ABSTRACT Eating disorder (ED) psychopathology is a public health concern for undergraduate students and likely to coincide with university adjustment challenges. Using the National College Health Assessment (NCHA-III) (2023) survey, undergraduates enrolled at an Atlantic Canadian university (N = 887; mean age 22.1 years) were screened for EDs based on the Sick Control One-stone Fat Food (SCOFF) questionnaire, and assessed whether performance, wellness, and social factors predicted positive mental health (PMH). Overall, 29.4% (33.2% female vs. 21.9% male) screened positive for an ED, and relative to undergraduates not at risk, were more likely to report problems with academics, faculty, family, partners, and peers, greater isolation/loneliness, and weaker university belongingness, poorer health status, and greater psychological distress. Although more likely to languish, 20% of ED risk students were observed to flourish, with academic success, university belongingness, better health, and lower ED severity, distress, and loneliness predictive of higher PMH. Implications of findings are discussed.
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