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Psychological distress and risk for eating disorders in subgroups of dieters
Author(s) -
Rasmus Isomaa,
AnnaLisa Isomaa,
Mauri Marttunen,
Riittakerttu KaltialaHeino,
Kaj Björkqvist
Publication year - 2010
Publication title -
european eating disorders review
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.511
H-Index - 67
eISSN - 1099-0968
pISSN - 1072-4133
DOI - 10.1002/erv.1004
Subject(s) - dieting , psychology , eating disorders , overweight , feeling , clinical psychology , distress , disordered eating , psychiatry , obesity , weight loss , medicine , social psychology
Objective The aim of the present study was to predict the risk of developing an eating disorder in subgroups of dieters, based on the adolescents own accounts of the reason for starting to diet. Method Eighty‐one dieters from a cohort of 595 adolescents (318 boys and 288 girls) aged 15 participated in the present prospective study. Personal interviews at both base‐line and follow‐up were combined with questionnaire data on depression, social phobia and self‐esteem. Results Four mutually exclusive groups of dieters were identified: vanity dieters, overweight dieters, depressed dieters and feeling fat dieters. Depressed and feeling‐fat dieters had a 15‐fold risk of having a lifetime eating disorder at age 18 compared to vanity and overweight dieters. Conclusion Typical teenage vanity dieting and dieting among overweight adolescents appears to be a benign practice, but adolescents dieting because of psychological distress have high‐risk of developing an eating disorder. Copyright © 2010 John Wiley & Sons, Ltd and Eating Disorders Association.

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