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A two-stage epidemiological study of abnormal eating attitudes and their prospective risk factors in Polish schoolgirls

  • Katarzyna Włodarczyk-Bisaga (a1) and Bridget Dolan (a1)
  • DOI:
  • Published online: 01 July 2009

In this longitudinal two-stage screening study of abnormal eating attitudes and behaviours in Polish schoolgirls self-report questionnaires (EAT-26) were completed by 747 schoolgirls aged between 14 and 16 years. On the basis of their EAT-26 scores 167 girls were selected for a clinical interview conducted blind to questionnaire scores. No clinical cases of DSM-III-R anorexia or bulimia nervosa were identified, however, there was a point prevalence of 2·34% for subclinical eating disorder and of 28·6% for dieting. Natural history was investigated, repeating the screening and interviews after 10 months. Both the group mean EAT-26 score and the proportion of subclinical cases remained the same at follow-up however, individual girls showed substantial fluctuations over time. On re-screening 11·5% of the sample had moved EAT category (based on scoring below or above the clinical cut-off point). Follow-up interviews showed that 58% (7) of the original subclinical cases were no longer cases while seven girls were ‘new’ subclinical cases. This second stage of the study also aimed to investigate the risk factors for the development of eating disorders. Several family factors distinguished the dieters from non-dieters at the initial stage. Subjects who began dieting between the initial and follow-up interviews had higher Body Mass Index, felt more overweight and had greater discrepancy between their current and ideal weights than the non-dieters. However, analysis of regression revealed no specific risk factors for development of a subclinical syndrome.

Corresponding author
1Address for correspondence: Dr Bridget Dolan Department of Mental Health SciencesSt George's Hospital Medical SchoolTootingLondon SW17 0RE.
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B. M. Dolan (1991). Cross cultural aspects of anorexia nervosa and bulimia nervosa: a review. international Journal of Eating Disorders 10, 6769.

B. M. Dolan , C. D. H. Evans & J. H. Lacey (1989). Family composition and social class in bulimia: A catchment area study of a clinical and a comparison group. Journal of Nervous and Mental Diseases 177, 267272.

B. M. Dolan , S. L. Lieberman , J. H. Lacey & C. D. H. Evans (1990). Family features associated with normal body weight bulimia. International Journal of Eating Disorders 9 638647.

V. Fornair , M. Kaplan , D. Sandberg & M. Matthews (1992). Depressive and anxiety disorders in anorexia nervosa and bulimia nervosa. International Journal of Eating Disorders 12, 2129.

D. M. Garner & S. Wooley (1991). Confronting the failure of behavioural and dietary treatments for obesity. Clinical Psychology Review 11, 729780.

K. Halmi , R. Casper , E. Eckert , D. Goldberg & J. Davis (1979). Unique features associated with age of onset in anorexia nervosa. Psychiatric Research 1, 209215.

E. Johnson-Sabine , K. Wood , G. Patton , A. Mann & A. Wakeling (1988). Abnormal eating attitudes in London Schoolgirls – a prospective epidemiological study: factors associated with abnormal response on screening questionnaires. Psychological Medicine 18, 615622.

J. H. Lacey , S. Gowers & A. Bhat (1991). Bulimia nervosa: family size, sibling sex and birth order: a catchment area study. British Journal of Psychiatry 158, 491494.

D. B. Mumford , A. M. Whitehouse & M. Platts (1991). Eating disorders amongst Asian schoolgirls in Bradford: prevalence and socio-cultural correlates. British Journal of Psychiatry 158, 222228.

U. Neumarker , U. Dudeck , M. Vollrath , K-J. Neumarker & H. C. Steinhausen (1992). Eating attitudes among adolescent anorexia nervosa patients and normal subjects in former West and East Berlin: a transcultural comparison. International Journal of Eating Disorders 12, 281289.

J. Polivy & P. Herman (1987). Diagnosis and treatment of normal eating. Journal of Consulting Clinical Psychology 55, 635644.

A. J. Pumariega (1986). Acculturation and eating attitudes in adolescent girls. Journal of the American Academy of Child and Adolescent Psychiatry 25, 276279.

G. Rathner (1992). Aspects of the natural history of normal and disordered eating: some methodological considerations. In The Course of Eating Disorders (ed. W. Herzog , H. C. Deter and W. Vandereycken ), pp. 273303. Springer Verlag: Heidelberg.

J. C. Rosen , B. Tacy & D. Howell (1990). Life stress, psychological symptoms and weight reducing behaviour in adolescent girls. International Journal of Eating Disorders 9, 1726.

H. C. Steinhausen , K-J. Neumarker , M. Vollrath , U. Dudeck & U. Neumarker (1992). A transcultural comparison of the Eating Disorder Inventory in former West and East Berlin. International Journal of Eating Disorders 12, 407416.

M. Strober & J. L. Katz (1987). Do eating disorders and affective disorders have a common etiology? International Journal of Eating Disorders 6, 171180.

W. Vandereycken & J. Vanderlinden (1983). Denial of illness and the use of self-reporting measures. International Journal of Eating Disorders 2, 101108.

K. Włodarczyk-Bisaga , B. M. Dolan , S. McCluskey & J. H. Lacey (1995). Disordered eating behaviour and attitudes towards weight and shape in Polish women. European Eating Disorders Review 3, 205216.

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