Eating pathology, emotion regulation, and emotional overeating in obese adults with Binge Eating Disorder.
TL;DR: It is indicated that difficulties with emotion regulation accounted for unique variance in both emotional overeating and general eating pathology above and beyond sex and negative affect.
About: This article is published in Eating Behaviors.The article was published on 2013-08-01 and is currently open access. It has received 229 citations till now. The article focuses on the topics: Binge eating & Overeating.
Citations
More filters
TL;DR: Overall, the current evidence suggests that BED may be related to maladaptation of the corticostriatal circuitry regulating motivation and impulse control similar to that found in other impulsive/compulsive disorders.
243 citations
Cites background from "Eating pathology, emotion regulatio..."
...Furthermore, available evidence suggests stress and motional regulation may play a role in BED (Corwin et al., 2011; ianini et al., 2013; Gluck et al., 2004; Hilbert et al., 2011; Laessle nd Schulz, 2009; Larsen et al., 2009; Nicholls et al., 2016; Pendleton t al., 2001; Pinaquy et al., 2003;…...
[...]
TL;DR: Correlational analyses showed that more frequent EE-D, EE-A, and EE-B were related to poorer psychological well-being, greater eating disorder symptoms, and more difficulties with emotion regulation, and findings suggest that unique patterns exist between specific types of emotional eating and psychological outcomes.
122 citations
TL;DR: Positive urgency, the tendency to act impulsively when under distress, and emotion dysregulation positively predicted symptom count on the Yale Food Addiction Scale whereas a lack of premeditation negatively predicted symptom number (all ps<0.05).
108 citations
TL;DR: Emotion dysregulation is a part of all forms of EDs and emotional dysregulation can be modified, and ED treatments for anorexia nervosa and binge eating disorder might be enhanced by targeting ER skills.
Abstract: Emotion regulation (ER) difficulties are observed in eating disorders (EDs). However, few studies have explored ER before and after treatment. The aims are as follows: to explore ER difficulties across ED types and a healthy control (HC) group (Study 1) and to assess pretreatment and post-treatment changes among ED types (Study 2). In Study 1, adult women with EDs (n = 438) and HC (n = 126) completed an assessment including Eating Disorders Inventory-2, Difficulties in Emotion Regulation Scale and Symptom Checklist-90-Revised. Patients in Study 2 (n = 69) were also reassessed after treatment. All ED types reported worse ER compared with HC (p < .001); also, ER differences were found between ED types. Prospective analyses show ER improvements after treatment (p < .001; |d| = 0.51), especially in patients with bulimia nervosa (p < .001; |d| = 1.03; Reliable Change Index = 9.79) with greater improvement in those with a better treatment outcome (p = .034). In conclusion, emotion dysregulation is a part of all forms of EDs. Furthermore, emotional dysregulation can be modified. ED treatments for anorexia nervosa and binge eating disorder might be enhanced by targeting ER skills. Copyright © 2017 John Wiley & Sons, Ltd and Eating Disorders Association.
108 citations
Cites background from "Eating pathology, emotion regulatio..."
...Emotion regulation difficulties are widely acknowledged in patients with EDs (Gianini et al., 2013; Haynos, Roberto, & Attia, 2015; Lavender et al., 2014; Wolz et al., 2015) with some studies also suggesting emotion dysregulation as a transdiagnostic risk factor for developing ED symptomatology…...
[...]
...Emotion regulation difficulties are widely acknowledged in patients with EDs (Gianini et al., 2013; Haynos, Roberto, & Attia, 2015; Lavender et al., 2014; Wolz et al., 2015) with some studies also suggesting emotion dysregulation as a transdiagnostic risk factor for developing ED symptomatology (Brockmeyer et al....
[...]
TL;DR: Despite its recent inclusion in DSM-5 as an autonomous disease, BED diagnosis and treatment strategies deserve further deepening, and a multidisciplinary and stepped-care treatment appears as a promising management strategy.
Abstract: Binge Eating Disorders is a clinical syndrome recently coded as an autonomous diagnosis in DSM-5. Individuals affected by Binge Eating Disorder (BED) show significantly lower quality of life and perceived health and higher psychological distress compared to the non-BED obese population. BED treatment is complex due to clinical and psychological reasons but also to high drop-out and poor stability of achieved goals. The purpose of this review is to explore the available data on this topic, outlining the state-of-the-art on both diagnostic issues and most effective treatment strategies.
93 citations
Cites background from "Eating pathology, emotion regulatio..."
..., 2013 [30] 326 obese with BED ——— ——— Difficulties with emotion regulation accounted for unique variance in both emotional overeating and general eating pathology (self-administered tests)....
[...]
...Cross-sectional study Gianini et al., 2013 [30] 326 obese with BED ——— ——— Difficulties with emotion regulation accounted for unique variance in both emotional overeating and general eating pathology (self-administered tests)....
[...]
...Obese individuals with BED may lack effective strategies for managing negative emotions, and it has been hypothesized that eating is undertaken as a strategy to regulate or change negative emotions [30]....
[...]
References
More filters
TL;DR: An overview of simple and multiple mediation is provided and three approaches that can be used to investigate indirect processes, as well as methods for contrasting two or more mediators within a single model are explored.
Abstract: Hypotheses involving mediation are common in the behavioral sciences. Mediation exists when a predictor affects a dependent variable indirectly through at least one intervening variable, or mediator. Methods to assess mediation involving multiple simultaneous mediators have received little attention in the methodological literature despite a clear need. We provide an overview of simple and multiple mediation and explore three approaches that can be used to investigate indirect processes, as well as methods for contrasting two or more mediators within a single model. We present an illustrative example, assessing and contrasting potential mediators of the relationship between the helpfulness of socialization agents and job satisfaction. We also provide SAS and SPSS macros, as well as Mplus and LISREL syntax, to facilitate the use of these methods in applications.
25,799 citations
TL;DR: The Difficulties in Emotion Regulation Scale (DERS) as discussed by the authors measures the ability to act in desired ways regardless of emotional state, and has high internal consistency, good test-retest reliability, and adequate construct and predictive validity.
Abstract: Given recent attention to emotion regulation as a potentially unifying function of diverse symptom presentations, there is a need for comprehensive measures that adequately assess difficulties in emotion regulation among adults. This paper (a) proposes an integrative conceptualization of emotion regulation as involving not just the modulation of emotional arousal, but also the awareness, understanding, and acceptance of emotions, and the ability to act in desired ways regardless of emotional state; and (b) begins to explore the factor structure and psychometric properties of a new measure, the Difficulties in Emotion Regulation Scale (DERS). Two samples of undergraduate students completed questionnaire packets. Preliminary findings suggest that the DERS has high internal consistency, good test–retest reliability, and adequate construct and predictive validity.
6,185 citations
Additional excerpts
...Difficulties in Emotion Regulation Scale (DERS; Gratz & Roemer, 2004) This instrument is a 36-item questionnaire that measures multiple dimensions of emotion regulation, including emotional understanding and clarity, and controlling behavior when in a state of heightened emotional arousal....
[...]
TL;DR: A number of apparently diverse personality scales—variously called trait anxiety, neuroticism, ego strength, general maladjustment, repression-sensitization, and social desirability—are reviewed and are shown to be in fact measures of the same stable and pervasive trait.
Abstract: A number of apparently diverse personality scales—variously called trait anxiety, neuroticism, ego strength, general maladjustment, repression-sensitization, and social desirability—are reviewed and are shown to be in fact measures of the same stable and pervasive trait. An integrative interpretation of the construct as Negative Affectivity (NA) is presented. Extensive data indicate that high-NA individuals are more likely to experience discomfort at all times and across situations, even in the absence of overt stress. They are relatively more introspective and tend differentially to dwell on the negative side of themselves and the world. Further research is needed to explain the origins of NA and to elucidate the characteristics of low-NA individuals. Rorer and Widiger (1983) recently bemoaned that in the field of personality "literature reviews appear to be disparate conglomerations rather than cumulative or conclusive integrations" (p. 432). We intend this review to be an exception to this discouraging statement. Distinct and segregated literatures have developed around a number of specific personality measures that, despite dissimilar names, nevertheless intercorrelate so highly that they must be considered measures of the same construct. Following Tellegen (1982), we call this construct Negative Affectivity (NA) and present a comprehensive view of the trait that integrates data from a wide variety of relevant research. We are not the first to note this broad and pervasive personality trait. The Eysencks, for example, (e.g. Eysenck & Eysenck, 1968) have done extensive research in the area, traditionally calling the dimension "Neuroticism," although in their most recent revision (Eysenck & Eysenck, 1975) they suggest a label, "emotionality," that is similar to our own. Nonetheless, in discussing the relation between our interpretation and previous views of the domain, we argue for the preferability of our term, Negative Affectivity. We also present
4,544 citations
"Eating pathology, emotion regulatio..." refers background in this paper
...The BDI assesses a wide range of negative affect, not just depressive affect (Watson & Clark, 1984), a finding that has been noted for self-report measures of depression (Fechner-Bates, Coyne, & Schwenk, 1994)....
[...]
TL;DR: Although the two measures performed similarly with respect to the assessment of unambiguous behavioral features such as self-induced vomiting and dieting, the self-report questionnaire generated higher scores than the interview when assessing more complex featuressuch as binge eating and concerns about shape.
Abstract: A detailed comparison was made of two methods for assessing the features of eating disorders. An investigator-based interview was compared with a self-report questionnaire based directly on that interview. A number of important discrepancies emerged. Although the two measures performed similarly with respect to the assessment of unambiguous behavioral features such as self-induced vomiting and dieting, the self-report questionnaire generated higher scores than the interview when assessing more complex features such as binge eating and concerns about shape. Both methods underestimated body weight.
4,250 citations
TL;DR: It is proposed that binge eating is motivated by a desire to escape from self-awareness, and the escape model is capable of integrating much of the available evidence about binge eating.
Abstract: This article proposes that binge eating is motivated by a desire to escape from self-awareness. Binge eaters suffer from high standards and expectations, especially an acute sensitivity to the difficult (perceived) demands of others. When they fall short of these standards, they develop an aversive pattern of high self-awareness, characterized by unflattering views of self and concern over how they are perceived by others. These aversive self-perceptions are accompanied by emotional distress, which often includes anxiety and depression. To escape from this unpleasant state, binge eaters attempt the cognitive response of narrowing attention to the immediate stimulus environment and avoiding broadly meaningful thought. This narrowing of attention disengages normal inhibitions against eating and fosters an uncritical acceptance of irrational beliefs and thoughts. The escape model is capable of integrating much of the available evidence about binge eating.
2,095 citations
"Eating pathology, emotion regulatio..." refers background in this paper
...A predominant theoretical model for explaining disordered eating behaviors suggests that these behaviors are undertaken as an attempt to regulate or escape from negative affect (Heatherton & Baumeister, 1991; Stice et al., 2001)....
[...]