TY - JOUR
T1 - Subjective and objective binge eating in relation to eating disorder symptomatology, negative affect, and personality dimensions
AU - Brownstone, Lisa M.
AU - Bardone-Cone, Anna M.
AU - Fitzsimmons-Craft, Ellen E.
AU - Printz, Katherine S.
AU - Le Grange, Daniel
AU - Mitchell, James E.
AU - Crow, Scott J.
AU - Peterson, Carol B.
AU - Crosby, Ross D.
AU - Klein, Marjorie H.
AU - Wonderlich, Stephen A.
AU - Joiner, Thomas E.
PY - 2013/1
Y1 - 2013/1
N2 - Objective: The current study explored the clinical meaningfulness of distinguishing subjective (SBE) from objective binge eating (OBE) among individuals with threshold/subthreshold bulimia nervosa (BN). We examined relations between OBEs and SBEs and eating disorder symptoms, negative affect, and personality dimensions using both a group comparison and a continuous approach. Method: Participants were 204 adult females meeting criteria for threshold/subthreshold BN who completed questionnaires related to disordered eating, affect, and personality. Results: Group comparisons indicated that SBE and OBE groups did not significantly differ on eating disorder pathology or negative affect, but did differ on two personality dimensions (cognitive distortion and attentional impulsivity). Using the continuous approach, we found that frequencies of SBEs (not OBEs) accounted for unique variance in weight/shape concern, diuretic use frequency, depressive symptoms, anxiety, social avoidance, insecure attachment, and cognitive distortion. Discussion: SBEs in the context of BN may indicate broader areas of psychopathology.
AB - Objective: The current study explored the clinical meaningfulness of distinguishing subjective (SBE) from objective binge eating (OBE) among individuals with threshold/subthreshold bulimia nervosa (BN). We examined relations between OBEs and SBEs and eating disorder symptoms, negative affect, and personality dimensions using both a group comparison and a continuous approach. Method: Participants were 204 adult females meeting criteria for threshold/subthreshold BN who completed questionnaires related to disordered eating, affect, and personality. Results: Group comparisons indicated that SBE and OBE groups did not significantly differ on eating disorder pathology or negative affect, but did differ on two personality dimensions (cognitive distortion and attentional impulsivity). Using the continuous approach, we found that frequencies of SBEs (not OBEs) accounted for unique variance in weight/shape concern, diuretic use frequency, depressive symptoms, anxiety, social avoidance, insecure attachment, and cognitive distortion. Discussion: SBEs in the context of BN may indicate broader areas of psychopathology.
KW - affect
KW - bulimia nervosa
KW - objective binge eating
KW - personality
KW - subjective binge eating
UR - http://www.scopus.com/inward/record.url?scp=84871343942&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84871343942&partnerID=8YFLogxK
U2 - 10.1002/eat.22066
DO - 10.1002/eat.22066
M3 - Article
C2 - 23109272
AN - SCOPUS:84871343942
SN - 0276-3478
VL - 46
SP - 66
EP - 76
JO - International Journal of Eating Disorders
JF - International Journal of Eating Disorders
IS - 1
ER -