S tability and change in patterns of eating disorder symptoms from adolescence to young adulthood
Open accessAbstract
Using a community adolescent sample, we aimed to (a) empirically derive eating disorder (ED) symptom groups, (b) examine the longitudinal stability of those groups over 10 years, and (c) identify risk factors associated with ED group stability and transition through young adulthood. Young people (N = 2,287) from the Project EAT cohort participated at baseline (1998–1999) and at 10‐year follow‐up (2008–2009). Participants completed anthropometric measures at baseline and self‐report surveys on disordered eating symptoms and risk factors at both time points. Latent transition modeling was used to test the first two aims and multinomial logistic regression was used for the third aim. Three groups emerged and were labeled as: (a) asymptomatic, (b) dieting, (c) disordered eating (e.g., binge eating, compensatory behaviors). Stability of group membership over 10 years was highest for those in the asymptomatic group, while those in the dieting group showed equal likelihood of transitioning to any group. There was a 75% chance that those in the disordered eating group would continue to belong to a symptomatic group 10 years later. We found that these transitions could be predicted by baseline risk factors. For example, adolescents with one standard deviation higher depressive symptoms than their peers had 53% higher odds (OR = 1.53, 95% CI 1.09–2.16) of transitioning from the asymptomatic group to the disordered eating group. Transition among ED groups is relatively common during adolescence and early adulthood. By targeting risk factors such as self‐esteem and familial factors in early adolescence, prevention efforts may be improved.
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One longitudinal US cohort study found LOC was significantly related to the stability of ED symptoms over 10 years.
“One of the rare longitudinal studies on the persistence of LOC in an US cohort found that LOC was significantly related to the stability of ED symptoms over the course of 10 years [13].”
From Correlates of interpersonal emotion regulation problems in Loss of Control eating (LOC) in youth: study protocol of the combined online and App based questionnaire, laboratory and randomized controlled online intervention i-BEAT trial (2021) · cites this paper as [13]
The Method (Survey Measures2) includes binge eating with loss of control as an ED symptom indicator, and the Discussion reports stability of ED symptom groups over 10 years. However, the Results (Predictors of the Transitions between Groups) do not report a significant relationship between LOC specifically and symptom stability; LOC was not one of the predictors tested there. (LLM, conf=0.88)
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LA RESPONSABILIDAD SOCIAL CORPORATIVA PARA LA SATISFACCIÓN LABORAL Y LA ROTACIÓN
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Management of Disordered Eating and Weight-Inclusive Care in the Context of Diabetes
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- Authors
- Pearson, C. M., Miller, J., Ackard, D. M., Loth, K. A., Wall, M. M., Haynos, A. F., & Neumark‐Sztainer, D.
- Affiliations
- University of Minnesota (US)
- Offices of Diann M. Ackard, PhD, LP, LLC Golden Valley Minnesota
- Columbia University (US)
- Corresponding author
- Pearson, Carolyn M.
- ORCID
- Venue
- International Journal of Eating Disorders
- Publisher
- Wiley
- Published
- 2017-02-15
- Volume
- 50
- Issue
- 7
- Pages
- 748-757
- ISSN
- 0276-3478 (ISSN-L)
- 1098-108X
- PMC
- PMC5505795
- OpenAlex
- W2588615050
- Cited by
- 69
- References
- 38
- Citations by year
- 2026: 7 · 2025: 5 · 2024: 5 · 2023: 7 · 2022: 9 · 2021: 8 · 2020: 13 · 2019: 6 · 2018: 7 · 2017: 2
- FWCI
- 9.47
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- International Journal of Eating Disorders (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- Korea National Institute of Health (T32MH082761, 1R01HL084064‐01A2)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
- Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
- Health Sciences › Medicine › Psychiatry and Mental health › Child Nutrition and Feeding Issues
- Keywords
- eating disorder symptoms, disordered eating, binge eating, compensatory behavior, dieting, transition to young adulthood, depressive symptoms, self-esteem, family risk factors, adolescent eating behavior, prevention
- MeSH terms
- Adolescent, Adult, Feeding and Eating Disorders, Female, Humans, Male, Surveys and Questionnaires, Risk Factors, Cohort Studies, Young Adult
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