Risk factors and patterns of onset in binge eating disorder.
OBJECTIVE
The current study examined risk factors in women with binge eating disorder (BED) who began binging before dieting (binge-first [BF]) compared with women with BED who began dieting before binging (diet-first [DF]). It further aimed to replicate findings regarding eating disorder and general psychopathology among BF versus DF subtypes.


METHODS
One hundred fifty-five women with BED completed the Oxford Risk Factor Interview to retrospectively assess risk factors occurring before eating disturbance onset. Clinical interview assessed eating disorder and general psychopathology.


RESULTS
Overall, no significant differences in risk factors emerged between the groups. The BF group had a significantly earlier onset of BED than the DF group. In contradistinction to previous studies, the DF group endorsed more eating disorder psychopathology and lifetime diagnosis of any substance use disorder.


CONCLUSIONS
Limited support was seen for different risk factors in BF versus DF women, suggesting similar etiologic pathways in both subtypes.
Manwaring
Jamie L
JL
Department of Psychology, Washington University, St. Louis, Missouri 63110, USA.
Hilbert
Anja
A
Wilfley
Denise E
DE
Pike
Kathleen M
KM
Fairburn
Christopher G
CG
Dohm
Faith-Anne
FA
Striegel-Moore
Ruth H
RH
D000293:Adolescent; D000328:Adult; D044383:Black People / Q000523:psychology; D015992:Body Mass Index; D002032:Bulimia / Q000175:diagnosis / Q000453:epidemiology / Q000523:psychology*; D015984:Causality; D003430:Cross-Sectional Studies; D004038:Diet, Reducing / Q000523:psychology; D005260:Female; D006306:Health Surveys; D006801:Humans; D007406:Interview, Psychological; D010552:Personality Assessment; D010555:Personality Inventory; D011599:Psychopathology; D012189:Retrospective Studies; D012307:Risk Factors; D011795:Surveys and Questionnaires; D044465:White People / Q000523:psychology