Using the eating disorder examination to identify the specific psychopathology of binge eating disorder.

OBJECTIVE: The clinical features of binge eating disorder (BED) are not well established. Therefore, a comprehensive assessment of the specific psychopathology of BED as compared to anorexia nervosa (AN) and bulimia nervosa (BN) is warranted. This comparison was the aim of the present study. METHOD:...

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প্রধান লেখক: Wilfley, D, Schwartz, M, Spurrell, E, Fairburn, C
বিন্যাস: Journal article
ভাষা:English
প্রকাশিত: 2000
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author Wilfley, D
Schwartz, M
Spurrell, E
Fairburn, C
author_facet Wilfley, D
Schwartz, M
Spurrell, E
Fairburn, C
author_sort Wilfley, D
collection OXFORD
description OBJECTIVE: The clinical features of binge eating disorder (BED) are not well established. Therefore, a comprehensive assessment of the specific psychopathology of BED as compared to anorexia nervosa (AN) and bulimia nervosa (BN) is warranted. This comparison was the aim of the present study. METHOD: Detailed ratings from an investigator-based interview, the Eating Disorders Examination (EDE), were compared across three groups of female patients: those with BED, AN, and BN, as well as normal-weight and overweight control subjects. RESULTS: When comparing BED to AN and BN, patients with BED had lower levels of restraint, eating concerns comparable to AN patients but lower than BN patients, and weight and shape concerns comparable to BN patients but higher than AN patients. Significantly more eating disorder psychopathology was found for BED patients as compared to the overweight controls on all bar the EDE restraint subscale. On the majority of individual EDE items, BED patients' scores were similar to those of AN and BN patients, including importance of shape and weight in self-evaluation and preoccupation with shape and weight. No significant relationship was found between BED patients' degree of overweight and eating psychopathology. DISCUSSION: Our findings support the status of BED as an eating disorder and suggest that the elevated EDE scores reflect the combined impact of being objectively overweight and having disordered cognitions and behaviors about eating, shape, and weight.
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spelling oxford-uuid:be3965a9-1c25-471c-b7bf-b774fa42f9802022-03-27T05:37:36ZUsing the eating disorder examination to identify the specific psychopathology of binge eating disorder.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:be3965a9-1c25-471c-b7bf-b774fa42f980EnglishSymplectic Elements at Oxford2000Wilfley, DSchwartz, MSpurrell, EFairburn, COBJECTIVE: The clinical features of binge eating disorder (BED) are not well established. Therefore, a comprehensive assessment of the specific psychopathology of BED as compared to anorexia nervosa (AN) and bulimia nervosa (BN) is warranted. This comparison was the aim of the present study. METHOD: Detailed ratings from an investigator-based interview, the Eating Disorders Examination (EDE), were compared across three groups of female patients: those with BED, AN, and BN, as well as normal-weight and overweight control subjects. RESULTS: When comparing BED to AN and BN, patients with BED had lower levels of restraint, eating concerns comparable to AN patients but lower than BN patients, and weight and shape concerns comparable to BN patients but higher than AN patients. Significantly more eating disorder psychopathology was found for BED patients as compared to the overweight controls on all bar the EDE restraint subscale. On the majority of individual EDE items, BED patients' scores were similar to those of AN and BN patients, including importance of shape and weight in self-evaluation and preoccupation with shape and weight. No significant relationship was found between BED patients' degree of overweight and eating psychopathology. DISCUSSION: Our findings support the status of BED as an eating disorder and suggest that the elevated EDE scores reflect the combined impact of being objectively overweight and having disordered cognitions and behaviors about eating, shape, and weight.
spellingShingle Wilfley, D
Schwartz, M
Spurrell, E
Fairburn, C
Using the eating disorder examination to identify the specific psychopathology of binge eating disorder.
title Using the eating disorder examination to identify the specific psychopathology of binge eating disorder.
title_full Using the eating disorder examination to identify the specific psychopathology of binge eating disorder.
title_fullStr Using the eating disorder examination to identify the specific psychopathology of binge eating disorder.
title_full_unstemmed Using the eating disorder examination to identify the specific psychopathology of binge eating disorder.
title_short Using the eating disorder examination to identify the specific psychopathology of binge eating disorder.
title_sort using the eating disorder examination to identify the specific psychopathology of binge eating disorder
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