Browsing by Subject "Eating Disorders"
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Item Orthorexia Nervosa Prevalence in US Adults with Type 1 and Type 2 Diabetes(2020-01) Shoemaker, CaitlynBackground The disordered eating pattern Orthorexia Nervosa(ON) has been examined in various populations with a non-established prevalence. ON shares the isolation/malaise aspects of defined eating disorders(EDs). People with diabetes(DM) struggle with food/EDs and treatment relies on limiting processed foods, and they may display ON symptomatology. However, ON has rarely been examined in diabetes, or in a US population. Objective Determine prevalence of ON in US adults with diabetes. Other aims: determine association between Orthorexia and (1)quality-of-life(QOL); (2)overall disordered eating; (3) disordered eating habits in people with insulin-dependent diabetes; (4)body image perception in diabetes. Hypothesis Due to its ill nature/similarities to established EDs, Orthorexia Nervosa is prevalent in people with diabetes. Methods The REDCAP survey contained five measures. Results DMI had a higher prevalence of ON. ED behaviors decreased and body image was more favorable(p≤.05). Conclusion ON is prevalent in people with diabetes. Diabetes professionals should recognize/screen for Orthorexia.Item The relationship among culture-specific factors, pubertal timing, and body image and eating disordered symptoms among adopted Korean adolescent girls.(2009-08) Song, Sueyoung L.The aim of this dissertation was to examine the role of developmental and culture-specific factors in body image concerns and eating disordered symptoms among internationally, transracially adopted adolescent girls. I specifically sought to replicate past research that suggested early pubertal timing was associated with eating disordered outcomes; to examine the association between racial, ethnic, and adoption factors and eating disordered outcomes; and to test whether these latter associations were moderated by pubertal timing in two samples of adopted female Korean Americans. Early menarche significantly predicted body dissatisfaction, but only in the second study. In the first study there were significant main effects of both birth preoccupation and racial discomfort on two of the body image and ED symptom outcomes - binge eating and weight preoccupation. The first study also revealed a significant main effect between cultural socialization and compensatory behaviors. In the second study, there were significant main effects of birth preoccupation on body satisfaction and ED symptoms. There also were significant main effects of both adoptive identity and ethnic identity on satisfaction with Asian appearances. Across both studies, there was no support for the hypothesis that age of menarche would moderate the association between culture-specific factors and eating disordered outcomes. The study findings provide a cultural framework to help uncover the process and mechanisms by which cultural differences in body image and ED symptoms may exist.Item A study of the validity of the eating disorder examination.(2010-06) Berg, Kelly ChristinaThe Eating Disorder Examination (EDE), an investigator-based interview, and the questionnaire version of the EDE (EDE-Q) are considered the preeminent assessments of eating disorder symptoms. Despite their status as gold-standard eating disorder assessments, research on the psychometric properties of these measures is limited. The current studies aimed to enhance these data, specifically with regard to the convergence of the EDE and EDE-Q and the validity of the EDE in the assessment of binge eating. For the first study, a meta-analysis of 15 studies on the convergent validity of the EDE and EDE-Q using correlation coefficients and Cohen's d was conducted. The results demonstrated convergence between the EDE and EDE-Q for the assessment of cognitive symptoms and compensatory behaviors, but limited convergence for the assessment of binge eating. A second study compared the frequency of binge eating recalled on the EDE to that reported in Daily Food Records (DFRs) by 34 participants. The results demonstrated convergence between the EDE and DFRs for the assessment of Objective Bulimic Episodes and Total binge frequency in Month 1. These studies suggest that the EDE and EDE-Q assess similar constructs, but indicate that they should not be used interchangeably. Additionally, the data provide preliminary support for the use of the EDE in the assessment of binge eating during the past month.