Beliefs of women concerning the severity and prevalence of bulimia nervosa.
lokahsamasta replied to your post:Beliefs of women concerning the severity and prevalence of bulimia nervosa.
i wonder what the vignettes looked like…obviously severity of symptoms and the language used to describe the “problem” would have a big impact on perceived prevalence. (like did they acknowledge it as an ED or was it “dieting”/”disordered eating”)
Absolutely! Wording has a HUGE effect. This is the vignette:
"Kelly is a 19-year-old second-year arts student. Although mildly overweight as an adolescent, Kelly’s current weight is within the normal range for her age and height. However, she thinks she is overweight. Upon starting university, Kelly joined a fitness programme at the gym and also started running regularly. Through these efforts, she gradually began to lose weight. Kelly then started to “diet”, avoiding all fatty foods, not eating between meals, and trying to eat set portions of “healthy foods”, mainly fruit and vegetables and bread or rice, each day. Kelly also continued with the exercise programme, losing several more kilograms. However, she has found it difficult to maintain the weight loss and for the past 18 months her weight has been continually fluctuating, sometimes by as much as 5 kilograms within a few weeks. Kelly has also found it difficult to control her eating. While able to restrict her dietary intake during the day, at night she is often unable to stop eating, bingeing on, for example, a loaf of bread and several pieces of fruit. To counteract the effects of this bingeing, Kelly takes laxative tablets. On other occasions, she vomits after overeating. Because of her strict routines of eating and exercising, Kelly has become socially isolated."
ajax-daughter-of-telamon replied to your post:Beliefs of women concerning the severity and prevalence of bulimia nervosa.
what is the real prevalence? (Also, the belief that bulimia is so common might be attributable to Naomi Wolf and others like her … when I read “The Beauty Myth” it definitely gave the impression that a WHOLE lot of women have eating disorders.
Well, there’s no “real” prevalence because these things are notoriously tricky to study. It depends many, many factors, among them how you define bulimia. For example, it will artificially increase because the DSM-5, in comparison to DSM-IV, made it easier for someone to be diagnosed with bulimia nervosa… so watch out for reports of “increases” in bulimia nervosa that are just people moving from EDNOS to BN… and I mean who reports on EDNOS in the media…
Iwrote a post about prevalence a while ago (see here: How Common Are Eating Disorders? Incidence, Prevalence and Mortality Rates) and the rates are about 1-2%.
I also wrote about how much Naomi Wolf fucked up in “The Beauty Myth” here: Naomi Wolf Got Her Facts Wrong. Really, Really, Really Wrong. Casper Schoemaker (2004) paper is fucking hilarious, too.
skelephantom replied to your post:Beliefs of women concerning the severity and prevalence of bulimia nervosa.
This is what comes from too much ‘awareness’ without any real understanding. That seems especially high given the age range of the sample (rather than if it was say, just college students)
Yeah, I don’t know :/. The issue is that the vignette included SO MANY different things that it is like… okay, well, what behaviours are we talking about exactly, you know what I mean? Maybe the respondents are going “yeah, lots of people diet and exercise and overeat”?
I haven’t read the study in depth. Keep in mind, too, that it is over 10 years old.
pentachoron replied to your post: Beliefs of women concerning the severi…
This cannot be right. No way would I think it acceptable/normal for someone to have the same symptoms I have. I would probably be less likely to judge/intervene/catastrophize on their behalf, though…
Perhaps, as lokahsamasta mentioned, the ridiculously sounding results are due to the vignette (see above), which frames the behaviours in a very dieting-centred manner (uguuughghgugh Fairburn *shakes fist*).