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Erschienen in: Quality of Life Research 10/2016

05.04.2016

Eating disorder features and quality of life: Does gender matter?

verfasst von: Allison F. Wagner, Emily C. Stefano, David C. Cicero, Janet D. Latner, Jonathan M. Mond

Erschienen in: Quality of Life Research | Ausgabe 10/2016

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Abstract

Purpose

This study examined whether gender moderates the associations between eating disorder features and quality-of-life impairment and whether eating disorder features can explain gender differences in quality of life in a sample of undergraduate students.

Methods

The SF-12 Physical and Mental Component Summary Scales were used to measure health-related quality of life (HRQoL), and the Eating Disorders Examination Questionnaire (EDE-Q) was used to quantify eating disorder behaviors and cognitions. These self-report forms were completed by undergraduate men and women (n = 709).

Results

Gender was a significant predictor of mental HRQoL, such that women in this sample reported poorer mental HRQoL than men. Eating disorder cognitions were the strongest predictor of undergraduate students’ mental and physical HRQoL, while binge eating negatively predicted their physical HRQoL only. Gender was not found to moderate the associations between eating disorder features and HRQoL, and eating disorder cognitions were found to mediate the association between gender and mental HRQoL such that a proportion of the difference between undergraduate men and women’s mental HRQoL was attributable to eating disorder cognitions.

Conclusion

This study provided further evidence of the significant impact of eating disorder features, particularly eating disorder cognitions, on HRQoL. The finding that gender did not moderate the relationships between eating disorder features and HRQoL indicates the importance of investigating these features in both men and women in future research.
Literatur
1.
Zurück zum Zitat DeJong, H., Odershaw, A., Sternheim, L., et al. (2013). Quality of life in anorexia nervosa, bulimia nervosa, and eating disorder not-otherwise-specified. Journal of Eating Disorders, 1(43), 1–8. DeJong, H., Odershaw, A., Sternheim, L., et al. (2013). Quality of life in anorexia nervosa, bulimia nervosa, and eating disorder not-otherwise-specified. Journal of Eating Disorders, 1(43), 1–8.
2.
Zurück zum Zitat Jenkins, P. E., Hoste, R. R., Meyer, C., & Blissett, J. M. (2011). Eating disorders and quality of life: A review of the literature. Clinical Psychology Review, 31(1), 113–121.CrossRefPubMed Jenkins, P. E., Hoste, R. R., Meyer, C., & Blissett, J. M. (2011). Eating disorders and quality of life: A review of the literature. Clinical Psychology Review, 31(1), 113–121.CrossRefPubMed
3.
Zurück zum Zitat Bijl, R. V., & Ravelli, A. (2000). Current and residual functional disability associated with psychopathology- Findings from the Netherlands Mental Health Survey and Incidence Study (NEMESIS). Psychological Medicine, 30(3), 657–668.CrossRefPubMed Bijl, R. V., & Ravelli, A. (2000). Current and residual functional disability associated with psychopathology- Findings from the Netherlands Mental Health Survey and Incidence Study (NEMESIS). Psychological Medicine, 30(3), 657–668.CrossRefPubMed
4.
Zurück zum Zitat Bentley, C., Mond, J., & Rodgers, B. (2014). Sex differences in psychosocial impairment associated with eating-disordered behavior: What if there aren’t any? Eating Behaviors, 15(4), 609–614.CrossRefPubMed Bentley, C., Mond, J., & Rodgers, B. (2014). Sex differences in psychosocial impairment associated with eating-disordered behavior: What if there aren’t any? Eating Behaviors, 15(4), 609–614.CrossRefPubMed
5.
Zurück zum Zitat Mond, J., Mitchison, D., Latner, J., Hay, P., Owen, C., & Rodgers, B. (2013). Quality of life impairment associated with body dissatisfaction in a general population sample of women. BMC Public Health, 13, 920.CrossRefPubMedPubMedCentral Mond, J., Mitchison, D., Latner, J., Hay, P., Owen, C., & Rodgers, B. (2013). Quality of life impairment associated with body dissatisfaction in a general population sample of women. BMC Public Health, 13, 920.CrossRefPubMedPubMedCentral
6.
Zurück zum Zitat Jenkins, P. E., Hoste, R. R., Doyle, A. C., et al. (2014). Health-related quality of life among adolescents with eating disorders. Journal of Psychosomatic Research, 76(1), 1–5.CrossRefPubMed Jenkins, P. E., Hoste, R. R., Doyle, A. C., et al. (2014). Health-related quality of life among adolescents with eating disorders. Journal of Psychosomatic Research, 76(1), 1–5.CrossRefPubMed
7.
Zurück zum Zitat Latner, J. D., Mond, J. M., Vallance, J. K., Gleaves, D. H., & Buckett, G. (2013). Quality of life impairment and the attitudinal and behavioral features of eating disorders. Journal of Nervous and Mental Disease, 201(7), 592–597.CrossRefPubMed Latner, J. D., Mond, J. M., Vallance, J. K., Gleaves, D. H., & Buckett, G. (2013). Quality of life impairment and the attitudinal and behavioral features of eating disorders. Journal of Nervous and Mental Disease, 201(7), 592–597.CrossRefPubMed
8.
Zurück zum Zitat Sanftner, J. L. (2011). Quality of life in relation to psychosocial risk variables for eating disorders in women and men. Eating Behaviors, 12(2), 136–142.CrossRefPubMed Sanftner, J. L. (2011). Quality of life in relation to psychosocial risk variables for eating disorders in women and men. Eating Behaviors, 12(2), 136–142.CrossRefPubMed
9.
Zurück zum Zitat Mitchison, D., & Mond, J. (2015). Epidemiology of eating disorders, eating disordered behaviour, and body image disturbance in males: A narrative review. Journal of Eating Disorders, 3(1). doi:10.1186/s40337-015-0058-y. Mitchison, D., & Mond, J. (2015). Epidemiology of eating disorders, eating disordered behaviour, and body image disturbance in males: A narrative review. Journal of Eating Disorders, 3(1). doi:10.​1186/​s40337-015-0058-y.
10.
Zurück zum Zitat Lewinsohn, P. M., Seeley, J. R., Moerk, K. C., & Striegel-Moore, R. H. (2002). Gender differences in eating disorder symptoms in young adults. International Journal of Eating Disorders, 4, 426–440.CrossRef Lewinsohn, P. M., Seeley, J. R., Moerk, K. C., & Striegel-Moore, R. H. (2002). Gender differences in eating disorder symptoms in young adults. International Journal of Eating Disorders, 4, 426–440.CrossRef
11.
Zurück zum Zitat Mitchison, D., Mond, J., Slewa-Younan, S., & Hay, P. (2013). Sex differences in health-related quality of life impairment associated with eating disorder features: A general population study. International Journal Eating Disorders, 46(4), 375–380.CrossRef Mitchison, D., Mond, J., Slewa-Younan, S., & Hay, P. (2013). Sex differences in health-related quality of life impairment associated with eating disorder features: A general population study. International Journal Eating Disorders, 46(4), 375–380.CrossRef
12.
Zurück zum Zitat Mond, J. M., & Hay, P. J. (2007). Functional impairment associated with bulimic behaviors in a community sample of men and women. International Journal of Eating Disorders, 40(5), 391–398.CrossRefPubMed Mond, J. M., & Hay, P. J. (2007). Functional impairment associated with bulimic behaviors in a community sample of men and women. International Journal of Eating Disorders, 40(5), 391–398.CrossRefPubMed
13.
Zurück zum Zitat Linzer, M., Spitzer, R., Kroenke, K., et al. (1996). Gender, quality of life, and mental disorders in primary care: Results from the PRIME-MD 10000 study. The American Journal of Medicine, 101, 526–533.CrossRefPubMed Linzer, M., Spitzer, R., Kroenke, K., et al. (1996). Gender, quality of life, and mental disorders in primary care: Results from the PRIME-MD 10000 study. The American Journal of Medicine, 101, 526–533.CrossRefPubMed
14.
Zurück zum Zitat Fairburn, C. G., & Beglin, S. J. (1994). Assessment of eating disorders: Interview or self-report questionnaire? International Journal of Eating Disorders, 16(4), 363–370.PubMed Fairburn, C. G., & Beglin, S. J. (1994). Assessment of eating disorders: Interview or self-report questionnaire? International Journal of Eating Disorders, 16(4), 363–370.PubMed
15.
Zurück zum Zitat Peterson, C. B., Crosby, R. D., Wonderlich, S. A., et al. (2007). Psychometric properties of the eating disorder examination-questionnaire: Factor structure and internal consistency. International Journal of Eating Disorders, 40(4), 386–389.CrossRefPubMed Peterson, C. B., Crosby, R. D., Wonderlich, S. A., et al. (2007). Psychometric properties of the eating disorder examination-questionnaire: Factor structure and internal consistency. International Journal of Eating Disorders, 40(4), 386–389.CrossRefPubMed
16.
Zurück zum Zitat White, H. J., Haycraft, E., Goodwin, H., & Meyer, C. (2014). Eating disorder examination questionnaire: Factor structure for adolescent girls and boys. International Journal of Eating Disorders, 47(1), 99–104.CrossRefPubMed White, H. J., Haycraft, E., Goodwin, H., & Meyer, C. (2014). Eating disorder examination questionnaire: Factor structure for adolescent girls and boys. International Journal of Eating Disorders, 47(1), 99–104.CrossRefPubMed
17.
Zurück zum Zitat Carter, J. C., Aime, A. A., & Mills, J. S. (2001). Assessment of Bulimia Nervosa: A comparison of interview and self-report questionnaire methods. International Journal of Eating Disorders, 30(2), 187–192.CrossRefPubMed Carter, J. C., Aime, A. A., & Mills, J. S. (2001). Assessment of Bulimia Nervosa: A comparison of interview and self-report questionnaire methods. International Journal of Eating Disorders, 30(2), 187–192.CrossRefPubMed
18.
Zurück zum Zitat Luce, K. H., & Crowther, H. J. (1999). The reliability of the Eating Disorder Examination–Self-Report Questionnaire Version (EDE-Q). International Journal of Eating Disorders, 25(3), 349–351.CrossRefPubMed Luce, K. H., & Crowther, H. J. (1999). The reliability of the Eating Disorder Examination–Self-Report Questionnaire Version (EDE-Q). International Journal of Eating Disorders, 25(3), 349–351.CrossRefPubMed
19.
Zurück zum Zitat Hay, P. J., & Mond, J. M. (2005). How to ‘count the cost’ and measure burden? A review of health-related quality of life in people with eating disorders. Journal of Mental Health, 14(6), 539–552.CrossRef Hay, P. J., & Mond, J. M. (2005). How to ‘count the cost’ and measure burden? A review of health-related quality of life in people with eating disorders. Journal of Mental Health, 14(6), 539–552.CrossRef
20.
Zurück zum Zitat Ware, J. E., Kosinski, M., & Keller, S. (1996). A 12-item short-form health survey: Construction of scales and preliminary reliability and validity. Medical Care, 34(3), 220–233.CrossRefPubMed Ware, J. E., Kosinski, M., & Keller, S. (1996). A 12-item short-form health survey: Construction of scales and preliminary reliability and validity. Medical Care, 34(3), 220–233.CrossRefPubMed
21.
Zurück zum Zitat Hays, R. D. (1998). RAND-36 Health Status Inventory. San Antonio: The Psychological Corporation. Hays, R. D. (1998). RAND-36 Health Status Inventory. San Antonio: The Psychological Corporation.
22.
Zurück zum Zitat Mond, J. M., Hay, P. J., Paxton, S. J., et al. (2010). Eating disorders “mental health literacy” in low risk, high risk and symptomatic women: Implications for health promotion programs. Eating Disorders, 18, 267–285.CrossRefPubMed Mond, J. M., Hay, P. J., Paxton, S. J., et al. (2010). Eating disorders “mental health literacy” in low risk, high risk and symptomatic women: Implications for health promotion programs. Eating Disorders, 18, 267–285.CrossRefPubMed
23.
Zurück zum Zitat Raque-Bogdan, T. L., Ericson, S. K., Jackson, J., Martin, H. M., & Bryan, N. A. (2011). Attachment and mental and physical health: Self-compassion and mattering as mediators. Journal of Counseling Psychology, 58(2), 272–278.CrossRefPubMed Raque-Bogdan, T. L., Ericson, S. K., Jackson, J., Martin, H. M., & Bryan, N. A. (2011). Attachment and mental and physical health: Self-compassion and mattering as mediators. Journal of Counseling Psychology, 58(2), 272–278.CrossRefPubMed
24.
Zurück zum Zitat Mond, J. M., Hay, P. J., Rodgers, B., & Owen, C. (2011). Mental health impairment associated with eating-disorder features in a community sample of women. Journal of Mental Health, 20(5), 456–466.CrossRefPubMed Mond, J. M., Hay, P. J., Rodgers, B., & Owen, C. (2011). Mental health impairment associated with eating-disorder features in a community sample of women. Journal of Mental Health, 20(5), 456–466.CrossRefPubMed
25.
Zurück zum Zitat Mond, J. M., Hay, P. J., Rodgers, B., & Owen, C. (2007). Recurrent binge eating with and without the “undue influence of weight or shape on self-evaluation”: Implications for the diagnosis of binge eating disorder. Behaviour Research and Therapy, 45, 929–938.CrossRefPubMed Mond, J. M., Hay, P. J., Rodgers, B., & Owen, C. (2007). Recurrent binge eating with and without the “undue influence of weight or shape on self-evaluation”: Implications for the diagnosis of binge eating disorder. Behaviour Research and Therapy, 45, 929–938.CrossRefPubMed
27.
Zurück zum Zitat Baron, R. M., & Kenny, D. A. (1986). The moderator-mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology, 51(6), 1173–1182.CrossRefPubMed Baron, R. M., & Kenny, D. A. (1986). The moderator-mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology, 51(6), 1173–1182.CrossRefPubMed
28.
Zurück zum Zitat Mond, J. M., Hay, P. J., Rodgers, B., & Owen, C. (2006). Eating Disorder Examination Questionnaire (EDE-Q): Norms for young adult women. Behaviour Research and Therapy, 44, 53–62.CrossRefPubMed Mond, J. M., Hay, P. J., Rodgers, B., & Owen, C. (2006). Eating Disorder Examination Questionnaire (EDE-Q): Norms for young adult women. Behaviour Research and Therapy, 44, 53–62.CrossRefPubMed
29.
Zurück zum Zitat Heck, R., & Thomas, S. (2015). An introduction to multilevel modeling techniques: MLM and SEM approaches using Mplus (3rd ed.). New York: Routledge. Heck, R., & Thomas, S. (2015). An introduction to multilevel modeling techniques: MLM and SEM approaches using Mplus (3rd ed.). New York: Routledge.
30.
Zurück zum Zitat Rubin, D. B. (1987). Multiple imputation for nonresponse in surveys. New York: Wiley.CrossRef Rubin, D. B. (1987). Multiple imputation for nonresponse in surveys. New York: Wiley.CrossRef
31.
Zurück zum Zitat Gamma, A., & Angst, J. (2001). Concurrent psychiatric comorbidity and multimorbidity in a community study: Gender differences and quality of life. European Archives of Psychiatry and Clinical Neuroscience, 251(2), 43–46.CrossRef Gamma, A., & Angst, J. (2001). Concurrent psychiatric comorbidity and multimorbidity in a community study: Gender differences and quality of life. European Archives of Psychiatry and Clinical Neuroscience, 251(2), 43–46.CrossRef
32.
Zurück zum Zitat Garner, R. E., Feeny, D. H., Thompson, A., et al. (2012). Bodyweight, gender, and quality of life: A population-based longitudinal study. Quality of Life Research, 21(5), 813–825.CrossRefPubMed Garner, R. E., Feeny, D. H., Thompson, A., et al. (2012). Bodyweight, gender, and quality of life: A population-based longitudinal study. Quality of Life Research, 21(5), 813–825.CrossRefPubMed
33.
Zurück zum Zitat White, S., Reynolds-Malear, J. B., & Cordero, E. (2011). Disordered eating and the use of unhealthy weight control methods in college students: 1995, 2002, and 2008. Eating Disorders: Journal of Treatment and Prevention, 19(4), 323–334.CrossRef White, S., Reynolds-Malear, J. B., & Cordero, E. (2011). Disordered eating and the use of unhealthy weight control methods in college students: 1995, 2002, and 2008. Eating Disorders: Journal of Treatment and Prevention, 19(4), 323–334.CrossRef
34.
Zurück zum Zitat Wilfley, D. E., Schwartz, M. B., Spurrell, E. B., & Fairburn, C. G. (1997). Assessing the specific psychopathology of binge eating disorder patients: Interview or self-report? Behaviour Research and Therapy, 35(12), 1151–1159.CrossRefPubMed Wilfley, D. E., Schwartz, M. B., Spurrell, E. B., & Fairburn, C. G. (1997). Assessing the specific psychopathology of binge eating disorder patients: Interview or self-report? Behaviour Research and Therapy, 35(12), 1151–1159.CrossRefPubMed
35.
Zurück zum Zitat Mitchison, D., Hay, P. J., Morin, A., Slewa-Younan, S., & Mond, J. M. (2015). The bidirectional relationship between quality of life and eating disorder symptoms: A 9-year community-based study of Australian women. PLoS One, 10(3), e0120591. doi:10.1371/journal.pone.0120591. Mitchison, D., Hay, P. J., Morin, A., Slewa-Younan, S., & Mond, J. M. (2015). The bidirectional relationship between quality of life and eating disorder symptoms: A 9-year community-based study of Australian women. PLoS One, 10(3), e0120591. doi:10.​1371/​journal.​pone.​0120591.
36.
Zurück zum Zitat Mond, J. M., Hay, P. J., Rodgers, B., Owen, C., & Beumont, P. J. V. (2005). Assessing quality of life in eating disorder patients. Quality of Life Research, 14, 171–178.CrossRefPubMed Mond, J. M., Hay, P. J., Rodgers, B., Owen, C., & Beumont, P. J. V. (2005). Assessing quality of life in eating disorder patients. Quality of Life Research, 14, 171–178.CrossRefPubMed
37.
Zurück zum Zitat Engel, S. G., Wittrock, D. A., Crosby, R. D., Wonderlich, S. A., Mitchell, J. E., & Kolotkin, R. L. (2006). Development and validation of an eating-disorder specific health-related quality of life instrument. International Journal of Eating Disorders, 39(1), 62–71.CrossRefPubMed Engel, S. G., Wittrock, D. A., Crosby, R. D., Wonderlich, S. A., Mitchell, J. E., & Kolotkin, R. L. (2006). Development and validation of an eating-disorder specific health-related quality of life instrument. International Journal of Eating Disorders, 39(1), 62–71.CrossRefPubMed
38.
Zurück zum Zitat Bohn, K., & Fairburn, C. G. (2008). Clinical Impairment Assessment Questionnaire (CIA 3.0) Cognitive Behavior Therapy and Eating disorders. New York: Guilford Press. Bohn, K., & Fairburn, C. G. (2008). Clinical Impairment Assessment Questionnaire (CIA 3.0) Cognitive Behavior Therapy and Eating disorders. New York: Guilford Press.
Metadaten
Titel
Eating disorder features and quality of life: Does gender matter?
verfasst von
Allison F. Wagner
Emily C. Stefano
David C. Cicero
Janet D. Latner
Jonathan M. Mond
Publikationsdatum
05.04.2016
Verlag
Springer International Publishing
Erschienen in
Quality of Life Research / Ausgabe 10/2016
Print ISSN: 0962-9343
Elektronische ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-016-1283-9

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