Dissertation/Thesis Abstract

An exploration of behavioral and affective dysregulation in a sample with clinical binge eating disorders
by Reh, Christine, Psy.D., Adler School of Professional Psychology, 2014, 74; 3581657
Abstract (Summary)

The present study examines two theories of the development of binge eating disorders among a clinical population with a diagnosis of Binge Eating Disorder and Bulimia Nervosa. Specifically, this study addresses whether a behavioral theory or affective theory predicts binge eating behavior in adult women. One theory draws upon Linehan's (1993) established trajectory from the experience of an invalidating childhood environment to the development of emotion dysregulation and subsequent Borderline Personality Disorder and the suicidal and para-suicidal behavior associated with BPD (Linehan, 1993; Mountford, Corstophine, Tomlinson, & Waller, 2007). The second examined theory is the dietary restraint theory which theorizes that a prolonged period of dietary restraint creates physiological and psychological deprivation that leads to dysregulation of appetite and vulnerability to binge eating (Polivy & Herman, 1985). It is hypothesized that an affective theory of the development of binge eating disorder will predict more binge eating behavior than a behavioral theory of binge eating behavior development. The sample is made up of baseline data gathered at a Chicago hospital and consists of participants in a randomized clinical trial for the treatment of an eating disorder. As a component of the screening evaluation, each participant was administered the Eating Disorder Evaluation-Questionnaire (EDE-Q), the Invalidating Childhood Environment Scale (ICES), and the Difficulties in Emotion Regulation Scale (DERS). A regression analysis was conducted to analyze the relationship between dietary restraint, an invalidating childhood environment and binge eating behavior in adults. Based on the literature, there is evidence in support of both theories (Engelberg, Gauvin, & Steiger, 2005; Fairburn, 1997; Haslam, Mountford, Meyer, & Waller, 2008; Huon, 1996; Kaye, Gendall, & Strober, 1998; Killen et al., 1994; Killen et al., 1996; Mountford et al., 2007; Patton, Johnson-Sabine, Wood, Mann, & Wakeling, 1990; Polivy & Herman, 1985; Steiger et al., 2005; Stice, Killen, Hayword, & Taylor, 1998; Stice, Presnell, & Spangler, 2002; Wilson, Fairburn, Agras, Walsh, & Kraemer, 2002). This study adds a concurrent comparison of two theories. This study has implications for determining appropriate treatment for an individual with binge eating behavior based on their scores on the EDE-Q, ICES, and DERS and informing clinicians about treating BED, likely in the DSM-V.

Indexing (document details)
Advisor: Blanco, David Castro
School: Adler School of Professional Psychology
School Location: United States -- Illinois
Source: DAI-B 76/01(E), Dissertation Abstracts International
Subjects: Clinical psychology
Keywords: Binge eating disorders, Dietary restriction, Eating disorders, Invalidating childhood environment
Publication Number: 3581657
ISBN: 9781321310740
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