Thesis (Psy. D.)--Widener University, 2006. / Includes bibliographical references (leaves 92-102). Also available online (PDF file) by a subscription to the set or by purchasing the individual file.

Thesis (Psy. D.)--Widener University, 2006. / Includes bibliographical references (leaves 92-102).

Thesis (Ph. D.)--University of Missouri-Columbia, 2000. / Typescript. Vita. Includes bibliographical references (leaves 51-58). Also available on the Internet.

The purpose of this study was to examine sociocultural and psychological correlates of bulimic symptomatology and drive for thinness in a sample of nonclinical female adolescents.

published_or_final_version / Community Medicine / Master / Master of Public Health

A preventative intervention program was administered to a non-clinical population deemed at risk for the development of eating disorders. Two-hundred and three women from a large southwestern state university who belonged to four campus sororities participated in the intervention. Members of the two sorority houses served as the control group while members of the other two houses served as the experimental group during the eight-week intervention. The intervention consisted of five workshops involving risk factors identified with anorexia nervosa and bulimia nervosa. The intervention included workshops on basic information on eating disorders, exercise, stress management, nutrition, self-esteem, and body image. Compared to the control group, the experimental group displayed significantly lower scores on the Ineffectiveness sub-scale and the Bulimia sub-scale of the Eating Disorder Inventory. The present study demonstrated that a population highly susceptible to disordered eating, was open to and positively affected by, an intervention procedure.

In this study, the relationship between the risk factors of perfectionism and depression and eating disorder symptomatology was examined. A sample of female undergraduates completed the following three measures: the Beck Depression Inventory-II (BDI-II), the Multidimensional Perfectionism Scale (MPS), and the Questionnaire for Eating Disorder Diagnoses (Q-EDD). Results indicated that perfectionism is significantly positively correlated with depression. Higher levels of perfectionism were also associated with the presence of eating disorder symptoms, whereas lower levels of perfectionism were associated with the absence of eating disorder symptoms. Finally, an increase in perfectionism levels was predictive of eating disorder symptoms. Directions for future research and clinical implications are discussed. / Department of Counseling Psychology and Guidance Services

There is a lack of clarity in the current literature in how potential etiological factors interact and result in disordered eating. The purpose of this study was to examine an expanded model of Personality, Social Support, Appraisal/Coping Processes, Abuse History, Internalization of Sociocultural Standards, Psychological Disturbances, and Body Disparagement in the development of disordered eating. The current model was evaluated using 276 women in their transition to college, a time period highly associated with symptoms believed to increase a woman's risk for the development of disordered eating including perceived difficulty coping, weight gain, and negative affect. Structural equation modeling was used to allow simultaneous examination of the causal relationships between the factors. Structural analyses confirmed that college women with previous stressful experiences appraised the adjustment to college as more stressful and reported feeling less able to cope with the transition. Those women who identified the transition as overwhelming were also aware of increased negative mood and psychological states since beginning the school semester. Further, women with previous traumatic sexual experiences appeared to be at additional risk for increased negative affective symptoms. The resulting model confirmed that those women who experience negative mood states and those that endorse strong internalization of cultural values regarding attractiveness encountered increased dissatisfaction and disapproval of their bodies. Finally, women with higher levels of body concern engaged in more eating behaviors associated with disordered eating. The roles of personality functioning and perceived social support could not be identified in the developmental model. The predictive links between constructs in the resulting model provide meaningful information regarding the transition to college and associated risks for development of disordered eating. Validation of the model in an independent sample would provide confirmation of these relationships and longitudinal research examining females' attitudes across crucial developmental periods might provide important information regarding which individuals are most at risk for development of disordered eating.

Psychological and behavioral characteristics of female undergraduates with varying levels of disordered eating, as measured by the Questionnaire for Eating Disorder Diagnoses (Q-EDD; Mintz, O'Halloran, Mulholland, & Schneider, 1997), were investigated. Results suggest that the Q-EDD is an appropriate instrument for measuring eating disorder symptomatology. Greater disordered eating was associated with more bulimic, dieting, and weight fluctuation symptoms, higher impression management and approval-seeking needs, more dichotomous thinking, self control, and rigid weight regulation, and increased concern with body shape and dissatisfaction with facial features. Eating-disordered and symptomatic women evidenced more severe eating disorder behaviors and psychological distress than asymptomatic women. Findings are congruent with a redefined discontinuity perspective of eating disorder symptomatology. Treatment implications and campus-wide preventions are suggested.

Includes bibliographical references (leaves [287]-309). Concerned with a group of people's everyday experiences of anorexia. The fieldwork on which the thesis is based was conducted in multiple sites (Vancouver, Edinburgh, and Adelaide) over 15 months (August 1998-October 1999) and deals with 44 women and 3 men ranging in ages from 14-55. Primarily concerned with the processes that propelled them towards and away from this phenomenon: the desires, connections, disconnections, practice, contested performances and struggles of becoming and unbecoming 'anorexic'.