Abstract
The aim of this paper was to explore the relationships between depressive symptoms and weight control strategies in DSM-IV eating disordered patients with binge eating behaviours. We hypothesised that weight control strategies characterised by a loss of control, such as vomiting and purging, may be clinically associated with increased levels of depression. The study population consisted of 402 consecutive outpatients: 27 with binge eating/purging anorexia nervosa (AN-BN), 213 with purging bulimia nervosa (BN-P), 73 with non-purging bulimia nervosa (BN-NP), and 89 with binge eating disorder (BED). The severity of depression was measured using the Beck Depression Inventory (BDI), and binge eating behaviours were investigated using the self-report scale for bulimic behaviours. In the sample as a whole, the severity of depression significantly correlated with the severity of binge eating behaviours, but no significant differences were found in the severity of depression by diagnostic sub-types. In order to avoid the confounding erasing effect of time, a smaller sample of patients with a short history of binge eating behaviours was further explored. Furthermore, because weight control strategies and the eating disorder diagnostic sub-types overlapped imperfectly, the patients were compared on the basis of presence or absence of strategies reflecting an active attempt to master the weight gain due to binge-ing behaviours. The patients adopting active control strategies (N=14) had significantly less severe depressive symptoms than those adopting non-active weight control strategies (N=39). Finally, the Authors discuss some hypotheses concerning the defensive role of weight control strategies and the impact of illness duration on the clinical expression of depression in eating disordered patients.
Similar content being viewed by others
References
Garfinkel P.E., Lin E., Goering P., Spegg C, Glodbloom D.S., Kennedy S., Kaplan A.S., Woodside D.B.: Bulimia nervosa in a Canadian community sample: prevalence and comparison of subgroups. Am. J. Psychiatry, 152, 1052–1058, 1995.
Williamson D.A., Kelley M.L., Davic C.J., Ruggiero L., Blovin D.C.: Psychopathology of eating disorders: a controlled comparison of bulimic, obese and normal subjects. Int. J. Eat. Disord., 6, 130–141, 1987.
Strober M., Katz J.L.: Depression in the eating disorders: a review and analysis of descriptive family and biological finding. In: Garner D.M., Garfinkel P.E. (Eds.), Diagnostic issues in anorexia nervosa and bulimia nervosa. New York, Brunner/Mazel, 80–111, 1988.
Taylor G.J., Bagby R.M., Parker J.D.A.: Disorders of affect regulation. Alexithymia in medical and psychiatric illness. Cambridge, Cambridge University Press, 1997.
Swift W.J., Letven R.: Bulimia and the basic fault. J. Am. Acad. Child Adolesc. Psychiatry, 23, 489–497, 1984.
American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. 4th ed. Washington, DC, APA, 1994.
Simon Y.F., Wery C, Divac S., Criquillon-Doublet S., Samuel-Lajeunesse B.: Lentca: logiciel d’évaluation nosographique pour les troubles des conduites alimen-taires. Annales médico-psychologiques, 147, 756–761, 1989.
Flament M., Jeammet P.: Bulimie. Résultats du Reseau INSERM. Doin, 2000.
Dantchev N., Flament M., Franck N., et al.: Bulimia nervosa and depression: a study on a series of 440 bulimic outpatients. 6th congress of the European Association of Psychiatry. Barcelona, 3–7 Nov 1992.
Beck A.T., Rial W.Y., Rickels K.: Short form of depression inventory: Cross validation. Psychol. Rep., 34, 1184–1186, 1974.
Bobon D.P., Sanchez-Blanque A., Von Franckell D.: Comparison between the short form of the Beck Depression Inventory and the combined Beck Pichot Inventory. J. Psychiatr. Biol. Ther., 1, 211–218, 1981.
Shaffer H.J.: The most important unresolved issue in the addictions: conceptual chaos. Subst. Use Misuse, 32, 1573–1580, 1997.
Hsu L.K.: Outcome of anorexia nervosa. A review of the literature (1954–1978). Arch. Gen. Psychiatry, 37, 1041–1064, 1980.
Casper R.C., Eckert E.D., Halmi K.A., Golberg S.C., Dans J.M.: Bulimia. Its incidence and clinical importance with anorexia nervosa. Arch. Gen. Psychiatry, 37, 1030–1035, 1980.
Garfinkel P.E., Moldofsky H., Garner D.M.: The heterogeneity of anorexia nervosa. Bulimia as a distinct group. Arch. Gen. Psychiatry, 37, 1036–1040, 1980.
Corcos M.: Le corps absent. Exploration psychosoma-tique des troubles des conduites alimentaires. Dunod, 2000, p. 329
Garner D.M., Garner M.V., Rosen L.W.: Anorexia nervosa “restricters” who purge: Implications for subtyp-ing anorexia nervosa. Int. J. Eat. Disord., 13, 171–185, 1993.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Speranza, M., Corcos, M., Atger, F. et al. Binge eating behaviours, depression and weight control strategies. Eat Weight Disord 8, 201–206 (2003). https://doi.org/10.1007/BF03325014
Published:
Issue Date:
DOI: https://doi.org/10.1007/BF03325014