The Psychology of Gender 4th Edition

528 Chapter 13

arrest, and suicide (National Institute of

Mental Health, 2007). People are more likely

to recover from bulimia than anorexia. Rates

of recovery from bulimia range from 31%

to 74%, with relapse being quite common

(Wilson, Grilo, & Vitousek, 2007).

Other consequences of eating disorders

range from minor to severe (National Insti-

tute of Mental Health, 2007). Gastrointesti-

nal problems and colon problems may result

from repeated use of laxatives. Dental prob-

lems may occur from repeated vomiting.

Bone problems may occur with anorexia and

place one at risk for osteoporosis. Women

Consequences

The disease course for anorexia is more nega-

tive than it is for bulimia (Crow, 2010). Five

to ten years after a diagnosis of anorexia ner-

vosa, one-third of people still have the disease,

one-third have some symptoms but do not

meet diagnostic requirements, and one-third

fully recover. Anorexia has the highest death

rate of any cause of death among females

ages 15–24. In fact, anorexia has the highest

mortality rate of any mental health problem

(Striegel-Moore & Bulik, 2007). Death results

from electrolyte and fluid imbalances, cardiac

TABLE 13.6 EATING DISORDER INVENTORY

Drive for Thinness

1. I eat sweets and carbohydrates without feeling nervous.*


2. I think about dieting.


3. I feel extremely guilty after overeating.


4. I am terrified of gaining weight.


5. I exaggerate or magnify the importance of weight.


6. I am preoccupied with the desire to be thinner.


7. If I gain a pound, I worry that I will keep gaining.
   Bulimia
   1.I eat when I am upset.


8. I stuff myself with food.


9. I have gone on eating binges where I have felt that I could not stop.


10. I think about bingeing (overeating).


11. I eat moderately in front of others and stuff myself when they are gone.


12. I have thought of trying to vomit in order to lose weight.


13. I eat or drink in secrecy.
    Body Dissatisfaction


14. I think that my stomach is too big.


15. I think that my thighs are too large.


16. I think that my stomach is just the right size.*


17. I feel satisfied with the shape of my body.*


18. I like the shape of my buttocks.*


19. I think my hips are too big.


20. I think that my thighs are just the right size.*


21. I think that my buttocks are too large.


22. I think that my hips are just the right size.
    These items are reverse scored meaning less endorsement is indicative of greater problems.
    Source: Garner et al. (1983).

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