Association between eating behavior and smoking, use of illicit drugs and depressive episodes in adolescents
Keywords:
Adolescent, Anorexia nervosa, Bulimia nervosa, Eating disordersAbstract
Objective
The goal of this study was to identify the prevalence of symptoms of eating disorders in female students enrolled in state elementary schools and investigate a possible association between these eating disorders and
smoking, illicit drug use and depressive episodes.
Methods
The Bulimic Investigatory Test of Edinburgh with symptom and severity scales and the Eating Attitudes Test - 26 with additional questions on smoking, illicit drug use and depressive episodes were used. The sample consisted of roughly 300 female students aged 10 to 15 years.
Results
The results showed that 4.2% and 3.6% of the students presented symptoms of eating disorders according to the Bulimic Investigatory Test of Edinburgh and Eating Attitudes Test - 26, respectively. The rates of smoking, illicit drug use and depressive episodes were 4.2%, 4.9% and 10.7%, respectively. Depressive episodes were significantly associated with the following parameters: Bulimic Investigatory Test of Edinburgh - symptom scale (p=0.04) and Bulimic Investigatory Test of Edinburgh - severity scale (p=0.02). Smoking (p=0.01) and illicit drug use (p=0.04) were also associated with the Bulimic Investigatory Test of Edinburgh - symptom scale.
Conclusion
This study found that these students were at high risk of developing risky behaviors, such as eating disorders and depressive episodes.
References
Branco LM, Hilário MOE, Cintra IP. Percepção e satisfação corporal em adolescentes e a relação com seu estado nutricional. Rev Psiq Clín. 2006. 33(6): 292-6.
Galindo EMC, Carvalho AMP. Tradução, adaptação e avaliação da consistência interna do Eating Behaviours and Body Image Test para uso com crianças do sexo feminino. Rev Nutr. 2007, 20(1): 47-54. doi: 10.1590/S1415-52732007000100005.
Vilela JEM, Lamounier JA, Filho MAD, Barros Neto JR, Horta G.M. Transtornos alimentares em escolares. J Pediatr. 2004, 80(1):49-54.
American Psychiatric Association. DSM-IV-TR: manual diagnóstico e estatístico de transtornos mentais. 4ª ed. Porto Alegre: Artmed; 2002. p.555-65.
World Health Organization. CID-10: classificação de transtornos mentais e de comportamento da CID-10. Descrições clínicas e diretrizes diagnósticas. Porto Alegre: Artmed; 1993 p.173-8.
Fiates GMR, Salles RK. Fatores de risco para o desenvolvimento de distúrbios alimentares: um estudo em universitárias. Rev Nutr. 2001; 14(3):3-6. doi: 10.1590/S1415-52732001000400001.
Eisler I, Szmukler GI. Social class as a confounding variable in the eating attitudes test. J Psychiatr Res. 1985; 19(2):171-6.
Henderson M, Freeman CPL. A self-rate scale for bulimia: the BRITE. Br J Psychiatr. 1987; 150(1): 18-24.
Cordás TA, Hochgraf PB. O BITE: instrumento para avaliação de bulimia nervosa - versão para o português. J Bras Psiq. 1993; 42(3):141-4.
Gross J, Rosen JC, Leitenberg H, Willmuth ME. Validity of the eating attitudes test and the eating disorders inventory in bulimia nervosa. J Consult Clin Psychol. 1986; 54(1):875-6.
Nunes MA, Bagatini LF, Abuchaim AL, Kung A, Ramos D, Silva JA, et al. Distúrbios da conduta alimentar: considerações sobre o teste de atitudes alimentares (EAT). Rev ABP-APAL. 1994; 16:7-11.
Epidata [acesso 2008 jun]. Disponível em: <http://www.epidata.dk/>.
Organização Mundial de Saúde. Physical status: the use and interpretation of anthropometry. Geneva: WHO; 1995. Technical Report Series n. 854.
Katzman M, Wolchik S, Braver T. The Prevalence of frequent binge eating and bulimia in a nonclinical college sample. Int J Eating Disord. 1984; 3(1):53-62.
Drewnowski A, Yee DK, Krahn DD. Bulimia in college women. Am J Psychiatry. 1988; 145(6): 753-5.
Oliveira EA, Santos MA. Perfil psicológico de pacientes com anorexia e bulimia nervosas: a ótica do psicodiagnóstico. Medicina (Ribeirão Preto). 2006; 39(3):353-60.
Jones JM, Bennett S, Olmsted MP, Lawson ML, Rodin G. Disordered eating attitudes and behaviours in teenaged girls: a schoolbased study. CMAJ. 2001; 165(5):547-52.
Souza FGM, Martins MCR, Monteiro FCC, Menezes Neto GC, Ribeiro IB. Anorexia e bulimia nervosa em alunas da faculdade de Medicina da Universidade Federal do Ceará- UFC. Rev Psiquiatr Clín. 2002; 29(4):172-80, 2002.
Malcon MC, Menezes AMB, Chatkin M. Prevalência e fatores de risco para tabagismo em adolescentes. Rev Saúde Pública. 2003; 37(1):1-7.
Tavares BF, Beria JU, Lima MS. Prevalência do uso de drogas e desempenho escolar entre adolescentes. Rev Saúde Pública. 2001; 35(2).
Alves E, Vasconcelos FAG, Calvo MCM, Neves J. Prevalência de sintomas de anorexia nervosa e insatisfação com a imagem corporal em adolescentes do sexo feminino do Município de Florianópolis, Santa Catarina, Brasil. Cad Saúde Pública. 2008; 24(3).
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2023 Juliany Piazzon GOMES, Elto LEGNANI, Rosimeide Francisco dos Santos LEGNANI, Nicolly Patrícia GREGÓRIO, Raphael Klein de SOUZA
This work is licensed under a Creative Commons Attribution 4.0 International License.
