Journal of the Korean Academy of Child and Adolescent Psychiatry : eISSN 2233-9183 / pISSN 1225-729X

Table. 4.

Table. 4.

Case 2 patient’s self-monitoring records during a binge episode

Time Food and drink consumed Place * V/L Context and comments Key features
2022.2.9
8:20-8:45 AM 6 Cheese cookies
10 Chocolate cookies
1 Pack of milk
* I felt really hungry, so I bought two packets. However, it was too much, so I decided to discard a little before eating the rest. Surprisingly, it satisfied my cravings completely. Craving
12:20-12:50 PM Chicken pop snacks 1 packet
1 Pack of milk
12 Pieces of cheese round cookies
Shopping mall * While enjoying the food with my mom, I kept seeing an ice cream shop. Couldn't stop thinking about it, just contemplating when to eat. I rationalized, saying to myself, 'I can endure a little discomfort in my stomach.' However, mom suggested waiting for 30 minutes and having it if I still wanted it afterward. During that time, I was fixated on the food, desperately wanting to eat it, even considering binge-eating. Craving
1:20-2:40 PM 1 Pint of ice cream Shopping mall * After finishing one, my mom stopped me from having more. Afterwards, I experienced stomachache, craving, and self-blame. Consumption of larger amounts
5:10-6:00 PM 1 Pack of milk
1 Bag of cheese puffs
4 Bags of St.Michel cookies
Home * Much more discomfort than feeling nauseous after lunch. Continual reflux of what I ate. Severe bloating in the abdomen. Feeling overall unpleasant due to the greasiness, saltiness, and excessive fullness. Continued use in spite of negative consequences

Observe the obsession and craving for sweets and the embarrassment about it, rather than efforts to limit intake or anxiety about weight gain. The patient’s verbatim is translated in English. The original Korean text has been provided as a Supplementary Table 4.

*overeating/binge eating. V/L, vomiting/use of laxatives

J Korean Acad Child Adolesc Psychiatry 2024;35:66-74 https://doi.org/10.5765/jkacap.230069
© 2024 J Korean Acad Child Adolesc Psychiatry