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The clinical significance of loss of control over eating in overweight adolescents
Author(s) -
Goldschmidt Andrea B.,
Jones Megan,
Manwaring Jamie L.,
Luce Kristine H.,
Osborne Megan I.,
Cunning Darby,
Taylor Katie L.,
Doyle Angela Celio,
Wilfley Denise E.,
Taylor C. Barr
Publication year - 2008
Publication title -
international journal of eating disorders
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.785
H-Index - 138
eISSN - 1098-108X
pISSN - 0276-3478
DOI - 10.1002/eat.20481
Subject(s) - overeating , binge eating , overweight , psychology , subclinical infection , depression (economics) , weight loss , obesity , clinical psychology , binge eating disorder , eating disorders , psychiatry , medicine , bulimia nervosa , economics , macroeconomics
Abstract Objective: Given limited data on the diagnostic validity of binge eating disorder (BED) in adolescents, this study sought to characterize overweight adolescents according to types of overeating episodes. Method: Ninety‐six adolescents (ages 13–17 years) with recurrent binge eating (BE), loss of control with or without overeating (subclinical BE; SUB), overeating without loss of control (OE), and no overeating or loss of control episodes (CONTROL) were compared on weight/shape concerns and depressive symptoms using ANCOVA and post‐hoc least squares difference tests. Results: BE and SUB adolescents had higher weight/shape concern scores than OEs and CONTROLs ( p s < .01). BE and SUB adolescents had higher depression scores than CONTROL adolescents ( p s < .05). BE adolescents had greater depression scores than OE ( p < .01) but not SUB adolescents. Conclusion: Loss of control over eating signals increased impairment independent of overeating in adolescents. Results support refining BED criteria for youth to reflect this distinction. © 2007 by Wiley Periodicals, Inc. Int J Eat Disord, 2008