{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T17:22:06Z","timestamp":1787678526294,"version":"build-2784847793"},"reference-count":41,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2023,3,15]],"date-time":"2023-03-15T00:00:00Z","timestamp":1678838400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000062","name":"National Institute of Diabetes and Digestive and Kidney Diseases","doi-asserted-by":"publisher","award":["K23 DK115893"],"award-info":[{"award-number":["K23 DK115893"]}],"id":[{"id":"10.13039\/100000062","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000062","name":"National Institute of Diabetes and Digestive and Kidney Diseases","doi-asserted-by":"publisher","award":["R01DK49587"],"award-info":[{"award-number":["R01DK49587"]}],"id":[{"id":"10.13039\/100000062","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["UL1TR001863"],"award-info":[{"award-number":["UL1TR001863"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Eating Disorders"],"published-print":{"date-parts":[[2023,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>Binge\u2010eating disorder involves overeating while feeling a loss of control (LOC). Emotions around LOC appear to vary; some patients fear LOC whereas others feel powerless or \u201cresigned\u201d to LOC. This study examined differences in psychopathology among treatment\u2010seeking patients with binge\u2010eating disorder categorized with fear of LOC, resignation to LOC, and no fear\/resignation of LOC.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>Doctoral research clinicians administered diagnostic and semistructured interviews to characterize psychopathology and establish a diagnosis of binge\u2010eating disorder in participants (<jats:italic>N<\/jats:italic>\u00a0=\u00a0382). The interview assessed fear of LOC in the past month. Further queries assessed whether, in the absence of fear of LOC, patients were resigned to LOC or had no fear\/resignation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Patients with fear of LOC and resigned to LOC endorsed significantly greater global eating\u2010disorder psychopathology than patients with no fear\/resignation. Patients with fear of LOC reported greater distress about binge eating and greater depression than those with no fear\/resignation. Patients resigned to LOC reported significantly more frequent binge\u2010eating episodes than those with fear of LOC and no fear\/resignation. Black individuals and men were more likely to report no fear\/resignation than other demographic groups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>This study describes a novel clinical aspect of binge\u2010eating disorder: resignation to LOC. Findings highlight the importance of including anticipatory cognitive\u2010affective experiences in treatment formulations and planning. Future research should examine co\u2010occurrence of these experiences and their association with impairment. Future research should also examine how fear of LOC and resignation to LOC change during treatment and whether they predict or moderate treatment outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>Public Significance<\/jats:title><jats:p>Adults with binge\u2010eating disorder have anticipatory cognitive\u2010affective experiences about loss of control (LOC) over eating (i.e., fear of LOC, resigned to LOC, no fear nor resignation of LOC). Individuals who experience fear of LOC and those who are resigned to LOC had more severe psychopathology than those without fear\/resignation. Binge\u2010eating disorder has the highest prevalence of the eating disorders; thus, findings have high public significance in guiding clinicians' treatment planning.<\/jats:p><\/jats:sec>","DOI":"10.1002\/eat.23929","type":"journal-article","created":{"date-parts":[[2023,3,15]],"date-time":"2023-03-15T13:29:33Z","timestamp":1678886973000},"page":"1199-1206","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":13,"title":["Loss of control in binge\u2010eating disorder: Fear and resignation"],"prefix":"10.1002","volume":"56","author":[{"given":"Hayley","family":"Perelman","sequence":"first","affiliation":[{"name":"Department of Psychiatry Yale University School of Medicine  New Haven Connecticut USA"},{"name":"Department of Counseling Psychology and Applied Human Development Boston University  Boston Massachusetts USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kelsey","family":"Gilbert","sequence":"additional","affiliation":[{"name":"Department of Psychiatry Yale University School of Medicine  New Haven Connecticut USA"},{"name":"Department of Psychology University of Hartford  Hartford Connecticut USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0245-3444","authenticated-orcid":false,"given":"Carlos M.","family":"Grilo","sequence":"additional","affiliation":[{"name":"Department of Psychiatry Yale University School of Medicine  New Haven Connecticut USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6425-514X","authenticated-orcid":false,"given":"Janet A.","family":"Lydecker","sequence":"additional","affiliation":[{"name":"Department of Psychiatry Yale University School of Medicine  New Haven Connecticut USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,3,15]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890423349"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425596"},{"key":"e_1_2_10_4_1","volume-title":"Manual for revised Beck Depression Inventory","author":"Beck A. 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