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Subclinical anorexia nervosa

Published online by Cambridge University Press:  09 July 2009

E. J. Button*
Affiliation:
Department of Psychiatry, University of Southampton
A. Whitehouse
Affiliation:
Department of Psychiatry, University of Southampton
*
1Address for correspondence: Dr E. J. Button, Lecturer in Clinical Psychology, University Department of Psychiatry, Royal South Hants Hospital, Graham Road, Southampton SO9 4PE.

Synopsis

The Eating Attitudes Test (Garner & Garfinkel, 1979) was administered to 578 students (446 females and 132 males) at a College of Technology and to 14 ‘control’ subjects fulfilling diagnostic criteria for anorexia nervosa. Although no male students scored highly, a total of 28 female students (6·3% of the female student sample) scored in the ‘anorexic’ range. These ‘high scorers’, together with a random control group of 28 ‘non-high scorers’, were subsequently Interviewed. Interview revealed that the symptoms of anorexia nervosa were common in the high scoring group but virtually absent in the student control group. It is concluded that a substantial proportion of post-pubertal females (approximately 5%) develop a subclinical form of anorexia nervosa. The implications of these findings are discussed in relation to the aetiology, prevention and treatment of disturbances in eating behaviour.

Type
Research Article
Copyright
Copyright © Cambridge University Press 1981

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References

Beumont, P. J. V., George, G. W. C. & Smart, D. E. (1976). ‘Dieters’ and ‘vomiters and purgers’ in anorexia nervosa. Psychological Medicine 6, 617622.CrossRefGoogle ScholarPubMed
Button, E. J. (1980). Construing and clinical outcome in anorexia nervosa. Unpublished Ph.D. Thesis: University of London.Google Scholar
Crisp, A. H., Palmer, R. L. & Kalucy, R. S. (1976). How common is anorexia nervosa? A prevalence study. British Journal of Psychiatry 128, 549554.CrossRefGoogle ScholarPubMed
Dally, P. (1969). Anorexia Nervosa. William Heinemann Medical Books: London.Google Scholar
Duddle, M. (1973). An increase in anorexia nervosa in a university population. British Journal of Psychiatry 123, 711712.CrossRefGoogle Scholar
Feighner, J. P., Robins, E., Guze, S. B., Woodruff, R. A. Jr., Winokur, G. & Munoz, R. (1972). Diagnostic criteria for use in psychiatric research. Archives of General Psychiatry 26, 5763.CrossRefGoogle ScholarPubMed
Fries, H. (1974). Secondary amenorrhoea, self-induced weight reduction and anorexia nervosa. Acta psychiatrica scandinavica Suppl 248.Google Scholar
Garner, D. M. & Garfinkel, P. E. (1978). Sociocultural factors in anorexia nervosa. Lancet ii, 674.CrossRefGoogle Scholar
Garner, D. M. & Garfinkel, P. E. (1979). The Eating Attitudes Test: an index of the symptoms of anorexia nervosa. Psychological Medicine 9, 273280.CrossRefGoogle ScholarPubMed
Hsu, L. K. G., Crisp, A. H. & Harding, B. (1979). Outcome of anorexia nervosa. Lancer, i, 6165.CrossRefGoogle Scholar
Kendell, R. E., Hall, D. J., Hailey, A. & Babigian, H. M. (1973). The epidemiology of anorexia nervosa. Psychological Medicine 3, 200203.CrossRefGoogle ScholarPubMed
Morgan, H. G. & Russell, G. F. M. (1975). Value of family background and clinical features as predictors of long-term outcome in anorexia nervosa: four-year follow up study of 41 patients. Psychological Medicine 5, 353371.CrossRefGoogle ScholarPubMed
Nylander, I. (1971). The feeling of being fat and dieting in a school population: an epidemiologic interview investigation. Acta sociomedica scandinavica 3, 1726.Google Scholar
Orbach, S. (1978). Fat is a Feminist Issue. Paddington Press: London.Google Scholar
Palmer, R. L. (1979). The dietary chaos syndrome: a useful new term?. British Journal of Medical Psychology 52, 187190.CrossRefGoogle ScholarPubMed
Russell, G. F. M. (1979). Bulimia nervosa: an ominous variant of anorexia nervosa. Psychological Medicine 9, 429448.CrossRefGoogle ScholarPubMed
Russell, J. A. O. (1972). Psychological aspects of weight loss and amenorrhoea in adolescent girls. In Psychosomatic Medicine in Obstetrics and Gynaecology (ed. Morris, N.), pp. 593595. Karger: Basle.Google Scholar