The practice of excessive caloric restriction through reduced intake is pandemic and has its origin during adolescence. While factors such as low self-esteem, substance use, poor body image and depression are associated with unhealthful regulation practices among adolescent females, prospective studies are needed to identity risk factors. Once risk factors for developing unhealthful weight regulation practices are known, it may be possible to develop preventive interventions. The primary purpose of this proposal is to identify risk factors for the practice of excessive dieting and other methods of unhealthful weight regulation practices among adolescent females. We have obtained a structured clinical interview for DSM-III-R diagnosis (SCID) and other information on 1262, 12-14 year old, 8th and 9th grade girls. We plan to continue following these students throughout high school. Data on this original sample which will continue to be obtained includes: physiologic measures (height, weight, skinfold thickness); self-report behaviors (demographics, family weight history, knowledge, and attitudes about weight regulation, assessment of weight-regulation behaviors, Tanner Self-Staging); psychological measures (the Eating Disorder Inventory, measures of body image, depression, anxiety, self-esteem, and family attitudes and values); and a clinical interview for DSM-III-R eating disorders. The following new measures will be added: a family interview for DSM- III-R eating disorders, Fairburn's Eating Disorder Examination, the Emotionality, Activity, and Sociability attitudes assessment, and questions about the impact of eating disorders. It is important to follow these students through high school when rates of eating disorders will presumably show a substantial increase.

Agency
National Institute of Health (NIH)
Institute
Eunice Kennedy Shriver National Institute of Child Health & Human Development (NICHD)
Type
Research Project (R01)
Project #
5R01HD024779-06
Application #
2199316
Study Section
Behavioral Medicine Study Section (BEM)
Project Start
1988-09-01
Project End
1996-03-31
Budget Start
1994-04-01
Budget End
1996-03-31
Support Year
6
Fiscal Year
1994
Total Cost
Indirect Cost
Name
Stanford University
Department
Psychiatry
Type
Schools of Medicine
DUNS #
800771545
City
Stanford
State
CA
Country
United States
Zip Code
94305
Hayward, Chris; Wilson, Kimberly A; Lagle, Kristy et al. (2008) The developmental psychopathology of social anxiety in adolescents. Depress Anxiety 25:200-6
Hayward, Chris; Wilson, Kimberly A (2007) Anxiety sensitivity: a missing piece to the agoraphobia-without-panic puzzle. Behav Modif 31:162-73
Wilson, Kimberly A; Hayward, Chris (2006) Unique contributions of anxiety sensitivity to avoidance: a prospective study in adolescents. Behav Res Ther 44:601-9
Wilson, Kimberly A; Hayward, Chris (2005) A prospective evaluation of agoraphobia and depression symptoms following panic attacks in a community sample of adolescents. J Anxiety Disord 19:87-103
Hayward, Chris; Wilson, Kimberly A; Lagle, Kristy et al. (2004) Parent-reported predictors of adolescent panic attacks. J Am Acad Child Adolesc Psychiatry 43:613-20
Hayward, C; Killen, J D; Taylor, C B (2003) The relationship between agoraphobia symptoms and panic disorder in a non-clinical sample of adolescents. Psychol Med 33:733-8
Hayward, Chris; Sanborn, Katherine (2002) Puberty and the emergence of gender differences in psychopathology. J Adolesc Health 30:49-58
Hayward, C; Killen, J D; Kraemer, H C et al. (2000) Predictors of panic attacks in adolescents. J Am Acad Child Adolesc Psychiatry 39:207-14
Hayward, C; Killen, J D; Kraemer, H C et al. (1998) Linking self-reported childhood behavioral inhibition to adolescent social phobia. J Am Acad Child Adolesc Psychiatry 37:1308-16
Stice, E; Killen, J D; Hayward, C et al. (1998) Age of onset for binge eating and purging during late adolescence: a 4-year survival analysis. J Abnorm Psychol 107:671-5

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