Eating disorders in adult women: biopsychosocial, developmental, and clinical considerations

Maine, Margo; Samuels, Karen; Tantillo, Mary

doi:10.1080/21662630.2014.999103

Cited by 10 publications

(11 citation statements)

References 29 publications

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“…In addition, this study's reported prevalence is nearly identical to that reported in one previous study of adolescent and young adult emergency department patients (16%; Dooley-Hash et al, 2012). This finding adds to the growing body of literature that describe higher than previously reported prevalence of eating disorders in midlife and beyond (Brandsma, 2007;Gagne et al, 2012, Maine, Samuels & Tantillo, 2015Mangweth-Matzek, Hoek, & Pope Jr, 2014;Mangweth-Matzek, Hoek, Rupp et al, 2014;Micali et al, 2017;Swanson, Crow, Le Grange, Swendsen, & Merikangas, 2011). The average age of study participants was, however, noted to be considerably higher than that of the local population (40.7, SD 13.0 vs. 33.4 years; United States Census Bureau [USCB]-a, 2018).…”

Section: Discussionsupporting

confidence: 83%

The prevalence and correlates of eating disorders in adult emergency department patients

Dooley-Hash

Adams

Walton

et al. 2019

Intl J Eating Disorders

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Objective This study describes the prevalence of eating disorders among adult patients who present to the emergency department for medical care and examines the relationship between eating disorders, depression, and substance use disorders. Method Emergency department patients aged 21–65 years (n = 1,795) completed a computerized questionnaire that included validated screening tools for eating disorders, risky drinking behavior, other substance use, and depression. Analyses were conducted comparing individuals who screened positive for an eating disorder with those who did not based on demographics (gender, age, race, income, education), body mass index (BMI), risky drinking behavior, other substance use, and depression. Results Nearly 16% (15.9%) of all patients screened positive for an eating disorder regardless of their reason for presenting to the emergency department. Patients who screened positive for an eating disorder were significantly more likely to have a BMI > 30 (odds ratio [OR] = 2.68, confidence interval [CI] = 1.98, 3.62, p < .001), to also screen positive for depression (OR = 3.19, CI = 2.28, 4.47, p < .001) and to be female (OR = 2.37, CI = 1.76, 3.19, p < .001). No differences in the prevalence of positive screens for eating disorders were seen across age or racial groups, level of education or income, or for any of the included substance use variables. Discussion Eating disorders are common among adult emergency department patients and are associated with high rates of comorbid depression and higher BMI. Given the significant morbidity and mortality associated with eating disorders, targeted screening may be warranted in the emergency department setting.

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Section: Discussionsupporting

confidence: 83%

The prevalence and correlates of eating disorders in adult emergency department patients

Dooley-Hash

Adams

Walton

et al. 2019

Intl J Eating Disorders

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“…Present study participants described the added sense of feeling that they “should be better” by now or they “should not” be living with AN in midlife. These findings are similarly reported in a study conducted by Maine et al (2015). Some study participants also perceived that friends and family lost hope as they had not achieved recovery earlier in life.…”

Section: Discussionsupporting

confidence: 82%

“…The stage of midlife acting as a trigger for relapse, or as a contributor to the further entrenchment of the disorder, has been somewhat explored in the literature (Maine et al, 2015; Mangweth-Matzek et al, 2013; Rance et al, 2017). Many study participants revealed they felt misunderstood by some professionals, family, and society as a whole, and this feeling acted as a barrier to seeking help for AN by individuals in midlife.…”

Section: Discussionmentioning

confidence: 99%

Achieving Recovery Through Resilience: Insights From Adults in Midlife Living With Anorexia Nervosa

McCallum

Alaggia

2020

Qual Health Res

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Despite the high percentage of adults living with anorexia nervosa (AN) over the life course, there is limited understanding of what it means to be living with AN in midlife when the majority of research has focused on adolescents and young adults. As such, clinical practice for individuals in midlife is informed by a severe and enduring AN (SE-AN) framework, which assumes that recovery is not necessarily feasible past young adulthood. This study used constructivist grounded theory methodology to understand the experiences of adults in midlife living with AN. In-depth analyses of 19 participant narratives in midlife show that individuals face barriers to seeking help or remaining in recovery; however, midlife can also act as a significant catalyst toward recovery. Subsequently, there is merit in revisiting the utility of the SE-AN framework in the context of life course theory and exploring resilience-informed approaches in supporting recovery from AN.

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“…However, the considerable majority of the existing research on eating disorders has focused on adolescents and young adults. There is thus a gap in knowledge regarding the specific presentation of eating disorders and their correlates in midlife and beyond (Maine et al, 2015;Mangweth-Matzek et al, 2014). A better understanding of eating disorders in midlife is important for several reasons.…”

mentioning

confidence: 99%

Anorexia Nervosa, Bulimia Nervosa, and Binge Eating Disorder in Midlife and Beyond

Elran‐Barak

Fitzsimmons‐Craft

Benyamini

et al. 2015

Journal of Nervous &Amp; Mental Disease

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We examined eating disorders in midlife and beyond by comparing frequency of anorexia nervosa (AN), bulimia nervosa (BN), binge eating disorder (BED), and other specified feeding or eating disorder (OSFED) among midlife eating disorder treatment-seeking individuals and younger controls. We also compared demographic and eating disorder-related characteristics across diagnoses and age groups. Participants included 2,118 treatment-seeking adults who self-reported their eating-related symptoms on the Eating Disorder Questionnaire. Results showed that percent of patients with BN was significantly lower whereas percent of patients with BED and OSFED was significantly higher among midlife relative to younger patients. Percent of patients with AN did not differ between midlife and younger patients. Additionally, midlife and younger patients with BED and OSFED differed on several demographic (e.g., marital status) and eating disorder-related characteristics (e.g., BMI, compulsive exercising). This study suggests that BN is less common whereas BED and OSFED are more common among midlife eating disorder treatment-seeking individuals relative to younger controls. In addition, AN and BN present fairly similarly whereas BED and OSFED present fairly differently among midlife patients relative to younger controls. Attention to these differences and similarities is necessary to understand eating disorders in midlife.

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Eating disorders in adult women: biopsychosocial, developmental, and clinical considerations

Cited by 10 publications

References 29 publications

The prevalence and correlates of eating disorders in adult emergency department patients

The prevalence and correlates of eating disorders in adult emergency department patients

Achieving Recovery Through Resilience: Insights From Adults in Midlife Living With Anorexia Nervosa

Anorexia Nervosa, Bulimia Nervosa, and Binge Eating Disorder in Midlife and Beyond

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