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Li C, Gu J, Li Y, Xia B, Meng X. The effect of perceived stress on binge eating behavior among Chinese university students: a moderated mediation model. Front Psychiatry 2024; 15:1351116. [PMID: 38563027 PMCID: PMC10983035 DOI: 10.3389/fpsyt.2024.1351116] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/06/2023] [Accepted: 03/05/2024] [Indexed: 04/04/2024] Open
Abstract
Introduction Previous studies have demonstrated a strong link between perceived stress and binge eating behavior, but the psychological mechanisms underlying such phenomenon are not fully understood. The present study further addressed this issue in a life history framework, focusing on life history strategy and distress tolerance. Methods Firstly, we investigated the mediation role of life history strategy on the relationship between perceived stress and binge eating behavior. Secondly, we examined the moderation role of distress tolerance on the effect of perceived stress on life history strategy, as well as on the direct effect of perceived stress on binge eating behavior. We analyzed data from 1342 Chinese university students. Results Results indicated that life history strategy mediates the relationship between perceived stress and binge eating behavior; distress tolerance has significant moderating effects on the direct effect of perceived stress on binge eating behavior and their indirect effect via life history strategy. Discussion Therefore, distress tolerance skills training and life history-based interventions might be potentially effective ways to reduce binge eating behavior triggered by perceived stress.
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Affiliation(s)
- Chunlu Li
- Department of Histology and Embryology, School of Basic Medical Sciences, Guizhou Medical University, Guiyang, China
- Key Laboratory for Research on Autoimmune Diseases of Higher Education schools in Guizhou Province, Guiyang, China
| | - Jing Gu
- Department of Psychology, School of Medical Humanitarians, Guizhou Medical University, Guiyang, China
| | - Yixin Li
- Department of Histology and Embryology, School of Basic Medical Sciences, Guizhou Medical University, Guiyang, China
- Key Laboratory for Research on Autoimmune Diseases of Higher Education schools in Guizhou Province, Guiyang, China
| | - Baijuan Xia
- Department of Histology and Embryology, School of Basic Medical Sciences, Guizhou Medical University, Guiyang, China
- Key Laboratory for Research on Autoimmune Diseases of Higher Education schools in Guizhou Province, Guiyang, China
| | - Xiaolu Meng
- Department of Psychology, School of Medical Humanitarians, Guizhou Medical University, Guiyang, China
- Guizhou Health Development Research Center, Guiyang, China
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Marek RJ, Le JT, Hapenciuc G, Philip MA, Chiu J, Block AR, Ben-Porath YS. Incremental Contribution of the Minnesota Multiphasic Personality Inventory - 3 to Predicting One-Year Postoperative Spinal Cord Surgery/Spinal Cord Stimulation Outcomes. J Clin Psychol Med Settings 2024; 31:77-90. [PMID: 37642803 DOI: 10.1007/s10880-023-09971-3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/10/2023] [Indexed: 08/31/2023]
Abstract
Pre-surgical psychological assessments are becoming common in the United States and are recommended or required prior to surgical/spinal cord stimulator intervention for chronic back pain. Psychological testing is often recommended for these evaluations and the various versions of the Minnesota Multiphasic Personality Inventory (MMPI) have demonstrated utility for predicting outcomes in this setting. This investigation sought to extend that literature with the newest version of the MMPI, the MMPI-3. The sample comprised of 909 patients (50.5% men, 49.5% women) who consented to participating in an outcome study and took the MMPI-3 along with other self-report measures of pain, functional disability, and emotional functioning prior to surgery as part of their pre-surgical psychological assessment. Self-report measures of pain, functional disability, and emotional functioning were administered again one-year following the intervention. MMPI-3 scale scores accounted for up to 9% of additional variance in the outcomes after controlling for pre-surgical measures. Measures of emotional/internalizing dysfunction, somatic dysfunction, and, to a lesser extent, behavioral/externalizing dysfunction contributed the most to the prediction of poorer outcomes.
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Affiliation(s)
- Ryan J Marek
- Department of Psychology and Philosophy, Sam Houston State University, 1905 University Ave, Huntsville, TX, 77340, USA.
| | - Janet T Le
- Department of Primary Care & Clinical Medicine, Sam Houston State University, Conroe, TX, USA
| | - Gabriel Hapenciuc
- Department of Primary Care & Clinical Medicine, Sam Houston State University, Conroe, TX, USA
| | - Michelle A Philip
- Department of Primary Care & Clinical Medicine, Sam Houston State University, Conroe, TX, USA
| | - Josephine Chiu
- Department of Primary Care & Clinical Medicine, Sam Houston State University, Conroe, TX, USA
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Mattingley S, Youssef GJ, Graeme L, Sloan E, Manning V, Hall K. Negative urgency, distress tolerance, and symptoms of substance use, eating, and borderline personality disorders in treatment-seeking young people. J Clin Psychol 2024; 80:261-278. [PMID: 37597248 DOI: 10.1002/jclp.23579] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/05/2022] [Revised: 04/24/2023] [Accepted: 07/23/2023] [Indexed: 08/21/2023]
Abstract
OBJECTIVE Negative urgency (NU) and distress tolerance (DT) are two similar yet distinct constructs with putative transdiagnostic relevance, particularly across psychopathology characterized by impulsivity (e.g., substance use disorders [SUD], eating disorders featuring binging and/or purging ED-B/P, and borderline personality disorder [BPD]). Yet, there remains a lack of research into NU and DT across SUD, ED-B/P, and BPD symptomatology in clinical populations. The present study sought to elucidate the transdiagnostic utility of NU and DT across impulsive-type psychology by examining the unique and interactive roles of NU and DT across SUD, ED-B/P, and BPD symptomatology within a treatment-seeking sample of young people. METHOD Participants (N = 385; 62.3% female; aged 16-25 years) were recruited from youth health services across Melbourne, Australia. Participants completed an online survey including self-report measures of NU and DT as well as SUD, ED-B/P, and BPD symptoms. Mixed effects logistic regression was used to explore unique and interactive associations of NU and DT with symptoms. RESULTS Both NU (adjusted odds ratio [ORadj ] = 1.22; 95% confidence interval [CI] = [1.16, 1.28]) and global DT (ORadj = 0.59; 95% CI = [0.47, 0.74]) uniquely predicted symptoms. However, associations with global DT and most of its components differed across psychopathology types. No significant interactions between NU and DT in predicting symptoms were found. CONCLUSIONS These results support the transdiagnostic utility of NU across SUD, ED-B/P, and BPD, while suggesting the role of DT across these disorders is more nuanced. These findings have important implications for NU and DT as potential intervention targets.
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Affiliation(s)
- Sophie Mattingley
- School of Psychology, Deakin University, Geelong, Victoria, Australia
| | - George J Youssef
- School of Psychology, Deakin University, Geelong, Victoria, Australia
- Centre of Drug Use, Addictive and Antisocial Behavior Research, Deakin University, Geelong, Victoria, Australia
- Centre for Adolescent Health, Murdoch Children's Research Institute, Melbourne, Victoria, Australia
| | - Liam Graeme
- School of Psychology, Deakin University, Geelong, Victoria, Australia
| | - Elise Sloan
- School of Psychology, Deakin University, Geelong, Victoria, Australia
| | - Victoria Manning
- Monash Addiction Research Centre (MARC), Eastern Health Clinical School, Monash University, Melbourne, Victoria, Australia
- Turning Point, Eastern Health, Richmond, Victoria, Australia
| | - Kate Hall
- School of Psychology, Deakin University, Geelong, Victoria, Australia
- Centre of Drug Use, Addictive and Antisocial Behavior Research, Deakin University, Geelong, Victoria, Australia
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Van Swearingen KM, Noel NE. Impulsivity traits associated with disordered eating and binge drinking among female college students. JOURNAL OF AMERICAN COLLEGE HEALTH : J OF ACH 2024; 72:509-514. [PMID: 35271428 DOI: 10.1080/07448481.2022.2047696] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/21/2021] [Revised: 12/26/2021] [Accepted: 02/23/2022] [Indexed: 06/14/2023]
Abstract
Objective: Disordered eating and problematic alcohol use may negatively impact women's health, and the two issues frequently occur together. We assessed the interaction between negative urgency and disordered eating variables on binge drinking frequency. We also examined impulsivity facets in relation to binge eating, purging, and restrictive eating using multiple linear regression. Methods: Undergraduate women (M age 19.02; SD 1.51; n 262) from a mid-sized southeastern university, reported quantity and frequency of alcohol use over the past 90 days, disordered eating measured by the Multifactorial Assessment of Eating Disorder Symptoms (MAEDS), and impulsivity on the UPPS-P. Results: Negative urgency was the best impulsivity predictor of binge eating and restrictive eating. Negative urgency was a significant predictor of binge drinking frequency (negative binomial regression, p values < .01), but no interaction was found. Conclusions: To reduce these behaviors, college students may benefit from campus programs offering adaptive strategies to cope with negative affect.
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Affiliation(s)
- Kristen M Van Swearingen
- Department of Psychology, University of North Carolina Wilmington, Wilmington, North Carolina, USA
| | - Nora E Noel
- Department of Psychology, University of North Carolina Wilmington, Wilmington, North Carolina, USA
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Del Giacco AC, Jones SA, Hernandez KO, Barnes SJ, Nagel BJ. Heightened adolescent emotional reactivity in the brain is associated with lower future distress tolerance and higher depressive symptoms. Psychiatry Res Neuroimaging 2023; 333:111659. [PMID: 37263126 PMCID: PMC10330591 DOI: 10.1016/j.pscychresns.2023.111659] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/13/2023] [Revised: 04/26/2023] [Accepted: 05/18/2023] [Indexed: 06/03/2023]
Abstract
Distress tolerance, the ability to persist while experiencing negative psychological states, is essential for regulating emotions and is a transdiagnostic risk/resiliency trait for multiple psychopathologies. Studying distress tolerance during adolescence, a period when emotion regulation is still developing, may help identify early risk and/or protective factors. This study included 40 participants (mean scan age = 17.5 years) and using an emotional Go-NoGo functional magnetic resonance imaging task and voxel-wise regression analysis, examined the association between brain response during emotional face processing and future distress tolerance (two ± 0.5 years), controlling for sex assigned at birth, age, and time between visits. Post-hoc analyses tested the mediating role of distress tolerance on the emotional reactivity and depressive symptom relationship. Whole-brain analysis showed greater inferior occipital gyrus activation was associated with less distress tolerance at follow-up. The mediating role of distress tolerance demonstrated a trend-level indirect effect. Findings suggest that individuals who allocate greater visual resources to emotionally salient information tend to exhibit greater challenges in tolerating distress. Distress tolerance may help to link emotional reactivity neurobiology to future depressive symptoms. Building distress tolerance through emotion regulation strategies may be an appropriate strategy for decreasing depressive symptoms.
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Affiliation(s)
- Amanda C Del Giacco
- Departments of Psychiatry, Oregon Health & Science University, Portland, OR, United States of America
| | - Scott A Jones
- Departments of Psychiatry, Oregon Health & Science University, Portland, OR, United States of America
| | - Kristina O Hernandez
- Departments of Psychiatry, Oregon Health & Science University, Portland, OR, United States of America
| | - Samantha J Barnes
- Departments of Psychiatry, Oregon Health & Science University, Portland, OR, United States of America
| | - Bonnie J Nagel
- Departments of Psychiatry, Oregon Health & Science University, Portland, OR, United States of America; Behavioral Neuroscience, Oregon Health & Science University, Portland, Oregon, United States of America.
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Mróz M, Gross JJ, Brytek-Matera A. Trait Anxiety and Unhealthy Eating in Adult Women: The Mediating Role of Cognitive Instability. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 20:296. [PMID: 36612619 PMCID: PMC9819590 DOI: 10.3390/ijerph20010296] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 10/24/2022] [Revised: 12/22/2022] [Accepted: 12/22/2022] [Indexed: 06/17/2023]
Abstract
UNLABELLED Previous studies have demonstrated the influence of affective states on unhealthy eating. Heightened impulsivity has also been recognized as a risk factor for unhealthy eating. The objective of the present study was to investigate the relationship between trait anxiety and unhealthy eating and to test whether cognitive instability (trait impulsivity component) might mediate this relationship among adult women. METHOD The sample was composed of 225 women (Mage = 29.70 ± 9.23; MBodyMass Index = 23.39 ± 4.43). The State-Trait Anxiety Inventory (STAI), the Food Frequency Questionnaire (FFQ), and the Barratt Impulsiveness Scale (BIS) were used. We first conducted a principal components analysis to reduce the dimensionality of the FFQ data, finding four principal components. For our primary analyses, we focused on unhealthy eating. We then conducted a mediation analysis to examine whether trait anxiety was associated with unhealthy eating and, if so, whether cognitive impulsivity mediated this relationship. RESULTS Trait anxiety was positively associated with cognitive instability, and cognitive instability was positively associated with unhealthy eating. Trait anxiety was also positively associated with unhealthy eating, but only when controlling for cognitive instability. Consistent with our proposed mediation model, trait anxiety was positively associated with cognitive instability, which in turn predicted unhealthy eating among adult women. CONCLUSION Adult women who reported higher levels of trait anxiety experienced higher levels of cognitive instability and engaged in poor dietary behaviors. Identifying the factors related to unhealthy eating represents a crucial step toward findings ways of reducing their impact on food intake and replacing them with more productive ones.
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Affiliation(s)
- Magdalena Mróz
- Institute of Psychology, University of Wrocław, 50-527 Wrocław, Poland
| | - James J. Gross
- Department of Psychology, Stanford University, Stanford, CA 94305, USA
| | - Anna Brytek-Matera
- Katowice Faculty of Psychology, SWPS University of Social Sciences and Humanities, 40-326 Katowice, Poland
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Mastropietro S, Favieri F, Forte G, Locuratolo N, Mannarelli D, Pauletti C, Fattapposta F, Casagrande M. Behavioral Addictions Questionnaire (BAQ): Validation of a New Tool for the Screening of Multiple Addictive Behaviors in the Italian Population. Int J Ment Health Addict 2022. [DOI: 10.1007/s11469-022-00906-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/14/2022] Open
Abstract
AbstractThis study deals with the uncertainty in defining behavioral addictions (BAs). BAs are characterized by specific compulsive behaviors, regardless of potential negative consequences. However, to differentiate a behavior from a leisure activity to an addictive one is still an object of debate in the literature. Accordingly, this study aimed to assess the psychometric properties of the Behavioral Addictions Questionnaire (BAQ) as a possible screening tool for multiple BAs (i.e., shopping, food addiction, gambling, sex, work, exercise, Internet, videogames, and smartphone). BAQ aims to give a dimensional and quantitative assessment of addictive behaviors in a continuum, including both the adaptive and maladaptive features of the behaviors. Five hundred and seventy-six healthy adults (age range: 18–88) participated in the study, completing a survey including the BAQ questionnaire. Considering both exploratory and confirmatory factor analyses, statistical examination suggested good psychometric properties, with adequate validity in all its subscales (i.e., the goodness of fit). Moreover, also higher reliability was confirmed for each dimension detected (i.e., all alpha over 0.65). The BAQ represents a comprehensive screening instrument that benefits from appropriate validity and reliability for assessing BAs. Therefore, it can be used in clinical fields and research. Moreover, the feature of BAs on a continuum, and the severity index adopted by the study, can help from a preventive perspective. However, further validation of the BAQ is needed in other countries and contexts.
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Mattingley S, Youssef GJ, Manning V, Graeme L, Hall K. Distress tolerance across substance use, eating, and borderline personality disorders: A meta-analysis. J Affect Disord 2022; 300:492-504. [PMID: 34986376 DOI: 10.1016/j.jad.2021.12.126] [Citation(s) in RCA: 10] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/05/2021] [Revised: 11/08/2021] [Accepted: 12/30/2021] [Indexed: 02/07/2023]
Abstract
BACKGROUND Distress tolerance (DT) has received increased attention in recent years due to its purported role in dysregulated behaviours and their clinical manifestations, such as problematic substance use (PSU), disordered eating behaviours (e.g., binge-eating and purging; DEB), and borderline personality disorder (BPD) symptomatology. Despite the proposed transdiagnostic utility of DT across PSU, DEB, and BPD, there has yet to be a systematic and comprehensive examination characterising and comparing its association with this class of impulsive-type psychopathology. METHODS A systematic search was conducted across five electronic databases using search terms designed to capture extant literature on the association between DT and PSU, DEB, and BPD symptomatology. A series of meta-analyses were undertaken on correlation coefficients from 81 studies to examine the association between DT and each psychopathology domain, as well as impulsive-type psychopathology overall. Moderator analyses were conducted to examine whether these relationships were moderated by DT measurement type, sample type, age, and gender. RESULTS DT shared significant, negative, medium correlations with PSU (r = -.18,), DEB (r = -.20), and BPD symptomatology (r = -.27). The magnitude of these associations was not significantly different across the three psychopathology domains, supporting transdiagnostic conceptualisation. DT measurement type, age, and sample type moderated several of these indicated relationships. LIMITATIONS The majority of studies were conducted in adult samples from Western countries, limiting understanding of these relationships across development and different cultures. CONCLUSIONS The present findings support the putative transdiagnostic role of DT across PSU, DEB, and BPD, which may ultimately inform novel, cross-cutting interventions.
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Affiliation(s)
| | - George J Youssef
- Deakin University, Geelong, Australia, School of Psychology; Centre for Drug Use, Addictive, and Anti-social Behaviour Research (CEDAAR), Deakin University, Australia; Centre for Adolescent Health, Murdoch Children's Research Institute, Parkville, VIC, Australia
| | - Victoria Manning
- Monash Addiction Research Centre (MARC), Eastern Health Clinical School, Monash University, Australia; Turning Point, Eastern Health, Australia
| | - Liam Graeme
- Deakin University, Geelong, Australia, School of Psychology
| | - Kate Hall
- Deakin University, Geelong, Australia, School of Psychology; Centre for Drug Use, Addictive, and Anti-social Behaviour Research (CEDAAR), Deakin University, Australia.
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Conceição EM, Moreira CS, de Lourdes M, Ramalho S, Vaz AR. Exploring Correlates of Loss of Control Eating in a Nonclinical Sample. Front Psychol 2022; 12:787558. [PMID: 35222152 PMCID: PMC8874330 DOI: 10.3389/fpsyg.2021.787558] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/30/2021] [Accepted: 12/16/2021] [Indexed: 11/13/2022] Open
Abstract
ObjectiveLoss of control (LOC) eating has been directly related to the core aspects of the psychopathology of eating disorders and to different dimensions of emotion and behavior regulation and self-criticism. This study investigates a model representing the interplay between these dimensions to understand LOC eating among a nonclinical sample.MethodsA total of 341 participants, recruited in a college campus (mean age 23.21, SD = 6.02), completed a set of self-report measures assessing LOC eating, weight suppression, psychopathology of eating disorders, depression, negative urgency, emotion regulation difficulties, and self-criticism. Path analysis modeling tested a hypothesized model with 3 paths for LOC eating as follows: (1) psychopathology of eating disorders; (2) emotion and behavior regulation; and (3) interplay between these paths.ResultsWe found goodness-of-fit indexes to our data: χ2 = 17.11, df = 10, Comparative Fit Index (CFI) = 0.99, Tucker-Lewis index (TLI) = 0.98, Root Mean Square Error Approximation (RMSEA) = 0.045, Standardized Root Mean Square Residual (SRMR) = 0.041, suggesting that: (1) participants with higher weight suppression showed higher degrees of the psychopathology of eating disorders, which was linked to higher levels of LOC eating; (2) self-criticism was a mediator between emotion regulation and depression/negative urgency; (3) self-criticism was a mediator between emotion regulation and disorder eating, which was significantly associated with LOC eating via increased negative urgency.ConclusionOur model shows that LOC eating occurs for individuals with the psychopathology of higher eating disorders who experience depressive symptoms and act rashly under distress for their inability to cope adequately with negative feelings of self-devaluation. These findings point to the importance of negative self-evaluations and feelings of inadequacy or worthlessness to understand LOC eating among college students.
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Affiliation(s)
- Eva M. Conceição
- Psychotherapy and Psychopathology Research Unit – Psychology Research Centre, School of Psychology, University of Minho, Braga, Portugal
- *Correspondence: Eva M. Conceição, ; orcid.org/0000-0002-1982-5796
| | - Célia S. Moreira
- Department of Mathematics and Center of Mathematics (FCUP-CMUP), University of Porto, Porto, Portugal
| | - Marta de Lourdes
- Psychotherapy and Psychopathology Research Unit – Psychology Research Centre, School of Psychology, University of Minho, Braga, Portugal
| | - Sofia Ramalho
- Psychotherapy and Psychopathology Research Unit – Psychology Research Centre, School of Psychology, University of Minho, Braga, Portugal
| | - Ana Rita Vaz
- Psychotherapy and Psychopathology Research Unit – Psychology Research Centre, School of Psychology, University of Minho, Braga, Portugal
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Yan WS, Zheng DH, Liu MM. Trait Impulsivity and Choice Impulsivity in Young Adult Students With Probable Binge Eating Disorder. Front Psychiatry 2022; 13:838700. [PMID: 35479492 PMCID: PMC9037330 DOI: 10.3389/fpsyt.2022.838700] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/18/2021] [Accepted: 02/22/2022] [Indexed: 12/16/2022] Open
Abstract
BACKGROUND Binge eating disorder (BED) as a public health problem has been included in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5). Akin to addictive disorders, impulsivity-related neuropsychological constructs might be potentially involved in the onset and development of BED. However, it remains unclear which facets of impulsivity are connected to overeating and binge eating behaviors among non-clinical populations. The present study aimed to detect the relationship between impulsivity and binge eating both on the personality-trait and behavioral-choice levels in undiagnosed young adults. METHODS Fifty-eight individuals with probable BED and 59 healthy controls, matched on age, gender, and educational level, were assessed by using a series of self-report measurements, including the Barratt Impulsiveness Scale (BIS-11), UPPS-P Impulsive Behaviors Scale (UPPS-P), Delay Discounting Test (DDT), and Probability Discounting Test (PDT). RESULTS Multivariate analysis of variance models revealed that compared with healthy controls, the probable BED group showed elevated scores on the BIS-11 Attentional and Motor impulsiveness, and on the UPPS-P Negative Urgency, Positive Urgency, and Lack of Perseverance. However, the probable BED subjects had similar discounting rates on the DDT and PDT with healthy controls. Regression models found that Negative Urgency was the only positive predictor of binge eating behavior. CONCLUSIONS These findings suggested that typical facets of trait impulsivity, which have been recognized in addictive disorders, were associated with binge eating in young adults, whereas choice impulsivity was not aberrantly seen in the same probable BED sample. This study might promote a better understanding of the pathogenesis of BED.
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Affiliation(s)
- Wan-Sen Yan
- Department of Psychology, School of Medical Humanitarians, Guizhou Medical University, Guiyang, China
| | - Dan-Hui Zheng
- Department of Psychology, School of Medical Humanitarians, Guizhou Medical University, Guiyang, China
| | - Meng-Meng Liu
- Department of Psychology, School of Medical Humanitarians, Guizhou Medical University, Guiyang, China
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Associations among weight-based teasing distress, impulsive emotion regulation, and loss of control eating in racially and ethnically diverse young men. Eat Behav 2021; 43:101543. [PMID: 34399304 DOI: 10.1016/j.eatbeh.2021.101543] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/08/2020] [Revised: 07/14/2021] [Accepted: 07/21/2021] [Indexed: 11/22/2022]
Abstract
According to affect regulation models, distress associated with weight-based teasing may be related to loss of control (LOC) eating. Maladaptive coping strategies may further exacerbate this association, but such hypotheses have not been evaluated in men. The purpose of the current study was to examine the association between distress from weight-based teasing and LOC eating in racially and ethnically diverse young men. The degree to which men engage in impulsive behavior when distressed was investigated as a moderating variable. Exploratory analyses examined the proposed associations within racial/ethnic identity groups. The current study included 1011 young men (18-30 years, Mage = 23.9 ± 3.6 y, 28.3% non-Hispanic White; 23.4% African American; 24.3% Hispanic/Latino; 23.8% Asian/Asian American). Participants completed an online survey with measures of weight-based teasing, LOC eating frequency, engagement in impulsive behavior when distressed, and demographics. After adjusting for age, race/ethnicity, and body mass index, there was a positive association between distress from weight-based teasing and LOC eating frequency (p < .001). In the full sample, the tendency to engage in impulsive behavior when distressed exacerbated this link (p < .01). Exploratory analyses revealed the moderating effect of impulsive coping on distress from teasing was significant in non-Hispanic White men, but was not significant for all others. These findings suggest that men are not immune to the negative correlates of weight-based teasing. LOC eating may function as a maladaptive coping mechanism, or may be an artifact of the disordered eating symptoms that can emerge during extreme efforts to obtain a thinner physique.
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Walenda A, Kostecka B, Santangelo PS, Kucharska K. Examining emotion regulation in binge-eating disorder. Borderline Personal Disord Emot Dysregul 2021; 8:25. [PMID: 34629115 PMCID: PMC8504023 DOI: 10.1186/s40479-021-00166-6] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/03/2021] [Accepted: 09/15/2021] [Indexed: 11/25/2022] Open
Abstract
BACKGROUND Inefficient mechanisms of emotional regulation appear essential in understanding the development and maintenance of binge-eating disorder (BED). Previous research focused mainly on a very limited emotion regulation strategies in BED, such as rumination, suppression, and positive reappraisal. Therefore, the aim of the study was to assess a wider range of emotional regulation strategies (i.e. acceptance, refocusing on planning, positive refocusing, positive reappraisal, putting into perspective, self-blame, other-blame, rumination, and catastrophizing), as well as associations between those strategies and binge-eating-related beliefs (negative, positive, and permissive), and clinical variables (eating disorders symptoms, both anxiety, depressive symptoms, and alexithymia). METHODS Women diagnosed with BED (n = 35) according to the DSM-5 criteria and healthy women (n = 41) aged 22-60 years were assessed using: the Eating Attitudes Test-26, the Eating Beliefs Questionnaire-18, the Hospital Anxiety and Depression Scale, the Toronto Alexithymia Scale-20, the Cognitive Emotion Regulation Questionnaire, and the Difficulties in Emotion Regulation Scale. Statistical analyses included: Student t - tests or Mann-Whitney U tests for testing group differences between BED and HC group, and Pearson's r coefficient or Spearman's rho for exploring associations between the emotion regulation difficulties and strategies, and clinical variables and binge-eating-related beliefs in both groups. RESULTS The BED group presented with a significantly higher level of emotion regulation difficulties such as: nonacceptance of emotional responses, lack of emotional clarity, difficulties engaging in goal-directed behavior, impulse control difficulties, and limited access to emotion regulation strategies compared to the healthy controls. Moreover, patients with BED were significantly more likely to use maladaptive strategies (rumination and self-blame) and less likely to use adaptive strategies (positive refocusing and putting into perspective). In the clinical group, various difficulties in emotion regulation difficulties occurred to be positively correlated with the level of alexithymia, and anxiety and depressive symptoms. Regarding emotion regulation strategies, self-blame and catastrophizing were positively related to anxiety symptoms, but solely catastrophizing was related to the severity of eating disorder psychopathology. CONCLUSIONS Our results indicate an essential and still insufficiently understood role of emotional dysregulation in BED. An especially important construct in this context seems to be alexithymia, which was strongly related to the majority of emotion regulation difficulties. Therefore, it might be beneficial to pay special attention to this construct when planning therapeutic interventions, as well as to the maladaptive emotion regulation strategies self-blame and catastrophizing, which were significantly related to BED psychopathology.
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Affiliation(s)
- Anna Walenda
- The Institute of Psychology, Cardinal Stefan Wyszynski University, Warsaw, Poland
| | - Barbara Kostecka
- II Department of Psychiatry, Medical University of Warsaw, Warsaw, Poland.
| | | | - Katarzyna Kucharska
- The Institute of Psychology, Cardinal Stefan Wyszynski University, Warsaw, Poland
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Waltmann M, Herzog N, Horstmann A, Deserno L. Loss of control over eating: A systematic review of task based research into impulsive and compulsive processes in binge eating. Neurosci Biobehav Rev 2021; 129:330-350. [PMID: 34280427 DOI: 10.1016/j.neubiorev.2021.07.016] [Citation(s) in RCA: 14] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/03/2021] [Revised: 05/26/2021] [Accepted: 07/11/2021] [Indexed: 12/13/2022]
Abstract
Recurring episodes of excessive food intake in binge eating disorder can be understood through the lens of behavioral control systems: patients repeat maladaptive behaviors against their explicit intent. Self-report measures show enhanced impulsivity and compulsivity in binge eating (BE) but are agnostic as to the processes that might lead to impulsive and compulsive behavior in the moment. Task-based neurocognitive investigations can tap into those processes. In this systematic review, we synthesize neurocognitive research on behavioral impulsivity and compulsivity in BE in humans and animals, published between 2010-2020. Findings on impulsivity are heterogeneous. Findings on compulsivity are sparse but comparatively consistent, indicating an imbalance of goal-directed and habitual control as well as deficits in reversal learning. We urge researchers to address heterogeneity related to mood states and the temporal dynamics of symptoms, to systematically differentiate contributions of body weight and BE, and to ascertain the validity and reliability of tasks. Moreover, we propose to further scrutinize the compulsivity findings to unravel the computational mechanisms of a potential reinforcement learning deficit.
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Affiliation(s)
- Maria Waltmann
- Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, Centre of Mental Health, University of Würzburg, Margarete-Höppel-Platz1, 97080 Würzburg, Germany; Max Planck Institute for Human Cognitive and Brain Sciences, Stephanstraße 1, 04103 Leipzig, Germany; IFB Adiposity Diseases, Leipzig University Medical Center, Leipzig, Germany.
| | - Nadine Herzog
- Max Planck Institute for Human Cognitive and Brain Sciences, Stephanstraße 1, 04103 Leipzig, Germany; IFB Adiposity Diseases, Leipzig University Medical Center, Leipzig, Germany
| | - Annette Horstmann
- Max Planck Institute for Human Cognitive and Brain Sciences, Stephanstraße 1, 04103 Leipzig, Germany; IFB Adiposity Diseases, Leipzig University Medical Center, Leipzig, Germany; Department of Psychology and Logopedics, Faculty of Medicine, University of Helsinki, Helsinki, Finland
| | - Lorenz Deserno
- Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, Centre of Mental Health, University of Würzburg, Margarete-Höppel-Platz1, 97080 Würzburg, Germany; Max Planck Institute for Human Cognitive and Brain Sciences, Stephanstraße 1, 04103 Leipzig, Germany; IFB Adiposity Diseases, Leipzig University Medical Center, Leipzig, Germany; Department of Psychiatry and Psychotherapy, Technische Universität Dresden, Dresden, Germany
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14
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Izquierdo AM, Fischer S. Nonsuicidal self-injury and suicide attempts are uniquely associated with eating disorder pathology and behaviors over and above negative urgency. Eat Behav 2021; 41:101483. [PMID: 33631491 DOI: 10.1016/j.eatbeh.2021.101483] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/16/2020] [Revised: 01/29/2021] [Accepted: 02/04/2021] [Indexed: 11/17/2022]
Abstract
Nonsuicidal self-injury (NSSI) and suicidal behaviors are prevalent in individuals with eating disorders (EDs). Negative urgency (NU; the tendency to act rashly when distressed) is a common correlate of NSSI, suicide, and ED pathology. The aim of this study was to examine whether lifetime history of NSSI and suicide attempts (SA) contributed unique variance to current ED pathology after controlling for the variance accounted for by NU. Undergraduate students (N = 871; 25.4% male) self-reported lifetime SA and completed a modified Deliberate Self-Harm Inventory to assess lifetime NSSI, the Eating Disorder Examination-Questionnaire (EDE-Q), and the NU scale of the UPPS Impulsive Behavior Scale-Revised. Hierarchical regression analyses indicated that lifetime NSSI but not SA was associated with higher Global EDE-Q scores (NSSI: β = 0.11, p < .001; SA: β = 0.007, p > .05) and restrictive eating (NSSI: β = 0.10, p < .001; SA: β = 0.05, p > .05) after controlling for NU. In addition, lifetime NSSI (OR = 2.98, 95% CI = 1.54-5.76) and SA (OR = 5.68, 95% CI = 1.90-17.02) were significantly associated with past month purging but not binge eating after controlling for NU. Results suggest that NSSI is uniquely associated with increased likelihood of past month ED pathology in a nonclinical sample. Study limitations included low rates of behavioral problems in the sample and no measures of suicidal ideation. Clinicians who treat EDs should regularly assess NSSI and suicidal ideation.
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Affiliation(s)
- Alyssa M Izquierdo
- George Mason University, Department of Psychology, Fairfax, VA, United States.
| | - Sarah Fischer
- George Mason University, Department of Psychology, Fairfax, VA, United States
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15
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Kelly NR, Kosty D, Guerricabeitia L, Guidinger C, Williamson G. Evaluating components of existing theories for loss of control eating in a sample of young racially/ethnically diverse men. Body Image 2020; 35:63-70. [PMID: 32877842 DOI: 10.1016/j.bodyim.2020.08.005] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/12/2020] [Revised: 08/06/2020] [Accepted: 08/16/2020] [Indexed: 01/23/2023]
Abstract
The current study evaluated components of existing theoretical models for loss of control (LOC) eating in young men. The link between body image concerns, including concerns with fat and muscularity, and LOC eating frequency was evaluated in 1109 ethnically/racially diverse men (18-30y). Dietary restraint, compulsive exercise, and emotion dysregulation were evaluated as putative mediators. Body mass index (BMI) and race/ethnicity were examined as moderators. Participants completed online surveys. Path analyses in Mplus tested indirect paths using the bias-corrected bootstrap method. Higher body fat concerns were directly linked to LOC eating frequency and indirectly linked through greater dietary restraint, compulsive exercise, and emotional dysregulation (ps<.01). The link among fat concerns, restraint, and LOC eating frequency was moderated by body mass, such that this association was particularly strong for men with a low-to-average BMI relative to those with a high BMI (p < .001). Higher muscularity concerns were not directly linked to LOC eating frequency but were indirectly linked through greater emotion dysregulation (p < .001). Body image concerns are associated with LOC eating in young men. The pathways to LOC eating may differ depending on the nature of men's body image concerns (muscularity vs. thinness). Prospective data are needed to verify these findings.
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Affiliation(s)
- Nichole R Kelly
- Counseling Psychology and Human Services, University of Oregon, United States; The Prevention Science Institute, University of Oregon, United States.
| | - Derek Kosty
- The Prevention Science Institute, University of Oregon, United States
| | | | - Claire Guidinger
- Counseling Psychology and Human Services, University of Oregon, United States; The Prevention Science Institute, University of Oregon, United States
| | - Gina Williamson
- Counseling Psychology and Human Services, University of Oregon, United States; The Prevention Science Institute, University of Oregon, United States
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16
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Hovrud L, Simons R, Simons J, Korkow J. Non-suicidal self-injury and bulimia: the role of emotion dysregulation and body dissatisfaction. Eat Weight Disord 2020; 25:1089-1097. [PMID: 31292855 PMCID: PMC7399667 DOI: 10.1007/s40519-019-00741-5] [Citation(s) in RCA: 14] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/11/2019] [Revised: 06/01/2019] [Accepted: 06/22/2019] [Indexed: 11/06/2022] Open
Abstract
PURPOSE Risk factors of negative affect, body dissatisfaction, distress tolerance, and negative urgency are independently associated with bulimia symptoms and non-suicidal self-injury (NSSI). However, relationships of these risk factors within comorbid presentations are not fully understood. The current study examined specific roles of these risk factors within this relationship. METHODS An at-risk community sample of young adults (N = 429) completed an online survey of negative affect, body dissatisfaction, distress tolerance, negative urgency, bulimia symptoms, and NSSI. RESULTS A hypothesized path model was a good fit to the data. Results indicated direct paths from body dissatisfaction, negative urgency, and distress tolerance to bulimia symptoms. Negative urgency, distress tolerance, and bulimia symptoms were directly associated with NSSI. Consistent with hypotheses, distress tolerance and negative urgency acted as vulnerability factors, increasing the strength of associations between bulimia symptoms and NSSI. Distress tolerance also strengthened associations between negative urgency and NSSI. In addition to the direct effect, negative urgency was indirectly associated with NSSI via body dissatisfaction bulimia. Hypothesized indirect effects through distress tolerance were not supported. CONCLUSIONS Results support etiological models of bulimia and NSSI, and suggest deficits in emotion regulation strengthen risk of comorbid presentations. Furthermore, individuals with greater impulsivity and difficulty tolerating distress are at increased risk of engaging in both bulimia behaviors and NSSI, providing targets for clinical intervention. LEVEL OF EVIDENCE Level V, cross-sectional descriptive study.
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Affiliation(s)
- Lindsey Hovrud
- University of South Dakota, 414 E Clark St, South Dakota Union Building, Vermillion, SD, 57069, USA.
| | - Raluca Simons
- University of South Dakota, 414 E Clark St, South Dakota Union Building, Vermillion, SD, 57069, USA
| | - Jeffrey Simons
- University of South Dakota, 414 E Clark St, South Dakota Union Building, Vermillion, SD, 57069, USA
| | - John Korkow
- University of South Dakota, 414 E Clark St, South Dakota Union Building, Vermillion, SD, 57069, USA
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17
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Ralph-Nearman C, Stewart JL, Jones KA. The role of negative urgency in risky alcohol drinking and binge-eating in United Kingdom male and female students. Addict Behav Rep 2020; 11:100274. [PMID: 32322660 PMCID: PMC7171258 DOI: 10.1016/j.abrep.2020.100274] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/25/2019] [Revised: 04/02/2020] [Accepted: 04/03/2020] [Indexed: 10/26/2022] Open
Abstract
Identifying students at risk of developing binge-eating and alcohol use disorders is a priority in the United Kingdom (UK). Although relationships between negative urgency (impulsive behavior during times of negative emotion), risky drinking, and binge-eating have been established in students from other countries, these links have yet to be replicated in male and female UK students. UK students aged 18-30 (n = 155) completed the: (1) the Urgency, Pre-meditation, Perseverance, Sensation Seeking (UPPS-P) negative urgency subscale; (2) Alcohol Use Disorders Identification Test (AUDIT); and (3) Binge-Eating Scale (BES). For categorical analysis, participants were assigned to one of four groups as a function of AUDIT and BES clinical cut-off scores: (1) no risk (28%); (2) risky drinkers (47%); (3) binge-eaters (6%); and (4) risky drinkers + binge-eaters (19%). For dimensional analysis, across students with non-zero AUDIT and BES scores (n = 141), BES, AUDIT, gender, and their interactions were entered as predictors in the same block of a regression. UPPS-P negative urgency was the dependent variable. Categorical results indicated that binge-eaters with and without risky drinking endorsed significantly higher negative urgency than students with no risk. Dimensional results showed that although higher BES and AUDIT scores were positively linked to higher negative urgency, but only the BES was significantly associated. Furthermore, BES shared substantially more variance with negative urgency than the AUDIT, and the BES-negative urgency relationship was stronger in male students than female students. High risk students may benefit the most from interventions that help regulate negative emotion.
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Affiliation(s)
- Christina Ralph-Nearman
- School of Psychology, University of Nottingham, United Kingdom.,Laureate Institute for Brain Research, Tulsa, OK, United States
| | - Jennifer L Stewart
- Laureate Institute for Brain Research, Tulsa, OK, United States.,Department of Community Medicine, University of Tulsa, United States
| | - Katy A Jones
- Division of Psychiatry and Applied Psychology, Institute of Mental Health, University of Nottingham, Innovation Park, United Kingdom
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18
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Lass ANS, Winer ES. Distress tolerance and symptoms of depression: A review and integration of literatures. CLINICAL PSYCHOLOGY-SCIENCE AND PRACTICE 2020. [DOI: 10.1111/cpsp.12336] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Affiliation(s)
- Alisson N. S. Lass
- Department of Psychology Mississippi State University Starkville Mississippi
| | - E. Samuel Winer
- Department of Psychology Mississippi State University Starkville Mississippi
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19
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Kelly NR, Cotter EW, Guidinger C, Williamson G. Perceived discrimination, emotion dysregulation and loss of control eating in young men. Eat Behav 2020; 37:101387. [PMID: 32353703 DOI: 10.1016/j.eatbeh.2020.101387] [Citation(s) in RCA: 14] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/23/2019] [Revised: 04/08/2020] [Accepted: 04/09/2020] [Indexed: 11/30/2022]
Abstract
Experiences with discrimination may account, in part, for race-related disparities in obesity. Yet, there is minimal understanding of the link between perceived discrimination and health behaviors that contribute to obesity. This study examined the link between perceived discrimination and loss of control (LOC) eating in 798 African American, Asian/Asian American, and Hispanic/Latino men (18-30y; M = 24.0 ± 3.6). Emotion dysregulation was examined as a moderator. Participants completed an online survey assessing perceived discrimination; emotion dysregulation; and LOC eating frequency in the last 28 days. Negative binomial regression models were conducted within each racial/ethnic group, as each group completed different measures of perceived discrimination. In Hispanic/Latino men, perceived ethnic discrimination was positively associated with LOC eating frequency (p < .001). In African American men, perceived daily discrimination was positively associated with LOC eating frequency (p < .001). In Asian/Asian American men, neither perceived racial microaggressions nor racism were associated with frequency of LOC eating. Emotion dysregulation did not significantly moderate any of these associations. Findings highlight another detrimental correlate of perceived discrimination among some ethnic minority men - LOC eating. Future research should examine whether other identity- and culture-specific factors serve to exacerbate or mitigate the effects of discrimination on the health and health behaviors of ethnic minority men.
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Affiliation(s)
- Nichole R Kelly
- Counseling Psychology and Human Services, The Prevention Science Institute, University of Oregon, 6217 University of Oregon, Eugene, OR 97403, United States of America.
| | - Elizabeth W Cotter
- Health Studies, American University; 4400 Massachusetts Ave NW, Washington, DC 20016, United States of America.
| | - Claire Guidinger
- Counseling Psychology and Human Services, The Prevention Science Institute, University of Oregon, 6217 University of Oregon, Eugene, OR 97403, United States of America.
| | - Gina Williamson
- Counseling Psychology and Human Services, The Prevention Science Institute, University of Oregon, 6217 University of Oregon, Eugene, OR 97403, United States of America.
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20
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21
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To eat or not to eat: Reward delay impulsivity in children with loss of control eating, attention deficit / hyperactivity disorder, a double diagnosis, and healthy children. PLoS One 2019; 14:e0221814. [PMID: 31525207 PMCID: PMC6746378 DOI: 10.1371/journal.pone.0221814] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/13/2019] [Accepted: 08/15/2019] [Indexed: 11/21/2022] Open
Abstract
Reward delay impulsivity is a feature of attention deficit/hyperactivity disorder (ADHD) and a likely feature of loss of control eating (LOC-E), which might explain the higher risk of children with ADHD or LOC-E to become obese. The goal of this study was to investigate reward delay impulsivity in children with LOC-E, ADHD, or a double diagnosis, in contrast to healthy children. Children (8 to 13 years) with LOC-E (n = 24), ADHD (n = 33), a double diagnosis (n = 9), and healthy children (n = 34) performed a computer game (door opening task [DOT]) and the delay of gratification task (DoGT) to assess food related facets of reward delay impulsivity. In addition, children reported whether they worried to lose control over eating during the DoGT. There were no group differences in the DOT. However, children with ADHD or a double diagnosis had a significantly higher risk to eat prematurely during the DoGT than children with LOC-E, who were not significantly different from healthy children. Children with a double diagnosis were most likely to worry about losing control over eating during the DoGT, followed by children with LOC-E, and both had a significantly higher probability to worry than healthy children. For children with a double diagnosis the probability to worry was significantly higher than for children with ADHD. If replicated, these findings point to a special relevance of reward delay impulsivity in children with ADHD or a double diagnosis, compared to children with LOC-E. ADHD should be regularly assessed in children with LOC-E.
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22
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The Sequential Indirect Effect of Negative Urgency on Drinking Consequences Through Distress Intolerance and Drinking Motives: Initial Examination in College Students Reporting Past Month Alcohol Use. Int J Ment Health Addict 2019; 17:479-492. [PMID: 33953647 DOI: 10.1007/s11469-019-00068-3] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/27/2022] Open
Abstract
Identification of cognitive and affective vulnerabilities among college drinkers may aid in developing focused interventions that promote a reduction in the prevalence of alcohol use. Negative urgency (NU) and distress intolerance (DI) evidence concurrent, unique, and synergistic relations with drinking motives and negative consequences of alcohol use. Utilizing a sequential multiple mediation framework to investigate a comprehensive model of these variables, we examined NU as a behavioral risk factor that potentiates the development of DI, thereby contributing to drinking motives that increase the risk of problematic use in young adults. A diverse sample of undergraduate students (N = 616; M age= 19.1, SD=1.4, range=18-25; 50.6% female; 60.6% Caucasian; recruited between September 2015 and Spring 2017) reporting past month alcohol use completed an online questionnaire battery. The results suggested that NU may contribute to negative alcohol use outcomes via its relation to DI and the motivation to drink in order to cope with negative emotional states and conform to social pressure. These findings suggest that NU may be a primary intervention target in young adults.
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23
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Bouguettaya A, Moulding R, King RM, Harrold G. The relationships between socially prescribed perfectionism, in-group affect, negative urgency, and disordered eating in women. Scand J Psychol 2019; 60:369-376. [PMID: 31006891 DOI: 10.1111/sjop.12539] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/27/2018] [Accepted: 03/13/2019] [Indexed: 01/03/2023]
Abstract
Socially prescribed perfectionism (SPP) is often considered as a key risk factor for disordered eating (DE). However, current conceptualizations of SPP largely assume that this perfectionism pressure is non-specific (i.e., a global pressure), despite research indicating that for females experiencing DE, female-dominated groups impose this pressure (as a perceived norm). Furthermore, this relationship may be mediated by a negative reaction to this pressure, in the form of impulsivity (or negative urgency). To date, no research has investigated whether the relationship between SPP and DE is mediated by negative urgency, nor has there been research clarifying how in-group identification relates to DE, independent of SPP and negative urgency. To address these gaps, we assessed these variables in 147 female dieters (Mage = 25.12 years, SD = 3.08) using a cross-sectional design. Consistent with our hypotheses, negative urgency fully mediated the link between female-based SPP and disordered eating, while female-based in-group affect (identification) was predictive of disordered eating (although the latter relationship was not sustained in a multiple regression model). These findings suggest that the SPP from other women may relate to DE through increasing negative urgency, and that the link between in-group (female) affect and DE may be better explained by SPP's link to DE.
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Affiliation(s)
| | | | - Ross M King
- Faculty of Health, Deakin University, Australia
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24
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Barata-Santos M, Marta-Simões J, Ferreira C. Body compassion safeguards against the impact of major life events on binge eating. Appetite 2019; 134:34-39. [PMID: 30557589 DOI: 10.1016/j.appet.2018.12.016] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/16/2018] [Revised: 12/11/2018] [Accepted: 12/13/2018] [Indexed: 11/25/2022]
Abstract
Body compassion is a fresh construct that incorporates two multidimensional concepts: body image and self-compassion. Although self-compassion has revealed a protective role against body image and eating-related problems (e.g., binge eating), the study of this specific compassionate competence focused on body image is still largely unexplored. The present study aimed to test two moderation models which hypothesized that body compassion moderates the impacts of (i) the cumulative number and (ii) negative appraisal of major life events on binge eating behaviours, in a sample of 458 women from the Portuguese general population. Results showed that body compassion was negatively associated with major life events and binge eating. Moderation analysis results demonstrated the moderator effect of body compassion on the relationship between major life events (both cumulative number and negative appraisal) and binge eating, accounting for 34% and 33% of the variance of binge eating, respectively. The moderator effect of body compassion was confirmed to low to medium levels of body compassion and, overall, results seem to suggest that, for the same levels of major life events (in number or negative appraisal), women who present higher body compassion present less binge eating symptoms. Although these data are preliminary and need support from a longitudinal design research, current findings appear to be promising by suggesting the relevance of promoting body compassion in prevention and treatment programs for disordered eating attitudes and behaviours.
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Affiliation(s)
- Mafalda Barata-Santos
- Faculty of Psychology and Educational Sciences of the University of Coimbra, Portugal
| | - Joana Marta-Simões
- CINEICC - Center for Research in Neuropsychology and Cognitive Behavioral Intervention, Portugal.
| | - Cláudia Ferreira
- CINEICC - Center for Research in Neuropsychology and Cognitive Behavioral Intervention, Portugal.
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25
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Kenny TE, Singleton C, Carter JC. An examination of emotion-related facets of impulsivity in binge eating disorder. Eat Behav 2019; 32:74-77. [PMID: 30654194 DOI: 10.1016/j.eatbeh.2018.12.006] [Citation(s) in RCA: 19] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/10/2018] [Revised: 12/18/2018] [Accepted: 12/27/2018] [Indexed: 02/08/2023]
Abstract
OBJECTIVE While research suggests a positive association between negative urgency (NU) and binge eating, the association between positive urgency (PU) and binge eating has been less well studied. Moreover, few studies have examined NU and PU in binge eating disorder (BED). The present study examined Whiteside and Lynam's (2001) five facets of impulsivity (including NU and PU) in individuals with BED and a control group with no history of an eating disorder (NED). METHOD Community samples of adults with BED (n = 72) and NED (n = 79) completed self-report measures of impulsivity, eating disorder (ED) psychopathology, and symptoms of depression and anxiety. RESULTS The only facet of impulsivity that differed between the groups was NU, with the BED group reporting significantly higher scores on NU than the NED group. Although differences in PU initially emerged, these were no longer significant after controlling for NU. None of the impulsivity subscales predicted binge frequency, but four of the five subscales (NU, perseverance, premeditation, and PU) were significantly related to ED psychopathology. DISCUSSION The present findings suggest that those with BED exhibit greater NU than those without BED and that this may play role in BED symptomatology. Furthermore, the association between various impulsivity factors and ED psychopathology suggests that additional research is needed to understand these relationships in BED.
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Affiliation(s)
- Therese E Kenny
- Department of Psychology, Memorial University of Newfoundland, St. John's, NL A1B 3X9, Canada
| | - Christopher Singleton
- Department of Psychology, Memorial University of Newfoundland, St. John's, NL A1B 3X9, Canada
| | - Jacqueline C Carter
- Department of Psychology, Memorial University of Newfoundland, St. John's, NL A1B 3X9, Canada.
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26
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Ay R, Aytas O. The relationship between eating attitudes and distress tolerance in obsessive compulsive disorder. ARCH CLIN PSYCHIAT 2018. [DOI: 10.1590/0101-60830000000176] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Affiliation(s)
- Rukiye Ay
- Malatya Training and Research Hospital, Turkey
| | - Ozgur Aytas
- Malatya Training and Research Hospital, Turkey
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27
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Rømer Thomsen K, Callesen MB, Hesse M, Kvamme TL, Pedersen MM, Pedersen MU, Voon V. Impulsivity traits and addiction-related behaviors in youth. J Behav Addict 2018; 7:317-330. [PMID: 29642723 PMCID: PMC6174598 DOI: 10.1556/2006.7.2018.22] [Citation(s) in RCA: 86] [Impact Index Per Article: 14.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/27/2023] Open
Abstract
Background and aims Impulsivity is a risk factor for addictive behaviors. The UPPS-P impulsivity model has been associated with substance addiction and gambling disorder, but its role in other non-substance addiction-related behaviors is less understood. We sought to examine associations between UPPS-P impulsivity traits and indicators of multiple substance and non-substance addiction-related behaviors in youth with varying involvement in these behaviors. Methods Participants (N = 109, aged 16-26 years, 69% males) were selected from a national survey based on their level of externalizing problems to achieve a broad distribution of involvement in addiction-related behaviors. Participants completed the UPPS-P Questionnaire and standardized questionnaires assessing problematic use of substances (alcohol, cannabis, and other drugs) and non-substances (Internet gaming, pornography, and food). Regression analyses were used to assess associations between impulsivity traits and indicators of addiction-related behaviors. Results The UPPS-P model was positively associated with indicators of all addiction-related behaviors except problematic Internet gaming. In the fully adjusted models, sensation seeking and lack of perseverance were associated with problematic use of alcohol, urgency was associated with problematic use of cannabis, and lack of perseverance was associated with problematic use of other drugs than cannabis. Furthermore, urgency and lack of perseverance were associated with binge eating and lack of perseverance was associated with problematic use of pornography. Discussion and conclusions We emphasize the role of trait impulsivity across multiple addiction-related behaviors. Our findings in at-risk youth highlight urgency and lack of perseverance as potential predictors for the development of addictions and as potential preventative therapeutic targets.
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Affiliation(s)
- Kristine Rømer Thomsen
- Department of Psychology and Behavioural Sciences, Centre for Alcohol and Drug Research, Aarhus University, Aarhus, Denmark,Corresponding author: Kristine Rømer Thomsen; Department of Psychology and Behavioural Sciences, Centre for Alcohol and Drug Research, Aarhus University, Bartholins Allé 10, Building 1322, Aarhus C 8000, Denmark; Phone: +45 87 16 54 47; Fax: +45 87 16 44 20; E-mail:
| | - Mette Buhl Callesen
- Department of Psychology and Behavioural Sciences, Centre for Alcohol and Drug Research, Aarhus University, Aarhus, Denmark
| | - Morten Hesse
- Department of Psychology and Behavioural Sciences, Centre for Alcohol and Drug Research, Aarhus University, Aarhus, Denmark
| | - Timo Lehmann Kvamme
- Department of Psychology and Behavioural Sciences, Centre for Alcohol and Drug Research, Aarhus University, Aarhus, Denmark
| | - Michael Mulbjerg Pedersen
- Department of Psychology and Behavioural Sciences, Centre for Alcohol and Drug Research, Aarhus University, Aarhus, Denmark
| | - Mads Uffe Pedersen
- Department of Psychology and Behavioural Sciences, Centre for Alcohol and Drug Research, Aarhus University, Aarhus, Denmark
| | - Valerie Voon
- Department of Psychiatry, University of Cambridge, Addenbrookes Hospital, Cambridge, UK
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28
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Mason TB, Smith KE, Lavender JM, Lewis RJ. Independent and interactive associations of negative affect, restraint, and impulsivity in relation to binge eating among women. Appetite 2018; 121:147-153. [PMID: 29155045 PMCID: PMC5944610 DOI: 10.1016/j.appet.2017.11.099] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/02/2017] [Revised: 11/13/2017] [Accepted: 11/14/2017] [Indexed: 11/24/2022]
Abstract
There is growing recognition that impulsivity may serve as an underlying risk factor for binge eating. In addition, the association of impulsivity with binge eating may be moderated by other affective and cognitive risk factors. This study examined independent and interactive associations of negative affect, dietary restraint, and facets of impulsivity with binge eating. A diverse sample of 566 undergraduate women completed online questionnaires of study variables. Results revealed a three-way interaction of negative affect, dietary restraint, and attentional impulsivity in relation to binge eating. Women who were high on each of these three variables reported the greatest levels of binge eating. In addition, a two-way interaction was found for negative affect and nonplanning impulsivity in relation to binge eating, such that nonplanning impulsivity strengthened the association between negative affect and binge eating. Attentional and nonplanning facets of impulsivity may function as an underlying trait-level risk factor interacts with affective and/or cognitive risk (e.g., negative affect, dietary restraint) factors to predict elevated binge eating.
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Affiliation(s)
- Tyler B Mason
- Department of Preventive Medicine, University of Southern California, Los Angeles, CA, USA.
| | - Kathryn E Smith
- Department of Clinical Research, Neuropsychiatric Research Institute, Fargo, ND, USA; Department of Psychiatry and Behavioral Science, University of North Dakota School of Medicine and Health Sciences, Fargo, ND, USA
| | - Jason M Lavender
- Department of Psychiatry, University of California, San Diego, La Jolla, CA, USA
| | - Robin J Lewis
- Department of Psychology, Old Dominion University, Norfolk, VA, USA; Virginia Consortium Program in Clinical Psychology, Norfolk State University, Norfolk, VA, USA
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Chowdhury N, Kevorkian S, Hawn SE, Amstadter AB, Dick D, Kendler KS, Berenz EC. Associations Between Personality and Distress Tolerance Among Trauma-Exposed Young Adults. PERSONALITY AND INDIVIDUAL DIFFERENCES 2018; 120:166-170. [PMID: 29861519 PMCID: PMC5978428 DOI: 10.1016/j.paid.2017.08.041] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Abstract
Low distress tolerance (DT) is related to negative mental health outcomes, particularly among trauma-exposed populations, who are at greater risk for mental health problems. However, little is known about potential etiological factors underlying the development of perceived (i.e., self-report) or behaviorally assessed DT. The present study examined associations between Big Five personality factors (i.e., openness, conscientiousness, extraversion, agreeableness, & neuroticism) and multiple measures of DT. Participants were 440 college students (71.4% women) endorsing a history of one or more potentially traumatic events. Participants completed the abbreviated Big Five Inventory (BFI), Distress Tolerance Scale (DTS), Discomfort Intolerance Scale (DIS), breath-holding task, and Paced Auditory Serial Addition Test (PASAT). Results of a series of hierarchical linear regressions indicated that higher levels of neuroticism and lower levels of conscientiousness were significantly associated with lower DTS scores, but no other DT measures. Greater extraversion was significantly associated with greater DT on the DIS and the PASAT. Lower levels of openness were associated with lower DT on the breath-holding task. Individual differences in normal personality traits account for significant variation in multiple measures of DT and may provide insight into the etiology of various forms of DT.
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Affiliation(s)
- Nadia Chowdhury
- Department of Psychiatry, Virginia Commonwealth University, VA, USA
| | - Salpi Kevorkian
- Department of Pediatrics, University of Virginia, Charlottesville, VA, USA
| | - Sage E. Hawn
- Department of Psychology, Virginia Commonwealth University, Richmond, VA, USA
| | - Ananda B. Amstadter
- Department of Psychiatry, Virginia Commonwealth University, VA, USA
- Department of Psychology, Virginia Commonwealth University, Richmond, VA, USA
| | - Danielle Dick
- Department of Psychology, Virginia Commonwealth University, Richmond, VA, USA
- Department of African American Studies, Virginia Commonwealth University, Richmond, VA, USA
| | | | - Erin C. Berenz
- Department of Psychiatry, Virginia Commonwealth University, VA, USA
- Department of Pediatrics, University of Virginia, Charlottesville, VA, USA
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30
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Kelly NR, Smith TM, Hall GCN, Guidinger C, Williamson G, Budd EL, Giuliani NR. Perceptions of general and postpresidential election discrimination are associated with loss of control eating among racially/ethnically diverse young men. Int J Eat Disord 2018; 51:28-38. [PMID: 29149497 DOI: 10.1002/eat.22803] [Citation(s) in RCA: 22] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/04/2017] [Revised: 10/31/2017] [Accepted: 11/01/2017] [Indexed: 01/02/2023]
Abstract
OBJECTIVE The purpose of this study was to examine the association between young men's perceived experiences with discrimination, both general and following the 2016 presidential election, and their loss of control (LOC) eating. The degree to which men identified with their ethnic identity was evaluated as a moderator. METHOD The sample included 798 men (18-30 years; M = 24.0 ± 3.6) who identified as African American (n = 261), Asian/Asian American (n = 266), or Hispanic/Latino (n = 271). Participants completed an online survey of items assessing demographic characteristics; perceived discrimination; perceptions of race-related discrimination following the 2016 U.S. presidential election; ethnic identity; and LOC eating. RESULTS After adjusting for income, education, generational status and body mass index, perceived discrimination was positively associated with LOC eating frequency in African American and Hispanic/Latino men (ps < .01). Ethnic identity was inversely associated with LOC eating frequency in Hispanic/Latino men (p < .001). In Asian/Asian American men, perceived discrimination was only associated with more LOC eating among those with a low ethnic identity (p < .001). Higher levels of perceived discrimination following the presidential election were uniquely associated with more frequent LOC eating (p < .01) only among Asian/Asian American men who were not born in the United States or whose parents were not born in the United States. DISCUSSION LOC eating may partially explain known associations between discrimination and heightened risk for obesity and chronic diseases among African American and Hispanic/Latino men. Asian/Asian American men's LOC eating may be linked to postpresidential election and general experiences with racial discrimination, particularly if they report a low sense of belonging to their ethnic group.
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Affiliation(s)
- Nichole R Kelly
- Counseling Psychology and Human Services, University of Oregon, Eugene, Oregon.,The Prevention Science Institute, University of Oregon, Eugene, Oregan
| | - Tasia M Smith
- Counseling Psychology and Human Services, University of Oregon, Eugene, Oregon.,The Prevention Science Institute, University of Oregon, Eugene, Oregan
| | | | - Claire Guidinger
- Counseling Psychology and Human Services, University of Oregon, Eugene, Oregon.,The Prevention Science Institute, University of Oregon, Eugene, Oregan
| | - Gina Williamson
- Counseling Psychology and Human Services, University of Oregon, Eugene, Oregon.,The Prevention Science Institute, University of Oregon, Eugene, Oregan
| | - Elizabeth L Budd
- Counseling Psychology and Human Services, University of Oregon, Eugene, Oregon.,The Prevention Science Institute, University of Oregon, Eugene, Oregan
| | - Nicole R Giuliani
- The Prevention Science Institute, University of Oregon, Eugene, Oregan.,Special Education and Clinical Sciences, University of Oregon, Eugene, Oregan
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Emotional reactivity in a clinical sample of patients with eating disorders and nonsuicidal self-injury. Psychiatry Res 2017; 257:519-525. [PMID: 28846988 PMCID: PMC5685801 DOI: 10.1016/j.psychres.2017.08.014] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/07/2017] [Revised: 08/01/2017] [Accepted: 08/09/2017] [Indexed: 01/21/2023]
Abstract
Emotional reactivity is theorized to contribute to both eating disorders (ED) and nonsuicidal self-injury (NSSI). Although EDs and NSSI frequently co-occur, no study has examined emotional reactivity in individuals with both conditions. This study examined the following hypotheses in a large clinical sample (N = 648): (1) patients with co-occurring ED and NSSI would report higher emotional reactivity and more severe clinical characteristics; (2) among those with EDs, patients with bulimia nervosa (BN) would be more likely to report NSSI and evidence higher emotional reactivity compared to those with anorexia nervosa (AN); and (3) higher emotional reactivity would be associated with worse treatment outcomes. Data were collected at admission and discharge from inpatient, partial hospitalization, and intensive outpatient treatment programs for EDs or NSSI. The NSSI-only and co-occurring groups reported significantly higher emotional reactivity than the ED-only group. Among those with EDs, individuals with BN reported higher emotional reactivity and were more likely to engage in NSSI compared to those with AN. Emotional reactivity was inconsistently related to treatment outcomes among the co-occurring and ED-only groups. In sum, results highlight the importance of emotional reactivity in clinical presentations, particularly when NSSI is present.
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Emotion Regulation and Loss of Control Eating in Community-Based Adolescents. JOURNAL OF ABNORMAL CHILD PSYCHOLOGY 2017; 45:183-191. [PMID: 27040409 DOI: 10.1007/s10802-016-0152-x] [Citation(s) in RCA: 27] [Impact Index Per Article: 3.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Abstract
The current study investigated concurrent and prospective associations between emotion-related constructs and loss of control (LOC) eating in adolescents. Community-based females (N = 588) completed annual self-report assessments of LOC eating, emotional awareness, emotion regulation strategies, and neuroticism from ages 16 to 18 years. Linear regressions and a regression-based multiple mediation model using bootstrapping were computed to examine the relationships among emotion-related constructs and LOC eating frequency. In the concurrent model, age 18 emotional awareness and emotion regulation strategies were associated with age 18 LOC eating, F(6, 416) = 12.11, p < 0.001, accounting for 4.5 % of the variance after controlling for demographics, body mass index, and neuroticism, F change = 10.81, p < 0.001. In the prospective model, age 17 emotional awareness predicted age 18 LOC eating, F(7, 425) = 11.67, p < 0.001, accounting for 1.7 % of unique variance beyond the effects of age 16 LOC eating and age 17 demographics, body mass index, and neuroticism, F change = 4.26, p = 0.015. In the multiple mediation model, age 18 emotion regulation strategies mediated the association between age 17 neuroticism and age 18 LOC eating, indirect effect estimate = 0.003, 95 % confidence interval = 0.001-0.005, after controlling for age 16 LOC eating and age 17 demographics, body mass index, and emotion regulation variables. Results suggest that deficient emotion regulation may contribute to the onset and maintenance of LOC eating in adolescence (although effects were small), and may partially explain the well-established prospective relationship between negative emotionality and later LOC eating. Prevention and early intervention programs should seek to improve adaptive coping in at-risk populations.
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Nikčević AV, Marino C, Caselli G, Spada MM. The importance of thinking styles in predicting binge eating. Eat Behav 2017; 26:40-44. [PMID: 28131965 DOI: 10.1016/j.eatbeh.2017.01.002] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/12/2016] [Revised: 12/31/2016] [Accepted: 01/09/2017] [Indexed: 10/20/2022]
Abstract
Impulsivity, Body Mass Index, negative emotions and irrational food beliefs are often reported as predictors of binge eating. In the current study we explored the role played by two thinking styles, namely food thought suppression and desire thinking, in predicting binge eating among young adults controlling for established predictors of this condition. A total of 338 university students (268 females) participated in this study by completing a battery of questionnaires measuring the study variables. Path analysis revealed that impulsivity was not associated with binge eating, that Body Mass Index and negative emotions predicted binge eating, and that irrational food beliefs only influenced binge eating via food thought suppression and desire thinking. In conclusion, thinking styles appear an important predictor of binge eating and they should be taken into consideration when developing clinical interventions for binge eating.
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Affiliation(s)
- A V Nikčević
- Department of Psychology, Kingston University, Kingston-upon-Thames, UK.
| | - C Marino
- Dipartimento di Psicologia dello Sviluppo e della Socializzazione, Università degli Studi di Padova, Padova, Italy; Division of Psychology, School of Applied Sciences, London South Bank University, London, UK
| | - G Caselli
- Division of Psychology, School of Applied Sciences, London South Bank University, London, UK; Studi Cognitivi, Milano, Italy; Sigmund Freud University, Milano, Italy
| | - M M Spada
- Division of Psychology, School of Applied Sciences, London South Bank University, London, UK
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Devonport TJ, Nicholls W, Fullerton C. A systematic review of the association between emotions and eating behaviour in normal and overweight adult populations. J Health Psychol 2017; 24:3-24. [DOI: 10.1177/1359105317697813] [Citation(s) in RCA: 77] [Impact Index Per Article: 11.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/24/2023] Open
Abstract
A systematic review was completed according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. A comprehensive search of four electronic databases (2004–2015) yielded 60,017 articles, of which 29 met inclusion criteria. Included studies performed poorly on data quality analysis in terms of randomisation and controlling for confounding factors. Participant’s body mass index scores range from 19.73 (standard deviation = 1.54) to 28.4 (standard deviation = 1.4) kg/m2. Where positive and negative affects were compared, food was more likely to be consumed in response to positive affect. With regard to discrete emotions; stress, depression and sadness consistently elicited eating behaviours that fall outside of nutritional recommendations (e.g. increased food intake or poor nutritional food choices). The role of moderators including individual differences in dietary restraint and emotional eating, as well as methodological considerations, such as means of eliciting and measuring emotions, may account for equivocality with regard to some emotion and eating associations. This article concludes with recommendations for future research and implications for practice.
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Borges AM, Dahne J, Lim AC, MacPherson L. Negative affect mediates the relation between trait urgency and behavioral distress tolerance. ACTA ACUST UNITED AC 2017; 17:707-716. [PMID: 28080084 DOI: 10.1037/emo0000267] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
Distress tolerance is associated with a range of psychopathology and risk-taking behavior. Current research suggests that the behavioral ability to persist at goal-directed behavior when distressed may be malleable. However, little is known about the contributing factors that underlie individual differences in distress tolerance. Trait urgency, or the tendency to act impulsively in the context of acute changes in affect, may predict distress tolerance because the prepotent response to avoid or remove an aversive state may undermine persistence. To date, most research has examined the role of negative urgency, a valenced subfactor of urgency, in relation to distress tolerance. However, the broad trait of urgency may be associated with a greater change in affect that precedes the inability to tolerate distress. The current study examined whether greater changes in negative affect was indeed a mediator in the relationship between trait urgency and behavioral distress tolerance. The effects of both positive and negative urgency on affect change were examined to investigate the potential contribution of the broader urgency trait. The results suggest that a greater change in negative affect over the course of a stressor mediated the association between both subfactors of urgency and distress tolerance. These findings suggest that trait urgency, regardless of valence, may be associated with experiencing greater changes in affect that ultimately undermine the ability to tolerate distress. These findings also highlight important components of distress tolerance that could inform behavioral interventions. (PsycINFO Database Record
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Affiliation(s)
| | - Jennifer Dahne
- Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina
| | - Aaron C Lim
- Department of Psychology, University of California, Los Angeles
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36
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Kukk K, Akkermann K. Fluctuations in negative emotions predict binge eating both in women and men: An experience sampling study. Eat Disord 2017; 25:65-79. [PMID: 27775488 DOI: 10.1080/10640266.2016.1241058] [Citation(s) in RCA: 22] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
Abstract
This study investigated the associations between emotional fluctuations and emotion regulation difficulties in predicting binge eating and overeating episodes using the experience sampling method among 97 women and 61 men. Among women, fluctuations in negative emotion, emotion regulation difficulties, restrained eating, and the interaction of negative emotion fluctuations and emotion regulation difficulties predicted binge eating. Among men, trait impulsivity and fluctuations in negative emotion predicted binge eating. However, overeating did not associate with aforementioned aspects. Results suggest that fluctuations in negative emotions should be studied in the context of emotion regulation difficulties.
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Affiliation(s)
- Katrin Kukk
- a Institute of Psychology , University of Tartu , Tartu , Estonia
| | - Kirsti Akkermann
- a Institute of Psychology , University of Tartu , Tartu , Estonia
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37
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Munsch S, Dremmel D, Kurz S, De Albuquerque J, Meyer AH, Hilbert A. Influence of Parental Expressed Emotions on Children's Emotional Eating via Children's Negative Urgency. EUROPEAN EATING DISORDERS REVIEW 2016; 25:36-43. [PMID: 27790790 DOI: 10.1002/erv.2489] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/15/2016] [Revised: 09/23/2016] [Accepted: 10/11/2016] [Indexed: 01/10/2023]
Abstract
We investigated whether parental expressed emotion (criticism and emotional overinvolvement) is related to children's emotional eating and whether this relationship is mediated by children's negative urgency. One hundred children, aged 8 to 13 years, either healthy or have binge-eating disorder and/or attention-deficit/hyperactivity disorder, completed the questionnaires, along with their parents. Parental criticism and, to a lesser extent, parental emotional overinvolvement were both positively related to children's emotional eating, and this relationship was mediated by children's negative urgency. Further exploratory analyses revealed that the mediating role of children's negative urgency in the relationship between parental criticism and children's emotional eating was pronounced in the clinical group of children with binge-eating disorder and attention-deficit/hyperactivity disorder but almost absent in the healthy control group. Copyright © 2016 John Wiley & Sons, Ltd and Eating Disorders Association.
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Affiliation(s)
- Simone Munsch
- Department of Psychology, University of Fribourg, Fribourg, Switzerland
| | - Daniela Dremmel
- Department of Psychology, University of Fribourg, Fribourg, Switzerland
| | - Susanne Kurz
- Department of Psychology, University of Fribourg, Fribourg, Switzerland
| | | | - Andrea H Meyer
- Integrated Research and Treatment Center of Adiposity Diseases, University of Leipzig Medical Center, Leipzig, Germany
| | - Anja Hilbert
- Department of Psychology, Division of Clinical Psychology and Epidemiology, University of Basel, Basel, Switzerland.,Department of Medical Psychology and Medical Sociology, University of Leipzig Medical Center, Leipzig, Germany
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Abstract
PURPOSE OF REVIEW This review provides an update on the new Diagnostic and Statistical Manual (DSM) diagnosis of binge-eating disorder (BED) by presenting diagnostic criteria, associated risk factors and co-morbidities, and tools for assessment. An update on the currently available evidence-based treatments for adolescent BED is provided to help with the coordination of treatment planning for identified patients with this condition. RECENT FINDINGS BED is now officially included in the DSM. Research with youth has begun to show improvement from treatments such as cognitive behavioral therapy, previously shown to be useful in adults. SUMMARY BED is common and often begins during youth. The availability of diagnostic criteria, along with increasing knowledge about the condition and available treatments, is expected to result in improved identification and management in younger patients.
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Mikheeva OV, Tragesser SL. Personality features, disordered eating, and alcohol use among college students: A latent profile analysis. PERSONALITY AND INDIVIDUAL DIFFERENCES 2016. [DOI: 10.1016/j.paid.2016.02.004] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/26/2023]
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40
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