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

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.


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