EATING DISORDERS AND EXAM STRESS.

The typical life of a student involves meeting deadlines, completing assignments and sitting exams which at times, can cause us all to feel pressured and stressed. It is very normal to feel this way and most people just about manage to pull themselves through to the finish line, but in doing so, this can have a significant impact on their eating habits, triggering or contributing to an eating disorder [3]. BEAT Charity did a survey in 2013 which found that around 32% of university students in that year had been diagnosed with eating disorders which shows that this is something that should be addressed. [2]

HOW CAN EXAM STRESS AND PRESSURE LEAD TO EATING DISORDERS?

With no question or a doubt, exams and deadlines are important, however because of the stress and pressure, they can lead to self-neglect. If they are affecting your general self-care regarding both your mental & physical health, seeking for ways to manage this should be your number one priority. If your mental & physical health is deteriorating, this can in turn affect your performance at university, hence why it is so important to make sure that you are ok [5].

Sometimes you may not know that you are developing or experiencing an eating disorder. As mentioned before, it is normal for everyone to go through stress now and again, so here are a few signs below to consider when making the differentiation between an eating disorder & the normal eating behavior of a student. This can help you or help someone you know who may be at risk:

  • Negative comments/thinking regarding your weight & appearance [4]
  • Avoiding food, hiding or lying about food you have eaten whether it be a lot of food or not enough [4]
  • A feeling of a lack of self-control [4]
  • Physical weight loss or gain [4]
  • A sense of distress or withdrawal from things that you love [4]
  • Eating more than usual to relieve stress [1]
  • Exercising more than usual to relieve stress that goes beyond your personal limits [1]
  • Loss of appetite due to overworking because of stress/pressure [1]
  • Missing meals or having no time to cook & eat in order to continue studying [1]

Financial strains at university can also be a contributing factor to why you may not be eating properly. If this is something that is affecting you please ask for help and speak to someone that you can trust or contact your University Student Well-being Centre or Helpline.

HOW TO DEAL WITH STRESS

  • Create daily & weekly timetables that work specifically for YOU.

This allows you to manage your time appropriately, giving you time to study, cook & eat as well as free time to relax and do something you enjoy. This will help you to feel in-control and less overwhelmed. This also involves maybe creating meal plans to ensure that you’re eating the right food. You can even cook every other day and eat leftovers from the day before! [5]. Here is an example of a weekly timetable & meal plan that you can use and adjust to fit your schedule.

  • Find a hobby.

Ensure that you take regular breaks during study periods to do something that you enjoy, whether it be simply watching TV or joining a society at university that interests you. Don’t overwork yourself [5].

  • Find someone you can trust to talk to.

It can be viewed as not important, weird or awkward to speak to someone about your struggles, but this is a key thing. Look for a family member, friend or counselor who will be able to support you and encourage you during times where you can’t encourage yourself. It’s nice to get things off your chest sometimes! [5]

  • Focus on and love yourself.

It’s not always easy when you don’t like the way that you are but remember that you are one of a kind and there has never been, nor will there ever be anyone exactly like you. There’s beauty in what you see as being an imperfection. Focus your mind on the positive things about yourself, the things you have achieved. If you can’t find anything, ask those around you to tell you what they love about you! Write these things down where you can see them & remind yourself about them everyday until you believe it! Don’t compare yourself and your achievements with others, do what works for you & keep to your pace [5].

 

If you feel you, or someone you know is suffering from an eating disorder, please reach out for help by booking an appointment with your GP and also there are many organisations which offer support for individuals and families suffering from an eating disorder:

Written by Munashe Mapiye
3rd Year MPharm Student

References:
[1] BEAT (2019). Eating Disorders & Exams. Norwich: BEAT Eating Disorders. Available from BEAT (https://www.beateatingdisorders.org.uk/recovery-information/eating-disorders-and-exams [accessed 28 October 2019].
[2] BEAT (2019). Universities. Norwich: BEAT Eating Disorders. Available from https://www.beateatingdisorders.org.uk/get-involved/universities [accessed 31 October 2019].
[3] BODYWHYS (2019) Eating Disorders & Exams. Dublin: The Eating Disorders Association of Ireland. Available from https://www.bodywhys.ie/understanding-eating-disorders/key-issues/eating-disorders-exams/ [accessed 28 October 2019].
[4] Jacobson, R (2019) Signs a College Student May Have an Eating Disorder. New York: Child Mind Institute. Available on: https://childmind.org/article/signs-a-college-student-may-have-an-eating-disorder/ [accessed 28 October 2019].
[5] Young Minds (2019) Exam Stress. London: Young Minds. Available from https://youngminds.org.uk/find-help/feelings-and-symptoms/exam-stress/?gclid=EAIaIQobChMImuewmJC_5QIVh63tCh0ZKQ2jEAAYAiAAEgIAGfD_BwE [accessed 28 October 2019].

EATING DISORDERS: FEMALES

During some research, we found that eating disorders mainly affect young women aged between 13-17 [2]. Therefore, in this latest post we are going to raise awareness of how eating disorders affect women and the tell-tale signs that may suggest you or someone close to you is developing/suffering from an eating disorder. As always, helplines and websites will be available at the bottom of the post.

A fact that is probably not surprising to you, is that eating disorders are most prevalent in females. It is thought that a total of 1.25 million people suffer from an eating disorder in the UK [1], with 75% of the sufferers being female [1]. In general, females are 10 times more likely than men to suffer from bulimia or anorexia [3]. But it’s not limited to these two disorders, females can also be affected by other eating disorders such as binge eating disorder, avoidant/restrictive food intake disorder (AFRID) and other specified feeding or eating disorder (OSFED) [1].

So, what are the signs that could indicate the development of an eating disorder in you or someone close to you?

THEY COULD BE EMOTIONAL [4]:

  • Attitudes and behaviours indicating weight loss e.g. dieting
  • Feeling uncomfortable eating around others
  • Checking the mirror for perceived flaws
  • Withdrawal from friends
  • Skipping meals or eating very small portions

OR PHYSICAL [4]:

  • Having noticeable weight fluctuations
  • Suffering with irregularities in menstrual cycle e.g. missing periods
  • Suffering from dry hair and skin
  • Brittle nails
  • Fainting and dizziness

As well as these, different eating disorders have distinct warning signs. Examples include:

ANOREXIA NERVOSA [4]:

  • Displaying dramatic weight loss
  • Obsession with dieting, weight and calories
  • Cannot maintain an appropriate body weight for age and height
  • Excessive exercise

BULIMIA NERVOSA [4]:

  • Binge eating
  • Purging e.g. frequently visiting the bathroom after meals and showing signs of vomiting
  • Excessive water intake
  • Dental problems
  • Fear of gaining weight
  • Loss of control over eating

Watch a video on Jodie’s anorexia recovery story below:

It is no surprise that problems with body image play a significant role in the maintenance and development of eating disorders, with poor body image being mainly associated with females [5]. According to the 2016 Girl Guiding Survey on young girl’s attitudes about shape and weight showed that most were insecure about their looks [5]. Also, it was recorded that by the age of 10, 8 in 10 girls all agreed that looks were more important than ability [5], with most girls reporting weight as a main concern [5]. The main culprit for this mind set is the rise of social media and the ‘fat-calling’ that comes hand in hand. It’s these harmful words and behaviours that lead to weight stigma later in life, which has a detrimental impact on young women and their views on the ‘ideal’ body image. With such an emphasis on obtaining the ‘perfect’ body, it leads people to develop an unhealthy relationship with food and eating in general which is why eating disorders are so prevalent today.

Females are more likely than males to deal with poor body image by dieting, as society has made us perceive we only have the ‘perfect body’ when we are ‘thin’. But in reality, dieting itself has many emotional and physical side effects that people don’t really speak about [5].

HELP AND ADVICE IF YOU ARE CURRENTLY SUFFERING FROM AN EATING DISORDER[7]:

  • Don’t blame yourself- stay positive and fight self-critical thoughts
  • Don’t go through recovery alone- friends, family and healthcare professionals are here to help
  • Put yourself first
  • Do not lose hope- with support a full recovery is possible
  • Open up to friends and family
  • Be patient with recovery- it is not easy and can be a lengthy process but a full recovery is possible

USEFUL TIPS ON HOW TO SUPPORT A FRIEND WITH AN EATING DISORDER[6]:

  • Offer support e.g. offer to join them to appointments or help them with day-to-day tasks
  • Continue to involve them in plans and activities (as eating disorders can make people feel very isolated). Although be careful not to make plans that centre around food.

If you feel you, or someone you know is suffering from an eating disorder, please reach out for help by booking an appointment with your GP. There are many organisations which offer help for individuals suffering from an eating disorder and support for their family and friends. 

Written by Lucy Gardner
3rd Year MPharm Student

 

References:
[1] Beat Eating Disorders (undated) Statistics for Journalists. Norwich: Beat Eating Disorders. Available from https://www.beateatingdisorders.org.uk/media-centre/eating-disorder-statistics [accessed 25 October 2019].
[2] National Health Service (2018) Eating Disorders. London: National Health Service. Available from https://www.nhs.uk/conditions/eating-disorders/ [accessed 27 October 2019].
[3] Royal College of Psychiatrists (undated) Anorexia and bulimia. London: Royal College of Psychiatrists. Available from https://www.rcpsych.ac.uk/mental-health/problems-disorders/anorexia-and-bulimia [accessed 25 October 2019].
[4] National Eating Disorders Association (undated) Warning Signs and Symptoms. New York, United States: National Eating Disorders Association. Available from https://www.nationaleatingdisorders.org/warning-signs-and-symptoms [accessed 26 October 2019].
[5] National Centre for Eating Disorders (undated) Body Image. National Centre for Eating Disorders. Available from https://eating-disorders.org.uk/information/body-image/ [accessed 27 October 2019].
[6] Beat Eating Disorders (2017) Supporting Somebody With an Eating Disorder. Norwich: Beat Eating Disorders. Available from https://www.beateatingdisorders.org.uk/recovery-information/supporting-somebody [accessed 25 October 2019].
[7] Very well mind (2019) 11 Do’s and Don’ts for Eating Disorder Recovery. Very well mind. Available from https://www.verywellmind.com/things-to-stop-if-you-have-an-eating-disorder-1138275 [accessed 28 October 2019].