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Long‐term outcome of pediatric eating pathology and predictors for the onset of loss of control over eating following weight‐loss treatment
Author(s) -
Goossens Lien,
Braet Caroline,
Verbeken Sandra,
Decaluwé Veerle,
Bosmans Guy
Publication year - 2011
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.20848
Subject(s) - binge eating , weight loss , overweight , eating disorders , depression (economics) , disordered eating , psychology , obesity , pediatrics , young adult , medicine , psychiatry , clinical psychology , developmental psychology , economics , macroeconomics
Objective To investigate the stability of eating pathology over a 6‐year period and predictors for the onset of loss of control (LC) over eating among overweight youngsters having undergone weight‐loss treatment. Method Structured clinical interviews and self‐report questionnaires were administered to a sample of 56 overweight youngsters ( M age = 13 years) who were at the start of weight‐loss treatment in 2000 and again 6 years later. Results Mean levels of eating concerns, drive for thinness, bulimic symptoms, and body dissatisfaction decreased over the 6‐year period. Dietary restraint, weight, and shape concerns were stable over time. Also, in 50% of those reporting objective binge eating at baseline, binge‐eating episodes remained stable. Youngsters characterized by symptoms of depression in early adolescence were at a higher risk for developing new episodes of LC 6 years later. Neither concerns about eating, shape, and weight nor dietary restraint independently predicted LC. Discussion Six years after following structured weight‐loss treatment, some eating pathology variables still remain stable. Especially youngsters who already report LC at young ages appear to develop a more stable pattern of disordered eating behavior. © 2010 by Wiley Periodicals, Inc. Int J Eat Disord 2010