The Importance of Eating Behavior in Eating Disorders

Overview

Journal Physiol Behav

Specialties Physiology
Psychiatry
Psychology
Social Sciences

Date 2011 May 17

PMID 21570418

Citations 31

Authors

B Timothy Walsh

Affiliations

Soon will be listed here.

Abstract

A disturbance in eating behavior is the defining characteristic of the clinical eating disorders, Anorexia Nervosa, Bulimia Nervosa, and Binge Eating Disorder. Surprisingly little research has been devoted to assessing objectively the nature of the eating disturbances in these disorders, to elucidating what factors contribute to the development and persistence of these disturbances, or to describing how they change with treatment. This review, which is based on a Mars lecture delivered at the 2010 meeting of the Society for the Study of Ingestive Behavior, reviews objective information about the nature of the disturbances of eating behavior in eating disorders. These data suggest that more detailed knowledge of eating behavior is an essential component of a full understanding of eating disorders and may provide a foundation for studies of pathophysiology and for the development of new treatment methods.

Citing Articles

Exploring Habits in Anorexia Nervosa: Promise, Pitfalls, and Progress.

Foerde K Curr Psychiatry Rep. 2025; .

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Current evidence and future perspectives in the exploration of sleep-related eating disorder-a systematic literature review.

Vasiliu O Front Psychiatry. 2024; 15:1393337.

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Self-referential processing in anorexia nervosa.

Gu S, Aimufua I, Pagliaccio D, Shankman S, Steinglass J, Auerbach R Int J Eat Disord. 2024; 57(5):1234-1244.

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Cyberbullying and eating disorder symptoms in US early adolescents.

Cheng C, Chu J, Ganson K, Trompeter N, Testa A, Jackson D Int J Eat Disord. 2023; 56(12):2336-2342.

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Eating Behaviours of Polish and Portuguese Adults-Cross-Sectional Surveys.

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References

Geracioti Jr T, Liddle R . Impaired cholecystokinin secretion in bulimia nervosa. N Engl J Med. 1988; 319(11):683-8. DOI: 10.1056/NEJM198809153191105. View

Faris P, Kim S, Meller W, GOODALE R, Oakman S, Hofbauer R . Effect of decreasing afferent vagal activity with ondansetron on symptoms of bulimia nervosa: a randomised, double-blind trial. Lancet. 2000; 355(9206):792-7. DOI: 10.1016/S0140-6736(99)09062-5. View

Steinglass J, Sysko R, Mayer L, Berner L, Schebendach J, Wang Y . Pre-meal anxiety and food intake in anorexia nervosa. Appetite. 2010; 55(2):214-8. PMC: 2939314. DOI: 10.1016/j.appet.2010.05.090. View

Stunkard A . Eating patterns and obesity. Psychiatr Q. 1959; 33:284-95. DOI: 10.1007/BF01575455. View

Walsh B, Boudreau G . Laboratory studies of binge eating disorder. Int J Eat Disord. 2003; 34 Suppl:S30-8. DOI: 10.1002/eat.10203. View

Pirke K, Kellner M, Friess E, Krieg J, Fichter M . Satiety and cholecystokinin. Int J Eat Disord. 1994; 15(1):63-9. DOI: 10.1002/1098-108x(199401)15:1<63::aid-eat2260150108>3.0.co;2-v. View

Sysko R, Walsh B, Schebendach J, Wilson G . Eating behavior among women with anorexia nervosa. Am J Clin Nutr. 2005; 82(2):296-301. DOI: 10.1093/ajcn.82.2.296. View

Keel P, Wolfe B, Liddle R, De Young K, Jimerson D . Clinical features and physiological response to a test meal in purging disorder and bulimia nervosa. Arch Gen Psychiatry. 2007; 64(9):1058-66. DOI: 10.1001/archpsyc.64.9.1058. View

Wilson G, Grilo C, Vitousek K . Psychological treatment of eating disorders. Am Psychol. 2007; 62(3):199-216. DOI: 10.1037/0003-066X.62.3.199. View

10.

Devlin M, Walsh B, Guss J, Kissileff H, Liddle R, Petkova E . Postprandial cholecystokinin release and gastric emptying in patients with bulimia nervosa. Am J Clin Nutr. 1997; 65(1):114-20. DOI: 10.1093/ajcn/65.1.114. View

11.

Kaplan A, Walsh B, Olmsted M, Attia E, Carter J, Devlin M . The slippery slope: prediction of successful weight maintenance in anorexia nervosa. Psychol Med. 2008; 39(6):1037-45. PMC: 4449142. DOI: 10.1017/S003329170800442X. View

12.

Brownley K, Berkman N, Sedway J, Lohr K, Bulik C . Binge eating disorder treatment: a systematic review of randomized controlled trials. Int J Eat Disord. 2007; 40(4):337-48. DOI: 10.1002/eat.20370. View

13.

Hadigan C, Anderson E, Miller K, Hubbard J, Herzog D, Klibanski A . Assessment of macronutrient and micronutrient intake in women with anorexia nervosa. Int J Eat Disord. 2000; 28(3):284-92. DOI: 10.1002/1098-108x(200011)28:3<284::aid-eat5>3.0.co;2-g. View

14.

Mayer L, Schebendach J, Bodell L, Shingleton R, Walsh B . Eating behavior in anorexia nervosa: before and after treatment. Int J Eat Disord. 2011; 45(2):290-3. PMC: 4469276. DOI: 10.1002/eat.20924. View

15.

Wilfley D, Welch R, Stein R, Spurrell E, Cohen L, Saelens B . A randomized comparison of group cognitive-behavioral therapy and group interpersonal psychotherapy for the treatment of overweight individuals with binge-eating disorder. Arch Gen Psychiatry. 2002; 59(8):713-21. DOI: 10.1001/archpsyc.59.8.713. View

16.

Kissileff H, Wentzlaff T, Guss J, Walsh B, Devlin M, Thornton J . A direct measure of satiety disturbance in patients with bulimia nervosa. Physiol Behav. 1996; 60(4):1077-85. DOI: 10.1016/0031-9384(96)00086-8. View

17.

Steinglass J, Sysko R, Glasofer D, Albano A, Simpson H, Walsh B . Rationale for the application of exposure and response prevention to the treatment of anorexia nervosa. Int J Eat Disord. 2010; 44(2):134-41. PMC: 3638259. DOI: 10.1002/eat.20784. View

18.

Walsh B, Kaplan A, Attia E, Olmsted M, Parides M, Carter J . Fluoxetine after weight restoration in anorexia nervosa: a randomized controlled trial. JAMA. 2006; 295(22):2605-12. DOI: 10.1001/jama.295.22.2605. View

19.

Zimmerli E, Devlin M, Kissileff H, Walsh B . The development of satiation in bulimia nervosa. Physiol Behav. 2010; 100(4):346-9. PMC: 2874612. DOI: 10.1016/j.physbeh.2010.03.010. View

20.

Schebendach J, Mayer L, Devlin M, Attia E, Contento I, Wolf R . Dietary energy density and diet variety as predictors of outcome in anorexia nervosa. Am J Clin Nutr. 2008; 87(4):810-6. DOI: 10.1093/ajcn/87.4.810. View