Self‐Efficacy in Overweight Individuals with Binge Eating Disorder

Miller, Peter M.; Watkins, Julia A.; Sargent, Roger G.; Rickert, Edward J.

doi:10.1002/j.1550-8528.1999.tb00713.x

Cited by 31 publications

(23 citation statements)

References 22 publications

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“…The interrelationships between binge eating and lower self-efficacy (21,23,42,43), emotional eating (44), depression (43,45,46), and perceived stress (20,21) were confirmed; however, binge eating was also highly correlated with food craving. Even though depression, anxiety, and perceived stress were highly correlated with each other, only perceived stress correlated with baseline BMI in the DPP.…”

Section: Psychological and Behavioral Variablesmentioning

confidence: 85%

Psychological and Behavioral Correlates of Baseline BMI in the Diabetes Prevention Program (DPP)

Delahanty

Meigs²,

Hayden³

et al. 2002

Diabetes Care

151

107

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THE DPP RESEARCH GROUP OBJECTIVE -To determine psychological and behavioral correlates of baseline BMI in the Diabetes Prevention Program (DPP).RESEARCH DESIGN AND METHODS -Of 1,079 DPP lifestyle intervention participants, 274 completed validated questionnaires at baseline assessing weight loss history, stage of change, self-efficacy, dietary restraint, emotional eating, binge eating, perceived stress, depression, and anxiety.RESULTS -The mean age of subjects was 52.5 years, 65% were women, and their mean BMI was 33.9 kg/m 2 . Higher BMI correlated with more frequent weight cycling (r ϭ 0.50, P Ͻ 0.0001) and efforts at weight loss (r ϭ 0.34, P Ͻ 0.0001); younger age when first overweight (r ϭ Ϫ0.42, P Ͻ 0.0001); lower exercise efficacy (r ϭ Ϫ0.15, P ϭ 0.015); lower weight loss efficacy (r ϭ Ϫ0.21, P Ͻ 0.001); a less advanced stage of change for weight loss (r ϭ Ϫ0.12, P ϭ 0.04); more perceived stress (r ϭ 0.14, P ϭ 0.02); emotional eating (r ϭ 0.19, P ϭ 0.001); poor dietary restraint (r ϭ Ϫ0.14, P ϭ 0.02); binge eating frequency (r ϭ 0.18, P ϭ 0.004) and severity (r ϭ 0.30, P Ͻ 0.0001); feeling deprived, angry, or upset while dieting (r ϭ 0.27, P Յ 0.0001); and food cravings while dieting (r ϭ 0.31, P Ͻ 0.0001). Correlations did not differ as a function of sex; however, correlations of BMI with anxiety and low-fat diet and weight loss self-efficacy differed as a function of ethnicity. In multivariate models, binge eating severity, poor dietary restraint, and food craving were independent correlates of baseline BMI.CONCLUSIONS -Many psychological and behavioral factors are associated with higher BMI in this ethnically diverse group of men and women. Whether strategies that help patients increase levels of dietary restraint and reduce binge eating and food craving lead to long-term weight loss maintenance needs longitudinal study. Diabetes Care 25:1992-1998, 2002T he Diabetes Prevention Program (DPP) was a randomized clinical trial comparing the efficacy of intensive lifestyle, metformin, and placebo in the prevention of type 2 diabetes in people with impaired glucose tolerance. Subjects randomly assigned to the lifestyle intervention had goals of losing at least 7% of their body weight and maintaining activity levels at Ն150 min per week over 3-6 years (1). Psychological and behavioral determinants of eating and exercise behaviors may be strong predictors of body weight, and understanding these determinants is critical to the goals and outcomes of the DPP. Self-efficacy, perceived stress, depression, anxiety, dietary restraint, emotional eating, binge eating, and stage of change related to weight loss are potentially modifiable variables frequently cited in the literature as important correlates of body weight (2-14). However, it is unclear which of these psychological and behavioral measures are the most robust correlates of weight outcomes. Moreover, most of the research on these correlates of weight outcomes has been conducted primarily in young and middle-aged Caucasian women. Data for men, other races and et...

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Section: Psychological and Behavioral Variablesmentioning

confidence: 85%

Psychological and Behavioral Correlates of Baseline BMI in the Diabetes Prevention Program (DPP)

Delahanty

Meigs²,

Hayden³

et al. 2002

Diabetes Care

151

107

View full text Add to dashboard Cite

show abstract

“…BED is also associated with a history of weight fluctuations (Basdevant et al, 1995;Spitzer et al, 1992Spitzer et al, , 1993Yanovski, 1993), childhood obesity, and a history of critical comments or teasing by family that contribute to dieting risk (Fairburn et al, 1998), interpersonal problems (Eldredge, Locke, & Horowitz, 1998), emotional eating (Eldredge & Agras, 1996), and low self-efficacy (Miller et al, 1999). Similarly, binge eating has been linked with feelings of inferiority (Vollrath et al, 1992).…”

Section: Correlates Of Binge Eating and Bedmentioning

confidence: 99%

Binge eating and binge eating disorder in a small‐scale, indigenous society: The view from Fiji

Becker

Burwell

Navara³

et al. 2003

Intl J Eating Disorders

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Objective: Although the cross-cultural prevalence of anorexia and bulimia nervosa has been investigated in multiple studies, little is known about the prevalence and correlates of binge eating and binge eating disorder (BED) cross-culturally. No published studies to date have explored BED in small-scale, indigenous, or developing societies. The current study investigated the prevalence and correlates of binge eating in a community sample of Fijian women living in rural Fiji. Methods: Fifty ethnic Fijian women completed a self-report measure developed for this study on dieting and attitudes toward body shape and change, a Nadroga-language questionnaire on body image, and the Questionnaire on Eating and Weight Patterns-Revised (QEWP-R). Their height and weight were also measured. Patterns of dieting, high body mass index (BMI), and attitudes toward eating and body image were compared between women with and without a history of binge eating. Results: Ten percent of respondents reported at least weekly episodes of binge eating during the past 6 months and 4% endorsed symptoms consistent with BED. Binge eating in this sample was associated significantly with a BMI value above 35, a history of dieting, and a high concern with body shape. Binge eating was not associated with several markers of acculturation in this sample, although it was associated with a key, nontraditionally Fijian (i.e., acculturated) attitude toward the body. Discussion: Binge eating occurred in a social context with traditions concerning weight and diet widely disparate from Western populations. However, correlates of binge eating in this sample suggest that nontraditional Fijian attitudes toward weight and body shape play a contributory role. # 2003 by Wiley Periodicals, Inc. Int J Eat Disord 34: 423-431, 2003.

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“…Researchers have found lower self-efficacy ratings among treatment-seeking overweight binge eaters as compared with nonbinge eaters, and binge eating severity has shown an inverse correlation with self-efficacy following treatment for BED. 33,34 Positive correlations between binge eating and depression have been found in obese community samples, as well as among those at risk for obesity. 35,36 Investigation of all three variables at once is rare, however.…”

Section: Introductionmentioning

confidence: 99%

Binge eating disorder, weight control self-efficacy, and depression in overweight men and women

et al. 2004

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OBJECTIVE:To examine binge eating, depression, weight self-efficacy, and weight control success among obese individuals seeking treatment in a managed care organization. DESIGN: Gender-stratified analyses of associations between binge eating, depression, weight self-efficacy, and weight change, using data from a randomized clinical trial that compared low-cost telephone-based, mail-based, and usual care interventions for weight loss. SUBJECTS: A total of 1632 overweight individuals (460 men, 1172 women; mean age: 50.7 y; mean body mass index: 34.2 kg/ m 2 ) were recruited from a large Midwestern US managed care organization. MEASUREMENTS: Height and weight were measured by study personnel at baseline, and self-reported weight was assessed at 6 and 12 months; self-reported depression status, binge eating, and self-efficacy for weight control were assessed at baseline. RESULTS: Lifetime prevalence rates for depression and probable binge eating disorder were high. Weight self-efficacy was inversely related to weight in both men and women. For women, depression was associated with lower weight self-efficacy and higher body weight. Women reporting depression or lower weight self-efficacy at baseline had less weight loss success at 6 and 12 months. Depression, binge eating disorder, and weight self-efficacy were not significantly associated with weight loss success in men. CONCLUSION: Negative emotional states are highly prevalent and predict poor treatment outcomes, particularly for obese women. As obese women with clinical depression typically are excluded from intervention studies, further research on how to address the intersection of obesity intervention and mood management may be warranted.

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Self‐Efficacy in Overweight Individuals with Binge Eating Disorder

Cited by 31 publications

References 22 publications

Psychological and Behavioral Correlates of Baseline BMI in the Diabetes Prevention Program (DPP)

Psychological and Behavioral Correlates of Baseline BMI in the Diabetes Prevention Program (DPP)

Binge eating and binge eating disorder in a small‐scale, indigenous society: The view from Fiji

Binge eating disorder, weight control self-efficacy, and depression in overweight men and women

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