ArticleEuropean child & adolescent psychiatry2017
Eating disorder behaviours amongst adolescents: investigating classification, persistence and prospective associations with adverse outcomes using latent class models.
Article in European child & adolescent psychiatry, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers, 1 of them a synthesis that pooled it.
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Who cites it
28 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The prospective relationship between anxiety symptoms and eating disorder symptoms among adolescents: a systematic review and meta-analysis of a bi-directional relationship.European child & adolescent psychiatry · 2025Pooled it
- Trial
- Bullying as a Risk Factor for Eating Disorder Behaviors Among Students: Secondary Analysis for a Cluster Randomized Controlled Trial.Child psychiatry and human development · 2023Trial
- The Extent of Eating Disorders and Comorbid Psychopathology Among Adolescent School Pupils.European eating disorders review : the journal of the Eating Disorders Association · 2026Article
- Adverse Childhood Experiences and Disordered Eating Behaviors Among US Children: Untangling the Developmental Sex Differences.The International journal of eating disorders · 2025Article
- Bonding and parent-child quality of interaction in parents with eating disorder: A scoping review.European eating disorders review : the journal of the Eating Disorders Association · 2025Article
- The current clinical approach to feeding and eating disorders aimed to increase personalization of management.World psychiatry : official journal of the World Psychiatric Association (WPA) · 2025Article
- Subclinical patterns of disordered eating behaviors in the daily life of adolescents and young adults from the general population.Child and adolescent psychiatry and mental health · 2024Article
- Prevalence and recurrence of pica behaviors in early childhood within the ALSPAC birth cohort.The International journal of eating disorders · 2024Article
- Patterns of maladaptive exercise behavior from ages 14-24 in a longitudinal cohort.Journal of child psychology and psychiatry, and allied disciplines · 2023Article
- The global prevalence of screen-based disordered eating and associated risk factors among high school students: systematic review, meta-analysis, and meta-regression.Journal of eating disorders · 2023Review
- Subclinical binge eating symptoms in early adolescence and its preceding and concurrent factors: a population-based study.Journal of eating disorders · 2022Article
- The mental health and well-being profile of young adults using social media.Npj mental health research · 2022Article
- Associations between childhood autistic traits and adolescent eating disorder behaviours are partially mediated by fussy eating.European eating disorders review : the journal of the Eating Disorders Association · 2022Article
- Eating disorder symptoms and their associations with anthropometric and psychiatric polygenic scores.European eating disorders review : the journal of the Eating Disorders Association · 2022Article
- Trajectories of autistic social traits in childhood and adolescence and disordered eating behaviours at age 14 years: A UK general population cohort study.Journal of child psychology and psychiatry, and allied disciplines · 2021Article
- Non-Suicidal Self-Injury and Eating Disordered Behaviors: An Update on What We Do and Do Not Know.Current psychiatry reports · 2020Review
- Anxiety disorders predict fasting to control weight: A longitudinal large cohort study of adolescents.European eating disorders review : the journal of the Eating Disorders Association · 2020Article
- 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
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Authors and funding
9 authors.
Funding
Abstract
Diagnostic criteria for eating disorders (ED) remain largely based on clinical presentations, but do not capture the full range of behaviours in the population. We aimed to derive an empirically based ED behaviour classification using behavioural and body mass index (BMI) indicators at three time-points in adolescence, and to validate classes investigating prospective associations with adverse outcomes. Adolescents from the Avon Longitudinal Study of Parents and Children (ALSPAC) provided data on ED at age 14 (n = 6615), 16 (n = 5888), and 18 years (n = 5100), and had weight and height measured. Psychological and behavioural outcomes were assessed at 15.5/16 and 17.5/18 years. We fit gender- and age-stratified latent class models, and employed logistic regression to investigate associations between classes and later outcomes. One asymptomatic and two symptomatic (largely representing higher and lower frequency ED behaviours) classes were observed at each time-point, although their relative prevalence varied by age and gender. The majority of girls in symptomatic classes remained symptomatic at subsequent assessments. Girls in symptomatic classes had higher odds of subsequent anxiety and depressive disorders, binge drinking, drug use, and deliberate self-harm. Data analyses were underpowered amongst boys. The presence of two symptomatic classes (characterised by different ED behaviour frequency) and their prospective association with adverse outcomes suggest a need to refine diagnostic thresholds based on empirical data. Despite some instability of classes, particularly in mid-adolescence, evidence that half of girls in symptomatic classes remained symptomatic suggests persistence of ED behaviours in adolescence, and highlights a need for early identification to reduce chronicity.
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