Depression and eating pathology: Prospective reciprocal relations in adolescents
Article first published online: 29 JUN 2009
Copyright © 2009 John Wiley & Sons, Ltd.
Clinical Psychology & Psychotherapy
Special Issue: EATING DISORDERS AND EMOTIONS
Volume 16, Issue 4, pages 357–365, July/August 2009
How to Cite
Presnell, K., Stice, E., Seidel, A. and Madeley, M. C. (2009), Depression and eating pathology: Prospective reciprocal relations in adolescents. Clin. Psychol. Psychother., 16: 357–365. doi: 10.1002/cpp.630
- Issue published online: 28 JUL 2009
- Article first published online: 29 JUN 2009
The association between disordered eating and depression has been established, but less is known about the temporal relations between these two disturbances. Accordingly, the current study examined the reciprocal relations between depressive and bulimic symptoms over an 8-year period, with longitudinal data from a community sample of 496 female adolescents. Depressive symptoms predicted future increases in bulimic symptoms, and bulimic symptoms likewise predicted increases in depressive symptoms, controlling for earlier levels of symptoms for each outcome. These results provide evidence consistent with the hypothesis that the two disorders contribute reciprocally to each other, and indicate that successful prevention or treatment of one disorder may yield effects for the other. However, the relatively small predictive effect sizes imply that some third variable may contribute to both conditions (e.g., temperamental negative affectivity). Copyright © 2009 John Wiley & Sons, Ltd.
Key Practitioner Message:
• Depression and bulimia contribute reciprocally to each other.
• Successful treatment or prevention of one disorder may yield effects for the other.
• Third variable may also contribute to both conditions.