‘Feeling fat’ is associated with specific eating disorder symptom dimensions in young men and women

Author(s):  
A. Mehak ◽  
S. E. Racine
2020 ◽  
Author(s):  
Adrienne Mehak ◽  
Sarah Elizabeth Racine

Purpose: ‘Feeling fat,’ the somatic experience of having excess body weight that is not fully explained by true adiposity, correlates with eating pathology in clinical and non-clinical samples. It is unknown whether ‘feeling fat’ more strongly relates to specific eating disorder symptom dimensions that typically characterize anorexia nervosa, bulimia nervosa, and/or binge eating disorder. Understanding the significance of ‘feeling fat’s relationship with specific eating disorder symptom dimensions - cognitive restraint, dietary restriction, binge eating, and purging - may suggest its relevance to particular forms of eating pathology and elucidate treatment directions for addressing ‘feeling fat’. Methods: Questionnaires were completed by 989 undergraduates (54.3% female). Results: Path analyses indicated significant associations between feeling fat and all symptom dimensions; these paths were not moderated by gender. The best fitting model was the model including paths from ‘feeling fat’ to all symptom dimensions; no other model had equivalent fit. Conclusion: ‘Feeling fat’ relates to all examined symptoms of eating disorders in a mixed-gender non-clinical population. These results indicate that ‘feeling fat’ is associated with multiple core symptoms of eating pathology, pointing to ‘feeling fat’s significance to eating pathology maintenance across the spectrum of eating pathology. Future research should compare the influence of ‘feeling fat’ on these symptoms in mixed-gender clinical samples.


2021 ◽  
Author(s):  
Andreas Birgegård ◽  
Afrouz Abbaspour ◽  
Stina Borg ◽  
David Clinton ◽  
Emma Forsén Mantilla ◽  
...  

AbstractObjectiveTo document the impact of the COVI-19 pandemic on the health and well-being of individuals with past and current eating disorders in Sweden.MethodWe re-contacted participants from two previous Swedish studies who had a known lifetime history of an eating disorder. Participants completed an online questionnaire about their health and functioning at baseline early in the pandemic (Wave 1; N=982) and six months later (Wave 2); N=646).ResultsThree important patterns emerged: 1) higher current eating disorder symptom levels were associated with greater anxiety, worry, and pandemic-related eating disorder symptom increase; 2) patterns were fairly stable across time, although a concerning number who reported being symptom-free at Wave 1 reported re-emergence of symptoms at Wave 2; and only a minority of participants with current eating disorders were in treatment, and of those who were in treatment, many reported fewer treatment sessions than pre-pandemic and decreased quality of care.ConclusionsThe COVID-19 pandemic is posing serious health challenges for individuals with eating disorders, whether currently symptomatic or in remission. We encourage health service providers and patient advocates to be alert to the needs of individuals with eating disorders and to take active measures to ensure access to appropriate evidence-based care both during and following the pandemic.Significant Outcomes and LimitationsIndividuals with eating disorders symptoms or current active disorder report higher adverse impact of COVID-19 on their mental healthEven individuals who were symptom-free early in the pandemic reported a resurgence of eating disorder symptomsA large proportion of symptomatic individuals were not in treatment for their eating disorder, services should be aware and access to evidence-based care should be ensured across SwedenLimitations included the use of a convenience sample with atypical diagnostic distribution, and a low initial response rate, possibly introducing bias and limiting generalisability.Data Availability StatementFully anonymized data are available from the corresponding author upon request.


2010 ◽  
Vol 18 (4) ◽  
pp. 333-346 ◽  
Author(s):  
Katherine A. Henderson ◽  
Annick Buchholz ◽  
Julie Perkins ◽  
Sarah Norwood ◽  
Nicole Obeid ◽  
...  

2016 ◽  
Vol 55 (8) ◽  
pp. 693-700.e2 ◽  
Author(s):  
Jerel P. Calzo ◽  
Nicholas J. Horton ◽  
Kendrin R. Sonneville ◽  
Sonja A. Swanson ◽  
Ross D. Crosby ◽  
...  

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