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Selected Works

Ruth Striegel Weissman

2009

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Recruitment For A Guided Self-Help Binge Eating Trial: Potential Lessons For Implementing Programs In Everyday Practice Settings, Ruth Striegel Weissman Jun 2009

Recruitment For A Guided Self-Help Binge Eating Trial: Potential Lessons For Implementing Programs In Everyday Practice Settings, Ruth Striegel Weissman

Ruth Striegel Weissman

Objective
To explore effects of various recruitment strategies on randomized clinical trial (RCT)-entry characteristics for patients with eating disorders within an everyday health-plan practice setting.
Methods
Randomly selected women, aged 25–50, in a Pacific Northwest HMO were invited to complete a self-report binge-eating screener for two treatment trials. We publicized the trials within the health plan to allow self-referral. Here, we report differences on eating-disorder status by mode and nature of recruitment (online, mail, self-referred) and assessment (comprehensive versus abbreviated) and on possible differences in enrollee characteristics between those recruited by strategy (self-referred versus study-outreach efforts).
Results
Few differences emerged …

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Recruitment For A Guided Self-Help Binge Eating Trial: Potential Lessons For Implementing Programs In Everyday Practice Settings, Ruth Striegel Weissman Jun 2009

Recruitment For A Guided Self-Help Binge Eating Trial: Potential Lessons For Implementing Programs In Everyday Practice Settings, Ruth Striegel Weissman

Ruth Striegel Weissman

Objective
To explore effects of various recruitment strategies on randomized clinical trial (RCT)-entry characteristics for patients with eating disorders within an everyday health-plan practice setting.
Methods
Randomly selected women, aged 25–50, in a Pacific Northwest HMO were invited to complete a self-report binge-eating screener for two treatment trials. We publicized the trials within the health plan to allow self-referral. Here, we report differences on eating-disorder status by mode and nature of recruitment (online, mail, self-referred) and assessment (comprehensive versus abbreviated) and on possible differences in enrollee characteristics between those recruited by strategy (self-referred versus study-outreach efforts).
Results
Few differences emerged …

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Beliefs About Eating And Eating Disorders, Ruth Striegel Weissman Dec 2008

Beliefs About Eating And Eating Disorders, Ruth Striegel Weissman

Ruth Striegel Weissman

Beliefs about foods and binge eating may influence the development and maintenance of eating disorders and the likelihood that people will seek treatment. We found that the majority of a random sample of members of a large health maintenance organization considered binge eating a problem for which there are effective treatments. Self-reported binge eaters, however, were significantly less likely to agree that there are effective treatments. Two thirds of the sample reported that certain foods are addictive and also believed that strict dieting is an effective means of reducing binge eating. Therapeutic implications of these attitudes are discussed.

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The Validity And Clinical Utility Of Purging Disorder, Ruth Striegel Weissman Dec 2008

The Validity And Clinical Utility Of Purging Disorder, Ruth Striegel Weissman

Ruth Striegel Weissman

Objective To review evidence of the validity and clinical utility of Purging Disorder and examine options for the Diagnostic and Statistical Manual of Mental Disorders fifth edition (DSM-V). Method Articles were identified by computerized and manual searches and reviewed to address five questions about Purging Disorder: Is there “ample” literature? Is the syndrome clearly defined? Can it be measured and diagnosed reliably? Can it be differentiated from other eating disorders? Is there evidence of syndrome validity? Results Although empirical classification and concurrent validity studies provide emerging support for the distinctiveness of Purging Disorder, questions remain about definition, diagnostic reliability in …

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Longitudinal Study Of Growth And Adiposity In Parous Compared With Nulligravid Adolescents, R H. Striegel, E P. Gunderson, G Schreiber, M Hudes, F Biro, S Daniels, P B. Crawford Dec 2008

Longitudinal Study Of Growth And Adiposity In Parous Compared With Nulligravid Adolescents, R H. Striegel, E P. Gunderson, G Schreiber, M Hudes, F Biro, S Daniels, P B. Crawford

Ruth Striegel Weissman

Objective

To examine the impact of pregnancy on adolescent growth and adiposity relative to nulligravidas of similar maturation stage.

Design

Prospective cohort study.

Setting

The multicenter National Heart, Lung and Blood Growth and Health Study with annual examinations from 1987-1988 through 1996-1997.

Participants

One thousand eight hundred ninety girls (983 black and 907 white) aged 9 to 10 years at enrollment.

Main Exposure

Self-reported number of pregnancies and births during adolescence and young adulthood (age, 15-19 years): 311 primiparas (17%), 84 multiparas (4%), 196 nulliparous gravidas (10%), and 1299 nulligravidas (69%).

Outcome Measures

Estimated race-specific changes in body weight, height, …

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Gender Difference In The Prevalence Of Eating Disorder Symptoms, R H. Striegel, F Rosselli, N Perrin, L Debar, G T. Wilson, A May, H C. Kraemer Dec 2008

Gender Difference In The Prevalence Of Eating Disorder Symptoms, R H. Striegel, F Rosselli, N Perrin, L Debar, G T. Wilson, A May, H C. Kraemer

Ruth Striegel Weissman

Objective

This study examined gender differences in prevalence of eating disorder symptoms including body image concerns (body checking or avoidance), binge eating, and inappropriate compensatory behaviors.

Method

A random sample of members (ages 18 to 35) of a health maintenance organization was recruited to complete a survey by mail or on-line. Items were drawn from the Patient Health Questionnaire and the Body Shape Questionnaire.

Results

Among the 3,714 women and 1,808 men who responded, men were more likely to report overeating whereas women were more likely to endorse loss of control while eating. Although statistically significant gender differences were observe, …

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Gender Difference In The Prevalence Of Eating Disorder Symptoms.Pdf, Ruth Striegel Weissman Dec 2008

Gender Difference In The Prevalence Of Eating Disorder Symptoms.Pdf, Ruth Striegel Weissman

Ruth Striegel Weissman

Objective: This study examined gender differences in prevalence of eating disorder symptoms including body image concerns (body checking or avoidance), binge eating, and inappropriate compensatory behaviors. Method: A random sample of members (ages 18–35 years) of a health maintenance organization was recruited to complete a survey by mail or on-line. Items were drawn from the Patient Health Questionnaire and the Body Shape Questionnaire. Results: Among the 3,714 women and 1,808 men who responded, men were more likely to report overeating, whereas women were more likely to endorse loss of control while eating. Although statistically significant gender differences were observed, with …

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The Validity And Clinical Utility Of Night Eating Syndrome, Ruth Striegel Weissman Dec 2008

The Validity And Clinical Utility Of Night Eating Syndrome, Ruth Striegel Weissman

Ruth Striegel Weissman

Objective: To review the empirical literature for evidence in support of inclusion of Night Eating Syndrome (NES) in the fifth edition of the Diagnostic and Statistical Manual of Mental Disorders. Method: Based on a literature search using PubMed, 47 empirical studies of NES were identified. Results: The literature reflects use of varying definitions; progress has been made toward reliable measurement of night eating symptoms; evidence regarding a differentiation of NES from “normalcy” or from other eating disorders is based largely on samples of convenience; only one controlled treatment study has been published. Discussion: There are limited data supporting the clinical …

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