Secular trends in the problems of eating behavior in adolescent girls of the non-clinical population: comparison of the results of the survey 2009–2011 and 2021/2023

78

Abstract

A cohort comparative study of the eating behavior characteristics and related factors was conducted in 618 schoolgirls aged 12–18 years from Ryazan. The survey was conducted in 2009–2011 and in 2021/2023 years. Comparison groups were formed from the 2009–2011 and 2021/2023 cohorts based on the principle of paired matching by age in months. The final sample consisted of 326 girls aged 12 to 17.3 years (M = 14.74 ± 1.36), 163 girls in each cohort with a maximally equalized age composition. The Russian-language version of EAT-26, the author's questionnaire “Risk factors for eating disorders”, and self-esteem measurement using the Dembo–Rubinstein method were used. Height, weight, waist and hip measurements, and time of menarche were also recorded. The incidence of eating disorder risk according to the EAT-26 test cutoff criterion for girls aged 12–14 increased from 7.9% to 14.9% (p < 0.1) a decade later, while for girls aged 15–17 it decreased from 17.3% to 12%, but the differences obtained did not reach the significance level. When comparing physical characteristics, eating behavior, and risk factors of eating disorder among different cohorts, significant differences were obtained in many parameters, mainly in the younger age subgroup (12–14 years).

General Information

Keywords: Russian nonclinical population, adolescent girls, eating behavior, risk factors, EAT-26, cohort comparison, secular trends, eating disorder

Journal rubric: Empirical Research

Article type: scientific article

DOI: https://doi.org/10.17759/cpse.2025140104

Received 09.10.2024

Accepted

Published

For citation: Aleksandrova, R.V., Meshkova, T.A. (2025). Secular trends in the problems of eating behavior in adolescent girls of the non-clinical population: comparison of the results of the survey 2009–2011 and 2021/2023. Clinical Psychology and Special Education, 14(1), 53–83. (In Russ.). https://doi.org/10.17759/cpse.2025140104

© Aleksandrova R.V., Meshkova T.A., 2025

License: CC BY-NC 4.0

References

  1. Aleksandrova, R.V., Meshkova, T.A. (2021). Weight concern and body dissatisfaction as risk factors for the development of eating disorders in modern schoolgirls. In: Diagnostics in medical (clinical) psychology: traditions and prospects (to the 110th anniversary of S.Ya. Rubinstein. Proceedings of the III All-Russian scientific and practical conference with international participation, 72—74. Moscow: Moscow State University of Psychology and Education. (In Russ.)
  2. Aleksandrova, R.V., Meshkova, T.A. (2016). The features of family relations of adolescent girls at risk of eating disorders. Clinical Psychology and Special Education, 5(2), 33—45. (In Russ.). https://doi.org/10.17759/cpse.2016050203
  3. Zhukova, N.V., Aismontas, B.B. (2018). The impact of the low socio-economic status of the family on the mental health of children. Methodological and applied problems of medical (clinical) psychology (to the 90th anniversary of Yu.F. Polyakov). Proceedings of the All-Russian scientific and practical conference with international participation “Polyakov Readings 2018”, 158—162. Moscow: Sam Poligrafist. (In Russ.).
  4. Kelina, M.Yu., Marenova, E.V., Meshkova, T.A. (2011). Body dissatisfaction and influence of parents and peers as risk factors for eating disorders among girls of adolescent and young age. Psychological science and education, 16(5), 44—51. (In Russ.).
  5. Kelina, M.Yu., Meshkova, T.A. (2012). Аlexithymia and eating attitudes among adolescent and young girls of non-clinical population. Clinical Psychology and Special Education, 1(2). (In Russ.). URL: https://psyjournals.ru/psyclin/2012/n2/52628.shtml (viewed: 20.03.2025)
  6. Kulagina, I.Yu., Ruzhina, O.I. (2022). Body image, self-esteem and the risk of eating disorders. Consultative psychology and psychotherapy, 30(1), 132—148. (In Russ.). https://doi.org/10.17759/cpp.2022300108
  7. Meshkova, T.A., Mitina, O.V., Aleksandrova, R.V. (2023). Risk Factors of disordered eating in adolescent girls from a community sample: A multidimensional approach. Consortium Psychiatricum, 4(2), 21—39. (In Russ.). https://doi.org/10.17816/CP6132
  8. Meshkova, T.A., Mitina, O.V., Shelygin, K.V., Aleksandrova, R.V., Nikolaeva, N.O. (2023). The Eating Attitudes Test (EAT-26): Psychometric characteristics and factor structure in nonclinical sample of 876 female university students. Clinical Psychology and Special Education, 12(1), 66—103. (In Russ.). https://doi.org/10.17759/cpse.2023120104
  9. Meshkova, T.A., Nikolaeva, N.O. (2017). Eating Attitude Test (EAT-26) on a sample of students in Moscow. Psychiatry, 73(01), 34—41. (In Russ.). https://doi.org/10.30629/2618-6667-2017-73-34-41
  10. Nikolaeva, N.O., Meshkova, T.A. (2011). Eating disorders: social, family and biological prerequisites. Issues of mental health of children and adolescents, 11(1), 39—49. (In Russ.).
  11. Nikolaeva, N.O., Kukina, A.A. (2011). Body dissatisfaction as a risk factor for eating disorders. In: Correction and prevention of behavioral disorders in children with disabilities Proceedings of the I Russian scientific and practical conference, 120—122. Moscow: Moscow State University of Psychology and Education. (In Russ.)
  12. Rubinshtein, S.Ya. (1999). Experimental methods of pathopsychology and experience of their application in the clinic. Moscow: Eksmo-Press. (In Russ.).
  13. Almuhlafi, M., Jamilah, K.A., Almutairi, A.F., Salam, M. (2018). Relationship between early menarche, obesity, and disordered eating behaviors: a school-based cross-sectional survey in Northern Saudi Arabia. Diabetes, Metabolic Syndrome and Obesity, 11, 743—751. https://doi.org/10.2147/DMSO.S180697
  14. Alsheweir, A., Goyder, E., Alnooh, G., Caton, S.J. (2023). Prevalence of eating disorders and disordered eating behaviours amongst adolescents and young adults in Saudi Arabia: A systematic review. Nutrients, 15(21), a 4643. https://doi.org/10.3390/nu15214643
  15. Attia, E., Guarda, A.S. (2022). Prevention and early identification of eating disorders. JAMA, 327(11), 1029—1031. https://doi.org/10.1001/jama.2022.2458
  16. Burkauskas, J., Gecaite-Stonciene, J., Demetrovics, Z., Griffiths, M.D., Kiraly, O. (2022). Prevalence of problematic internet use during the coronavirus disease 2019 pandemic. Current Opinion in Behavioral Sciences, 46, art. https://doi.org/10.1016/j.cobeha.2022.101179
  17. Chen, S., Cheng, Z., Wu, J. (2020). Risk factors for adolescents mental health during the COVID-19 pandemic: a comparison between Wuhan and other urban areas in China. Global Health, 16, art. https://doi.org/10.1186/s12992-020-00627-7
  18. Christanti, S., Syafiq, A., Fikawati, S. (2024). Eating habits and age at menarche among junior high school female students in DKI Jakarta province in 2023. Amerta Nutrition, 8(2), 190—198. https://doi.org/10.20473/amnt.v8i2.2024.190-198
  19. Dahlgren, C.L., Sundgot-Borgen, C., Kvalem I.L., Wennersberg, A.L., Wisting, L. (2024). Further evidence of the association between social media use, eating disorder pathology and appearance ideals and pressure: a cross-sectional study in Norwegian adolescents. Journal of Eating Disorders, 12, art. 34. https://doi.org/10.1186/s40337-024-00992-3
  20. de Vries, D.A, Vossen, H.G.M, van der Kolk - van der Boom, P. (2019). Social media and body dissatisfaction: investigating the attenuating role of positive parent-adolescent relationships. Journal of Youth and Adolescence, 48(3), 527—536. https://doi.org/1007/s10964-018-0956-9
  21. Dias, R.G., Rech, R.R., Halpern, R. (2023). Prevalence and associated factors of eating disorder symptoms in adolescents: a cross-sectional school-based study. BMC Psychiatry, 23(1), art. 393. https://doi.org/10.1186/s12888-023-04898-3
  22. Ech-Chaouy, A., Yahyane, A., Soad, K., Ammari, L.E., Abidli, Z., Bouchefra, S., Rahmaoui, M., El-Arabi, F., Aboussaleh, Y., Bour, A. (2021). Study of the association between quarantine and risk factors for Eating Disorders (ED) in moroccan adolescents during the COVID-19 pandemic. Israa university journal of applied science, 5(1), 131—151. http://dx.doi.org/10.52865/XUZC3260
  23. Engström, I., Norring, C. (2002). Estimation of the population “at risk” for eating disorders in a non-clinical Swedish sample: A repeated measure study. Eating and Weight Disorders, 7, 45—52. https://doi.org/10.1007/BF03354429
  24. Evans, G.W., Cassells, R.C. (2014). Childhood poverty, cumulative risk exposure, and mental health in emerging adults. Clinical Psychological Science, 2(3), 287—296. https://doi.org/1177/2167702613501496
  25. Foster, L., Lundh, L.G., Daukantaité, D. (2023). Disordered eating in a 10‑year perspective from adolescence to young adulthood: Stability, change and body dissatisfaction as a predictor. Scandinavian Journal of Psychology, 65(1), 32—41. https://doi.org/10.1111/sjop.12950
  26. Galmiche, M., Déchelotte, P., Lambert, G., Tavolacci, M.P. (2019). Prevalence of eating disorders over the 2000–2018 period: a systematic literature review. The American Journal of Clinical Nutrition, 109(5), 1402—1413. https://doi.org/10.1093/ajcn/nqy342
  27. Garner, D.M., Olmsted, M., Garfinkel, P., Bohr, Y. (1982). The Eating Attitude Test: psychometric features and clinical correlates. Psychological Medicine, 12(4), 871—878. https://doi.org/10.1017/S0033291700049163
  28. Gonzaga, I., Ribovski, M., Claumann, G.S., Folle, A., Beltrame, T.S., Laus, M.F., Pelegrini, A. (2023). Secular trends in body image dissatisfaction and associated factors among adolescents (2007–2017/2018). PLoS ONE, 18(1), art. e0280520. https://doi.org/10.1371/journal.pone.0280520
  29. Hadjigeorgiou, C., Tornaritis, M., Savva, S., Solea, A., Kafatos, A. (2012). Secular trends in eating attitudes and behaviours in children and adolescents aged 10–18 years in Cyprus: A 6-year follow-up, school-based study. Public Health, 126(8), 690—694. https://doi.org/1016/j.puhe.2012.04.014
  30. Herpertz-Dahlmann, B., Dempfle, A., Konrad, K., Klasen, F., Ravens-Sieberer, U., The BELLA study group (2015). Eating disorder symptoms do not just disappear: the implications of adolescent eating-disordered behaviour for body weight and mental health in young adulthood. European Child and Adolescent Psychiatry, 24(6), 675—684. https://doi.org/10.1007/s00787-014-0610-3
  31. Khalil, S., Robinson, P. (2024). Epidemiology of eating disorders in the middle east: Egypt. In: Robinson, P., Wade, T., Herpertz-Dahlmann, B., Fernandez-Aranda, F., Treasure, J., Wonderlich, S. (eds), Eating Disorders, 1—12. Springer: Cham. https://doi.org/10.1007/978-3-030-97416-9_108-1
  32. Klump, K.L. (2013). Puberty as a critical risk period for eating disorders: A review of human and animal studies. Hormones and Behavior, 64(2), 399—410. https://doi.org/10.1016/j.yhbeh.2013.02.019
  33. Li, S., Song, L., Twayigira, M., Fan, T., Luo, X., Shen, Y. (2022). Eating disorders among middle school students in a Chinese population: Prevalence and associated clinical correlates. Journal of Psychiatric Research, 154, 278—285. https://doi.org/10.1016/j.jpsychires.2022.07.062
  34. Litmanen, J., Fröjd, S., Marttunen, M., Kaltiala-Heino, R. (2016). Are eating disorders and their symptoms increasing in prevalence among adolescent population? Nordic Journal of Psychiatry, 71(1), 61—66. https://doi.org/10.1080/08039488.2016.1224272
  35. McLean, C.P, Utpala, R., Sharp, G. (2022). The impacts of COVID-19 on eating disorders and disordered eating: A mixed studies systematic review and implications. Frontiers in Psychology, 13, art. 926709. https://doi.org/10.3389/fpsyg.2022.926709
  36. Mishina, K., Kronström, K., Heinonen, E. Sourander, A. (2024). Body dissatisfaction and dieting among Finnish adolescents: a 20-year population-based time-trend study. European Child & Adolescent Psychiatry, 33(8), 2605—2614. https://doi.org/10.1007/s00787-023-02327-0
  37. Neumark-Sztainer, D., Wall, M., Larson, N.I., Eisenberg, M.E., Loth, K. (2011). Dieting and disordered eating behaviors from adolescence to young adulthood: findings from a 10-year longitudinal study. Journal of the American Dietetic Association, 111(7), 1004—1011. https://doi.org/10.1016/j.jada.2011.04.012
  38. Pearson, C.M, Miller, J., Ackard, D.M., Loth, K.A., Wall, M.M., Haynos, A.F., Neumark-Sztainer, D. (2017). Stability and change in patterns of eating disorder symptoms from adolescence to young adulthood. International Journal of Eating Disorders, 50(7), 748—757. https://doi.org/10.1002/eat.22692
  39. Ran M.S, Wang C., Cai J., Deng, Z.-Y., Mu, Y.-F., Huang, Y., Zhang, W., Song, H.-J., Deng, A.-P., Qiu, C.-J., Shen, W.-W., Chen, Y., Zhang, L., Meng, X.-D., Huang, X.-H., Chen, T., Meng, Y.-J., Chen, J., Liu, T. Liu, G.-L (2024). The mutual overlapping impact of psychological stress and infection on mental health problems during and after COVID-19 pandemic in adolescent and youth students in Sichuan, China. Journal of Affective Disorders, 347, 500—508. https://doi.org/10.1016/j.jad.2023.12.009
  40. Rogoza, R., Brytek-Matera, A., Garner, D.M. (2016). Analysis of the EAT-26 in a non-clinical sample. Archives of Psychiatry and Psychotherapy, 18(2), 54—58. https://doi.org/10.12740/APP/63647
  41. Santana, D.D, Barros, E.G, da Costa, R.S, da Veiga, G.V. (2017). Temporal changes in the prevalence of disordered eating behaviors among adolescents living in the metropolitan area of Rio de Janeiro, Brazil. Psychiatry Research, 253, 64—70. https://doi.org/10.1016/j.psychres.2017.03.042
  42. Shirokova, O., Zhylin, M., Kantarova, N., Chumaieva, Y., Onipko, Z. (2023). The influence of the media on the body perception and the risk of developing eating disorders in youth. Amazonia Investiga, 12(72), 135—144. https://doi.org/10.34069/AI/2023.72.12.12
  43. Tiggemann, (2017). Facebook and body image concern in adolescent girls: A prospective study. Eating Disorders, 50(1), 80—83. https://doi.org/10.1002/eat.22640
  44. Uchôa, F.N.M., Uchôa, N.M., Daniele, T.M.d.C., Lustosa, R.P., Garrido, N.D., Deana, N.F., Aranha, Á.C.M., Alves, N. (2019). Influence of the mass media and body dissatisfaction on the risk in adolescents of developing eating disorders. International Journal of Environmental Research and Public Health, 16(9), art. 1508. https://doi.org/10.3390/ijerph16091508
  45. Varela, C., Hoyo, Á., Tapia-Sanz, M.E., Jiménez-González, A.I., Moral, B.J., Rodríguez-Fernández, P., Vargas-Hernández, Y., Ruiz-Sánchez, L.J. (2023). An update on the underlying risk factors of eating disorders onset during adolescence: a systematic review. Frontiers in Psychology, 14, art. 1221679. https://doi.org/10.3389/fpsyg.2023.1221679

Information About the Authors

Roza V. Aleksandrova, Psychologist, Research Educational Center of Applied Psychology and Psychological Services, S. Yesenin Ryazan State University, Ryazan, Russian Federation, ORCID: https://orcid.org/0000-0003-4963-041X, e-mail: rozinca@mail.ru

Tatiana A. Meshkova, Candidate of Science (Psychology), Head of the Department of Differential Psychology and Psychophysiology, Moscow State University of Psychology and Education, Leading researcher of the Laboratory of Age-related Psychogenetics of PI RAE, Moscow, Russian Federation, ORCID: https://orcid.org/0000-0002-6018-5006, e-mail: meshkovata@mgppu.ru

Metrics

 Web Views

Whole time: 122
Previous month: 86
Current month: 36

 PDF Downloads

Whole time: 78
Previous month: 57
Current month: 21

 Total

Whole time: 200
Previous month: 143
Current month: 57