Prevalence of purging at age 16 and associations with negative outcomes among girls in three community-based cohorts.
BACKGROUND: The comorbidity of purging behaviours, such as vomiting, inappropriate use of laxatives, diuretics or slimming medications, has been examined in literature. However, most studies do not include adolescents, individuals who purge in the absence of binge eating, or those purging at subclin...
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Language: | English |
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Mittuniversitetet, Avdelningen för psykologi
2015
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ftmittuniv:oai:DiVA.org:miun-23359 2023-05-15T17:39:15+02:00 Prevalence of purging at age 16 and associations with negative outcomes among girls in three community-based cohorts. Solmi, Francesca Sonneville, Kendrin R Easter, Abigail Horton, Nicholas J Crosby, Ross D Treasure, Janet Rodriguez, Alina Jarvelin, Marjo-Riitta Field, Alison E Micali, Nadia 2015 application/pdf http://urn.kb.se/resolve?urn=urn:nbn:se:miun:diva-23359 https://doi.org/10.1111/jcpp.12283 eng eng Mittuniversitetet, Avdelningen för psykologi Behavioural and Brain Science Unit, Institute of Child Health, University College London, 30 Guilford Street, London, United Kingdom Division of Adolescence Medicine, Boston's Children Hospital, Harvard Medical School, Boston, MA, United States Department of Mathematics and Statistics, Amherst College, Amherst, MA, United States Department of Neuroscience, Neuropsychiatric Research Institute, University of North Dakota, Fargo, ND, United States Eating Disorder Unit, Institute of Psychiatry, King's College London, London, United Kingdom Department of Epidemiology and Biostatistics, School of Public Health, Imperial College London, London, United Kingdom Journal of Child Psychology and Psychiatry and Allied Disciplines, 0021-9630, 2015, 56:1, s. 87-96 http://urn.kb.se/resolve?urn=urn:nbn:se:miun:diva-23359 doi:10.1111/jcpp.12283 PMID 24975817 ISI:000346739400011 Scopus 2-s2.0-84919845843 info:eu-repo/semantics/openAccess Adolescence eating behaviour eating disorder epidemiology prevalence Psychology Psykologi Article in journal info:eu-repo/semantics/article text 2015 ftmittuniv https://doi.org/10.1111/jcpp.12283 2023-04-07T06:09:28Z BACKGROUND: The comorbidity of purging behaviours, such as vomiting, inappropriate use of laxatives, diuretics or slimming medications, has been examined in literature. However, most studies do not include adolescents, individuals who purge in the absence of binge eating, or those purging at subclinical frequency. This study examines the prevalence of purging among 16-year-old girls across three countries and their association with substance use and psychological comorbidity. METHODS: Data were obtained by questionnaire in 3 population-based cohorts (Avon Longitudinal Study of Parents and Children (ALSPAC), United Kingdom, n = 1,608; Growing Up Today Study (GUTS), USA, n = 3,504; North Finland Birth Cohort (NFBC85/86), Finland, n = 2,306). Multivariate logistic regressions were employed to estimate associations between purging and outcomes. Four models were fit adjusting for binge eating and potential confounders of these associations. RESULTS: In ALSPAC, 9.7% of girls reported purging in the 12-months prior to assessment, 7.3% in GUTS, and 3.5% in NFBC. In all 3 cohorts, purging was associated with adverse outcomes such as binge drinking (ALSPAC: odds ratio (OR) = 2.0, 95% confidence interval (CI) = 1.4-2.9; GUTS: OR = 2.5, 95% CI = 1.5-4.0; NFBC: OR = 1.7, 95% CI = 1.0-2.8), drug use (ALSPAC: OR = 2.9, 95% CI = 1.8-4.7; GUTS: OR = 4.5, 95% CI = 2.8-7.3; NFBC: OR = 4.1, 95% CI = 2.6-6.6), depressive symptoms in ALSPAC (OR = 2.2, 95% CI = 1.5-3.1) and GUTS(OR = 3.7, 95% CI = 2.2-6.3), and several psychopathology measures including clinical anxiety/depression in NFBC (OR = 11.2, 95% CI = 3.9, 31.7). CONCLUSIONS: Results show a higher prevalence of purging behaviours among girls in the United Kingdom compared to those in the United States and Finland. Our findings support evidence highlighting that purging in adolescence is associated with negative outcomes, independent of its frequency and binge eating. Article in Journal/Newspaper North Finland Mid Sweden University: Publications (DiVA) Journal of Child Psychology and Psychiatry 56 1 87 96 |
institution |
Open Polar |
collection |
Mid Sweden University: Publications (DiVA) |
op_collection_id |
ftmittuniv |
language |
English |
topic |
Adolescence eating behaviour eating disorder epidemiology prevalence Psychology Psykologi |
spellingShingle |
Adolescence eating behaviour eating disorder epidemiology prevalence Psychology Psykologi Solmi, Francesca Sonneville, Kendrin R Easter, Abigail Horton, Nicholas J Crosby, Ross D Treasure, Janet Rodriguez, Alina Jarvelin, Marjo-Riitta Field, Alison E Micali, Nadia Prevalence of purging at age 16 and associations with negative outcomes among girls in three community-based cohorts. |
topic_facet |
Adolescence eating behaviour eating disorder epidemiology prevalence Psychology Psykologi |
description |
BACKGROUND: The comorbidity of purging behaviours, such as vomiting, inappropriate use of laxatives, diuretics or slimming medications, has been examined in literature. However, most studies do not include adolescents, individuals who purge in the absence of binge eating, or those purging at subclinical frequency. This study examines the prevalence of purging among 16-year-old girls across three countries and their association with substance use and psychological comorbidity. METHODS: Data were obtained by questionnaire in 3 population-based cohorts (Avon Longitudinal Study of Parents and Children (ALSPAC), United Kingdom, n = 1,608; Growing Up Today Study (GUTS), USA, n = 3,504; North Finland Birth Cohort (NFBC85/86), Finland, n = 2,306). Multivariate logistic regressions were employed to estimate associations between purging and outcomes. Four models were fit adjusting for binge eating and potential confounders of these associations. RESULTS: In ALSPAC, 9.7% of girls reported purging in the 12-months prior to assessment, 7.3% in GUTS, and 3.5% in NFBC. In all 3 cohorts, purging was associated with adverse outcomes such as binge drinking (ALSPAC: odds ratio (OR) = 2.0, 95% confidence interval (CI) = 1.4-2.9; GUTS: OR = 2.5, 95% CI = 1.5-4.0; NFBC: OR = 1.7, 95% CI = 1.0-2.8), drug use (ALSPAC: OR = 2.9, 95% CI = 1.8-4.7; GUTS: OR = 4.5, 95% CI = 2.8-7.3; NFBC: OR = 4.1, 95% CI = 2.6-6.6), depressive symptoms in ALSPAC (OR = 2.2, 95% CI = 1.5-3.1) and GUTS(OR = 3.7, 95% CI = 2.2-6.3), and several psychopathology measures including clinical anxiety/depression in NFBC (OR = 11.2, 95% CI = 3.9, 31.7). CONCLUSIONS: Results show a higher prevalence of purging behaviours among girls in the United Kingdom compared to those in the United States and Finland. Our findings support evidence highlighting that purging in adolescence is associated with negative outcomes, independent of its frequency and binge eating. |
format |
Article in Journal/Newspaper |
author |
Solmi, Francesca Sonneville, Kendrin R Easter, Abigail Horton, Nicholas J Crosby, Ross D Treasure, Janet Rodriguez, Alina Jarvelin, Marjo-Riitta Field, Alison E Micali, Nadia |
author_facet |
Solmi, Francesca Sonneville, Kendrin R Easter, Abigail Horton, Nicholas J Crosby, Ross D Treasure, Janet Rodriguez, Alina Jarvelin, Marjo-Riitta Field, Alison E Micali, Nadia |
author_sort |
Solmi, Francesca |
title |
Prevalence of purging at age 16 and associations with negative outcomes among girls in three community-based cohorts. |
title_short |
Prevalence of purging at age 16 and associations with negative outcomes among girls in three community-based cohorts. |
title_full |
Prevalence of purging at age 16 and associations with negative outcomes among girls in three community-based cohorts. |
title_fullStr |
Prevalence of purging at age 16 and associations with negative outcomes among girls in three community-based cohorts. |
title_full_unstemmed |
Prevalence of purging at age 16 and associations with negative outcomes among girls in three community-based cohorts. |
title_sort |
prevalence of purging at age 16 and associations with negative outcomes among girls in three community-based cohorts. |
publisher |
Mittuniversitetet, Avdelningen för psykologi |
publishDate |
2015 |
url |
http://urn.kb.se/resolve?urn=urn:nbn:se:miun:diva-23359 https://doi.org/10.1111/jcpp.12283 |
genre |
North Finland |
genre_facet |
North Finland |
op_relation |
Journal of Child Psychology and Psychiatry and Allied Disciplines, 0021-9630, 2015, 56:1, s. 87-96 http://urn.kb.se/resolve?urn=urn:nbn:se:miun:diva-23359 doi:10.1111/jcpp.12283 PMID 24975817 ISI:000346739400011 Scopus 2-s2.0-84919845843 |
op_rights |
info:eu-repo/semantics/openAccess |
op_doi |
https://doi.org/10.1111/jcpp.12283 |
container_title |
Journal of Child Psychology and Psychiatry |
container_volume |
56 |
container_issue |
1 |
container_start_page |
87 |
op_container_end_page |
96 |
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1766140011773689856 |