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Risk and protective factors for disturbed eating in adolescent girls: aspects of perfectionism and attitudes to eating and weight
Örebro University, School of Health and Medical Sciences. (Psykiatriskt forskningscentrum)
Institutionen för folkhälso- och vårdvetenskap, Uppsala Universitet.
Örebro University, School of Health and Medical Sciences.
Center för psykiatriforskning, Karolinska institutet.
2009 (English)In: European eating disorders review, ISSN 1072-4133, E-ISSN 1099-0968, Vol. 17, no 5, 380-389 p.Article in journal (Refereed) Published
Abstract [en]

The aim of this study was to longitudinally examine the role of personal standards, self-evaluation, perceived benefits of thinness and attitudes to eating and weight in the development of healthy versus disturbed eating in adolescent girls.

In a longitudinal study, girls who participated in two assessments, four to five years apart, were divided into three groups according to the attitudes to eating that they manifested at the second evaluation: those with disturbed eating patterns (DE-group n=49), those with intermediate concerns about eating (IE-group, n= 260) and those with healthy eating attitudes (HE-group n=120).

Variables concerning attitudes to eating and weight and physical self-evaluation emerged as risk factors, whereas personal standards or self-evaluation in general did not. Protective factors were a low BMI, healthy eating attitudes, an accepting attitude towards body size and a positive self-evaluation, particularly with regard to physical and psychological characteristics.

The results of this study contribute to the understanding of early risk and protective factors for eating disturbances in girls.

Place, publisher, year, edition, pages
Chichester: John Wiley & Sons, 2009. Vol. 17, no 5, 380-389 p.
Keyword [en]
eating disorders, perfectionism, protective factors, risk factors
National Category
Psychiatry
Research subject
Psychiatry
Identifiers
URN: urn:nbn:se:oru:diva-10006DOI: 10.1002/erv.930ISI: 000269964500007Scopus ID: 2-s2.0-70449700392OAI: oai:DiVA.org:oru-10006DiVA: diva2:304642
Projects
ingår i doktorsavhandling.
Available from: 2010-03-19 Created: 2010-03-15 Last updated: 2017-02-20Bibliographically approved
In thesis
1. The importance of being thin: perceived expectations from self and others and the effect on self-evaluation in girls with disordered eating
Open this publication in new window or tab >>The importance of being thin: perceived expectations from self and others and the effect on self-evaluation in girls with disordered eating
2010 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

The overall aims of this thesis were to examine personal standards, self-evaluation and attitudes to eating and weight in the development of disturbed eating in adolescent girls, and to examine how adolescent girls with a clinical eating disorder reflect upon and deal with perceived expectations in daily life.

Studies I and II were quantitative studies, conducted in a population-based longitudinal study. Studies III and IV were qualitative interview studies of girls who were suffering from eating disorders and the data were analysed using a phenomenographic approach.

Study I showed that high personal standards expressed in a competitive way were specific for the girls with disturbed eating. These girls also reported a negative physical self-evaluation and often believed that thinness would make them more popular. In study II variables concerning attitudes to eating and weight and physical self-evaluation emerged as risk factors for disturbed eating, whereas personal standards or self-evaluation in general did not. Protective factors were a low BMI, healthy eating attitudes, an accepting attitude towards body size and a positive self-evaluation. Three categories of perceived expectations were described in study III: expectations from others, self-imposed expectations and conflicting expectations. Many informants had problems identifying expectations that were not explicit and they interpreted them as self-imposed. In study IV the various ways in which the informants reflected on dealing with these expectations were summarized into three qualitatively different conceptions: being oneself, adapting to different situations and presenting oneself in a positive light. These conceptions were expressed in five patterns of action, which could have various functions for different individuals and in different situations.

The results suggest that in order to prevent and treat eating disorders and related problems it is essential to integrate both intrapersonal and contextual factors that contribute to the development and maintenance of these conditions.

Place, publisher, year, edition, pages
Örebro: Örebro universitet, 2010. 83 p.
Series
Örebro Studies in Medicine, ISSN 1652-4063 ; 41
Keyword
Eating disorders, risk factors, protective factors, sociocultural factors, gender, perfectionism, personal standards, competitiveness, phenomenography.
National Category
Medical and Health Sciences Psychiatry
Research subject
Psychiatry
Identifiers
urn:nbn:se:oru:diva-10008 (URN)978-91-7668-717-8 (ISBN)
Public defence
2010-04-23, Wilandersalen, Universitetssjukhuset USÖ, Örebro, 13:00 (Swedish)
Opponent
Supervisors
Available from: 2010-03-19 Created: 2010-03-15 Last updated: 2011-05-11Bibliographically approved

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