The Developmental Psychopathology of Eating Disorders


Book Description

Although eating problems--ranging from body dissatisfaction and dieting to anorexia nervosa or bulimia nervosa--can begin and typically have their roots in childhood, theory and research in developmental psychopathology and developmental psychology have not received substantial attention in eating disorders research. This book provides crucial background material from both fields, and then makes direct applications to numerous aspects of the field of eating disorders including theory, research, treatment, and primary prevention. This book was born out of a transaction between frustration and optimism. The frustrations reflected the limitations of current knowledge about eating problems and disorders. Etiological "causes" which are sensitive and specific to eating disorders have been elusive. Although there is some understanding of risk factors, little is known about protective factors. This has made prevention, among other things, difficult. Furthermore, the mechanisms underlying the association between risk factors and disordered eating are poorly understood. For example, it is known that women are at greater risk than men are, but clinicians are hard- pressed to get beyond gender-based speculations and demonstrate why this is true. The optimism grows from familiarity with the field of developmental psychopathology. It seems evident that this approach has much to offer the field of eating disorders. This book is an early step in the integration of developmental psychopathology into theorizing, research, treatment, and prevention of eating disorders. It addresses four specific goals: * to introduce the principles and methodologies of developmental psychopathology, * to review the work of developmental psychologists in several major areas of behavior relevant to understanding the causes, treatment, and prevention of eating disorders, * to apply developmental psychopathology principles to the area of eating disorders, both in the form of theoretical models and in specific areas/issues raised by developmental psychopathology, and * to discuss the implications of developmental approaches for prevention programs and treatments.



















Exploring the Experiences of Emotional Eating Among College Women


Book Description

ABSTRACT: The role of negative affect has been a consistent finding in disordered eating literature. However, much of this research is quantitative in nature and typically addresses the formal eating disorders such as Anorexia Nervosa, Bulimia Nervosa, and Binge-eating Disorder (BED). Often, individuals may engage in subthreshold disordered eating behaviors, such as emotional eating and may be at risk of developing a formal eating disorder. College-age women are especially vulnerable to developing these subthreshold disordered eating behaviors. There is limited research that explores the contextual factors that contribute to the development and maintenance of emotional eating among college women. The current study was designed to explore the experiences of emotional eating behaviors among college-age women using a qualitative phenomenological approach. College-age women (N = 8) were interviewed using a semi-structured interview format based around three central questions: (a) What are the participants' experiences with emotional eating?; (b) What is the association between emotional eating and relationships with significant others?; (c) How did participants begin the behavior of emotional eating? Results demonstrated the emergence of three primary categories: cycle of emotional eating, purpose of emotional eating, and interpersonal influences. These categories were further explained through themes and sub-themes. The results suggest that there are additional factors that contribute to emotional eating other than negative affect. These findings will be used to inform current treatment and develop prevention strategies that target college-age women who may be at risk for developing an eating disorder. Limitations of the study, implications for practice, and future research directions are discussed.




Resources in Education


Book Description




Predictors of Eating Disorders in College-aged Women


Book Description

The serious consequences and high prevalence rates of eating disorders among women have been well documented (American Psychiatric Association, 2000; Birmingham, Su, Hlynasky, Goldner, & Gao, 2005; Crow, Praus, & Thuras, 1999; Steinhausen, 2009). Factors linked to the development of an eating disorder include competitiveness and group membership (Basow, Foran, & Bookwala, 2007; Striegel-Moore, Silberstein, Grunberg, & Rodin, 1990). The purpose of this study was to further examine risk factors associated with eating disorder symptomatology by examining the role of sorority membership, different forms of competition, and relational aggression. Sorority membership was hypothesized to impact a participant's eating disorder symptomatology, competitiveness, and relational aggression. Additionally, this study looked at three different forms of competition (Hypercompetition, Female Competition for mates, and Female Competition for status) and sought to understand which form of competitiveness best predicts eating disorder symptomatology. Female Competition for mates was hypothesized to best predict disordered eating. Lastly, relational aggression was expected to moderate the relationship between competition among women and eating disorder behaviors. An increase in relational aggression was hypothesized to strengthen the relationship between competition among women and eating disorder symptomatology. The reasoning for this relationship was based on an evolutionary framework that proposes aggression is needed to drive competition (Shuster, 1983). Participants included 407 undergraduate women, with a split of 211 sorority members and 196 non-sorority women. Measures included four subscales from the Eating Disorder Inventory (Garner et al., 1983), the Hypercompetitive Attitudes Scale (Ryckman et al., 1996), the Female Competition for mates scale, the Female Competition for status scale (Faer et al., 2005), and the Indirect Aggression Scale (Forrest et al., 2005). Separate regression analyses were conducted to answer each research question. Participants also answered qualitative questions after completing the surveys. Analyses revealed sorority membership significantly predicted a participant's Female Competition for status. Female Competition for mates was found to best predict both body dissatisfaction and drive for thinness such that the higher a participant's competition for mates score, the lower these eating disorder symptoms. No moderating effects of relational aggression were found in the model. Additionally, social desirability was included in the regressions as a means of controlling for a participant's tendency to self-report desirably. An important surprise finding was that social desirability was a significant predictor of eating disorder symptomatology, competition, and relational aggression. Exploratory qualitative analyses suggested women's acceptance of their bodies, while their conversations with friends included self-deprecating ways of discussing their appearance. Findings also suggest sorority membership predicts higher female competition for mates and status. Results reveal a relationship between competition and disordered eating which suggests important considerations for clinicians to explore with clients who may experience eating disorder symptomatology.