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Binge eating and purging in first‐year college students: Prevalence, psychiatric comorbidity, and academic performance

dc.contributor.authorSerra, Riccardo
dc.contributor.authorKiekens, Glenn
dc.contributor.authorVanderlinden, Johan
dc.contributor.authorVrieze, Elske
dc.contributor.authorAuerbach, Randy P
dc.contributor.authorBenjet, Corina
dc.contributor.authorClaes, Laurence
dc.contributor.authorCuijpers, Pim
dc.contributor.authorDemyttenaere, Koen
dc.contributor.authorEbert, David D
dc.contributor.authorTarsitani, Lorenzo
dc.contributor.authorGreen, Jennifer Greif
dc.contributor.authorKessler, Ronald C
dc.contributor.authorNock, Matthew K
dc.contributor.authorMortier, Phillippe
dc.contributor.authorBruffaerts, Ronny
dc.date.accessioned2020-04-02T18:38:37Z
dc.date.availableWITHHELD_12_MONTHS
dc.date.available2020-04-02T18:38:37Z
dc.date.issued2020-03
dc.identifier.citationSerra, Riccardo; Kiekens, Glenn; Vanderlinden, Johan; Vrieze, Elske; Auerbach, Randy P; Benjet, Corina; Claes, Laurence; Cuijpers, Pim; Demyttenaere, Koen; Ebert, David D; Tarsitani, Lorenzo; Green, Jennifer Greif; Kessler, Ronald C; Nock, Matthew K; Mortier, Phillippe; Bruffaerts, Ronny (2020). "Binge eating and purging in first‐year college students: Prevalence, psychiatric comorbidity, and academic performance." International Journal of Eating Disorders 53(3): 339-348.
dc.identifier.issn0276-3478
dc.identifier.issn1098-108X
dc.identifier.urihttps://hdl.handle.net/2027.42/154623
dc.description.abstractBackgroundBinge eating and purging behaviors (BPB) are common among college students, but evidence is scant on prevalence and associations of BPB with mental health problems and objective academic performance. This study aims to investigate: (a) 12‐month prevalence of BPB among college first‐year students, (b) comorbidity patterns of BPB with various mental health problems, and (c) the association of BPB with objective academic functioning.MethodsUsing data from the Leuven College Surveys (Belgium), as part of the World Mental Health Surveys International College Student initiative, we cross‐sectionally assessed 12‐month BPB and mental health problems among college first‐year students (n = 4,889; response rate = 73.2%) at the beginning of the academic year. Objective measures of academic functioning (final grades, expressed in academic year percentage “AYP” [0–100%] and academic failure) were obtained from administrative records at the end of the academic year.ResultsTwelve‐month prevalence of BPB was 7.6% (7.3%binge eating and 1.0%purging), with higher rates among females than males. Bivariate models showed an association between BPB and numerous mental health problems (ORs = 3.4–18.4). Multivariate models showed associations with non‐suicidal self‐injury, post‐traumatic stress, internalizing/externalizing problems and suicidal ideation. After controlling for sociodemographic characteristics and comorbid mental health problems, BPB were still associated with lower AYP (−4.1 to −11.2% range) and elevated odds of academic year failure (ORs = 1.4–4.2).ConclusionsBPB (especially binge eating) are relatively common and associated with mental health problems, comparatively low academic performance, and higher risk of academic failure among college first‐year students. Further study is needed to examine the causal dynamics underlying these associations.
dc.publisherJohn Wiley & Sons, Inc.
dc.subject.otheracademic
dc.subject.othercollege students
dc.subject.otherbinge eating
dc.subject.otherpurging
dc.subject.othereating disorders
dc.subject.othercomorbidity
dc.titleBinge eating and purging in first‐year college students: Prevalence, psychiatric comorbidity, and academic performance
dc.typeArticle
dc.rights.robotsIndexNoFollow
dc.subject.hlbsecondlevelPublic Health
dc.subject.hlbtoplevelHealth Sciences
dc.description.peerreviewedPeer Reviewed
dc.description.bitstreamurlhttps://deepblue.lib.umich.edu/bitstream/2027.42/154623/1/eat23211.pdf
dc.description.bitstreamurlhttps://deepblue.lib.umich.edu/bitstream/2027.42/154623/2/eat23211_am.pdf
dc.identifier.doi10.1002/eat.23211
dc.identifier.sourceInternational Journal of Eating Disorders
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dc.owningcollnameInterdisciplinary and Peer-Reviewed


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