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Introduction To The Special Issue On Evidence-Based Advocacy And Strategic Science In Eating Disorders, Ruth Striegel Weissman Dec 2016

Introduction To The Special Issue On Evidence-Based Advocacy And Strategic Science In Eating Disorders, Ruth Striegel Weissman

Ruth Striegel Weissman

No abstract provided.


Fifty Volumes Of Scholarship On Eating Disorders, Ruth Striegel Weissman Dec 2016

Fifty Volumes Of Scholarship On Eating Disorders, Ruth Striegel Weissman

Ruth Striegel Weissman

On the occasion of the 50th volume of the International Journal of Eating Disorder (IJED), it is my privilege to reflect on how far the journal and the field it serves have come in the span of 35 years. After a short description of the journal, I offer a few examples of scientific advances the journal has covered


Ross D. Crosby: Scholar, Teacher, Mentor, And Friend. Introducing A Virtual Issue Honoring The Contributions Of Ross D. Crosby To The Field Of Eating Disorders, Ruth Striegel Weissman Dec 2016

Ross D. Crosby: Scholar, Teacher, Mentor, And Friend. Introducing A Virtual Issue Honoring The Contributions Of Ross D. Crosby To The Field Of Eating Disorders, Ruth Striegel Weissman

Ruth Striegel Weissman

This virtual issue of publications co-authored by Professor Ross Crosby illustrates Professor Crosby's extensive contributions to the field of eating disorders.


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 …


Speaking Of That: Terms To Avoid Or Reconsider In The Eating Disorders Field, Ruth Striegel Weissman Dec 2015

Speaking Of That: Terms To Avoid Or Reconsider In The Eating Disorders Field, Ruth Striegel Weissman

Ruth Striegel Weissman

Inspired by an article on 50 terms that, in the interest of clarity in scientific reasoning and communication in psychology, psychiatry, and allied fields, “should be avoided or at most be used sparingly and only with explicit caveats,”1 we propose a list of terms to avoid or think twice about before using when writing for the International Journal of Eating Disorders (IJED). Drawing upon our experience as reviewers or editors for the IJED, we generated an abridged list of such terms. For each term, we explain why it made our list and what alternatives we recommend. We hope that our …


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 …


Ethnic Differences In Food Sources Of Vitamin D In Adolescent American Girls: The National Heart, Lung, And Blood Institute Growth And Health Study, R H. Striegel, L V. Van Horn, R Bausermann, S Affenito, D Thompson, D Franko, A Albertson Dec 2010

Ethnic Differences In Food Sources Of Vitamin D In Adolescent American Girls: The National Heart, Lung, And Blood Institute Growth And Health Study, R H. Striegel, L V. Van Horn, R Bausermann, S Affenito, D Thompson, D Franko, A Albertson

Ruth Striegel Weissman

The National Heart, Lung, and Blood Institute Growth and Health Study (NGHS) was a 10-year longitudinal study of the development of obesity and CVD risk factors (including dietary, psychosocial, environmental and others) in 2,379 African-American and white females who were 9 or 10 years old at study entry. Current studies have documented a high prevalence of vitamin D insufficiency among healthy children, adolescents and young adults in the United States, especially among low-income, black and Hispanic children (defined as serum 25-hydroxyvitamin D concentrations of ≤ 20 ng/mL). Although the main source of vitamin D is direct exposure of the skin …


Clarifying Boundaries Of Binge Eating Disorder And Psychiatric Comorbidity: A Latent Structure Analysis, R H. Striegel, A Hilbert, K M. Pike, D E. Wilfley, C G. Fairburn, F A. Dohm Dec 2010

Clarifying Boundaries Of Binge Eating Disorder And Psychiatric Comorbidity: A Latent Structure Analysis, R H. Striegel, A Hilbert, K M. Pike, D E. Wilfley, C G. Fairburn, F A. Dohm

Ruth Striegel Weissman

Binge eating disorder (BED) presents with substantial psychiatric comorbidity. This latent structure analysis sought to delineate boundaries of BED given its comorbidity with affective and anxiety disorders. A population-based sample of 151 women with BED, 102 women with affective or anxiety disorders, and 259 women without psychiatric disorders was assessed with clinical interviews and self-report questionnaires. Taxometric analyses were conducted using DSM-IV criteria of BED and of affective and anxiety disorders. The results showed a taxonic structure of BED and of affective and anxiety disorders. Both taxa co-occurred at an above-chance level, but also presented independently with twice-as-large probabilities. Within …


Eating Patterns In Patients With Spectrum Binge Eating Disorder, R H. Striegel, K Harvey, F Rosselli, G T. Wilson, L L. Debar Dec 2010

Eating Patterns In Patients With Spectrum Binge Eating Disorder, R H. Striegel, K Harvey, F Rosselli, G T. Wilson, L L. Debar

Ruth Striegel Weissman

Objective

We sought to describe meal and snack frequencies of individuals with recurrent binge eating and examine the association between these eating patterns and clinical correlates.

Method

Data from 106 women with a minimum diagnosis of recurrent binge eating were utilized. Meal and snack frequencies were correlated with measures of weight, eating disorder features, and depression. Participants who ate breakfast every day (n=25) were compared with those who did not (n=81) on the same measures.

Results

Breakfast was the least, and dinner the most, commonly consumed meal. Evening snacking was the most common snacking occasion. Meal patterns were not significantly …


Adaptation And Evaluation Of The Clinical Impairment Assessment To Assess Disordered Eating Related Distress In An Adolescent Female Ethnic Fijian Population, R H. Striegel, A E. Becker, J J. Thomas, A Bainivualiku, L Richards, K Navara, A L. Roberts, S E. Gilman Dec 2009

Adaptation And Evaluation Of The Clinical Impairment Assessment To Assess Disordered Eating Related Distress In An Adolescent Female Ethnic Fijian Population, R H. Striegel, A E. Becker, J J. Thomas, A Bainivualiku, L Richards, K Navara, A L. Roberts, S E. Gilman

Ruth Striegel Weissman

Objective:

Measurement of disease-related impairment and distress is central to diagnostic, therapeutic, and health policy considerations for eating disorders across diverse populations. This study evaluates psychometric properties of a translated and adapted version of the Clinical Impairment Assessment (CIA) in an ethnic Fijian population.

Method:

The adapted CIA was administered to ethnic Fijian adolescent schoolgirls (N = 215). We calculated Cronbach's α to assess the internal consistency, examined the association between indicators of eating disorder symptom severity and the CIA to assess construct and criterion validity, and compared the strength of relation between the CIA and measures of disordered eating …


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 …


Validity And Reliability Of A Fijian Translation And Adaptation Of The Eating Disorder Examination Questionnaire, R H. Striegel, A E. Becker, J J. Thomas, A Bainivualiku, L Richards, K Navara, A L. Roberts, S E. Gilman Dec 2009

Validity And Reliability Of A Fijian Translation And Adaptation Of The Eating Disorder Examination Questionnaire, R H. Striegel, A E. Becker, J J. Thomas, A Bainivualiku, L Richards, K Navara, A L. Roberts, S E. Gilman

Ruth Striegel Weissman

Objective:

Assessment of disordered eating has uncertain validity across culturally diverse populations. This study evaluated Eating Disorder Examination Questionnaire (EDE-Q) performance in an ethnic Fijian study population.

Method:

The EDE-Q was translated, adapted, and administered to school-going Fijian adolescent females (N = 523). A subsample (n = 81) completed it again within ~1 week. We assessed feasibility, internal consistency, and test-retest reliability; evaluated construct validity through factor analysis and correlation with similar constructs; and examined the marginal utility of an additional question on traditional purgative use.

Results:

Internal consistency reliability was adequate for the global scale and subscales (Cronbach's alpha …


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 …


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, …


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 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 …


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 …


What Mediates The Relationship Between Family Meals And Adolescent Health Issues?, Ruth Striegel Weissman Dec 2007

What Mediates The Relationship Between Family Meals And Adolescent Health Issues?, Ruth Striegel Weissman

Ruth Striegel Weissman

Objective:  To determine whether the frequency of family meals in childhood is associated with positive health outcomes in adolescence through the mediating links of increased family cohesion and positive coping skills.Design : Data were obtained from the National Heart, Lung, and Blood Institute Growth and Health Study (NGHS), a 10-year longitudinal study of 2,379 black and white girls assessed annually from ages 9–19. The mediational analysis framework of H. C. Kraemer and colleagues (2001) was used to test the hypothesis that the frequency of family meals in childhood (Study Years 1 and 3) would be related to health outcomes (Study Year 10) …


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 …


Should Binge Eating Disorder Be Included In The Dsm-V? A Critical Review Of The State Of Evidence., Ruth Striegel Weissman Dec 2007

Should Binge Eating Disorder Be Included In The Dsm-V? A Critical Review Of The State Of Evidence., Ruth Striegel Weissman

Ruth Striegel Weissman

ncreasing empirical evidence supports the validity of binge-eating disorder (BED) and its inclusion as a formal diagnosis in the Diagnostic and Statistical Manual of Mental Disorders (DSM-V). Contention exists regarding the criteria for BED, including whether, like bulimia nervosa (BN), it should be characterized by overvaluation of shape/weight. This study examined the significance of overvaluation for BED using two complementary comparisons groups. Participants were 324 women who completed self-report instruments as part of an Internet study. Analyses compared BMI, eating disorder (ED) features, and depressive levels in four groups: 123 overweight participants without ED, 47 BED participants who do not …


). 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 …