Binge Eating Disorder (BED) is a new full-threshold eating disorder diagnosis in the Diagnostic and Statistical Manual of Mental Disorders , fifth edition (DSM-5). While the research literature supports the overall inclusion of BED, the specific diagnostic criteria, particularly the required associated features of binge-eating episodes, have received little empirical attention. In addition, questions remain about gaps in the criteria, specifically the absence of a cognitive criterion focused on the undue influence of weight and shape on self-evaluation. Therefore, the present study sought to determine how the associated features of binge-eating episodes and the undue influence criterion predict the clinical significance of eating behavior. Distress regarding binge eating was used as the index of clinical significance. Secondary analyses of self-report (N=115) and interview data (N=61) from an epidemiological study of eating patterns were completed. A parallel data analytic strategy was adopted between both data sources, including the calculation of point biserial correlations, regression models, and receiver operating characteristic (ROC) curves. The associated feature of "feeling disgusted, depressed, or very guilty after overeating" (American Psychiatric Association (APA), 2013) emerged as the best predictor of distress across both methods of assessment. However, the undue influence item was only a unique predictor of distress within the survey data. Across ROC curve analyses, three of five associated features emerged as the best threshold for predicting distress, and the undue influence item demonstrated clinical utility only in the ROC curve analyses of the survey data. Finally, in both the survey and interview data, the five associated features were found to have poor internal consistency reliability. The present study highlights the critical need for more stringent tests of the BED diagnostic criteria, as well as the need to examine new criteria that may be better able to detect clinically significant eating pathology. / A Thesis submitted to the Department of Psychology in partial fulfillment of the requirements for the degree of Master of
Science. / Summer Semester, 2014. / May 5, 2014. / Includes bibliographical references. / Pamela K. Keel, Professor Directing Thesis; Thomas E. Joiner, Jr., Committee Member; Diana Williams, Committee Member.
| Identifer | oai:union.ndltd.org:fsu.edu/oai:fsu.digital.flvc.org:fsu_254452 |
| Contributors | Klein, Kelly M. (authoraut), Keel, Pamela K. (professor directing thesis), Joiner, Thomas E. (committee member), Williams, Diana (committee member), Department of Psychology (degree granting department), Florida State University (degree granting institution) |
| Publisher | Florida State University, Florida State University |
| Source Sets | Florida State University |
| Language | English, English |
| Detected Language | English |
| Type | Text, text |
| Format | 1 online resource, computer, application/pdf |
| Rights | This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. For other uses you need to obtain permission from the rights-holder(s). The copyright in theses and dissertations completed at Florida State University is held by the students who author them. |
Page generated in 0.0023 seconds