TY - JOUR
T1 - Overweight and obesity are associated with increased eating disorder correlates and general psychopathology in university women with eating disorders
AU - Balantekin, Katherine N.
AU - Grammer, Anne Claire
AU - Fitzsimmons-Craft, Ellen E.
AU - Eichen, Dawn E.
AU - Graham, Andrea K.
AU - Monterubio, Grace E.
AU - Firebaugh, Marie Laure
AU - Karam, Anna M.
AU - Sadeh-Sharvit, Shiri
AU - Goel, Neha J.
AU - Flatt, Rachael E.
AU - Trockel, Mickey T.
AU - Taylor, C. Barr
AU - Wilfley, Denise E.
N1 - Publisher Copyright:
© 2021 Elsevier Ltd
PY - 2021/4
Y1 - 2021/4
N2 - Objective: Examine how eating disorder (ED) correlates, ED-related clinical impairment, general psychopathology, and ED diagnoses differ across weight statuses in a sample of university women with EDs. Method: Participants were 690 women from 28 U.S. universities who screened positive for an ED (with the exception of anorexia nervosa [AN]) and participated in the Healthy Body Image Program study. ED correlates, ED-related clinical impairment, general psychopathology (i.e., depression and anxiety), and ED diagnoses were compared across weight statuses (i.e., healthy weight, overweight, obesity) using analyses of variance and chi-square tests. Results: Women with EDs and overweight or obesity had higher levels of, perceived benefit of thinness, depressive symptoms, anxiety, and weight/shape concerns (obesity only) than those with healthy weight (ps ≤ .017). Compared to those with healthy weight, those with obesity had higher rates of clinical and sub-clinical binge eating disorder and lower rates of bulimia nervosa (p < .001). Discussion: Overweight and obesity in individuals with EDs, excluding AN, are associated with greater severity of ED correlates, ED-related clinical impairment, and co-morbid general psychopathology. The current study highlights the need to consider weight status in ED treatment and for optimization of ED treatments to address shared risk factors between EDs and overweight and obesity.
AB - Objective: Examine how eating disorder (ED) correlates, ED-related clinical impairment, general psychopathology, and ED diagnoses differ across weight statuses in a sample of university women with EDs. Method: Participants were 690 women from 28 U.S. universities who screened positive for an ED (with the exception of anorexia nervosa [AN]) and participated in the Healthy Body Image Program study. ED correlates, ED-related clinical impairment, general psychopathology (i.e., depression and anxiety), and ED diagnoses were compared across weight statuses (i.e., healthy weight, overweight, obesity) using analyses of variance and chi-square tests. Results: Women with EDs and overweight or obesity had higher levels of, perceived benefit of thinness, depressive symptoms, anxiety, and weight/shape concerns (obesity only) than those with healthy weight (ps ≤ .017). Compared to those with healthy weight, those with obesity had higher rates of clinical and sub-clinical binge eating disorder and lower rates of bulimia nervosa (p < .001). Discussion: Overweight and obesity in individuals with EDs, excluding AN, are associated with greater severity of ED correlates, ED-related clinical impairment, and co-morbid general psychopathology. The current study highlights the need to consider weight status in ED treatment and for optimization of ED treatments to address shared risk factors between EDs and overweight and obesity.
KW - College
KW - Eating disorders
KW - Obesity
KW - Overweight
KW - Treatment
KW - Weight status
UR - http://www.scopus.com/inward/record.url?scp=85101312114&partnerID=8YFLogxK
U2 - 10.1016/j.eatbeh.2021.101482
DO - 10.1016/j.eatbeh.2021.101482
M3 - Article
C2 - 33609964
AN - SCOPUS:85101312114
SN - 1471-0153
VL - 41
JO - Eating Behaviors
JF - Eating Behaviors
M1 - 101482
ER -