Andrea B Goldschmidt1, Ross D Crosby2,3, Li Cao2, Stephen A Wonderlich3,4, James E Mitchell5, Scott G Engel3,4, Carol B Peterson6. 1. Department of Psychiatry and Human Behavior, Alpert Medical School of Brown University, The Miriam Hospital/Weight Control and Diabetes Research Center, Providence, Rhode Island. 2. Department of Biostatistics, Neuropsychiatric Research Institute, Fargo, North Dakota. 3. Department of Psychiatry and Behavioral Science, University of North Dakota School of Medicine and Health Sciences, Fargo, North Dakota. 4. Department of Clinical Research, Neuropsychiatric Research Institute, Fargo, North Dakota. 5. Department of Clinical Neuroscience, University of North Dakota School of Medicine and Health Sciences, Fargo, North Dakota. 6. Department of Psychiatry, University of Minnesota Medical School, Minneapolis, Minnesota.
Abstract
OBJECTIVES: Binge eating is common in adults with obesity. The Diagnostic and Statistical Manual for Psychiatric Disorders describes five indicators of binge eating (eating more rapidly than usual; eating until uncomfortably full; eating large amounts of food when not physically hungry; eating alone because of embarrassment over how much one is eating; and feeling disgusted with oneself, depressed, or very guilty after overeating), but their validity is unclear. METHOD: We examined preliminary associations between the five indicators and binge versus nonbinge episodes among 50 adults with obesity via ecological momentary assessment. RESULTS: Generalized linear models revealed that, relative to nonbinge episodes, self-reported binge episodes were associated with lower pre-episode hunger (p = .004), higher postepisode fullness (p < .001), a greater likelihood of reporting moderate to extreme shame prior to eating in conjunction with eating alone (p < .001), and a greater likelihood of reporting moderate to extreme disgust, depression, and/or guilt after eating (p < .001), but not with eating more rapidly than usual (p = .85). DISCUSSION: Results support the validity of most binge-eating indicators, although the utility of the rapid eating criterion is questionable. Future research should examine whether modifying these indicators in binge-eating interventions would reduce the occurrence of loss of control and/or overeating.
OBJECTIVES: Binge eating is common in adults with obesity. The Diagnostic and Statistical Manual for Psychiatric Disorders describes five indicators of binge eating (eating more rapidly than usual; eating until uncomfortably full; eating large amounts of food when not physically hungry; eating alone because of embarrassment over how much one is eating; and feeling disgusted with oneself, depressed, or very guilty after overeating), but their validity is unclear. METHOD: We examined preliminary associations between the five indicators and binge versus nonbinge episodes among 50 adults with obesity via ecological momentary assessment. RESULTS: Generalized linear models revealed that, relative to nonbinge episodes, self-reported binge episodes were associated with lower pre-episode hunger (p = .004), higher postepisode fullness (p < .001), a greater likelihood of reporting moderate to extreme shame prior to eating in conjunction with eating alone (p < .001), and a greater likelihood of reporting moderate to extreme disgust, depression, and/or guilt after eating (p < .001), but not with eating more rapidly than usual (p = .85). DISCUSSION: Results support the validity of most binge-eating indicators, although the utility of the rapid eating criterion is questionable. Future research should examine whether modifying these indicators in binge-eating interventions would reduce the occurrence of loss of control and/or overeating.
Authors: Kelly C Berg; Carol B Peterson; Ross D Crosby; Li Cao; Scott J Crow; Scott G Engel; Stephen A Wonderlich Journal: Psychiatry Res Date: 2013-11-05 Impact factor: 3.222
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Authors: Kelly C Berg; Ross D Crosby; Li Cao; Scott J Crow; Scott G Engel; Stephen A Wonderlich; Carol B Peterson Journal: Int J Eat Disord Date: 2015-03-23 Impact factor: 4.861
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Authors: Eva M Conceição; Marta de Lourdes; Ana P Peixoto; Ana Pinto-Bastos; Andrea B Goldschmidt; Ana R Vaz Journal: Eur Eat Disord Rev Date: 2020-04-03
Authors: Rachael E Flatt; Laura M Thornton; Tosha Smith; Hannah Mitchell; Stuart Argue; Brian R W Baucom; Pascal R Deboeck; Colin Adamo; Robyn E Kilshaw; Qinxin Shi; Jenna Tregarthen; Jonathan E Butner; Cynthia M Bulik Journal: Int J Eat Disord Date: 2022-05-02 Impact factor: 5.791
Authors: Tyler B Mason; Kathryn E Smith; Ross D Crosby; Scott G Engel; Carol B Peterson; Stephen A Wonderlich; Haomiao Jin Journal: Body Image Date: 2021-08-04