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Elevated fullness and bloating as correlates of eating pathology: Implications for screening
K Jean Forney1, Sarah A Horvath1, Gabriella Pucci1
1Department of Psychology, Ohio University, Athens, Ohio 45701 United States.
Eating Disorders
|November 21, 2022
Summary
Elevated fullness and bloating are linked to eating disorders. Healthcare professionals should assess for eating pathology when patients report these gastrointestinal symptoms, especially if body dissatisfaction is high.
Area of Science:
- Gastroenterology
- Psychiatry
- Eating Disorder Research
Background:
- Delayed detection of eating disorders is linked to poorer outcomes.
- Eating disorder patients often underreport symptoms to healthcare professionals.
- Meal-related gastrointestinal symptoms may be more readily disclosed.
Purpose of the Study:
- Investigate meal-related gastrointestinal symptoms (fullness, bloating) as correlates of eating pathology.
- Determine if body dissatisfaction moderates the link between gastrointestinal symptoms and eating pathology.
- Inform healthcare professionals on potential indicators for eating disorder assessment.
Main Methods:
- 281 university students completed self-report measures.
- Assessed gastrointestinal symptoms (fullness, bloating).
- Assessed eating pathology, including purging, restrictive eating, and probable eating disorder diagnosis.
- Assessed body dissatisfaction.
Main Results:
- Elevated fullness and bloating were associated with increased purging, restrictive eating, and likelihood of an eating disorder.
- The association between fullness/bloating and purging/probable eating disorder was stronger with higher body dissatisfaction.
- Body dissatisfaction did not moderate the link between gastrointestinal symptoms and restrictive eating.
Conclusions:
- Elevated fullness and bloating are correlates of eating pathology.
- Healthcare professionals should consider assessing for eating pathology when patients report these symptoms.
- Assessing body dissatisfaction may help identify purging behaviors.
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