title: The clinical significance of loss of control over eating in overweight adolescents.
abstract: OBJECTIVE
  Given limited data on the diagnostic validity of binge eating disorder (BED) in adolescents, this study sought to characterize overweight adolescents according to types of overeating episodes.
  
  
  METHODS
  Ninety-six adolescents (ages 13-17 years) with recurrent binge eating (BE), loss of control with or without overeating (subclinical BE; SUB), overeating without loss of control (OE), and no overeating or loss of control episodes (CONTROL) were compared on weight/shape concerns and depressive symptoms using ANCOVA and post-hoc least squares difference tests.
  
  
  RESULTS
  BE and SUB adolescents had higher weight/shape concern scores than OEs and CONTROLs (ps < .01). BE and SUB adolescents had higher depression scores than CONTROL adolescents (ps < .05). BE adolescents had greater depression scores than OE (p < .01) but not SUB adolescents.
  
  
  CONCLUSIONS
  Loss of control over eating signals increased impairment independent of overeating in adolescents. Results support refining BED criteria for youth to reflect this distinction.
authors: Department of Psychology, Washington University, St. Louis, Missouri 63110, USA. goldscha@psychiatry.wustl.edu
authors: Andrea B
authors: AB
authors: Goldschmidt
authors: Megan
authors: M
authors: Jones
authors: Jamie L
authors: JL
authors: Manwaring
authors: Kristine H
authors: KH
authors: Luce
authors: Megan I
authors: MI
authors: Osborne
authors: Darby
authors: D
authors: Cunning
authors: Katie L
authors: KL
authors: Taylor
authors: Angela Celio
authors: AC
authors: Doyle
authors: Denise E
authors: DE
authors: Wilfley
authors: C Barr
authors: CB
authors: Taylor
mesh_terms: D000293:Adolescent; D004435:Eating / Q000523:psychology*; D005260:Female; D006801:Humans; D007389:Internal-External Control; D008297:Male; D050177:Overweight / Q000523:psychology*