Hostname: page-component-cd9895bd7-q99xh Total loading time: 0 Render date: 2024-12-26T14:26:06.908Z Has data issue: false hasContentIssue false

Uncontrolled, Repetitive Eating of Small Amounts of Food or ‘Grazing’: Development and Evaluation of a New Measure of Atypical Eating

Published online by Cambridge University Press:  11 April 2013

Brigitte Lane
Affiliation:
School of Psychology, University of Sydney, Sydney, New South Wales, Australia
Marianna Szabó*
Affiliation:
School of Psychology, University of Sydney, Sydney, New South Wales, Australia
*
Address for correspondence: Dr. Marianna Szabó, School of Psychology, Brennan MacCallum Building (A18), The University of Sydney NSW 2006, Australia. Email: [email protected]
Get access

Abstract

Grazing, or the uncontrolled, repetitive eating of small amounts of food is being increasingly recognised as an important eating behaviour associated with obesity. In spite of the need for a better understanding of this eating behaviour for improved obesity treatment, currently there is no empirically validated self-report measure to assess grazing. Therefore, to contribute to a better understanding of this relatively understudied eating pattern, a new self-report questionnaire of grazing was developed in this study. Questionnaire items were designed to reflect previous empirical descriptions of grazing. A group of 248 university students completed the Grazing Questionnaire, other measures of eating-related behaviours and cognitions, and negative emotion. Sixty-two participants completed the Grazing Questionnaire a second time to calculate its temporal stability. Exploratory factor analysis revealed a clear two-factor solution for the questionnaire, reflecting repetitive eating behaviour and a perception of loss of control. Scores on the Grazing Questionnaire were positively associated with other measures of disordered eating, especially with binge eating. Initial psychometric properties of the new questionnaire are promising. Future research is now needed to examine the prevalence of this eating behaviour in more diverse populations, including those with binge eating disorder and obesity.

Type
Standard Papers
Copyright
Copyright © The Authors 2013

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Adhikari, P. (2006). Socio-economic indexes for areas: Introduction, use and future directions (ABS Catalogue no.1351.0.55.015). Canberra, Australia: Australian Bureau of Statistics.Google Scholar
Allison, K.C., & Timmerman, G.M. (2007). Anatomy of a binge: Food environment and characteristics of nonpurge binge episodes. Eating Behaviors, 8, 3138.CrossRefGoogle ScholarPubMed
Allison, K.C., Lundgren, J.D., O'Reardon, J.P., Martino, N.S., Sarwer, D.B., Wadden, T.A., . . . Stunkard, A.J. (2008). The Night Eating Questionnaire (NEQ): Psychometric properties of a measure of severity of the Night Eating Syndrome. Eating Behaviors, 9, 6272.Google Scholar
American Psychiatric Association (APA). (2000). Diagnostic and statistical manual of mental disorders, fourth edition — text revision. Washington, DC: American Psychiatric Association.Google Scholar
Antony, M.M., Bieling, P.J., Cox, B.J., Enns, M.W., & Swinson, R.P. (1998). Psychometric properties of the 42-item and 21-item versions of the Depression Anxiety Stress Scales in clinical groups and a community sample. Psychological Assessment, 10, 176181.CrossRefGoogle Scholar
Brown, T.A., Korotitsch, B.F., Chorpita, W., & Barlow, D.H. (1997). Psychometric properties of the Depression Anxiety Stress Scales (DASS) in clinical samples. Behaviour Research and Therapy, 35, 7989.Google Scholar
Burton, P., Smit, H., & Lightowler, H.J. (2007). The influence of restrained and external eating patterns on overeating. Appetite, 49, 191197.Google Scholar
Busetto, L., Segato, G., De Luca, M., De Marchi, F., Foletto, M., Vianello, M., Valeri, M., Favretti, F., & Enzi, G. (2005). Weight loss and preoperative complications in morbidly obese patients with binge eating disorder treated by laparoscopic adjustable gastric banding. Obesity Surgery, 15, 195201.Google Scholar
Carter, F.A., & Jansen, A. (2012). Improving psychological treatment for obesity. Which eating behaviours should we target? Appetite, 58, 10631069.Google Scholar
Colles, S.L., Dixon, J.B., & O'Brien, P.E. (2007). Night eating syndrome and nocturnal snacking: Association with obesity, binge eating, and psychological distress. International Journal of Obesity, 31, 17221730.Google Scholar
Colles, S.L., Dixon, J.B., & O'Brien, P.E. (2008). Grazing and loss of control related to eating: Two high-risk factors following bariatric surgery. Obesity, 16, 615622.CrossRefGoogle ScholarPubMed
Cooper, Z., & Fairburn, C.G. (2003). Redefining the definition of binge eating disorder and nonpurging bulimia nervosa. International Journal of Eating Disorders, 34, S89S95.CrossRefGoogle Scholar
Darby, A., Hay, P., Mond, J., Rodgers, B., & Owen, C. (2007). Disordered eating behaviours and cognitions in young women with obesity: Relationship with psychological status. International Journal of Obesity, 31, 876882.CrossRefGoogle ScholarPubMed
Davis, C., Levitan, R.D., Carter, J., Kaplan, A.S., Reid, C., Curtis, C., Patte, K., & Kennedy, J.L. (2008). Personality and eating behaviors: A case-control study of binge eating disorder. International Journal of Eating Disorders, 41, 24250.CrossRefGoogle ScholarPubMed
Deaver, C.M., Miltenberger, R.G., Smyth, J., Meidinger, A., & Crosby, R. (2003). An evaluation of affect and binge eating. Behavior Modification, 27, 578599.CrossRefGoogle ScholarPubMed
Fabrigar, L.R, Wegener, D.T., MacCallum, R.C., & Strahan, E.J. (1999). Evaluating the use of exploratory factor analysis in psychological research. Psychological Methods, 4, 272299.Google Scholar
Fairburn, C.G. (2008). Cognitive Behaviour Therapy for Eating Disorders. New York: The Guilford Press.Google ScholarPubMed
Faria, S.L., Kelly, E. de O., Faria, O.P., & Kiyomi, M. (2009). Snack-eating patients experience lesser weight loss after Roux-en-Y gastric bypass surgery. Obesity Surgery, 19, 12931296.Google Scholar
Fichter, M.M., Herpertz, S., Quadflieg, N., & Herpertz-Dahlmann, B. (1998). Interview for anorexic and bulimic disorders for DSM-IV and ICD-10: Updated (third) revision. International Journal of Eating Disorders, 24, 227249.Google Scholar
Fichter, M.M. & Quadflieg, N. (1999). SIAB Professional Manual — Excerpt 3. Instruction for SIAB-EX expert interview. Retrieved September 25, 2011, from http://www.epi.med.unimuenchen.de/epip/attachments/054_mank3_en.pdfGoogle Scholar
Freitas, S.R., Lopes, C.S., Appolinario, J.C., & Coutinho, W. (2006). The assessment of binge eating disorder in obese women: A comparison of the Binge Eating Scale with the structured clinical interview for the DSM-IV. Eating Behaviors, 7, 282289.Google Scholar
Garner, D.M. (2004). Eating Disorder Inventory-3 (EDI-3): Professional manual. Lutz, FL: Psychological Assessment Resources.Google Scholar
Grilo, C.M., Masheb, R.M., Wilson, G.T., Gueorguieva, R., & White, M.A. (2011). Cognitive–behavioral therapy, behavioral weight loss, and sequential treatment for obese patients with binge-eating disorder: A randomized controlled trial. Journal of Consulting and Clinical Psychology, 79, 675685.Google Scholar
Goldschmidt, A.B., Hilbert, A., Manwaring, J.L., Wilfley, D.E., Pike, K.M., Fairburn, C.G., & Striegel-Moore, R.H. (2010). The significance of overvaluation of shape and weight in Binge Eating Disorder. Behaviour Research & Therapy, 48, 187193.Google Scholar
Gormally, J., Black, S., Daston, S., & Rardin, D. (1982). The assessment of binge eating severity among obese persons. Addictive Behaviors, 7, 4755.Google Scholar
Hagan, M.M., Whitworth, R.H., & Moss, D.E. (1999). Semistarvation-associated eating behaviors among college binge eaters: A preliminary description and assessment scale. Behavioral Medicine, 25, 125132.Google Scholar
Hagan, M.M., Shuman, E.S., Kimberley, D.O., Corcoran, K.J., Profitt, J.H., Blackburn, K., . . . Birbaum, M. C. (2002). Incidence of chaotic eating behaviors in binge-eating disorder: Contributing factors. Behavioral Medicine, 28, 99105.Google Scholar
Kofman, M.D., Lent, M.R., & Swencionis, C. (2010). Maladaptive eating patterns, quality of life, and weight outcomes following gastric bypass. Results of an Internet survey. Obesity (Silver Spring), 18, 19381943.Google Scholar
Kornhaber, A.K. (1970). The stuffing syndrome. Psychosomatics, 11, 580584.CrossRefGoogle ScholarPubMed
Lovibond, S.H., & Lovibond, P.F. (1995). Manual for the Depression Anxiety Stress Scales. Sydney, Australia: The Psychological Foundation of Australia.Google Scholar
Macht, M., Haupt, C., & Ellgring, H. (2005). The perceived function of eating is changed during examination stress: A field study. Eating Behaviors, 6, 109112.Google Scholar
Mitchell, J.E., Devlin, M.J., de Zwaan, M., Crow, S.J., & Peterson, C.B. (2008). Binge-eating disorder: Clinical foundations and treatment. New York: The Guilford Press.Google Scholar
O'Connor, D.B., Jones, F., Conner, M., McMillan, B., & Ferguson, E. (2008). Effects of daily hassles and eating styles on eating behavior. Health Psychology, 27, S20S31.Google Scholar
Raymond, N.C., Neumeyer, B., Warren, C.S., Lee, S.S., & Peterson, C.B. (2003). Energy intake patterns in obese women with binge eating disorder. Obesity Research, 11, 869879.Google Scholar
Sallet, P.C., Sallet, J.A., Dixon, J.B., Collis, E., Pisani, C.E., Levy, A., Bonaldi, F.L., & Cordas, T.A. (2007). Eating behavior as a prognostic factor for weight loss after gastric bypass surgery. Obesity Surgery, 17, 445451.Google Scholar
Saunders, R. (1999). Binge eating in gastric bypass patients before surgery. Obesity Surgery, 9, 7276.Google Scholar
Saunders, R. (2001). Compulsive eating and gastric bypass surgery: What does hunger have to do with it? Obesity Surgery, 11, 757761.Google Scholar
Saunders, R. (2004). ‘Grazing’: A high-risk behavior. Obesity Surgery, 14, 98–12.Google Scholar
Stice, E., Telch, C.F., & Rizvi, S.L. (2000). Development and validation of the Eating Disorder Diagnostic Scale: A brief self-report measure of Anorexia, Bulimia, and Binge-Eating Disorder. Psychological Assessment, 12, 123131.CrossRefGoogle Scholar
Stice, E., Fisher, M., & Martinez, E. (2004). Eating Disorder Diagnostic Scale: Additional evidence of reliability and validity. Psychological Assessment, 16, 6071.Google Scholar
Tanofsky-Kraff, M., & Yanovski, S.Z. (2004). Eating disorder or disordered eating? Non-normative eating patterns in obese individuals. Obesity Research, 12, 13611366.Google Scholar
Timmerman, G. M. (1999). Binge Eating Scale: Further assessment of validity and reliability. Journal of Applied Biobehavioral Research, 4, 112.Google Scholar
Van Strien, T., Frijters, J.E.R., Bergers, G.P.A., & Defares, P.B. (1986). The Dutch Eating Behavior Questionnaire (DEBQ) for assessment of restrained, emotional, and external eating behaviour. International Journal of Eating Disorders, 5, 295315.Google Scholar
Van Strien, T., Engels, R.C.M.E., van Leeuwe, J., & Snoek, H.M. (2005). The Stice model of overeating: Tests in clinical and non-clinical samples. Appetite, 45, 205213.Google Scholar
World Health Organization (WHO). (1998). BMI classification. Global Database on Body Mass Index. Retrieved July 20, 1999, from http://apps.who.int/bmi/index.jsp?introPage=intro_3.htmlGoogle Scholar