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Journal of Pediatric Psychology Advance Access published online on June 25, 2006
Journal of Pediatric Psychology, doi:10.1093/jpepsy/jsl012
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Journal of Pediatric Psychology Published by Oxford University Press 2006
Received July 29, 2005
Revised January 18, 2006
Accepted February 19, 2006

Article

Binge Eating in Overweight Treatment-Seeking Adolescents

Deborah R. Glasofer MA 1, Marian Tanofsky-Kraff PhD 2 *, Kamryn T. Eddy MA 3, Susan Z. Yanovski MD 4, Kelly R. Theim BA 2, Margaret C. Mirch BS 2, Samareh Ghorbani BS 5, Lisa M. Ranzenhofer BS 5, David Haaga PhD 6, and Jack A. Yanovski MD, PhD 2

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

* To whom correspondence should be addressed.
Marian Tanofsky-Kraff, 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.

Keywords: adolescents; binge eating; binge eating disorder; obesity.
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