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Ruth Striegel Weissman

Selected Works

Eating disorders

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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 …


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 …


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.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 …


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 …


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 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.


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 Syndrome In Young Adult Women: Prevalence And Correlates., Ruth Striegel Weissman Dec 2004

Night Eating Syndrome In Young Adult Women: Prevalence And Correlates., Ruth Striegel Weissman

Ruth Striegel Weissman

Objective The current study examined the prevalence and clinical significance of night eating syndrome (NES) in a community cohort of Black and White women. Method We assessed 682 Black and 659 White women for NES, eating disorders, and psychiatric symptomatology. Results The prevalence was 1.6% (22 of 1,341; Blacks [n = 20]; Whites [n = 2]). Comparisons between identified Black women and the remaining Black participants revealed no significant differences in obesity, psychiatric comorbidity, or self-reported psychiatric distress. Comorbidity with eating disorders as outlined in the 4th ed. of the Diagnostic and Statistical Manual of Mental Disorders (Washington, DC: American …


The Epidemiology And Natural Course Of Eating Disorders In Young Women From Adolescence To Young Adulthood, Peter M. Lewinsohn, Ruth H. Striegel-Moore, John R. Seeley Sep 2000

The Epidemiology And Natural Course Of Eating Disorders In Young Women From Adolescence To Young Adulthood, Peter M. Lewinsohn, Ruth H. Striegel-Moore, John R. Seeley

Ruth Striegel Weissman

N/A


One-Year Use And Cost Of Inpatient And Outpatient Services Among Female And Male Patients With An Eating Disorder: Evidence From A National Database Of Health Insurance Claims, Ruth H. Striegel-Moore, Douglas Leslie, Stephen A. Petrill, Vicki Garvin, Robert A. Rosenheck Apr 2000

One-Year Use And Cost Of Inpatient And Outpatient Services Among Female And Male Patients With An Eating Disorder: Evidence From A National Database Of Health Insurance Claims, Ruth H. Striegel-Moore, Douglas Leslie, Stephen A. Petrill, Vicki Garvin, Robert A. Rosenheck

Ruth Striegel Weissman

Presents a study which examined rates and cost of inpatient and outpatient treatment among patients with an eating disorder. Methodology of the study; Service use and cost of services associated with eating disorder claims; Comparison of treatment costs for eating disorders with treatment costs for schizophrenia and obsessive compulsive disorder.


Subthreshold Binge Eating Disorder, Ruth H. Striegel-Moore, F. A. Dohm, C. G. Fairburn, E. E. Solomon, K. M. Pike, D. E. Wilfley Mar 2000

Subthreshold Binge Eating Disorder, Ruth H. Striegel-Moore, F. A. Dohm, C. G. Fairburn, E. E. Solomon, K. M. Pike, D. E. Wilfley

Ruth Striegel Weissman

Presents information on a study which examined the clinical features of subthreshold binge eating disorder (BED). Criticism on the severity of core behavioral symptom of BED; Differences between individuals who reported recurrent binge eating at the severity level required for diagnosis of BED and individuals who reported recurrent binge eating at a minimum average level; Eating disorder symptoms; Methodology; Results and discussion.


Eating Disorder Symptoms In A Cohort Of 11 To 16-Year-Old Black And White Girls: The Nhlbi Growth And Health Study, Ruth H. Striegel-Moore, George B. Schreiber, Annie Lo, Patricia Crawford, Eva Obarzanek, Judith Rodin Dec 1999

Eating Disorder Symptoms In A Cohort Of 11 To 16-Year-Old Black And White Girls: The Nhlbi Growth And Health Study, Ruth H. Striegel-Moore, George B. Schreiber, Annie Lo, Patricia Crawford, Eva Obarzanek, Judith Rodin

Ruth Striegel Weissman

Presents information on a study which examined the relationship between age, race, socioeconomic status and adiposity and the Eating Disorder Inventory (EDI) for young adolescent black and white girls. Features of the EDI; Instruments and procedure used in the study; Results of the analysis testing; Aim of the study.


Eating Disturbance And Body Image: A Comparison Of A Community Sample Of Adult Black And White Women, Denise E. Wilfley, George B. Schreiber, Kathleen M. Pike, Ruth H. Striegel-Moore, David J. Wright, Judith Rodin Nov 1996

Eating Disturbance And Body Image: A Comparison Of A Community Sample Of Adult Black And White Women, Denise E. Wilfley, George B. Schreiber, Kathleen M. Pike, Ruth H. Striegel-Moore, David J. Wright, Judith Rodin

Ruth Striegel Weissman

This study examined racial differences in eating disorder symptomatology in a community-based sample of middle-aged adult Black and White women and investigated predictors of body image dissatisfaction in these two different racial groups, since most research has focused on young adult White women. Black and White women reported comparable levels of eating disturbance. However, after controlling for degree of overweight, White women had significantly greater rates of body dissatisfaction than Black women. Nonetheless, both racial groups reported considerable body image dissatisfaction and similar factors were found to predict body dissatisfaction for Black and White women. Our data and other recent …


Drive For Thinness In Black And White Preadolescent Girls, Ruth H. Striegel-Moore, George B. Schreiber, Kathleen M. Pike, Denise E. Wilfley, Judith Rodin Jun 1995

Drive For Thinness In Black And White Preadolescent Girls, Ruth H. Striegel-Moore, George B. Schreiber, Kathleen M. Pike, Denise E. Wilfley, Judith Rodin

Ruth Striegel Weissman

This study examined racial differences in drive for thinness, a motivational variable implicated in the etiology of eating disorders. Subjects included 613 black and white preadolescent girls from one of three National Heart, Lung, and Blood Institute (NHLBI) Growth and Health Study centers. Instruments included the Drive for Thinness Scale, a Criticism about Weight scale, the Self-Perception Profile for Children, a Sexual Maturation index, and 3-day food diaries. Black girls reported significantly greater drive for thinness than white girls. Drive for thinness was significantly associated with adiposity in both groups; additional predictors included criticism about weight for black girls and …


Psychological Factors In The Etiology Of Binge Eating, Ruth H. Striegel-Moore Dec 1994

Psychological Factors In The Etiology Of Binge Eating, Ruth H. Striegel-Moore

Ruth Striegel Weissman

Numerous psychological factors have been hypothesized to play a role in the etiology of binge eating. This chapter proposes that female gender-role socialization puts girls at risk for the development of binge eating. Moreover, it is proposed that an understanding of risk requires an exploration of the developmental tasks of female adolscence. As research of the etiology of binge eating in particular and eating disorders in general begins to move away from testing single-factor causal models and toward testing complex, multifactorial models of causation, research needs to examine the psychological factors discussed in this chapter.


Body Image Dissatisfaction And Disordered Eating In Lesbian College Students, Ruth H. Striegel-Moore, Naomi Tucker, Jeanette Hsu Aug 1990

Body Image Dissatisfaction And Disordered Eating In Lesbian College Students, Ruth H. Striegel-Moore, Naomi Tucker, Jeanette Hsu

Ruth Striegel Weissman

Lesbian subcultures have been described to downplay the importance of physical attractiveness and to challenge culturally prescribed beauty ideals. Within this context, one might argue that lesbians should be more accepting of their bodies and less likely to engage in disordered eating, than would heterosexual women. The relationship between sexual orientation and body esteem has not been examined empirically yet. This study compared 30 lesbian undergraduates and 52 heterosexual undergraduates on measures of body esteem, self-esteem, and disordered eating. Few group differences were found. Lesbian students reported lower self-esteem, more ineffectiveness, more interpersonal distrust, and more difficulties in identifying their …


A Prospective Study Of Disordered Eating Among College Students, Ruth H. Striegel-Moore, Lisa R. Silberstein, Peter Frensch, Judith Rodin Aug 1989

A Prospective Study Of Disordered Eating Among College Students, Ruth H. Striegel-Moore, Lisa R. Silberstein, Peter Frensch, Judith Rodin

Ruth Striegel Weissman

The prevalence of disordered eating among college students was assessed at the beginning and the end of the freshman year. The study aimed to identify factors related to worsening of disordered eating during the year. Questionnaires were completed by 590 males and 450 females at baseline and 546 males and 403 females at follow-up. At baseline, the prevalence of bulimia nervosa was 3.8% for females and 0.2% for males. The prevalence of ordered eating symptoms was considerably higher. The prevalence of bulimia nervosa at follow-up was virtually unchanged. However, many students experienced an onset of disordered eating during the year. …