OBJECTIVE: Given limited data on the diagnostic validity of binge eating disorder (BED) in adolescents, this study sought to characterize overweight adolescents according to types of overeating episodes. METHOD: Ninety-six adolescents (ages 13-17 years) with recurrent binge eating (BE), loss of control with or without overeating (subclinical BE; SUB), overeating without loss of control (OE), and no overeating or loss of control episodes (CONTROL) were compared on weight/shape concerns and depressive symptoms using ANCOVA and post-hoc least squares difference tests. RESULTS: BE and SUB adolescents had higher weight/shape concern scores than OEs and CONTROLs (ps < .01). BE and SUB adolescents had higher depression scores than CONTROL adolescents (ps < .05). BE adolescents had greater depression scores than OE (p < .01) but not SUB adolescents. CONCLUSION: Loss of control over eating signals increased impairment independent of overeating in adolescents. Results support refining BED criteria for youth to reflect this distinction.
OBJECTIVE: Given limited data on the diagnostic validity of binge eating disorder (BED) in adolescents, this study sought to characterize overweight adolescents according to types of overeating episodes. METHOD: Ninety-six adolescents (ages 13-17 years) with recurrent binge eating (BE), loss of control with or without overeating (subclinical BE; SUB), overeating without loss of control (OE), and no overeating or loss of control episodes (CONTROL) were compared on weight/shape concerns and depressive symptoms using ANCOVA and post-hoc least squares difference tests. RESULTS: BE and SUB adolescents had higher weight/shape concern scores than OEs and CONTROLs (ps < .01). BE and SUB adolescents had higher depression scores than CONTROL adolescents (ps < .05). BE adolescents had greater depression scores than OE (p < .01) but not SUB adolescents. CONCLUSION: Loss of control over eating signals increased impairment independent of overeating in adolescents. Results support refining BED criteria for youth to reflect this distinction.
Authors: Andrea Goldschmidt; Denise E Wilfley; Kamryn T Eddy; Kerri Boutelle; Nancy Zucker; Carol B Peterson; Angela Celio-Doyle; Daniel Le Grange Journal: Behav Res Ther Date: 2011-07-30
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Authors: Andrea E Kass; Megan Jones; Rachel P Kolko; Myra Altman; Ellen E Fitzsimmons-Craft; Dawn M Eichen; Katherine N Balantekin; Mickey Trockel; C Barr Taylor; Denise E Wilfley Journal: Eat Behav Date: 2016-03-29