Cited by 558Eating Disorders and BehaviorsNutrition, Health and Food BehaviorChild Nutrition and Feeding Issues

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Risk factors that predict future onset of each DSM-5 eating disorder: Predictive specificity in high-risk adolescent females

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Stice, Eric, Gau, Jeff M., Rohde, Paul, Shaw, Heather·2017·Journal of Abnormal Psychology

DOI 10.1037/abn0000219PMC PMC5215960

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Abstract

Because no single report has examined risk factors that predict future onset each type of eating disorder and core symptom dimensions that crosscut disorders, we addressed these aims to advance knowledge regarding risk factor specificity. Data from 3 prevention trials that targeted young women with body dissatisfaction (N = 1,272; Mage = 18.5, SD = 4.2) and collected annual diagnostic interview data over 3-year follow-up were combined to identify predictors of subthreshold/threshold anorexia nervosa (AN), bulimia nervosa (BN), binge eating disorder (BED), and purging disorder (PD). Negative affect and functional impairment predicted onset of all eating disorders. Thin-ideal internalization, body dissatisfaction, dieting, overeating, and mental health care predicted onset of subthreshold/threshold BN, BED, and PD; positive thinness expectations, denial of cost of pursuing the thin ideal, and fasting predicted onset of 2 of these 3 disorders. Similar risk factors predicted core eating disorder symptom onset. Low BMI and dieting specifically predicted onset of subthreshold/threshold AN or low BMI. Only a subset of factors showed unique predictive effects in multivariate models, likely due to moderate correlations between the risk factors (M r = .14). Results provide support for the theory that pursuit of the thin ideal and the resulting body dissatisfaction, dieting, and unhealthy weight control behaviors increase risk for binge/purge spectrum eating disorders, but suggest that youth who are inherently lean, rather than purposely pursuing the thin ideal, are at risk for AN. Impaired interpersonal functioning and negative affect are transdiagnostic risk factors, suggesting these factors should be targeted in prevention programs. (PsycINFO Database Record

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Authors: Stice, E., Gau, J. M., Rohde, P., & Shaw, H.
Affiliations: Oregon Research Institute (US)
ORCID: Stice, Eric
Gau, Jeff M.
Rohde, Paul
Shaw, Heather
Venue: Journal of Abnormal Psychology
Publisher: American Psychological Association (APA)
Published: 2017-01
Volume: 126
Issue: 1
Pages: 38-51
ISSN: 0021-843X (ISSN-L)
1939-1846
DOI: 10.1037/abn0000219
PMC: PMC5215960
OpenAlex: W2529662426
Cited by: 558
References: 64
Citations by year: 2026: 54 · 2025: 59 · 2024: 61 · 2023: 79 · 2022: 66 · 2021: 77 · 2020: 57 · 2019: 50 · 2018: 36 · 2017: 16
FWCI: 45.96
Type: journal article
Language: en
Open access: hybrid
doi.org
Licence: other-oa
www.apa.org/pubs/journals/resources/open-access.aspx (am, 278 d)
Locations: Journal of Abnormal Psychology (publishedVersion, other-oa)
PubMed (publishedVersion)
PubMed Central (acceptedVersion)
Funders: National Institutes of Health (MH/DK061957, MH070699, and MH086582)
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 disorders, risk factors, anorexia nervosa, bulimia nervosa, binge eating disorder, purging disorder, body dissatisfaction, thin-ideal internalization, dieting, negative affect, functional disability, transdiagnostic risk factors, adolescent girls, eating disorder prevention, low body mass index, interpersonal functioning
MeSH terms: Adolescent, Anorexia Nervosa, Feeding and Eating Disorders, Female, Follow-Up Studies, Humans, Risk Factors, Sensitivity and Specificity, Diagnostic and Statistical Manual of Mental Disorders, Bulimia Nervosa, Binge-Eating Disorder

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Risk factors that predict future onset of each DSM-5 eating disorder: Predictive specificity in high-risk adolescent females

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