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Journal of Pediatric Psychology Advance Access originally published online on June 25, 2006
Journal of Pediatric Psychology 2007 32(1):95-105; doi:10.1093/jpepsy/jsl012
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Published by Oxford University Press on behalf of the Society of Pediatric Psychology 2006

Binge Eating in Overweight Treatment-Seeking Adolescents

Deborah R. Glasofer, MA1,2, Marian Tanofsky-Kraff, PhD1, Kamryn T. Eddy, MA3,4, Susan Z. Yanovski, MD5, Kelly R. Theim, BA1, Margaret C. Mirch, BS1, Samareh Ghorbani, BS1,6, Lisa M. Ranzenhofer, BS1,6, David Haaga, PhD2 and Jack A. Yanovski, MD, PhD1

1 Unit on Growth and Obesity, Developmental Endocrinology Branch, National Institute of Child Health and Human Development, 2 Department of Psychology, American University, 3 Center for Anxiety and Related Disorders, Boston University, 4 Optimal Weight for Life Clinic, Children’s Hospital, 5 Division of Digestive Diseases and Nutrition, and, 6 Division of Nutrition Research Coordination, National Institute of Diabetes and Digestive Kidney Diseases, National Institutes of Health, DHHS

All correspondence concerning this article should be addressed to Marian Tanofsky-Kraff, PhD, Unit on Growth and Obesity, DEB, NICHD, NIH, 10 Center Drive, CRC, Room 1-3330 MSC 1103, Bethesda, Maryland 20892-1103. E-mail: tanofskm{at}mail.nih.gov.


  Abstract

Objective To examine the frequency and recency of binge eating in relation to psychopathology in overweight, treatment-seeking adolescents. Methods We investigated psychological correlates of the frequency and recency of reported loss of control (LOC) eating episodes in 160 overweight (body mass index [BMI]: 40.7 ± 8.8 kg/m2) adolescents. On the basis of the responses to the eating disorder examination (EDE), participants were categorized into one of four groups: full-syndrome binge eating disorder (BED); recent but infrequent binge eating (episodes within the 3 months before interview; RECENT-BINGE); remote and infrequent LOC eating (episodes occurring >3 months before assessment; PAST-LOC), or no history of LOC episodes (NE). Results The BED group reported higher EDE scores (global, p < .01), and more negative mood and anxiety than all other groups (p’s < .01). Compared with NE, RECENT-BINGE also reported more anxiety and higher EDE scores (p’s < .01). Conclusions Overweight, treatment-seeking adolescents with BED are clearly distinguishable from teens without the disorder on measures of eating-related psychopathology, mood, and anxiety. RECENT-BINGE, but not PAST-LOC, is also associated with significantly greater eating-related and general psychopathology.

Key words: adolescents; binge eating; binge eating disorder; obesity.


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