Journal of Behavioral Medicine

, Volume 15, Issue 2, pp 155–170 | Cite as

Binge eating among the obese: A descriptive study

  • Bruce Arnow
  • Justin Kenardy
  • W. Stewart Agras
Article

Abstract

Nineteen obese females applying for treatment for binge eating were administered a semistructured interview assessing the presence or absence of food restrictions, thoughts, feelings and physical sensations associated with binges, typical precipitants to binges, and factors identified as useful in avoiding binge eating. Both negative mood and abstinence violations emerged as important precipitants. The results also suggested that these precipitants constitute separate, independent pathways to binge eating. Implications of these findings with respect to restraint theory are discussed.

Key words

binge disinhibition obesity restraint 

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References

  1. American Psychiatric Association (1980).Diagnostic and Statistical Manual of Mental Disorders, 3rd ed., American Psychiatric Press, Washington, DC.Google Scholar
  2. American Psychiatric Association (1987).Diagnostic and Statistical Manual of Mental Disorders, 3rd ed., rev., American Psychiatric Press, Washington, DC.Google Scholar
  3. Cooper, J. L., Morrison, T. L., Bigman, O. L., Abramowitz, S. I., Levin, S., and Krener, P. (1988). Mood changes and affective disorder in the bulimic binge-purge cycle.Int. J. Eat. Disord. 7: 469–474.Google Scholar
  4. Garfinkel, P. E., and Kaplan, A. S. (1986). Anorexia nervosa: Diagnostic conceptualizations. In Brownell, K. D., and Foreyt, J. P. (eds.),Handbook of Eating Disorders, Basic Books, New York, pp. 266–282.Google Scholar
  5. Gormally, J., Rardin, D., and Black, S. (1980). Correlates of successful response to a behavioral weight control clinic.J. Counsel. Psychol. 27: 179–191.Google Scholar
  6. Gormally, J., Black, S., Daston, S., and Rardin, D. (1982). The assessment of binge eating severity among obese persons.Addict. Behav. 7: 47–55.PubMedGoogle Scholar
  7. Hawkins, R. C., II, and Clement, P. F. (1980). Development of a self-report measure of binge eating tendencies.Addict. Behav. 5: 219–226.PubMedGoogle Scholar
  8. Hawkins, R. C., II, and Clement, P. F. (1984). Binge eating: Measurement problems and a conceptual model. In Hawkins, R. C., II, Fremouw, W. J., and Clement, P. F. (eds.),The Binge-Purge Syndrome: Diagnosis, Treatment, and Research, Springer, New York, pp. 229–251.Google Scholar
  9. Herman, C. P., and Polivy, J. (1984). A boundary model for the regulation of eating. In Stunkard, A. B., and Stellar, E. (eds.),Eating and Its Disorders, Raven Press, New York, pp. 141–156.Google Scholar
  10. Johnson, C., and Larson, R. (1982). Bulimia: An analysis of moods and behavior.Psychosom. Med. 44: 341–351.PubMedGoogle Scholar
  11. Keefe, P. H., Wyshogrod, D., Weinberger, E., and Agras, W. S. (1984). Binge eating and outcome of behavioral treatment of obesity: A preliminary report.Behav. Res. Ther. 22: 319–322.PubMedGoogle Scholar
  12. Kolotkin, R. L., Revis, E. S., Kirkley, B. G., and Janick, L. (1987). Binge eating in obesity: Associated MMPI characteristics.J. Consult. Clin. Psychol. 55: 872–876.PubMedGoogle Scholar
  13. Lingswiler, V. M., Crowther, J. H., and Stephens, M. A. P. (1989). Affective and cognitive antecedents to eating episodes in bulimia and binge eating.Int. J. Eat. Disord. 8: 533–539.Google Scholar
  14. Loro, A. D., Jr., and Orleans, C. S. (1981). Binge eating in obesity: Preliminary findings and guidelines for behavioral analysis and treatment.Addict. Behav. 6: 155–166.PubMedGoogle Scholar
  15. Marcus, M. D., and Wing, R. R. (1987). Binge eating among the obese.Ann. Behav. Med. 9: 23–27.Google Scholar
  16. Marcus, M. D., Wing, R. R., and Lamparski, D. M. (1985). Binge eating and dietary restraint in obese patients.Addict. Behav. 10: 163–168.PubMedGoogle Scholar
  17. Marcus, M. D., Wing, R. R., and Hopkins, J. (1988). Obese binge eaters: Affect, cognitions and response to behavioral weight control.J. Consult. Clin. Psychol. 56: 433–439.PubMedGoogle Scholar
  18. Polivy, J., and Herman, C. P. (1985). Dieting and bingeing: A causal analysis.Am. Psychol. 40: 193–201.PubMedGoogle Scholar
  19. Rossiter, E. M., and Agras, W. S. (1990). An empirical test of the DSM-III-R definition of binge.Int. J. Eat. Disord. 9: 513–518.Google Scholar
  20. Ruderman, A. J. (1986). Dietary restraint: A theoretical and empirical review.Psychol. Bull. 99: 247–262.PubMedGoogle Scholar
  21. Stunkard, A. J. (1959). Eating patterns and obesity.Psychiat. Q. 33: 284–292.PubMedGoogle Scholar
  22. Telch, C. F., Agras, W. S., and Rossiter, E. M. (1988). Binge eating increases with increasing adiposity.Int. J. Eat. Disord. 7: 115–119.Google Scholar
  23. Telch, C. F., Agras, W. S., Rossiter, E. M., Wilfley, D., and Kenardy, J. (1990). Group cognitive-behavioral treatment for the non-purging bulimic: An initial evaluation.J. Consult. Clin. Psychol. 58: 629–635.PubMedGoogle Scholar
  24. Wardle, J., and Beinart, H. (1981). Binge eating: A theoretical review.Br. J. Clin. Pyschol. 20: 97–109.Google Scholar

Copyright information

© Plenum Publishing Corporation 1992

Authors and Affiliations

  • Bruce Arnow
    • 1
  • Justin Kenardy
    • 2
  • W. Stewart Agras
    • 1
  1. 1.Behavioral Medicine Program, Department of PsychiatryStanford University School of MedicineStanford
  2. 2.Department of PsychologyUniversity of NewcastleNewcastleAustralia

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