Freedom from Emotional Eating, Food & Weight Obsession

Binge Eating Disorder Research

The following is a list of Binge Eating Disorder Research I have published with colleagues in peer reviewed journals over the years.


Dialectical behavior therapy for women with binge eating disorder
April 2004, International Journal of Eating Disorders 35(4):467-467
DL Rofey, VK Matthews, SD Gazzolo, ES Shuman, KY Corcoran, MW Schwiebert


The weight-inclusive versus weight-normative approach to health: evaluating the evidence for prioritizing well-being over weight loss.
Tylka TL, Annunziato RA, Burgard D, Daníelsdóttir S, Shuman E, Davis C, Calogero RM.
Journal of Obesity. 2014;2014:983495. doi: 10.1155/2014/983495. Review.
PMID: 25147734 Free PMC Article

Using an ethical lens, this review evaluates two methods of working within patient care and public health: the weight-normative approach (emphasis on weight and weight loss when defining health and well-being) and the weight-inclusive approach (emphasis on viewing health and well-being as multifaceted while directing efforts toward improving health access and reducing weight stigma). Data reveal that the weight-normative approach is not effective for most people because of high rates of weight regain and cycling from weight loss interventions, which are linked to adverse health and well-being. Its predominant focus on weight may also foster stigma in health care and society, and data show that weight stigma is also linked to adverse health and well-being. In contrast, data support a weight-inclusive approach, which is included in models such as Health at Every Size for improving physical (e.g., blood pressure), behavioral (e.g., binge eating), and psychological (e.g., depression) indices, as well as acceptability of public health messages. Therefore, the weight-inclusive approach upholds nonmaleficience and beneficience, whereas the weight-normative approach does not. We offer a theoretical framework that organizes the research included in this review and discuss how it can guide research efforts and help health professionals intervene with their patients and community.

To Read the Full Article Online; Journal of Obesity- Health at Every Size Review, Click Here
To Read and/or Print, Here is a PDF of the Review Article I co-authored published in The Journal of Obesity


Secretive food concocting in binge eating: test of a famine hypothesis.
Boggiano MM, Turan B, Maldonado CR, Oswald KD, Shuman ES.
International Journal of Eating Disorders. 2013 Apr;46(3):212-25. doi: 10.1002/eat.22077.
PMID: 23255044 Free PMC Article


Objective: Food concocting, or making strange food mixtures, is well documented in the famine and experimental semistarvation literature and appears anecdotally in rare descriptions of eating disorder (ED) patients but has never been scientifically investigated. Here we do so in the context of binge-eating using a “famine hypothesis of concocting.” Method: A sample of 552 adults varying in binge eating and dieting traits completed a Concocting Survey created for this study. Exploratory ED groups were created to obtain predictions as to the nature of concocting in clinical populations. Results: Binge eating predicted the 24.6% of participants who reported having ever concocted but dietary restraint, independently, even after controlling for binge eating, predicted its frequency and salience. Craving was the main motive. Emotions while concocting mirrored classic high-arousal symptoms associated with drug use; while eating the concoctions were associated with intensely negative/self-deprecating emotions. Concocting prevalence and salience was greater in the anorexia > bulimia > BED > no ED groups, consistent with their respectively incrementing dieting scores. Discussion: Concocting distinguishes binge eating from other overeating and, consistent with the famine hypothesis, is accounted for by dietary restraint. Unlike its adaptive function in famine, concocting could worsen binge-eating disorders by increasing negative effect, shame, and secrecy. Its assessment in these disorders may prove therapeutically valuable.


Incidence of chaotic eating behaviors in binge-eating disorder: contributing factors.
Hagan MM, Shuman ES, Oswald KD, Corcoran KJ, Profitt JH, Blackburn K, Schwiebert MW, Chandler PC, Birbaum MC.
Behavioral Medicine. 2002 Fall;28(3):99-105.
PMID: 16463758


Because dieting is not as common in patients with binge-eating disorder (BED) as among patients with bulimia or anorexia nervosa, the authors assessed the incidence, frequency, and contributing factors of semistarvation-like eating patterns in BED patients in this study, the first to explore such behaviors in a clinical population. They administered the Semistarvation-Associated Behaviors Scale (SSABS) to 54 women seeking BED treatment and to 29 controls. The aberrant eating behaviors among BED clients were associated with current dieting and certain BED criteria, (p < .05). The strongest contributor to chaotic eating patterns was negative affect preceding BED (r = .45, p < .001). This finding highlights the behavioral psychopathology of BED and strengthens the role of negative affect in precipitating binge episodes associated with the disorder. These behaviors may help maintain BED by creating a binge-negative affect cycle. The SSABS is a tool that may help break this cycle.


Peer Reviewed Poster Presentations:

Rofey, D.L., Matthews, V., Gazollo, S., Corcoran, K.J., Shuman, E., & Schweibert, M. (2004, April). Dialectical Behavior Therapy in women with Binge Eating Disorder. Poster presented at the International Academy for Eating Disorders, Orlando, FL.


Rofey, D.L., Loyden, J., Corcoran, K.J., Birbaum, M.C., Lucic, K., Shuman, E., & Schwiebert, M. (2003, April). The prevalence of alexithymia and addictive behaviors in middle-aged women with disordered eating. Poster presented at the annual meeting of the International Academy for Eating Disorders, Boulder, Colorado.


Rofey, D.L., Shuman, E., & Corcoran, K.J. (2002, April). Internal consistency of the EDI-2 for a diverse population. Poster presented at the annual meeting of the International Academy for Eating Disorders, Boston, MA.