Chew And Spit

Chew And Spit




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From Wikipedia, the free encyclopedia

^ Mitchell, J. E.; Pyle, R.; Hatsukami, D.; Eckert, E. (1988-01-01). "Chewing and spitting out food as a clinical feature of bulimia". Psychosomatics . 29 (1): 81–84. doi : 10.1016/S0033-3182(88)72425-1 . ISSN 0033-3182 . PMID 3340710 .

^ Smith, G. R.; Ross, R. L. (1989-01-01). "Chewing and spitting associated with a protein sparing modified fast and psychosocial stressors". Psychosomatics . 30 (2): 224–226. doi : 10.1016/S0033-3182(89)72305-7 . ISSN 0033-3182 . PMID 2710922 .

^ Song, Youn Joo; Lee, Jung-Hyun; Jung, Young-Chul (2015-10-01). "Chewing and spitting out food as a compensatory behavior in patients with eating disorders". Comprehensive Psychiatry . 62 : 147–151. doi : 10.1016/j.comppsych.2015.07.010 . ISSN 1532-8384 . PMID 26343479 .

^ Durkin, Nora E.; Swanson, Sonja A.; Crow, Scott J.; Mitchell, James; Peterson, Carol B.; Crosby, Ross (2014-01-01). "Re-examination of chewing and spitting behavior: characteristics within and across eating disorder diagnoses". Eating and Weight Disorders . 19 (3): 315–320. doi : 10.1007/s40519-013-0090-3 . ISSN 1590-1262 . PMID 24357336 .

^ De Zwaan, M. (1997-01-01). "Chewing and spitting out food in eating disorder". International Journal of Psychiatry in Clinical Practice . 1 (1): 37–38. doi : 10.3109/13651509709069203 . ISSN 1365-1501 . PMID 24926979 .

^ McCutcheon, R.; Nolan, A. (1995-03-01). "Chewing and spitting out food--a neglected symptom?". The International Journal of Eating Disorders . 17 (2): 197–200. doi : 10.1002/1098-108X(199503)17:2<197::AID-EAT2260170214>3.0.CO;2-Q . ISSN 0276-3478 . PMID 7757102 .

^ Kovacs, Dora; Mahon, Jennifer; Palmer, Robert L. (1 July 2002). "Chewing and spitting out food among eating-disordered patients". International Journal of Eating Disorders . 32 (1): 112–115. doi : 10.1002/eat.10073 . ISSN 1098-108X . PMID 12183939 .

^ Guarda, Angela; Coughlin, Janelle; Cummings, Molly; Marinilli, Angela; Haug, Nancy; Boucher, Michael; Heinberg, Leslie (1 July 2004). "Chewing and spitting in eating disorders and its relationship to binge eating". Eating Behaviors . 5 (3): 231–239. doi : 10.1016/j.eatbeh.2004.01.001 . ISSN 1471-0153 . PMID 15135335 .

^ Makhzoumi, Saniha; Guarda, Angela; Schreyer, Colleen; Reinblatt, Shauna; Redgrave, Graham; Coughlin, Janelle (1 April 2015). "Chewing and spitting: A marker of psychopathology and behavioral severity in inpatients with an eating disorder". Eating Behaviors . 17 : 59–61. doi : 10.1016/j.eatbeh.2014.12.012 . ISSN 1471-0153 . PMID 25580013 .


Chew and Spit (sometimes abbreviated as CHSP or CS ) is a compensatory behavior associated with several eating disorders that involves the chewing of food and spitting it out before swallowing, often as an attempt to avoid ingestion of unwanted or unnecessary calories. CS can be used as a way to taste food viewed as “forbidden” or unhealthy. Individuals who partake in CS typically have an increased desire for thinness , increased lack of control (LOC) and body dissatisfaction. CS can serve different functions such as replacing vomiting and/or binging or as an additional behavior to many eating disorders.

CS and like behaviors has been found in several different eating disorders, making it difficult to find a treatment that works as a cure-all. There has been no defined treatment of CS as of now; however, Cognitive behavioral therapy (CBT) has been shown to reduce negative behaviors involved in eating disorders such as bulimia nervosa , anorexia nervosa and many others.

A recent systematic review on the topic, revealed seven themes identified in scholarly articles. [1] [2] [3] [4] [5] [6]

These themes include having potential markers of eating disorder severity (regardless of length of illness contributing to age discrimination. Individuals suffering from CS also showed increased Loss of Control (LOC), Pathological eating, negative emotions and feelings, and Body image distortion . CS sufferers may also be trans-diagnostic (i.e. appears in individuals who have been diagnosed with all or any type of clinical or sub-clinical eating disorder)

Chew and Spit is often associated with and may be a potential gateway to more severe dieting behaviors. Individuals who use CS as a compensatory behavior are more likely to be diagnosed or develop eating disorders. The likelihood is dependent upon the severity of food obsession present. Treatments to eliminate the behavior of chewing and spitting have not yet been developed. However, given the correlation with eating disorders, research suggest treatments that are used for eating disorders such as, Cognitive Behavioral Therapy , may also be effective for eliminating Chewing and Spitting behaviors. [7]

Throughout studies relating to Chew and Spit, it was seen that 34% of individuals with eating disorders partake in CS. This includes all eating disorders such as bulimia, anorexia nervosa, and more. It has also been found that younger individuals are more likely to participate in CS. While younger individuals are more likely to develop CS, this does not determine personality or activity outside of eating behaviors. Overall, CS contributes to body dissatisfaction while body dissatisfaction contributes to CS. [8] CS has also been seen to occur in episodes, rather than consistently. These episodes have been seen to be days to weeks long. [9]

Chew and Spit has not received much attention in the research industry regarding treatment, long term effects of chewing and spitting, and its associations with other behaviors and eating disorders. More research is needed on his topic to further understand the effect this behavior has on individuals physically and psychologically .



Verywell Mind's content is for informational and educational purposes only. Our website is not intended to be a substitute for professional medical advice, diagnosis, or treatment.

Ⓒ 2021 About, Inc. (Dotdash) — All rights reserved

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Verywell Mind's content is for informational and educational purposes only. Our website is not intended to be a substitute for professional medical advice, diagnosis, or treatment.

Ⓒ 2021 About, Inc. (Dotdash) — All rights reserved





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Among the lesser-known and less-studied eating disorder behaviors is chewing and spitting . This behavior consists of chewing a highly palatable and energy-dense food and spitting it out instead of swallowing it. 1


The intent of chewing and spitting is to enjoy food’s flavor without ingesting calories. Chewing and spitting is similar to bingeing because it involves larger than intended quantities of high-calorie foods. It also shares elements of restrictive eating because the food is not actually consumed.


Initially, spitting was believed to be an alternative to purging . Therefore, the behavior was primarily studied in individuals with bulimia nervosa . In the prior version of the Diagnostic and Statistical Manual (DSM-IV), chewing and spitting was listed as a potential symptom of eating disorder not otherwise specified (EDNOS). 1


The diagnosis of EDNOS was replaced with the category of other specified feeding and eating disorder (OSFED ) in the DSM-5 . However, the DSM-5 does not list chewing and spitting under any single disorder because this behavior may occur across other eating disorder diagnoses.

Chewing and spitting can be seen in patients diagnosed with anorexia nervosa , bulimia nervosa, or other specified eating disorders.

Eating disorders can impact people from all different walks of life. Research shows that those with a family history of eating disorders are more likely to develop them, but genetics don't always play a role. 2


A preoccupation with body image and a desire for control are commonly associated with eating disorders, like chewing and spitting. Other mental disorders like anxiety, obsessive-compulsive disorder, depression, or drug abuse may also accompany disordered eating habits, along with more severe symptoms—including suicidal ideation. 3

If you are having suicidal thoughts, contact the National Suicide Prevention Lifeline at 1-800-273-8255 for support and assistance from a trained counselor. If you or a loved one are in immediate danger, call 911.
For more mental health resources, see our National Helpline Database .

While it might seem like a relatively benign habit when compared to other disordered behaviors like vomiting, the physical consequences of chewing and spitting can be serious. Some of the health effects of chewing and spitting include: 4


Patients should see a medical doctor and a dentist to discuss potential treatment options for gastrointestinal, hormonal, and dental issues. Proper mental health support can help reduce further physical and emotional damage.


The shame and stigma associated with chewing and spitting can be a barrier to seeking treatment. As with other eating disorders, psychotherapy and nutritional counseling can help. Diagnosing an eating disorder requires a health professional to assess the following factors: 2


Cognitive behavioral therapy (CBT) may be used to address eating disorders including chewing and spitting. Components may include acknowledgment of feelings of shame, challenging of dietary rules, management of emotional distress, and practice of increased flexibility.

The CBT strategies that are used to address chewing and spitting behaviors are similar to those used with other eating disorders. The strategies are focused on challenging a person's irrational thoughts involving fear of food, fear of weight gain, and body image concerns.

If a loved one is displays signs of an eating disorder, it's helpful to understand which behaviors they are engaging in. You may notice certain symptoms such as: 5


Chewing and spitting may be a symptom of a larger eating disorder. Speak to your loved one about your concerns and encourage them to accept help from a qualified professional. Avoid providing criticism or judgment, and instead, focus on showing them how much you care about their well-being.


Chewing and spitting may not seem like a big deal, but it's a sign of having a dysfunctional relationship with food. If you or someone you care about is chewing and spitting, it's best to seek treatment before the behavior continues to progress. There are ways to find peace with food and body image. Sometimes, we just need a little extra help and support to start moving in the right direction.


https://en.wikipedia.org/wiki/Chew_and_Spit
https://www.verywellmind.com/chew-and-spit-eating-disorder-behavior-4100664
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Chew And Spit


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