Weight Perception, Substance Use, and Disordered Eating Behaviors: Comparing Normal Weight and Overweight High-School Students |
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Authors: | Dawn M Eichen Bradley T Conner Brian P Daly Robert L Fauber |
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Institution: | (1) Department of Psychology, Temple University, 1701 N 13th St., Philadelphia, PA 19122, USA;(2) Department of Psychology, Drexel University, 245 N. 15th Street, Mail Stop 626, Philadelphia, PA 19102, USA |
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Abstract: | Disordered eating behaviors and substance use are two risk factors for the development of serious psychopathology and health
concerns in adulthood. Despite the negative outcomes associated with these risky behaviors, few studies have examined potential
associations between these risk factors as they occur during adolescence. The importance of accurate or inaccurate weight
perception among adolescents has received increased interest given documented associations with nutritional beliefs and weight
management strategies. This study examined the associations among the perceptions of weight and substance use with disordered
eating behaviors among a diverse sample of normal weight and overweight adolescent males and females. Data came from the 2007
National Youth Risk Behavior Survey (YRBS). The sample consisted of 11,103 adolescents (53.4% female; 44% Caucasian, 21% African
American; 13% Hispanic; age responses ranged from 12 and under to 18 and over), with 31.5% meeting criteria for being either
at-risk for obesity or already obese (i.e., overweight). As hypothesized, overestimation of weight among normal weight adolescents
and accurate perceptions of weight among overweight adolescents were associated with higher rates of disordered eating behaviors.
In normal weight adolescents, use of all three substances (tobacco, binge drinking, and cocaine) was associated with each
disordered eating behavior. In contrast, findings revealed differences for overweight adolescents between the type of substance
use and disordered eating behavior. Post hoc analyses revealed that gender moderated some of these relationships among overweight
individuals. Implications for the development and implementation of secondary prevention programs aimed at reducing disordered
eating behaviors, substance use, and obesity risk among normal and overweight adolescents are considered. |
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