Abstract
The concept of dietary restraint has recently been used to explain binge-eating in dieters. It has been proposed that the violation of various restraint rules typically leads to hinging in individuals exhibiting high dietary restraint. This study examined the role of dietary restraint in a clinical sample of bulimics. After eating a preload to break dietary restraint, bulimic binge-eaters (those who binge but do not purge) were found to eat significantly more than bulimics who binged and purged (bulimia nervosa) and significantly more than normals. In addition, purging bulimics were found to have more concern about dieting than binge-eaters, while normals were found to have less concern about dieting and less anxiety about eating than both bulimic groups. These data suggest that the psychopathology of bulimia nervosa and bulimia (binge-eating) may be substantially different. It was proposed that the most distinguishing characteristic may be the preoccupation with dieting, weight, and body size, which is more extreme in bulimia nervosa.
Similar content being viewed by others
References
American Psychiatrie Association (1980).Diagnostic and statistical manual of mental disorders (3rd ed.). Washington, DC: APA.
American Psychiatrie Association (1987).Diagnostic and statistical manual of mental disorders (3rd ed., rev.). Washington, DC: APA.
Drewnowski, A., Riskey, D., & Deser, J. A. (1982). Feeling fat yet unconcerned: Self-reported overweight and the restraint scale.Appetite: Journal of Intake Research, 3, 273–279.
Fairburn, C. G., & Garner, D. M. (1986). The diagnosis of bulimia nervosa.International Journal of Eating Disorders, 5, 403–419.
Hawkins, R. C., II, & Clement, P. F. (1980). Development and construct validation of a self-report measure of binge eating tendencies.Addictive Behaviors, 5, 219–226.
Herman, C. P., & Mack, D. (1975). Restrained and unrestrained eating.Journal of Personality, 43, 647–660.
Janata, J. W., Klonoff, E. A., & Ginsberg, A. J. (1985, November).Psycho-physiological arousal and urges to binge and purge in adolescent bulimics monitored in vivo. Paper presented at the annual convention of the Association for Advancement of Behavior Therapy, Houston, TX.
Lawson, C. (1985).Binge eating and dietary restraint: An assessment of cognitive correlates. Unpublished master's thesis, Southeastern Louisiana University, Hammond.
Leitenberg, H., Gross, H., Peterson, H., & Rosen, J. (1984). Analysis of an anxiety model in the process of change during exposure plus response prevention treatment of bulimia nervosa.Behavior Therapy, 15, 3–20.
Mizes, J. S. (1985). Bulimia: A review of its symptomatology and treatment.Advances in Behavior Research and Therapy, 7, 91–142.
Polivy, J., & Herman, C. P. (1985). Dieting and hinging: A causal analysis.American Psychologist, 40, 193–201.
Rosen, J. C., & Leitenberg, H. (1982). Bulimia nervosa: Treatment with exposure and response prevention.Behavior Therapy, 13, 117–124.
Rosen, J. C., Leitenberg, H., Fondacaro, K. M., Gross, J., & Willmuth, M. E. (1985). Standardized test meals in assessment of eating behavior in bulimia nervosa: Consumption of feared foods when vomiting is prevented.International Journal of Eating Disorders, 4, 59–70.
Ruderman, A. J. (1983). The Restraint Scale: A psychometric investigation.Behaviour Research and Therapy, 21, 258–283.
Ruderman, A. J. (1985). Restraint, obesity, and bulimia.Behaviour Research and Therapy, 23, 151–156.
Schachter, S. (1971). Some extraordinary facts about obese humans and rats.American Psychologist, 26, 126–144.
Smith, M. C., & Thelen, M. H. (1984). Development and validation of a test for bulimia.Journal of Consulting and Clinical Psychology, 52, 863–872.
Spencer, J. A., & Fremouw, W. J. (1979). Binge eating as a function of restraint and weight classification.Journal of Abnormal Psychology, 88, 262–267.
Tomarken, A. J., & Kirschenbaum, D. S. (1984). Effects of plans for future meals on counterregulatory eating by restrained and unrestrained eaters.Journal of Abnormal Psychology, 93, 458–472.
Williamson, D. A., Goreczny, A. J., Davis, C. J., McKenzie, S. J., & Ruggiero, L., (1988). Psychophysiological analysis of the anxiety model of bulimia nervosa.Behavior Therapy, 19, 1–9.
Williamson, D. A., Kelly, M. L., Cavell, T., & Prather, R. (1987). Eating and eliminating disorders. In C. L. Frame & J. L. Maison (Eds.),Handbook of assessment in child psychopathology: Applied issues in differential diagnosis and treatment evaluation. New York: Plenum Press.
Williamson, D. A., McKenzie, S. J., Duchmann, E. G., Davis, C. J., & Goreczny, A. J. (1987, November).Development of the eating questionnaire: A new self-report inventory for bulimia. Paper presented at the annual convention of the Association for Advancement of Behavior Therapy, Boston, MA.
Williamson, D. A., Prather, R. C., Goreczny, A. J., Davis, C. J., & McKenzie, S. J. (1989). A comprehensive model of bulimia nervosa: Empirical evaluation. In W. G. Johnson (Ed.),Advances in eating disorders, Greenwich, CT: JAI Press (in press).
Willmuth, M. E., Leitenberg, H., Rosen, J. C., & Cado, S. (1988). A comparison of purging and nonpurging normal weight bulimics.International Journal of Eating Disorders, 7, 825–835.
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Duchmann, E.G., Williamson, D.A. & Stricker, P.M. Bulimia, dietary restraint, and concern for dieting. J Psychopathol Behav Assess 11, 1–13 (1989). https://doi.org/10.1007/BF00962695
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF00962695