Displaying all 11 publications

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  1. Swami V, Barron D, Furnham A
    Int J Environ Res Public Health, 2022 Sep 06;19(18).
    PMID: 36141444 DOI: 10.3390/ijerph191811157
    Research has suggested that schizotypy-a personality organisation representing latent vulnerability for schizophrenia-spectrum disorders-may be elevated in women with symptoms of disordered eating. However, studies have not fully considered associations between symptoms of disordered eating and multidimensional schizotypy. To overcome this limitation, we asked an online sample of 235 women from the United States to complete measures of symptoms of disordered eating (drive for thinness, body dissatisfaction, and bulimic symptoms) and multidimensional schizotypy. Correlational analyses indicated significant associations between drive for thinness and bulimic symptoms, respectively, and most schizotypal facets. Body dissatisfaction was significantly associated with only two schizotypal facets. Overall, the strength of correlations was weak-to-moderate. Regression results indicated that only the schizotypal feature of excessive social anxiety was significantly associated with all risk for disordered eating factors. These results are consistent with aetiological models of disordered eating that highlight socio-affective difficulties as risk factors for symptoms of disordered eating.
    Matched MeSH terms: Bulimia*
  2. Lai, M.H., Tan, Susan M.K.
    ASEAN Journal of Psychiatry, 2014;15(1):101-105.
    MyJurnal
    Objective: This case report highlights the complexity of eating disorder in schizophrenia and outlines the diagnostic dilemma and challenges associated with the treatment. Methods: We report a 13 years old female with early onset schizophrenia who developed anorexic symptoms and binge eating. Her eating disturbances worsened after olanzapine was commenced. Results: A combination of pharmacological and psychosocial intervention led to remission of schizophrenia co-morbid with eating disorder NOS. Conclusion: Co-morbid diagnosis of schizophrenia and eating disorder is not uncommon. Early diagnosis and evidence-based intervention are imperative as untreated illness greatly impacts the developmental trajectory of young people. Meeting family’s needs improves family functioning which in turn improves patient’s outcome. ASEAN Journal of Psychiatry, Vol. 15 (1): January - June 2014: 101-105.
    Matched MeSH terms: Bulimia; Bulimia Nervosa
  3. Schmidt U
    Int J Eat Disord, 1993 Dec;14(4):505-9.
    PMID: 8293034
    Typical DSM-III-R bulimia nervosa with self-induced vomiting was found in 2 women of Hong Kong Chinese origin and a Chinese man from Malaysia. All 3 cases had a family history of obesity. In 2 of the cases a period of weight gain and in the third case frank obesity preceded the onset of the eating disorder. Cultural transition seemed to play an important part in the onset and maintenance of the eating disorder.
    Matched MeSH terms: Bulimia/diagnosis*; Bulimia/psychology; Bulimia/therapy
  4. TUAN NOR ATIQAH SYAFIQAH TUAN ABD AZIZ, MADIHAH SHUKRI
    MyJurnal
    This study examined the relationship between body dissatisfaction and eating disorder of undergraduate students in University Malaysia Terengganu (UMT). Using stratified random sampling technique, data from 299 respondents was gathered. Body dissatisfaction was measured using Body Shape Questionnaire while eating disorders were assessed using Eating Attitudes Test. Descriptive statistics showed thatthe majority of the respondents reported no symptom of body dissatisfaction. With regard to eating disorders, respondents reported low levels of dieting, bulimia and oral control, indicating that an eating disorder in this sample was somewhat low. T-test analyses showed that there were no significant gender differences in body dissatisfaction as well as in eating disorders. However, there was evidence to suggest that female respondents had slightly higher level of eating disorder than males. Results of Pearsoncorrelations showed there was significant relationship between body dissatisfaction and total score of eating disorders, dieting, bulimia and oral control subtypes (r = .58, p
    Matched MeSH terms: Bulimia; Bulimia Nervosa
  5. Muhammad R, Ismail WNDRAW, Firdus S, Abdul Hamid SB, Mohd Asmawi UM, Md Nor N
    Nutrients, 2023 Feb 08;15(4).
    PMID: 36839227 DOI: 10.3390/nu15040869
    Despite the significance of dietary knowledge interventions, there is a lack of established studies on intuitive eating behaviour among young Malay adults in Malaysia. This cross-sectional study aimed to determine the intuitive eating score, identify the intuitive eating factors, and determine the association of intuitive eating with weight-control behaviours and binge eating. A total of 367 respondents completed self-administered questionnaires on sociodemographic characteristics, namely the Intuitive Eating Scale (IES-2) and The Diabetes Eating Problems Survey (DEPS). The findings reported IES-2 mean scores of 3.52 ± 0.32 and 3.47 ± 0.35 for both men and women. No difference in total IES-2 scores was found between genders for Unconditional Permission to Eat (UPE) and Reliance on Hunger and Satiety Cue (RHSC) subscales (p > 0.05). However, among all four subscales of IES-2, there was a gender difference in the mean EPR and B-FCC subscale scores (p < 0.05). A statistically significant difference was found in intuitive eating, which refers to a belief in one's body's ability to tell one how much to eat, in women across living areas (p < 0.05). The result shows that there is a relationship between weight-control behaviour and binge eating and dieting, with the coefficient of the relationship (R2) of 0.34. As a result, intuitive eating throughout young adulthood is likely to be related to a decreased prevalence of obesity, dieting, poor weight-management behaviours, and binge eating.
    Matched MeSH terms: Bulimia*
  6. Wan Wahida WMZ, Lai PSM, Abdul Hadi H
    Clin Nutr ESPEN, 2017 Apr;18:55-58.
    PMID: 29132739 DOI: 10.1016/j.clnesp.2017.02.001
    BACKGROUND & AIMS: Several questionnaires to screen for eating disorders have been validated in Malaysia. However, these tools are lengthy, and require specialist interpretation. The sick, control, one stone, fat, food (SCOFF) is easy to administer by non-specialists, but has not been validated in Malaysia. Therefore, the aim of our study was to validate the SCOFF on a non-clinical sample of tertiary students to determine if it could identify individuals with an eating disorder.
    METHODS: We recruited second year tertiary students from five faculties in a university in Malaysia, from June-November 2014, who could understand English. The SCOFF and the EAT-26 were administered at baseline. Two weeks later, the SCOFF was re-administered to assess for reliability.
    RESULTS: A total of 292 students were approached, and all agreed to participate (response rate = 100%). There was moderate correlation between the total SCOFF score with the EAT-26's dieting domain (spearman's rho = 0.504, p < 0.001), bulimia and food preoccupation domain (spearman's rho = 0.438, p < 0.001), and total score (spearman's rho = 0.483, p < 0.001). The internal consistency of the SCOFF was low (Cronbach alpha = 0.470). At retest, kappa scores ranged from 0.211 to 0.591. The sensitivity of the SCOFF was 77.4%, and its specificity was 60.5%. The positive predictive value was 18.9%, and its negative predictive value was 95.8%.
    CONCLUSIONS: The SCOFF was found to have adequate convergent validity and stable reliability. However, its internal consistency was low. The SCOFF can still be used in clinical practice. However, its positive results should be interpreted with caution due to its low positive predictive value.
    KEYWORDS: Eating disorder; Malaysia; SCOFF; Sensitivity; Specificity; Validation
    Matched MeSH terms: Bulimia/diagnosis; Bulimia/prevention & control
  7. Jahanfar Sh, Maleki H, Mosavi AR
    Med J Malaysia, 2005 Oct;60(4):441-6.
    PMID: 16570705
    The genetic property of subclinical eating behaviour (SEB) and the link between SEB and polycystic ovary syndrome (PCOS) has been studied before but the role of leptin within this connection has never been investigated. The objective of this study was 1). to study the genetic property of SEB. 2). To find a link between leptin, SEB and PCOS. One hundred and fifty four (77 pairs) female-female Iranian twins including 96 MZ individuals (48 pairs) and 58 DZ individuals (29 pairs) participated in the study. Clinical, biochemical and ultrasound tools were used to diagnose polycystic ovary syndrome. BITE questionnaire was filled out for subjects. Eight percent of subjects were diagnosed for subclinical eating disorder. No significant difference was found between intraclass correlation of MZ and DZ (z = 0.57, P = 0.569). Serum leptin level correlated significantly with bulimia score (P < 0.007). The mean (+/-SD) value for bulimia score was found to be higher among PCOS(positive) subjects (3.27 +/- 5.51) in comparison with PCOS(negative) subjects (2.06 +/- 4.48) (P < 0.001). The genetic property of subclinical eating disorder was not confirmed as shared environment might have played a major role in likeliness of DZ twins as well as MZ. Leptin is linked with both subclinical eating disorder and PCOS.
    Matched MeSH terms: Bulimia Nervosa/blood; Bulimia Nervosa/diagnosis; Bulimia Nervosa/genetics
  8. Swami V
    Int J Eat Disord, 2016 07;49(7):695-700.
    PMID: 26876737 DOI: 10.1002/eat.22509
    OBJECTIVE: The purpose of this investigation was to examine change in risk for eating disorders in higher education students sojourning in the United Kingdom (UK), as well as associations between such risk and experiences in the host culture.

    METHOD: Participants were 98 female students from Malaysia, who completed a measure of risk factors for eating disorder symptomatology (the Eating Disorder Inventory-3 subscales of drive for thinness, body dissatisfaction, and bulimia symptoms) at two time points: two months prior to beginning their sojourn in the UK (Time 1) and four months after the sojourn began (Time 2). At Time 2, participants also completed measures of sociocultural adjustment, cultural distance between home and host cultures, and perceived discrimination in the host culture.

    RESULTS: Analyses indicated that, compared to scores at Time 1, participants had significantly higher drive for thinness (d = 0.64), body dissatisfaction (d = 0.54), and bulimia symptoms (d = 0.29) at Time 2. Poorer sociocultural adjustment and greater perceived discrimination significantly predicted greater risk of eating disorders at Time 2.

    DISCUSSION: The stress associated with culture change may place sojourning students at risk for disordered eating. Further research is needed to determine the extent to which this risk is related to culture-change specifically, as opposed to a general set of factors associated with transition-related psychopathology more broadly. © 2016 Wiley Periodicals, Inc. (Int J Eat Disord 2016; 49:695-700).

    Matched MeSH terms: Bulimia/ethnology
  9. Talwar, P.
    MyJurnal
    Eating disorders are a group of mental health concerns characterized by disturbance in eating behaviour that include, anorexia, bulimia, binge eating disorder, and other types of disordered eating. Adolescents are becoming increasingly vulnerable to eating disorders. The Eating Disorder Attitude Test (EAT-40) is a widely used screening instrument for detecting eating disorders. Several authors have translated the EAT-40 in various languages and validated the scale. The objective of the study included determining the factor structure of EAT-40 and to find the reliability. Method: 217 undergraduate university students in Malaysia were administered the EAT-40. In addition, they were also administered the Rosenberg’s Self Esteem scale to study the correlates of EAT-40. Results: The mean age of students was 22 years. The factor analysis of EAT-40 revealed a 34 item EAT model, with four subscales, ‘Dieting Behaviour’, ‘Oral Control’, ‘Food Preoccupation’ and ‘Body Image’. The short form is composed of 34 items and shows good internal consistency = 0.799.
    Conclusion: It may be established that the EAT-34 shows an unidimensional structure with good internal consistency even though some items needs to be revised.
    Matched MeSH terms: Bulimia; Bulimia Nervosa
  10. Ainsah Omar, Osman Che Bakar
    ASEAN Journal of Psychiatry, 2008;9(1):33-41.
    MyJurnal
    Food is closely related with emotion. It often provides comfort and satisfaction. Some individuals choose to turn to food to curb their negative emotion, resulting in disturbances in
    eating patterns, such as overeating which lead to obesity and severely controlling food intake, which culminate in eating disorders like anorexia nervosa, bulimia nervosa and binge eating. These disorders are not related to the eating problems per se but often due to underlying or complicated by psychological factors, namely depression, anxiety, impulse control problems and personality. The roles of psychological factors in eating disorders and obesity should therefore not be downplayed. These disorders should be managed comprehensively involving multiple approaches, including not only biological but also psychological interventions provided by a professional team comprising endocrinologists, psychiatrists, dietitians, exercise physicians and surgeons.
    Matched MeSH terms: Bulimia; Bulimia Nervosa
  11. Czepczor-Bernat K, Swami V, Modrzejewska A, Modrzejewska J
    Nutrients, 2021 Apr 20;13(4).
    PMID: 33924010 DOI: 10.3390/nu13041384
    To limit the spread of the novel coronavirus (COVID-19), many countries have introduced mandated lockdown or social distancing measures. Although these measures may be successful against COVID-19 transmission, the pandemic and attendant restrictions are a source of chronic and severe stress and anxiety which may contribute to the emergence or worsening of symptoms of eating disorders and the development of negative body image. Therefore, in this study, we aimed to: (1) classify different conditions associated with COVID-19-related stress, COVID-19-related anxiety, and weight status; and (2) analyze and compare the severity of dimensions typically related to eating disorders symptomatology and body image in individuals with different COVID-19-related stress, COVID-19-related anxiety, and weight status. Polish women (N = 671, Mage = 32.50 ± 11.38) completed measures of COVID-19-related stress and anxiety along with body dissatisfaction, drive for thinness, and bulimia symptomatology subscales of the Eating Disorders Inventory, and the appearance evaluation, overweight preoccupation, and body areas satisfaction subscales of the Multidimensional Body-Self Relations Questionnaire. The following four clusters were identified through cluster analysis: (a) Cluster 1 (N = 269), healthy body weight and low COVID-related stress (M = 3.06) and anxiety (M = 2.96); (b) Cluster 2 (N = 154), healthy body weight and high COVID-related stress (M = 5.43) and anxiety (M = 5.29); (c) Cluster 3 (N = 127), excess body weight and high COVID-related stress (M = 5.23) and anxiety (M = 5.35); (d) Cluster 4 (N = 121), excess body weight and low COVID-related stress (M = 2.69) and anxiety (M = 2.83). Our results showed that Clusters 3 and 4 had significantly greater body dissatisfaction and lower appearance evaluation and body areas satisfaction than Clusters 1 and 2. Cluster 3 also had a significantly higher level of drive for thinness, bulimia, and overweight preoccupation than Clusters 1 and 2. These preliminary findings may mean that the COVID-19 pandemic and attendant anxiety and stress caused by the pandemic are exacerbating symptoms of eating disorders and negative body image, with women with excess weight particularly at risk.
    Matched MeSH terms: Bulimia/epidemiology
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