Binge eating in overweight treatment-seeking adolescents.

Unit on Growth and Obesity, DEB, NICHD, NIH, 10 Center Drive, CRC, Room 1-3330 MSC 1103, Bethesda, Maryland 20892-1103, USA.
Journal of Pediatric Psychology (Impact Factor: 2.91). 06/2006; 32(1):95-105. DOI: 10.1093/jpepsy/jsl012
Source: PubMed

ABSTRACT To examine the frequency and recency of binge eating in relation to psychopathology in overweight, treatment-seeking adolescents.
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/m(2)) 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).
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).
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.

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