The Prevalence and Related Factors of Eating Disorders and Eating Attitudes Among Balikesir University Students

Yıl 2022, Cilt: 12 Sayı: 3, 636 - 641, 28.09.2022

Elif Gülşah Oğuz Tunay Karlıdere

https://doi.org/10.33808/clinexphealthsci.1002101

Öz

Objective: Eating disorders are classified as psychiatric diseases that include deterioration in eating behaviors and attitudes and has negative effects on the physical and mental health of the individual. The main objective of the study is to elaborate the psychosocial and psychopathological factors related to eating disorders among university students.

Methods: We have enrolled 199 female and 201 male volunteer students at Balıkesir University Faculty of Medicine. Participants were evaluated with a semi-structured questionnaire prepared by our institution regarding clinical experience and available information sources and according to DSM-V diagnostic criteria. Eating Attitude Scale, Ortho-15 Scale, Maudsley Obsessive Compulsive Question List, Rosenberg Self-Esteem Scale and Body Perception Scale were administered to all participants. Individuals with previously known or concomitant dementia, delirium, mental retardation, psychotic disorder diagnosis, depression with psychotic symptoms, and bipolar depression were not included in the study.

Results: The OCD sub-dimension and cleaning sub-dimension differed significantly according to the gender variable (p<0.05). The body imagemean scores were significantly different in terms of the psychiatric diagnosis variable (p<0.05). Participants with psychiatric diagnosis had significantly higher obsessive compulsive disorder suspicion and rumination dimensions and body dissatisfaction scores. When the chronic
disease variable was analyzed with the variables of eating attitudes, self-esteem, OCD symptoms and body image, it was found that the eating attitude differed significantly compared to the chronic disease variable (p<0.05). In addition, ortho-cognitive (p<0.05) and ortho-clinical (p<0.05) mean scores were found to differ significantly. The eating attitude scores were higher in people with chronic diseases.

Conclusion: This research showed that eating attitudes changed with sociodemographic characteristics and was correlated with obsessive compulsive disorder symptoms, body image and self-esteem. In this study we found that eating attitudes of university students had a significant relationship with psychopathological and psychosocial factors; such as obsessive compulsive disorder symptoms, body image and self-esteem.

Anahtar Kelimeler

: Body Image, Self-Esteem, Obcessive Compulsive Disorder, Eating Disorders, Sociodemographics

Kaynakça

• [1] Stefano Erzegovesi, Laura Bellodi. Eating Disorders, CNS Spectr. 2016;21(4):304-309.
• [2] Treasure J, Duarte TA, SchmidManer U. Eating Disorders, Lancet. 2020;395(10227):899-911.
• [3] Hoek HW, van Hoeken D. Review of the prevalence and incidence of eating disorders, Int J Eat Disord. 2003;34(4):383- 396.
• [4] Toker DE, Hocaoğlu Ç. Yeme bozuklukları ve aile yapısı: Bir gözden geçirme. Düşünen Adam; 2009, 22(1-4):36-42. (Turkish).
• [5] Tasca GA, Balfour L. Attachment and eating disorder: A review of current research. Int J Eat Disord. 2014;47(7):710-717
• [6] Chow CM, Ruhl H, Tan CC, Ellis L. Fear of fat and restrained eating: negative body talk between female friends as a moderator, Eat Weight Disord. 2019;24(6):1181-1188.
• [7] Tam CK, Ng CF, Yu CM, Young BW. Disordered eating attitudes and behaviours among adolescents in Hong Kong: prevalence and correlates, J Paediatr Child Health. 2007;43(12):811-817.
• [8] Farahani SJ, Chin YS, Nasir MTM, Amiri P. Disordered Eating and its Association with Overweight and Health-Related Quality of Life Among Adolescents in Selected High Schools of Tehran. Child Psychiatry Hum Dev. 2015;46(3):485-492.
• [9] Murphy R, Straebler S, Cooper Z, Fairburn CG. Cognitive behavioral therapy for eating disorders, Psychiatr Clin North Am. 2010;33(3):611-627
• [10] Hilbert A, Pike KM, Goldschmidt AB, Wilfley DE, Fairburn CG, Dohm FA, Walsh BT, Weissman RS. Risk factors across the eating disorders, Psychiatry Res. 2014;220(1-2):500-506.
• [11] Polivy J, Herman C. Sociocultural idealization of thin female body shapes: An introduction to the special issue on body image and eating disorders. Journal of Social and Clinical Psychology, 2004;23(1): 1-6
• [12] Castillo M, Weiselberg E. Bulimia Nervosa/Purging Disorder, Curr Probl Pediatr Adolesc Health Care, Curr Probl Pediatr Adolesc Health Care. 2017;47(4):85-94.
• [13] Kartal FT, Ayhan NY. Relationship between eating disorders and internet and smartphone addiction in college students, Eat Weight Disord. 2021;26(6):1853-1862.
• [14] Giménez MH. Bulimia nervosa: emotions and making decisions. Rev Psiquiatr Salud Ment.2011;4(2):88-95
• [15] Batista M, Antić LZ, Žaja O, Jakovina T, Begovac I. Predictors of eating disorder risk in anorexia nervosa adolescents. Acta Clin Croat. 2018;57(3):399-410
• [16] Brechan I, Kvalem IL. Relationship between body dissatisfaction and disordered eating: Mediating role of self-esteem and depression. Eat Behav. 2015;17:49-58
• [17] Shafran R, Fairburn CG, Robinson P, Lask B. Body checking and its avoidance in eating disorders. Int J Eat Disord. 2004;35(1):93-101.
• [18] Reas DL, Grilo CM, Masheb RM, Wilson GT. Body checking and avoidance in overweight patients with binge eating disorder. Int J Eat Disord. 2005;37(4):342-346.
• [19] Casale AD, Sorice S, Padovano A, Simmaco M, Ferracuti S, Lamis DA. Rapinesi C, Sani G, Girardi P, Kotzalidis GD, Pompili M, Psychopharmacological Treatment of Obsessive-Compulsive Disorder (OCD), Curr Neuropharmacol. 2019;17(8):710-736.
• [20] Hudson JI, Hiripi E, Pope HG, Kessler RC. The prevalence and correlates of eating disorders in the National Comorbidity Survey Replication. Biol Psychiatry. 2007;61(3):348-358.
• [21] Bartz JA, Hollander E. Is obsessive–compulsive disorder an anxiety disorder? Prog Neuropsychopharmacol Biol Psychiatry. 2006;30(3):338-352.
• [22] Barbarich N. Is there a common mechanism of serotonin dysregulation in anorexia nervosa and obsessive compulsive disorder? Eat Weight Disord. 2002;7(3):221-231.
• [23] Wu KD. Eating disorders and obsessive–compulsive disorder: A dimensional approach to purported relations. J Anxiety Disord. 2008;22(8):1412-1420.
• [24] Guerdjikova AI, Mori N, Casuto LS, McElroy SL. Binge Eating Disorder, Psychiatr Clin North Am. 2017;40(2):255-266.
• [25] Alpaslan AH, Soylu N, Avcı K, Coşkun KS, Kocak U, Taş HU. Disordered eating attitudes, alexithymia and suicide probability among Turkish high school girls. Psychiatry Res. 2015;226(1):224-229.
• [26] Westmoreland P, Krantz MJ, Mehler PS, Medical Complications of Anorexia Nervosa and Bulimia, Am J Med. 2016;129(1):30-37.
• [27] Peterson K, Bratman RF. Anorexia nervosa in adolescents: An overview. Nursing. 2019;49(10):24-30.
• [28] Donini LM, Marsili D, Graziani MP, Imbriale M, Cannella C. Orthorexia Nervosa: Validation of a diagnosis questionnaire. Eat Weight Disord. 2005;10(2):e28-32.
• [29] Smith KE, Mason TB, Lavender JM. Rumination and eating disorder psychopathology: A meta-analysis, Clin Psychol Rev. 2018;61:9-23.
• [30] Brochu JP, Meilleur D, DiMeglio G, Taddeo D, Lavoie E, Erdstein J, Pauzé R, Pesant C, Thibault I, Frappier JV. Adolescents’ perceptions of the quality of interpersonal relationships and eating disorder symptom severity: The mediating role of low self-esteem and negative mood, Eat Disord. 2018;26(4):388-406.
• [31] Castellini G, Sauro CL, Mannucci E, Ravaldi E, Rotella CM, Faravelli C, Ricca V. Diagnostic crossover and outcome predictors in eating disorders according to DSM-IV and DSM – V proposed criteria: A 6-year follow-up study. Psychosom Med. 2011;73(3):270-279.
• [32] Adams KE, Tyler JM, Calogero R, Lee J. Exploring the relationship between appearance-contingent self-worth and self-esteem: The roles of self-objectification and appearance anxiety. Body Image. 2017;23:176-182.
• [33] Wichstrøm L, von Soest T. Reciprocal relations between body satisfaction and self-esteem: A large 13-year prospective study of adolescents. Adolesc. 2016;47:16-27.
• [34] Ward RM, Hay MC. Depression, coping, hassles, and body dissatisfaction: Factors associated with disordered eating. Eat Behav. 2015;17:14-18.
• [35] Oyekcin DG, Deveci A. Yeme bozukluklarının etiyolojisi. Current Approaches in Psychiatry, 2012, 4(2):138-153. (Turkish).
• [36] Ozdin S, Karabekiroolu A, Özbalcı GS, Aker AA. The effect of cognitive symptoms in binge eating disorder on depression and self-esteem: a cross-sectional study, t Weight Disord. 2021;26(5):1483-1489