Abstract
This study investigated the relationship between caloric intake and perceived overeating in subjects with and without a history of problematic binge eating. Eighty subjects (20 in four groups: bulimia nervosa, compulsive binge eaters, obese, and normal controls) self-monitored eating for 2 weeks. The regression slopes for self-reported overeating as a function of caloric intake were contrasted across the four groups. At higher caloric levels, bulimics and binge eaters reported overeating at a significantly higher rate compared to obese and normal control groups. These data were interpreted as a type of cognitive bias whereby subjects with a history of binge eating distorted their perception of overeating at progressively higher caloric levels. It was proposed that excessive concern about eating and dieting may cause such cognitive biases. A parallel was drawn with body image distortion, which appears to be associated with overconcem with body size and shape.
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References
American Psychiatric Association (1980).Diagnostic and statistical manual of mental disorders (3rd ed.). Washington, DC: APA.
American Psychiatric Association (1987).Diagnostic and statistical manual of mental disorders (3rd ed., rev.). Washington DC: APA.
Bandini, L. G., Schoeller, D. A., Cyr, H. N., & Dietz, W. H. (1990). Validity of reported energy intake in obese and nonobese adolescents.American Journal of Clinical Nutrition, 52, 421–425.
Ben-Tovim, D. I., Walker, M. K., Fok, D., & Yap, E. (1989). An adaptation of the stroop test for measuring shape and food concerns in eating disorders: A quantitative measure of psychopathology?International Journal of Eating Disorders, 8, 681–687.
Crowther, J. H., Lingswiler, V. M., & Stephens, M. A. (1984). The topography of binge eating.Addictive Behaviors, 9, 299–303.
Davis, R., Freeman, R. J., & Solyom, L. (1985). Mood and food: An analysis of bulimic episodes.Journal of Psychiatric Research, 19, 331–335.
Davis, R., Freeman, R. J., & Garner, D. M. (1988). A naturalistic investigation of eating behavior in bulimia nervosa.Journal of Consulting and Clinical Psychology, 56, 273–279.
Foa, E. E., & Kozack, M. J. (1986). Emotional processing of fear: Exposure to corrective information.Psychological Bulletin, 99, 20–35.
Hetherton, T. F., & Baumeister, R. F. (1991). Binge-eating as escape from self-awareness.Psychological Bulletin, 110, 86–108.
Kirkley, B. G., Schneider, J. A., Agras, W. S., & Bachman, J. A. (1985). Comparison of two group treatments for bulimia.Journal of Consulting and Clinical Psychology, 53, 43–48.
Kraus, B. (1984).The Barbara Kraus 1984 calorie guide to brand names and basic foods. New York: Signet.
Leitenberg, H., Gross, J., Peterson, J., & Rosen, J. C. (1984). Analysis of an anxiety model and the process of change during exposure plus response prevention treatment of bulimia nervosa.Behavior Therapy, 15, 3–20.
Lingswiler, V. M., Crowther, J. H., & Stephens, M. A. (1987). Emotional reactivity and eating in binge eating and obesity.Journal of Behavioral Medicine, 10, 287–299.
Lorch, R. F., & Myers, J. L. (1990). Regression analyses of repeated measures data in cognitive research.Journal of Experimental Psychology: Learning, Memory, and Cognition, 16, 149–157.
MacLeod, C., & Mathews, A. (1988). Anxiety and the allocation of attention to threat.Quarterly Journal of Experimental Psychology, 40A, 653–670.
MacLeod, C., Mathews, A., & Tata, P. (1986). Attentional bias in emotional disorders.Journal of Abnormal Psychology, 95, 15–20.
Mathews, A., & MacLeod, C. (1985). Selective processing of threat cues in anxiety states.Behaviour Research and Therapy, 23, 563–569.
Mathews, A., & MacLeod, C. (1986). Discrimination of threat cues without awareness in anxiety states.Journal of Abnormal Psychology, 95, 131–138.
Mathews, A., Richards, A., & Eysenck, M. (1989). Interpretation of homophones related to threat in anxiety states.Journal of Abnormal Psychology, 98, 31–34.
Metropolitan Life Insurance Company (1983). 1983 Metropolitan height and weight tables.Statistical Bulletin, 64, 2–9.
Rosen, J. C., Leitenberg, H., Fisher, C., & Khazam, C. (1986). Binge eating episodes in bulimia nervosa: The amount and type of food consumed.International Journal of Eating Disorders, 5, 255–267.
Ruggiero, L., Williamson, D. A., Davis, C. J., Schlundt, D. G., & Carey, M. P. (1988). Forbidden food survey. Measure of bulimics' anticipated emotional reactions to specific foods.Addictive Behaviors, 13, 267–274.
Schlundt, D. G., & Johnson, W. G. (1990).Assessment and treatment of anorexia and bulimia nervosa. Needham Heights, MA: Allyn & Bacon.
Schlundt, D. G., Johnson, W. G., & Jarrell, M. P. (1985). A naturalistic functional analysis of eating behavior in bulimia and obesity.Advances in Behaviour Research and Therapy, 7, 149–162.
Schlundt, D. G., Johnson, W. G., & Jarrell, M. P. (1986). A sequential analysis of environmental, behavioral, and affective variables predictive of vomiting in bulimia nervosa.Behavioral Assessment, 8, 253–269.
Schotte, D. E., McNally, R. J., & Turner, M. L. (1990). A dichotic listening analysis of body weight concerns in bulimia nervosa.International Journal of Eating Disorders, 9, 109–113.
Schulman, R. G., Kinder, B. N., Powers, P., Prange, M., & Gleghorn, A. (1986). The development of a scale to measure cognitive distortions in bulimia.Journal of Personality Assessment, 50, 630–639.
Smith, M. C., & Thelen, M. H. (1984). Development and validation of a test for bulimia.Journal of Consulting and Clinical Psychology, 52, 863–872.
Tuschl, R. J. (1990). From dietary restraint to binge eating.Appetite, 14, 105–109.
Williamson, D. A., Kelley, M. L., Cavell, T. A., & Prather, R. C. (1987). Eating and eliminating disorders. In C. L. Frame & J. L. Matson (Eds.),Handbook of assessment in child psychopathology: Applied issues in differential diagnosis and treatment intervention (pp. 461–487). New York: Plenum.
Williamson, D. A., Davis, C. J., Goreczny, A. J., Bennett, S. M., & Gleaves, D. H. (1989). Development of a simple procedure for assessing body image disturbances.Behavioral Assessment, 11, 433–446.
Williamson, D. A., Davis, C. J., Goreczny, A. J., Bennett, S. M., & Watkins, P. C. (1989). The eating questionnaire-revised: A new symptom checklist for bulima. In P. A. Keller (ed.),Innovations in clinical practice (pp. 137–156). Professional Resource Exchange, Manfield, PA.
Williamson, D. A., Davis, C. J., Goreczny, A. J., & Blouin, D. C. (1989). Body image disturbances in bulimia nervosa: Influences of actual body size.Journal of Abnormal Psychology, 98, 97–99.
Williamson, D. A., Davis, C. J., Duchmann, E. G., McKenzie, S. J., & Watkins, P. C. (1990).Assessment of eating disorders: Obesity, bulimia, and anorexia nervosa. New York: Pergamon Press.
Williamson, D. A., Davis, C. J., Norris, L., & VanBuren, D. J. (1990).Development of reliability and validity for a new structured Interview for diagnosis of eating disorders. Paper presented at the meeting of the Association for Advancement of Behavior Therapy, San Francisco, CA, Nov.
Williamson, D. A., Prather, R. C., McKenzie, S. J., & Blouin, D. C. (1990). Behavioral assessment procedures can differentiate bulimia nervosa, compulsive overeater, obese, and normal subjects.Behavioral Assessment, 12, 239–252.
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Williamson, D.A., Gleaves, D.H. & Lawson, O.J. Biased perception of overeating in bulimia nervosa and compulsive binge eaters. J Psychopathol Behav Assess 13, 257–268 (1991). https://doi.org/10.1007/BF00960788
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DOI: https://doi.org/10.1007/BF00960788