This study investigates the assumption that dietary restriction leads to the development of binge eating in culimia nervosa (BN). Bulimic women reporting an onset of binge eating prior to dieting (n=20) were compared to women reporting an onset of dieting prior to binge eating, using similar age subjects. Results suggest that onset of binge eating prior to dieting in BN is associated with earlier onset of binge eating, higher BMI, and improved response to cognitive-behavioral treatments at 6 month follow-up. The implications are that the widely held belief that dieting causes binge eating may not be relevant for a sub group of individuals with BN.
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Fenna, Carrie, "A Comparison of Binge Eating Versus Dieting Onset in Bulimia Nervosa" (1995). Honors Theses, 1963-2015. 547.