Evidence map›Paper›PMID 36850009›Full record

ArticleJournal of eating disorders2023

The role of discrimination and adverse childhood experiences in disordered eating.

Jillian D Nelson, Laura N Martin, Alyssa Izquierdo, Olga Kornienko, Alison E Cuellar, Lawrence J Cheskin, Sarah Fischer

Abstract read
In one paragraph

Article in Journal of eating disorders, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Jillian D NelsonDepartment of Psychology, George Mason University, 4400 University Drive, Fairfax, VA, 22030, USA. jnelso2@gmu.edu.ORCID http://orcid.org/0000-0002-6812-0362
Laura N MartinDepartment of Psychology, George Mason University, 4400 University Drive, Fairfax, VA, 22030, USA.
Alyssa IzquierdoDepartment of Psychology, George Mason University, 4400 University Drive, Fairfax, VA, 22030, USA.
Olga KornienkoDepartment of Psychology, George Mason University, 4400 University Drive, Fairfax, VA, 22030, USA.
Alison E CuellarDepartment of Health Administration and Policy, George Mason University, 4400 University Drive, Fairfax, VA, 22030, USA.
Lawrence J CheskinDepartment of Nutrition and Food Studies, George Mason University, 4400 University Drive, Fairfax, VA, 22030, USA.
Sarah FischerDepartment of Psychology, George Mason University, 4400 University Drive, Fairfax, VA, 22030, USA.

Funding

National Science Foundation 1922598
6 · The paper itself

Abstract

backgroundIn clinical research, there has been a call to move beyond individual psychosocial factors towards identifying cultural and social factors that inform mental health. Similar calls have been made in the eating disorders (ED) field underscoring the need to understand larger sociocultural influences on EDs. Discrimination is a social stressor that may influence mental health in similar ways to traumatic or adverse childhood experiences (ACEs). Given the high rates of EDs and discrimination among marginalized groups, it is vital to understand the role of discrimination and ACEs as predictors of ED symptoms in these populations. The aim of this study is to examine how perceived discrimination predicts ED pathology when statistically adjusting for gender, race, and ACEs.

methodsThe diverse study sample consisted of 331 undergraduate students from a longitudinal cohort study (ages 18-24; 66% female; 35% White/non-Hispanic). Participants completed measures of everyday discrimination, ACEs, and ED pathology.

resultsFollowing adjustment for multiple statistical comparisons, the frequency of daily discrimination predicted all ED symptoms above and beyond history of ACEs. In follow-up analyses, number of reasons for discrimination predicted cognitive restraint and purging. Differences in ED symptomatology were found based on the reason for discrimination, gender, and race. Specifically, those who experienced weight discrimination endorsed higher scores on all ED symptoms, and those experiencing gender discrimination endorsed higher body dissatisfaction, cognitive restraint, and restriction. People of color endorsed higher restriction, while female participants endorsed higher scores on all ED symptom with the exception of cognitive restraint.

conclusionDiscrimination is a salient risk factor for ED symptoms even when accounting for individuals' history of ACEs. Future research should utilize an intersectional approach to examine how perceived discrimination affects ED pathology over time. (Word count: 234).

Indexed as

Adverse childhood experiencesDisordered eatingEating disorder pathologyPerceived discrimination

Identifiers

PMID36850009
PMCPMC9969653

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.