A proactive approach to assessing men for eating disorders
Tom Laws
School of Nursing and Midwifery, Division of Health Sciences, University of South Australia, Adelaide SA
Murray Drummond
School of Education, Flinders University, Bedford Park, Adelaide SA
PP: 028 - 039
Abstract
Assessment guidelines for nurses on the subject of eating disorders (EDs) focus primarily on evaluating the severity and progress of the problem for females who have already received a formal ED diagnosis.
We argue that, because there is scant research into men with eating disorders and men strive to conceal this health problem, nurses should be equipped with information that will support earlier detection of EDs among men and boys before they manifest as a serious health problem.
We advocate the use of epidemiological data to identify groups of men most at risk and the use of qualitative interview data as a means of grounding the nurse on the issues these men face when seeking to modify their body image.
Keywords
body image; nutritional status; anorexia; bulimia; eating disorder; male
References
Anderson SL, Zager K, Hetzler RK & Nahikian-Nelms S (1996) Comparison of eating disorder inventory (EDI-2) scores of male body builders to the male college subgroup. International Journal of Sport Nutrition 6(3): 255-262.
Busfield J (1996) Men, Women and Madness: Understanding Gender and Mental Disorder. MacMillan, Malaysia.
Commonwealth Department of Health and Human Services (1995) Draft National Men's Health Policy. AGPS, Canberra.
Crow S, Praus B & Thuras P (1999) Mortality from eating disorders. International Journal of Eating Disorders 26(1): 97-101.
Drewnowski A & Yee D (1987) Men and body image: Are males satisfied with their body weight? Psychosomatic Medicine (49): 626-634.
Drewnowski A, Kurth L & Krahn D (1995) Effects of body image on dieting, exercise, and anabolic steroid use in adolescent males. International Journal of Eating Disorders 17(4): 381-386.
Drummond MJN (1999) Life as a male 'Anorexic'. Australian Journal of Primary Health Interchange 5(2): 80-89.
Drummond MJN (1998) When size matters: Concerns and confusion over the ideal male body form. National Body Image Conference Proceedings. Body Image and Health Inc., Melbourne.
Drummond MJN (1996) The Social Construction of Masculinity As It Relates to Sport: An Investigation into the Lives of Elite Male Athletes Competing in Individually-Oriented Masculinised Sports. Unpublished Doctoral thesis. Edith Cowan University, Perth, Australia.
Edmunds H & Hill AJ (1999) Dieting and the family context of eating in young adolescent children. International Journal of Eating Disorders 25(4): 435-440.
Fletcher R (1992) Australian men and boys. A picture of health? University of Newcastle, New South Wales.
Fletcher R (1994) Men's Health: Issues Paper No. 9. Australian Community Health Association, Surrey Hills.
Fogelholm M & Hiilloskorpi H (1999)Weight and diet concerns in Finnish female and male athletes. Medicine and Science in Sports and Exercise 31(2): 229-235.
Fontaine KL (1991) The conspiracy of culture: Women's issues in body size. Nursing Clinics of North America 26(3): 669-676.
Fulkerson JA, Keel PK, Leon GR & Door T (1999) Eating-disordered behaviours and personality characteristics of high school athletes and non-athletes. International Journal of Eating Disorders 26(1): 73-79.
Goetz J & Le Compte M (1984) Ethnography and Qualitative Design in Educational Research. Academic Press, San Diego, California.
Hay P (1998) The epidemiology of eating disorder behaviour: An Australian community based survey. International Journal of Eating Disorders 23(4): 371-382.
Halek C (1997) Eating disorders: The role of the nurse. Nursing Times 93(28 Prof Dev): 63-66.
Huggins A (1998) The Australian male: Illness, injury and death by socialisation. In Laws TA (ed.) Promoting Men's Health: An Essential Book for Nurses. Ausmed Publications, Australia.
Kelly C, Ricciardelli LA & Clarke JD (1999) Problem eating attitudes and behaviours in young children. International Journal of Eating Disorders 25(3): 281-286.
Laws A & Golding JM (1996) Sexual assault history and eating disorder symptoms among White, Hispanic and African-American women and men. American Journal of Public Health 86(4): 579-589.
Laws TA, Drummond M & Poljak-Fligic J (2000) On what basis do Australian men make informed decisions about diagnostic and treatment options for prostate cancer? Australian Journal of Primary Health Interchange 6(2): 86-93.
Love CC & Seaton H (1991) Eating disorders: Highlights of nursing assessment and therapeutics. Nursing Clinics of North America 26(3): 677-697.
Lyons MA (1998) The phenomenon of compulsive overeating in a selected group of professional women. Journal of Advanced Nursing 27(6): 1158-1164.
Messner M (1992) Power at play. Beacon Press, Boston, Massachusetts.
Miles MW (1993) Bulimia Nervosa and the Family Origin: A Study of Values, Cohesion, Adaptability, the Use of Verbal/Symbolic Aggression and Severity of Daughter's Bulimic Symptoms. PhD thesis, The University of Rochester, United States.
Muscari M (1998) Screening for anorexia and bulimia. America Journal of Nursing 98(11): 22, 24.
Neumark-Sztainer D, Story M, Falkner NH, Beuhring T & Resnik MD (1999) Sociodemographic and personal characteristics of adolescents engaged in weight loss and weight/muscle gain behaviours: Who is doing what? Preventive Medicine 28(1): 40-50.
NHMRC (National Health and Medical Research Council) (1991) Role of the Nurse in Australia. AGPS, Canberra.
Palmer TA (1990) Anorexia nervosa, bulimia nervosa: Causal theories and treatment. Nurse Practitioner 15(4): 12, 14-16.
Pilgrim D & Rogers A (1993) A Sociology of Mental Illness. Open University Press, UK.
Pope H, Phillips K & Olivardia R (2000) The Adonis Complex. The Secret Crisis of Male Body Obsession. The Free Press, New York.
Pronger B (1990) The Arena of Masculinity: Sports, Homosexuality, and the Meaning of Sex. St. Martin's Press, New York.
Schur EA, Sanders M & Steiner H (2000) Body dissatisfaction and dieting in young children International Journal of Eating Disorders 27(1): 74-82.
Stein D, Lilenfeld LR, Plotnicov K, Pollice C, Rao R, Strober M & Kaye WH (1999) Familial aggregation of eating disorders: Results from a controlled family study of bulimia nervosa. International Journal of Eating Disorders 26(2): 211-215.
Stein KF & Hedger KM (1997) Body weight and shape self-cognition, emotional distress, and disorders eating in middle adolescent girls. Archives of Psychiatric Nursing 11(5): 264-275.
Stice E, Agras WS & Hammer LD (1999) Risk factors for the emergence of childhood eating disturbances: A five-year prospective study. International Journal of Eating Disorders 25(4): 375-387.
Strauss A (1987) Qualitative analysis for social scientists. Cambridge University Press, New York.
Striegel-Moore RH, Garvin V, Dohm F & Rosenheck RA (1999) Eating disorders in a national sample of hospitalized female and male veterans: Detection rates and psychiatric comorbidity. International Journal of Eating Disorders 25(4): 405-414.
Thompson SH, Corwin SJ & Sargent RG (1997) Ideal body size beliefs and weight concerns of fourth grade children. International Journal of Eating Disorders 21(3): 279-284.
van der Ham T, van Strien DC & van England H (1998) Personality characteristics predict outcome of eating disorders in adolescents: A 4-year prospective study. European Child & Adolescent Psychiatry 7(2): 79-84.
White JH & Litovitz G (1998) A comparison of inpatient and outpatient women with eating disorders. Archives of Psychiatric Nursing 12(4): 181-194.
White JH (1991) Feminism, eating, and mental health. Advances in Nursing Science 13(3): 68-80.
Whitson D (1990) Sport in the social construction of masculinity. In Messner M & Sabo D (eds) Sport, Men and the Gender Order. Critical Feminist Perspectives, pp. 19-29. Human Kinetics, Champaign, Illinois.
Yates A, Leehy K and Shisslak C (1983) Running - An analogue of anorexia nervosa? The New England Journal of Medicine 308(5): 251-255.
Yates A (1991) Compulsive Exercise and Eating Disorders - Toward an Integrated Theory of Activity. Brunner/Mazel Publishers, New York.
Young K, White P & McTeer W (1994) Body talk: Male athletes reflect on sport, injury, and pain. Sociology of Sport Journal 11(2): 175-194.
Zerbe KJ (1999) Anorexia nervosa and bulimia nervosa: When the pursuit of bodily 'perfection' becomes a killer. Postgraduate Medicine 99(1): 161-164, 167-169, 209-211.

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