Are dietary restraint scales valid measures of acute dietary restriction? Unobtrusive observational data suggest not
Abstract
The finding that dietary restraint scales predict onset of bulimic pathology has been interpreted as suggesting that dieting causes this eating disturbance, despite the dearth of evidence that these scales are valid measures of dietary restriction. The authors conducted 4 studies that tested whether dietary restraint scales were inversely correlated with unobtrusively measured caloric intake. These studies, which varied in foods consumed, settings, and populations, indicated that common dietary restraint scales were largely uncorrelated with acute caloric intake. Results suggest that these scales are not valid measures of short-term dietary restriction and imply that it may be prudent to reinterpret findings from studies thai use these scales, including those that suggest dietary restraint is a risk factor for bulimic pathology.
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The Dutch Restrained Eating Scale correlates with self-reported caloric intake but does not correlate with objectively measured caloric intake.
“Although this scale correlates with self-reported caloric intake, like all dietary restraint or dieting scales, it does not correlate with objectively measured caloric intake (e.g., Ouwens et al., 2003; Stice, et al., 2004).”
From Caloric deprivation increases responsivity of attention and reward brain regions to intake, anticipated intake, and images of palatable foods (2013) · cites this paper as Stice, et al., 2004
The Dutch Restrained Eating Scale has shown internal consistency (α's range from .93 to .95) and temporal reliability (2-week test-retest r = .82).
“This scale has shown internal consistency (α’s range from .93 to .95) and temporal reliability (2-week test-retest r = .82; Stice, et al., 2004; van Strien et al., 1986).”
From Caloric deprivation increases responsivity of attention and reward brain regions to intake, anticipated intake, and images of palatable foods (2013) · cites this paper as Stice, et al., 2004
The present findings may explain why people who attempt to diet do not typically succeed per objective measures of caloric intake.
“The present findings may also explain why people who attempt to diet do not typically succeed per objective measures of caloric intake (e.g., Hetherington et al., 2000; Stice et al., 2004; Sysko et al., 2007).”
From Caloric deprivation increases responsivity of attention and reward brain regions to intake, anticipated intake, and images of palatable foods (2013) · cites this paper as Stice et al., 2004
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High-restrained eaters only overeat when they are also impulsive
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Loss of control over eating reflects eating disturbances and general psychopathology
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The perfectionism model of binge eating: Tests of an integrative model.
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Identifying Dieters Who Will Develop an Eating Disorder: A Prospective, Population-Based Study
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Brain activation in restrained and unrestrained eaters: An fMRI study.
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Testing a Gender Additive Model: The Role of Body Image in Adolescent Depression
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Cues to overeat: psychological factors influencing overconsumption
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Evaluation of a healthy-weight treatment program for bulimia nervosa: A preliminary randomized trial
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Future Directions in Etiologic, Prevention, and Treatment Research for Eating Disorders
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- Authors
- Stice, E., Fisher, M., & Lowe, M. R.
- Affiliations
- The University of Texas at Austin (US)
- Venue
- Psychological Assessment
- Published
- 2004
- Volume
- 16
- Issue
- 1
- Pages
- 51-59
- ISSN
- 1040-3590 (ISSN-L)
- 1939-134X
- OpenAlex
- W2147837561
- Cited by
- 364
- References
- 80
- Citations by year
- 2026: 5 · 2025: 2 · 2024: 3 · 2023: 8 · 2022: 7 · 2021: 9 · 2020: 14 · 2019: 14 · 2018: 10 · 2017: 15 · 2016: 17 · 2015: 45 · 2014: 22 · 2013: 23 · 2012: 20
- FWCI
- 18.00
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Psychological Assessment (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health (5r01mh050271-03)
- National Institute of Mental Health (MH 01708, MH064560, MH 50271, K01MH001708, R01MH064560)
- 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 › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Keywords
- dietary restriction, energy intake, scale validity, bulimia nervosa, dieting, eating disorders, unobtrusive measurement
- MeSH terms
- Adolescent, Adult, Bulimia, Energy Intake, Diet, Reducing, Female, Food Preferences, Humans, Middle Aged, Personality Assessment, Psychometrics, Social Environment, Students, Reproducibility of Results
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