Subtyping children and adolescents with loss of control eating by negative affect and dietary restraint
Open accessAbstract
Objective Research suggests that subtyping adults with binge eating disorders by dietary restraint and negative affect predicts comorbid psychopathology, binge eating severity, and treatment outcome. Little research has explored the validity and clinical utility of subtyping youth along these dimensions.Method Children (aged 8-18 years) reporting loss of control eating (n=159) were characterized based upon measures of dietary restraint and negative affect using cluster analysis, and then compared regarding disordered eating attitudes and behaviors, and parent-reported behavior problems.Results Robust subtypes characterized by dietary restraint (n=114; 71.7%) and dietary restraint/high negative affect (n=45; 28.3%) emerged. Compared to the former group, the dietary restraint/high negative affect subtype evidenced increased shape and weight concerns, more frequent binge eating episodes, and higher rates of parent-reported problems (all ps<0.05).Conclusion Similar to findings from the adult literature, the presence of negative affect may mark a more severe variant of loss of control eating in youth. Future research should explore the impact of dietary restraint/negative affect subtypes on psychiatric functioning, body weight, and treatment outcome.
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A substantial group of youth experiences LOC, defined as loss of control eating over smaller food amounts that do not fulfil DSM-5 criteria for an objectively large amount but have equivalent psychopathological relevance.
“A substantial group of youth experiences LOC, defined as loss of control eating over smaller food amounts which do not fulfil the criteria of an objective large food amount as required according to DSM-5, but with equivalent psychopathological relevance [7, 8].”
From Correlates of interpersonal emotion regulation problems in Loss of Control eating (LOC) in youth: study protocol of the combined online and App based questionnaire, laboratory and randomized controlled online intervention i-BEAT trial (2021) · cites this paper as [7]
The Introduction (page unavailable) says LOC eating is common in youth, and the Methods (2.3, page unavailable) include episodes without an unambiguously large amount of food. The Methods (2.1, page unavailable) say LOC is associated with elevated psychopathology irrespective of episode size, but do not establish equivalent psychopathology for smaller and larger episodes. The paper cites a 1994 diagnostic definition, not DSM-5 criteria. (LLM, conf=0.86)
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Pathways to eating in children and adolescents with obesity
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Binge Eating in Obese Adolescents: An Evolutionary Concept Analysis
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Self-citationDiagnostic evolution and symptomatic development of eating disorders: A retrospective study
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Imagen corporal y orientación sexual. Deseo de un modelo corporal masculino ideal
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- Authors
- Goldschmidt, A. B., Tanofsky-Kraff, M., Goossens, L., Eddy, K. T., Ringham, R., Yanovski, S. Z., Braet, C., Marcus, M. D., Wilfley, D. E., & Yanovski, J. A.
- Affiliations
- Washington University in St. Louis (US)
- Ghent University (BE)
- Boston Children's Hospital (US)
- University of Pittsburgh Medical Center (US)
- National Institutes of Health (US)
- ORCID
- Venue
- Behaviour Research and Therapy
- Publisher
- Elsevier BV
- Published
- 2008-07
- Volume
- 46
- Issue
- 7
- Pages
- 777-787
- ISSN
- 0005-7967 (ISSN-L)
- PMC
- PMC2453310
- OpenAlex
- W2029172035
- Cited by
- 46
- References
- 81
- Citations by year
- 2025: 2 · 2024: 1 · 2023: 2 · 2022: 5 · 2021: 2 · 2020: 2 · 2019: 2 · 2018: 3 · 2017: 1 · 2016: 1 · 2015: 2 · 2014: 3 · 2013: 6 · 2012: 2
- FWCI
- 4.45
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Behaviour Research and Therapy (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Ghent University Academic Bibliography (Ghent University) (submittedVersion)
- Funders
- Francis Crick Institute
- National Institutes of Health (Z99HD999999, 1f31mh071019-01a1)
- Medical Center, University of Pittsburgh
- National Heart, Lung, and Blood Institute (HL076852=076858, R24HL076852, T32HL007456, R24HL076858)
- National Institute of Mental Health (K24MH070446, F31-MH071019)
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (Z01 HD-00641, Z01HD000641, T32HD007456)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
- Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
- Health Sciences › Medicine › Psychiatry and Mental health › Child Nutrition and Feeding Issues
- Keywords
- loss of control eating, binge eating, dietary restraint, negative affect, subtyping, children and adolescents, disordered eating attitudes, body image concern, weight concern, parent-reported behavior problems
- MeSH terms
- Adolescent, Affect, Bulimia, Child, Diet, Reducing, Feeding Behavior, Female, Humans, Male, Patient Acceptance of Health Care, Prognosis, Psychiatric Status Rating Scales, Psychometrics
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
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