Assessment of loss‐of‐control eating in healthy youth by interview and questionnaire

Altman, Deborah R.; Tanofsky‐Kraff, Marian; Shank, Lisa M.; Swanson, Taylor N.; Ramirez, E.R.; Moore, Nia A.; Rubin, Sarah G.; Byrne, Meghan E.; LeMay‐Russell, Sarah; Schvey, Natasha A.; Kelly, Nichole R.; Parker, Megan N.; Gubbi, Sriram; Brady, Sheila M.; Yanovski, Susan Z.; Yanovski, Jack A.

doi:10.1002/eat.23262

Cited by 10 publications

(6 citation statements)

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“…Therefore, we were not able to examine the prevalence and correlates for BED diagnosis and symptom severity. Furthermore, only adolescents self-reported on their binge eating symptoms while the use of multiple informants or a clinical interview could be preferred [ 26 ]. For instance, female adolescents were more likely to self-report binge eating symptoms than boys, while parental reports on adolescent binge eating symptoms, showed an almost equal distribution of binge eating among boys and girls [ 69 ].…”

Section: Discussionmentioning

confidence: 99%

“…The previous studies on potential risk factors for overeating, LOC eating and binge eating were often cross-sectional [ 1 , 18 , 20 , 21 , 25 , 26 , 28 , 32 ], conducted in samples of adolescents with overweight/obesity, high-risk groups or girls alone [ 13 , 15 , 19 , 24 , 27 ] or examined relationships in late adolescence [ 15 ]. This highlights the need for prospective population-based studies on binge eating in early adolescence.…”

Section: Introductionmentioning

confidence: 99%

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Subclinical binge eating symptoms in early adolescence and its preceding and concurrent factors: a population-based study

Derks

Harris²,

Staats

et al. 2022

J Eat Disord

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Objective Binge eating, loss of control eating and overeating often develop during late childhood or early adolescence. Understanding the presentation of binge eating as early as symptoms manifest and its preceding and concurrent factors is essential to hamper the development of eating disorders. This study examined the prevalence, concurrent and preceding factors (e.g. compensatory behaviors, emotional and behavioral problems) of subclinical binge eating symptoms in early adolescence. Methods Data from the population-based Generation R Study were used (n = 3595). At 10 years and 14 years, preceding and concurrent factors including eating behaviors, body dissatisfaction, emotional and behavioral problems and body composition were assessed. At 14 years, 3595 adolescents self-reported on binge eating symptoms in the past 3 months and were categorized into four groups: no symptoms (n = 3143, 87.4%), overeating only (n = 121, 3.4%), loss of control (LOC) eating only (n = 252, 7.0%) or binge eating (i.e. both, n = 79, 2.2%). Results In total, 452 (12.6%) young adolescents reported subclinical binge eating symptoms. Those who reported LOC eating and binge eating showed most compensatory behaviors (e.g. hide or throw away food, skipping meals). Concurrent emotional and behavioral problems, body dissatisfaction, more emotional-, restrained- and uncontrolled eating, and a higher BMI were associated with subclinical binge eating symptoms. Preceding self-reported emotional and behavioral problems, body dissatisfaction, more restrained eating and higher BMI (both fat mass and fat-free mass) at 10 years were associated with LOC eating and binge eating, but not with overeating. Discussion Among young adolescents, subclinical binge eating symptoms were common. Considering the high prevalence of LOC eating, and the overlapping preceding and concurrent factors of LOC eating and binge eating compared to overeating, LOC eating seems to be a key symptom of binge eating in early adolescence.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Subclinical binge eating symptoms in early adolescence and its preceding and concurrent factors: a population-based study

Derks

Harris²,

Staats

et al. 2022

J Eat Disord

View full text Add to dashboard Cite

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“…Notably, both EAH and emotional‐eating were assessed by questionnaire. Interview‐based measures, such as the Eating Disorder Examination , tend to be more conservative than questionnaire methods, which are also more vulnerable to subjective bias 56 . Indeed, youth who report higher scores on one questionnaire tend to also endorse higher scores on others, even when measuring different constructs 57,58 .…”

Section: Discussionmentioning

confidence: 99%

A comparison of negative affect and disinhibited eating between children with and without parents with type 2 diabetes

et al. 2021

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Background Children whose parents have type 2 diabetes (T2D) are at high‐risk for developing T2D. In youth, negative affect has been shown to predict insulin resistance (IR), and disinhibited‐eating behaviors have been linked to IR. It is unknown if youth with a parent with T2D (P‐T2D) report greater psychological and behavioral symptoms than those without a P‐T2D. Objective To compare youth with and without a P‐T2D on symptoms of negative affect and disinhibited‐eating. Methods Nine‐hundred thirty‐two youth (13.3 ± 2.6 years; BMIz 1.06 ± 1.06; 67.8% female; 53.6% people of color; 10.7% with a P‐T2D) completed questionnaires of anxiety and depressive symptoms, eating in the absence of hunger, and emotional‐eating. Loss‐of‐control (LOC)‐eating was assessed by interview. In two separate subsamples, energy intake was explored using laboratory test meals simulating eating in the absence of hunger and LOC‐eating, respectively. Analyses were adjusted for age, sex, race/ethnicity. In follow‐up analyses, fat mass (kg) and height, and IR were included as covariates, respectively. Results Adjusting for all covariates including adiposity and IR, compared to youth without a P‐T2D, youth with a P‐T2D reported more anxiety and depression symptoms, greater eating in the absence of hunger, and emotional‐eating (ps < 0.05). No significant differences were found for LOC‐eating, or in exploratory analyses of energy intake for either test meal (ps > 0.16). Conclusions Self‐reported negative affect and disinhibited‐eating may be higher among youth with P‐T2D compared to those without P‐T2D. Prospective studies should examine, among those with a P‐T2D, what role such symptoms may play for their subsequent risk for T2D.

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“…95,[210][211][212] Contrasting with potential benefits with regard to perceived anonymity and privacy, self-report questionnaires have generally been found to have poorer sensitivity and specificity for detecting ED pathology among adolescents, particularly subthreshold symptoms. 47,[213][214][215] It is possible that clinician rapport, warmth, and validation might actually increase the likelihood of reporting certain sensitive behaviors during face-to-face interview-based assessments compared to self-report formats. Moreover, the ability to clarify complex concepts, such as loss-of-control eating and overvaluation of weight and shape, may facilitate more accurate ratings by adolescents at risk for developing EDs.…”

Section: Integrating the Ede Interview And Self-report Ed Questionnairesmentioning

confidence: 99%

Practical Considerations for Using the Eating Disorder Examination Interview with Adolescents

Parker¹,

Lavender²,

Schvey³

et al. 2023

AHMT

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Approximately 35 years after its initial publication, the Eating Disorder Examination (EDE) remains one of the most widely used semi-structured interviews for assessing eating disorder diagnoses and symptomatology. Although the interview provides certain advantages over other common measurement approaches (ie, questionnaires), there are particular considerations regarding the EDE that warrant attention, including in its use with adolescents. The aims of this paper are therefore to: 1) provide a brief overview of the interview itself, as well as a description of its origin and underlying conceptual framework; 2) describe relevant factors for administering the interview with adolescents; 3) review potential limitations regarding use of the EDE with adolescents; 4) address considerations for using the EDE with pertinent subpopulations of adolescents who may experience distinct eating disorder symptoms and/or risk factors; and 5) discuss the integration of self-report questionnaires with the EDE. Advantages of using the EDE include the ability for interviewers to clarify complex concepts and mitigate inattentive responding, enhanced orientation to the interview timeframe to improve recall, increased diagnostic accuracy compared to questionnaires, and accounting for potentially salient external factors (eg, food/eating rules imposed by a parent/guardian). Limitations include more extensive training requirements, greater assessment burden, variable psychometric performance across subgroups, lack of items evaluating muscularity-oriented symptoms and avoidant/restrictive food intake disorder diagnostic criteria, and lack of explicit consideration for salient risk factors other than weight and shape concerns (eg, food insecurity).

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Assessment of loss‐of‐control eating in healthy youth by interview and questionnaire

Cited by 10 publications

References 50 publications

Subclinical binge eating symptoms in early adolescence and its preceding and concurrent factors: a population-based study

Subclinical binge eating symptoms in early adolescence and its preceding and concurrent factors: a population-based study

A comparison of negative affect and disinhibited eating between children with and without parents with type 2 diabetes

Practical Considerations for Using the Eating Disorder Examination Interview with Adolescents

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