Skip to main content
Log in

Prefrontal systems involvement in binge eating

  • Brief Report
  • Published:
Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity Aims and scope Submit manuscript

Abstract

OBJECTIVE: This study examined whether severity of binge eating is associated with dysfunction in behaviors mediated by the three main areas of the prefrontal cortex (PFC). METHODS: One hundred fifty-one adults (mean BMI=49.50) were classified into three groups based on the presence and severity of binge eating behaviors: Binge Eating Disorder (BED) group (N=22), Binge Eating Prone (BEP) group (N=47), and non-Eating Disorder (non-ED) group (N=82). Participants completed the Frontal Systems Behavior Scale (FrSBe), a widely used measure of neurobehavioral traits associated with the three primary regions of the PFC corresponding with the behavioral traits of apathy, disinhibition, and executive dysfunction. RESULTS: The BED and BEP groups scored significantly higher than the non-ED group on the three FrSBe subscales, as well as the FrSBe Total score. There were no significant correlations between the FrSBe and participant BMI. DISCUSSION: As expected, individuals who engaged in binge eating endorsed greater PFC dysfunction than those who did not binge eat. These results provide a complement to studies utilizing neuroimaging and neuropsychological methodologies and further support for the role of prefrontal systems in the regulation of eating behavior.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

References

  1. Hudson JI, Hiripi E, Pope HG, et al. The prevalence and correlates of eating disorders in the NCS Replication. Biol Psychiatry 2007; 61: 348–58.

    Article  PubMed Central  PubMed  Google Scholar 

  2. Rieger E, Wilfley DE, Stein RI, et al. A comparison of quality of life in obese individuals with and without binge eating disorder. Int J Eat Disord 2005; 37: 234–40.

    Article  PubMed  Google Scholar 

  3. Wilfley DE, Schwartz MB, Spurrell EB, et al. Using the eating disorder examination to identify the specific psychopathology of binge eating disorder. Int J Eat Disord 2000; 27: 259–69.

    Article  CAS  PubMed  Google Scholar 

  4. Telch CF, Stice E. Psychiatric comorbidity in women with binge eating disorder: prevalence rates from a non-treatment-seeking sample. J Consult Clin Psychol 1998; 66: 768–76.

    Article  CAS  PubMed  Google Scholar 

  5. Yanovski SZ, Nelson JE, Dubbert BK, et al. Association of binge eating disorder and psychiatric comorbidity in obese subjects. Am J Psychiatry 1993; 150: 1472–9.

    CAS  PubMed  Google Scholar 

  6. Nasser JA, Gluck ME, Geliebter A. Impulsivity and test meal intake in obese binge eating women. Appetite 2004; 43: 303–7.

    Article  PubMed  Google Scholar 

  7. Cohen RA, Kaplan RF, Zuffante P, et al. Alteration of intention and self-initiated action associated with bilateral anterior cingulotomy. J Neuropsychiatry Clin Neurosci 1999; 11: 444–53.

    CAS  PubMed  Google Scholar 

  8. Malloy PF, Bihrle A, Duffy J, et al. The orbitomedial frontal syndrome. Arch Clin Neuropsychol 1993; 8: 185–201.

    Article  CAS  PubMed  Google Scholar 

  9. Masterman DL, Cummings JL. Frontal-subcortical circuits: the anatomic basis of executive, social, and motivated behaviors. J Psychopharmacol 1997; 11: 107–14.

    Article  CAS  PubMed  Google Scholar 

  10. Del Parigi A, Chen K, Salbe AD, et al. Neuronal markers of increased risk of obesity in humans. Int J Obes (Lond) 2002; 26: S75.

    Google Scholar 

  11. Del Parigi A, Gautier J, Chen K, et al. Mapping the brain responses to hunger and satiation in humans using positron emission tomography. Neuroimaging and Obesity 2002; 967: 389–97.

    Google Scholar 

  12. Gautier J, Del Parigi A, Chen K. Effect of satiation on brain activity in obese and lean women. Obes Res 2001; 9: 676–84.

    Article  CAS  PubMed  Google Scholar 

  13. Small D, Zatorre RJ, Dagher A, et al. Changes in brain activity related to eating chocolate: from pleasure to aversion. Brain 2001; 124: 1720–33.

    Article  CAS  PubMed  Google Scholar 

  14. Tataranni P, Del Parigi A. Functional neuroimaging: a new generation of human brain studies in obesity research. Obes Rev 2003; 4: 229–38.

    Article  CAS  PubMed  Google Scholar 

  15. Terry P, Gilbert D, Cooper S. Dopamine receptor subtype agonists and feeding behavior. Obes Res 1995; 4: 515S–23S.

    Article  Google Scholar 

  16. Wang G, Volkow N, Logan J, et al. Brain dopamine and obesity. Lancet 2001; 357: 354–7.

    Article  CAS  PubMed  Google Scholar 

  17. Karhunen LJ, Vanninen EJ, Kuikka JT, et al. Regional cerebral blood flow during exposure to food in obese binge eating women. Psychiatry Res: Neuroimaging 2000; 99: 29–42.

    Article  CAS  PubMed  Google Scholar 

  18. Schienle A, Schäfer A, Hermann A, et al. Binge-eating disorder: reward sensitivity and brain activation to images of food. Biol Psychiatry 2009; 65: 654–61.

    Article  PubMed  Google Scholar 

  19. Ferraro FR, Wonderlich S, Jocic Z. Performance variability as a new theoretical mechanism regarding eating disorders and cognitive processing. J Clin Psychol 1997; 53: 117–21.

    Article  CAS  PubMed  Google Scholar 

  20. Lauer CJ, Gorzewski B, Gerlinghoff M, et al. Neuropsychological assessments before and after treatment in patients with anorexia nervosa and bulimia nervosa. J Psychiatr Res 1999; 33: 129–38.

    Article  CAS  PubMed  Google Scholar 

  21. Boeka AG, Lokken KL. The Iowa Gambling Task as a measure of decision-making in women with bulimia nervosa. J Int Neuropsychol Soc 2006; 12: 741–5.

    Article  PubMed  Google Scholar 

  22. Grace J, Malloy PF. Frontal Systems Behavior Scale. Lutz, FL, Psychological Assessment Resources, Inc, 2001.

    Google Scholar 

  23. Grace J, Stout JC, Malloy PF. Assessing frontal lobe behavioral syndromes with the Frontal Lobe Personality Scale. Assessment 1999; 6: 269–84.

    Article  CAS  PubMed  Google Scholar 

  24. Kawada R, Yoshizumi M, Hirao K, et al. Brain volume and dysexecutive behavior in schizophrenia. Prog Neuropsychopharmacol Biol Psychiatry 2009; 33: 1253–60.

    Article  Google Scholar 

  25. Velligan DI, Ritch JL, Sui D, et al. Frontal Systems Behavior Scale in schizophrenia: relationships with psychiatric symptomatology, cognition and adaptive function. Psychiatry Res 2002; 113: 227–36.

    Article  PubMed  Google Scholar 

  26. Basso MR, Shields IS, Lowery N, et al. Self-reported executive dysfunction, neuropsychological impairment, and functional outcomes in multiple sclerosis. J Clin Exp Neuropsychol 2008; 30: 920–30.

    Article  PubMed  Google Scholar 

  27. Paulsen JS, Stout JC, DeLaPena J, et al. Frontal behavioral syndromes in cortical and subcortical dementia. Assessment 1996; 3: 327–37.

    Article  Google Scholar 

  28. Spinella M, Lyke J. Executive personality traits and eating behavior. Int J Neurosci 2004; 114: 83–93.

    Article  PubMed  Google Scholar 

  29. Spitzer RL, Yanovski S, Wadden T, et al. Binge eating disorder: its further validation in a multisite study. Int J Eat Disord 1993; 13: 137–53.

    Article  CAS  PubMed  Google Scholar 

  30. Wilkinson GS, Robertson GJ. Wide Range Achievement Test — Fourth Edition. Lutz, FL, Psychological Assessment Resources, 2006.

    Google Scholar 

  31. Wechsler D. Wechsler Abbreviated Scale of Intelligence (WASI) Manual. San Antonio Harcourt Assessment, 1999.

    Google Scholar 

  32. Davis C, Patte K, Curtis C, et al. Immediate pleasures and future consequences. A neuropsychological study of binge eating and obesity. Appetite 2010; 54: 208–13.

    Article  PubMed  Google Scholar 

  33. Boeka AG, Lokken KL. Neuropsychological performance of a clinical sample of extremely obese individuals. Arch Clin Neuropsychol 2008; 23: 467–74.

    Article  PubMed  Google Scholar 

  34. Davis C, Levitan RD, Muglia P, et al. Decision-Making deficits and overeating: A risk model for obesity. Obesity Res 2004; 12: 929–35.

    Article  Google Scholar 

  35. Elias MF, Elias PK, Sullivan LM, et al. Obesity, diabetes and cognitive deficit: The Framingham Heart Study. Neurobiol Aging 2005; 26: 11–6.

    Article  PubMed  Google Scholar 

  36. Gunstad J, Paul RH, Cohen RA, et al. Elevated body mass index is associated with executive dysfunction in otherwise healthy adults. Compr Psychiatry 2007; 48: 57–61.

    Article  PubMed  Google Scholar 

  37. Davis C, Fox J. Sensitivity to reward and body mass index (BMI): Evidence for a non-linear relationship. Appetite 2008; 50: 43–9.

    Article  PubMed  Google Scholar 

  38. Zawacki TM, Grace J, Paul RH, et al. Impact of apathy on the prediction of functional abilities of vascular dementia patients. J Neuropsychiatry Clin Neurosci 2002; 14: 296–302.

    Article  PubMed  Google Scholar 

  39. Ready RE, Stierman L, Paulsen J. Ecological validity of neuropsychological and personality measures of executive functions. Clin Neuropsychol 2001; 15: 314–24.

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to A. G. Boeka PhD.

Additional information

This research was conducted while Drs. Boeka and Lokken were affiliated with the University of Alabama at Birmingham, Department of Psychiatry and Behavioral Neurobiology, Birmingham, Alabama, USA

Rights and permissions

Reprints and permissions

About this article

Cite this article

Boeka, A.G., Lokken, K.L. Prefrontal systems involvement in binge eating. Eat Weight Disord 16, e121–e126 (2011). https://doi.org/10.1007/BF03325317

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF03325317

Key words

Navigation