title: Nonmedical prescription stimulant use for suppressing appetite and controlling body weight is uniquely associated with more severe eating disorder symptomatology.
abstract: Nonmedical prescription stimulant use (NPS; i.e., use without a prescription or in ways other than prescribed) to suppress appetite or control weight appears to be associated with eating disorder (ED) symptomatology among college students. However, it remains unknown if this relationship is motive-specific and uniquely related to ED symptomatology. This research examined whether engaging in NPS specifically for appetite/weight-related purposes is associated with ED symptomatology and a unique indicator of more severe symptomatology.
  
  
  
  A nonclinical sample of college students (N = 668; 79% female) reported eating disorder symptoms via the Eating Pathology Symptoms Inventory and Eating Disorder Examination-Questionnaire, and lifetime history of NPS and corresponding motives.
  
  
  
  Binge eating, body dissatisfaction, negative attitudes towards obesity, restricting, purging, and cognitive restraint were reported more frequently by students who endorsed NPS for weight/appetite-related purposes than by those who used for other purposes or denied lifetime NPS. Additionally, NPS for appetite/weight-related purposes was uniquely associated with ED symptomatology after adjusting for gender, lifetime NPS, and past-month binge eating and purging.
  
  
  
  Engaging in NPS for appetite/weight-related purposes is a unique indicator of ED symptomatology, highlighting the need to query for this behavior among individuals with an ED. © 2016 Wiley Periodicals, Inc. (Int J Eat Disord 2016; 49:813-816).
authors.affiliation: Department of Psychology, University of North Dakota, Grand Forks, North Dakota.
authors.forename: Tess M
authors.initials: TM
authors.lastname: Kilwein
authors.affiliation: Department of Psychology, University of North Dakota, Grand Forks, North Dakota.
authors.forename: Erica L
authors.initials: EL
authors.lastname: Goodman
authors.affiliation: Department of Psychology, University of North Dakota, Grand Forks, North Dakota.
authors.forename: Alison
authors.initials: A
authors.lastname: Looby
authors.affiliation: Department of Psychology, University of North Dakota, Grand Forks, North Dakota.
authors.forename: Kyle P
authors.initials: KP
authors.lastname: De Young
mesh_terms: D000328:Adult; D001067:Appetite Depressants / Q000009:adverse effects*; D056912:Binge-Eating Disorder / Q000139:chemically induced* / Q000523:psychology; D001835:Body Weight / Q000187:drug effects*; D002032:Bulimia / Q000139:chemically induced / Q000523:psychology; D000697:Central Nervous System Stimulants / Q000009:adverse effects*; D003430:Cross-Sectional Studies; D004435:Eating / Q000523:psychology; D004644:Emotions; D005260:Female; D006801:Humans; D009042:Motivation; D004366:Nonprescription Drugs; D009765:Obesity / Q000517:prevention & control / Q000523:psychology; D012737:Sex Factors; D013334:Students / Q000523:psychology
chemical_list: D001067:Appetite Depressants; D000697:Central Nervous System Stimulants; D004366:Nonprescription Drugs
keywords: appetite suppression; eating disorders; nonmedical prescription stimulant use; weight loss