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Reducing The Burden Of Suffering From Eating Disorders: Unmet Treatment Needs, Cost Of Illness, And The Quest For Cost-Effectiveness, Ruth Striegel Weissman Dec 2016

Reducing The Burden Of Suffering From Eating Disorders: Unmet Treatment Needs, Cost Of Illness, And The Quest For Cost-Effectiveness, Ruth Striegel Weissman

Ruth Striegel Weissman

Eating disorders are serious mental disorders as reflected in significant impairments in health and psychosocial functioning and excess mortality. Despite the clear evidence of clinical significance and despite availability of evidence-based, effective treatments, research has shown a paradox of elevated health services use and, yet, infrequent treatment specifically targeting the eating disorder (i.e., high unmet treatment need). This review paper summarizes key studies conducted in collaboration with G. Terence Wilson and offers an update of the research literature published since 2011 in three research areas that undergirded our collaborative research project: unmet treatment needs, cost of illness, and cost-effectiveness of …


Social Network Media Exposure And Adolescent Eating Pathology In Fiji, R H. Striegel, A E. Becker, K E. Fay, J Agnew-Blais, A N. Khan, S E. Gilman Dec 2010

Social Network Media Exposure And Adolescent Eating Pathology In Fiji, R H. Striegel, A E. Becker, K E. Fay, J Agnew-Blais, A N. Khan, S E. Gilman

Ruth Striegel Weissman

BACKGROUND:

Mass media exposure has been associated with an increased risk of eating pathology. It is unknown whether indirect media exposure--such as the proliferation of media exposure in an individual's social network--is also associated with eating disorders.

AIMS:

To test hypotheses that both individual (direct) and social network (indirect) mass media exposures were associated with eating pathology in Fiji.

METHOD:

We assessed several kinds of mass media exposure, media influence, cultural orientation and eating pathology by self-report among adolescent female ethnic Fijians (n=523). We fitted a series of multiple regression models of eating pathology, assessed by the Eating Disorder Examination …


Nocturnal Eating Association With: Binge Eating, Obesity, And Psychological Distress.Pdf, Ruth Striegel Weissman Dec 2009

Nocturnal Eating Association With: Binge Eating, Obesity, And Psychological Distress.Pdf, Ruth Striegel Weissman

Ruth Striegel Weissman

Objective To examine clinical correlates of nocturnal eating, a core behavioral symptom of night eating syndrome. Method Data from 285 women who had participated in a two-stage screening for binge eating were utilized. Women (n = 41) who reported one or more nocturnal eating episodes in the past 28 days on the eating disorder examination and women who did not report nocturnal eating (n = 244) were compared on eating disorder symptomatology, body mass index (BMI), and on measures of psychosocial adjustment. Results Nocturnal eaters were significantly more likely to report binge eating and differed significantly from non-nocturnal eaters (with …


Cost-Effectiveness Of Guided Self-Help Treatment For Recurrent Binge Eating, R H. Striegel, F L. Lynch, J F. Dickerson, N Perrin, L Debar, G T. Wilson, H C. Kraemer Dec 2009

Cost-Effectiveness Of Guided Self-Help Treatment For Recurrent Binge Eating, R H. Striegel, F L. Lynch, J F. Dickerson, N Perrin, L Debar, G T. Wilson, H C. Kraemer

Ruth Striegel Weissman

Objective

Adoption of effective treatments for recurrent binge-eating disorders depends on the balance of costs and benefits. Using data from a recent randomized controlled trial, we conducted an incremental cost-effectiveness analysis (CEA) of a cognitive behavioral therapy guided self-help intervention (CBT-GSH) to treat recurrent binge eating compared to treatment as usual (TAU).

Method

Participants were 123 adult members of an HMO (mean age = 37.2, 91.9% female, 96.7% non-Hispanic White) who met criteria for eating disorders involving binge eating as measured by the Eating Disorder Examination (EDE, Fairburn & Cooper, 1993). Participants were randomized either to treatment as usual (TAU) …


Cognitive-Behavioral Guided Self-Help For The Treatment Of Recurrent Binge Eating, Ruth Striegel Weissman Dec 2009

Cognitive-Behavioral Guided Self-Help For The Treatment Of Recurrent Binge Eating, Ruth Striegel Weissman

Ruth Striegel Weissman

Objective: Despite proven efficacy of cognitive behavioral therapy (CBT) for treating eating disorders with binge eating as the core symptom, few patients receive CBT in clinical practice. Our blended efficacy–effectiveness study sought to evaluate whether a manual-based guided self-help form of CBT (CBT-GSH), delivered in 8 sessions in a health maintenance organization setting over a 12-week period by master's-level interventionists, is more effective than treatment as usual (TAU). Method: In all, 123 individuals (mean age = 37.2; 91.9% female, 96.7% non-Hispanic White) were randomized, including 10.6% with bulimia nervosa (BN), 48% with binge eating disorder (BED), and 41.4% with recurrent …


A Qualitative Study Of Perceived Social Barriers To Care For Eating Disorders: Perspectives From Ethnically Diverse Health Care Consumers, R H. Striegel, A E. Becker, A H. Arrindell, A Perloe, K Fay Dec 2009

A Qualitative Study Of Perceived Social Barriers To Care For Eating Disorders: Perspectives From Ethnically Diverse Health Care Consumers, R H. Striegel, A E. Becker, A H. Arrindell, A Perloe, K Fay

Ruth Striegel Weissman

Objective:

The study aim was to identify and describe health consumer perspectives on social barriers to care for eating disorders in an ethnically diverse sample.

Method:

We conducted an exploratory secondary analysis of qualitative data comprising transcripts from semi-structured interviews with past and prospective consumers of eating disorder treatment (n = 32). Transcripts were inputted into NVivo 8 for coding, sorting, and quantifying thematic content of interest within strata defined by ethnic minority and non-minority participants. We then examined the influence of key social barriers—including stigma and social stereotypes—on perceived impact on care.

Results:

The majority of respondents (78%) endorsed …


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 …


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 …


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.


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 …


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, …


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 …


The Relationship Between Meal Frequency And Body Mass Index In Black And White Adolescent Girls: More Is Less.Pdf, Ruth Striegel Weissman Dec 2007

The Relationship Between Meal Frequency And Body Mass Index In Black And White Adolescent Girls: More Is Less.Pdf, Ruth Striegel Weissman

Ruth Striegel Weissman

Objective:
 
To document meal frequency and its relationship to body mass index (BMI) in a longitudinal sample of black and white girls from ages 9–19 years.
Design:
 
Ten-year longitudinal observational study.
Subjects:
 
At baseline, 1209 Black girls (539 age nine years, 670 age 10 years) and 1,166 White girls (616 age nine years, 550 age 10 years) were enrolled in the National Heart, Lung and Blood Institute Growth and Health Study (NGHS).
Measurements:
 
Three-day food diaries, measured height and weight and self-reported physical activity and television viewing were obtained at annual in-person visits.
Results:
 
Over …


Health Services Use In Eating Disorders, Ruth Striegel Weissman Dec 2007

Health Services Use In Eating Disorders, Ruth Striegel Weissman

Ruth Striegel Weissman

Background 
This study examined healthcare services used by adults diagnosed with an eating disorder (ED) in a large health maintenance organization in the Pacific Northwest.

Method
 Electronic medical records were used to collect information on all out-patient and in-patient visits and medication dispenses, from 2002 to 2004, for adults aged 18–55 years who received an ED diagnosis during 2003. Healthcare services received the year prior to, and following, the receipt of an ED diagnosis were examined. Cases were matched to five comparison health plan members who had a health plan visit close to the date of the matched case's …


What’S Love Got To Do With It? Family Cohesion And Healthy Eating In Adolescent Girls, Ruth Striegel Weissman Dec 2007

What’S Love Got To Do With It? Family Cohesion And Healthy Eating In Adolescent Girls, Ruth Striegel Weissman

Ruth Striegel Weissman

Objective: To examine the association between family cohesion and behaviors linked to health or overweight in adolescents. Method: Cross-sectional analyses of family cohesion and eating behaviors of 2,379 girls (followed from ages 9–19) who participated in the National Heart, Lung, and Blood Institute Growth and Health Study (NGHS). Height and weight measurements were obtained on an annual basis. Family cohesion was measured by the Family Adaptability and Cohesion Evaluation Scale (FACES) III. Food diaries were used to assess frequency of breakfast consumption and intake of milk, soda, fruits, and vegetables. Results: Family cohesion was significantly associated with less soda intake …


). Disordered Eating And Substance Use In High School Students: Results From The Youth Risk Behavior Surveillance System, Ruth Striegel Weissman Dec 2007

). Disordered Eating And Substance Use In High School Students: Results From The Youth Risk Behavior Surveillance System, Ruth Striegel Weissman

Ruth Striegel Weissman

Objective: To examine the association between disordered eating (fasting, diet product use, and vomiting or laxative use) and use of 10 substances (cigarettes, alcohol, marijuana, cocaine, inhalants, heroin, methamphetamines, ecstasy, steroids, and hallucinogens) in a nationally representative adolescent sample. Method: Participants were 13,917 U.S. high-school students participating in the 2005 Youth Risk Behavior Surveillance System. Results: Disordered eating was significantly associated with the use of each substance. Using effect size estimates that take base rates into consideration, for female students, associations between substance use and disordered eating were weak for all but three forms of substance use: current smoking, binge …


Health Services Use In Eating Disorders, R H. Striegel, L Debar, G T. Wilson, J Dickerson, F Rosselli, N Perrin, F Lynch, H C. Kraemer Dec 2007

Health Services Use In Eating Disorders, R H. Striegel, L Debar, G T. Wilson, J Dickerson, F Rosselli, N Perrin, F Lynch, H C. Kraemer

Ruth Striegel Weissman

Background

This study examined healthcare services used by adults diagnosed with an eating disorder (ED) in a large health maintenance organization in the Pacific Northwest.

Method

Electronic medical records were used to collect information on all out-patient and in-patient visits and medication dispenses, from 2002 to 2004, for adults aged 18–55 years who received an ED diagnosis during 2003. Healthcare services received the year prior to, and following, the receipt of an ED diagnosis were examined. Cases were matched to five comparison health plan members who had a health plan visit close to the date of the matched case’s ED …


Toward An Understanding Of Risk Factors For Anorexia Nervosa: A Case-Control Study, Ruth Striegel Weissman Nov 2007

Toward An Understanding Of Risk Factors For Anorexia Nervosa: A Case-Control Study, Ruth Striegel Weissman

Ruth Striegel Weissman

Background Prospective, longitudinal studies of risk factors for anorexia nervosa (AN) are lacking and existing cross-sectional studies are generally narrow in focus and lack methodological rigor. Building on two studies that used the Oxford Risk Factor Interview (RFI) to establish time precedence and comprehensively assess potential risk correlates for AN, the present study advances this line of research and represents the first case-control study of risk factors for AN in the USA.
Method The RFI was used for retrospective assessment of a broad range of risk factors, while establishing time precedence. Using a case-control design, 50 women who met DSM-IV …


Risk Factors For Binge Eating Disorders: An Exploratory Study, Ruth Striegel Weissman Dec 2006

Risk Factors For Binge Eating Disorders: An Exploratory Study, Ruth Striegel Weissman

Ruth Striegel Weissman

Objective: This study examined a broad range of childhood risk factors for binge-eating disorders (bulimia nervosa or binge eating disorder, BN/BED), utilizing data that had been collected prospectively in the 10-year National Heart, Lung, and Blood Institute Growth and Health Study. Method: Forty-five women with a history of BED/BN (with onset age > 14 and <20 years) and 1,515 women who did not have a history of an eating disorder were included. Results: Signal detection analysis indicated a single pathway that identified *13% of the BED/BN cases. The pathway was based on an elevated level of perceived stress prior to …


Validation Of The Eating Disorder Diagnostic Scale For Use With Hong Kong Adolescents., Ruth Striegel Weissman Dec 2006

Validation Of The Eating Disorder Diagnostic Scale For Use With Hong Kong Adolescents., Ruth Striegel Weissman

Ruth Striegel Weissman

Objective: We examined the psychometric properties of the Eating Disorder Diagnostic Scale (EDDS) in a community sample of Hong Kong school children. Method: Participants (359 boys and 387 girls), aged 12 to 19 years, were assessed on the EDDS on two occasions, one month apart. Factor structure, internal consistency, test-retest reliability, and validity against the Eating Disorders Examination–Questionnaire (EDE-Q) and Center for Epidemiological Studies-Depression (CES-D) were investigated. Results: Four groupings emerged on exploratory factor analysis: body dissatisfaction, bingeing behaviors, bingeing frequency, and frequency of compensatory behaviors. Items loaded on the same factors for boys and girls. Internal consistency for these …


Risk Factors For Eating Disorders, Ruth Striegel Weissman Dec 2006

Risk Factors For Eating Disorders, Ruth Striegel Weissman

Ruth Striegel Weissman

The authors review research on risk factors for eating disorders, restricting their focus to studies in which clear precedence of the hypothesized risk factor over onset of the disorder is established. They illustrate how studies of sociocultural risk factors and biological factors have progressed on parallel tracks and propose that major advances in understanding the etiology of eating disorders require a new generation of studies that integrate these domains. They discuss how more sophisticated and novel conceptualizations of risk and causal processes may inform both nosology and intervention efforts.


Toward An Understanding Of Risk Factors For Anorexia Nervosa: A Case-Control Study, R H. Striegel, K M. Pike, A Hilbert, D E. Wilfley, C G. Fairburn, F A. Dohm, B T. Walsh Dec 2006

Toward An Understanding Of Risk Factors For Anorexia Nervosa: A Case-Control Study, R H. Striegel, K M. Pike, A Hilbert, D E. Wilfley, C G. Fairburn, F A. Dohm, B T. Walsh

Ruth Striegel Weissman

Background

Prospective, longitudinal studies of risk factors for anorexia nervosa (AN) are lacking and existing cross-sectional studies are generally narrow in focus and lack methodological rigor. Building on two studies that used the Oxford Risk Factor Interview (RFI) to establish time precedence and comprehensively assess potential risk correlates for AN, the present study advances this line of research and represents the first case-control study of risk factors for AN in the USA.

Method

The RFI was used for retrospective assessment of a broad range of risk factors, while establishing time precedence. Using a case-control design, 50 women who met DSM-IV …


Longitudinal Patterns Of Breakfast Eating In Black And White Adolescent Girls., Ruth Striegel Weissman Dec 2006

Longitudinal Patterns Of Breakfast Eating In Black And White Adolescent Girls., Ruth Striegel Weissman

Ruth Striegel Weissman

Objective: The objective was to describe the pattern of breakfast eating over time (“breakfast history”) and examine its associations with BMI and physical activity.
Research Methods and Procedures: This longitudinal investigation of patterns of breakfast eating included 1210 black and 1161 white girls who participated in the 10-year, longitudinal National Heart, Lung, and Blood Institute Growth and Health Study (NGHS). Three-day food records were collected during annual visits beginning at ages 9 or 10 up to age 19. Linear regression and path analysis were used to estimate the associations between breakfast history, BMI, and physical activity.
Results: Among girls with …


Longitudinal Patterns Of Breakfast Eating In Black And White Adolescent Girls, R H. Striegel, A M. Albertson, D L. Franko, D Thompson, A L. Eldridge, N Holschuh, S G. Affenito, R Bauserman Dec 2006

Longitudinal Patterns Of Breakfast Eating In Black And White Adolescent Girls, R H. Striegel, A M. Albertson, D L. Franko, D Thompson, A L. Eldridge, N Holschuh, S G. Affenito, R Bauserman

Ruth Striegel Weissman

OBJECTIVE: The objective was to describe the pattern of breakfast eating over time ("breakfast history") and examine its associations with BMI and physical activity.

RESEARCH METHODS AND PROCEDURES: This longitudinal investigation of patterns of breakfast eating included 1,210 black and 1,161 white girls who participated in the 10-year, longitudinal National Heart, Lung, and Blood Institute Growth and Health Study (NGHS). Three-day food records were collected during annual visits beginning at ages 9 or 10 up to age 19. Linear regression and path analysis were used to estimate the associations between breakfast history, BMI, and physical activity.

RESULTS: Among girls with …


Fruit And Vegetable Intake: Few Adolescent Girls Meet National Guidelines., Ruth Striegel Weissman Feb 2006

Fruit And Vegetable Intake: Few Adolescent Girls Meet National Guidelines., Ruth Striegel Weissman

Ruth Striegel Weissman

Objective.
To examine longitudinal changes in daily fruit and vegetable consumption among black and white adolescent girls and calculate the percent of girls who met the Healthy People 2010 recommendations.
Methods.
Girls (1186 black and 1126 white) who participated in the National Heart, Lung, and Blood Institute Growth Health Study (NGHS) were included if they had completed a 3-day food diary for at least one of six annual assessments visits, beginning at ages 11 or 12. Mixed models estimated the association of visit and race with (a) average daily consumption of fruits and vegetables and (b) the probability of meeting …


Help Seeking And Barriers To Treatment In A Community Sample Of Mexican American And European American Women With Eating Disorders, Ruth Striegel Weissman Dec 2005

Help Seeking And Barriers To Treatment In A Community Sample Of Mexican American And European American Women With Eating Disorders, Ruth Striegel Weissman

Ruth Striegel Weissman

Objective The study examined treatment seeking for eating disorders in Mexican American and European American women. Method One hundred forty-five women with eating disorders (76 Mexican American, 69 European American) were diagnosed using the Structured Clinical Interview for DSM-IV-TR (SCID-IV) and Eating Disorder Examination (EDE). Results Only 28% of the sample reported having sought treatment for their eating problems and only 17% had received treatment. Both groups were equally likely to believe they have significant eating problems and to want help. However, Mexican Americans were less likely to have sought treatment and, having sought help, were less likely to have …


Factors Associated With Treatment Seeking In A Community Sample Of European American And Mexican American Women With Eating Disorders, Ruth Striegel Weissman Dec 2005

Factors Associated With Treatment Seeking In A Community Sample Of European American And Mexican American Women With Eating Disorders, Ruth Striegel Weissman

Ruth Striegel Weissman

The purpose of this study was to investigate factors associated with treatment seeking in a community sample of European American and Mexican American women with eating disorders. We also explored which variables were associated with receiving treatment. Participants were 190 women with eating disorders (80 Mexican American, 110 European American) who were diagnosed using the SCID-IV and Eating Disorder Examination. Results indicated that treatment seeking is associated with ethnicity (i.e. being European American), suffering from bulimia nervosa and more frequent purging, longer duration of disorder and psychiatric comorbidity and, for Mexican American women, higher degree of acculturation. Detection and treatment …


Night Eating: Prevalence And Demographic Correlates, R H. Striegel, D L. Franko, D Thompson, S Affenito, H C. Kraemer Dec 2005

Night Eating: Prevalence And Demographic Correlates, R H. Striegel, D L. Franko, D Thompson, S Affenito, H C. Kraemer

Ruth Striegel Weissman

OBJECTIVE:

To examine the prevalence and correlates of night eating, the core behavioral symptom of night eating syndrome among adolescents and adults, using two public access survey databases of nationally representative samples.

RESEARCH METHODS AND PROCEDURES:

Data were extracted for individuals age 13 years or older who completed food diary data for the National Health and Nutrition Examination Survey III (N = 18,407) or the Continuing Survey of Food Intakes by Individuals (N = 10,741). Prevalence estimates were calculated for three commonly used definitions of night eating. Logistic regression was used to examine correlates of night eating: type of day, …


Antecedent Life Events Of Binge-Eating Disorder, Ruth Striegel Weissman Dec 2005

Antecedent Life Events Of Binge-Eating Disorder, Ruth Striegel Weissman

Ruth Striegel Weissman

The present study investigated the occurrence of life events preceding the onset of disturbed eating in binge-eating disorder (BED). In a case-control design, 162 matched pairs of black and white women with BED and women with no current psychiatric disorder, and 107 matched pairs of women with BED and a current general psychiatric disorder were recruited from the community for the New England Women's Health Project. Life events in the year before the onset of disturbed eating were assessed retrospectively with an investigator-based interview. Women with BED reported exposure to a significantly greater number of life events during the …


Night Eating: Prevalence And Demographic Correlates, Ruth Striegel Weissman Dec 2005

Night Eating: Prevalence And Demographic Correlates, Ruth Striegel Weissman

Ruth Striegel Weissman

Objective: To examine the prevalence and correlates of night eating, the core behavioral symptom of night eating syndrome among adolescents and adults, using two public access survey databases of nationally representative samples.
Research Methods and Procedures: Data were extracted for individuals age 13 years or older who completed food diary data for the National Health and Nutrition Examination Survey III (N = 18, 407) or the Continuing Survey of Food Intakes by Individuals (N = 10, 741). Prevalence estimates were calculated for three commonly used definitions of night eating. Logistic regression was used to examine correlates …