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Social, psychological and physical correlates of eating problems. A study of the general adolescent population in Norway

  • Lars Wichstrøm (a1)

The characteristics and concurrent predictors of eating problems were identified. Ninety-seven per cent of a representative sample of Norwegian adolescents (N = 11315) completed a questionnaire containing a 12-item version of the Eating Attitudes Test (EAT) and measures of a large number of physiological, psychological and social factors previously suggested to be of aetiological importance. Social class, drug use and indicators of ‘the model child’ (high grades, high occupational aspirations and much homework) were not related to eating problems. Logistic regression analyses identified perceived obesity as the strongest associated factor, followed by gender, depression, excessive exercise and unstable self-perceptions. In addition, adopting idols with perfect bodies, body dissatisfaction, low self-worth, feminine sex-role orientation, lack of parental care, early pubertal timing, age and number of alcohol intoxications all added to the probability of eating problems. About 6% perceived themselves as obese in spite of subnormal BMI. Such misperceptions increased the risk of high scores on EAT.

Corresponding author
1 Address for correspondence: Dr Lars Wichstrøm, The Research Council of Norway's Centre for Youth Research (UNGFORSK), Gaustadalleen 21, N-0371 Oslo, Norway.
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F. D. Alsaker (1992). Pubertal timing, overweight, and psychological adjustment. Journal of Early Adolescence 12, 396419.

F. D. Alsaker & D. Olweus (1986). Assessment of global negative self-evaluations and perceived stability of self in Norwegian preadolescents and adolescents. Journal of Early Adolescence 6, 269278.

I. Attie & J. Brooks-Gunn (1989). Development of eating problems in adolescent girls: a longitudinal study. Developmental Psychology 25, 7079.

S. L. Bem (1974). The measurement of psychological androgyny. Journal of Consulting and Clinical Psychology 42, 634643.

L. D. Bennion & G. R. Adams (1986). A revision of the Extended Version of the Objective Measure of Ego-identity Status: an identity instrument for use with late adolescents. Journal of Adolescent Research 1, 183198.

M. Boskind-Lodahl (1976). Cinderella's stepsisters: a feminist perspective on anorexia nervosa and bulimia. Signs 2, 342356.

T. A. Brown , T. F. Cash & R. J. Lewis (1989). Body-image disturbances in adolescent female binge-purgers: a brief report of the results of a national survey in the USA. Journal of Child Psychology and Psychiatry 30, 605613.

H. Bruch (1962). Perceptual and conceptual disturbances in anorexia nervosa. Psychosomatic Medicine 24, 187194.

T. F. Cash & T. A. Brown (1987). Body-image disturbances in anorexia nervosa and bulimia nervosa: a review of the literature. Behavior Modification 11, 487521.

L. D. Cohn , N. E. Adler , C. E. Irwin , S. G. Millstein , S. M. Kegeles & G. Stone (1987). Body-figure preferences in male and female adolescents. Journal of Abnormal Psychology 96, 276279.

A. H. Crisp , R. L. Palmer & R. S. Calucy (1976). How common is anorexia nervosa ? A prevalence study. British Journal of Psychiatry 128, 549554.

J. Cullberg & E. M. Lindberg (1988). Prevalence and incidence of eating disorders in a suburban area. Acta Psychiatrica Scandinavica 78, 314319.

C. M. Dacey , W. M. Nelson , V. F. Clark & K. G. Aikman (1991). Bulimia and body image dissatisfaction in adolescence. Child Psychiatry and Human Development 21, 179184.

B. M. Dolan , S. Lieberman , C. Evans & J. H. Lacey (1990). Family features associated with normal body weight bulimia. International Journal of Eating Disorders 9, 639647.

E. M. Dykens & M. Gerrard (1986). Psychological profiles of purging bulimics, repeat dieters, and controls. Journal of Consulting and Clinical Psychology 54, 283288.

I. Eisler & G. I. Szmukler (1985). Social class as a confounding variable in the Eating Attitudes Test. Journal of Psychiatric Research 19, 171176.

W. F. Epling , W. D. Pierce & L. Stefan (1983). A theory of activity-based anorexia. International Journal of Eating Disorders 3, 2746.

L. J. Fabian & J. K. Thompson (1989). Body image and eating disturbance in young females. International Journal of Eating Disorders 8, 6374.

R. E. Frish , G. Wyshak & L. Vincent (1980). Delayed menarche and amenhorrea in ballet dancers. New England Journal of Medicine 303, 1719.

R. M. Gardner & C. Moncrieff (1989). Body image distortion in anorexics as a non-sensory phenomenon: a signal detection approach. Journal of Clinical Psychology 44, 101107.

D. M. Garner , M. P. Olmstead & J. Polivy (1983). Development and validation of a multidimensional eating disorder inventory for anorexia nervosa and bulimia. International Journal of Eating Disorders 2, 1534.

J. Gross & J. C. Rosen (1988). Bulimia in adolescents: prevalence and psychosocial correlates. International Journal of Eating Disorders 7, 5161.

T. P. Harding & J. R. Lachenmeyer (1986). Family interaction patterns and locus of control as predictors of the presence and severity of anorexia nervosa. Journal of Clinical Psychology 42, 440448.

H. Henderson & C. P. L. Freeman (1987). A self-rating scale for bulimics. The BITE. British Journal of Psychiatry 150, 1824.

P. R. Holleran , J. Pascale & J. Fraley (1988). Personality correlates of college age bulimics. Journal of Counseling and Development 66, 378381.

L. K. G. Hsu & t. A. Sobkiewicz (1991). Body image disturbance: time to abandon the concept of eating disorders. International Journal of Eating Disorders 10, 1530.

L. L. Humphrey (1989). Observed family interactions among subtypes of eating disorders using structural analysis of social behaviour. Journal of Consulting and Clinical Psychology 57, 206214.

T. Jacob , D. L. Tennenbaum & G. Krahn (1987). Factors influencing the reliability and validity of observation data. In Family Interaction and Psychopathology: Theories, Methods, and Findings (ed. T. Jacob ), (pp. 297328). Plenum Press: New York.

D. B. Kandel & M. Davies (1982). Epidemiology of depressed mood in adolescents. An empirical study. Archives of General Psychiatry 39, 12051212.

J. D. Killen , C. B. Taylor , M. J. Telch , T. N. Robinson , D. J. Maron & K. E. Saylor (1987). Depressive symptoms and substance abuse among adolescent binge eaters and purgers: a defined population study. American Journal of Public Health 77, 15391541.

J. A. Lakin , S. N. Steen & R. A. Oppliger (1991). Eating behaviors, weight loss methods and nutrition practices among high school wrestlers. Journal of Community Health Nursing 7, 223233.

N. J. Lavik , S. E. Clause & W. Pedersen (1991). Eating behaviour, drug use, psychopathology and parental bonding in adolescents in Norway. Acta Psychiatrica Scandinavica 84, 387390.

S. Ledoux , M. Choquet and R. Manfredi (1993). Associated features for self-reported binge eating among male and female adolescents. Journal of Adolescence 16, 7591.

D. Magnusson , H. Stattin & V. L. Allen (1985). Biological maturation and social development: a longitudinal study of some adjustment processes from mid-adolescence to adulthood. Journal of Youth and Adolescence 14, 267283.

M. A. Marrazzi & E. D. Luby (1986). An auto-addiction opoid model of chronic anorexia nervosa. International Journal of Eating Disorders 5, 191208.

S. Minuchin , B. L. Rosman & L. Baker (1978). Psychosomatic Families. Anorexia Nervosa in Context. Harvard University Press: Cambridge, Mass.

D. B. Mumford , A. M. Whitehouse & M. Platts (1991). Sociocultural correlates of eating disorders among asian schoolgirls in Bradford. British Journal of Psychiatry 158, 222228.

R. G. Owens & P. D. Slade (1987). Running and anorexia nervosa: an empirical study. International Journal of Eating Disorders 6, 771775.

G. Parker , H. Tupling & L. B. Brown (1979). A parental bonding instrument. British Journal of Medical Psychology 52, 110.

G. C. Patton (1988). The spectrum of eating disorder in adolescence. Journal of Psychosomatic Research 32, 579598.

S. J. Paxton , E. H. Wertheim , K. Gibbons , G I. Szmuckler , L. Hillier & J. L. Petrovich (1991). Body image satisfaction, dieting beliefs, and weight loss behaviors in adolescent girls and boys. Journal of Youth and Adolescence 20, 361379.

A. C. Petersen & L. Crockett (1985). Pubertal timing and grade effects on adjustment. Journal of Youth and Adolescence 14, 191206.

R. Pole , D. A. Waller , S. M. Stewart & L. Parkin-Feigenbaum (1988). Parental carving vs. overprotection in bulimia. International Journal of Eating Disorders 7, 601606.

H. G. Pope , R. F. Champoux & J. I. Hudson (1987). Eating disorder and socioeconomic class. Anorexia and bulimia in nine communities. Journal of Nervous and Mental Disease 175, 620623.

M. Rastam & C. Gillberg (1991) The family background in anorexia nervosa: a population based study. Journal of the American Academy of Child and Adolescent Psychiatry 30, 283289.

W. Rost , M. Neuhans & I. Florin (1982). Bulimia nervosa: sex role attitude, sex role behavior, and sex role-related locus of control in bulimiarcxic women. Journal of Psychosomatic Research 26, 403408.

J. D. Russell , E. Kopec-Schrader , J. M. Rey & P. J. V. Beumont (1992). The Parental Bonding Instrument in adolescent patients with anorexia nervosa. Acta Psychiatrica Scandinavica 86, 236239.

D. Scott (1983). Alcohol and food abuse: some comparison. British Journal of Addiction 78, 339349.

J. Shedler & J. Block (1990). Adolescent drug use and psychological health. American Psychologist 45, 612630.

P. H. Silverstone (1990). Low self-esteem in eating disordered patients in the absence of depression. Psychological Reports 67, 276278.

P. D. Slade (1985). A review of body-image studies in anorexia nervosa and bulimia nervosa. Journal of Psychiatric Research 19, 255–26.

P. D. Slade , M. E. Dewey , G. Kiemle & T. Newton (1990). Update on SCANS: a screening instrument for identifying individuals at risk for developing an eating disorder. International Journal of Eating Disorders 9, 583584.

R. Striegel-More , L. Silberstein & L. Rodin (1986). Towards an understanding of risk factors for bulimia. American Psychologist 41, 246263.

M. H. Tobin-Richards , A. M. Boxer & A. C. Petersen (1983). The psychological significance of pubertal change: sex differences in perceptions of self during early adolescence. In Girls at Puberty: Biological and Psychosocial Perspectives (ed. J. Brooks-Gunn and A. C. Petersen ), pp. 127154. Plenum Press: New York.

G. Waller , R. Calam & P. Slade (1989). Eating disorders and family interaction. British Journal of Clinical Psychology 28, 285286.

D. A. Williamson , M. L. Kelley , C. J. Davis , L. Ruggiero & D. C. Blouin (1985). Psychopathology of eating disorders: A controlled comparison of bulimic, obese, and normal subjects. Journal of Consulting and Clinical Psychology 53, 161166.

A. J. Yates , K. Leehay & C. M. Shisslak (1983). Running – an analogue of anorexia? New England Journal of Medicine 308, 251255.

J. E. Zweben (1987). Eating disorders and substance abuse. Journal of Psychoactive Drugs 19, 181192.

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Psychological Medicine
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