Weight suppression predicts weight gain during inpatient treatment of bulimia nervosa

Lowe, Michael R.; Davis, William J.; Lucks, Dara L; Annunziato, Rachel A.; Butryn, Meghan L.

doi:10.1016/j.physbeh.2005.11.011

Cited by 61 publications

(111 citation statements)

References 23 publications

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“…These results are also consistent with findings indicating that WS is a negative prognostic indicator of response to cognitive-behavioral therapy 2 and a predictor of weight gain during an inpatient hospitalization for BN. 3 The inverse relationship found between the EDE-RE scale and binge eating frequency is consistent with some past research 10,15,30 but appears to be inconsistent with the CBT model of the maintenance of BN. 7,31 In this model, strict dietary restrictions are viewed as a proximal cause of binge eating.…”

Section: Resultssupporting

confidence: 75%

“…Drawing on data from a multisite study of predictors of outcome in cognitive behavior therapy (CBT) for BN 1 , Butryn et al (2006) found that WS at pretreatment was a powerful predictor of drop out from treatment, and among those completing treatment, of an inability to attain abstinence from binge eating and purging. In two other recent studies, WS prospectively predicted the amount of weight gained by patients with BN during a psychiatric hospitalization 3 as well as the amount of weight gained by female freshmen during their first year of college. 4 The evidence that WS predicts treatment outcome and weight gain suggests that WS might contribute not only to the development of BN 2,5,6 but also to its perpetuation.…”

Section: Introductionmentioning

confidence: 99%

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The relationship of weight suppression and dietary restraint to binge eating in bulimia nervosa

Lowe

Thomas

Safer

et al. 2007

Intl J Eating Disorders

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Objective: Recent research has raised important questions about the relationships between weight suppression (WS) (discrepancy between highest-ever and current weight), dietary restraint, and binge eating in bulimia nervosa (BN).Method: In the current study, these variables were studied cross-sectionally through secondary analyses of baseline data collected in a multi-site treatment study. Participants (N 5 182) were treatment-seeking women diagnosed with BN. Dietary restraint and binge eating were measured via the Eating Disorders Examination.Results: WS was directly and dietary restraint was inversely related to frequency of binge eating. The inverse relationship between dietary restraint and binge eating may be explained in part by the fact that the most restrained patients with BN had the greatest desire to lose weight.Conclusion: Implications of these findings for future research on the perpetuation and treatment of BN are discussed.

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Section: Resultssupporting

confidence: 75%

Section: Introductionmentioning

confidence: 99%

The relationship of weight suppression and dietary restraint to binge eating in bulimia nervosa

Lowe

Thomas

Safer

et al. 2007

Intl J Eating Disorders

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“…Because patients with BN usually present for treatment at a normal weight, the fact that many were once overweight or obese is often overlooked (1). The average weight suppression for BN patients is high, with those in outpatient or residential treatment having average levels of 9.6 kg and 12.0 kg, respectively (2,3). Healthy college students, by comparison, have a mean weight suppression of 2.7 kg (4).…”

mentioning

confidence: 99%

The relation of weight suppression and BMI to bulimic symptoms

Butryn¹,

Juarascio²,

Lowe³

2010

Intl J Eating Disorders

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Objective High levels of weight suppression have been associated with greater binge eating and weight gain as well as poorer treatment outcome in bulimia nervosa. This study examined the relationship between weight suppression and bulimia nervosa symptoms and explored how weight suppression might interact with body mass index (BMI) in accounting for level of symptomatology at presentation for treatment. Method Participants were 64 women with threshold or sub-threshold bulimia nervosa. A clinical interview assessed binge eating and purging. Results Weight suppression and the interaction between BMI and weight suppression predicted frequency of binge eating such that participants with low BMI and high weight suppression engaged in the most binge eating. High levels of weight suppression also predicted more frequent purging. Discussion Additional research is warranted to examine mediators of these relationships.

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“…Chez certains malades, les crises se succèdent plusieurs heures par jour et altèrent leur vie affective, familiale et sociale. Ces formes graves sont souvent responsables d'un état dépressif marqué et d'une grande anxiété [1][2][3][4]. Les crises induisent 2 types de conséquences [1][2][3][4] : une restriction alimentaire, voire une suppression des repas ; la honte, la culpabilité et la dévalorisation de soi.…”

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“…Ces formes graves sont souvent responsables d'un état dépressif marqué et d'une grande anxiété [1][2][3][4]. Les crises induisent 2 types de conséquences [1][2][3][4] : une restriction alimentaire, voire une suppression des repas ; la honte, la culpabilité et la dévalorisation de soi. Ces pensées négatives sont souvent responsables d'idées suicidaires et d'un sentiment d'échec qui nuit à la démarche thé-rapeutique.…”

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