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Disordered eating in a Swedish community sample of adolescent girls : Subgroups, stability, and associations with body esteem, deliberate self-harm and other difficulties

Viborg, Njördur LU ; Wångby-Lundh, Margit LU ; Lundh, Lars Gunnar LU ; Wallin, Ulf LU and Johnsson, Per LU (2018) In Journal of Eating Disorders 6(1).
Abstract

Background: The developmental study of subtypes of disordered eating (DE) during adolescence may be relevant to understand the development of eating disorders. The purpose of the present study was to identify subgroups with different profiles of DE in a community sample of adolescent girls aged 13-15 years, and to study the stability of these profiles and subgroups over a one-year interval in order to find patterns that may need to be addressed in further research and prevention. Methods: Cluster analysis according to the LICUR procedure was performed on five aspects of DE, and the structural and individual stability of these clusters was analysed. The clusters were compared with regard to BMI, body esteem, deliberate self-harm, and... (More)

Background: The developmental study of subtypes of disordered eating (DE) during adolescence may be relevant to understand the development of eating disorders. The purpose of the present study was to identify subgroups with different profiles of DE in a community sample of adolescent girls aged 13-15 years, and to study the stability of these profiles and subgroups over a one-year interval in order to find patterns that may need to be addressed in further research and prevention. Methods: Cluster analysis according to the LICUR procedure was performed on five aspects of DE, and the structural and individual stability of these clusters was analysed. The clusters were compared with regard to BMI, body esteem, deliberate self-harm, and other kinds of psychological difficulties. Results: The analysis revealed six clusters (Multiple eating problems including purging, Multiple eating problems without purging, Social eating problems, Weight concerns, Fear of not being able to stop eating, and No eating problems) all of which had structurally stable profiles and five of which showed stability at the individual level. The more pronounced DE clusters (Multiple eating problems including/without purging) were consistently associated with higher levels of psychological difficulties and lower levels of body esteem. Furthermore, girls that reported purging reported engaging in self-harm to a larger extent. Conclusions: Subgroups of 13-15 year old girls show stable patterns of disordered eating that are associated with higher rates of psychological impairment and lower body esteem. The subgroup of girls who engage in purging also engage in more deliberate self-harm.

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author
; ; ; and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Adolescents, Cluster analysis, Disordered eating, Longitudinal, Prevention, Risk factors
in
Journal of Eating Disorders
volume
6
issue
1
article number
5
publisher
BioMed Central (BMC)
external identifiers
  • scopus:85044331624
  • pmid:29588853
ISSN
2050-2974
DOI
10.1186/s40337-018-0189-z
language
English
LU publication?
yes
id
714682cc-18e3-4776-ae1a-514e6eb98883
date added to LUP
2018-04-04 13:29:26
date last changed
2021-04-06 02:19:16
@article{714682cc-18e3-4776-ae1a-514e6eb98883,
  abstract     = {<p>Background: The developmental study of subtypes of disordered eating (DE) during adolescence may be relevant to understand the development of eating disorders. The purpose of the present study was to identify subgroups with different profiles of DE in a community sample of adolescent girls aged 13-15 years, and to study the stability of these profiles and subgroups over a one-year interval in order to find patterns that may need to be addressed in further research and prevention. Methods: Cluster analysis according to the LICUR procedure was performed on five aspects of DE, and the structural and individual stability of these clusters was analysed. The clusters were compared with regard to BMI, body esteem, deliberate self-harm, and other kinds of psychological difficulties. Results: The analysis revealed six clusters (Multiple eating problems including purging, Multiple eating problems without purging, Social eating problems, Weight concerns, Fear of not being able to stop eating, and No eating problems) all of which had structurally stable profiles and five of which showed stability at the individual level. The more pronounced DE clusters (Multiple eating problems including/without purging) were consistently associated with higher levels of psychological difficulties and lower levels of body esteem. Furthermore, girls that reported purging reported engaging in self-harm to a larger extent. Conclusions: Subgroups of 13-15 year old girls show stable patterns of disordered eating that are associated with higher rates of psychological impairment and lower body esteem. The subgroup of girls who engage in purging also engage in more deliberate self-harm.</p>},
  author       = {Viborg, Njördur and Wångby-Lundh, Margit and Lundh, Lars Gunnar and Wallin, Ulf and Johnsson, Per},
  issn         = {2050-2974},
  language     = {eng},
  month        = {03},
  number       = {1},
  publisher    = {BioMed Central (BMC)},
  series       = {Journal of Eating Disorders},
  title        = {Disordered eating in a Swedish community sample of adolescent girls : Subgroups, stability, and associations with body esteem, deliberate self-harm and other difficulties},
  url          = {http://dx.doi.org/10.1186/s40337-018-0189-z},
  doi          = {10.1186/s40337-018-0189-z},
  volume       = {6},
  year         = {2018},
}