Risk and protective factors for juvenile eating disorders

Steiner, Hans; Kwan, Winnie; Shaffer, Tani Graham; Walker, S; Miller, Samantha; Sagar, Ashwini; Lock, James

doi:10.1007/s00787-003-1106-8

Cited by 48 publications

(33 citation statements)

References 59 publications

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“…According to the psychodynamic view of EDs in both AN and BN, this may reflect the adolescents' efforts to avoid the developmental demand for autonomy and separation from parents, which cause anxiety and uncontrollable fears (36). It may also reflect the impact of EDs on the adolescent development.…”

Section: Discussionmentioning

confidence: 98%

Psychosocial functioning needs attention in adolescent eating disorders

Ruuska

Koivisto

Rantanen

et al. 2007

Nordic Journal of Psychiatry

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We studied the differences in psychosocial functioning in the early stages of adolescent anorexia nervosa (AN) and bulimia nervosa (BN). The study group comprised 57 adolescent eating disorder (ED) outpatients (girls). Psychosocial functioning was evaluated by GAF (Global Assessment of Functioning), and by Morgan-Russell psychosocial subscales. GAF scores were very low in both AN and BN. On the Morgan-Russell subscales, bulimics reported more unsatisfactory relationships with family and impairment in work/school. Anorectics tended to have more difficulties in emancipation from family and in social contacts. Multivariate analysis showed associations of BN and high GSI with difficulties in relationships with family and of AN with difficulties in emancipation from family and with fewer social activities. Longer duration of illness predicted best impaired working ability. In adolescent EDs, psychosocial functioning is markedly impaired. We emphasize the importance of evaluating psychosocial functioning at the very onset of ED.

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Section: Discussionmentioning

confidence: 98%

Psychosocial functioning needs attention in adolescent eating disorders

Ruuska

Koivisto

Rantanen

et al. 2007

Nordic Journal of Psychiatry

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“…For some of the students they talked to the issues of stress possibly correlated with disordered eating, within the context of a lonely and isolating experience (n=9). For a number of the students food, eating, the limitation of food intake or the avoidance of eating appeared to have developed a disproportionate focus for them (n=7); again this dis-proportionality and possibly damaging over-focus would seem to reflect in a range of the literature [16,18,34,35]. For at least some of the students it appears that patterns of disordered eating had emerged before their arrival at university…”

Section: Discussionmentioning

confidence: 99%

Disordered Eating in First Year University Students - A Qualitative Study Exploring Student and Supportive Service Needs

Power¹,

Lazenbatt²

2015

Int J Nurs Clin Pract

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The study reports on a qualitative study exploring disordered eating in younger first-year students studying for professional health care related degrees (n=12), and illustrates some of the support mechanisms and services required to better support these students.Key issues emerging in relation to disordered eating included: lack of understanding to the nature/ risks associated; its use as a stress coping mechanism; isolation; perception as mental health issues with attaching stigma and reticence to acknowledge; concealed experience; wariness of eating in more public refectories. Finally positivity about their arrival at university and that their experience with disordered eating could potentially add to their repertoire as future health care professionals.The University could; further develop its outreach to new students with a more consistently supportive program including stress training and more support via student buddying; extend its program on positive mental health; greater awareness particularly the sub-clinical group; consider some small changes and adaptations to the refectory eating areas to better facilitate at-risk students. Significantly the University could perhaps better use the first few months of student's arrival at university to help embed a program to develop a stronger sense of coherence and wellbeing. Disordered Eating in First Year Review ArticleOpen Access BackgroundDisordered eating represents an over focus on body shape and weight reflecting in conditions marked by abnormal and disrupted attitudes to food and patterns of eating [1,2]. Evidence suggests that adolescence and early adulthood are the most vulnerable times to develop disordered eating patterns and predominantly those affected are young women aged 15-25 years [3][4][5]. Disordered eating can form part of a spectrum of disturbed eating patterns and behaviour presenting both in terms of significant and evident disability (clinical anorexia nervosa, bulimia nervosa and binge eating) or as a 'subclinical syndrome' but with a significant risk of psychological, social and physiological damage [3,[6][7][8][9]. The use of the term 'disordered eating' is possibly less pathologising and stigmatising than the use of the term 'eating disorder' and the connotations that may attached to this. The term disordered eating can reflect more the spectrum of disturbed eating patterns evident to the researcher during the course of the study and in reviewing the collective narrative from discussion.The first year as an undergraduate university student can be significantly stressful [2,[10][11][12]. We also know that stress may contribute to, or trigger patterns of disordered eating [4,13]. Young people cope with stress in various ways [14,15], and disordered eating patterns may represent a coping mechanism in periods of acute/on chronic stress [4,[16][17][18][19].Some of the contributory factors to a sense of coherence may help protectively for those who may be at risk [20][21][22]. A sense of coherence is represented by the ability to c...

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“…Given the consistency of these differences across three samples that contain both repeated and single time-specific measurements, there is a very solid replication of the associations between abnormal eating behavior and emotional and behavioral problems. The general vulnerability for psychosocial maladaption as expressed by these associations adds to the paucity of studies that are trying to identify the interaction of risk and protective factors for juvenile eating disorders (for a review, see Steiner et al, 2003).…”

Section: Discussionmentioning

confidence: 99%