Eating-Disordered Behaviors, Body Fat, and Psychopathology in Overweight and Normal-Weight Children.

Tanofsky‐Kraff, Marian; Yanovski, Susan Z.; Wilfley, Denise E.; Marmarosh, Cheri L.; Morgan, Christina; Yanovski, Jack A.

doi:10.1037/0022-006x.72.1.53

Cited by 323 publications

(409 citation statements)

References 58 publications

(88 reference statements)

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“…7 Only a small subset of children and adolescents meet full Diagnostic and Statistical Manual of Mental Disorders (DSM)-IV-TR criteria for BED, while the experience of LOC eating and emotional eating seem to be more common. 6,[8][9][10][11][12][13][14] Research indicates that emotional eating and binge eating in children and adolescents are associated with anxiety, sadness, and anger 6,12,15 which has previously been shown in adults. [16][17][18][19][20][21] Overweight children 8,12,14 and adolescents 9,10,22 with LOC eating were shown to experience greater eating-related distress, anxiety, and depressive symptoms than those without LOC eating.…”

Section: Introductionmentioning

confidence: 78%

Emotion regulation and binge eating in children

Czaja

Rief

Hilbert

2008

Intl J Eating Disorders

111

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Objective: To examine the ability to regulate emotions in children with binge eating.Method: A community sample of 60 children ages 8-13 with at least one episode of loss of control (LOC) eating during the past 3 months and a matched control group without LOC (n 5 60) underwent a clinical interview (Eating Disorder Examination adapted for Children) and completed self-report questionnaires assessing emotion regulation strategies, eating pathology, and depressive symptoms.Results: Children with LOC eating made a significantly higher use of dysfunctional emotion regulation strategies (p \ .01), especially for the regulation of anxiety (p \ .01). Maladaptive strategies were associated with greater depressiveness (p \ .001). Use of adaptive emotion regulation strategies did not differ between children with and without LOC eating.Discussion: Results document an association between LOC eating and difficulties in regulating negative emotions in children. Interventions targeting LOC eating in children should include training for coping with negative emotions.

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Section: Introductionmentioning

confidence: 78%

Emotion regulation and binge eating in children

Czaja

Rief

Hilbert

2008

Intl J Eating Disorders

111

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“…The EDE has shown excellent reliability and validity, 22,24 and studies indicate that the child interview also demonstrates good reliability and validity. 23,[25][26] Interviewers were trained in the administration of both the adult and child versions of the interview -which capture the same sets of symptoms -and were able to use the more simple language in the child version to ensure comprehension by children and younger adolescents.…”

Section: Intake (Pre-treatment)mentioning

confidence: 99%

Diagnostic Classification of Eating Disorders in Children and Adolescents: How Does DSM-IV-TR Compare to Empirically-Derived Categories?

Eddy

Grange

Crosby

et al. 2010

Journal of the American Academy of Child & Adolescent Psych

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Objective-The purpose of this study was to empirically derive eating disorder phenotypes in a clinical sample of children and adolescents using latent profile analysis (LPA) and compare these latent profile (LP) groups to the DSM-IV-TR eating disorder categories.Method-Eating disorder symptom data collected from 401 youth (ages 7-19; mean 15.14 ± 2.35y) seeking eating disorder treatment were included in LPA; general linear models were used to compare LP groups to DSM-IV-TR eating disorder categories on pre-treatment and outcome indices.Results-Three LP groups were identified: LP1 (n=144), characterized binge eating and purging ("Binge/purge"); LP2 (n=126), characterized by excessive exercise and extreme eating disorder cognitions ("Exercise-extreme cognitions"); and LP3 (n=131), characterized by minimal eating disorder behaviors and cognitions ("Minimal behaviors/cognitions"). Identified LPs imperfectly resembled DSM-IV-TR eating disorders. LP1 resembled bulimia nervosa; LP2 and LP3 broadly resembled anorexia nervosa with a relaxed weight criterion, differentiated by excessive exercise and severity of eating disorder cognitions. LP groups were more differentiated than the DSM-IV-TR categories across pre-treatment eating disorder and general psychopathology indices, as well as weight change at follow-up. Neither LP nor DSM-IV-TR categories predicted change in binge/purge behaviors. Validation analyses suggest these empirically-derived groups improve upon the current DSM-IV-TR categories.Conclusions-In children and adolescents, revisions for DSM-V should consider recognition of patients with minimal cognitive eating disorder symptoms.

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“…) The ChEDE had been used successfully in children as young as 6 years old (Tanofsky-Kraff et al, 2003, 2004. In a community sample of overweight and normal-weight children (6-13 years), the ChEDE revealed excellent interrater reliability (intraclass correlation) for subscales from .95 to .99 (all ps < .001) (Tanofsky-Kraff et al, 2004). Furthermore, the ChEDE demonstrated good internal consistency and discriminant validity in a sample of young girls (8-14 years) diagnosed with anorexia nervosa, selective eating, or food avoidance emotional disorder (Frampton, 1996).…”

Section: Procedures and Assessmentmentioning

confidence: 99%

The perceived onset of dieting and loss of control eating behaviors in overweight children

Tanofsky‐Kraff

Faden

Yanovski

et al. 2005

Int. J. Eat. Disord.

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141

115

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Objective-The current study investigated the self-reported temporal relationships of dieting, binge eating, and overweight in childhood.Method-One hundred five non-treatment-seeking overweight children ages 6-13 years were interviewed with the children's Eating Disorder Examination (ChEDE) and queried regarding dieting, loss of control (LOC) eating, and overweight history. Questionnaires of depressive symptoms, trait anxiety, and parent-reported problems were completed.Results-Sixty percent of the children reported having attempted at least one diet. These children had higher ChEDE scores (global, p < .001), greater body mass index (BMI) and body fat mass (p ≤ .001), and a trend towards an earlier reported age of overweight onset (p = .06) compared with children who had never dieted. The 29.5% of children who reported LOC eating had significantly higher ChEDE scores (global, p < .001), ineffectiveness, negative self-esteem, and externalizing scores (all ps < .05) compared with those who had never experienced LOC eating. Most children reported becoming overweight before either dieting (79.4%) or experiencing LOC eating (63.6%). Among the 25.7% reporting both dieting and LOC eating, two thirds reported LOC eating before dieting. Participants who reported dieting before overweight had higher negative mood scores (p < . 01). Children reporting dieting before LOC eating had higher ChEDE Weight Concern (p < .01) and global (p < .05) scores.Discussion-For overweight, non-treatment-seeking children, both dieting and LOC eating are common. Dieting precedes the development of LOC eating only one third of the time, but is associated with greater disordered eating cognitions. The relationship between childhood-onset dieting and LOC eating in overweight children requires further investigation to determine the causal pathways for the subsequent development of eating disorders.

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Eating-Disordered Behaviors, Body Fat, and Psychopathology in Overweight and Normal-Weight Children.

Cited by 323 publications

References 58 publications

Emotion regulation and binge eating in children

Emotion regulation and binge eating in children

Diagnostic Classification of Eating Disorders in Children and Adolescents: How Does DSM-IV-TR Compare to Empirically-Derived Categories?

The perceived onset of dieting and loss of control eating behaviors in overweight children

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