Skip to main content
×
Home
    • Aa
    • Aa

Abnormal eating attitudes in London schoolgirls — a prospective epidemiological study: outcome at twelve month follow-up

  • G. C. Patton (a1), E. Johnson-Sabine (a1), K. Wood (a1), A. H. Mann (a1) and A. Wakeling (a1)...
Synopsis
Synopsis

The occurrence and course of eating disorder in a large representative population of 15-year-old London schoolgirls has been assessed using a two-stage survey methodology. Attempts to control weight were common and often transient. Dieting was in the great majority of girls found to be a benign practice without progression to more extreme concerns about food and weight. However, a small proportion of dieters did become cases and formed the majority of new cases found at follow-up. The relative risk of dieters becoming cases was eight times that of non-dieters. Many factors conventionally associated with eating disorder were associated more with attempting weight control than caseness. These included pre-morbid personality, pre-morbid obesity and family weight pathology. Other factors, including social class, career choice and psychosexual development, had no association either with attempting weight control or caseness.

Copyright
Corresponding author
1Address for correspondence: Dr G. C. Patton, Academic Department of Psychiatry, Royal Free Hospital, Pond St., London NW3 2QG.
References
Hide All
Button E. J. & Whitehouse A. (1981). Subclinical anorexia nervosa. Psychological Medicine 11, 509516.
Cattell R. B., Eber H. J. & Tatsnokos M. (1970). The Sixteen Personality Factor Questionnaire, 3rd edn.Institute for Personality and Ability Testing: Champaign, Ill.
Clarke M. H. & Palmer R. L. (1983). Eating and neurotic symptoms in university students. British Journal of Psychiatry 142, 299304.
Cooper J. E. (1970). The Leyton obsessional inventory. Psychological Medicine 1, 4864.
Crisp A. H., Palmer R. L. & Kalucy R. S. (1976). How common is anorexia nervosa? A prevalence study. British Journal of Psychiatry 128, 549554.
Dwyer J. T., Feldman J. J. & Mayer J. (1967). Adolescent dieters: who are they? American Journal of Clinical Nutrition 20, 10451056.
Fries H. (1974). Secondary amenorrhoea, self-induced weight reduction and anorexia nervosa. Acta Psychiatrica Scandinavica suppl. 248.
Garner D. M. & Garfinkel P. E. (1979). The Eating Attitudes Test: an index of the symptoms of anorexia nervosa. Psychological Medicine 9, 273279.
Garner D. M. & Garfinkel P. E. (1982) Anorexia Nervosa: A Multidimensional Perspective. Brunner/Mazel: New York.
Garner D. M., Olmstead M. P., Bohr Y. & Garfinkel P. E. (1982). The Eating Attitudes Test: psychometric features and clinical correlates. Psychological Medicine 12, 871878.
Goldberg D. P. & Hiller V. F. (1979). A scaled version of the General Health Questionnaire. Psychological Medicine 9, 139145.
Goldberg D. P. & Huxley P. (1980). Mental Illness in the Community. Tavistock: London.
Greenfield D., Quinlan D. M., Harding P., Glass E. & Bliss A. (1987). Eating behaviour in an adolescent population. International Journal of Eating Disorders 6, 99111.
Huenemann R. L., Shapiro L. R., Hampton M. C. & Mitchell B. W. (1966). A longitudinal study of gross body conformation and their association with food and activity in a teen-age population. American Journal of Clinical Nutrition 18, 325338.
Jenkins R., Mann A. H. & Belsey E. (1981). The background design and use of a short interview to assess social stress and support in research and clinical settings. Social Science and Medicine 153, 195203.
Johnson-Sabine E., Wood K., Patton G., Mann A. & Wakeling A. (1988). Abnormal eating attitudes in London schoolgirls – a prospective epidemiological study: factors associated with abnormal response on screening questionnaires. Psychological Medicine 18, 615622.
Kalucy R. S., Crisp A. H. & Harding B. A. (1977). A study of 56 families with anorexia nervosa. British Journal of Medical Psychology 50, 381395.
Kelly J. T., Patten S. E. & Johannes A. (1982). Analysis of selfreported eating and related behaviours in an adolescent population. Nutrition Research 2, 417432.
King M. B. (1986). Eating disorders in general practice. British Medical Journal 293, 14121414.
Leichner P., Arnett J., Rallo J. S., Srikameswaren S., & Vulcano B., (1986). An epidemiologic of maladaptive eating attitudes in a Canadian school age population. International Journal of Eating Disorders 5, 969982.
Mann A. H., Wakeling A., Wood K., Monck E., Dobbs R. & Szmukler G. (1983). Screening for abnormal eating attitudes and psychiatric morbidity in an unselected population of 15-year-old schoolgirls. Psychological Medicine 13, 573580.
Nylander I. (1971). The feeling of being fat and dieting in a school population. Epidemiologic interview investigation. Acta Sociomedica Scandinavica 1, 1726.
Russell G. F. M. (1970). Anorexia nervosa: its identity as an illness and its treatment. In Modern Trends in Psychological Medicine, vol. 2, (ed. Harding-Price J.), pp. 131164. Butterworth: London.
Russell G. F. M. (1979). Bulimia nervosa: an ominous variant of anorexia nervosa. Psychological Medicine 9, 429448.
Schleimer K. (1984). Dieting in teenage girls. Acta Paediatrica Scandinavica suppl. 312.
Schmidke A. & Häfner H. (1988). The Werther Effect after television films: new evidence for an old hypothesis. Psychological Medicine 18, 665676.
Szmukler G. I. (1985). Weight and food preoccupation in a population of English schoolgirls. In Understanding Anorexia Nervosa and Bulimia (ed. Bargman J. G.), pp. 2127. Brunner'Mazel: New York.
Vandereyken W. & Vanderlinden J. (1983). Denial of illness and the use of self-reporting measures in anorexia. International Journal of Eating Disorders 2, 101108.
Williams P., Hand D. & Tarnopolsky A. (1982). The problem of screening for uncommon disorders a comment on the Eating Attitudes Test. Psychological Medicine 12, 431434.
Recommend this journal

Email your librarian or administrator to recommend adding this journal to your organisation's collection.

Psychological Medicine
  • ISSN: 0033-2917
  • EISSN: 1469-8978
  • URL: /core/journals/psychological-medicine
Please enter your name
Please enter a valid email address
Who would you like to send this to? *
×

Metrics

Altmetric attention score

Full text views

Total number of HTML views: 0
Total number of PDF views: 34 *
Loading metrics...

Abstract views

Total abstract views: 376 *
Loading metrics...

* Views captured on Cambridge Core between September 2016 - 22nd October 2017. This data will be updated every 24 hours.