EBM Paper: Children & Binge Eating Disorder

Table of Content

K. L. Allen, S. M. Byrne, and N. J. McLean (2012) TALK ABOUT TITLE OF STUDY AS THEIR PURPOSE The researchers hypothesized that models used to dissect the evolution and maintenance of binge eating tendencies would support their observed data. They also had hypothesized that two of the three models would correlate with the binge eating results more so than the other model. Participants in this study consisted of 236 children (majority girls, 52%) between the ages of 8 and 13.

The process of the procedure in this study started off with an assessment session at a children’s hospital and the children participants along with their parents attended. Then a multilevel-longitudinal structural equation modelling (dual-pathway model (DP), original cognitive-behavioral model (CB), and enhanced cognitive-behavioral model (CB)) assessed different types of binge eating. The ten methods used in this study included: body mass index z-score, media influences, self-esteem, perfectionism, family satisfaction, dietary restraint, depressive symptoms, affect regulation difficulties, and binge eating. Binge eating in particular was tested using a child version of a test known as the eating disorder examination (ChEDE).

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Findings from the study implied that the DP and the enhanced CP were more effective over the original CP model of assessment in terms of predicting the onset of binge eating in the age group 8-13 years of age.

V. Delcaluwé and C. Braet (2003) hypothesized that obese children participants with binge eating disorder (BED) behaviors and with no purging habits present would have bodies that were having to create a large amount of energy. The study also had a few additional purposes. It was originally created with the intention of gathering more information built upon existing studies of binge eating and diving into already existing limitations. The study included comparing gender of children and the generality of BED. They also investigated the appearance of BED and the age of young children.

This study’s participants were selected from a population of obese children in the process of getting treatment. There were 196 children selected to participate, 78 boys and 118 girls, all in the age range of 10-16 years old. The process of the procedure for this study began with finding out the body mass index (BMI) of each child participating. Trained clinical psychologist interviewers conducted the ChEDE (the child version of the EDE-eating disorder examination) with each individual child. Participants were diagnosed with BED only if they meet the DSM-IV requirements. The experimenters followed up with more questions but for the parents of the participants, regarding their children and their children’s signs of BE and overeating. Questions asked to the parents included: “At what age did your child become overweight? The age of onset of overeating, respectively binge eating, was conservatively defined as the age at which the first significant and persistent behavioural characteristic of an eating disorder began (regular episodes of overeating with or without loss of control), rather than the age at which the subject met the full diagnostic criteria for BED. Only when overeating, respectively binge eating, was relevant, the following question was asked: ‘At what age did you first have an episode of the type we have just described (referring to an episode of overeating, respectively objectively bulimic episode)?’” (pg. 406) The results of the samples were combined at the conclusion of the study.

A couple of interesting results of the study would include that two of the child participants were able to be diagnosed with BED according to DSM-IV (out of 18 participants). Another was that girl participants were significantly more likely to have objective bulimic episodes (OBEs) than the boy participants.

Sonneville, K. R., Calzo, J. P., Horton, N. J., Field, A. E., Crosby, R. D., Solmi, F., & Micali, N. (2015) TALK ABOUT TITLE OF STUDY AS THEIR PURPOSE The researchers had two purposes for conducting this study. They were investigating predictors of binge eating in children and finding ways to strengthen current prevention/detection attempts. Their other purpose was to investigate a connection between features of binge eating along with attention deficit-hyperactivity disorder (ADHD) with later adolescence. Participants in this study consisted of 7,120 male and female adolescents and 7,884 of their parents. The participants had been part of a longitudinal study known as the Avon Longitudinal Study of Parents and Children (ALSPAC).

The process of the procedure in this study included five factors being studied: mid-childhood overeating, late-childhood overeating, early-adolescent strong desire for food, hyperactivity and inattention during mid and late-childhood. Mid-childhood overeating was assessed by parents of the children participants responding to questions regarding the eating habits of their child (the mean age of their children was 7.5 years old). The parents would select either “No”, “Yes, but it did not worry me”, or “Yes, and it worried me somewhat or greatly”. Late-childhood overeating was assessed when children participants went to an assessment visit in person. At the in person assessment, each child was asked “Did you have times where you ate so much food that you were in a lot of pain or had to force yourself to throw up?”. Early-adolescent strong desire for food was assessed when parents of the child participants completed the eating disorder portion of the Developmental and Well-being Assessment (DAWBA). There were questions of the assessment such as, “Sometimes people say that they have such a strong desire for food, and that desire is so hard to resist, that it is like an addict feels about drugs or alcohol. Does this apply to your study teenager?”

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