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Predictors of initiation and persistence of recurrent binge eating and inappropriate weight compensatory behaviors in college men
Author(s) -
Dakanalis Antonios,
Clerici Massimo,
Caslini Manuela,
Gaudio Santino,
Serino Silvia,
Riva Giuseppe,
Carrà Giuseppe
Publication year - 2016
Publication title -
international journal of eating disorders
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.785
H-Index - 138
eISSN - 1098-108X
pISSN - 0276-3478
DOI - 10.1002/eat.22535
Subject(s) - persistence (discontinuity) , binge eating , psychology , developmental psychology , clinical psychology , eating disorders , geotechnical engineering , engineering
ABSTRACT Objective The transition to college is considered as a risk period for the development of behavioral symptoms of eating disorders (BSEDs) and some evidence suggests that, amongst men, these symptoms occurring on a regular basis remain relatively stable over the college period. Nevertheless, little is known about factors associated with persistent engagement in and initiation of recurrent (or regular) binge eating and inappropriate weight compensatory behaviors in this population. The objective of this report was to address these research gaps. Method Data were examined from 2,555 male first‐year college students who completed an assessment of potential vulnerability factors and BSEDs at the beginning of the autumn semester (baseline) and nine months later (end of the spring semester; follow‐up). Results Elevated negative affectivity, body dissatisfaction, self‐objectification, and lower self‐esteem at baseline were predictive of persistent engagement in regular binge eating and four compensatory behaviors (self‐induced vomiting, laxative/diuretic abuse, fasting, exercise) at follow‐up, as well as initiation of all these behaviors occurring regularly (i.e., at least weekly for 3 months). Self‐objectification (thinking and monitoring the body's outward appearance from a third‐person perspective) emerged as the largest contributor of both the initiation and persistence of all behavioral symptoms. Discussion Data emphasize that the same psychological factors underlie initiation and persistence of recurrent BSEDs and should shape the focus of future interventions for college men. © 2016 Wiley Periodicals, Inc. (Int J Eat Disord 2016; 49:581–590)