Psychological Anxiety - In the Schwitzer et al. (2001) study, of 130 female college students, 75% of the participants were experiencing moderate stress and anxiety and 40% were experiencing moderate depression Lack of self control or impulsivity is another contributor that often leads to episodes of uncontrollable binge eating (Stice, 2002) Low self-esteem Perfectionism - insistent pursuit for thin-idealization or drive for thinness, excessive expectations or a high need for achievement to improve athletic performance or aesthetics (Schwitzer et al., 2001) Guilt – from overeating or not excessively exercising