A preliminary study of momentary, naturalistic indicators of binge-eating episodes in adults with obesity
Open accessAbstract
Objectives: Binge eating is common in adults with obesity. The Diagnostic and Statistical Manual for Psychiatric Disorders describes five indicators of binge eating (eating more rapidly than usual; eating until uncomfortably full; eating large amounts of food when not physically hungry; eating alone because of embarrassment over how much one is eating; and feeling disgusted with oneself, depressed, or very guilty after overeating), but their validity is unclear. Method: We examined preliminary associations between the five indicators and binge versus nonbinge episodes among 50 adults with obesity via ecological momentary assessment. Results: Generalized linear models revealed that, relative to nonbinge episodes, self‐reported binge episodes were associated with lower pre‐episode hunger ( p = .004), higher postepisode fullness ( p < .001), a greater likelihood of reporting moderate to extreme shame prior to eating in conjunction with eating alone ( p < .001), and a greater likelihood of reporting moderate to extreme disgust, depression, and/or guilt after eating ( p < .001), but not with eating more rapidly than usual ( p = .85). Discussion: Results support the validity of most binge‐eating indicators, although the utility of the rapid eating criterion is questionable. Future research should examine whether modifying these indicators in binge‐eating interventions would reduce the occurrence of loss of control and/or overeating.
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Fear of discrimination and embarrassment due to one's body weight and/or eating behaviors is commonly experienced by people suffering from binge-eating disorder, manifesting as attempts to hide one's behavior and eat in isolation.
“This fear of discrimination and embarrassment due to one’s body weight and/or eating behaviors is commonly experienced by people suffering from binge-eating disorder, for whom such fear manifests as attempts to hide one’s behavior from others and eat in isolation [108].”
From What Is Food Noise? A Conceptual Model of Food Cue Reactivity (2023) · cites this paper as [108]
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What Is Food Noise? A Conceptual Model of Food Cue Reactivity
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- Authors
- Goldschmidt, A. B., Crosby, R. D., Cao, L., Wonderlich, S. A., Mitchell, J. E., Engel, S. G., & Peterson, C. B.
- Affiliations
- Brown University (US)
- University of North Dakota (US)
- Neuropsychiatric Research Institute (US)
- University of Minnesota (US)
- Corresponding author
- Goldschmidt, Andrea B.
- ORCID
- Venue
- International Journal of Eating Disorders
- Publisher
- Wiley
- Published
- 2017-11-07
- Volume
- 51
- Issue
- 1
- Pages
- 87-91
- ISSN
- 0276-3478 (ISSN-L)
- 1098-108X
- PMC
- PMC5745052
- OpenAlex
- W2767297931
- Cited by
- 31
- References
- 16
- Citations by year
- 2026: 1 · 2025: 3 · 2023: 6 · 2022: 9 · 2021: 3 · 2020: 5 · 2019: 3 · 2018: 1
- FWCI
- 3.05
- Type
- journal article
- Language
- en
- Open access
- green
- europepmc.org
- Locations
- International Journal of Eating Disorders (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health (K23‐DK105234, P30‐DK50456)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
- Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Mental Health Research Topics
- Keywords
- binge eating, obesity, ecological momentary assessment, hunger, shame, disgust, guilt, depression, eating alone, loss of control eating, overeating
- MeSH terms
- Adolescent, Adult, Aged, Female, Humans, Male, Middle Aged, Obesity, Young Adult, Binge-Eating Disorder
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