Negative Affect Mediates the Relationship Between Interpersonal Problems and Binge-Eating Disorder Symptoms and Psychopathology in a Clinical Sample: A Test of the Interpersonal Model

Abstract Background While negative affect reliably predicts binge eating, it is unknown how this association may decrease or ‘de-couple’ during treatment for binge eating disorder (BED), whether such change is greater in treatments targeting emotion regulation, or how such change predicts outcome. This study utilized multi-wave ecological momentary assessment (EMA) to assess changes in the momentary association between negative affect and subsequent binge-eating symptoms during Integrative Cognitive Affective Therapy (ICAT-BED) and Cognitive Behavior Therapy Guided Self-Help (CBTgsh). It was predicted that there would be stronger de-coupling effects in ICAT-BED compared to CBTgsh given the focus on emotion regulation skills in ICAT-BED and that greater de-coupling would predict outcomes. Methods Adults with BED were randomized to ICAT-BED or CBTgsh and completed 1-week EMA protocols and the Eating Disorder Examination (EDE) at pre-treatment, end-of-treatment, and 6-month follow-up (final N = 78). De-coupling was operationalized as a change in momentary associations between negative affect and binge-eating symptoms from pre-treatment to end-of-treatment. Results There was a significant de-coupling effect at follow-up but not end-of-treatment, and de-coupling did not differ between ICAT-BED and CBTgsh. Less de-coupling was associated with higher end-of-treatment EDE global scores at end-of-treatment and higher binge frequency at follow-up. Conclusions Both ICAT-BED and CBTgsh were associated with de-coupling of momentary negative affect and binge-eating symptoms, which in turn relate to cognitive and behavioral treatment outcomes. Future research is warranted to identify differential mechanisms of change across ICAT-BED and CBTgsh. Results also highlight the importance of developing momentary interventions to more effectively de-couple negative affect and binge eating.

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Outcomes of Specific Interpersonal Problems for Binge Eating Disorder: Comparing Group Psychodynamic Interpersonal Psychotherapy and Group Cognitive Behavioral Therapy

International Journal of Group Psychotherapy ◽

10.1521/ijgp.2012.62.2.197 ◽

2012 ◽

Vol 62 (2) ◽

pp. 197-218 ◽

Cited By ~ 19

Author(s):

Giorgio A. Tasca ◽

Louise Balfour ◽

Michelle D. Presniak ◽

Hany Bissada

Keyword(s):

Eating Disorder ◽

Cognitive Behavioral Therapy ◽

Binge Eating ◽

Binge Eating Disorder ◽

Behavioral Therapy ◽

Interpersonal Problems ◽

Interpersonal Psychotherapy ◽

Cognitive Behavioral

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The relationship between binge eating disorder and non-purging bulimia nervosa

Eating and Weight Disorders - Studies on Anorexia Bulimia and Obesity ◽

10.1007/bf03353413 ◽

2005 ◽

Vol 10 (1) ◽

pp. 8-12 ◽

Cited By ~ 16

Author(s):

Carla E. Ramacciotti ◽

E. Coli ◽

R. Paoli ◽

G. Gabriellini ◽

F. Schulte ◽

...

Keyword(s):

Eating Disorder ◽

Bulimia Nervosa ◽

Binge Eating ◽

Binge Eating Disorder ◽

The Relationship

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Binge Eating Disorder e regolazione affettiva: cibo, emozioni, relazioni

SALUTE E SOCIETÀ ◽

10.3280/ses2009-003005 ◽

2009 ◽

pp. 77-93

Author(s):

Valentina Guiducci

Keyword(s):

Eating Disorder ◽

Binge Eating ◽

Binge Eating Disorder ◽

Affect Regulation ◽

Self Regulation ◽

Emotional Dysregulation ◽

Clinical Implications ◽

Bodily Sensations ◽

Desire To Eat ◽

The Relationship

- The work aims to draw a descriptive and explanatory picture of Binge Eating Disorder, basing on the key concept of affective regulation. It is proposed, as an explanation model of the disorder, the hypothesis of Taylor, Bagby and Parker (1997, 2000), who conceptualized Eating Disorders as self-regulation disorders, focusing on the construct of affect regulation. It refers to the acts that modulate emotions experienced and expressed (Gross and Munoz, 1995; Kopp, 1989; Schor, 1994). The reference to attachment theory, as privileged theoretical framework for understanding the construct of affect regulation, is introduced to discuss pathogenetic and clinical implications (Santona and Zavattini, 2009). The review of the empirical results of the studies that examined the relationship between Binge Eating Disorder and emotional dysregulation, shows how the characteristic of this disorder is a poor capacity to modulate dysphoric feelings and to differentiate emotions from bodily sensations. The desire to eat is experienced as a compulsive craving, that represents for the patient the only possible response to emotional dysregulation (Whiteside et al., 2007).Key-words: Binge Eating Disorder, food, emotions, affective regulation, bulimia, shape.Parole-chiave: Binge Eating Disorder, cibo, emozioni, regolazione affettiva, bulemia, vergogna.

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