Overeating among seriously overweight children seeking treatment: results of the children's eating disorder examination.
OBJECTIVE
We sought to examine rates of eating disorder symptoms among seriously overweight children seeking treatment using the Eating Disorder Examination for Children (ChEDE) and to provide initial data about their association with treatment outcome.


METHODS
Overweight children (N = 27) 8-13 years old were interviewed using the ChEDE before participating in a family-based behavioral treatment program. Height and weight were measured pretreatment, posttreatment, and approximately 8 months posttreatment.


RESULTS
Fifteen percent of children reported subjective bulimic episodes (SBE). Weight loss did not differ for children with and without SBEs, but concerns about body shape were related to larger weight losses during treatment.


CONCLUSIONS
A considerable minority of treatment-seeking overweight children report an episodic sense of loss of control over eating. Loss of control is related to other disordered eating attitudes and behaviors, but does not appear to affect treatment outcome. Future studies are needed to replicate these initial findings.
Levine
Michele D
MD
Department of Psychiatry, Western Psychiatric Institute and Clinic, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania 15213, USA. LevineM@msx.upmc.edu
Ringham
Rebecca M
RM
Kalarchian
Melissa A
MA
Wisniewski
Lucene
L
Marcus
Marsha D
MD
D000293:Adolescent; D001521:Behavior Therapy; D001828:Body Image; D015992:Body Mass Index; D002032:Bulimia / Q000175:diagnosis / Q000523:psychology; D052018:Bulimia Nervosa / Q000175:diagnosis / Q000523:psychology; D002648:Child; D004038:Diet, Reducing / Q000523:psychology; D005196:Family Therapy; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D006963:Hyperphagia / Q000175:diagnosis* / Q000523:psychology / Q000628:therapy; D007389:Internal-External Control; D007406:Interview, Psychological; D008297:Male; D009765:Obesity / Q000175:diagnosis* / Q000523:psychology / Q000628:therapy; D010552:Personality Assessment / Q000706:statistics & numerical data*; D011594:Psychometrics; D012307:Risk Factors; D016896:Treatment Outcome; D015431:Weight Loss