Portions of the present data were presented at the Eighth New York International Conference on Eating Disorders, New York, NY, April, 1998.
What's driving the binge in binge eating disorder?: A prospective examination of precursors and consequences†
Article first published online: 13 NOV 2006
Copyright © 2006 Wiley Periodicals, Inc.
International Journal of Eating Disorders
Volume 40, Issue 3, pages 195–203, April 2007
How to Cite
Stein, R. I., Kenardy, J., Wiseman, C. V., Dounchis, J. Z., Arnow, B. A. and Wilfley, D. E. (2007), What's driving the binge in binge eating disorder?: A prospective examination of precursors and consequences. Int. J. Eat. Disord., 40: 195–203. doi: 10.1002/eat.20352
- Issue published online: 23 FEB 2007
- Article first published online: 13 NOV 2006
- Manuscript Accepted: 5 SEP 2006
- National Institutes of Health and by Weight Watchers Foundation, Inc. Grant Number: #5R29 MH51384-05
- binge eating disorder;
- Ecological Momentary Assessment;
- negative affect;
- experience sampling
Previous research, mostly using retrospective reports, indicated a relation of negative affect and dietary restraint with the occurrence of binge episodes in binge eating disorder (BED). We employed Ecological Momentary Assessment (EMA) to better understand precursors and consequences of binge eating.
Thirty-three females with BED carried a handheld computer for 7 days, and were periodically prompted to indicate their current emotions, hunger, and binge status.
Negative mood and hunger were significantly higher at prebinge than at nonbinge times, but negative mood was even higher at postbinge. Participants attributed binge episodes to mood more frequently than to hunger or abstinence violation.
The finding that negative mood is actually heightened subsequent to a binge suggests the need to further investigate what is reinforcing about a binge, including possible escape from self-awareness. Strengths of EMA technology are discussed, as well as its broad utility in BED assessment and treatment. © 2006 by Wiley Periodicals, Inc. Int J Eat Disord 2006