A study of the relationship between eating disorders, stress level and selfesteem among medicine students

##plugins.themes.academic_pro.article.main##

Nada Charfi
Dorsaf Trigui
Jihène Ben Thabet
Kaouthar Hajbi
Nasreddine Zouari
Lobna Zouari
Mohamed Maalej

Abstract

SUMMARY
Background: Stress of the higher studies leads to various disorders, especially eating ones. Such disorders, once present, may influence body image and self-esteem of young students.
Aim : to assess the prevalence of eating disorders among a group of Medicine students and to study its links with stress level and selfesteem.
Methods: It was a descriptive and analytic cross-sectional study, including 60 medicine students that were investigated during their revision for the final year exam. The participants had filled the perceived stress scale, the eating attitude test EAT-40 and The Rosenberg self-esteem scale.
Results:The eating disorders were found in 11% of the participants. Those had a low to a very low self-esteem in 40% of cases and a high perceived stress level in 36, 4% of cases. The eating disorders were significantlymore frequent among the female students (p=0, 03), the more sedentary (p=0,019), having a low to a very low self-esteem (p=0,032) and a high perceived stress level (p=0,001).
Conclusion: Our study shows that the prevalence of eating disorders is not negligible among medicine students. Their presence depends on certain personal aspects (physical activities, body image satisfaction) and contextual aspects (period of exams, stress). If existing, they would affect negatively the self-esteem, especially of the girls. These various results pave the way for a multidisciplinary approach to students particularly vulnerable to eating disorders.

Keywords:

Eating disorders, stress, self-esteem, body image, students

##plugins.themes.academic_pro.article.details##

References

  1. Varescon I. Les addictions comportementales : aspects cliniques et psychopathologiques. PSY-Émotion, intervention, santé. Editions Mardaga; 2009: 267-269
  2. Bittinger JN, Smith JE. Mediating and moderating effects of stress perception and situation type on coping responses in women with disordered eating. Eating Behaviors 2003; 4:89.
  3. Wolf EM, Crowther JH. Personality and eating habit variables as predictors of severity ofbinge eating and weight.Addictive Behaviors 1983;8: 335-344.
  4. Ben Loubir D, Serhier Z, Bennani MO. Le stress des étudiants en médecine et son impact sur les performances académiques. Revue d'Épidémiologie et de Santé Publique 2012 ; 60:97-148.
  5. Boujut E, Bruchon-Schweitzer M. Les troubles des comportements alimentaires chez des étudiants de première année: une étude prospective multigroupes. Psychologie française 2010; 55: 295-307.
  6. Eiber R, Vera L, Minabel-Sarron C, Guelfi JD. Estime de soi : étude comparative entre patients avec trouble des conduites alimentaires et phobiques sociaux. L'Encéphale 2003: 35-41.
  7. Garner DM, Garfinkel PE. The Eating Attitudes Test: an index of the symptoms of anorexia nervosa. Psychol Med 1979; 9 :273-9.
  8. Ghachem Attia R, Boussetta A, Ghazali I, Zalila H, Fakhfakh R. Validation d'une version arabe du EAT40 et du bite en Tunisie. L'Informationpsychiatrique2008 ; 84 : 761-9.
  9. Rosenberg M. Society and the adolescent self-image. Princeton, NJ: Princeton University Press, 1965.
  10. Vallierese F, Vallerand RJ. Traduction et validation canadienne-française de l'échelle de l'estime de soi de Rosenberg. International Journal of Psychology 1990 ; 25:305-316.
  11. [Guillon MS, Crocq MA. Estime de soi à l'adolescence : revue de la littérature. Neuropsychiatr. EnfanceAdolesc 2004; 52 :30-36.
  12. [Cohen S, Wiliamson GM. Perceived stress in probability sample of the United States. In The social Psychology of Health.Spacapam S, Oskamp S. (Eds) London. CA:Sage, 1988:31-67.
  13. Lippincott JA, Hwang HS. On cultural similarities in attitudes toward eating of women students in Pennsylvania and South Korea.Psychol Rep1999; 85: 701-702.
  14. Lunner K, Werthem EH, Thompson JK, Paxton SJ, Mcdonald F, Halvaarson KS. A cross-cultural examination of weight- related teasing, body image, and eating disturbance in Swedish and Australian samples.Int J eatDisord 2000: 28: 430-435.
  15. Bouhlel S. Troubles des conduites alimentaires, dépression et alexithymie chez une population d'étudiants en médecine : prévalence et corrélations. Thèse de doctorat en médecine. Sousse; 2003
  16. Dosière J. Positionnement face au genre et à la génération dans les troubles des conduites alimentaires chez les deux sexes. La question de l'identité chez l'anorexique : une approche côté cour et côté jardin .Mémoire de Master, 2006.
  17. Schwitzer AM, Rodriguez LE. Understanding and responding to eating disorders among college women during the first-college year.J First YearExp 2002; 14: 41-63
  18. Lachaud M, Miquel V, Rousseau A, Chabrol H. Pratiques alimentaires et préoccupations corporelles chez les jeunes femmes. Journal de Thérapie Comportementale et Cognitive 2004 ;14: 131-134.
  19. Garner DM, Garfinkel PE, Bemis KM. A multidimensionnel psychotherapy for anorexia nervosa. Int J Eat Disord, 1982 ; 1 : 3-46.
  20. Button EJ. Self-esteem in girls aged 11-12: baseline findings from a planned prospective study of vulnerability to eating disorders. Journal of Adolescence1990; 13: 413-414.
  21. Altabe M, Kevin TJ. Size estimation versus figural ratings of body image disturbance: relation to body satisfaction and eating dysfunction. International Journal of Eating Disorders1992; 11: 397-402.
  22. Stice E. Risk and maintenance factors for eating pathology: a meta-analytic review. Psychological Bulletin 2002; 128: 825-848.
  23. Firth J. Levels and sources of stress in medical students.Br Med J 1986; 292: 1177-80.
  24. Lazarus RS, Folkman S.Stress, appraisal and coping.New York: Springer; 1984.
  25. Grebot E, Barumandzadeh T. L'accès à l'Université : une situation stressante à l'origine de certaines stratégies d'ajustement dysfonctionnelles. Annales Médico Psychologiques 2005; 163 :561-567.
  26. Grigioni S, Villet H, Beaucreux ML, Maillot C, Déchelotte P, Ladnerj. Troubles du comportement alimentaire chez les étudiants : prévalence et facteurs de risque. Une étude transversale chez 1744 étudiants en Haute Normandie, 2007. Revue d'Épidémiologie et de Santé Publique 2008 ; 56 :295-332
  27. Ball K, Lee C. Relationships between psychological stress, coping and disordered eating: a review. Psychology & Health 2000; 14: 1007.
  28. Epel E, Lapidus R, Mcewen B, Brownell K. Stress may add bite to appetite in women: a laboratory study of stress-induced cortisol and eating behavior. Psychoneuroendocrinology 2001; 26: 37-49.
  29. Aldana SG, Sutton LD, Jacobson BH, Quirck MG. Relationships between leisure time physical activity and perceived stress. Percept Mot Skills 1996; 82: 315-21.