Eating disorder symptoms do not just disappear: the implications of adolescent eating-disordered behaviour for body weight and mental health in young adulthood

Verfasser / Beitragende:
[Beate Herpertz-Dahlmann, Astrid Dempfle, Kerstin Konrad, Fionna Klasen, Ulrike Ravens-Sieberer]
Ort, Verlag, Jahr:
2015
Enthalten in:
European Child & Adolescent Psychiatry, 24/6(2015-06-01), 675-684
Format:
Artikel (online)
ID: 605476454
LEADER caa a22 4500
001 605476454
003 CHVBK
005 20210128100356.0
007 cr unu---uuuuu
008 210128e20150601xx s 000 0 eng
024 7 0 |a 10.1007/s00787-014-0610-3  |2 doi 
035 |a (NATIONALLICENCE)springer-10.1007/s00787-014-0610-3 
245 0 0 |a Eating disorder symptoms do not just disappear: the implications of adolescent eating-disordered behaviour for body weight and mental health in young adulthood  |h [Elektronische Daten]  |c [Beate Herpertz-Dahlmann, Astrid Dempfle, Kerstin Konrad, Fionna Klasen, Ulrike Ravens-Sieberer] 
520 3 |a This study reports the outcomes of childhood and adolescent eating-disordered behaviour on the development of body mass index (BMI) and psychological functioning in young adulthood in a population-based sample in Germany (the BELLA study). Information at baseline and follow-up was obtained through a telephone interview and mailed self-report questionnaires. At both measurement points, BMI, eating disorder symptoms (SCOFF questionnaire), and symptoms of depression and anxiety were assessed in the same cohort of 771 participants (n=420 females, n=351 males). The age range at baseline was 11-17years, and the age range at follow-up was 17-23years. High scores for eating-disordered behaviour in childhood or adolescence significantly predicted eating-disordered behaviour in young adulthood (multiplicative effect estimate: 1.31; 95% CI: 1.2-1.42, p<0.0001), although there was a decline in prevalence (from 19.3 to 13.8%, p=0.002) and severity (mean decrease in SCOFF 0.07, 95% CI: −0.01-0.14, p=0.06). After accounting for potentially confounding variables at baseline (SES, probands' BMI, parental BMI, depressive symptoms), participants with more eating disorder symptoms at baseline had a higher risk of developing overweight (odds ratio (OR): 1.58; 95% CI: 1.19-2.09, p=0.001), obesity (OR=1.67; 95% CI: 1.03-2.66, p=0.03), and depressive symptoms at follow-up (additive effect estimate: 0.45; 95%CI: 0.19-0.7, p=0.0006). Early symptoms of depression showed a significant relationship with extreme underweight in young adulthood (OR=1.13; 95%CI: 1.01-1.25, p=0.02). The high stability of eating disorder symptoms and the significant association with overweight and worse mental health in adulthood underscore the need for early detection and intervention during childhood and adolescence. Youth with depression should be monitored for the development of restrictive eating disorders. 
540 |a Springer-Verlag Berlin Heidelberg, 2014 
690 7 |a Eating disorders  |2 nationallicence 
690 7 |a Adolescence  |2 nationallicence 
690 7 |a Young adulthood  |2 nationallicence 
690 7 |a BELLA study  |2 nationallicence 
690 7 |a Overweight  |2 nationallicence 
690 7 |a Depression  |2 nationallicence 
690 7 |a Anorexia nervosa  |2 nationallicence 
700 1 |a Herpertz-Dahlmann  |D Beate  |u Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, University Clinics, RWTH Aachen, Neuenhofer Weg 21, 52074, Aachen, Germany  |4 aut 
700 1 |a Dempfle  |D Astrid  |u Institute of Medical Biometry and Epidemiology, Philipps-University Marburg, Marburg, Germany  |4 aut 
700 1 |a Konrad  |D Kerstin  |u Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, University Clinics, RWTH Aachen, Neuenhofer Weg 21, 52074, Aachen, Germany  |4 aut 
700 1 |a Klasen  |D Fionna  |u Department of Child and Adolescent Psychiatry, Psychotherapy, and Psychosomatics, University Medical Center Hamburg-Eppendorf, Hamburg, Germany  |4 aut 
700 1 |a Ravens-Sieberer  |D Ulrike  |u Department of Child and Adolescent Psychiatry, Psychotherapy, and Psychosomatics, University Medical Center Hamburg-Eppendorf, Hamburg, Germany  |4 aut 
773 0 |t European Child & Adolescent Psychiatry  |d Springer Berlin Heidelberg  |g 24/6(2015-06-01), 675-684  |x 1018-8827  |q 24:6<675  |1 2015  |2 24  |o 787 
856 4 0 |u https://doi.org/10.1007/s00787-014-0610-3  |q text/html  |z Onlinezugriff via DOI 
898 |a BK010053  |b XK010053  |c XK010000 
900 7 |a Metadata rights reserved  |b Springer special CC-BY-NC licence  |2 nationallicence 
908 |D 1  |a research-article  |2 jats 
949 |B NATIONALLICENCE  |F NATIONALLICENCE  |b NL-springer 
950 |B NATIONALLICENCE  |P 856  |E 40  |u https://doi.org/10.1007/s00787-014-0610-3  |q text/html  |z Onlinezugriff via DOI 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Herpertz-Dahlmann  |D Beate  |u Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, University Clinics, RWTH Aachen, Neuenhofer Weg 21, 52074, Aachen, Germany  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Dempfle  |D Astrid  |u Institute of Medical Biometry and Epidemiology, Philipps-University Marburg, Marburg, Germany  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Konrad  |D Kerstin  |u Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, University Clinics, RWTH Aachen, Neuenhofer Weg 21, 52074, Aachen, Germany  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Klasen  |D Fionna  |u Department of Child and Adolescent Psychiatry, Psychotherapy, and Psychosomatics, University Medical Center Hamburg-Eppendorf, Hamburg, Germany  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Ravens-Sieberer  |D Ulrike  |u Department of Child and Adolescent Psychiatry, Psychotherapy, and Psychosomatics, University Medical Center Hamburg-Eppendorf, Hamburg, Germany  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t European Child & Adolescent Psychiatry  |d Springer Berlin Heidelberg  |g 24/6(2015-06-01), 675-684  |x 1018-8827  |q 24:6<675  |1 2015  |2 24  |o 787