Since then, a variety of studies have found that people living with anorexia, especially those with the most severe cases of the disease, also engage in the behavior. But even though The U. Like Beat, health professionals continue to consider CHSP a symptom, despite the fact that online comments show that some people only chew and spit, and do not appear to also have anorexia or bulimia.
Apart from a three-paragraph Glamour article from that erroneously calls it a "new" disorder, the behavior has not been covered much in the mainstream media. A quick Google search of "chewing and spitting" produces half a million results, largely blogs and forums from the many sufferers desperate to feel less alone.
These stories shed light on the reality of a problem that doctors and the media have neglected. Gross, I know. All three women are young between 18 and 24 , suffer from body image issues, and wish to remain anonymous. This desire for anonymity sheds light on one of the most pervasive and crippling aspects of CHSP: the shame. Like the online commenters mentioned above, L only suffers from CHSP, and does not have any other disordered eating habits. To me, it was just a weird and gross habit that I would have to explain to whoever I told," she said.
Despite the accompanying feelings of shame, each woman I've spoken to described the same thing: They find chewing and spitting highly addictive. Kinmond, she said that there is potential in any behavior for addiction, and she noted that CHSP could be considered a form of self-harm. But scientifically, there is an additional argument for CHSP being addictive. Chewing and spitting in eating disorders and its relationship to binge eating.
Eating Behaviours. Chewing and spitting associated with a protein sparing modified fast and psychosocial stressors. Chewing and spitting out food as a compensatory behavior in patients with eating disorders. Comprehensive Psychiatry.
Re-examination of chewing and spitting behavior: characteristics within and across eating disorder diagnoses. Chewing and spitting: A marker of psychopathology and behavioral severity in inpatients with an eating disorder. Eating Behaviors. De Zwaan M.
Chewing and spitting out food in eating disorder. International Journal of Psychiatry in Clinical Practice. Chewing and spitting out food among eating-disordered patients. McCutcheon R, Nolan A. Chewing and spitting out food—a neglected symptom? Why men should be included in research on binge eating: results from a comparison of psychosocial impairment in men and women.
Thapliyal P, Hay PJ. Treatment experiences of males with an eating disorder: A systematic review of qualitative studies. Translational Developmental Psychiatry. Dolhanty J. Giving up an eating disorder: What else might you be giving up? Meta-analysis: surgical treatment of obesity. Simmers M. Tackling relapse among anorexia nervosa patients. Eating Disorders Review. Download references. Thank you to Melissa Helou, B. Arts, B. Bis, MSW, Griffith University, for assisting in the proofreading of initial draft versions of this review.
PA conceived the research idea, developed the search strategy and methodology, and conducted the initial literature search, quality assessment and draft of manuscript. NS conducted a secondary literature search, quality assessment and editing of manuscript. ST and PH provided significant input and guidance, assisted in design and methods, drafting and editing the manuscript.
All authors have read and approved the final manuscript before submission. ST receives an honorarium from Shire Pharmaceuticals. You can also search for this author in PubMed Google Scholar.
Correspondence to Phillipa Hay. Reprints and Permissions. Aouad, P. J Eat Disord 4, 23 Download citation. Received : 25 February Accepted : 09 August Published : 22 August Anyone you share the following link with will be able to read this content:. Sorry, a shareable link is not currently available for this article. Provided by the Springer Nature SharedIt content-sharing initiative.
Skip to main content. Search all BMC articles Search. Download PDF. Abstract Background This systematic review is an evaluation of the empirical literature relating to the disordered eating behaviour Chew and Spit CHSP.
Aims The review aimed to identify and critically assess studies that have examined the distribution of CHSP behaviour, its relationship to eating disorders, its physical and psychosocial consequences and treatment. Methods A systematic database search with broad inclusion criteria, dated to January was conducted.
Results Nine studies met the inclusion criteria. Conclusions Conclusions were limited due to the low quality and small numbers of studies based on clinical samples only.
Plain English Summary Some people have a problematic weight control behaviour of chewing their food and spitting it out before swallowing, or Chew and Spit. Background Chew and Spit CHSP is the pathological behaviour of chewing a food, often of subjectively enjoyable quality as well as dense caloric content, and then spitting it out before swallowing as a means to avoid ingesting unwanted calories [ 1 ]. Search string used for database searching. Full size image.
Results Of the studies identified, only nine met the eligibility criteria for inclusion in the systematic review — six cross-sectional studies, and three case studies.
Table 2 Ferro and speechley quality index scores for included studies [ 30 ] Full size table. Table 3 Summary of included studies in this review of Chew and Spit behaviour Full size table. Discussion This systematic review identified nine studies that met the eligibility criteria [ 1 , 32 — 39 ]. References 1. Article PubMed Google Scholar 2.
Google Scholar 3. Google Scholar 4. Article Google Scholar 5. Google Scholar 6. Google Scholar 7. Google Scholar 8. Google Scholar 9. Google Scholar Article PubMed Google Scholar Article Google Scholar PubMed Google Scholar Acknowledgements Thank you to Melissa Helou, B. Funding There were no sources of funding. Availability of data and material As this is a review all data presented here is published and in the public domain. View author publications.
About this article. Cite this article Aouad, P. Copy to clipboard. Contact us Submission enquiries: Access here and click Contact Us General enquiries: info biomedcentral. I spit to get the taste of foods — mostly sweets cake, cookies, brownies, etc.
What are the health effects of chewing and spitting? I know it can't be good for me, even though I am getting a lot of good nutrition from the foods I actually swallow. Also, I read online that you start digesting sugars in the mouth so a lot of the calories are still being absorbed into your body without swallowing.
Is this true? It's true that chewing starts the digestive process. Even if you spit a food out, your saliva has already begun to break down the sugars. People who chew and spit out food can end up with dental problems, including cavities and gum disease.
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