dissatisfaction have been found to account for much of the variance in explaining eating disordered behaviors (Green et al, 2009). Further research is needed to explain the relationship between OCD, depression, and eating pathology.…”

Section: Discussionmentioning

confidence: 98%

Depression mediates the relationship between obsessive–compulsive symptoms and eating disorder symptoms in an inpatient sample

Kim

Ebesutani

Wall³

et al. 2012

Journal of Obsessive-Compulsive and Related Disorders

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“…Thus, in the case of EDs and depression, comorbidity rates describe the percentage of a given population that meets criteria for both disorders. Research suggests that EDs and depression are highly comorbid [9-11]. For instance, Green and colleagues found that lifetime prevalence rates of major depression in patients diagnosed with EDs ranged from 36% to 86% [9].…”

Section: Reviewmentioning

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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Eating disorder behaviors and depression: a minimal relationship beyond social comparison, self‐esteem, and body dissatisfaction

Cited by 39 publications

References 42 publications

A Preliminary Investigation of Body Dissatisfaction and Eating Disorder Symptomatology with Bisexual Individuals

A Preliminary Investigation of Body Dissatisfaction and Eating Disorder Symptomatology with Bisexual Individuals

Depression mediates the relationship between obsessive–compulsive symptoms and eating disorder symptoms in an inpatient sample

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

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