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Western Journal of Nursing Research
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Overeating, Reversal Theory, and Weight Cycling

Sue Popkess-Vawter

Shirley Wendel

Serena Schmoll

Kathleen O'Connell

America's overweight problem is universally recognized and escalating, despite billions of dollars spent to combat it. For the past century, a unidimensional paradigm was predominantly used to correct the overweight problem by reducing calories through dieting. As a result of the profoundfailure of traditional diet programs, a phenomenon known as weight cycling was born. In this article, a multidimensional paradigm is emphasized to address weight cycling. Reversal theory extends a new theoretical basis that can accountfor unpleasantfeelings, or tension stress, as a trigger of overeating in women who weight cycle. A case example demonstrates how reversal theory explains overeating as a response to high-tension stress. Results of two studies are presented, describing overweight and normal-weight women's reversal theory states during self-reported episodes of overeating and resisting overeating. The multidimensional paradigm calls for emotional overeating behaviors to be addressed in weight management.

Western Journal of Nursing Research, Vol. 20, No. 1, 67-83 (1998)
DOI: 10.1177/019394599802000105
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