Journal article
Associations between weight suppression and dimensions of eating disorder psychopathology in a multisite sample
Journal of psychiatric research, v 69, pp 87-93
Oct 2015
PMID: 26343599
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Evidence suggests that weight suppression, the difference between an individual's highest historical body weight and current body weight, may play a role in the etiology and/or maintenance of eating disorders (EDs), and may also impact ED treatment. However, there are limited findings regarding the association between weight suppression and dimensions of ED psychopathology, particularly in multi-diagnostic ED samples. Participants were 1748 adults (94% female) from five sites with a variety of DSM-IV ED diagnoses who completed the Eating Disorder Questionnaire, a self-report measure of various attitudinal, behavioral, and medical features of EDs. Four factor analytically derived dimensions of ED psychopathology were examined: (a) weight/shape concerns, (b) binge eating/vomiting, (c) exercise/restrictive eating behaviors, and (d) weight control medication use. Hierarchical regression analyses were conducted to examine the unique association of weight suppression with each dimension (controlling for ED diagnosis and BMI), as well as the independent unique associations of three interactions: (a) weight suppression×BMI, (b) weight suppression×ED diagnosis, and (c) BMI×ED diagnosis. Results revealed that weight suppression was uniquely associated with all of the ED psychopathology dimensions except binge eating/vomiting. The weight suppression × BMI interaction was significant only for weight/shape concerns, whereas the weight suppression×ED diagnosis was not significant for any of the dimensions. Significant BMI×ED diagnosis interactions were found for all dimensions except weight/shape concerns. Overall, the current results support the salience of weight suppression across multiple dimensions of ED psychopathology, with the exception of binge eating/vomiting.
•Weight suppression (WS) is the difference between highest past weight and current weight.•A multi-diagnostic ED sample completed a measure of eating disorder symptoms.•WS was uniquely associated with weight/shape concerns, exercise/restrictive behaviors, and weight control medication use.•WS was not uniquely associated with binge eating/vomiting.•WS interacted with current body mass index in predicting weight/shape concerns.
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Details
- Title
- Associations between weight suppression and dimensions of eating disorder psychopathology in a multisite sample
- Creators
- Jason M Lavender - Neuropsychiatric Research Institute, Fargo, ND, USAJena A Shaw - Drexel University, Philadelphia, PA, USARoss D Crosby - Neuropsychiatric Research Institute, Fargo, ND, USAEmily H Feig - Drexel University, Philadelphia, PA, USAJames E Mitchell - Neuropsychiatric Research Institute, Fargo, ND, USAScott J Crow - University of Minnesota, Minneapolis, MN, USALaura Hill - The Center for Balanced Living, Columbus, OH, USADaniel Le Grange - University of California, San Francisco, San Francisco, CA, USAPauline Powers - University of South Florida, Tampa, FL, USAMichael R Lowe - Drexel University, Philadelphia, PA, USA
- Publication Details
- Journal of psychiatric research, v 69, pp 87-93
- Publisher
- Elsevier
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Psychological and Brain Sciences (Psychology); Civil, Architectural, and Environmental Engineering
- Web of Science ID
- WOS:000361927800013
- Scopus ID
- 2-s2.0-84940836419
- Other Identifier
- 991014878267504721
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Psychiatry