Subjective binge eating: a marker of disordered eating and broader psychological distress
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ORIGINAL ARTICLE
Subjective binge eating: a marker of disordered eating and broader psychological distress Lisa M. Brownstone1 · Anna M. Bardone‑Cone2 Received: 29 July 2020 / Accepted: 13 October 2020 © Springer Nature Switzerland AG 2020
Abstract Purpose There is building, but limited evidence to suggest that subjective binge eating (SBE) is clinically concerning. The current study examined associated features of SBEs including disordered eating, body shame, negative affect, and interpersonal problems, as well as how SBE occurrence relates to other daily eating experiences. Methods Participants were 400 individuals recruited via internet snowball or Amazon Mechanical Turk, including 132 with at least one SBE [with or without objective binge eating episodes (OBEs)] in the prior 3 months, 135 with at least one OBE (and no SBEs) in the prior 3 months, and 133 with no loss of control eating in the prior 3 months nor a likely lifetime history of anorexia nervosa. Participants responded to questionnaires assessing eating disorder behaviors (i.e., frequency of compensatory behaviors, dietary restriction), body shame, negative affect (depressive/anxiety symptoms), interpersonal difficulties, and perception of daily eating experiences. Results Individuals with SBEs had higher numbers of vomiting, laxative misuse and hard exercise episodes, dietary restriction, body shame, depressive and anxiety symptoms, and negative perceptions of daily eating experiences as compared to those with only OBEs and no loss of control eating. Conclusion These results suggest that SBEs (whether on their own or combined with OBEs) are more related to disordered eating symptoms, body image concerns, depressive/anxiety symptoms, and general eating distress than OBEs on their own, suggesting that clinicians may view SBEs as markers of concern across domains. Level of evidence III, well-designed group-comparison regression analysis. Keywords Subjective binge eating · Objective binge eating · Binge eating · Loss of control eating · Eating disorder
Introduction A body of work has begun to examine how subjective binge eating (SBEs) and objective binge eating episodes (OBEs) may differ regarding eating pathology and broader psychological difficulties [1, 2]. OBEs are defined as core components of bulimia nervosa (BN) and binge eating disorder * Lisa M. Brownstone [email protected] Anna M. Bardone‑Cone [email protected] 1
Department of Counseling Psychology, University of Denver, Morgridge College of Education, 1999 East Evans Avenue, Denver, CO 80210, USA
Department of Psychology and Neuroscience, University of North Carolina at Chapel Hill, CB#3270‑Davie Hall, Chapel Hill, NC 27599, USA
2
(BED), and are characterized by loss of control and consumption of “objectively large” amounts of food [3]. SBEs, on the other hand, are not described as part of a clinical diagnosis, and involve loss of control and the consumption of subjectively (but not objectively) large amounts of food; there is also much less known about SBEs compar
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