A cross-sectional study of disturbed eating attitudes and behaviours in medical students
DOI:
https://doi.org/10.18203/2320-6012.ijrms20161959Keywords:
Eating attitudes, Eating behaviour, Eating attitude test, Rosenberg self-esteem scaleAbstract
Background: The final phase of medical school is characterized by many demands, requirements, and responsibilities, in addition to insecurities that typify the end of the program.Weight and shape concerns are also considered part of the core pathology of eating disorders. The purpose of this study is to investigate eating attitudes and to correlate disturbed eating habits with anxiety, self-esteem, body weight satisfaction and BMI in medical students.
Methods: This is a cross-sectional observational study in a random sample of medical students aged between 17-21years including a total of 150 medical students. Information was be gathered from a structured questionnaire on eating attitudes and behaviours (eating attitude test -26, EAT-26), anxiety (Beck anxiety inventory), self-esteem (Rosenberg Self-Esteem Scale), fear of being overweight (body image and eating questionnaire for adults-16). Data was represented as mean±S.D. Chi-square test and Pearson’s correlation was used to investigate the relation between different parameters. P value less than 0.05 was found to be significant.
Results: In this study, 4.7% of medical students were found to have eating disorder and all were girls. On comparison of eating score with anxiety showed a positive correlation (p=0.001), positive correlation between EAT score and body image dissatisfaction (p=0.001), no significant relationship between self-esteem (p=0.73) and no significant relationship between EAT score and BMI (p=0.294).
Conclusions: The prevalence of eating disorder symptoms in this study was calculated using the cut-off scores of the questionnaires, which indicate possible cases of eating disorders. A diagnostic interview is necessary to corroborate the self-report data and to obtain an accurate estimate of prevalence of full syndrome eating disorders.
References
Woodside DB. Age of onset in eating disorders. Int J Eat Disord. 1992;12(1):31-6.
Currin L, Schmidt U, Treasure J, Jick H. Time trends in eating disorder incidence. BrJ Psychiatry. 2005;186:132-5.
Tempski P, Perotta B, Pose RA, Vieira JE. A questionnaire on the quality of life of medical students. Med Educ. 2009;43:1107-8.
American Psychiatric Association. Diagnostic and statistical manual for mental disorders. Washington D.C. American Psychiatric Association. 2000.
Cooper PJ, Steere JA. Comparison of two psychological treatments for bulimia nervosa: Implications for models of maintenance. Behaviour Research and Therapy. 1995;33:875-85.
Herzog DB, Pepose M, Norman DK, Rigotti NA. Eating disorders and social maladjustment in female medical students. J Nerv Ment Dis. 1985;173(12):734-7.
Pope HG, Hudson JI, Todd DY, Hudson MS. Prevalence of anorexia nervosa and bulimia in three student populations. Int J Eat Disord. 1984;3(3):45-51.
Sample C, Katzman MA, Wolchik SA, Braver SL. The prevalence of frequent binge eating and bulimia in a nonclinical. Int J Eat Disord. 1984;3(3):53-62.
Dahlin M, Joneborg N, Runeson B. Stress and depression among medical students: a cross-sectional study. Med Educ. 2005;39(6):594-604.
Laessle RG. Cortisol levels and vigilance in eating disorder patients. Psychoneuroendocrinology. 1992;17(5):475-84.
Blundell JE. Serotonin manipulations and the structure of feeding behavior. Appetite. 1986; 7(Suppl):39-56.
Hoek HW. Epidemiology of anorexia nervosa and bulimia nervosa in the western world. Continuing medical education. 1995;13(5):501-8.
Connors ME. Developmental vulnerabilities for eating disorders. The developmental psychopathology of eating disorder: implications of research prevention and treatment. 1996;285-309.
Levin, MP. The relation of sociocultural factors to eating attitudes and behaviours among middle school girls. Journal of early adolescence. 2009;14(4):471-90.
Hawkins.The impact of exposure to the thin ideal media image of women. Eating disorder. 2008;12:35-50.
Bruch H. Eating disorders: Obesity, anorexia nervosa and the person within. NewYork. Basic Books.2003.
Garfinkel PE. Anorexia nervosa: a multidimensional perspective. New York: 2008, Brunner/Mazel.
Attie I. Development of eating problems in adolescent girls: a longitudinal study. Developmental Psychology. 1989;25:70-9.
Fairburn CG. Risk factors for bulimia nervosa: a community-based case-control study. Archives of General Psychiatry. 1997;54:509-17.
