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Gender-Dependent Associations of Anxiety and Depression Symptoms With Eating Disorder Psychopathology in a Representative Population Sample

Background: Evidence shows that anxiety and depressive disorders play an important role in eating disorder behavior. However, given the epidemiology of eating disorders, there is a need to investigate potentially gender-specific connections. Method: This study tested the associations of anxiety and...

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Autores principales: Ernst, Mareike, Werner, Antonia M., Tibubos, Ana N., Beutel, Manfred E., de Zwaan, Martina, Brähler, Elmar
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7952511/
https://www.ncbi.nlm.nih.gov/pubmed/33716837
http://dx.doi.org/10.3389/fpsyt.2021.645654
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author Ernst, Mareike
Werner, Antonia M.
Tibubos, Ana N.
Beutel, Manfred E.
de Zwaan, Martina
Brähler, Elmar
author_facet Ernst, Mareike
Werner, Antonia M.
Tibubos, Ana N.
Beutel, Manfred E.
de Zwaan, Martina
Brähler, Elmar
author_sort Ernst, Mareike
collection PubMed
description Background: Evidence shows that anxiety and depressive disorders play an important role in eating disorder behavior. However, given the epidemiology of eating disorders, there is a need to investigate potentially gender-specific connections. Method: This study tested the associations of anxiety and depression symptoms with eating disorder symptoms and behaviors and explored whether they differed between men and women. Within a population-representative survey (N = 2,510; ages 14–94), participants completed measures of depression symptoms (PHQ-2), anxiety symptoms (GAD-2), and eating disorder symptoms (EDE-Q8). We conducted linear regression analyses of the EDE-Q8 sum score and General Linear Models on the three behaviors overeating, binge eating, and compensatory behaviors (self-induced vomiting/use of laxatives/excessive exercising). Results: Depression and anxiety symptoms were related to more eating disorder symptoms in men and women (irrespective of BMI, age, and income). The association of depression and eating disorder symptoms was slightly stronger in women. Overeating was more common in men and in depressed individuals, whereas compensatory behaviors were more common among anxious individuals, especially anxious women. Conclusion: The study extends previous research by using gender-specific methods in a representative sample. It indicates similarities and differences between men and women regarding disordered eating on a population level.
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spelling pubmed-79525112021-03-13 Gender-Dependent Associations of Anxiety and Depression Symptoms With Eating Disorder Psychopathology in a Representative Population Sample Ernst, Mareike Werner, Antonia M. Tibubos, Ana N. Beutel, Manfred E. de Zwaan, Martina Brähler, Elmar Front Psychiatry Psychiatry Background: Evidence shows that anxiety and depressive disorders play an important role in eating disorder behavior. However, given the epidemiology of eating disorders, there is a need to investigate potentially gender-specific connections. Method: This study tested the associations of anxiety and depression symptoms with eating disorder symptoms and behaviors and explored whether they differed between men and women. Within a population-representative survey (N = 2,510; ages 14–94), participants completed measures of depression symptoms (PHQ-2), anxiety symptoms (GAD-2), and eating disorder symptoms (EDE-Q8). We conducted linear regression analyses of the EDE-Q8 sum score and General Linear Models on the three behaviors overeating, binge eating, and compensatory behaviors (self-induced vomiting/use of laxatives/excessive exercising). Results: Depression and anxiety symptoms were related to more eating disorder symptoms in men and women (irrespective of BMI, age, and income). The association of depression and eating disorder symptoms was slightly stronger in women. Overeating was more common in men and in depressed individuals, whereas compensatory behaviors were more common among anxious individuals, especially anxious women. Conclusion: The study extends previous research by using gender-specific methods in a representative sample. It indicates similarities and differences between men and women regarding disordered eating on a population level. Frontiers Media S.A. 2021-02-26 /pmc/articles/PMC7952511/ /pubmed/33716837 http://dx.doi.org/10.3389/fpsyt.2021.645654 Text en Copyright © 2021 Ernst, Werner, Tibubos, Beutel, de Zwaan and Brähler. http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Psychiatry
Ernst, Mareike
Werner, Antonia M.
Tibubos, Ana N.
Beutel, Manfred E.
de Zwaan, Martina
Brähler, Elmar
Gender-Dependent Associations of Anxiety and Depression Symptoms With Eating Disorder Psychopathology in a Representative Population Sample
title Gender-Dependent Associations of Anxiety and Depression Symptoms With Eating Disorder Psychopathology in a Representative Population Sample
title_full Gender-Dependent Associations of Anxiety and Depression Symptoms With Eating Disorder Psychopathology in a Representative Population Sample
title_fullStr Gender-Dependent Associations of Anxiety and Depression Symptoms With Eating Disorder Psychopathology in a Representative Population Sample
title_full_unstemmed Gender-Dependent Associations of Anxiety and Depression Symptoms With Eating Disorder Psychopathology in a Representative Population Sample
title_short Gender-Dependent Associations of Anxiety and Depression Symptoms With Eating Disorder Psychopathology in a Representative Population Sample
title_sort gender-dependent associations of anxiety and depression symptoms with eating disorder psychopathology in a representative population sample
topic Psychiatry
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7952511/
https://www.ncbi.nlm.nih.gov/pubmed/33716837
http://dx.doi.org/10.3389/fpsyt.2021.645654
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