Research Article
Volume 9 Issue 3 - 2020
Prevalence of Eating Disorders and Obsessive-Compulsive Disorder among Adolescent Schoolgirls: Abha City Southern Saudi Arabia
Sultan Saad Alsubaie1*, Badr Ayed Alalfard2, Abdullatif Muhaya2, Hayfa Ayed Alalfard3, Kholoud Mohammad Abdullah4 and Hanan Amer Albishi4
1Consultant of Psychiatry, Department of Psychiatry, Armed Forces Hospital, Southern Region, Khamis Mushayt, Saudi Arabia
2Pediatric Residents, Khamis Mushayt Maternity and Pediatric Hospital, Saudi Arabia
3Medical Students, College of Medicine, King Khalid University, Abha, Saudi Arabia
*Corresponding Author: Sultan Saad Alsubaie, Consultant of Psychiatry, Department of Psychiatry, Armed Forces Hospital, Southern Region, Khamis Mushayt, Saudi Arabia.
Received: January 24, 2020; Published: February 19, 2020




Abstract

Background: Adolescents concern about their bodyweight and shape can lead to disturbed eating behaviors. Eating disorders (EDs) commonly coexist with other conditions, such as Obsessive-Compulsive Disorder (OCD).

Objectives: The main aims of the current study are to estimate the prevalence of both EDs and OCD among adolescent females, to explore if there is any association in between these disorders, and to correlate the results with different factors.

Materials and Methods: We conducted a descriptive cross-sectional study among 224 girl students at six schools in Abha, southern Saudi Arabia. The main tool of the study was a self-administered questionnaire including socio-demographic, behavioral questions, other important associated factors, Eating Attitude Test 26 (EAT-26) and Obsessive-Compulsive Inventory - Revised short form (OCI-R).

Results: The average age (15.9 ± 3.7 years). One third of the sample (34%) had high score of EAT-26. OCD were prevalent in 69.6% of the sample. Older age students, obese, secondary grade, wishing to wear small clothes, and obsessed or preoccupied by watching a fashion models news had higher EAT-26 score with statistically significant differences p value (0.03, 0.05, 0.01, 0.001, 0.01) respectively. In relating eating disorder with eating behavior, it was significant with use laxative, diuretics to control weight 7% (P = 0.04) and 18.8% (P = 0.01) with thought for attempt suicide. The association rate between OCD and EDs was 40.2% (P = 0.002).

Conclusion: There were very high association between having OCDs and EDs for all age groups and significant association with suicidal thought or attempt. Further research is needed to explore the magnitude and impact of OCD and EDs, and to identify potential supporting counseling and cognition-behavior therapy of this problem at the national level.

Keywords: Eating Disorders; Obsessive Compulsive Disorders; Prevalence; Association; Saudi Arabia

References

  1. American Psychiatric Association. Diagnostic and statistical manual of mental disorders (5th edition). Arlington, VA: American Psychiatric Publishing (2013).
  2. Eating Disorders and Obesity: A Comprehensive Handbook 2nd edition. Genetic Epidemiology of Eating Disorders. Christopher G. Fairburn‏،Kelly D. Brownell‏. The Guilford Press (2002).
  3. "Eating Disorders by Hilde Bruch. Routledge and Kegan Paul: London. 1974”. Psychological Medicine 4.4 (1974): 481.
  4. Nasser M. “Comparative study of the prevalence of abnormal eating attitudes among Arab female students of both London and Cairo Universities”. Psychological Medicine 16.3 (1986): 621. 
  5. Ford K., et al. “Cultural factors in the eating disorders: A study of body shape preferences of Arab students”. Journal of Psychosomatic Research 34.5 (1990): 501-507.
  6. Soomro G., et al. “Anorexia Nervosa in ‘Non-White’ Populations”. British Journal of Psychiatry 167.3 (1995): 385-389. 
  7. Bulik C., et al. “Alcohol Use Disorder Comorbidity in Eating Disorders”. The Journal of Clinical Psychiatry 65.7 (2004): 1000-1006. 
  8. Blinder B., et al. “Psychiatric Comorbidities of Female Inpatients with Eating Disorders”. Psychosomatic Medicine 68.3 (2006): 454-462. 
  9. Thornton C and Russell J. “Obsessive compulsive comorbidity in the dieting disorders”. International Journal of Eating Disorders 21.1 (1997): 83-87. 
  10. Yaryura-Tobias J., et al. “Self-mutilation, anorexia, and dysmenorrhea in obsessive compulsive disorder”. International Journal of Eating Disorders 17.1 (1995): 33-38. 
  11. Makino M., et al. “Prevalence of eating disorders: A comparison of western and non-western countries”. Medscape General Medicine 6 (2004): 49.
  12. Al-Subaie A. “Some correlates of dieting behavior in Saudi schoolgirls”. International Journal of Eating Disorders 28.2 (2000): 242-246. 
  13. Garner D., et al. “The Eating Attitudes Test: psychometric features and clinical correlates”. Psychological Medicine 12.4 (1982): 871. 
  14. Al-Subaie A., et al. “Validity of the Arabic version of the eating attitude test”. International Journal of Eating Disorders 20.3 (1996): 321-324. 
  15. Foa E., et al. “The Obsessive-Compulsive Inventory: Development and validation of a short version”. Psychological Assessment 14.4 (2002): 485-496. 
  16. Al-Subaie A. “Eating attitudes test in Arabic: Psychometric features and normative data”. Saudi Medical Journal 19.6 (1998): 769-775.
  17. Allihaibi M. “Disordered eating attitudes among secondary schoolgirls in Al-Iskan sector, Makkah Al-Mukarramah, Saudi Arabia”. International Journal of Medical Science and Public Health 4.7 (2015): 939. 
  18. Al-Adawi S., et al. “A survey of anorexia nervosa using the Arabic version of the EAT-26 and “gold standard” interviews among Omani adolescents”. Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity 7.4 (2002): 304-311. 
  19. Thomas J., et al. “Eating attitudes and body image concerns among female university students in the United Arab Emirates”. Appetite 54.3 (2010): 595-598. 
  20. Nobakht M and Dezhkam M. “An epidemiological study of eating disorders in Iran”. International Journal of Eating Disorders 28.3 (2000): 265-271. 
  21. Eapen V., et al. “Disordered eating attitudes and symptomatology among adolescent girls in the United Arab Emirates”. Eating Behaviors 7.1 (2006): 53-60. 
  22. Mousa T., et al. “Eating disturbances among adolescent schoolgirls in Jordan”. Appetite 54.1 (2010): 196-201.
  23. Musaiger A., et al. “Risk of disordered eating attitudes among adolescents in seven Arab countries by gender and obesity: A cross-cultural study”. Appetite 60 (2013): 162-167. 
  24. Al Gelban K. “Prevalence of psychological symptoms in Saudi secondary school girls in Abha, Saudi Arabia”. Annals of Saudi Medicine 29.4 (2009): 275. 
  25. El- Sayed Desouky D., et al. “Prevalence and Comorbidity of Depression, Anxiety and Obsessive-Compulsive Disorders among Saudi Secondary School Girls, Taif Area, KSA”. Archives of Iranian Medicine 18.4 (2015): 234-238.
  26. Okasha A. “Contemporary Psychiatry”. Egypt: Anglo Bookstore (1998).
  27. Kaye W., et al. “Comorbidity of Anxiety Disorders with Anorexia and Bulimia Nervosa”. American Journal of Psychiatry 161.12 (2004): 2215-2221. 
  28. Jones JM., et al. “Disordered eating attitudes and behaviors in teenaged girls: a school-based study”. Canadian Medical Association Journal 165 (2001): 547-552. 
  29. Fortes L., et al. “Risk behaviors for eating disorders and depressive symptoms: a study of female adolescents in Juiz de Fora, Minas Gerais State, Brazil”. Cadernos de Saúde Pública 30.11 (2014): 2443-2450. 
  30. Andersen A and DiDomenico L. “Diet vs. shape content of popular male and female magazines: A dose-response relationship to the incidence of eating disorders?”. International Journal of Eating Disorders 11.3 (1992): 283-287. 
  31. Field A., et al. “Peer, Parent, and Media Influences on the Development of Weight Concerns and Frequent Dieting Among Preadolescent and Adolescent Girls and Boys”. Pediatrics 107.1 (2001): 54-60. 
  32. Chang Y., et al. “Survey on Eating Disorder-Related Thoughts, Behaviors, and Their Relationship with Food Intake and Nutritional Status in Female High School Students in Taiwan”. Journal of the American College of Nutrition 30.1 (2011): 39-48. 
  33. Dudek S. “Nutrition Essentials for Nursing Practice”. (Sixth edition). Lippincott Williams & Wilkins (2010).
  34. Wong Y., et al. “Body Satisfaction, Emotional Intelligence, and the development of disturbed Eating: A Survey of Taiwanese Students”. Asia Pacific Journal of Clinical Nutrition 23.4 (2014): 651-659.
  35. Stanfield P and Hui YH. “Nutrition and Diet Therapy Self-Instructional Approaches”. (Fifth edition). Jones & Bartlett Publishers (2009).
  36. Gitau T., et al. “Changes in Eating Attitudes, Body Esteem and Weight Control Behaviours during Adolescence in a South African Cohort”. PLoS One 9.10 (2014): e109709. 
  37. Al-Sabaie A., et al. “Obsessive Compulsive Disorder”. Annals of Saudi Medicine 12.6 (1992): 558-561. 
  38. Mahgoub O and Abdel-Hafeiz H. “Pattern of Obsessive-Compulsive Disorder in Eastern Saudi Arabia”. British Journal of Psychiatry 158.6 (1991): 840-842. 
  39. Rebecca B. “Eating Disorders and Suicide”. Eating Disorder Hope (2018). 
  40. Dudova I., et al. “Suicidal behavior and self-harm in girls with eating disorders”. Neuropsychiatric Disease and Treatment (2016): 787. 
  41. Lian Q., et al. “Anorexia nervosa, depression and suicidal thoughts among Chinese adolescents: a national school-based cross-sectional study”. Environmental Health and Preventive Medicine 22.1 (2017): 30. 
  42. Fernández de la Cruz L., et al. “Suicide in obsessive-compulsive disorder: a population-based study of 36 788 Swedish patients”. Molecular Psychiatry 22.11 (2016): 1626-1632. 
Citation: Sultan Saad Alsubaie., et al. “Prevalence of Eating Disorders and Obsessive-Compulsive Disorder among Adolescent Schoolgirls: Abha City Southern Saudi Arabia”. EC Psychology and Psychiatry 9.3 (2020): 01-10.

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