Caltabiano, Marie L. (2024) Risk factors and treatment approaches for disordered eating. In: [Presented at the Australian Psychological Society North Queensland Branch Meeting]. From: Australian Psychological Society North Queensland Branch Meeting, 5 September 2024, Townsville, QLD, Australia and Online.

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Abstract

This presentation will cover research on unique and common risk factors for disordered eating in an 8-country study (sample size 6272) by the International Academy for Body Image, Eating Problems and Health. There were 4279 females and 1958 males in the study. The research tested a model for shared biological, psychological, socio-cultural and behavioural risk factors for disordered eating and higher weight among young adults (mean age 21.5) across the 8 countries. The outcome variables being predicted were Body Mass Index (BMI), Drive for muscularity, Drive for leanness and Eating pathology (restrained eating, bingeing, purging). The study also tested whether diagnostic measures were responded to similarly across countries i.e. invariance of measures. Across all countries, BMI was higher among participants who were older, overweight as a child, had higher reported weight for their mother, family history of obesity, greater perceived pressure from father, mother, and peers to lose weight, higher body appreciation, stronger self-esteem, greater weight bias internalization, more frequent engagement in weight loss behaviours, and more consumption of sugary drinks. Greater engagement in compensatory behaviours (dieting, purging) was more common for individuals who identified as heterosexual, reported a previous eating disorder, felt pressure from peers to lose weight, overvalued their appearance, more strongly internalized the muscular ideal, engaged in physical activity, emotional eating, muscle gaining and weight loss behaviours more regularly, and who reported higher sleep quality. Dietary restraint scores were higher for individuals who reported a previous eating disorder, higher father weight, greater body appreciation, stronger overvaluation of appearance, who more strongly internalize the thin ideal, reported higher self-prescribed perfectionism, engaged in more regular physical activity, muscle building and weight loss behaviours, and who feel greater pressure from peers to gain muscle. Drive for leanness scores were higher for participants who were older, had higher socioeconomic status, who more strongly internalized thin and muscular physique ideals, who had higher self- prescribed perfectionistic tendencies, more often engaged in appearance comparisons and behaviours to increase muscle and lose weight, and were more likely to eat breakfast regularly. Drive for muscularity was elevated for individuals who reported a medical condition associated with their weight, who perceived greater pressure from father, mother and peers to gain weight and from father to lose weight, who internalized the muscular ideal more strongly, engaged more frequently in appearance comparisons, had a history of trauma, were more sedentary, and more regularly engaged in muscle gain and weight loss behaviours. The presentation will also cover behaviour change science in the prevention of obesity and the 5A counselling approach for dietary change and exercise behaviour in the treatment of eating disorders.

Item ID:	85063
Item Type:	Conference Item (Presentation)
Keywords:	disordered eating, treatment approaches, cross-country sample
Date Deposited:	09 Apr 2025 23:11
FoR Codes:	52 PSYCHOLOGY > 5203 Clinical and health psychology > 520304 Health psychology @ 100%
SEO Codes:	20 HEALTH > 2001 Clinical health > 200199 Clinical health not elsewhere classified @ 100%
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