Do emotional states influence binge eating in the obese?

Telch, Christy F.; Agras, W. Stewart

doi:10.1002/(sici)1098-108x(199611)20:3<271::aid-eat6>3.0.co;2-l

Cited by 181 publications

(92 citation statements)

References 24 publications

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“…For example, greater binge severity on the Binge Eating Scale 36 was related to greater depression, psychological distress, poorer self-esteem, and interpersonal problems. 20 The overall lack of differences between those women with BED who do and do not have concurrent obesity, on eating related psychopathology, general personality, and depression, strongly suggests that the problems associated with BED are unrelated to the presence or degree of comorbid obesity. 80 Didie and Fitzgibbon 90 compared women diagnosed with BED from across three weight categories: normal/overweight, obese, and severely obese.…”

Section: Distinguishing Bed From Obesity Without Binge Eatingmentioning

confidence: 99%

The diagnostic validity of the criteria for binge eating disorder

Latner

Clyne

2007

Intl J Eating Disorders

113

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Objective: This paper considers whether the criteria currently used to classify the diagnosis of binge eating disorder (BED) are valid and appropriate.Method: We review evidence that reflects on the validity of the current criteria for binge eating episodes and BED, using literature retrieved through major psychology and psychiatry search engines (e.g., PsycInfo, PubMed).Results: Evidence from experimental research points to the relative importance of episode frequency, the amount of food consumed at episodes, the subjective sense of loss of control over eating, and several additional criteria associated with binge episodes in BED. Evidence on the differences in psychopathology between BED and bulimia nervosa and between BED and obesity without binge eating, as related to diagnostic criteria, is reviewed. Binge eating disorder (BED) is highly prevalent among individuals seeking treatment for obesity, with prevalence estimates ranging between 15 and 50%. In the general population, the lifetime prevalence of BED is between 0.7% and 4%. Conclusion1 BED is defined in the fourth edition (text revision) of the Diagnostic and Statistical Manual (DSM-IV-TR) as frequent binge eating episodes, characterized by the consumption of a large quantity of food in a discrete period of time, accompanied by a subjective sense of loss of control over eating. Individuals with BED must also experience distress about their binge eating, and binge episodes are associated with at least three of the following: eating more rapidly than normal, eating until uncomfortably full, eating large amounts when not hungry, eating alone because of embarrassment, and feeling disgusted, depressed, or guilty about overeating. 1 BED, as it is currently defined, is associated not only with eating disorder psychopathology, but also with comorbid psychiatric disorders, health problems, and obesity.2 Health-related quality of life is significantly impaired in obese women with BED relative to obese women without BED.3,4 For these reasons, it has been argued that BED is a distinct and significant disorder of clinical severity that requires specific treatment.5 However, it has also been proposed that the frequent psychiatric comorbidity, good response to many forms of treatment, and the lack of agreement on what constitutes a large amount of food make the BED diagnosis more useful as a marker for other psychopathology in obese individuals than as a clinical disorder in its own right. 6 Another potential problem with the diagnostic definition of BED lies in the question of whether the criteria for the disorder are valid. Kendell and Jablensky 7 have suggested that validity in psychiatric disorders is present if the defining characteristics of a syndrome can be demonstrated to be an entity, separated clearly from neighboring syndromes and from normality. This article examines the evidence regarding the DSM-IV criteria for BED. The diagnostic criteria have two major components: the definition of a binge episode, and BED-specific criteria. This review first...

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Section: Distinguishing Bed From Obesity Without Binge Eatingmentioning

confidence: 99%

The diagnostic validity of the criteria for binge eating disorder

Latner

Clyne

2007

Intl J Eating Disorders

113

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“…25 In adolescents, emotion-focused coping was found to be associated with disturbed eating attitudes 26 and to be predictive of a predisposition for developing an eating disorder. 27,28 In addition, data from different areas of research, e.g., ecological momentary assessment on adults with BED, bulimia nervosa, 2 and binge eating, 29,30 experimental studies on adults with BED, 31,32 and intervention studies on patients with BED [33][34][35] suggest that binge eating is associated with problematic emotion regulation. Early studies showed that eating psychopathology was associated with an increased use of maladaptive coping and a decreased use of adaptive coping in a nonclinical population 36 and in adults with eating disorders.…”

Section: Introductionmentioning

confidence: 99%

Emotion regulation and binge eating in children

Czaja

Rief

Hilbert

2008

Intl J Eating Disorders

114

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Objective: To examine the ability to regulate emotions in children with binge eating.Method: A community sample of 60 children ages 8-13 with at least one episode of loss of control (LOC) eating during the past 3 months and a matched control group without LOC (n 5 60) underwent a clinical interview (Eating Disorder Examination adapted for Children) and completed self-report questionnaires assessing emotion regulation strategies, eating pathology, and depressive symptoms.Results: Children with LOC eating made a significantly higher use of dysfunctional emotion regulation strategies (p \ .01), especially for the regulation of anxiety (p \ .01). Maladaptive strategies were associated with greater depressiveness (p \ .001). Use of adaptive emotion regulation strategies did not differ between children with and without LOC eating.Discussion: Results document an association between LOC eating and difficulties in regulating negative emotions in children. Interventions targeting LOC eating in children should include training for coping with negative emotions.

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“…4 As in patients with BN, the relationship between negative mood and binge eating pathology has also been reported for individuals with a BED. [5][6][7] Psychophysiological research has greatly advanced our understanding of the importance of the parasympathetic nervous system, in addition to the sympathetic branch, in stress and emotional regulation. 8,9 In clinical disorders associated with chronic stress, such as depression, anxiety and post-traumatic stress disorder the association between restricted parasympathetic function and emotional dysregulation has been well defined.…”

Section: Introductionmentioning

confidence: 99%

Cardiac parasympathetic regulation in obese women with binge eating disorder

Schild

Schellberg

et al. 2005

Int J Obes

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Objective: Obese individuals with a binge eating disorder (BED) differ from obese non-binge eaters (NBED) with respect to (a) eating behaviour, (b) psychiatric comorbidity and (c) level of psychosocial distress. The aim of the study was to explore whether these three factors have an influence on cardiac parasympathetic function, that is independent of obesity: as alterations in cardiac parasympathetic function may have a role in the higher cardiovascular mortality that is present in obese individuals. Methods: In total, 38 obese women (BMI430 kg/m 2 ), with a BED and 34 age and BMI matched healthy controls (NBED) completed a laboratory stress protocol that incorporated a baseline resting period, Head-up Tilt Testing (HUT) and two challenging mental tasks. Heart rate and blood pressure were measured continuously during the protocol. Parasympathetic cardiac regulation was assessed as the high frequency component of heart rate variability (HRV-HF). Results: Mental challenge led to an augmented reduction of HRV-HF in obese binge eaters, which was linked to the binge eating frequency and hunger perception, but not to psychiatric comorbidity. During baseline conditions and HUT, no significant differences in parasympathetic measures were observed between the two subject groups. Conclusion: Subjects with a BED showed greater reduction in parasympathetic cardiac control (HRV-HF) during mental stress, suggesting higher stress vulnerability in women with a BED. Longitudinal investigations are necessary to evaluate whether this is associated with an increased cardiovascular mortality.

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Do emotional states influence binge eating in the obese?

Cited by 181 publications

References 24 publications

The diagnostic validity of the criteria for binge eating disorder

The diagnostic validity of the criteria for binge eating disorder

Emotion regulation and binge eating in children

Cardiac parasympathetic regulation in obese women with binge eating disorder

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