Eating disorders and disordered eating behaviors among women: Associations with sexual risk

Fergus, Kirkpatrick B.; Copp, Hillary L.; Tabler, Jennifer

doi:10.1002/eat.23132

Cited by 17 publications

(13 citation statements)

References 29 publications

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“…Disordered eating behaviors represent the core symptoms of EDs. They may consist of implicit attitudes (e.g., eating, weight, and shape concerns) or explicit behaviors (e.g., binge eating, emotional eating, dietary restriction) (Fergus et al, 2019 ). Whether among young people or adults, irregular eating behaviors are associated with continuous stress, anxiety and other psychological problems, as well as physical health problems such as severe weight fluctuations, which may seriously impair their daily lives (Jenkins et al, 2011b ; Neumark-Sztainer et al, 2012 ; Kärkkäinen et al, 2018 ).…”

Section: Introductionmentioning

confidence: 99%

The Relationship Between SNS Usage and Disordered Eating Behaviors: A Meta-Analysis

Zhang

Wang²,

Li³

et al. 2021

Front. Psychol.

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Social Networking Sites (SNSs) are common tools with which modern people share their lives and establish social relationships. However, some studies have found SNSs to be associated with eating disorders, although other have identified no connection between the two. To explore the interaction between SNSs and eating disorder behaviors, this study aimed to comprehensively synthesize previous studies using meta-analysis methods. Based on selection criteria, there were 87 effect sizes from 22 studies. After analysis using a three-level random-effects meta-analysis model, a positive correlation between the use of SNSs and irregular eating behaviors was found, r = 0.09 (95% CI: 0.06, 0.11; p < 0.001). In addition, by analyzing potential moderators, body mass index (r = −0.032; 95% CI: −0.058, −0.006; p = 0.019), survey methods, and sample sources was discovered could alter the relationship between SNSs and disordered eating behaviors. Specifically, there was a significantly larger association between SNSs results obtained by paper and pencil surveys and disordered eating behaviors (r = 0.114; 95% CI: 0.081, 0.147; p < 0.001) than that between SNSs results obtained by online surveys and disordered eating behaviors (r = −0.055; 95% CI: −0.102, −0.007; p < 0.01). University students showed a larger correlation between SNSs and disordered eating behavior than other samples (r = 0.089; 95% CI: 0.049, 0.129; p < 0.001). Overall, this meta-analysis confirms that the excessive use of SNSs is associated with an increased risks of disordered eating behaviors. It is hoped that this study can provide a reference for the management and intervention of dietary behaviors related to social networks in the future.

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Section: Introductionmentioning

confidence: 99%

The Relationship Between SNS Usage and Disordered Eating Behaviors: A Meta-Analysis

Zhang

Wang²,

Li³

et al. 2021

Front. Psychol.

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“…For example, sexual risk behavior is closely related to disordered eating. Young females with disordered eating frequently changed their sexual partners and had a higher risk of unprotected sexual behavior (Fergus et al, 2019). Disordered eating was also a potential cause of schizophrenia (Youssef et al, 2018).…”

Section: Introductionmentioning

confidence: 99%

The Mediating Effect of Coping Style in the Relationship Between Depression and Disordered Eating Among Chinese Female Undergraduates

Zhang

Han

et al. 2020

Front. Psychol.

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The aim of the current study was to explore the relationship between depression and disordered eating in female undergraduates and the mediating role of coping style between depression and disordered eating. Self-report questionnaires assessing coping style, disordered eating, and depression were completed in 646 Chinese female undergraduates. The results illustrated that there were obvious differences in disordered eating among the undergraduates with various majors. The disordered eating in female undergraduates majoring in art was more serious than those in other majors. Depression and coping style were effective indicators to predict disordered eating. Moreover, depression could not only directly predict disordered eating, but also predict disordered eating through the mediating effect of coping style. These findings indicate that depression and negative coping style are associated with disordered eating. Coping style could mediate the effect of depression on disordered eating, as these may be an important target for early intervention programs for eating disorder (ED).

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“…As for genitourinary diseases, young women with EDs tend to have a greater number of sexual partners and a lower use of condoms (Fergus et al ., 2019 ), which may increase the risk of sexually transmitted diseases. Also, infertility, both male and female, is common among patients who are underweight or obese (Zain and Norman, 2008 ; Katib, 2015 ; Guo et al ., 2019 ; Boutari et al ., 2020 ).…”

Section: Discussionmentioning

confidence: 99%

Risk of somatic diseases in patients with eating disorders: the role of comorbid substance use disorders

Mellentin

Nielsen

Skøt

et al. 2022

Epidemiol Psychiatr Sci

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Aims Eating disorders (EDs) and substance use disorders (SUDs) often co-occur, and both involve somatic diseases. So far, no study has considered whether comorbid SUDs may impact somatic disease risk in patients with EDs. Therefore, this study aimed to examine the impact of comorbid SUDs on the risk of 11 somatic disease categories in patients with anorexia nervosa (AN), bulimia nervosa (BN) and unspecified eating disorder (USED) compared to matched controls. Methods A retrospective cohort study was conducted using Danish nationwide registries. The study population included 20 759 patients with EDs and 83 036 controls matched on month and year of birth, sex and ethnicity. Hazard ratios (HRs) were calculated to compare the risk of being diagnosed with a somatic disease (within 11 categories defined by the ICD-10) following first ED diagnosis (index date) between ED patients and controls both with and without SUDs (alcohol, cannabis or hard drugs). Results The ED cohort and matched controls were followed for 227 538 and 939 628 person-years, respectively. For ED patients with SUDs, the risk pattern for being diagnosed with different somatic diseases (relative to controls without SUDs) varied according to type of ED and SUD [adjusted HRs ranged from 0.95 (99% CI = 0.57; 1.59) to 4.17 (2.68, 6.47)]. The risk estimates observed among ED patients with SUDs were generally higher than those observed among ED patients without SUDs [adjusted HRs ranged from 1.08 (99% CI = 0.95, 1.22) to 2.56 (2.31, 2.84)]. Abuse of alcohol only had a non-synergistic effect on six disease categories in AN patients and five in BN and USED patients. Abuse of cannabis (with/without alcohol) had a non-synergistic effect on five disease categories in AN and BN patients and two in USED patients. Abuse of hard drugs (with/without alcohol or cannabis) had a non-synergistic effect on nine disease categories in AN patients, eight in BN patients and seven in USED patients. Conclusions The present study documents non-synergistic but not synergistic harmful somatic consequences of SUDs among patients with different EDs, with AN and hard drugs being the most predominant factors. Hence, EDs and SUDs did not interact and result in greater somatic disease risk than that caused by the independent effects. Since EDs and SUDs have independent effects on many somatic diseases, it is important to monitor and treat ED patients for SUD comorbidity to prevent exacerbated physical damage in this vulnerable population.

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Eating disorders and disordered eating behaviors among women: Associations with sexual risk

Cited by 17 publications

References 29 publications

The Relationship Between SNS Usage and Disordered Eating Behaviors: A Meta-Analysis

The Relationship Between SNS Usage and Disordered Eating Behaviors: A Meta-Analysis

The Mediating Effect of Coping Style in the Relationship Between Depression and Disordered Eating Among Chinese Female Undergraduates

Risk of somatic diseases in patients with eating disorders: the role of comorbid substance use disorders

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