Disordered eating attitudes and emotional/behavioral adjustment in Greek adolescents
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The aim of this study was to examine the relationship between disordered eating attitudes and emotional/behavioral adjustment in Greek adolescents as well as the moderating role of gender and body mass index (BMI) in this relationship.
Ninety adolescents, 11–18 years old, were assessed using anthropometric measurements; demographics, eating attitudes and level of emotional/behavioral adjustment were examined via self-reported questionnaires.
Disordered eating attitudes were prevalent in 17.8% of the sample. A significant relationship was found between disordered eating attitudes and Youth Self-Report (YSR) anxiety score (r = .22, p < .05). Gender significantly moderated the relationship between YSR anxiety symptoms and Eating Attitudes Test (EAT) scores (b = .59, p = .01) and this effect held true for the EAT bulimia subscale (b = .20, p = .03), but not for the dieting or the oral control subscales. Contrary to our hypothesis, BMI did not moderate the relationship between EAT and YSR anxiety sub-scores (b = .13, p > .05).
Girls with elevated anxiety levels appear to be at risk for exhibiting disordered eating attitudes, especially bulimic behaviors. This finding highlights the importance of developing gender-based preventive interventions tailored to these specific emotional/behavioral aspects.
Level of evidence
Level V, cross-sectional descriptive study.
KeywordsDisordered eating Anxiety Bulimia Dieting Adolescence
Compliance with ethical standards
Funding for the study was provided to the Centre for Adolescent Medicine and UNESCO Chair on Adolescent Health Care of the First Department of Pediatrics of the National and Kapodistrian University of Athens in Greece, through Coca Cola Community Request - Grant 14,870,909 of the Fund for ‘Health & Nutrition Web Site & Internet Based Intervention Program for Adolescent Obesity in Greece’.
Conflict of interest
Author Bacopoulou Flora declares that she has no conflict of interest. Author Foskolos Elizabeth declares that she has no conflict of interest. Author Stefanaki Charikleia declares that she has no conflict of interest. Author Tsitsami Eleni declares that she has no conflict of interest. Author Vousoura Eleni declares that she has no conflict of interest.
All procedures performed in the study were in accordance with the ethical standards of the institutional and national research committees and with the 1964 Helsinki declaration and its later amendments.
Informed consent was obtained from all individual participants included in the study and their parents.
- 13.Sonneville KR, Horton NJ, Micali N et al (2013) Longitudinal associations between binge eating and overeating and adverse outcomes among adolescents and young adults: does loss of control matter? JAMA Pediatr 167:149–155. https://doi.org/10.1001/2013.jamapediatrics.12 CrossRefPubMedPubMedCentralGoogle Scholar
- 15.Ganley RM (1989) Emotion and eating in obesity: a review of the literature. Int J Eat Disord 8:343–361. https://doi.org/10.1002/1098-108X(198905)8:3<343::AID-EAT2260080310>3.0.CO;2-C CrossRefGoogle Scholar
- 19.Neumark-Sztainer D, Story MT, Hannan PJ et al (2002) Weight-related concerns and behaviors among overweight and nonoverweight adolescents: implications for preventing weight-related disorders. Arch Pediatr Adolesc Med 156:171–178. https://doi.org/10.1001/archpedi.156.2.171 CrossRefPubMedGoogle Scholar
- 20.Hankin BL (2009) Development of sex differences in depressive and co-occurring anxious symptoms during adolescence: descriptive trajectories and potential explanations in a multiwave prospective study. J Clin Child Adolesc Psychol 38:460–472. https://doi.org/10.1080/15374410902976288 CrossRefPubMedPubMedCentralGoogle Scholar
- 22.Hollingshead A (1975) Four factor index of social status. Yale J Sociol 8:21–52Google Scholar
- 25.Kowalski KC, Crocker PRE, Donen RM (2004) The physical activity questionnaire for older children (PAQ-C) and adolescents (PAQ-A) manual. Coll Kinesiol Univ Saskatchewan 1–37Google Scholar
- 28.Achenbach TM (1991) Manual for the Youth Self-Report and 1991 Profile. University of Vermont, Department of Psychiatry, Burlington, VTGoogle Scholar
- 29.Achenbach TM, Rescorla LA (2001) Manual for the ASEBA school-age forms & profiles. University of Vermont, Research Center for Children, Youth, and Families, BurlingtonGoogle Scholar
- 33.Hayes AF (2012) PROCESS: a versatile computational tool for observed variable mediation, moderation, and conditional process modeling [White paper]. Retrieved from http://www.afhayes.com/public/process2012.pdf
- 44.Nguyen-Rodriguez ST. Unger JB. Spruijt-Metz D (2009) Psychological determinants of emotional eating in adolescence. Eat Disord 17:211–224. https://doi.org/10.1080/10640260902848543.Psychological CrossRefPubMedPubMedCentralGoogle Scholar