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Epidemiology of eating disorders

A two year follow up in an early adolescent school population

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Abstract

Objective

The aims of this study were to determine the prevalence of eating disorders (ED) in a representative school population of early adolescents of both sexes and to evaluate persistence and incidence after two years.

Method

An initial sample of 1336 (mean age = 11.37) was assessed in a two-phase design. The Children Eating Attitudes Test was used to select 258 participants (T1) from the initial sample who were followed-up two years later (T2; n = 200). Diagnoses of ED were obtained using the Diagnostic Interview for Children and Adolescents- Children and Parent Version (DICA-C and DICA-P) at T1, and Adolescent Version (DICA-A) at T2. At T2, participants were also assessed with the Eating Attitudes Test, the Bulimic Investigatory Test, and the Eating Disorders Inventory. The Body mass index (BMI) was obtained for all participants.

Results

The estimated prevalence of any ED according to DICA-C (T1) and DICA-A was 3.44% and 3.81%, respectively. The most frequent diagnoses were syndromes that were not full-blown. Biannual incidence of any ED was 2.02%. Amongst those with an ED, 52.17% persisted. Females showed a higher incidence and persistence of any ED than males. Participants who had the highest BMI were those who had a persistent diagnosis of ED.

Conclusion

ED that began at early ages in less severe forms and in females often persisted with increasing severity.

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References

  1. American Psychiatric Association (APA) (1994) Diagnostic and statistical manual of mental disorders (4th edn.) APA, Washington DC

    Google Scholar 

  2. Beato L, Rodriguez T, Belmonte A, Martínez C (2004) Risk factors for eating disorders in adolescents. A Spanish community-based longitudinal study. Eur Child Adolesc Psychiatry 13:287–294

    Article  Google Scholar 

  3. Bizeul C, Sadowsky N, Rigaud D (2001) The prognostic value of initial EDI scres in anorexia nervosa patients: a prospective follow-up study of 5–10 years. Eur Psychiatry 16: 232–238

    Article  PubMed  CAS  Google Scholar 

  4. Bruch H (1973) Eating disorders: obesity, anorexia nervosa and the person within. Basic Books, New York

    Google Scholar 

  5. Canals J, Carbajo G, Fernández-Ballart J (2001) Discriminant validity of the eating attitudes test according to American Psychiatric Association and World Health Organization criteria of eating disorders. Psychol Rep 291:1052–1056

    Google Scholar 

  6. Canals J, Doménech E, Carbajo G, Bladé J (1997) Prevalence of DSM-III-R and ICD-10 psychiatric disorders in a Spanish population of 18-years-old. Acta Psychiatr Scand 96:287–294

    Article  PubMed  CAS  Google Scholar 

  7. Castro J, Toro J, Salamero M, Guimerá E (1991) The eating attitudes test: validation of the Spanish version. Psychol Assess 7:175–190

    Google Scholar 

  8. Cervera S, Gual MP, Lasa L, et al. (1995) Protocolo de atención a pacientes con trastornos de la conducta alimentaria. Clínica Universitaria de Navarra, Universidad de Navarra, España

    Google Scholar 

  9. Cotrufo P, Barreta P, Maj M (1998) Full-syndrome, partial-syndrome and subclinical eating disorders: an epidemiological study in female students in Southern Italy. Acta Psychiatr Scand 98:112–115

    Article  PubMed  CAS  Google Scholar 

  10. Cotrufo P, Gnisci A, Caputo I (2005) Brief report: psychological characteristics of less severe forms of eating disorders: an epidemiological study among 259 female adolescents. J Adolesc 28:147–154

    Article  PubMed  Google Scholar 

  11. Cotrufo P, Monteleone P, Castaldo E, Maj M (2004) A 4-year epidemiological study of typical and atypical eating disorders: preliminary evidence for subgroups of atypical eating disorders with different natural outcomes. Eur Eat Disord Rev 12:234–239

    Article  Google Scholar 

  12. Field AE, Austin SB, Taylor, Malspeis S, Rosner B, Rockett HR, et al. (2003) Relation between dieting and weight change among preadolescents and adolescents. Pediatrics 112:900–906

  13. Garner DM (1990) Eating disorders inventory-2. Professional manual. Psychological Assessment Resources, Odessa

    Google Scholar 

  14. Garner DM (1998) EDI2 Inventario de trastornos de la conducta alimentaria. TEA Ediciones, Madrid

    Google Scholar 

  15. Garner D, Garfinkel P (1979) The eating attitudes test: an index of the symptoms of anorexia nervosa. Psycholog Med 9:273–279

    CAS  Google Scholar 

  16. Ghaderi A, Scott B (2001) Prevalence, incidence and prospective risks for eating disorders. Acta Psychiatr Scand 104:122–130

    Article  PubMed  CAS  Google Scholar 

  17. Gual P, Pérez-Gaspar M, Martínez-González MA, Lahortiga F, de Irala-Estevez J, Cervera-Enguix S (2002) Self-esteem, personality, and eating disorders: Baseline assessment if aprospective population-based cohort. Int J Eat Disord 31:371–382

    Article  Google Scholar 

  18. Halmi KA, Sunday SR, Strober M (2000) Perfectionism in anorexia nervosa: variation by clinical subtype, obsessionality, and pathological eating behavior. Am J Psychiatry 157:1799–1805

    Article  PubMed  CAS  Google Scholar 

  19. Halvarsson K, Lunner K, Westenberg J, Anteson F, Per-olow SA (2002) Longitudinal of development of dieting among 7–17-year-old Swedish girls. Int J Eat Disord 31:32–42

    Article  PubMed  Google Scholar 

  20. Henderson M, Freeman PL (1987) A Self-rating Scale for Bulimia. The BITE. Br J Psychiatry 150:18–24

    Article  PubMed  CAS  Google Scholar 

  21. Herzog DB, Hopkins JD, Burns CD (1993) A follow-study off 33 subdiagnostic eating disordered women. Int J Eat Disord 14:261–267

    Article  PubMed  CAS  Google Scholar 

  22. Hoek HW, Van Hoeken D (2003) Review of the prevalence and incidence of eating disorders. Am J Eat Disord 34:383–396

    Article  Google Scholar 

  23. Hollingshead A (1975) Four factor Index of social position, Yale University Department of Sociology Press, New Haven

    Google Scholar 

  24. Irena S, Ferenc T, Agnes H, Csilla C, Gyoergy P, Janos R (2001) The prevalence of eating disorders in a Hungarian representative sample of young women. Psychiat Hung 16:374–383

    Google Scholar 

  25. Kjelsas E, Blornstrom C, Gotestam KG (2004) Prevalence of eating disorders in female and male adolescents (14–15 years). Eat Behav 5:13–25

    Article  PubMed  Google Scholar 

  26. Kugu N, Aikuz G, Dogan O, Ersan E, Izgic F (2006) The prevalence of eating disorders among university students and the relationship with some individual characteristics. The Aust N Z J Psychiatry 40:129–135

    Article  Google Scholar 

  27. Lahortiga F, de Irala J, Cano A, Gual P, Martínez MA, Cervera S (2005) Incidence of eating disorders in Navarra (Spain). Eur Psychiatry 20:179–185

    Article  Google Scholar 

  28. Ledoux S, Choquet M, Manfredi R (1993) Associated factors for self-reported binge eating among male and female adolescents. J Adolesc 16:75–91

    Article  PubMed  CAS  Google Scholar 

  29. Maloney MJ, Mcguire JB, Daniels SR (1988) Reliability testing of a children’s version of the eating attitude test. J Am Acad Child Adolesc Psychiatry 27:541–543

    Article  PubMed  CAS  Google Scholar 

  30. Maloney MJ, Mcguire JB, Daniels SR, Specker B (1989) Dieting behavior and eating attitudes in children. Pediatrics 84:482–489

    PubMed  CAS  Google Scholar 

  31. Mcknight Investigators (2003) Risk factors for the onset of eating disorders in adolescent girls: results of the McKnight longitudinal risk factor study. Am J Psychiatry 160:248–254

    Article  Google Scholar 

  32. Mc vey G, Tweed S, Blackmore E (2004) Dieting among preadolescent and young adolescent females. CMAJ 170:1559–1561

    Google Scholar 

  33. Miotto P, De Coppi M, Frezza M, Preti A (2003) The spectrum of eating disorders: prevalence in an area of Northeast Italy. Psychiatry Res 119:145–154

    Article  PubMed  Google Scholar 

  34. Morandé G, Celada J, Casas JJ (1999) Prevalence of eating disorders in a Spanish school-age population. J Adolesc Health 24:212–219

    Article  PubMed  Google Scholar 

  35. Nobakht M, Dezhkman M (2000) An epidemiological study of eating disorders in Iran. Int J Eat Disord 28:265–271

    Article  PubMed  CAS  Google Scholar 

  36. Pangsberg AK, Wang AR (1994) Epidemiology of anorexia nervsa and bulimia nervosa in Bornholm County, Denmark, 1970–1989. Acta Psychiatr Scand 90:259–265

    Article  Google Scholar 

  37. Patton GC, Selzer R, Coffey C, Carlin JB, Wolfe R (1999) Onset of adolescent eating disorders: population-based cohort study over 3 years. Bri Med J 318:765–768

    CAS  Google Scholar 

  38. Pérez-Gaspar M, Gual P, de Irala-estévez J, Martínez-González MA, Lahortiga F, Cervera S (2000) Prevalence de trastornos de la conducta alimentaria en las adolescentes navarras. Med Clin (Barc) 114:481–486

    Google Scholar 

  39. Pérez S (2004) Estado nutricional y psicosocial en adolescents con alteración de la conducta alimentaria. Doctoral dissertation. Rovira i Virgili University, Tarragona, Spain

    Google Scholar 

  40. Rodriguez T, Beato L, Belmonte A (2005) New contributions to the prevalence of eating disorders in Spanish adolescents: detection of false negatives. Eur Psychiatry 20:173–178

    Article  Google Scholar 

  41. Sancho C, Asorey O, Arija A, Canals J (2005) Psychometric characteristics of the children´s eating attitudes test in a Spanish sample. Eur Eat Disord Rev 13:338–343

    Article  Google Scholar 

  42. Selzer R, Hamill C, Bowes G, Patton G (1996) The branched eating disorders test: validity in a nonclinical population. Int J Eat Disord 20:57–64

    Article  PubMed  CAS  Google Scholar 

  43. Stice E, Presnell K, Sprangler D (2002) Risk factors for body for binge eating onset: a prospective investigation. Health Psychol 21:131–138

    Article  PubMed  Google Scholar 

  44. Striegel- Moore RH, Schreiber GB, LO A, Crawford P, Obarzanek E, Rodin J (2000) Eating disorder symptoms in a cohort of 11–16-year-old black and white girls: the NLBH growth and health study. Int J Eat Disord 27:49–66

    Article  PubMed  CAS  Google Scholar 

  45. Striegel-Moore RH, Wilfley D, Pike K, Dohm F, Fairburn C (2000) Recurrent binge eating in black American women. Arch Fam Med 9:83–87

    Article  PubMed  CAS  Google Scholar 

  46. Tosselli AL, Villani S, Ferro AM, Verri A, Cucurullo L, Marinoni A (2005) Eating disorders and their correlates in high school adolescents of Northern Italy. Epidem Psichiatria Soc 14:91–99

    Google Scholar 

  47. Vega AT, Rasillo MA, Lozano JE, Rodriguez G, Martin MF (2005) Eating disorders. Prevalence and risk profile among secondary school students. Soc Psychiatry Epidem 40:980–987

    Article  Google Scholar 

  48. Wade TD, Bergin JL, Tiggemann M, Bulik CM, Fairburn CG (2006) Prevalence and long-term course of lifetime eating disorders in an adult Australian twin cohort. Austr N Z J Psychiatry 40:121–128

    Article  Google Scholar 

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Acknowledgements

This study was supported by Fondo de Investigaciones Sanitarias (FIS PI04 2596 and 01/1364) Ministerio de Sanidad y Consumo de España. We acknowledge the collaboration of participant schools.

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Authors and Affiliations

  1. Preventive Medicine and Public Health, Rovira i Virgili University, Tarragona, Spain

    C. Sancho & M. V. Arija MD

  2. Dept. of Psychology, Rovira i Virgili University, Cta Valls, s/n, Tarragona, E 43007, Spain

    O. Asorey & J. Canals MD

Authors
  1. C. Sancho
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  2. M. V. Arija MD
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  3. O. Asorey
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  4. J. Canals MD
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Correspondence to J. Canals MD.

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Sancho, C., Arija, M., Asorey, O. et al. Epidemiology of eating disorders. Eur Child Adolesc Psychiatry 16, 495–504 (2007). https://doi.org/10.1007/s00787-007-0625-0

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