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Cited by 34Eating Disorders and BehaviorsNutrition, Health and Food BehaviorChild Nutrition and Feeding Issues

On the relation of attempting to lose weight, restraint, and binge eating in outpatients with binge eating disorder

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Masheb, Robin M., Grilo, Carlos M.·2000·Obesity Research
DOI 10.1038/oby.2000.82
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Abstract

OBJECTIVE: To examine the relationship among attempts to lose weight, restraint, and eating behavior in outpatients with binge eating disorder (BED). RESEARCH METHODS AND PROCEDURES: Participants were 93 consecutive outpatients evaluated for a clinical trial who met Diagnostic and Statistical Manual, Fourth edition criteria for BED. The Eating Disorder Examination Interview was administered to assess attempts at weight loss, restraint, different forms of overeating, and the attitudinal psychopathology of eating disorders (i.e., concerns regarding eating, shape, and weight). In addition, the Three-Factor Eating Questionnaire was used to assess cognitive restraint, hunger, and disinhibition. Psychometrically established measures were given to assess body dissatisfaction, depression, and self-esteem. RESULTS: The majority of participants (75.3%; N = 70) reported attempting to lose weight, but only 37.6% (N = 35) reported dietary restraint on at least half the days of the month. Dietary restraint and cognitive restraint were not associated with any form of binge eating or overeating. Dietary restraint and cognitive restraint were positively correlated with weight concern, shape concern, and body dissatisfaction, and negatively correlated with body mass index. To further examine the interplay between attempting to lose weight and restraint, three study groups were created: unrestrained nonattempters (21.5%, N = 20), unrestrained attempters (40.9%; N = 38), and restrained attempters (34.4%; N = 32). The three groups did not differ significantly on binge eating or other eating behaviors; however, significant differences were observed for weight concern, shape concern, and body dissatisfaction. DISCUSSION: Attempts to lose weight and restraint are not synonymous for patients with BED. Although 75.3% of BED patients reported that they were attempting to lose weight, only 37.6% reported dietary restraint on at least half the days of the previous month. While restraint was negatively associated with body mass index, it was not related to binge eating or overeating. Our findings raise questions about prevailing models that posit restraint as a predominant factor in the maintenance of binge eating in BED.

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  11. Binge Eating Disorder, Masheb and Grilo OBESITY RESEARCH Vol. 8 No. 9 December 2000 645 15508528, 2000, 9, Downloaded from https://onlinelibrary.wiley.com/doi/10.1038/oby.2000.82
  12. by Readcube (Labtiva Inc.), Wiley Online Library on [11/06/2023]. See the Terms and Conditions (https://onlinelibrary.wiley.com/terms-and-conditions) on Wiley Online Library for rules of use; OA articles are governed by the applicable Creative Commons License

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Authors
Masheb, R. M., & Grilo, C. M.
Affiliations
Yale University (US)
Corresponding author
Masheb, Robin M.
ORCID
Venue
Obesity Research
Publisher
Wiley
Published
2000-12
Volume
8
Issue
9
Pages
638-645
ISSN
  • 1071-7323 (ISSN-L)
  • 1550-8528
DOI
10.1038/oby.2000.82
OpenAlex
W2027585583
Cited by
34
References
49
Citations by year
2025: 1 · 2024: 2 · 2022: 1 · 2021: 1 · 2020: 2 · 2016: 1 · 2014: 1
FWCI
1.33
Type
journal article
Language
en
Open access
Licence
onlinelibrary.wiley.com/termsAndConditions#vor (vor, 4297 d)
Locations
  • Obesity Research (publishedVersion)
  • PubMed (publishedVersion)
Funders
  • National Institutes of Health (DK49587)
  • National Institute of Diabetes and Digestive and Kidney Diseases (DK49587)
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
binge eating disorder, weight loss attempts, dietary restraint, cognitive restraint, binge eating, overeating, body dissatisfaction, weight concern, shape concern, body mass index, eating disorder psychopathology, disinhibition, hunger
MeSH terms
Adult, Ambulatory Care, Analysis of Variance, Bulimia, Diet, Reducing, Eating, Feeding Behavior, Female, Humans, Male, Middle Aged, Psychometrics, Surveys and Questionnaires, Self Concept, Weight Loss

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