Abstract
The aim of this study was to explore antecedents and sequelae of binge eating episodes. A sample of eating disorders (n=154 women) was selected from a total of 1849 female respondents (out of 2500) recruited as part of a general population-based survey. Included participants met DSM-III-R criteria for anorexia nervosa (AN), bulimia nervosa (BN) or eating disorder not otherwise specified (EDNOS) based on the Survey for Eating Disorders (SEDs). Preliminary criteria for binge eating disorder (BED) were added. Results indicated that the most frequently reported antecedents and consequences of binge eating were emotional and physiological factors. There were significant differences between the different ED subgroups in their frequency of binge eating episodes. Regarding antecedents of a binge eating episode, the SEDs-defined ED subgroups had overall differences in frequency on “stomach feeling”. In particular, the BN-group reported “euphoria” more frequently than the BED and EDNOS-groups. Concerning consequences of a binge eating episode, there were overall differences between the ED subgroups on “fall asleep”, and in addition a borderline significance was found for “disturbed by others” (p= 0.059). None of the eight women in the AN group reported “euphoria” as a factor that terminated a binge eating episode. The findings may have important implications with regard to prevention and treatment of ED.
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References
Agras W.S., Bachman J.A.: Anorexia nervosa and bulimia nervosa. In: Michels R. (Ed.). Psychiatry. Philadelphia, Lippincott, 1989, pp. 1–12.
Herzog D.B., Copeland P.M.: Eating disorders. N. Engl. J. Med., 313, 295–301, 1985.
Pyle R.L., Halvorson A., Newman P.A., Mitchell J.E.: The increasing prevalence of bulimia in freshman college students. Int. J. Eat. Disord., 5, 631–648, 1986.
Bruce B., Agras W.S.: Binge eating in females: a population-based investigation. Int. J. Eat. Disord., 12, 365–373, 1991.
Abraham S.F., Beumont P.J.V.: How patients describe bulimia or binge eating. Psychol. Med., 12, 625–635, 1982.
Iwata B.A., Pace G.M., Cowdery G.E., Miltenberg R.G.: What make extinction work: An analysis of procedural form and function. J. Appl. Behav. Anal., 23, 133–144, 1994.
Kearney C.A., Silverman W.K.: A preliminary anaysis of a functional model of assessment and treatment for school refusal behavior. Behav. Modif., 14, 344–360, 1990.
Lee M.I., Miltenberg R.G.: Functional assessment and binge eating: A review of the literature and suggestions of future research. Behav. Modif., 21, 159–171, 1997.
Repp A., Felce D., Barton L.: Basing treatment of stereotypic and self-injurious behavior on hypothesis of their causes. J. Appl. Behav. Anal., 21, 281–289, 1988.
Meyer C., Waller G., Waters A.: Emotional states and bulimic psychopathology. In: Hoek H., Treasure J., Katzman M. (Eds.), Neurobiology in the treatment of eating disorders. New York, Wiley, 1998, pp. 263–279.
Waters A., Hill A., Waller G.: Bulimics’ responses to food cravings: Is binge eating a product of hunger or emotional state? Behav. Res. Ther., 39, 877–886, 1999.
Stickney M.I., Miltenberg G.R., Wolff G.: A descriptive analysis of factors contributing to binge eating. J. Behav. Ther. Exp. Psychiatry, 30, 177–189, 1999.
Arnow B., Kenardy J., Agras W.S.: Binge eating among the obese: A descriptive study. J. Behav. Med., 15, 155–170, 1992.
Davis R., Freeman R.J., Garner D.M.: A naturalistic investigation of eating behavior bulimia nervosa. J. Consult. Clin. Psychol., 47, 1043–1058, 1988.
Grilo C.M., Shiffman S., Carter-Campbell J.T.: Binge eating antecedents in normal-weight nonpurging females: Is there consistency? Int. J. Eat. Disord., 16, 239–249, 1994.
Polivy J., Herman C.P.: Etiology of binge eating: Psychological mechanisms. In: Fairburn C.G., Wilson G.T. (Eds.), Binge eating: Nature, assessment and treatment. New York, Guilford Press, 1993, pp. 172–205.
Lynch W.C., Everingham A., Dubitzky J., Hartman M., Kasser T.: Does binge eating play a role in the self-regulation of moods? Integr. Physiol. Behav. Sci., 35, 298–313, 2000.
Vanderlinden J., Grave D.R., Vanderycken W., Noorduin C.: Which factors do provoke binge eating? An exploratory study in female students. Eat. Behav., 2, 79–83, 2001.
Powell A.L., Thelen M.H.: Emotions and cognitions associated with bingeing and weight control behavior in bulimia. J. Psychosom. Res., 40, 317–328, 1996.
Lingswiler V.M., Crowther J.H., Stephens M.A.P.: The affective and cognitive antecedents to eating episodes in bulimia and binge eating. Int. J. Eat. Disord., 8, 533–539, 1989.
Tuschen C.B., Vogele C.: Psychological and physiological reactivity to stress: an experimental study on bulimic patients, restrained eaters and controls. Psychother. Psychosom., 68, 333–340, 1999.
Eldredge K.L., Agras W.S.: Weight and shape overconcern and emotional eating in binge eating disorder. Int. J. Eat. Disord., 19, 73–82, 1996.
Kuehnel R.H., Wadden T.A.: Binge eating disorder, weight cycling, and psychopathology. Int. J. Eat. Disord., 15, 321–329, 1994.
Kenardy J., Arnow B., Agras W.S.: The aversiveness of specific emotional states with binge eating in obese subjects. Aust. N.Z. J. Psychiatr., 30, 839–844, 1996.
Lazarus R.S. Galassi J.P.: Affect and cognitions in obese binge eaters and nonbinge eaters: The associations between depression, and anxiety, and bulimic cognitions. Eat. Disord., 2, 141–157, 1994.
Soydan A.S.: A survey of binge eating in overweight women with severe psychiatric disability: Issues and implications for treatment, rehabilitation, and recovery. Dissertation Abstracts International: Section B: The Sciences and Engineering, 60, 2603, 1999.
Guertin T.L.: Eating behavior of bulimics, self-identified binge eaters, and non-eating-disordered individuals: What differentiates these populations? Clin. Psychol. Rev., 19, 1–23, 1999.
Götestam K.G., Agras W.S.: General population-based epidemiological study of eating disorders in Norway. Int. J. Eat. Disord., 18, 119–126, 1995.
American Psychiatric Association: Diagnostic and Statistical Manual of Mental disorders, 3rd ed. Revised (DSM-III-R). Washington, D.C., APA, 1987.
NHLBI Obesity Task Force: Clinical guidelines on the identification, evaluation and treatment of overweight and obesity in adults—The evidence report. Obes. Res., 6, (suppl. 2), 1998.
Mann A.H., Wakeling A., Wood K., Monck E., Dobbs R., Szmukler G.: Screening for abnormal eating attitudes and psychiatric morbidity in an unselected population of 15-year-old schoolgirls. Psychol. Med., 14, 573–580, 1983.
King M.: Eating disorders in a general practice population: prevalence, characteristics and follow-up at 12 to18 months. Psychol. Med. Monogr. (suppl.) 14, 1–34, 1989.
Fairburn C.G., Beglin S.J.: Studies of the epidemiology of bulimia nervosa. Am. J. Psychiatry, 147, 401–408, 1990.
Black C., Wilson G.T.: Assessment of eating disorders: Interview versus questionnaire. Int. J. Eat. Disord., 20, 43–50, 1996.
Carter J.C., Aimé A.A., Mills J.S.: Assessment of bulimia nervosa: A comparison of interview and selfreport questionnaire methods. Int. J. Eat. Disord., 30, 187–192, 2001.
Hoek H.K.: Review of the epidemiological studies of eating disorders. Int. Rev. Psychiatr., 5, 61–74, 1993.
Ghaderi A., Scott B.: The preliminary reliability and validity of the Survey for Eating Disorders (SEDs): A self-report questionnaire for diagnosing eating disorders. Eur. Eat. Disord. Rev., 10, 61–76, 2002.
DeZaan M., Nutzinger D.O., Schoenbeck G.: Binge eating in overweight women. Compr. Psychiatry, 33, 256–261, 1992.
McCallum K.: Eating disorders. Curr. Opin. Psychiatry, 6, 480–485, 1993.
Striegel-Moore R.H., Dohm F.A., Solomon E.E., Fairburn C.G., Pike K.M., Wilfley D.E.: Subthreshold binge eating disorder. Int. J. Eat. Disord., 27, 270–278, 2000.
Fairburn C.G., Doll H.A., Welch S.L., Hay P.H., Davies B.A., O’Connor M.E.: Risk factors for binge eating disorder. A community-based, case-control study. Arch. Gen. Psychiatry, 55, 425–432, 1998.
American Psychiatric Association: Diagnostic and Statistical Manual of Mental disorders. 4th ed. revised (DSM-IV). Washington, D.C., APA, 1994.
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Kjelsås, E., Børsting, I. & Gudde, C. Antecedents and consequences of binge eating episodes in women with an eating disorder. Eat Weight Disord 9, 7–15 (2004). https://doi.org/10.1007/BF03325039
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DOI: https://doi.org/10.1007/BF03325039