Annals of Behavioral Medicine

, Volume 33, Issue 3, pp 269–277 | Cite as

Prevalence and selected correlates of eating disorder symptoms among a multiethnic community sample of midlife women

  • Marsha D. Marcus
  • Joyce T. Bromberger
  • Hsiao-Lan Wei
  • Charlotte Brown
  • Howard M. Kravitz
Article

Abstract

Background: There is little information about the symptoms of disordered eating or their association with psychological and physical parameters in midlife women.Purpose: The aim is to examine (a) the prevalence of binge eating, inappropriate weight control behaviors, and weight and body image concerns among middle-aged community women; (b) whether rates of eating disorder symptoms vary among ethnic groups and are associated with socioeconomic status, weight-related variables, current depressive symptoms or history of major depression, substance abuse or dependence, or childhood abuse; and (c) whether the association between ethnicity and eating disorder symptoms persists after adjustment for covariates.Methods: The sample of 589 pre- and early perimenopausal African American, Hispanic, and White women were participants in the Study of Women’s Health Across the Nation (SWAN), a U.S. multisite longitudinal study of menopause and aging. Women reported information on sociodemographic, symptom, health, psychosocial and lifestyle variables. DSM-IV disorders were determined, physical measures were obtained, and a questionnaire to assess symptoms of eating disorders was completed.Results: Rates of regular binge eating, dissatisfaction with eating patterns, and marked fear of weight gain were 11, 29.3, and 9.2%, respectively. African Americans were more likely than were Whites to report fasting. In multivariable analyses, high body mass index (or waist circumference), depressive symptoms, past depression, and history of childhood/adolescence abuse were significantly associated with the Binge Eating and Preoccupation with Eating, Shape and Weight subscale scores.Conclusions: These data suggest that further examination of the relationship between eating problems and well being in older women is warranted.

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References

  1. (1).
    American Psychiatric Association:Diagnostic and Statistical Manual of Mental Disorders. Washington, DC: American Psychiatric Association, 1994.Google Scholar
  2. (2).
    Vollrath M, Koch R, Angst J: Binge eating and weight concerns among young adults. Results from the Zurich cohort study.British Journal of Psychiatry. 1992,160:498–503.PubMedGoogle Scholar
  3. (3).
    Whitehouse AM, Cooper PJ, Vize CV, Hill C, Vogel L: Prevalence of eating disorders in three Cambridge general practices: Hidden and conspicuous morbidity.British Journal of General Practice. 1992,42:57–60.PubMedGoogle Scholar
  4. (4).
    Wilfley DE, Schreiber GB, Pike KM, et al.: Eating disturbance and body image: A comparison of a community sample of adult black and white women.International Journal of Eating Disorders. 1996,20:377–387.PubMedCrossRefGoogle Scholar
  5. (5).
    Smith DE, Marcus MD, Lewis CE, Fitzgibbon M, Schreiner P: Prevalence of binge eating disorder, obesity, and depression in a biracial cohort of young adults.Annals of Behavioral Medicine. 1998,20:227–232.PubMedGoogle Scholar
  6. (6).
    Spitzer RL: Binge eating disorder: A multisite field trial of the diagnostic criteria.International Journal of Eating Disorders. 1993,13:137–153.PubMedCrossRefGoogle Scholar
  7. (7).
    Shaw H, Ramirez L, Trost A, Randall P, Stice E: Body image and eating disturbances across ethnic groups: More similarities than differences.Psychology of Addictive Behaviors. 2004,18:12–18.PubMedCrossRefGoogle Scholar
  8. (8).
    Wilfley DE, Schreiber GB, Pike KM, et al.: Eating disturbance and body image: A comparison of a community sample of adult black and white women.International Journal of Eating Disorders. 2005,20:377–387.CrossRefGoogle Scholar
  9. (9).
    Vogeltanz-Holm N, Wonderlich S, Lewis B, et al.: Longitudinal predictors of binge eating, intense dieting, and weight concerns in a national sample of women.Behavior Therapy. 2000,31:221–235.CrossRefGoogle Scholar
  10. (10).
    Bulik CM, Sullivan PF, Kendler KS: Medical and psychiatric morbidity in obese women with and without binge eating.International Journal of Eating Disorders. 2002,32:72–78.PubMedCrossRefGoogle Scholar
  11. (11).
    Kendler KS, Bulik CM, Silberg J, et al.: Childhood sexual abuse and adult psychiatric and substance use disorders in women: An epidemiological and cotwin control analysis.Archives of General Psychiatry. 2000,57:953–959.PubMedCrossRefGoogle Scholar
  12. (12).
    Striegel-Moore RH, Wilfley DE, Pike KM, Dohm FA, Fairburn CG: Recurrent binge eating in black American women.Archives of Family Medicine. 2000,9:83–87.PubMedCrossRefGoogle Scholar
  13. (13).
    Striegel-Moore RH, Dohm FA, Solomon EE, et al.: Subthreshold binge eating disorder.International Journal of Eating Disorders. 2000,27:270–278.PubMedCrossRefGoogle Scholar
  14. (14).
    Fitzgibbon ML, Spring B, Avellone ME, et al.: Correlates of binge eating in Hispanic, black, and white women.International Journal of Eating Disorders. 1998,24:43–52.PubMedCrossRefGoogle Scholar
  15. (15).
    Bruce B, Agras W: Binge bating in females: A population-based investigation.International Journal of Eating Disorders. 1992,12:365–373.CrossRefGoogle Scholar
  16. (16).
    Fairburn CG, Welch SL, Doll HA, Davies BA, O’Connor ME: Risk factors for bulimia nervosa. A community-based case-control study.Archives of General Psychiatry. 1997,54:509–517.PubMedGoogle Scholar
  17. (17).
    Johnson JG, Cohen P, Kasen S, Brook JS: Childhood adversities associated with risk for eating disorders or weight problems during adolescence or early adulthood.American Journal of Psychiatry. 2002,159:394–400.PubMedCrossRefGoogle Scholar
  18. (18).
    Striegel-Moore RH, Dohm FA, Pike KM, Wilfley DE, Fairburn CG: Abuse, bullying, and discrimination as risk factors for binge eating disorder.American Journal of Psychiatry. 2002,159:1902–1907.PubMedCrossRefGoogle Scholar
  19. (19).
    Rayworth BB, Wise LA, Harlow BL: Childhood abuse and risk of eating disorders in women.Epidemiology. 2004,15:271–278.PubMedCrossRefGoogle Scholar
  20. (20).
    Hay P: Quality of life and bulimic eating disorder behaviors: finding from a community-based sample.International Journal of Eating Disorders. 2003,33:434–442.PubMedCrossRefGoogle Scholar
  21. (21).
    Langer L, Warheit G, Zimmerman R: Epidemiological study of problem eating behaviors and related attitudes in the general population.Addictive Behaviors. 1991,16:167–173.PubMedCrossRefGoogle Scholar
  22. (22).
    Warheit GJ, Langer LM, Zimmerman RS, Biafora FA: Prevalence of bulimic behaviors and bulimia among a sample of the general population.American Journal of Epidemiology. 1993,137:569–576.PubMedGoogle Scholar
  23. (23).
    Serdula MK, Williamson DF, Anda RF, et al.: Weight control practices in adults: results of a multistate telephone survey.American Journal of Public Health. 1994,84:1821–1824.PubMedGoogle Scholar
  24. (24).
    Williamson DF, Thompson TJ, Anda RF, Dietz WH, Felitti V: Body weight and obesity in adults and self-reported abuse in childhood.International Journal of Obesity and Related Metabolic Disorders. 2002,26:1075–1082.PubMedCrossRefGoogle Scholar
  25. (25).
    Sowers MF, Crawford S, Sternfeld B, et al.: SWAN: A multi-center, multi-ethnic, community-based cohort study of women and the menopause. In Lobo R, Kelsey J, Marcus R (eds),Menopause: Biology and Pathobiology. San Diego: Academic, 2000, 175–188.Google Scholar
  26. (26).
    Thelen M, Farmer J, Wonderlich S, Smith M: A revision of the Bulimia Test: The BULIT-R.Psychological Assessment. 1991,3:119–124.CrossRefGoogle Scholar
  27. (27).
    National Institutes of Health:Clinical Guidelines on the Identification, Evaluation and Treatment of Overweight and Obesity in Adults: The Evidence Report. Washington, DC: National Institutes of Health, 1998.Google Scholar
  28. (28).
    Lean ME, Han TS, Morrison CE: Waist circumference as a measure for indicating need for weight management.British Medical Journal. 1995,311:158–161.PubMedGoogle Scholar
  29. (29).
    Spitzer RL, Williams JB, Gibbon M, First MB: The Structured Clinical Interview for DSM-III-R (SCID). I: History, rationale, and description.Archives of General Psychiatry. 1992,49:624–629.PubMedGoogle Scholar
  30. (30).
    Williams JB, Gibbon M, First MB, et al.: The Structured Clinical Interview for DSM-III-R (SCID). II. Multisite test-retest reliability.Archives of General Psychiatry. 1992,49:630–636.PubMedGoogle Scholar
  31. (31).
    Radloff LS: The CES-D Scale: A self-report depression scale for research in the general population.Applied Psychological Measurement. 1977,1:385–401.CrossRefGoogle Scholar
  32. (32).
    Boyd JH, Weissman MM, Thompson WD, Myers JK: Screening for depression in a community sample. Understanding the discrepancies between depression symptom and diagnostic sales.Archives of General Psychiatry. 1982,39:1195–1200.PubMedGoogle Scholar
  33. (33).
    Comstock GW, Helsing KJ: Symptoms of depression in two communities.Psychological Medicine. 1976,6:551–563.PubMedCrossRefGoogle Scholar
  34. (34).
    Jones-Webb RJ, Snowden LR: Symptoms of depression among blacks and whites.American Journal of Public Health. 1993,83:240–244.PubMedGoogle Scholar
  35. (35).
    Potter LB, Rogler LH, Moscicki EK: Depression among Puerto Ricans in New York City: The Hispanic Health and Nutrition Examination Survey.Social Psychiatry and Psychiatric Epidemiology. 1995,30:185–193.PubMedCrossRefGoogle Scholar
  36. (36).
    Roberts RE: Reliability of the CES-D Scale in different ethnic contexts.Psychiatry Research. 1980,2:125–134.PubMedCrossRefGoogle Scholar
  37. (37).
    Ying YW: Depressive symptomatology among Chinese-Americans as measured by the CES-D.Journal of Clinical Psychology. 1988,44:739–746.PubMedCrossRefGoogle Scholar
  38. (38).
    Guarnaccia PJ, Angel R, Worobey JL: The factor structure of the CES-D in the Hispanic Health and Nutrition Examination Survey: The influences of ethnicity, gender and language.Social Science and Medicine. 1989,29:85–94.PubMedCrossRefGoogle Scholar
  39. (39).
    Kessler RC, McGonagle KA, Nelson CB, et al.: Sex and depression in the National Comorbidity Survey. II: Cohort effects.Journal of Affective Disorders. 1994,30:15–26.PubMedCrossRefGoogle Scholar
  40. (40).
    Conover W:Practical Nonparametric Statistics. New York: Wiley, 1980.Google Scholar
  41. (41).
    Liang K, Zeger S: Longitudinal data analysis using Generalized Linear Models.Biometrika 1986,73:13–22.CrossRefGoogle Scholar
  42. (42).
    McLaren L, Kuh D: Body dissatisfaction in midlife women.Journal of Women & Aging. 2004,16:35–54.CrossRefGoogle Scholar
  43. (43).
    Zhu S, Wang Z, Heshka S, et al.: Waist circumference and obesity associated risk factors among whites in the third National Health and Nutrition Examination Survey: Clinical actions thresholds.American Journal of Clinical Nutrition. 2002,76:743–749.PubMedGoogle Scholar
  44. (44).
    Roberts RE, Deleger S, Strawbridge WJ, Kaplan GA: Prospective association between obesity and depression: Evidence from the Alameda County Study.International Journal of Obesitiy and Related Metabolic Disorders. 2003,27:514–521.CrossRefGoogle Scholar
  45. (45).
    Raikkonen K, Matthews KA, Kuller LH: Anthropometric and psychosocial determinants of visceral obesity in healthy postmenopausal women.International Journal of Obesity and Related Metabolic Disorders. 1999,23:775–782.PubMedCrossRefGoogle Scholar
  46. (46).
    Wonderlich S, Brewerton T, Jocic Z, Dansky B, Abbott S: Relationship of childhood sexual abuse and eating disorders.Journal of the American Academy of Child and Adolescent Psychiatry. 1997,36:1107–1115.PubMedCrossRefGoogle Scholar

Copyright information

© The Society of Behavioral Medicine 2007

Authors and Affiliations

  • Marsha D. Marcus
    • 1
  • Joyce T. Bromberger
    • 1
    • 2
  • Hsiao-Lan Wei
    • 3
  • Charlotte Brown
    • 1
  • Howard M. Kravitz
    • 4
  1. 1.Western Psychiatric Institute and ClinicUniversity of Pittsburgh Medical CenterUSA
  2. 2.Graduate School of Public Health, Department of EpidemiologyUniversity of PittsburghUSA
  3. 3.Graduate School of Public Health, Department of BiostatisticsUniversity of PittsburghUSA
  4. 4.Departments of Psychiatry and Preventive MedicineRush University Medical CenterUSA

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