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  • 한국과학기술정보연구원(KISTI) 서울분원 대회의실(별관 3층)
  • 2024년 07월 03일(수) 13:30
 

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정서적 섭식자의 부정 정서와 폭식 행동의 관계: 정서조절곤란의 조절효과

The Moderating Role of Difficulties in Emotion Regulation in the Relationship between Negative Affect and Binge Eating in Emotional Eaters

한국심리학회지: 건강 / The Korean Journal of Health Psychology, (P)1229-070X; (E)2713-9581
2019, v.24 no.1, pp.45-68
https://doi.org/10.17315/kjhp.2019.24.1.003
윤정민 (부산대학교)
심은정 (부산대학교)
  • 다운로드 수
  • 조회수

초록

본 연구는 온라인 설문조사를 통해 정서적 섭식자의 폭식 행동의 위험요인으로 정서조절곤란의 역할을 확인하고, 부정 정서가 정서적 섭식을 매개하여 폭식 행동에 미치는 영향이 정서조절곤란에 따라 달라지는 지 살펴보았다. 또한 생태순간평가(Ecological Momentary Assessment: EMA)를 통해 부정 정서와 폭식 행동의 관계 및 정서조절곤란의 조절 효과를 검증하였다. 여자 대학생 228명을 대상으로 식이행동질문지, 폭식행동척도, 정서조절곤란 척도, 정적 정서 및 부적 정서 척도, 지각된 스트레스 척도를 포함한 설문을 실시하고, 식이행동질문지의 정서적 섭식 점수 상위 25%(n = 43)를 대상으로 7일간 EMA를 실시하였다. 온라인 설문 자료 분석 결과, 정서적 섭식과 폭식 행동 위험이 모두 높은 집단은 정서적 섭식만 높은 집단에 비해 정서조절곤란, 특히 충동조절곤란이 높았다. 또한 정서조절곤란이 높을수록 부정 정서가 정서적 섭식을 통해 폭식 행동에 미치는 영향이 커졌다. EMA 자료 분석 결과, 정서적 섭식자의 부정 정서와 정서조절곤란이 높을수록 폭식 행동이 심각해지는 양상이 확인되었다. 본 연구의 결과는 정서조절곤란과 폭식 행동 발생 위험의 관련성을 고려할 때 정서적 섭식자의 폭식행동 예방 및 치료에서 정서조절의 어려움을 다루어야 할 필요성을 시사한다.

keywords
binge eating, difficulties in emotion regulation, ecological momentary assessment, emotional eating, negative affect, 정서적 섭식, 부정 정서, 폭식 행동, 정서조절곤란, 생태순간평가

Abstract

The objectives of this study were to examine the difficulties in emotion regulation(DER) as a risk factor of binge eating (BE) in emotional eaters, and whether the mediating effect of emotional eating(EE) in the relationship between negative affect and BE differs as a function of DER in an online survey with 228 female university students. Moreover, it examined the relationship between negative affect and BE, and the moderating role of DER, using the Ecological Momentary Assessment(EMA) with 43 students with the top 25% score in EE. The group with both high EE and BE had a higher DER, particularly, more impulse control difficulties than the group with only high EE. The effect of negative affect on BE mediated by EE increased with higher DER. The EMA results showed that the BE severity increased with a higher negative affect and DER. These findings underscore the need to address DER in the prevention and treatment of BE.

keywords
binge eating, difficulties in emotion regulation, ecological momentary assessment, emotional eating, negative affect, 정서적 섭식, 부정 정서, 폭식 행동, 정서조절곤란, 생태순간평가

참고문헌

1.

강상진 (2016). 다층모형. 서울: 학지사.

2.

김효정, 이임순, 김지혜 (1996). 식이행동 질문지의 신뢰도, 타당도 연구. 한국심리학회지: 임상, 15(1), 141-150.

3.

박우리, 권석만 (2017). 부정 정서조급성이 섭식통제 상실에 미치는 영향. Korean Journal of Clinical Psychology, 36(1), 89-103.

4.

박준호, 서영석 (2010). 대학생을 대상으로 한 한국판지각된 스트레스 척도 타당화 연구. 한국심리학회지: 일반, 29(3), 611-629.

5.

보건복지부 (2013. 5. 23). “살 찌는 것이 두렵다”, 20대섭식장애 여성 남성의 9배. http://www.mohw.go.kr/react/al/sal0301vw.jsp?PAR_MENU_ID=04&MENU_ID=0403&CONT_SEQ=286697&page=269에서 인출.

6.

석현호, 문용갑, 구혜란, 김상욱, 김재온, 은기수, 정기선 (2005). 한국종합사회조사. 연구수행기관: 성균관대학교 서베이리서치센터. 자료서비스기관: 한국사회과학자료원, 2003.

7.

손은정 (2013a). 여대생의 폭식행동에 대한 다차원적 모형의 검증. 한국심리학회지: 여성, 18(1), 109-128.

8.

손은정 (2013b). 여대생의 사회적으로 부과된 완벽주의와 폭식행동 간의 관계에서 대인관계 불일치, 지각된 사회적 지지, 우울의 매개효과. 한국심리학회지:상담 및 심리치료, 25(2), 309-330.

9.

이상선, 오경자. (2005). 구조 방정식 모형을 이용한 거식 행동과 폭식 행동의 관계에 대한 이해. Korean Journal of Clinical Psychology, 24(4), 791-813.

10.

이수현, 현명호 (2001). 여중생의 비만도와 신체상 만족도 및 폭식행동이 우울에 미치는 영향. 한국심리학회지: 건강, 6(1), 195-207.

11.

이연희 (2010). 폭식 행동 결정 요인에 관한 연구. 중앙대학교 대학원 박사학위 청구논문.

12.

이임순 (2003). 섭식절제척도와 식이행동질문지의 여대생 규준. 한국심리학회지: 임상, 22(4), 847-858.

13.

이정윤 (2003). 여대생의 이상식사행동 수준에 따른 심리적, 정서적 특성. 한국심리학회지: 상담 및 심리치료, 15(1), 111-124.

14.

이지영, 권석만 (2006). 정서조절과 정신병리의 관계. 한국심리학회지: 상담 및 심리치료, 18(3), 461-493.

15.

이현희, 김은정, 이민규 (2003). 한국판 정적 정서 및 부적 정서 척도(Positive Affect and Negative Affect Schedule; PANAS)의 타당화 연구. 한국심리학회지: 임상, 22(4), 935-946.

16.

전겸구, 김교헌, 이준석 (2000). 개정판 대학생용 생활스트레스 척도 개발 연구. 한국심리학회지: 건강, 5(2), 316-335.

17.

조용래 (2007). 정서조절곤란의 평가: 한국판척도의 심리측정적 속성. 한국심리학회지: 임상, 26(4), 1015-1038.

18.

American Psychiatric Association (2013). Diagnostic and statistical manual of mental disorders (5th edition). Washington. DC.

19.

Amianto, F., Ottone, L., Daga, G. A., & Fassino, S. (2015). Binge-eating disorder diagnosis and treatment: a recap in front of DSM-5. BioMedCentral Psychiatry, 15(1), 70.

20.

Baron, R. M., & Kenny, D. A. (1986). The moderator –mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology, 51(6), 1173.

21.

Bennett, J., Greene, G., & Schwartz-Barcott, D. (2013). Perceptions of emotional eating behavior. A qualitative study of college students. Appetite, 60, 187-192.

22.

Berg, K. C., Peterson, C. B., Crosby, R. D., Cao, L., Crow, S. J., Engel, S. G., & Wonderlich, S. A. (2014). Relationship between daily affect and overeating-only, loss of control eating-only, and binge eating episodes in obese adults. Psychiatry Research, 215(1), 185-191.

23.

Berking, M., & Wupperman, P. (2012). Emotion regulation and mental health: recent findings, current challenges, and future directions. Current Opinion in Psychiatry, 25(2), 128-134.

24.

Bohon, C., Stice, E., & Spoor, S. (2009). Female emotional eaters show abnormalities in consummatory and anticipatory food reward: a functional magnetic resonance imaging study. International Journal of Eating Disorders, 42(3), 210-221.

25.

Bongers, P., & Jansen, A. (2016). Emotional Eating Is Not What You Think It Is and Emotional Eating Scales Do Not Measure What You Think They Measure. Frontiers in Psychology, 7.

26.

Cardi, V., Leppanen, J., & Treasure, J. (2015). The effects of negative and positive mood induction on eating behaviour: A meta-analysis of laboratory studies in the healthy population and eating and weight disorders. Neuroscience &Biobehavioral Reviews, 57, 299-309.

27.

Carrard, I., Crépin, C., Ceschi, G., Golay, A., & Van der Linden, M. (2012). Relations between pure dietary and dietary-negative affect subtypes and impulsivity and reinforcement sensitivity in binge. Eating Behaviors, 13(1), 13-19.

28.

Cho, Y., & Hong, S. (2013). The new factor structure of the Korean version of the Difficulties in Emotion Regulation Scale (K-DERS)incorporating method factor. Measurement and Evaluation in Counseling and Development, 46(3), 192-201.

29.

Cohen, S., Kamarck, T., & Mermelstein, R. (1983). A global measure of perceived stress. Journal of Health and Social Behavior, 24, 385-396.

30.

Cole, M. S., Walter, F., & Bruch, H. (2008). Affective mechanisms linking dysfunctional behavior to performance in work teams: a moderated mediation study. Journal of Applied Psychology, 93(5), 945.

31.

Czaja, J., Rief, W., & Hilbert, A. (2009). Emotion regulation and binge eating in children. International Journal of Eating Disorders, 42(4), 356-362.

32.

D’Alonzo, K. T. (2004). The Johnson-Neyman procedure as an alternative to ANCOVA. Western Journal of Nursing Research, 26(7), 804-812.

33.

Dir, A. L., Karyadi, K., & Cyders, M. A. (2013). The uniqueness of negative urgency as a common risk factor for self-harm behaviors, alcohol consumption, and eating problems. Addictive Behaviors, 38(5), 2158-2162.

34.

Eisenstein, S. A., Bischoff, A. N., Gredysa, D. M., Antenor-Dorsey, J. A. V., Koller, J. M., Al-Lozi, A., Moerlein, S. M. (2015). Emotional eating phenotype is associated with central dopamine D2receptor binding independent of body mass index. Scientific Reports, 5.

35.

Elfhag, K., & Rössner, S. (2005). Who succeeds in maintaining weight loss? A conceptual review of factors associated with weight loss maintenance and weight regain. Obesity Reviews, 6(1), 67-85.

36.

Engel, S. G., Crosby, R. D., Thomas, G., Bond, D., Lavender, J. M., Mason, T., Wonderlich, S. A. (2016). Ecological momentary assessment in eating disorder and obesity research: a review of the recent literature. Current Psychiatry Reports, 18(4), 1-9.

37.

Fischer, S., Smith, G. T., & Cyders, M. A. (2008). Another look at impulsivity: A meta-analytic review comparing specific dispositions to rash action in their relationship to bulimic symptoms. Clinical Psychology Review, 28(8), 1413-1425.

38.

Frayn, M., & Knäuper, B. (2017). Emotional Eating and Weight in Adults: a Review. Current Psychology, 36, 1-10.

39.

Fuller-Tyszkiewicz, M., Richardson, B., Skouteris, H., Austin, D., Castle, D., Busija, L., & Broadbent, J. (2014). Optimizing prediction of binge eating episodes: a comparison approach to test alternative conceptualizations of the affect regulation model. Journal of Eating Disorders, 2(1), 28.

40.

Gianini, L. M., White, M. A., & Masheb, R. M. (2013). Eating pathology, emotion regulation, and emotional overeating in obese adults with binge eating disorder. Eating Behaviors, 14(3), 309-313.

41.

Gibson, E. L. (2012). The psychobiology of comfort eating: implications for neuropharmacological interventions. Behavioural Pharmacology, 23(5and 6), 442-460.

42.

Goldschmidt, A. B., Crosby, R. D., Engel, S. G., Crow, S. J., Cao, L., Peterson, C. B., & Durkin, N. (2014). Affect and eating behavior in obese adults with and without elevated depression symptoms. International Journal of Eating Disorders, 47(3), 281-286.

43.

Goldschmidt, A. B., Jones, M., Manwaring, J. L., Luce, K. H., Osborne, M. I., Cunning, D., Taylor, C. B. (2008). The clinical significance of loss of control over eating in overweight adolescents. International Journal of Eating Disorders, 41(2), 153-158.

44.

Gormally, J., Black, S., Daston, S., & Rardin, D. (1982). The assessment of binge eating severity among obese persons. Addictive Behaviors, 7(1), 47-55.

45.

Gratz, K. L., & Roemer, L. (2004). Multidimensional assessment of emotion regulation and dysregulation: Development, factor structure, and initial validation of the difficulties in emotion regulation scale. Journal of Psychopathology and Behavioral Assessment, 26(1), 41-54.

46.

Gross, J. J. (1998). Antecedent-and response-focused emotion regulation: divergent consequences for experience, expression, and physiology. Journal of Personality and Social Psychology, 74(1), 224.

47.

Haedt-Matt, A. A., & Keel, P. K. (2011). Revisiting the affect regulation model of binge eating: a meta-analysis of studies using ecological momentary assessment. Psychological Bulletin, 137(4), 660-681.

48.

Hay, P. (2013). A systematic review of evidence for psychological treatments in eating disorders: 2005–2012. International Journal of Eating Disorders, 46(5), 462-469.

49.

Hayes, A. F. (2013). Introduction to mediation, moderation, and conditional process analysis: A regression-based approach. New York: Guilford Publications.

50.

Haynos, A. F., & Fruzzetti, A. E. (2011). Anorexia nervosa as a disorder of emotion dysregulation:Evidence and treatment implications. Clinical Psychology: Science and Practice, 18(3), 183-202.

51.

Jacobi, C., Fittig, E., Bryson, S., Wilfley, D., Kraemer, H., & Taylor, C. B. (2011). Who is really at risk? Identifying risk factors for subthreshold and full syndrome eating disorders in a high-risk sample. Psychological Medicine, 41(09), 1939-1949.

52.

Kaltiala-Heino, R., Rissanen, A., Rimpelä, M., Rantanen, P., & ivi, a. (2002). Bulimia and impulsive behaviour in middle adolescence. Psychotherapy and Psychosomatics, 72(1), 26-33.

53.

Kessler, R. C., Berglund, P. A., Chiu, W. T., Deitz, A. C., Hudson, J. I., Shahly, V., & Benjet, C. (2013). The prevalence and correlates of binge eating disorder in the World Health Organization World Mental Health Surveys. Biological Psychiatry, 73(9), 904-914.

54.

Laessle, R. G., & Schulz, S. (2009). Stress‐induced laboratory eating behavior in obese women with binge eating disorder. International Journal of Eating Disorders, 42(6), 505-510.

55.

Lavender, J. M., & Anderson, D. A. (2010). Contribution of emotion regulation difficulties to disordered eating and body dissatisfaction in college men. International Journal of Eating Disorders, 43(4), 352-357.

56.

Leehr, E. J., Krohmer, K., Schag, K., Dresler, T., Zipfel, S., & Giel, K. E. (2015). Emotion regulation model in binge eating disorder and obesity-a systematic review. Neuroscience &Biobehavioral Reviews, 49, 125-134.

57.

Macht, M., & Simons, G. (2011). Emotional eating Emotion regulation and well-being (pp. 281-295). New York: Springer.

58.

Masheb, R. M., & Grilo, C. M. (2006). Emotional overeating and its associations with eating disorder psychopathology among overweight patients with binge eating disorder. International Journal of Eating Disorders, 39(2), 141-146.

59.

Merwin, R. M., Zucker, N. L., Lacy, J. L., & Elliott, C. A. (2010). Interoceptive awareness in eating disorders: Distinguishing lack of clarity from non-acceptance of internal experience. Cognition and Emotion, 24(5), 892-902.

60.

Mole, T. B., Irvine, M. A., Worbe, Y., Collins, P., Mitchell, S. P., Bolton, S., & Voon, V. (2015). Impulsivity in disorders of food and drug misuse. Psychological Medicine, 45(04), 771-782.

61.

Munsch, S., Meyer, A. H., Quartier, V., & Wilhelm, F. H. (2012). Binge eating in binge eating disorder: a breakdown of emotion regulatory process? Psychiatry Research, 195(3), 118-124.

62.

Nguyen-Rodriguez, S. T., Chou, C.-P., Unger, J. B., & Spruijt-Metz, D. (2008). BMI as a moderator of perceived stress and emotional eating in adolescents. Eating Behaviors, 9(2), 238-246.

63.

Nicholls, W., Devonport, T., & Blake, M. (2016). The association between emotions and eating behaviour in an obese population with binge eating disorder. Obesity Reviews, 17(1), 30-42.

64.

Pinaquy, S., Chabrol, H., Simon, C., Louvet, J. P., & Barbe, P. (2003). Emotional eating, alexithymia, and binge‐eating disorder in obese women. Obesity Research, 11(2), 195-201.

65.

Raudenbush, S. W., & Bryk, A. S. (2002). Hierarchical linear models applications and data analysis methods. Thousand Oaks: Sage.

66.

Raudenbush, S., Bryk, A., & Congdon, R. (2013). HLM 7.01 for Windows [Hierarchical linear and nonlinear modeling software]. Los Angeles:Multivariate Software.

67.

Reichborn-Kjennerud, T., Bulik, C. M., Sullivan, P. F., Tambs, K., & Harris, J. R. (2004). Psychiatric and medical symptoms in binge eating in the absence of compensatory behaviors. Obesity Research, 12(9), 1445-1454.

68.

Ricca, V., Castellini, G., Fioravanti, G., Sauro, C. L., Rotella, F., Ravaldi, C., Faravelli, C. (2012). Emotional eating in anorexia nervosa and bulimia nervosa. Comprehensive Psychiatry, 53(3), 245-251.

69.

Ricca, V., Castellini, G., Sauro, C. L., Ravaldi, C., Lapi, F., Mannucci, E., & Faravelli, C. (2009). Correlations between binge eating and emotional eating in a sample of overweight subjects. Appetite, 53(3), 418-421.

70.

Rieger, E., Van Buren, D. J., Bishop, M., Tanofsky-Kraff, M., Welch, R., & Wilfley, D. E. (2010). An eating disorder-specific model of interpersonal psychotherapy (IPT-ED): Causal pathways and treatment implications. Clinical Psychology Review, 30(4), 400-410.

71.

Rossier, V., Bolognini, M., Plancherel, B., & Halfon, O. (2000). Sensation seeking: A personality trait characteristic of adolescent girls and young women with eating disorders? European Eating Disorders Review, 8(3), 245-252.

72.

Rosval, L., Steiger, H., Bruce, K., Israël, M., Richardson, J., & Aubut, M. (2006). Impulsivity in women with eating disorders: problem of response inhibition, planning, or attention? International Journal of Eating Disorders, 39(7), 590-593.

73.

Safer, D. L., & Jo, B. (2010). Outcome from a randomized controlled trial of group therapy for binge eating disorder: comparing dialectical behavior therapy adapted for binge eating to an active comparison group therapy. Behavior Therapy, 41(1), 106-120.

74.

Schag, K., Schönleber, J., Teufel, M., Zipfel, S., & Giel, K. (2013). Food‐related impulsivity in obesity and Binge Eating Disorder–a systematic review. Obesity Reviews, 14(6), 477-495.

75.

Schulte, S. J. (2016). Predictors of binge eating in male and female youths in the United Arab Emirates. Appetite, 105, 312-319.

76.

Schulz, S., & Laessle, R. (2010). Associations of negative affect and eating behaviour in obese women with and without binge eating disorder. Eating and Weight Disorders-Studies on Anorexia, Bulimia and Obesity, 15(4), 287-293.

77.

Smith, M. C., & Thelen, M. H. (1984). Development and validation of a test for bulimia. Journal of Consulting and Clinical Psychology, 52(5), 863.

78.

Smyth, J., Wonderlich, S., Crosby, R., Miltenberger, R., Mitchell, J., & Rorty, M. (2001). The use of ecological momentary assessment approaches in eating disorder research. International Journal of Eating Disorders, 30(1), 83-95.

79.

Spence, S., & Courbasson, C. (2012). The role of emotional dysregulation in concurrent eating disorders and substance use disorders. Eating Behaviors, 13(4), 382-385.

80.

Spoor, S. T., Bekker, M. H., Van Strien, T., & van Heck, G. L. (2007). Relations between negative affect, coping, and emotional eating. Appetite, 48(3), 368-376.

81.

Stice, E., Presnell, K., & Spangler, D. (2002). Risk factors for binge eating onset in adolescent girls:a 2-year prospective investigation. Health Psychology, 21(2), 131.

82.

Stone, A. A., & Shiffman, S. (1994). Ecological momentary assessment (EMA) in behavioral medicine. Annals of Behavioral Medicine. 16(3), 199-202.

83.

Stone, A. A., & Shiffman, S. (2002). Capturing momentary, self-report data: A proposal for reporting guidelines. Annals of Behavioral Medicine, 24(3), 236-243.

84.

Stone, A. A., Shiffman, S., Atienza, A. A., Nebeling, L., Stone, A., Shiffman, S., Nebeling, L. (2007). Historical roots and rationale of ecological momentary assessment (EMA). In A. A. Stone, S. Shiffman, A. A. Atienza, & L. Nebeling (Eds). The science of real-time data capture:Self-reports in health research(pp. 3-10), New York: Oxford University Press.

85.

Sung, J., Lee, K., Song, Y. M., Lee, M. K., & Lee, D. H. (2010). Heritability of Eating Behavior Assessed Using the DEBQ (Dutch Eating Behavior Questionnaire) and Weight‐related Traits: The Healthy Twin Study. Obesity, 18(5), 1000-1005.

86.

Van Strien, T. (2010). Predicting distress-induced eating with self-reports: mission impossible or a piece of cake? Health Psychology, 29(4), 343.

87.

Van Strien, T., & Ouwens, M. A. (2007). Effects of distress, alexithymia and impulsivity on eating. Eating Behaviors, 8(2), 251-257.

88.

Van Strien, T., Engels, R. C., Van Leeuwe, J., & Snoek, H. M. (2005). The Stice model of overeating: tests in clinical and non-clinical samples. Appetite, 45(3), 205-213.

89.

Van Strien, T., Frijters, J. E., Bergers, G., & Defares, P. B. (1986). The Dutch Eating Behavior Questionnaire (DEBQ) for assessment of restrained, emotional, and external eating behavior. International Journal of Eating Disorders, 5(2), 295-315.

90.

Van Strien, T., Herman, C. P., Anschutz, D. J., Engels, R. C., & de Weerth, C. (2012). Moderation of distress-induced eating by emotional eating scores. Appetite, 58(1), 277-284.

91.

Van Strien, T., Levitan, R. D., Engels, R. C., & Homberg, J. R. (2015). Season of birth, the dopamine D4 receptor gene and emotional eating in males and females. Evidence of a genetic plasticity factor? Appetite, 90, 51-57.

92.

Vandewalle, J., Moens, E., Beyers, W., & Braet, C. (2016). Can we link emotional eating with the emotion regulation skills of adolescents? Psychology & Health, 31(7), 857-872.

93.

Wallis, D. J., & Hetherington, M. M. (2009). Emotions and eating. Self-reported and experimentally induced changes in food intake under stress. Appetite, 52(2), 355-362.

94.

Wang, P. S., Aguilar-Gaxiola, S., Alonso, J., Angermeyer, M. C., Borges, G., Bromet, E. J., & Gureje, O. (2007). Use of mental health services for anxiety, mood, and substance disorders in 17countries in the WHO world mental health surveys. The Lancet, 370(9590), 841-850.

95.

Waters, A., Hill, A., & Waller, G. (2001). Bulimics'responses to food cravings: is binge-eating a product of hunger or emotional state? Behaviour Research and Therapy, 39(8), 877-886.

96.

Watson, D., Clark, L. A., & Tellegen, A. (1988). Development and validation of brief measures of positive and negative affect: the PANAS scales. Journal of Personality and Social Psychology, 54(6), 1063.

97.

Wheeler, K., Greiner, P., & Boulton, M. (2005). Exploring Alexithymia, Depression, and Binge Eating in Self Reported Eating Disorders in Women. Perspectives in Psychiatric Care, 41(3), 114-123.

98.

Whiteside, U., Chen, E., Neighbors, C., Hunter, D., Lo, T., & Larimer, M. (2007). Difficulties regulating emotions: Do binge eaters have fewer strategies to modulate and tolerate negative affect? Eating Behaviors, 8(2), 162-169.

99.

Wolfe, B. E., Baker, C. W., Smith, A. T., & Kelly-Weeder, S. (2009). Validity and utility of the current definition of binge eating. International Journal of Eating Disorders, 42(8), 674-686.

100.

Woolhouse, H., Knowles, A., & Crafti, N. (2012). Adding mindfulness to CBT programs for binge eating: a mixed-methods evaluation. Eating Disorders, 20(4), 321-339.

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