Reciprocal longitudinal relations between
weight/shape concern and comorbid pathology among women at very high risk for eating disorder onset.
Eat Weight Disord 2019;
24:1189-1198. [PMID:
29285745 PMCID:
PMC6170712 DOI:
10.1007/s40519-017-0469-7]
[Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/20/2017] [Accepted: 12/02/2017] [Indexed: 12/17/2022] Open
Abstract
PURPOSE
Understanding how known eating disorder (ED) risk factors change in relating to one another over time may inform efficient intervention targets. We examined short-term (i.e., 1 month) reciprocal longitudinal relations between weight/shape concern and comorbid symptoms (i.e., depressed mood, anxiety) and behaviors (i.e., binge drinking) over the course of 24 months using cross-lagged panel models.
METHODS
Participants were 185 women aged 18-25 years at very high risk for ED onset, randomized to an online ED preventive intervention or waitlist control. We also tested whether relations differed based on intervention receipt.
RESULTS
Weight/shape concern in 1 month significantly predicted depressed mood the following month; depressed mood in 1 month also predicted weight/shape concern the following month, but the effect size was smaller. Likewise, weight/shape concern in 1 month significantly predicted anxiety the following month, but the reverse was not true. Results showed no temporal relations between weight/shape concern and binge drinking in either direction. Relations between weight/shape concern, and comorbid symptoms and behaviors did not differ based on intervention receipt.
CONCLUSIONS
Results support focusing intervention on reducing weight/shape concern over reducing comorbid constructs for efficient short-term change.
LEVEL OF EVIDENCE
Level I, evidence obtained from a properly designed randomized controlled trial.
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