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Hormonal contraception and eating pathology: a study among undergraduate women

dc.contributor.authorAlmengual, Mallory, author
dc.contributor.authorRickard, Kathryn, advisor
dc.contributor.authorPrince, Mark, committee member
dc.contributor.authorCox-York, Kimberly, committee member
dc.contributor.authorGraham, Dan, committee member
dc.date.accessioned2024-05-27T10:32:51Z
dc.date.available2024-05-27T10:32:51Z
dc.date.issued2024
dc.description.abstractObjective: To investigate the relationship between hormonal contraceptive (HC) use and eating pathology, and to assess the moderating effects of cognitive restraint and other demographic features on this relationship among undergraduate women at Colorado State University. Method: A correlational study design was used to collect data from 458 female undergraduate participants through self-report assessments capturing demographic information, reproductive health history, and constructs associated with eating pathology. Specific measures included the Three-Factor Eating Questionnaire (TFEQ-R18), the Eating Disorder Inventory-3 (EDI-3), and the Beck's Depression Inventory-II (BDI-II). Participants were categorized based on their HC use—especially focusing on Long-Acting Reversible Contraceptives (LARC) and Short-Acting Reversible Contraceptives (SARC)—to establish the connection between the type of HC and symptoms of eating pathology. Multiple linear regression analyses identified relationships, with a consideration of potential mediating effects of cognitive restraint and demographic variables. Results: Findings revealed a significant relationship between long-acting reversible contraception (LARC) use and specific psychological outcomes, such as reduced interpersonal insecurity and increased emotional dysregulation, suggesting a multidimensional impact of HC types on psychological and behavioral patterns in this population. Although cognitive restraint was anticipated to be a moderating factor, the study did not find evidence to support a significant moderating effect on the relationship between HC use and eating pathology. Age of menstrual regularity emerged as a noteworthy covariate affecting psychological outcomes. Conclusion: The study offers important insights into the variant effects of different types of HCs on psychological health and eating behaviors among college-aged women. These findings indicate that different types of hormonal contraceptives may have unique effects on psychological outcomes and eating behaviors. The differential outcomes with LARC and SARC underscore the need for comprehensive, individualized reproductive health counseling that both addresses the potential psychological impacts of contraceptive methods and is sensitive to the evident disparities. Further research is recommended to decipher the complex interactions between HC use, cognitive restraint, and eating pathology. These findings have critical implications for refining clinical practices and reproductive health education to promote the wellbeing and bodily autonomy of menstruating individuals, and to better address the mental health needs related to contraceptive choices.
dc.format.mediumborn digital
dc.format.mediumdoctoral dissertations
dc.identifierAlmengual_colostate_0053A_18252.pdf
dc.identifier.urihttps://hdl.handle.net/10217/238493
dc.languageEnglish
dc.language.isoeng
dc.publisherColorado State University. Libraries
dc.relation.ispartof2020-
dc.rightsCopyright and other restrictions may apply. User is responsible for compliance with all applicable laws. For information about copyright law, please see https://libguides.colostate.edu/copyright.
dc.subjectcontraception
dc.subjecthealth disparities
dc.subjectwomen's health
dc.subjectcontraceptive counseling
dc.subjectcognitive restraint
dc.subjectreproductive justice
dc.titleHormonal contraception and eating pathology: a study among undergraduate women
dc.typeText
dcterms.rights.dplaThis Item is protected by copyright and/or related rights (https://rightsstatements.org/vocab/InC/1.0/). You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. For other uses you need to obtain permission from the rights-holder(s).
thesis.degree.disciplinePsychology
thesis.degree.grantorColorado State University
thesis.degree.levelDoctoral
thesis.degree.nameDoctor of Philosophy (Ph.D.)

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