Psychology Commons^™

Behavioral Determinants Of Obesity: Research Findings And Policy Implications., R Striegel, S Affenito, D Franko, D Thompson

Ruth H Striegel

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Youth Health-Risk Behavior Assessment In Fiji: The Reliability Of Global School-Based Student Health Survey Content Adapted For Ethnic Fijian Girls, R Striegel, A Becker, A Roberts, A Perloe, A Bainivualiku, L Richards, S Gilman

Ruth H Striegel

OBJECTIVE:

The Global School-based Student Health Survey (GSHS) is an assessment for adolescent health-risk behaviors and exposures, supported by the World Health Organization. Although already widely implemented - and intended for youth assessment across diverse ethnic and national contexts - no reliability data have yet been reported for GSHS-based assessment in any ethnicity or country-specific population. This study reports test-retest reliability for GSHS content adapted for a female adolescent ethnic Fijian study sample in Fiji.

DESIGN:

We adapted and translated GSHS content to assess health-risk behaviors as part of a larger study investigating the impact of social transition on ethnic …

Guided Self-Help Treatment For Recurrent Binge Eating: Replication And Extension, R Striegel, G Wilson, L Debar, N Perrin, F Lynch, F Rosselli, H Kraemer

Ruth H Striegel

OBJECTIVE:

The aim of this study was to replicate and extend results of a previous blended efficacy and effectiveness trial of a low-intensity, manual-based guided self-help form of cognitive-behavioral therapy (CBT-GSH) for the treatment of binge eating disorders in a large health maintenance organization (HMO) and to compare them with usual care.

METHODS:

To extend previous findings, the investigators modified earlier recruitment and assessment approaches and conducted a randomized clinical trial to better reflect procedures that may be reasonably carried out in real-world practices. The intervention was delivered by master's-level interventionists to 160 female members of a health maintenance organization …

The Significance Of Overvaluation Of Shape And Weight In Binge Eating Disorder, R Striegel, A Goldschmidt, A Hilbert, J Manwaring, D Wilfley, K Pike, C Fairburn, F Dohm

Ruth H Striegel

As publication of DSM-V draws near, research is needed to validate the diagnostic scheme for binge eating disorder (BED). Shape and weight overvaluation has stimulated considerable debate in this regard, given associations with psychosocial impairment and poor treatment outcome in BED. This study sought to further explore the convergent validity and diagnostic specificity of shape and weight overvaluation in BED. A total of 160 women with BED, and 108 women with non-eating disordered psychiatric disorders were recruited from the community. Women with BED were classified as more or less severe based on a global measure of eating-related psychopathology; subsequent receiver …

Nocturnal Eating: Association With Binge Eating, Obesity, And Psychological Distress, R Striegel, F Rosselli, G Wilson, N Perrin, K Harvey, L Debar

Ruth H Striegel

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 …

Screening For Binge Eating Disorders Using The Patient Health Questionnaire In A Community Sample, R Striegel, N Perrin, L Debar, G Wilson, F Rosselli, H Kraemer

Ruth H Striegel

Objective

To examine the operating characteristics of the Patient Health Questionnaire eating disorder module (PHQ-ED) for identifying bulimia nervosa/binge eating disorder (BN/BED) or recurrent binge eating (RBE) in a community sample, and to compare true positive (TP) versus false positive (FP) cases on clinical validators.

Method

259 screen positive individuals and a random sample of 89 screen negative cases completed a diagnostic interview. Sensitivity, specificity, and Positive Predictive Value (PPV) were calculated. TP and FP cases were compared using t-tests and Chi-Square tests.

Results

The PHQ-ED had high sensitivity (100%) and specificity (92%) for detecting BN/BED or RBE, but PPV …

Recruitment For A Guided Self-Help Binge Eating Trial: Potential Lessons For Implementing Programs In Everyday Practice Settings, R Striegel, L Debar, B Yarborough, F Rosselli, N Perrin, G Wilson, H Kraemer, R Green, F Lynch

Ruth H Striegel

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 …

Prevalence And Correlates Of Eating Disorders In Latinos In The U.S., R Striegel, M Alegria, M Woo, Z Cao, M Torres, X Meng

Ruth H Striegel

Objective

To present national estimates and correlates of lifetime and 12-month DSM-IV eating disorders for Latinos.

Method

Data come from the National Latino and Asian American Study (NLAAS), a national epidemiological household survey of Latinos in the Unied States.

Results

Latinos have elevated rates of any binge eating and binge eating disorder but low prevalence of anorexia nervosa and bulimia nervosa. The US born and those living a greater percentage of their lifetime in the US evidenced higher risk for certain eating disorders while severe obesity and low levels of education were significant correlates. Rates of treatment utilization were exceedingly …

Childhood Overweight And Cardiovascular Disease Risk Factors: The National Heart, Lung, And Blood Institute Growth And Health Study, R Striegel, D Thompson, E Obarzanek, D Franko, B Barton, J Morrison, F Biro, S Daniels

Ruth H Striegel

OBJECTIVE:

To estimate the prevalence and incidence of overweight in African-American and Caucasian girls, and to examine associations between adolescent overweight and cardiovascular disease (CVD) risk factors.

STUDY DESIGN:

In the National Heart, Lung and Blood Institute Growth and Health Study (NGHS), annual measurements were obtained from girls followed longitudinally between age 9 or 10 and 18 years; self-reported measures were obtained at age 21 to 23 years. A total of 1166 Caucasian girls and 1213 African-American girls participated in the study. Childhood overweight as defined by the Centers for Disease Control and Prevention (CDC) was the independent variable of …

The Adverse Effect Of Negative Comments About Weight And Shape From Family And Siblings On Women At High Risk For Eating Disorders, R Striegel, C Taylor, S Bryson, A Celio Doyle, K Luce, D Cunning, L Abascal, R Rockwell, A Field, A Winzelberg, D Wilfley

Ruth H Striegel

OBJECTIVE:

Our purpose with this work was to examine the relationship between negative comments about weight, shape, and eating and social adjustment, social support, self-esteem, and perceived childhood abuse and neglect.

METHODS:

A retrospective study was conducted with 455 college women with high weight and shape concerns, who participated in an Internet-based eating disorder prevention program. Baseline assessments included: perceived family negative comments about weight, shape, and eating; social adjustment; social support; self-esteem; and childhood abuse and neglect. Participants identified 1 of 7 figures representing their maximum body size before age 18 and parental maximum body size.

RESULTS:

More than …

Antecedent Life Events Of Binge-Eating Disorder, R Striegel, K Pike, D Wilfley, A Hilbert, C Fairburn, F Dohm

Ruth H Striegel

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 year …