ArticleJournal of child psychology and psychiatry, and allied disciplines2015
Prevalence of purging at age 16 and associations with negative outcomes among girls in three community-based cohorts.
Article in Journal of child psychology and psychiatry, and allied disciplines, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed, 26 citations in OpenAlex.
- Weight Teasing and Binge Eating Among Adolescents in Shanghai, China: Role of Anxiety and Unhealthy Weight Control Behaviors.Nutrients · 2025Article
- Clinical Factors Associated with Binge-Eating Episodes or Purging Behaviors in Patients Affected by Eating Disorders: A Cross-Sectional Study.Journal of personalized medicine · 2024Article
- Eating disorder-related functional impairment predicts greater depressive symptoms across one semester of college.Eating behaviors · 2024Article
- Differential genetic associations between dimensions of eating disorders and alcohol involvement in late adolescent twins.Alcohol, clinical & experimental research · 2023Article
- Analysis of symptom clusters amongst adults with anorexia nervosa: Key severity indicators.Psychiatry research · 2023Article
- Binge eating and alcohol consumption: an integrative review.Eating and weight disorders : EWD · 2021Review
- Polygenic Score for Body Mass Index Is Associated with Disordered Eating in a General Population Cohort.Journal of clinical medicine · 2020Article
- Association between prenatal maternal infection and disordered eating behaviours in adolescence: a UK population-based prospective birth cohort study.Psychological medicine · 2020Article
- Article
- Examining a momentary mediation model of appearance-related stress, anxiety, and eating disorder behaviors in adult anorexia nervosa.Eating and weight disorders : EWD · 2018Article
- Patterns of weight control behavior persisting beyond young adulthood: Results from a 15-year longitudinal study.The International journal of eating disorders · 2018Article
- Longitudinal associations between psychotic experiences and disordered eating behaviours in adolescence: a UK population-based study.The Lancet. Child & adolescent health · 2018Article
- Gender Conformity and Use of Laxatives and Muscle-Building Products in Adolescents and Young Adults.Pediatrics · 2016Article
- Eating disorders in a multi-ethnic inner-city UK sample: prevalence, comorbidity and service use.Social psychiatry and psychiatric epidemiology · 2016Article
- Longitudinal associations of trauma exposure with disordered eating: Lessons from the Great Smoky Mountains Study.Eating disordersArticle
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Authors and funding
10 authors at 8 institutions in 5 countries.
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Abstract
backgroundThe comorbidity of purging behaviours, such as vomiting, inappropriate use of laxatives, diuretics or slimming medications, has been examined in literature. However, most studies do not include adolescents, individuals who purge in the absence of binge eating, or those purging at subclinical frequency. This study examines the prevalence of purging among 16-year-old girls across three countries and their association with substance use and psychological comorbidity.
methodsData were obtained by questionnaire in 3 population-based cohorts (Avon Longitudinal Study of Parents and Children (ALSPAC), United Kingdom, n = 1,608; Growing Up Today Study (GUTS), USA, n = 3,504; North Finland Birth Cohort (NFBC85/86), Finland, n = 2,306). Multivariate logistic regressions were employed to estimate associations between purging and outcomes. Four models were fit adjusting for binge eating and potential confounders of these associations.
resultsIn ALSPAC, 9.7% of girls reported purging in the 12-months prior to assessment, 7.3% in GUTS, and 3.5% in NFBC. In all 3 cohorts, purging was associated with adverse outcomes such as binge drinking (ALSPAC: odds ratio (OR) = 2.0, 95% confidence interval (CI) = 1.4-2.9; GUTS: OR = 2.5, 95% CI = 1.5-4.0; NFBC: OR = 1.7, 95% CI = 1.0-2.8), drug use (ALSPAC: OR = 2.9, 95% CI = 1.8-4.7; GUTS: OR = 4.5, 95% CI = 2.8-7.3; NFBC: OR = 4.1, 95% CI = 2.6-6.6), depressive symptoms in ALSPAC (OR = 2.2, 95% CI = 1.5-3.1) and GUTS(OR = 3.7, 95% CI = 2.2-6.3), and several psychopathology measures including clinical anxiety/depression in NFBC (OR = 11.2, 95% CI = 3.9, 31.7).
conclusionsResults show a higher prevalence of purging behaviours among girls in the United Kingdom compared to those in the United States and Finland. Our findings support evidence highlighting that purging in adolescence is associated with negative outcomes, independent of its frequency and binge eating.
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