Journal of Eating Disorders
Processes and pathways to binge eating: development of an integrated cognitive and behavioural model of binge eating
- Received: 26 November 2018
- Accepted: 12 May 2019
- Published: 7 June 2019
Abstract
Background
There are a number of factors commonly believed to be important to the development and maintenance of binge eating that have been identified across multiple models and theories in the psychological literature. In the present study, we sought to develop and test a psychological model for binge eating that incorporated the main variables identified in the literature to drive binge eating behaviour; specifically, core low self-esteem, negative affect, difficulty with emotional regulation, restricted eating and beliefs about eating.
Methods
Questionnaire data was collected from 760 unselected participants. The proposed model of binge eating was developed, bivariate relationships between the included variables were assessed, and the goodness-of-fit of this new model was evaluated using structural equations modelling.
Result
The results identified significant bivariate relationships between all the included variables. While the originally proposed model did not provide a good fit to the data, the revised version of the model provided a good fit to the data.
Conclusions
Supporting, integrating and building upon the current existing psychological models of binge eating, this study presents a new integrated cognitive and behavioural model of binge eating. The dual-pathway to binge eating identified in the new model provides a different way to understand transdiagnostic binge eating.
Keywords
- Binge eating
- Model
- Cognitive Behavioural
- Metacogntive
- Eating disorder
- Structural equations modelling
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