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Physical signs and symptoms of eatin...

Larkin, Laurie Jane S.

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Physical signs and symptoms of eating disorders and disordered eating: Development of a screening test for female college athletes.

Record Type:	Electronic resources : Monograph/item
Title/Author:	Physical signs and symptoms of eating disorders and disordered eating: Development of a screening test for female college athletes./
Author:	Larkin, Laurie Jane S.
Description:	236 p.
Notes:	Source: Dissertation Abstracts International, Volume: 62-06, Section: B, page: 2986.
Contained By:	Dissertation Abstracts International62-06B.
Subject:	Psychology, Physiological. -
Online resource:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3018457
ISBN:	9780493288758

Physical signs and symptoms of eating disorders and disordered eating: Development of a screening test for female college athletes.
Larkin, Laurie Jane S.

Physical signs and symptoms of eating disorders and disordered eating: Development of a screening test for female college athletes. - 236 p.

Source: Dissertation Abstracts International, Volume: 62-06, Section: B, page: 2986.

Thesis (Ph.D.)--Purdue University, 1999.

The purpose of this study was to identify physical signs and symptoms indicating e&barbelow;ating d&barbelow;isorders/d&barbelow;isordered e&barbelow;ating (ED/DE) among female college athletes in order to develop an effective, valid, and quick-to-administer screening test. Psychosocial questionnaires may be less effective as screening tests due to response bias and the unwillingness of respondents to acknowledge ED/DE. Physical measures may be preferable to or used in conjunction with psychosocial screening tests because physical assessments are more objective and their purpose is more obscure. Subjects included 148 (84.5%) volunteer female Division I, club, and dance team athletes 18--25 years old who attended a large, Midwestern university. Self-report physical signs and symptoms questions were administered. The questionnaire was developed by the investigator and was called the Physiological Aspects of Eating Behaviors Q&barbelow;uestionnaire (Phys-Q). The PHYS-Q assessed dizziness, abdominal bloating and pain, weakness, cold intolerance, leg edema, constipation, menstrual cycle frequency, and history of stress fractures. A physiological evaluation was used called the A&barbelow;thlete P&barbelow;hysical H&barbelow;ealth A&barbelow;ssessment Form (APHA). The APHA was used to record height, weight, body mass index, percent body fat, waist-hip ratio, blood pressure, caffeine use, water intake, parotid gland enlargement, and exercise, menstrual, weight, and dental histories. Last, a validated, structured, diagnostic interview (the E&barbelow;ating D&barbelow;isorder E&barbelow;xam, 12.0D; EDE), was used to identify those with or without ED/DE. Results showed a large number (35%; n = 51) of athletes were ED/DE. Six items from the PHYS-Q and 12 items from the APHA discriminated the ED/DE versus non-ED/DE subjects the best. The combination of these "best" items from both the PHYS-Q and APHA tests were more effective (sensitivity = 86% and specificity = 78%) in identifying ED/DE than the EDI-2 (sensitivity = 64% and specificity = 74%) and BULIT-R (sensitivity = 27% and specificity = 99%) questionnaires. Two possible reasons for the success of the physiologic items were the reduction and/or elimination of response bias and that the items were developed specifically for this population. Recommendations are to include a quick (~10 minutes long) and easy-to-administer physiologic screening test during mandatory pre-participation examinations.

ISBN: 9780493288758Subjects--Topical Terms:

1017869
Psychology, Physiological.

Physical signs and symptoms of eating disorders and disordered eating: Development of a screening test for female college athletes.
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245 1 0 $a Physical signs and symptoms of eating disorders and disordered eating: Development of a screening test for female college athletes.
300 $a 236 p.
500 $a Source: Dissertation Abstracts International, Volume: 62-06, Section: B, page: 2986.
500 $a Major Professor: David R. Black.
502 $a Thesis (Ph.D.)--Purdue University, 1999.
520 $a The purpose of this study was to identify physical signs and symptoms indicating e&barbelow;ating d&barbelow;isorders/d&barbelow;isordered e&barbelow;ating (ED/DE) among female college athletes in order to develop an effective, valid, and quick-to-administer screening test. Psychosocial questionnaires may be less effective as screening tests due to response bias and the unwillingness of respondents to acknowledge ED/DE. Physical measures may be preferable to or used in conjunction with psychosocial screening tests because physical assessments are more objective and their purpose is more obscure. Subjects included 148 (84.5%) volunteer female Division I, club, and dance team athletes 18--25 years old who attended a large, Midwestern university. Self-report physical signs and symptoms questions were administered. The questionnaire was developed by the investigator and was called the Physiological Aspects of Eating Behaviors Q&barbelow;uestionnaire (Phys-Q). The PHYS-Q assessed dizziness, abdominal bloating and pain, weakness, cold intolerance, leg edema, constipation, menstrual cycle frequency, and history of stress fractures. A physiological evaluation was used called the A&barbelow;thlete P&barbelow;hysical H&barbelow;ealth A&barbelow;ssessment Form (APHA). The APHA was used to record height, weight, body mass index, percent body fat, waist-hip ratio, blood pressure, caffeine use, water intake, parotid gland enlargement, and exercise, menstrual, weight, and dental histories. Last, a validated, structured, diagnostic interview (the E&barbelow;ating D&barbelow;isorder E&barbelow;xam, 12.0D; EDE), was used to identify those with or without ED/DE. Results showed a large number (35%; n = 51) of athletes were ED/DE. Six items from the PHYS-Q and 12 items from the APHA discriminated the ED/DE versus non-ED/DE subjects the best. The combination of these "best" items from both the PHYS-Q and APHA tests were more effective (sensitivity = 86% and specificity = 78%) in identifying ED/DE than the EDI-2 (sensitivity = 64% and specificity = 74%) and BULIT-R (sensitivity = 27% and specificity = 99%) questionnaires. Two possible reasons for the success of the physiologic items were the reduction and/or elimination of response bias and that the items were developed specifically for this population. Recommendations are to include a quick (~10 minutes long) and easy-to-administer physiologic screening test during mandatory pre-participation examinations.
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650 4 $a Health Sciences, Mental Health. $3 1017693
650 4 $a Health Sciences, Public Health. $3 1017659
650 4 $a Education, Physical. $3 1018000
650 4 $a Health Sciences, Recreation. $3 1018003
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