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Abstract

Eating disorders are part of a spectrum of disordered eating behavior (DEB). This spectrum encompasses varying combinations and degrees of negative body image, binge-eating, and unhealthy forms of weight management such as restrictive dieting, self-induced vomiting after eating, and abuse of laxatives, diuretics, diet pills, and exercise as well as excessive eating that contributes to obesity. At the extreme end of the spectrum are the prototypical syndromes of anorexia nervosa, bulimia nervosa, and binge-eating disorder. Anorexia nervosa is characterized by rigid refusal to eat adequate amounts, resulting in fierce maintenance of body weight at a very low, sometimes deadly level. Bulimia nervosa involves cycles of binge eating, purging (e.g., use of self-induced vomiting, laxatives, diuretics, etc.), and restrictive dieting. Binge- eating disorder is similar to bulimia nervosa but without compensatory purging. The DEB spectrum involves various combinations, at varying levels of intensity, of body dissatisfaction, disordered eating patterns, low self-esteem, and negative emotions such as shame, social anxiety, and depression.

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References

  • Austin, S.B. (2000). Prevention research in eating disorders: Theory and new directions. Psychological Medicine, 30, 1249–1262.

    Article  PubMed  CAS  Google Scholar 

  • Becker, A.E., Grinspoon, S.K., Klibanski, A., & Herzog, D.B. (1999). Eating disorders. New England Journal of Medicine, 340, 1092–1098.

    Article  PubMed  CAS  Google Scholar 

  • Berel, S., & Irving, L. (1998). Media and disturbed eating: An analysis of media influence and implica for prevention. Journal of Primary Prevention, 18, 415–430.

    Article  Google Scholar 

  • Cowen, E.L. (2000). Psychological wellness: Some hopes for the future. In D. Cicchetti, J. Rappaport, I. Sandier, & R.P. Weissberg (Eds.), The promotion of wellness in children and adolescents (pp. 477–503). Washington, DC: Child Welfare League of America.

    Google Scholar 

  • Field, A.E., Camargo, C.A., Jr., Taylor, C.B., Berkey, C., Frazier, A.L., Gillman, M.W., & Colditz, G.A. (1999). Overweight, weight concerns, and bulimic behaviors among girls and boys. Journal of the American Academy of Child and Adolescent Psychiatry, 38, 754–760.

    Article  PubMed  CAS  Google Scholar 

  • Franko, D.L., & Orosan-Weine, P. (1998). The prevention of eating disorders: Empirical, methodological and conceptual considerations. Clinical Psychology: Science and Practice, 5, 459–477.

    Article  Google Scholar 

  • French, S.A., Story, M., Neumark-Sztainer, D., Downes, B., Resnick, M., & Blum, R. (1997). Ethnic differences in psychosocial and health behavior correlates of dieting, purging, and binge eating in a population-based sample of adolescents. International Journal of Eating Disorders, 22, 315–322.

    Article  PubMed  CAS  Google Scholar 

  • Friedman, S.S. (2000). Nurturing GirlPower: Integrating eating disorder prevention/intervention skills into your practice. Salal Books. Available from Salal Communications, Ltd., 10–184 Denman St. #309, Vancouver, BC V6G 2M9 Canada (604–689–8399).

    Google Scholar 

  • Gordon, R.A. (2000). Eating disorders: Anatomy of a social epidemic (2nd ed.). Maiden, MA: Basil Blackwell.

    Google Scholar 

  • Herzog, D.B., Nussbaum, K.M., & Marmor, A.K. (1996). Comorbidity and outcome in eating disorders. The Psychiatric Clinics of North America, 19, 843–859.

    Article  PubMed  CAS  Google Scholar 

  • Johnson, W.G., Tsoh, J.Y., & Varnado, P.J. (1996). Eating disorders: Efficacy of pharmacological and psychological interventions. Clinical Psychology Review, 16, 457–478.

    Article  Google Scholar 

  • Kater, K.J., Rohwer, J., & Levine, M.P. (2000). An elementary school project for developing healthy body image and reducing risk factros for unhealthy and disordered eating. Eating Disorders: The Journal of Treatment & Prevention, 8, 3–16.

    Article  Google Scholar 

  • Killen, J.D., Taylor, C.B., Hammer, L., Litt, I., Wilson, D.M., Rich, T., Simmonds, B., Kraemer, H., & Varady, A. (1993). An attempt to modify unhealthful eating attitudes and weight regulation practices of young adolescent girls. International Journal of Eating Disorders, 13, 369–384.

    Article  PubMed  CAS  Google Scholar 

  • Levine, M.P., & Piran, N. (2001). The prevention of eating disorders: Towards a participatory ecology of knowledge, action, and advocacy. In R. Striegel-Moore & L. Smolak (Eds.), Eating disorders: New directions for research and practice (pp. 233–253). Washington, DC: American Psychological Association.

    Chapter  Google Scholar 

  • Levine, M.P., & Smolak, L. (2001). Primary prevention of body image disturbances and disordered eating in childhood and early adolescence. In J.K. Thompson & L. Smolak (Eds.), Body image, eating disorders, and obesity in childhood and adolescence (pp. 237–260). Washington, DC: American Psychological Association.

    Google Scholar 

  • Neumark-Sztainer, D. (1996). School-based programs for preventing eating disturbances. Journal of School Health, 66(2), 64–71.

    Article  PubMed  CAS  Google Scholar 

  • Neumark-Sztainer, D., Butler, R., & Palti, H. (1995). Eating disturbances among adolescent girls: Evaluation of a school-based primary prevention program. Journal of Nutrition Education, 27, 24–30.

    Article  Google Scholar 

  • Neumark-Sztainer D., Sherwood N., Coller T., & Hannan, P.J. (2000). Primary prevention of disordered eating among pre-adolescent girls: Feasibility and short-term impact of a community-based intervention. Journal of the American Dietetic Association, 100, 1466–1473.

    Article  PubMed  CAS  Google Scholar 

  • O–Dea, J., & Abraham, S. (2000). Improving the body image, eating attitudes and behaviors of young and behaviors of young male and female adolescents: A new educational approach which focuses on self esteem. International Journal of Eating Disorders, 28, 43–57.

    Article  Google Scholar 

  • O–Dea, J., & Maloney, D. (2000). Preventing eating and body image problems in children and adolescents using the Health Promoting Schools Framework. Journal of School Health, 70, 18–21.

    Article  Google Scholar 

  • Perry, C.L. (1999). Creating health behavior change: How to develop community-wide programs for youth. Thousand Oaks, CA: Sage.

    Google Scholar 

  • Piran, N. (1999). Eating disorders: A trial of prevention in a high risk school setting. Journal of Primary Prevention, 20, 75–90.

    Article  Google Scholar 

  • Piran, N., Levine, M.P., & Steiner-Adair, C. (Eds.). (1999). Preventing eating disorders: A handbook of interventions and special challenges. Philadelphia: Brunner/Mazel.

    Google Scholar 

  • Pope, H.G., Jr., Phillips, K.A., & Olivardia, R. (2000). The Adonis complex: The secret crisis of male body obsession. New York: Free Press.

    Google Scholar 

  • Raczynski, J.M., & DiClemente, R.J. (Eds.). (1999). Handbook of health promotion and disease prevention. New York: Kluwer Academic/ Plenum.

    Google Scholar 

  • Santonastaso, P., Zanetti, T., Ferrara, S., Olivetto, M.C., Magnavita, N., & Favaro, A. (1999). A preventive intervention program in adolescent school girls: A longitudinal study. Psychotherapy and Psychosomatics, 68, 46–50.

    Article  PubMed  CAS  Google Scholar 

  • Shisslak, C.M., Crago, M., & Estes, L. (1995). The spectrum of eating disturbances. International Journal of Eating Disorders, 18, 209–219.

    Article  PubMed  CAS  Google Scholar 

  • Smolak, L., & Levine, M.P. (2001). A two-year follow-up of a primary prevention program for negative body image and unhealthy weight regulation. Eating Disorders: The Journal of Treatment & Prevention, 9, 313–325.

    Article  CAS  Google Scholar 

  • Stewart, D.A., Carter, J.C., Drinkwater, J., Hainsworth, J., & Fairburn, C.G. (2001). Modification of eating attitudes and behavior in adolescent girls: A controlled study. International Journal of Eating Disorders, 29, 107–118.

    Article  PubMed  CAS  Google Scholar 

  • Stice, E., Mazotti, L., Weibel, D., & Agras, S. (2000). Dissonance prevention program decreases thin-ideal internalization, body dissatisfaction, dieting, negative affect, and bulimic symptoms: A preliminary experiment. International Journal of Eating Disorders, 27, 206–217.

    Article  PubMed  CAS  Google Scholar 

  • Thompson, J.K., Heinberg, L.J., Altabe, M., & Tantleff-Dunn, S. (1999). Exacting beauty: Theory, assessment, and treatment of body image disturbance. Washington, DC: American Psychological Association.

    Book  Google Scholar 

  • Van Hoeken, D., Lucas, A.R., & Hoek, H.W. (1998). Epidemiology. In H.W. Hoek, J.L. Treasure, & M.A. Kaztman (Eds.), Neurobiology in the treatment of eating disorders (pp. 97–126). London: John Wiley & Sons.

    Google Scholar 

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Thomas P. Gullotta Martin Bloom Jonathan Kotch Craig Blakely Lynne Bond Gerald Adams Colette Browne Waldo Klein Jessica Ramos

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© 2003 Springer Science+Business Media New York

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Levine, M.P., Piran, N., Irving, L.M. (2003). Disordered Eating Behavior, Adolescence. In: Gullotta, T.P., et al. Encyclopedia of Primary Prevention and Health Promotion. Springer, Boston, MA. https://doi.org/10.1007/978-1-4615-0195-4_61

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  • DOI: https://doi.org/10.1007/978-1-4615-0195-4_61

  • Publisher Name: Springer, Boston, MA

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