Through the looking glass: Epidemiologische studies naar eetstoornissen in de eerste lijn en de bevolking

Frédérique Rebecca Esther Smink

Through the looking glass: Epidemiologische studies naar eetstoornissen in de eerste lijn en de bevolking

Frédérique Rebecca Esther Smink

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Eetstoornissen, zoals anorexia nervosa en boulimia nervosa, zijn ernstige psychiatrische aandoeningen, die meestal ontstaan in de adolescentie. Over de oorzaken is nog relatief weinig bekend; socioculturele factoren spelen waarschijnlijk een belangrijke rol. Onderzoeksvragen in dit proefschrift luiden: Is het aantal nieuwe gevallen van anorexia nervosa en boulimia nervosa veranderd door de tijd? Welke eetstoornissen komen het meeste voor onder Nederlandse adolescenten? Verder wordt geprobeerd om meer inzicht te krijgen in het ontstaan van eetproblemen door te onderzoeken of sociale status in de vroege adolescentie, zowel zelf-ervaren als ervaren door klasgenoten, een risicofactor vormt. Dit proefschrift toont aan dat het aantal nieuwe gevallen van boulimia nervosa substantieel gedaald is in de afgelopen drie decennia, terwijl dat van anorexia nervosa relatief stabiel is gebleven. Boulimia nervosa is waarschijnlijk gevoeliger dan anorexia nervosa voor socioculturele ontwikkelingen in de afgelopen 25 jaar, zoals bijvoorbeeld het stijgen van de gemiddelde body mass index van de algemene bevolking. Hierdoor is overgewicht normaler geworden en mogelijk de druk verminderd om de gevolgen van eetbuien tegen te gaan door compensatiegedrag, wat de kern vormt van boulimia nervosa. De meest voorkomende eetstoornissen onder Nederlandse adolescenten zijn anorexia nervosa en de eetbuistoornis bij de meisjes, en bij de jongens alleen de eetbuistoornis. De meeste eetstoornisgevallen worden niet onderkend door de (geestelijke) gezondheidszorg. Verder bleek er als jonge adolescent goed uitzien - zowel in de eigen ogen als in de ogen van klasgenoten – te zijn geassocieerd met minder eetproblemen op jongvolwassen leeftijd. Opvallend is dat aardig gevonden worden door veel klasgenoten juist naar voren kwam als een voorspeller van eetproblemen.

Originele taal-2	English
Kwalificatie	Doctor of Philosophy
Toekennende instantie	Rijksuniversiteit Groningen
Begeleider(s)/adviseur	Hoek, Wijbrand, Supervisor Oldehinkel, Tineke, Supervisor van Hoeken, Daphne, Co-supervisor, Externe Persoon
Datum van toekenning	28-sep.-2016
Plaats van publicatie	[Groningen]
Uitgever	Rijksuniversiteit Groningen
Gedrukte ISBN's	978-90-367-8820-5
Elektronische ISBN's	978-90-367-8819-9
Status	Published - 2016

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Title and contents Final publisher's version, 617 KB
Chapter 1Final publisher's version, 817 KB
Chapter 2Final publisher's version, 925 KB
Chapter 3Final publisher's version, 863 KB
Chapter 4Final publisher's version, 809 KB
Chapter 5Final publisher's version, 878 KB
Chapter 6Final publisher's version, 884 KB
Chapter 7Final publisher's version, 920 KB
Complete thesisFinal publisher's version, 1,53 MB
PropositionsFinal publisher's version, 130 KB

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title = "Through the looking glass: Epidemiologische studies naar eetstoornissen in de eerste lijn en de bevolking",

abstract = "Eating disorders, such as anorexia nervosa and bulimia nervosa, are severe mental health problems, which usually develop in adolescence. Their causes are relatively poorly understood; sociocultural factors are thought to play a major role. Research questions addressed in this thesis include: Has the number of new cases of anorexia nervosa and bulimia nervosa changed over time? What are the most common eating disorder diagnoses among Dutch adolescents? Furthermore, an attempt is made to improve our understanding of how eating pathology develops by examining the role of self-perceived and peer-perceived social status in early adolescence as a potential risk factor. This thesis shows that the number of new cases of bulimia nervosa decreased significantly over the past three decades, while the number of anorexia nervosa remained fairly stable. Bulimia nervosa is probably more sensitive than anorexia nervosa to sociocultural developments over the past 25 years, such as, for example, a long-term trend of increasing body mass index of the general population. This may normalize overweight and thus decrease the pressure to counteract the effects of binge eating by compensatory behaviors, which constitute the core of bulimia nervosa. The most common eating disorders in Dutch adolescents were anorexia nervosa and binge-eating disorder among the girls, and among the boys, binge-eating disorder. The majority of eating disorder cases are not detected by (mental) health care services. Furthermore, in early adolescence, looking good – either in one{\textquoteright}s own eyes or in the eyes of peers – protects against eating pathology in young adulthood, while being liked by peers might surprisingly indicate a risk.",

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N2 - Eating disorders, such as anorexia nervosa and bulimia nervosa, are severe mental health problems, which usually develop in adolescence. Their causes are relatively poorly understood; sociocultural factors are thought to play a major role. Research questions addressed in this thesis include: Has the number of new cases of anorexia nervosa and bulimia nervosa changed over time? What are the most common eating disorder diagnoses among Dutch adolescents? Furthermore, an attempt is made to improve our understanding of how eating pathology develops by examining the role of self-perceived and peer-perceived social status in early adolescence as a potential risk factor. This thesis shows that the number of new cases of bulimia nervosa decreased significantly over the past three decades, while the number of anorexia nervosa remained fairly stable. Bulimia nervosa is probably more sensitive than anorexia nervosa to sociocultural developments over the past 25 years, such as, for example, a long-term trend of increasing body mass index of the general population. This may normalize overweight and thus decrease the pressure to counteract the effects of binge eating by compensatory behaviors, which constitute the core of bulimia nervosa. The most common eating disorders in Dutch adolescents were anorexia nervosa and binge-eating disorder among the girls, and among the boys, binge-eating disorder. The majority of eating disorder cases are not detected by (mental) health care services. Furthermore, in early adolescence, looking good – either in one’s own eyes or in the eyes of peers – protects against eating pathology in young adulthood, while being liked by peers might surprisingly indicate a risk.

AB - Eating disorders, such as anorexia nervosa and bulimia nervosa, are severe mental health problems, which usually develop in adolescence. Their causes are relatively poorly understood; sociocultural factors are thought to play a major role. Research questions addressed in this thesis include: Has the number of new cases of anorexia nervosa and bulimia nervosa changed over time? What are the most common eating disorder diagnoses among Dutch adolescents? Furthermore, an attempt is made to improve our understanding of how eating pathology develops by examining the role of self-perceived and peer-perceived social status in early adolescence as a potential risk factor. This thesis shows that the number of new cases of bulimia nervosa decreased significantly over the past three decades, while the number of anorexia nervosa remained fairly stable. Bulimia nervosa is probably more sensitive than anorexia nervosa to sociocultural developments over the past 25 years, such as, for example, a long-term trend of increasing body mass index of the general population. This may normalize overweight and thus decrease the pressure to counteract the effects of binge eating by compensatory behaviors, which constitute the core of bulimia nervosa. The most common eating disorders in Dutch adolescents were anorexia nervosa and binge-eating disorder among the girls, and among the boys, binge-eating disorder. The majority of eating disorder cases are not detected by (mental) health care services. Furthermore, in early adolescence, looking good – either in one’s own eyes or in the eyes of peers – protects against eating pathology in young adulthood, while being liked by peers might surprisingly indicate a risk.

M3 - Thesis fully internal (DIV)

SN - 978-90-367-8820-5

PB - Rijksuniversiteit Groningen

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Through the looking glass: Epidemiologische studies naar eetstoornissen in de eerste lijn en de bevolking

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