The present study involved detailed chart review for a sample of college students referred to a psychiatrist for pharmacologic evaluation to obtain information about clinical decisions to prescribe antipsychotic medication. Six colleges and universities referred 540 students to an off-campus consulting psychiatrist, and 40 of these students (7.4%)…

This article describes the development and implementation of a peer advocate program for eating disorders and body image outreach on a college campus. Empirical and conceptual literature on the use of peer educators and peer advocates in college student mental health is reviewed. Peer advocate program mission, history, implementation, and training…

The number of first-generation students on college campuses is rising, comprising 20% of new incoming students in higher education. First-generation college students (FGCS) do not access mental health treatment at the same rate as their non-first generation college student (NFGCS) peers and are at higher risk for leaving college early. The current…

This study examined the relative contributions of peer teasing, relational aggression, and body image disturbance on subclinical maladaptive eating patterns among female college students. One hundred and two female college students completed self-report online surveys on peer teasing, relational aggression, body image disturbance, and eating…

Among college students, a correlation exists between trauma exposure and eating disorders. Although disordered eating behaviors are more prevalent than eating disorders, the relationship between different types of trauma exposure and disordered eating is unknown. The current study explored this relationship. One hundred two participants completed…

Numerous programs have been instituted to address the widely recognized problem of binge drinking in college students, with some excellent results. Yet binge drinking is commonly still viewed as a socially acceptable form of relaxing and bonding with peers, often with the stated goal of getting as drunk as possible as quickly as possible. The…

Family history events have been shown to be reliable predictors of eating and body image concerns; however, little is known regarding how family history events compare in a clinical sample, or if these events differ by gender. The current study addresses this paucity, focusing on 3,129 university students seeking clinical services. Having a family…

This study investigated weighing and body-monitoring behaviors, as well as psychological and behavioral reactions to weighing, among female college students. Weighing and body monitoring were engaged in by the majority of participants. Participants changed food intake and exercise based on weight. About 63% reported that the scale number impacts…

This article focuses on the complex nature of eating disorders, specifically highlighting their use as coping mechanisms for underlying emotional and psychological concerns. Case examples of college counseling center clients are discussed in order to illustrate common ways in which eating disorders are utilized by clients with varying…

Night eating syndrome criteria include skipping breakfast, night eating, and sleep difficulties. It is associated with mood disturbances, particularly depression, and may contribute to later obesity development. Most research on night eating syndrome has focused on obese persons seeking weight loss treatment, and little is known about night eating…

This study, conducted at a historically Black university, evaluated the impact of awareness and internalization of the Western thin ideal of beauty on body dissatisfaction, drive for thinness, and bulimia in African-American, African, and Caribbean women. The relationship between internalization of the thin ideal and disordered eating was…

The current study examined patterns of association among mutuality, self-silencing, and disordered eating in an ethnically diverse sample of college women (N = 149). Partner mutuality and overall self-silencing were negatively correlated and together were associated with six disordered eating indices. All four self-silencing subscales were…

Previous research on gender differences between males and females on the risk factors leading to disordered eating is sparse, especially on males and eating disorders using attachment theory. This study examined the relationship between adult attachment style and disordered eating in men and women. Secure attachment scores were significantly…

We examined mutuality, an aspect of Relational Cultural Theory, in an ethnically diverse sample of 397 college women from Midwestern and Western universities. We hypothesized that mutuality would predict scores on an eating disorder scale after controlling for traditional family variables, such as expressed emotion. As predicted, mutuality, as…

This article reviews the research that describes the college student culture that emerged between 1992 and 2002. Changes in career, social, political, religious, and spiritual values are noted, as are personal behaviors involving academic honesty, alcohol and other drugs, suicide, and eating disorders. Interpersonal behaviors and attitudes as…