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S H Niego

Publications and source records attributed to S H Niego.

3 recordsLinked to original sources

Does the size of a binge matter?

OBJECTIVE: The aim of this study was to examine whether objective and subjective binges differ significantly from each other in relation to measures of psychopathology in a sample of women who meet DSM-IV diagnostic criteria for bulimia nervosa. METHOD: Baseline data from the Eating Disorder Examination (EDE) were analyzed and the average of the sum of and the difference between objective and subjective binge episodes were converted to z scores. Regressions were run with other baseline measures including the Structured Clinical Interview for Diagnosis of DSM-III-R (SCID) I and II disorders, EDE subscales, and psychological measures. RESULTS: We found no significant difference between the two types of binges on all but one measure, the "Can Do" subscale of the Self-Efficacy Questionnaire, in a regression with the z score of total binges. DISCUSSION: The lack of significant findings questions the diagnostic validity of the "large amount of food" criterion used to define binge eating in the DSM-IV.

Adult↗

Obese women with binge eating disorder define the term binge.

OBJECTIVE: The purpose of this study was to provide information regarding the criteria used by women with binge eating disorder (BED) to classify an eating episode a binge. METHOD: Sixty women who met DSM-IV research criteria for BED were interviewed and asked to define binge eating in their own words. Two independent raters classified subjects' responses according to a structured classification scheme. RESULTS: Loss of control over eating was the only criterion used to define binge eating by a majority (82%) of our subjects. Large amount of food and eating to relieve negative affect were reported less frequently, but appeared to be important criteria. DISCUSSION: The findings from this study are important to consider in an evaluation of the proposed DSM-IV research criteria for BED.

Adult↗

Subjective or objective binge: is the distinction valid?

OBJECTIVE: The aim of this study was to examine the validity of the distinction between objective and subjective binge episodes. METHOD: Data were analyzed from 101 women who received 12 weeks of cognitive-behavioral therapy (CBT) for binge eating in a previous treatment study. Binges recorded by participants on daily food records were rated as either subjective or objective according to the Eating Disorder Examination rating guidelines. Unpaired t tests were performed to determine the relationship between type of binge, psychopathology, and other descriptive measures, including response to treatment. RESULTS: These analyses revealed no significant differences between types of binge episodes. Of note is the observation that objective binge episodes appeared to decrease more rapidly than subjective episodes during treatment. DISCUSSION: Future research should continue to investigate whether "large amount of food" is an appropriate criterion for the diagnosis of binge eating.

Adult↗