Objective: Food cravings are a frequently described antecedent to bing
e eating, yet not all of those who report food cravings also binge eat
. The present study sought to determine the factors that distinguish c
ravers who binge versus those whose cravings are satisfied by a relati
vely ''normal'' amount of food. Method: A food craving questionnaire,
a psychiatric diagnostic interview containing questions on binge eatin
g, and a self-report booklet were completed by a group of cravers recr
uited by advertisement and a group of cravers from a randomly selected
sample. Results: In both groups, the cravers who binged were differen
tiated from those who did not binge by higher measures of body mass in
dex (BMI) more frequent diagnoses of bulimia nervosa, a higher level o
f dietary restraint, and a by a temperament characterized by low self-
directedness. In the recruited cravers, those who binged were also mor
e likely to have had an episode of major depression, social phobia, to
be cognitively controlled and harm avoidant. A comparison of recruite
d cravers with randomly selected cravers and control women suggests th
at greater rates of psychopathology and eating-related disturbances an
d lower levels of parental care may be found in recruited samples. Dis
cussion: In addition to elucidating factors associated with binge eati
ng in cravers, this study highlights important differences between rec
ruited and random samples. (C) 1998 by John Wiley & Sons, Inc.