Original ArticlesRapid screening for disordered eating in college-aged females in the primary care setting
Section snippets
Methods
We conducted a survey of college freshman women at the University of Florida using a self-report questionnaire. Subjects resided in three dormitories. Surveys were sent to every third name on a roster provided by the dormitory director. The dormitories housed socioeconomically and racially diverse groups of college women. The surveys were distributed via campus mail and returned voluntarily by respondents. Their ages ranged from 18 to 22 years. In our pilot study in the spring of 1996, we sent
Results
Demographic information showed a population consisting primarily of white families with annual household incomes between $50,000 and $100,000 (Table 1). The mean age was 18.3 years (SD ± 1.3 years). The mean self-reported weight was 127 pounds (SD ± 21 pounds) and height was 65 inches (SD ± 4.3 inches). In our population, 91% of our respondents desired weight loss, with a mean desired weight loss of 11.4 pounds.
Seventeen percent of EAT scores were greater than 20, consistent with a high risk
Discussion
Eating disorders have serious health consequences. Most physicians recognize the importance of screening for these disorders and ask adolescents questions about their weight, diet, and dieting behavior to determine the need for further evaluation. The “gold standard” for the diagnosis of eating disorders remains the clinical interview. Many excellent structured interviews exist such as the Eating Disorders Examination, the Diagnostic Interview Schedule, the Diagnostic Interview for Children and
Conclusion
The results indicate a significant correlation between high-risk scores on the EAT-26 and four of the hypothesized questions. These questions in written format screen for disordered eating behaviors in a college-aged population comparably to the more lengthy EAT-26. These questions may find great utility and ease in primary care settings in which time is limited.
References (29)
- et al.
Assessment of attitudes about weight and dieting among college-aged individuals
J Am Diet Assoc
(1990) - et al.
Unique features associated with age of onset of anorexia nervosa
Psychiatry Res
(1979) Use of the Eating Attitudes Test and Eating Disorder Inventory in adolescents
J Adolesc Health Care
(1987)- et al.
The increasing prevalence of bulimia in freshman college students
Int J Eat Disord
(1986) - et al.
Scope and significance of eating disorders
J Consult Clin Psychol
(1987) - et al.
Primary prevention of eating disorders
J Consult Clin Psychol
(1987) - et al.
Binge-eating and vomitinga survey of a college population
Psychol Med
(1981) - et al.
The prevalence of bulimia among college students
Am J Public Health
(1986) - et al.
Prevalence of weight reducing and weight gaining in adolescent girls and boys
Health Psychol
(1987) An epidemiological study of anorexic and bulimic symptoms in adolescent girlsimplications for pediatricians
Pediatr Ann
(1992)