Life beyond the eating disorder: education, relationships, and reproduction.

OBJECTIVE We investigated the sociodemographic characteristics in women with and without lifetime eating disorders. METHOD Participants were from a multisite international study of eating disorders (N = 2,096). Education level, relationship status, and reproductive status were examined across eating disorder subtypes and compared with a healthy control group. RESULTS Overall, women with eating disorders were less educated than controls, and duration of illness and age of onset were associated with educational attainment. Menstrual status was associated with both relationship and reproductive status, but eating disorder subtypes did not differ significantly from each other or from healthy controls on these dimensions. DISCUSSION Differences in educational attainment, relationships, and reproduction do exist in individuals with eating disorders and are differentially associated with various eating disorder symptoms and characteristics. These data could assist in educating patients and family members about long-term consequences of eating disorders.

[1]  Janet B W Williams,et al.  Diagnostic and Statistical Manual of Mental Disorders , 2013 .

[2]  E. Walker,et al.  Diagnostic and Statistical Manual of Mental Disorders , 2013 .

[3]  Jonathan Y. Tsou.  RACHEL COOPER Classifying Madness: A Philosophical Examination of the Diagnostic and Statistical Manual of Mental Disorders , 2010, The British Journal for the Philosophy of Science.

[4]  N. Knoll,et al.  Gender and age differences in domain-specific life satisfaction and the impact of depressive and anxiety symptoms: a general population survey from Germany , 2009, Quality of Life Research.

[5]  A. Bardone-Cone,et al.  Perfectionism across stages of recovery from eating disorders. , 2009, The International journal of eating disorders.

[6]  D. Goldman,et al.  Sexual functioning in women with eating disorders. , 2009, The International journal of eating disorders.

[7]  Sandra L. Bell,et al.  Transitions in emerging adulthood and stress among young Australian women , 2008, International journal of behavioral medicine.

[8]  J. Thompson,et al.  Self-reported interference with academic functioning and eating disordered symptoms: associations with multiple dimensions of body image. , 2008, Body image.

[9]  D. Katzman,et al.  Eating Disorders and Menstrual Dysfunction in Adolescents , 2008, Annals of the New York Academy of Sciences.

[10]  D. Collier,et al.  Lifetime course of eating disorders: design and validity testing of a new strategy to define the eating disorders phenotype , 2008, Psychological Medicine.

[11]  N. Wray,et al.  Shared Temperament Risk Factors for Anorexia Nervosa: A Twin Study , 2008, Psychosomatic medicine.

[12]  G. Burrows,et al.  Neuropsychological study of underweight and "weight-recovered" anorexia nervosa compared with bulimia nervosa and normal controls. , 2007, The International journal of eating disorders.

[13]  E. Susser,et al.  Epidemiology and course of anorexia nervosa in the community. , 2007, The American journal of psychiatry.

[14]  R. Hamer,et al.  Patterns of menstrual disturbance in eating disorders. , 2007, The International journal of eating disorders.

[15]  Thomas E Joiner,et al.  A 20-year longitudinal study of body weight, dieting, and eating disorder symptoms. , 2007, Journal of abnormal psychology.

[16]  A. Bardone-Cone,et al.  Perfectionism and eating disorders: current status and future directions. , 2007, Clinical psychology review.

[17]  A. Koivisto,et al.  Psychosocial functioning needs attention in adolescent eating disorders , 2007, Nordic journal of psychiatry.

[18]  J. Lock,et al.  What is recovery in adolescent anorexia nervosa? , 2006, The International journal of eating disorders.

[19]  R. Kaplan,et al.  Marital status and longevity in the United States population , 2006, Journal of Epidemiology and Community Health.

[20]  C. Bulik,et al.  Relationships between features associated with vomiting in purging-type eating disorders. , 2005, The International journal of eating disorders.

[21]  C. Bulik,et al.  Symptom fluctuation in eating disorders: correlates of diagnostic crossover. , 2005, The American journal of psychiatry.

[22]  H. Doll,et al.  Eating disorders and emotional and physical well-being: Associations between student self-reports of eating disorders and quality of life as measured by the SF-36 , 2005, Quality of Life Research.

[23]  B. Rodgers,et al.  Assessing quality of life in eating disorder patients , 2005, Quality of Life Research.

[24]  C. Bulik,et al.  Comorbidity of anxiety disorders with anorexia and bulimia nervosa. , 2004, The American journal of psychiatry.

[25]  C. Norring,et al.  Socio-economic variables and eating disorders: A comparison between patients and normal controls , 2004, Eating and weight disorders : EWD.

[26]  O. Halfon,et al.  Predictive factors of social disability in anorexic and bulimic patients , 2004, Eating and weight disorders : EWD.

[27]  M. D'Abundo,et al.  Struggling with Recovery: Participant Perspectives on Battling an Eating Disorder , 2004, Qualitative health research.

[28]  S. Heyerdahl,et al.  Good outcome of adolescent onset anorexia nervosa after systematic treatment , 2004, European Child & Adolescent Psychiatry.

[29]  D. Collier,et al.  Cognitive flexibility in anorexia nervosa and bulimia nervosa , 2004, Journal of the International Neuropsychological Society.

[30]  H. Hoek,et al.  Coping Strategies and Recovery in Patients with a Severe Eating Disorder , 2004, Eating disorders.

[31]  B. Devlin,et al.  Genetic analysis of bulimia nervosa: methods and sample description. , 2004, The International journal of eating disorders.

[32]  P. Joyce,et al.  Predictors of childbirth following treatment for bulimia nervosa. , 2003, The International journal of eating disorders.

[33]  H. Steinhausen.  The outcome of anorexia nervosa in the 20th century. , 2002, The American journal of psychiatry.

[34]  P. Thuras,et al.  Long-term menstrual and reproductive function in patients with bulimia nervosa. , 2002, The American journal of psychiatry.

[35]  Kamryn T. Eddy,et al.  Longitudinal comparison of anorexia nervosa subtypes. , 2002, The International journal of eating disorders.

[36]  A. Simons,et al.  The roles of ethnicity and culture in the development of eating disturbance and body dissatisfaction: a meta-analytic review. , 2001, Clinical psychology review.

[37]  D. Carnall,et al.  Eating disorders , 1999, International Journal of Obesity.

[38]  P. Sullivan,et al.  Fertility and reproduction in women with anorexia nervosa: a controlled study. , 1999, The Journal of clinical psychiatry.

[39]  B. Herpertz-Dahlmann,et al.  Structured Interview for Anorexic and Bulimic disorders for DSM-IV and ICD-10: updated (third) revision. , 1998, The International journal of eating disorders.

[40]  J. Lock,et al.  Anorexia nervosa and bulimia nervosa in children and adolescents: a review of the past 10 years. , 1998, Journal of the American Academy of Child and Adolescent Psychiatry.

[41]  B. Everitt,et al.  Analysis of longitudinal data , 1998, British Journal of Psychiatry.

[42]  M. Schmidt,et al.  The intellectual functioning of adolescents with anorexia nervosa and bulimia nervosa , 1997, European Child & Adolescent Psychiatry.

[43]  P. Sullivan,et al.  Initial manifestations of disordered eating behavior: dieting versus binging. , 1997, The International journal of eating disorders.

[44]  P. Rogers,et al.  Cognitive functioning, weight change and therapy in anorexia nervosa. , 1996, Journal of psychiatric research.

[45]  J. Hebebrand,et al.  Use of percentiles for the body mass index in anorexia nervosa: diagnostic, epidemiological, and therapeutic considerations. , 1996, The International journal of eating disorders.

[46]  D. Andrewes,et al.  Neuropsychological and structural brain changes in anorexia nervosa before and after refeeding , 1996, Psychological Medicine.

[47]  L. Berkman.  The role of social relations in health promotion. , 1995, Psychosomatic medicine.

[48]  J. Treasure,et al.  Puberty, sexual milestones and abuse: how are they related in eating disorder patients? , 1995, Psychological Medicine.

[49]  S. van den Broucke,et al.  Marital intimacy in patients with an eating disorder: a controlled self-report study. , 1995, The British journal of clinical psychology.

[50]  R. Bornstein,et al.  Differences between IQ and school achievement in anorexia nervosa. , 1989, Journal of clinical psychology.

[51]  P. Albert,et al.  Models for longitudinal data: a generalized estimating equation approach. , 1988, Biometrics.

[52]  T. Isager,et al.  Anorexia nervosa and motherhood: Reproduction pattern and mothering behavior of 50 women , 1988, Acta psychiatrica Scandinavica.

[53]  S. van den Broucke,et al.  Anorexia and bulimia nervosa in married patients: a review. , 1988, Comprehensive psychiatry.

[54]  K Y Liang,et al.  Longitudinal data analysis for discrete and continuous outcomes. , 1986, Biometrics.

[55]  D. Garner,et al.  The Eating Attitudes Test: psychometric features and clinical correlates , 1982, Psychological Medicine.

[56]  D. Franko,et al.  The prevalence of eating disorders in infertile women. , 2010, Fertility and sterility.

[57]  S. M. de la Rie,et al.  The patient's view on quality of life and eating disorders. , 2007, The International journal of eating disorders.

[58]  J. Treasure,et al.  Social support in patients with anorexia nervosa and bulimia nervosa. , 1997, The International journal of eating disorders.

[59]  S. van den Broucke,et al.  Marital communication in eating disorder patients: a controlled observational study. , 1995, The International journal of eating disorders.

[60]  M. Wiederman,et al.  Sexual functioning and attitudes of eating-disordered women: a follow-up study. , 1995, Journal of sex & marital therapy.

[61]  Morgan Cd,et al.  Sexual functioning and attitudes of eating-disordered women: a follow-up study. , 1995 .